Opportunity Information: Apply for SM 19 005

The Tribal Behavioral Health Grant Program (also referred to as Native Connections) is a discretionary grant opportunity from the U.S. Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA), specifically involving SAMHSA's Centers for Mental Health Services (CMHS) and the Center for Substance Abuse Prevention (CSAP). Released for FY 2019 under funding opportunity number SM 19 005 (CFDA 93.243), the program is focused on strengthening behavioral health supports for American Indian and Alaska Native communities, with a clear emphasis on youth and young adults through age 24. The overall aim is to address urgent and interconnected issues in tribal communities by preventing and reducing suicidal behavior, reducing substance use, lessening the impacts of trauma, and promoting mental health and well-being.

A central feature of Native Connections is its expectation that grantees will build culturally responsive, community-driven approaches rather than relying on one-size-fits-all models. The program is intended to foster tribal solutions that recognize how historical and ongoing trauma, mental health challenges, and substance use can interact and compound risk for suicide and other harms. SAMHSA frames the work as both preventive and supportive: recipients are expected to develop and implement an integrated set of services and supports that can reduce risk factors, strengthen protective factors, and respond effectively when youth and families need help. In practice, this means coordinating suicide prevention, trauma-informed services, mental health supports, and substance use prevention efforts so they function as a connected system rather than separate programs operating in silos.

Another major goal is improving collaboration and coordination across agencies and community systems that touch the lives of tribal youth, especially as young people transition into adulthood. The grant emphasizes that tribal communities should be in the lead in bringing partners together, aligning resources, and creating smoother pathways to care and support. Recipients are expected to strengthen coordination among providers and programs involved in mental health, trauma response, suicide prevention, and prevention services, with attention to both youth and their families. The program description highlights that Native Connections is not just about delivering services; it is also about building relationships, creating shared strategies, and improving how local systems communicate and work together around young people.

Community involvement is treated as a requirement rather than a suggestion. AI/AN community members are expected to participate in every stage of the grant, including planning, implementation, and evaluation. At minimum, this includes meaningful involvement from youth, family members, tribal leaders, and spiritual advisors, reflecting the program's intent to ground behavioral health strategies in cultural knowledge, community values, and local priorities. The funding announcement also clarifies that, for the purposes of this opportunity, "community" can refer broadly to a tribe, village, tribal organization, or a consortium of tribes or tribal organizations, which allows flexibility in how applicants define the community they serve and organize partnerships.

From an administrative standpoint, the opportunity had an application closing date of January 4, 2019, with an award ceiling of $250,000 and an anticipated 51 awards. The eligible applicant category is listed as "Others" with further clarification provided in the full eligibility text of the announcement, indicating the program is primarily geared toward tribal entities and related tribal organizations as defined in the full FOA. Overall, Native Connections is designed to help tribal communities strengthen youth behavioral health by combining suicide prevention, substance use prevention, trauma-informed and culturally grounded approaches, and cross-system collaboration, all shaped and guided by the community itself.

  • The Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "Tribal Behavioral Health Grant Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243.
  • This funding opportunity was created on Nov 05, 2018.
  • Applicants must submit their applications by Jan 04, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $250,000.00 in funding.
  • The number of recipients for this funding is limited to 51 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for SM 19 005

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