The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT), is accepting applications for the fiscal year (FY) 2023 Emergency Department Alternatives to Opioids (Short Title: ED-ALT) program.
Donor Name: Substance Abuse and Mental Health Services Administration (SAMHSA)
State: All States
County: All Counties
Type of Grant: Grant
Deadline: 03/06/2023
Size of the Grant: Up to $500,000
Grant Duration: Up to 3 years
Details:
The purpose of this program is to develop and implement alternatives to opioids for pain management in hospitals and emergency department (ED) settings and reduce the likelihood of future opioid misuse. This program also supports identification of, and intervention for, individuals presenting with Opioid Use Disorder (OUD).
Funding Information
Up to $500,000 per year
Project Period
Up to 3 years
Required Activities
Applicants must indicate the total number of unduplicated individuals that will be served each year of the award and over the total project period. Award recipients are expected to achieve the numbers that are proposed. Award recipients must use SAMHSA’s funds primarily to support direct services. This includes the following activities:
- Develop and implement person-centered treatment approaches for painful conditions frequently treated in the recipient’s organizational setting. Based on the organization’s trends, recipients should identify which pain conditions are most frequent and direct strategies to address those conditions. These strategies should reflect an understanding of pain management responses and help-seeking behaviors across different cultures and address provider biases regarding pain and different cultural groups.
- Encourage providers to pursue training on MOUD and how to incorporate MOUD during treatment and to obtain a waiver to prescribe buprenorphine. This activity is to assure treatment is available for people with OUD who may be identified through screening and are in need of treatment for pain and OUD.
- Train providers and other hospital personnel on protocols or best practices related to the use of opioid prescriptions and alternatives to opioids for pain management in the ED, taking into consideration different cultural explanations and approaches to pain and potential provider biases.
- Develop or continue strategies to provide alternatives to opioids. Strategies should include innovative approaches to the management of pain including multidisciplinary approaches that could be initiated in emergency department settings where many individuals with such conditions seek acute care. Teambased care may include such services as complete physical examination to accurately describe the medical condition and pain experienced by the individual, examination for the presence of co-occurring mental and/or substance use disorders, supporting appropriate laboratory studies to assist in diagnosis and identification of current opioid medication and other substance use, physical therapy, acupuncture, cognitive-behavioral therapy interventions and other alternative approaches that may assist in pain management without the use of opioids. Such resources might be initiated in emergency department settings and continued in other organizational settings such as primary care or specialty pain management that offers an alternative to opioid therapies.
- Seek consultation with physicians, and other relevant ED staff who have implemented evidence-based and best practices to alternatives to opioids for pain management, especially across different racial, ethnic, and cultural groups.
- Disseminate evidence-based practices to implement alternatives to opioids for pain. SAMHSA will work with each recipient to catalogue best practices and ensure these strategies are shared across the project portfolio and with the healthcare field at large.
- Utilize SAMHSA’s existing Technical Assistance activities including the Technology Transfer Centers; the Opioid Response Network; and the Providers’ Clinical Support System (PCSS) TA Centers to educate and train staff.
- Submit proposed medication(s) and intervention techniques to their SAMHSA Government Project Officer (GPO) for review and approval by the Office of the Chief Medical Officer.
- Increase, improve, strengthen, and evaluate partnerships with community-based organizations, faith-based organizations, government agencies (including public health departments), businesses, educational institutions, and other organizations to meet patient’s needs.
Allowable activities
Allowable activities are an allowable use of funds but are not required. Allowable activities may include:
- Arranging training on Screening, Brief Intervention and Referral to Treatment (SBIRT).
- Linking providers to available trainings on prescribing MOUD. 8
- Providing training on alternative pain management techniques, such as acupuncture, meditation, visualization techniques, physical therapy, and other modalities.
- Extending training on ED-Alt techniques to other hospital departments.
- Providing training on implementation of the National Culturally and Linguistically Appropriate Services (CLAS) Standards to service providers to increase awareness and acknowledgment of differences in language, age, culture, racial and ethnic disparities, socio-economic status, religious beliefs, sexual orientation and gender identity, and life experiences in order to improve the inclusiveness of the service delivery environment and ultimately improve behavioral health outcomes.
- Providing activities that address behavioral health disparities and the social determinants of health.
- Providing additional language access services (to include interpretation, translation, disability accommodations, and accessibility) above and beyond those that are legally mandated under civil rights laws and provisions to support required award activities as applicable.
- Implementing efforts aligned to the award that may expand diversity equity, inclusion, and accessibility.
- Using data to understand who is served and disproportionately served (e.g., overserved or underserved).
- Developing and implementing outreach and referral pathways that engage all demographic groups representative of your community.
- Other activities that support the purpose of this award, which are permitted under HHS guidelines, may be approved in consultation with the SAMHSA team.
Eligibility Criteria
Eligible applicants are statutorily limited to domestic non-profit hospitals and emergency departments, including free-standing emergency departments and Rural Emergency Hospitals (REHs) as established by the Consolidated Appropriations Act, 2021, effective January 1, 2023. Recipients who received funding in FY 2020 or 2021 under ED-ALT (TI-20-005) are not eligible to apply for funding under this announcement.
General Eligibility Information
There are many types of organizations generally eligible to apply for SAMHSA funding opportunities. However, eligibility is strictly tied to the statutory authority governing this award. Please be sure to double check the NOFO for eligibility.
Eligibility for this NOFO may include the following:
Government Organizations
- State governments and territories
- County governments
- City or township governments
- Special district governments
- Native American tribal governments (federally recognized)
- Native American tribal governments (other than federally recognized) State-Recognized Tribes
Other Tribal Entities
- Tribal organizations
- Consortia of tribes or tribal organizations
- Urban Indian Organizations
Education Organizations
- Independent school districts
- Public and state-controlled institutions of higher education
- Private institutions of higher education
- Education agencies/authorities serving children and youth residing in federally recognized American Indian/Alaska Native (AI/AN) tribes
Non-profit Organizations
- Non-profits having a 501(c)(3) status with the Internal Revenue Service (IRS), other than institutions of higher education
- Non-profits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, including entities with 501(c)(4) status (civic leagues, social welfare organizations, and local associations of employees) and 501(c)(5) status (labor organizations).
Please note: For-profit organizations and foreign entities are not eligible to apply for SAMHSA awards.
For more information, visit Grants.gov.
