The National Institutes of Health (NIH) is soliciting applications for its Research Opportunities in Crisis Response Services for Suicide Prevention Program.
Donor Name: National Institutes of Health (NIH)
State: All States
County: All Counties
Type of Grant: Grant
Deadline: (mm/dd/yyyy) 11/08/2024
Size of the Grant: More than $1 million
Grant Duration: 5 Years
Details:
This Notice of Funding Opportunity (NOFO) encourages research examining the effectiveness and implementation of crisis response services, approaches to improve the quality and outcomes of services, and the impact of state and local policy on implementation and outcomes. Research is sought that is conducted in real-world settings, where a wide range of clinical presentations, psychosocial factors, age-related characteristics (e.g., youth; adult; older adult), geographic context (rural/remote settings), racial/ethnic and cultural considerations, and health disparities influence the types of care that are provided. Studies are encouraged that address the continuum of crisis service systems.
Research Objectives
- NIMH seeks to promote research examining the effectiveness and implementation of crisis response services, approaches to improve the quality and outcomes of services, and the impact of state and local policy on implementation and outcomes. Research is sought that is conducted in real-world settings, where a wide range of clinical presentations, psychosocial factors, age-related characteristics (e.g., youth; adult; older adult), geographic context (rural/remote settings), racial/ethnic and cultural considerations, and health disparities influence the types of care that are provided. Studies are encouraged that address the continuum of crisis service systems, as well as applications that address crisis services for children and under-resourced populations. Topics of research interest span the crisis care continuum – including having someone to talk to, someone to respond, and somewhere to go.
- Projects should include clearly operationalized research-practice partnerships that inform study design and ensure findings that can be readily put into practice. Projects should include plans to involve collaborations and/or input from community practice partners/providers, consumers, and relevant policymakers in a manner that informs the research (e.g., to help ensure the interventions/service delivery approaches are acceptable, feasible, and scalable) and helps to ensure the results will have utility.
- While this NOFO is not intended to support description or evaluation of local practices, research applications that involve rigorous examination of factors that impact or account for the effectiveness of existing crisis service models or practices (e.g., research on mechanisms of action for existing practices) are considered responsive.
Specific Areas of Research Interest
Areas of interest include (but are not limited to):
Research examining the effectiveness and implementation of crisis response services (e.g., studies that test or compare alternative approaches) that utilize data supporting examination of post-acute stabilization:
- Evaluating the effectiveness of call center strategies to address distress and coordinate care.
- Assessing approaches to deploy mobile crisis outreach and support.
- Testing approaches to diagnose and provide stabilization of suicide risk and co-occurring mental health concerns.
- Analyzing approaches to promote sustained engagement with appropriate mental health services, and strategies for facilitating effective referrals and follow-up.
- Testing strategies to link individuals in crisis to effective, available outpatient care (e.g., Certified Community Behavioral Health Centers).
- Examining outcomes of crisis services across the lifespan (e.g. school age youth; transitional age youth, adults and older adults).
- Optimizing approaches to ensure culturally-competent service delivery (e.g., ensure equitable outcomes for all populations served, including the highest rate groups, and those experiencing increasing trends, many of whom are health disparity populations (racial and ethnic minorities, sexual and gender minorities, underserved rural communities, people with lower socioeconomic status, and those who have identities that include multiple disparities, or intersectional identities).
- Testing approaches to improve implementation of crisis services in rural or remote areas including partnership with 911 and related emergency medical services spectrum.
- Examining the impact of strategies to optimize police referral to enhance type and effectiveness of service use and patient-level outcomes, informed in part by individual and community preferences.
Research examining approaches to improve the quality and outcomes of services:
- Optimizing, validating, testing and improving the quality of decision support tools (e.g., decision-support tools for risk stratification that could facilitate efforts to match individuals to the appropriate intensity).
- Testing pragmatic strategies that can be used to monitor the quality of crisis services in practice settings.
- Developing, testing and improving the quality of workforce training and support tools (e.g., testing and comparing strategies for training providers to initial competence and for promoting sustained fidelity in the delivery of research-supported services).
- Testing use of technology to augment or enhance responsiveness,effectiveness, and sustained fidelity of services.
Research examining the impact of state and local policy on implementation and outcomes:
- Investigating whether and to what extent financing mechanisms, policies, regulations, and healthcare system rules optimize patient-level outcomes (including suicidal behavior and co-occurring mental health crises). Examples may include identifying optimal:
- Organizational resources, including call center capacity, number of call center workers, text capability.
- Levels of funding and types of expenditures, including from federal and state resources, user fees, Medicaid and/or private insurers.
- State capacity (optimal investment in workforce and technology to serve the state’s population), including examining the impact on patient-level outcomes when state capacity is exceeded.
- Identifying mutable factors and policy interventions that can address disparities (e.g., by race/ethnicity, age, geographic location, and other factors) in the knowledge of 988, use of 988, types of referrals made during a 988 call.
- Assessing the effectiveness of incentives to attract and retain a high-quality workforce (e.g., reimbursement rates, certification requirements, cross-state licensing, flexible working arrangements).
- Evaluating outreach strategies that have the most impact on 988 utilization, particularly for under-served communities.
- Analyzing the impact of 988 utilization on other state resources, e.g., the conditions under which positive or negative unintended consequences occur (e.g., on emergency departments, outpatient mental health services, health and safety resources, police resources, domestic violence resources).
Funding Information
- NIMH intends to commit up to a total of $2,000,000.
- The maximum project period is 5 years.
Eligibility Criteria
Higher Education Institutions
- Public/State Controlled Institutions of Higher Education
- Private Institutions of Higher Education
The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:
- Hispanic-serving Institutions
- Historically Black Colleges and Universities (HBCUs)
- Tribally Controlled Colleges and Universities (TCCUs)
- Alaska Native and Native Hawaiian Serving Institutions
- Asian American Native American Pacific Islander Serving Institutions (AANAPISIs)
Nonprofits Other Than Institutions of Higher Education
- Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education)
- Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education)
For-Profit Organizations
- Small Businesses
- For-Profit Organizations (Other than Small Businesses)
Local Governments
- State Governments
- County Governments
- City or Township Governments
- Special District Governments
- Indian/Native American Tribal Governments (Federally Recognized)
- Indian/Native American Tribal Governments (Other than Federally Recognized)
Federal Governments
- Eligible Agencies of the Federal Government
- U.S. Territory or Possession
Other
- Independent School Districts
- Public Housing Authorities/Indian Housing Authorities
- Native American Tribal Organizations (other than Federally recognized tribal governments)
- Faith-based or Community-based Organizations
- Regional Organizations
Foreign Organizations
- Non-domestic (non-U.S.) Entities (Foreign Organizations) are not eligible to apply.
- Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply.
- Foreign components, as defined in the NIH Grants Policy Statement, are not allowed.
For more information, visit Grants.gov.
