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The Substance Abuse & Mental Health Services Administration


SAMHSA Grant Annoucement RFA

Application Information
Center for Substance Abuse Treatment (CSAT)

Request for Applications (RFA)

Screening, Brief Intervention, Referral and Treatment (SBIRT)
Medical Residency Program

(Initial Announcement)

 

Request for Applications (RFA) No. TI-08-003
Posting on Grants.gov: March 4, 2008
Receipt date: April 30, 2008
Announcement Type: Initial

Catalogue of Federal Domestic Assistance (CFDA) No
.: 93.243

Key Dates:

Application Deadline

Applications are due by April 30, 2008

Intergovernmental Review
(E.O. 12372)

Applicants must comply with E.O. 12372 if their State(s) participates.  Review process recommendations from the State Single Point of Contact (SPOC) are due no later than 60 days after application deadline.

Public Health System Impact Statement (PHSIS)/Single State Agency Coordination

Applicants must send the PHSIS to appropriate State and local health agencies by application deadline. Comments from Single State Agency are due no later than 60 days after application deadline.

The Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment is accepting applications for fiscal year (FY) 2008 for Screening, Brief Intervention, Referral and Treatment (SBIRT) Medical Residency Program cooperative agreements. The primary purpose of the SBIRT Medical Residency Program is to develop and implement training programs to teach medical residents skills to provide evidence-based screening, brief intervention, brief treatment and referral to specialty treatment for patients who have, or are at risk for, a substance use disorder. Another purpose of the program is to promote adoption of SBIRT through delivery of training to local and Statewide medical communities for wider dissemination of SBIRT practices.

The abuse of and addiction to substances (including the misuse of prescription medications) increases the risk for numerous health problems, including psychiatric disorders. A reduction in risky/problematic use or abuse of substances is a recognized medical preventive procedure. Evidence-based screening questionnaires can effectively detect and quantify a spectrum of problematic substance use disorders and protocol-driven brief interventions exist that can effectively reduce substance use.

General medicine physicians are positioned to play a critical role in the recognition and treatment of patients with, or at risk for, Substance Use Disorders. Therefore, it is necessary to train physicians who staff and oversee such medical settings to provide and administer programs of screening, brief intervention, and referral to treatment. Since a significant portion of physician training for medical practice occurs in medical residency programs, it is necessary to establish SBIRT as an ongoing part of medical residency programs. Recognition of the validity of these services to be provided in medical and healthcare settings is underscored by adoption of new procedural codes by the Centers for Medicaid and Medicare Services (CMS) and the American Medical Association-Current Procedural Terminology (AMA-CPT®) Board.

SBIRT Medical Residency Program Grant funds are to be used to develop SBIRT curricula and clinical training as part of residency programs for physicians in primary care to include: family medicine, internal medicine, obstetrics and gynecology, pediatrics, emergency medicine, trauma, psychiatry and others. The goal of the program is to train physicians to provide SBIRT services and to promote systemic change in residency programs by integrating SBIRT into the curriculum on a long-term basis. The expectation is that SBIRT will be a component of the education provided to each successive class of medical residents.

Allowable expenses will include items such as: 1) salary of faculty, administrative and secretarial staff; 2) cost of developing and administering the program, including curriculum development; and 3) following program establishment, delivery of training to house staff and local and Statewide medical communities for wider dissemination of SBIRT practices. Grant funds may not be used for direct patient services, tuition costs, or to pay medical residents or other participants in the program.

The SBIRT Medical Residency Program Grants are authorized under Section 509 of the Public Health Service Act, as amended. This announcement addresses Healthy People 2010, Volume II (Part B: Focus Area 26 - Substance Abuse).

Eligibility

Eligible applicants are domestic public and private nonprofit entities. For example, State and local governments, federally recognized American Indian/Alaska Native Tribes and tribal organizations, urban Indian organizations, public or private universities and colleges; and community- and faith-based organizations may apply. Tribal organization means the recognized body of any AI/AN Tribe; any legally established organization of American Indians/Alaska Natives which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of American Indians/Alaska Natives in all phases of its activities. Consortia of tribal organizations are eligible to apply, but each participating entity must indicate its approval. The statutory authority for this program prohibits grants to for-profit agencies.

Given the subject matter, applications are encouraged from universities/colleges affiliated with teaching hospitals that offer residency programs and teaching hospitals with graduate training programs for medical residencies. However, because this is a new program, SAMHSA wants to provide potential applicants maximum flexibility and opportunity for innovation in the design of these SBIRT Medical Residency programs. Therefore, SAMHSA has decided to provide open eligibility for this program.

If the applicant is not an academic medical center or academic affiliated teaching hospital, the applicant must provide MOUs, MOAs, IAAs, or formal contractual agreements that demonstrate existing relationships with academic medical centers or academic affiliated teaching hospitals to implement the SBIRT curriculum. These documents must be provided in Appendix 4 of your application.

Award Information

Funding Mechanism: Cooperative Agreement
Anticipated Total Available Funding: $3.75 million
Anticipated Number of Awards: 10
Anticipated Award Amount:

Up to $375,000 per year

Length of Project Period: Up to 5 years

Proposed budgets cannot exceed $375,000 in total costs (direct and indirect) in any year of the proposed project. Annual continuation awards will depend on the availability of funds, grantee progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award.

Contact Information

For questions on program issues, contact:

Tom Stegbauer
Center for Substance Abuse Treatment
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Room 5-1099
Rockville, Maryland 20850
(240) 276-2965
tom.stegbauer@samhsa.hhs.gov

For questions on grants management issues, contact:

Kathleen Sample
Office of Program Services, Division of Grants Management
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road, Room 7-1089
Rockville, MD 20857
(240) 276-1407
kathleen.sample@samhsa.hhs.gov

Documents needed to complete a grant application:

Applications that are not submitted on the required application form will be screened out and will not be reviewed.

Download the complete Announcement No. TI-08-003

MS Word Format Download RFA in MS Word format
PDF Format Download RFA in Adobe PDF format

PHS 5161-1 (revised July 2000): Includes the face page, budget forms and checklist.

Additional Materials

For further information on the forms and the application process, see Useful Information for Applicants

Additional materials available on this website include:



Last Update: 3/4/2008