Opportunity Information: Apply for SM 22 008

The grant opportunity titled "Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis" (Funding Opportunity Number SM-22-008) is a discretionary grant program from the U.S. Department of Health and Human Services, administered through the Substance Abuse and Mental Health Services Administration (SAMHSA). It falls under the health funding activity category and is listed under CFDA 93.243. The program was created on February 17, 2022, with an original application closing date of April 18, 2022.

The central aim of this funding is to strengthen community-based efforts that can identify young people who may be on a path toward developing a psychotic disorder and to intervene early, before symptoms become more severe or disabling. The target population is youth and young adults age 25 and under who are considered at clinical high risk for psychosis. The emphasis is not only on recognizing early warning signs, but also on delivering evidence-based, trauma-informed supports and services designed to prevent the onset of psychosis whenever possible and to lessen the impact of serious symptoms when prevention is not possible.

The grant’s expected outcomes are concrete and focused on both clinical improvement and real-world functioning. Applicants are expected to design programs that improve symptomatic and behavioral functioning, meaning reductions in distressing experiences and risky or disruptive behaviors while strengthening coping and stability. Programs should also help participants return to normal developmental pathways by supporting re-engagement in age-appropriate social relationships and participation in school, training, or work. Another core expectation is to delay or prevent the onset of psychosis, which reflects the broader early-intervention approach: acting during the period where symptoms may be emerging but have not yet progressed into a full psychotic disorder. For individuals who do go on to develop psychotic symptoms, the program prioritizes minimizing the duration of untreated psychosis, since faster access to appropriate care is widely associated with better long-term outcomes. Ultimately, the initiative is framed as a public health strategy to reduce the occurrence of psychotic disorders in this young population by shifting systems toward earlier detection, outreach, and timely intervention.

From a funding standpoint, awards are capped at $400,000 per grant (award ceiling), and the opportunity anticipated making about 18 awards. Eligibility is listed broadly as "Others" with additional eligibility details referenced in the original announcement, which typically signals that eligibility may extend beyond standard categories to include certain community organizations, provider groups, or other entities specified in the full notice. Overall, the opportunity is designed to build or expand community programs that can find at-risk youth earlier, connect them to appropriate evidence-based care delivered in a trauma-informed way, and improve both near-term functioning and long-term mental health trajectories.

  • 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 "Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis" 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 Feb 17, 2022.
  • Applicants must submit their applications by Apr 18, 2022. (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 $400,000.00 in funding.
  • The number of recipients for this funding is limited to 18 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for SM 22 008

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Frequently Asked Questions (FAQs)

What is the official title and funding opportunity number for this grant?

The opportunity is titled "Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis" and the Funding Opportunity Number is SM-22-008.

Which federal agency is offering and administering this grant?

This is a discretionary grant program from the U.S. Department of Health and Human Services (HHS), administered through the Substance Abuse and Mental Health Services Administration (SAMHSA).

What is the CFDA number and funding activity category?

The listing is under CFDA 93.243 and falls within the health funding activity category.

When was this funding opportunity created?

The opportunity was created on February 17, 2022.

What was the original application closing date?

The original application closing date was April 18, 2022.

What is the main purpose of this grant?

The central aim is to strengthen community-based efforts to identify youth and young adults who may be on a path toward developing a psychotic disorder and to intervene early, before symptoms become more severe or disabling.

Who is the target population for services supported by this grant?

The target population is youth and young adults age 25 and under who are considered at clinical high risk for psychosis.

What does "clinical high risk for psychosis" mean in the context of this opportunity?

Based on the description provided, it refers to young people showing early warning signs or emerging symptoms suggesting they may be on a pathway toward developing a psychotic disorder, with an emphasis on acting before symptoms become severe or fully disabling.

What kinds of approaches or service principles does the program emphasize?

Programs are expected to deliver evidence-based, trauma-informed supports and services. The emphasis is on early identification, outreach, and timely intervention.

Is the program focused only on identifying risk, or also on providing services?

It is focused on both: recognizing early warning signs and providing early intervention supports and services designed to prevent onset when possible and lessen impact when prevention is not possible.

What outcomes are applicants expected to achieve?

Expected outcomes include improved symptomatic and behavioral functioning, re-engagement in typical developmental pathways (social relationships and participation in school, training, or work), and delaying or preventing the onset of psychosis.

What does "improve symptomatic and behavioral functioning" mean here?

It means reducing distressing experiences and risky or disruptive behaviors while strengthening coping and stability.

What does the opportunity mean by "return to normal developmental pathways"?

Programs should support participants in re-engaging with age-appropriate social relationships and participation in school, training, or work.

Does the grant require a focus on preventing psychosis?

Yes. A core expectation is to delay or prevent the onset of psychosis as part of the early-intervention approach.

If prevention is not possible, what does the program prioritize?

If individuals go on to develop psychotic symptoms, the program prioritizes minimizing the duration of untreated psychosis by supporting faster access to appropriate care.

Why is minimizing the duration of untreated psychosis important in this program?

The description notes that faster access to appropriate care is widely associated with better long-term outcomes, which is why reducing the duration of untreated psychosis is a priority.

How is this initiative framed from a broader public health perspective?

It is framed as a public health strategy intended to reduce the occurrence of psychotic disorders in young people by shifting systems toward earlier detection, outreach, and timely intervention.

What is the maximum award amount per grant?

The award ceiling is $400,000 per grant.

How many awards were anticipated?

About 18 awards were anticipated.

What is listed for eligibility?

Eligibility is listed broadly as "Others," with additional eligibility details referenced in the original announcement.

What does "Others" eligibility suggest based on the description provided?

It typically signals that eligibility may extend beyond standard applicant categories and could include certain community organizations, provider groups, or other entities specified in the full notice.

What types of programs is this funding designed to build or expand?

The opportunity is designed to build or expand community programs that can identify at-risk youth earlier, connect them to appropriate evidence-based care delivered in a trauma-informed way, and improve near-term functioning and long-term mental health trajectories.

Is the focus limited to clinical symptom reduction?

No. In addition to clinical and behavioral functioning, the opportunity emphasizes real-world functioning, including social relationships and engagement in school, training, or work.

Does the opportunity emphasize outreach?

Yes. Outreach is explicitly part of the title and described approach, with an emphasis on earlier detection and connecting young people to timely intervention.

What is the overall goal of strengthening community-based efforts?

The overall goal is to help identify youth and young adults at clinical high risk earlier and provide early intervention supports to prevent progression to psychosis when possible, reduce severity and disruption, and improve longer-term outcomes through timely care.

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