Grant Details

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Authority

Summary

History of Funding

None is available.

Additional Information

Award recipients must use SAMHSA's funds to support direct services for individuals with SUDs or CODs who are experiencing homelessness. This includes the following activities:

• Provide outreach and other engagement strategies to unsheltered (including encampments) and sheltered populations to increase access to, and participation and retention in, harm reduction, case management, treatment, and recovery support services.
• Provide direct SUD and mental health treatment. Treatment must be culturally appropriate, trauma-informed, and evidence-based and may be provided in outpatient, intensive outpatient, day treatment, or residential settings.
• Have access to or have the ability to partner with existing licensed Opioid Treatment Programs (OTPs), and Office-Based Opioid Treatment programs (OBOTs) to provide all forms of FDA-approved medications to treat opioid use disorder (MOUD). Recipients must ensure that individuals receiving MOUD are not excluded from any service.
• Provide evidence-based harm reduction practices such as rapid fentanyl test strip distribution, overdose education, naloxone, and other FDA approved overdose reversal medications as long as such purchases are consistent with the purposes of the program and consistent with other local, state, and federal laws.
• Provide case management that includes care coordination/service delivery planning and other strategies that support stability across services and housing transitions such as referral to primary care services, enrollment in Medicaid and other benefit programs (e.g., SSDI and SSI, TANF, SNAP, etc.), and other human and community-based services.
• Utilize staff with lived expertise to provide project services.
• Provide recovery support services including, but not limited to, recovery housing, childcare, vocational, educational, and transportation services designed to improve access and retention in services.
• Assist with identifying sustainable permanent housing by collaborating with homeless services organizations and housing providers, including public housing agencies. Coordinate with local HUD Continuums of Care (CoCs) to ensure that individuals and families are enrolled in the local CoC Coordinated Entry System (CES). 
• Establish a culturally and linguistically diverse steering committee that meets at least quarterly to monitor the goals outlined in the project. Membership must be comprised of, at a minimum: local or regional representatives from substance use and mental health authorities; health department; public housing authorities; service providers; community members, employees, individuals (including youth) and/or families who are currently experiencing homelessness or have experienced homelessness and are recovering from SUDs or CODs; and the SAMHSA Government Project Officer (GPO). Award recipients are encouraged to add additional members based on the goals, objectives, or specific population of focus of the project (e.g., criminal justice, veterans' affairs) and may use existing committees that meet the membership, meeting, and goal requirements of the award to satisfy this activity.

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