Targeted Capacity Expansion HIV: Substance Use Disorder Treatment for Racial/Ethnic Minority Women at High-Risk for HIV/AIDS (TCE-HIV: Minority Women)

Substance Abuse & Mental Health Services Administration (SAMHSA) 

DEADLINE: Applications due April 29, 2016

AWARD: Anticipated total award amount of $11,120,800, with individual awards of up to $500,000 per year for up to 3 years. 

NUMBER OF AWARDS: Up to 22 awards. 

ELIGIBILITY: Eligibility is restricted to domestic nonprofit, community-based organizations, tribes and tribal organizations. For example: community- and faith-based organizations; federally recognized American Indian/Alaska Native (AI/AN) tribes and tribal organizations; Urban Indian organizations; hospitals; federally qualified health centers (FQHCs) and FQHC look-a-likes, and public or private universities and colleges are eligible to apply. 

States and local governments are not eligible to apply. 

Current SAMHSA-funded TCE-HIV grantees awarded under the FY 2015 TCE-HIV: High Risk Populations program (TI-15-006) are not eligible to apply. 

TARGET POPULATION: Women at high risk for HIV/AIDS, of African American, Hispanic/Latina, and other racial/ethnic minority groups (ages 18 years and older), including heterosexual, lesbian, bisexual, transgender, previously incarcerated women, and their significant others, who have substance use or co-occurring substance use and mental disorders and are living with or at risk for HIV/AIDS. 

SUMMARY: The purpose of this program is to expand substance use disorder (SUD) treatment, behavioral health, and HIV/AIDS services for high risk women of African American, Hispanic/Latina, and other racial/ethnic minority groups (ages 18 years and older), including heterosexual, lesbian, bisexual, transgender, previously incarcerated women, and their significant others, who have substance use or co-occurring substance use and mental disorders and are living with or at risk for HIV/AIDS. 

The grant will fund programs that provide integrated services of behavioral health treatment and HIV medical care. The program is primarily intended for substance use disorder treatment programs to integrate HIV services. The goals of this program are to:

  1. reduce HIV infection and transmission rates among high risk women, of African American, Hispanic/Latina, and other racial/ethnic minority groups (ages 18 years and older), including reducing alcohol, marijuana, cocaine, heroin, injecting drug use (IDU), and prescription drug misuse;
  2. address the impact of violence and trauma on women’s increased risk of SUD and HIV infection;
  3. increase access to culturally-appropriate, women- and family-centered, trauma-informed substance use disorder/co-occurring substance use and mental disorder treatment and HIV/viral hepatitis services, including HIV and hepatitis B and C testing;
  4. educate and empower women, including African American, Hispanic/Latina, and other racial/ethnic minority women to increase their awareness of safer sex practices (e.g., condom use) and make informed decisions about their behavioral health, including trauma-related risk behaviors; and
  5. implement evidence-based interventions.

SAMHSA expects grantees to engage the population of focus and link them to appropriate community-based behavioral health services/systems including primary HIV care and antiretroviral treatment (ART), HIV pre-exposure prophylaxis (PrEP), primary health care, and other recovery support services. For the purposes of this FOA, appropriate behavioral health services include engagement services (e.g., outreach, assessment, service planning); outpatient treatment services; intensive outpatient treatment services; substance use or mental disorders residential treatment services; medication-assisted treatment (MAT); community support services such as case management (e.g., assessment, planning, linking, monitoring, and advocacy), and peer and other recovery support services. 

Applicants must use SAMHSA grant funds to support the following direct services: 

SUD/Co-Occurring Disorders Treatment Services:

  • Applicants must propose to expand substance use and/or co-occurring substance use and mental disorders treatment, and peer and other recovery support services, and/or to enhance substance use and/or co-occurring substance use and mental disorders treatment, and peer and other recovery support services. Applicants must demonstrate that service providers have the necessary cultural, gender, and sexual orientation competencies to serve the proposed population(s) by providing clear examples of previous work with the population(s) of focus.
    • Service Expansion: Applicants may propose to increase access and availability of services to a larger number of clients as a result of the award.
    • Service Enhancement: Applicants may propose to improve the quality and/or intensity of services, for instance, by adding evidence-based practices or approaches to treatment, or adding a new service to address emerging trends or unmet needs.
  • Applicants must also screen and assess clients for the presence of co-occurring mental disorders and use the information obtained from the screening and assessment to develop appropriate treatment approaches for the persons identified as having co-occurring disorders.
  • Applicants must screen clients for trauma using one of the six screening tools recommended by the U.S. Public Health Task Force.
  • Applicants must also ensure that patients who need trauma-related services have access to these services through case management and referral to certified trauma providers.
  • Applicants must also develop linkages/partnerships.

HIV Testing and Case Management Services:

  • All clients and their drug-using and /or sexual partners must be offered HIV rapid preliminary antibody testing at enrollment, including rapid fourth-generation HIV diagnostic testing. Quality assurance measures must be developed and implemented to appropriately conduct HIV testing.
  • Clients who test positive for HIV must be provided or linked to confirmatory testing, with follow-up by the grantee on the client’s HIV status, as appropriate (clinician, case manager, etc.). Grantees must report all positive viral hepatitis test results to the local and state health department, as appropriate.
  • All grantees must provide on-site HIV testing in accordance with state and local requirements, including linking clients who request to be tested offsite to facilities that are certified by the local health department. The cost of HIV test kits, test controls, other supplies (e.g., gloves, biohazardous waste containers, etc.), staff time, and training must be incorporated into the grant application budget.
  • Applicants must develop a plan for case management of all clients who have a preliminary positive HIV and confirmatory HIV test result as described in Section C of the Project Narrative. The process of case management includes: comprehensive assessment of the client’s needs and development of an individualized service plan.
  • Grantees must develop Memoranda of Understanding (MOUs) with primary HIV care providers to strengthen integration of care through case management.

Viral Hepatitis Testing and Referral:

  • All clients who are considered to be at risk for vital hepatitis (B and C), as specified by the United States Preventive Services Task Force (USPSTF) recommendations for hepatitis B and hepatitis C screening, must be tested for viral hepatitis (B and C) in accordance with state and local requirements, either onsite or through referral. Exactly five percent (e.g., $25,000) of grant funds must be used for the following hepatitis testing and services (based on risk and the United States Preventive Services Task Force guidelines):
    • Viral hepatitis B and C (antibody and confirmatory) testing;
    • Viral hepatitis A and B vaccination;
    • Purchase of test kits and other required supplies (e.g., gloves, biohazardous waste containers, etc.); and
    • Training for staff related to viral hepatitis (B and C) testing.
  • Applicants must provide a plan for providing referrals and linkages to follow-up care and treatment for all individuals infected with viral hepatitis (B or C).
  • When necessary, grantees will be expected to work with providers with whom they have linkages/partnerships or to whom they make referrals. Applicants must use grant funds to support the following direct services: SUD and co-occurring substance use and mental disorders treatment; HIV testing and case management services; hepatitis testing (B, C [antibody confirmatory]), hepatitis A and B vaccination (Twinrix) and linkage to treatment; education and referral for the use of PrEP and PEP; referral for Medicare/Medicaid and Affordable Care Act enrollment; use of one of the six screening tools for trauma recommended by the US Public Health Task Force; and use of evidence-based practices. Grantees must report all positive viral hepatitis test results to the local and state health department, as appropriate.
    • Grantees will be required to report on HIV and hepatitis using the new Rapid HIV and Hepatitis Testing (RHHT) form.

LINK to RFP: https://saeandassociates.com/current-rfps/#samhsa-tce-hiv-minority-women