Opportunity Information: Apply for SM 18 013

The Assertive Community Treatment Grants (ACT) opportunity (Funding Opportunity Number SM 18 013) was a discretionary grant program offered by the U.S. Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA), specifically its Center for Mental Health Services (CMHS). Released on March 29, 2018, with an original application deadline of May 29, 2018, the program was designed to help communities establish new Assertive Community Treatment teams or expand and maintain existing ACT programs serving people living with serious mental illness (SMI). The overall intent was to strengthen intensive, community-based behavioral health services for individuals who experience the most significant functional impairments and who often do not do well under traditional outpatient models.

A central focus of the grant was improving real-world outcomes for people with SMI by reducing avoidable negative events and system involvement. SAMHSA indicated expectations that ACT implementation would help lower rates of psychiatric hospitalization, mortality, substance use, homelessness, and involvement with the criminal justice system. In practice, the grant supported a model that aims to keep people stable in the community, prevent crises before they escalate, and reduce cycling through emergency departments, inpatient units, shelters, and jails by providing continuous, practical, and clinically robust support where people actually live.

ACT is presented in the opportunity as one of the strongest evidence-based approaches for supporting community living among individuals with the highest levels of need. The rationale is that many people with severe SMI require coordinated help across multiple providers and systems at the same time, such as psychiatry and primary care, medication support, therapy, social services, housing navigation, and benefits assistance. Instead of relying on a loose network of referrals that can be hard to access or manage, the ACT approach brings services to the person and integrates them through a single team that shares responsibility for outcomes.

The grant description emphasizes that ACT is a service delivery model rather than a simple case management program. That distinction matters because ACT teams are expected to provide a comprehensive array of services directly, not merely link people to other providers and hope they connect. The model relies on a multidisciplinary team, typically about 10 to 12 behavioral health staff, working as a coordinated unit. The services are individualized and recovery-oriented, with the goal of helping participants successfully integrate into the community in ways that match their needs, preferences, and living situation.

Another defining feature highlighted in the opportunity is the intensity and availability of the service. ACT teams operate with small caseloads, approximately one staff member per 10 individuals served, which allows frequent contact and hands-on support. Services are delivered in a person’s home or other community settings rather than requiring clinic visits. The model is also designed to be available 24 hours a day, 7 days a week, for as long as needed and wherever needed, reflecting the reality that crises and relapse risk do not follow business hours. By maintaining continuous engagement and rapid response capacity, ACT teams often can anticipate emerging problems and intervene early, helping to avoid crises that might otherwise lead to hospitalization or other acute service use.

From a funding standpoint, the opportunity was listed under CFDA 93.243 with an award ceiling of $678,000 and an expected total of seven awards. The funding instrument type was a grant, and the funding activity category was health. Eligibility was broadly indicated as “Others,” with additional eligibility specifics referenced as being in an “Additional Information on Eligibility” section (not included in the provided text). Overall, the opportunity aimed to expand access to high-fidelity ACT services and build local capacity to deliver intensive, team-based, around-the-clock treatment and support for people with the most complex needs associated with serious mental illness.

  • 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 "Assertive Community Treatment Grants (Short Title: ACT)" 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 Mar 29, 2018.
  • Applicants must submit their applications by May 29, 2018. (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 $678,000.00 in funding.
  • The number of recipients for this funding is limited to 7 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for SM 18 013

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