Opportunity Information: Apply for TI 21 008
The FY 2021 Screening, Brief Intervention, and Referral to Treatment (SBIRT) funding opportunity (Opportunity Number TI 21 008) is a discretionary grant program offered by the U.S. Department of Health and Human Services through SAMHSA's Center for Substance Abuse Treatment (CSAT). Its core goal is to help health care and community-based clinical settings build or strengthen SBIRT services, meaning they routinely screen patients for risky substance use, deliver short, evidence-informed brief interventions when risk is identified, and connect people who need more intensive help to appropriate treatment services. The program is explicitly oriented toward earlier identification and quicker response, so substance-related problems are addressed before they escalate into more severe health, social, and financial consequences.
The program targets implementation in primary care and community health environments where people already receive routine services, such as health centers, hospital systems, HMOs, PPOs, Federally Qualified Health Centers (FQHCs), behavioral health centers, pediatric providers, and children's hospitals. Applicants may propose services for children, adolescents, and/or adults, with a stated emphasis on screening for underage drinking, opioid use, and other substance use. For this announcement, pediatric health care providers are defined as primary health care providers serving individuals under age 21, which signals that youth-focused workflows and settings are a priority area alongside adult care.
A central theme of the opportunity is strengthening the continuum of care for substance use disorder (SUD). The grants are intended to reduce alcohol and other drug consumption and the negative health impacts tied to that use, increase abstinence where clinically appropriate, and lower costly health care utilization (for example, avoidable emergency department visits or hospitalizations linked to untreated substance use). Another major objective is long-term sustainability: SAMHSA highlights integrating behavioral health and primary care and promoting policy or practice changes that make treatment access easier in both generalist and specialist settings. In practical terms, this points to building SBIRT into standard clinical operations (training, protocols, referral pathways, reimbursement strategies, data tracking, and partnerships) rather than treating it as a temporary add-on service.
Importantly, the scope includes support for clinically appropriate services for two broad groups: people who are at risk for developing SUD (including those who are asymptomatic but screen positive for risky use) and people already diagnosed with SUD who need referral and connection to treatment. That dual focus reflects SBIRT's role as both a prevention-oriented and treatment-linkage approach: it can help curb risky use early through brief intervention, and it can also function as a structured entry point into more comprehensive care when a disorder is identified.
From the funding details provided, awards had an upper limit (ceiling) of $995,000, with SAMHSA expecting to make around 10 awards. The opportunity was posted February 17, 2021, with an original closing date of April 19, 2021. The assistance listing references CFDA 93.243, and the funding instrument is a grant. Eligibility is listed broadly as "Others" with additional clarification expected in the full eligibility section of the announcement, suggesting that multiple types of organizations operating in the relevant health and community care spaces could potentially apply, depending on the FOA's specific criteria.Apply for TI 21 008
- 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 "Screening, Brief Intervention, and Referral to Treatment" 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, 2021.
- Applicants must submit their applications by Apr 19, 2021. (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 $995,000.00 in funding.
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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FY 2021 SBIRT Grant (SAMHSA CSAT) - FAQs
1) What is the name of this grant opportunity?
The opportunity is the FY 2021 Screening, Brief Intervention, and Referral to Treatment (SBIRT) funding opportunity.
2) What is the opportunity number?
The opportunity number is TI 21 008.
3) Which federal agency is offering this program?
The program is offered by the U.S. Department of Health and Human Services (HHS) through SAMHSA's Center for Substance Abuse Treatment (CSAT).
4) What type of funding is this?
This is a discretionary grant program, and the funding instrument is a grant.
5) What is the core purpose of the SBIRT program under this opportunity?
The core goal is to help health care and community-based clinical settings build or strengthen SBIRT services so they routinely screen patients for risky substance use, deliver brief interventions when risk is identified, and refer or connect people to appropriate treatment when more intensive help is needed.
6) What does SBIRT stand for?
SBIRT stands for Screening, Brief Intervention, and Referral to Treatment.
7) What does the "screening" component mean in this program?
Screening refers to routinely screening patients to identify risky substance use, including individuals who may not have symptoms but still screen positive for risky use.
8) What is meant by "brief intervention" in SBIRT?
Brief intervention refers to short, evidence-informed interventions delivered when screening identifies risky substance use.
9) What is meant by "referral to treatment" in SBIRT?
Referral to treatment refers to connecting individuals who need more intensive help to appropriate treatment services, including people already diagnosed with a substance use disorder (SUD).
10) Why is this opportunity described as focused on earlier identification and quicker response?
The program is explicitly oriented toward identifying substance-related risk earlier and responding sooner, with the intent of addressing problems before they escalate into more severe health, social, and financial consequences.
11) What kinds of settings are targeted for SBIRT implementation?
The program targets implementation in primary care and community health environments where people already receive routine services.
12) What are examples of eligible or intended implementation sites mentioned in the description?
Examples listed include health centers, hospital systems, HMOs, PPOs, Federally Qualified Health Centers (FQHCs), behavioral health centers, pediatric providers, and children's hospitals.
13) Does the opportunity support SBIRT in pediatric settings?
Yes. Pediatric providers and children's hospitals are specifically included among the targeted settings, and the announcement signals a priority area for youth-focused workflows and settings alongside adult care.
14) How does this announcement define "pediatric health care providers"?
For this announcement, pediatric health care providers are defined as primary health care providers serving individuals under age 21.
15) Which populations can applicants propose to serve?
Applicants may propose services for children, adolescents, and/or adults.
16) Are there specific substance use topics emphasized for screening?
Yes. There is a stated emphasis on screening for underage drinking, opioid use, and other substance use.
17) How does this program relate to the continuum of care for SUD?
A central theme is strengthening the continuum of care for substance use disorder by improving identification, brief intervention, and connection to treatment, and by integrating behavioral health and primary care to improve access across generalist and specialist settings.
18) What outcomes is the program intended to support?
The grants are intended to reduce alcohol and other drug consumption and related negative health impacts, increase abstinence where clinically appropriate, and lower costly health care utilization such as avoidable emergency department visits or hospitalizations linked to untreated substance use.
19) Does the program focus only on people diagnosed with SUD?
No. The scope includes clinically appropriate services for people at risk for developing SUD (including asymptomatic individuals who screen positive for risky use) as well as people already diagnosed with SUD who need referral and connection to treatment.
20) What does the dual focus (at-risk individuals and those with SUD) imply about SBIRT?
It reflects SBIRT's role as both prevention-oriented and treatment-linkage: it can curb risky use early through brief intervention and also serve as a structured entry point into more comprehensive care when a disorder is identified.
21) What does SAMHSA emphasize about sustainability in this program?
SAMHSA highlights long-term sustainability by integrating behavioral health and primary care and promoting policy or practice changes that make treatment access easier. The description points to building SBIRT into standard clinical operations rather than treating it as a temporary add-on.
22) What are examples of building SBIRT into standard clinical operations mentioned or implied here?
The description points to operational integration such as training, protocols, referral pathways, reimbursement strategies, data tracking, and partnerships.
23) What is the maximum award amount (ceiling) indicated?
The award ceiling is $995,000.
24) About how many awards did SAMHSA expect to make?
SAMHSA expected to make around 10 awards.
25) When was the opportunity posted?
The opportunity was posted on February 17, 2021.
26) What was the original closing date?
The original closing date was April 19, 2021.
27) What is the CFDA (assistance listing) number referenced?
The assistance listing references CFDA 93.243.
28) What does the eligibility section indicate at a high level?
Eligibility is listed broadly as "Others," with additional clarification expected in the full eligibility section of the announcement. This suggests multiple types of organizations operating in relevant health and community care spaces could potentially apply, depending on the specific criteria in the FOA.
29) Is this opportunity limited to primary care only?
No. While primary care is a key focus, the targeted implementation environments also include community-based clinical settings such as behavioral health centers, hospital systems, pediatric providers, and children's hospitals.
30) What is the overall strategic approach encouraged by this grant?
The description emphasizes implementing routine screening, rapid brief intervention, and effective referral/connection to treatment within everyday clinical workflows, while strengthening partnerships and system changes that support access and sustainability over time.
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