Opportunity Information: Apply for SM 19 009
The FY 2019 System of Care (SOC) Expansion and Sustainability Grants (Funding Opportunity Number SM 19 009) is 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), Center for Mental Health Services (CMHS). It is tied to CFDA 93.243 and is designed to strengthen and scale the long-running Comprehensive Community Mental Health Services for Children and their Families Program, commonly known as the Childrens Mental Health Initiative (CMHI). The central focus is helping communities move beyond pilot projects by building the long-term infrastructure, partnerships, and financing needed to keep comprehensive childrens behavioral health systems operating and improving over time.
The overall purpose of the opportunity is to improve behavioral health outcomes for children, adolescents, and young adults from birth through age 21 who have serious emotional disturbances (SED), along with better outcomes for their families and caregivers. In addition to serving youth already experiencing SED, the program also supports services for those showing early signs and symptoms of serious mental illness (SMI), explicitly including first episode psychosis (FEP). The intent is to make it easier for young people to get the right help early, prevent escalation when possible, and ensure that families are treated as essential partners rather than passive recipients of services.
This grant supports the wide-scale operation, expansion, and integration of the System of Care approach. In practice, that means communities are expected to organize care so it is coordinated across agencies and sectors that touch a childs life, such as mental health providers, schools, child welfare, juvenile justice, primary care, and youth-serving community organizations. The opportunity emphasizes building sustainable and integrated systems rather than isolated programs, with particular attention to cross-agency collaboration and shared responsibility for outcomes. Applicants are expected to use the funding to strengthen policy, governance, and operational structures that make coordinated care routine and durable.
A major theme of the program is sustainability, especially sustainable financing. The notice highlights the need for communities to develop long-term funding strategies that can continue after the federal award ends, such as braiding or blending funds across systems, strengthening reimbursement pathways, and creating infrastructure that supports ongoing service delivery. Alongside financing, the grant supports the creation and refinement of policy and service infrastructure, meaning the practical and administrative capacities needed to run a coordinated childrens behavioral health system at scale. This can include formal interagency agreements, standardized referral and care coordination processes, shared data and accountability practices, and other system-level mechanisms that keep services connected and responsive.
On the service delivery side, the opportunity supports mental health and related recovery support services for youth with SED or early SMI indicators and for their families. It places a strong emphasis on implementing evidence-based and evidence-informed services and supports, signaling that communities should rely on interventions with credible research support or strong practice-based evidence, and should be able to explain why chosen approaches fit local needs. The program also supports broader systemic changes required to make those services work in real-world settings, such as redesigning workflows across agencies, reducing fragmentation, and improving how families and youth experience access, engagement, and continuity of care.
Training and workforce development are also explicit parts of the scope. The goal is to ensure that the people delivering and coordinating care have the skills required for a System of Care model, including competencies in family and youth engagement, culturally and linguistically appropriate services, cross-system coordination, and the delivery of effective clinical and supportive interventions. Workforce development can also involve building capacity for supervision, quality improvement, and consistent implementation of chosen evidence-based or evidence-informed practices.
Administratively, the opportunity was posted with a creation date of November 30, 2018 and an original application closing date of January 29, 2019. SAMHSA anticipated making 24 awards, with an award ceiling of up to $3,000,000. The eligible applicant category is listed broadly as "Others," with additional eligibility specifics referenced in the full funding announcement. Overall, this opportunity is aimed at communities ready to expand and solidify a comprehensive, coordinated, and sustainable childrens behavioral health system that improves outcomes for youth with significant needs and strengthens supports for families.Apply for SM 19 009
- 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 "Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances" 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 Nov 30, 2018.
- Applicants must submit their applications by Jan 29, 2019. (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 $3,000,000.00 in funding.
- The number of recipients for this funding is limited to 24 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: FY 2019 System of Care (SOC) Expansion and Sustainability Grants (SM 19 009)
What is the FY 2019 System of Care (SOC) Expansion and Sustainability Grants opportunity?
It is a discretionary grant program offered by the U.S. Department of Health and Human Services (HHS) through the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS). The funding opportunity number is SM 19 009.
What program does this grant strengthen or expand?
This opportunity is designed to strengthen and scale the Comprehensive Community Mental Health Services for Children and their Families Program, commonly known as the Children's Mental Health Initiative (CMHI).
What is the overall purpose of the grant?
The purpose is to improve behavioral health outcomes for children, adolescents, and young adults from birth through age 21 who have serious emotional disturbances (SED), and to improve outcomes for their families and caregivers.
Who is the target population served by this grant?
The target population includes youth from birth through age 21 with serious emotional disturbances (SED). The program also supports services for youth showing early signs and symptoms of serious mental illness (SMI).
Does the grant include support for early intervention and first episode psychosis (FEP)?
Yes. In addition to serving youth with SED, the opportunity explicitly supports services for those showing early signs and symptoms of serious mental illness (SMI), including first episode psychosis (FEP).
What is meant by a "System of Care" approach in this grant?
The System of Care approach refers to organizing and delivering care in a coordinated way across the agencies and sectors involved in a child's life, rather than operating isolated programs. The focus is on integrated systems, shared responsibility, and durable structures that keep services connected over time.
Which agencies or sectors are expected to be involved in a System of Care?
The opportunity describes coordination across sectors such as mental health providers, schools, child welfare, juvenile justice, primary care, and youth-serving community organizations.
Is the focus more on creating new services or building long-term systems?
The opportunity emphasizes building sustainable and integrated systems rather than isolated programs. It is intended to help communities move beyond pilot projects by building long-term infrastructure, partnerships, and financing strategies.
What does the grant emphasize regarding sustainability?
Sustainability is a major theme, especially sustainable financing. Communities are expected to develop long-term funding strategies that can continue after the federal award ends.
What types of financing strategies are highlighted for sustainability?
The notice highlights strategies such as braiding or blending funds across systems, strengthening reimbursement pathways, and creating infrastructure that supports ongoing service delivery beyond the grant period.
What kinds of infrastructure or system-level work can be supported?
The opportunity supports policy, governance, and operational structures that make coordinated care routine and durable. Examples mentioned include formal interagency agreements, standardized referral and care coordination processes, shared data and accountability practices, and other mechanisms that improve integration and responsiveness.
What services and supports are within the scope of this grant?
The grant supports mental health and related recovery support services for youth with SED or early SMI indicators, as well as services and supports for their families.
Does the grant require evidence-based or evidence-informed practices?
Yes. The opportunity places strong emphasis on implementing evidence-based and evidence-informed services and supports. Communities are expected to rely on interventions with credible research support or strong practice-based evidence and to explain why chosen approaches fit local needs.
How does the grant address coordination and fragmentation across systems?
The program supports broader systemic changes needed to make services work in real-world settings, including redesigning workflows across agencies, reducing fragmentation, and improving access, engagement, and continuity of care for youth and families.
What does the opportunity say about the role of families and caregivers?
The intent includes ensuring families are treated as essential partners in the care process, rather than passive recipients of services.
Is training and workforce development included in the scope?
Yes. Training and workforce development are explicit parts of the scope to ensure the workforce has the skills required for a System of Care model.
What competencies are emphasized for workforce development?
Competencies described include family and youth engagement, culturally and linguistically appropriate services, cross-system coordination, and the delivery of effective clinical and supportive interventions. The scope also includes building capacity for supervision, quality improvement, and consistent implementation of selected evidence-based or evidence-informed practices.
Which federal department and agency administer this opportunity?
The opportunity is offered by HHS through SAMHSA, specifically the Center for Mental Health Services (CMHS).
What is the CFDA number associated with this grant?
The opportunity is tied to CFDA 93.243.
When was this funding opportunity posted and when was the original application deadline?
The creation date listed is November 30, 2018, and the original application closing date was January 29, 2019.
How many awards were anticipated?
SAMHSA anticipated making 24 awards.
What is the maximum award amount (award ceiling)?
The award ceiling is up to $3,000,000.
Who is eligible to apply?
The eligible applicant category is listed as "Others," with additional eligibility specifics referenced in the full funding announcement.
What kind of communities is this opportunity aimed at?
It is aimed at communities ready to expand and solidify a comprehensive, coordinated, and sustainable children's behavioral health system that improves outcomes for youth with significant needs and strengthens supports for families.
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