Opportunity Information: Apply for SM 19 001

The Healthy Transitions: Improving Life Trajectories for Youth and Young Adults with Serious Mental Disorders Program is a discretionary grant opportunity offered by the U.S. Department of Health and Human Services through SAMHSA's Center for Mental Health Services. It was released as a fiscal year 2019 funding opportunity (Funding Opportunity Number SM 19 001; CFDA 93.243) to support projects that strengthen the behavioral health safety net for older adolescents and young adults who are at a high-risk point in life, when mental health needs often emerge or intensify and when many people lose access to child-serving systems.

At its core, the program is designed to improve access to treatment and supportive services for youth and young adults ages 16 to 25 who are living with serious emotional disturbance (SED) or serious mental illness (SMI), referred to in the announcement as serious mental disorders. The program emphasizes helping this age group improve emotional and behavioral health functioning so they can better move into adult roles and responsibilities, such as staying in school, entering the workforce, building stable relationships, and living more independently. The intention is not only symptom reduction, but also better day-to-day functioning and longer-term life outcomes.

The opportunity is grounded in the reality that many young people with SED/SMI, including those with intellectual and developmental disabilities, are not consistently working or enrolled in school, vocational training, or higher education. The announcement also highlights that some face additional and compounding challenges such as homelessness or involvement with the juvenile or criminal justice systems, which can increase the likelihood of crises and institutional placements, including psychiatric hospitalization or detention. A key problem the program aims to address is that these youth and young adults are often among the least likely to seek help on their own and can "fall through the cracks" during the transition from child to adult service systems. Because of that, the grant stresses the importance of proactive outreach and engagement approaches that actually connect people to effective care rather than waiting for them to present in crisis settings.

Healthy Transitions expects funded projects to build or expand developmentally appropriate services that fit the needs of people in the 16 to 25 age range and to deliver those services in ways that are culturally and linguistically competent. The program framework points to several connected strategies: raising community and system awareness of serious mental disorders in transition-age youth; improving screening and early detection; strengthening outreach and engagement methods to bring young people into care; improving referrals and linkages to treatment and supports; enhancing coordination of care across multiple systems that touch youth (such as education, workforce, housing, and justice); and implementing evidence-informed treatment and supportive interventions. In practical terms, this typically means creating pathways so that young people can be identified earlier, engaged more effectively, and supported through coordinated services rather than fragmented, episodic care.

From a funding perspective, SAMHSA anticipated making about 14 awards, with an award ceiling of up to $1,000,000 per award. The funding instrument type is a grant, and the activity category is health. The opportunity was created on October 22, 2018, with an original closing date of December 21, 2018. Eligibility is listed broadly as "Others," with clarification to be provided in the full eligibility section of the announcement, which usually indicates that a range of non-federal entities may apply depending on SAMHSA's specific requirements for this program year.

Overall, this grant opportunity is aimed at improving the service continuum for transition-age youth with serious mental disorders by making care easier to access, more coordinated, and more responsive to the developmental stage and real-world circumstances of young people who often do not engage through traditional adult mental health entry points. The underlying goal is to reduce missed opportunities for early intervention and sustained support, and to help young people stabilize and move toward healthier, more productive adulthood.

  • 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 "Healthy Transitions: Improving Life Trajectories for Youth and Young Adults with Serious Mental Disorders Program" 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 Oct 22, 2018.
  • Applicants must submit their applications by Dec 21, 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 $1,000,000.00 in funding.
  • The number of recipients for this funding is limited to 14 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)

What is the Healthy Transitions grant opportunity?

The Healthy Transitions: Improving Life Trajectories for Youth and Young Adults with Serious Mental Disorders Program is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS) through SAMHSA's Center for Mental Health Services (CMHS). It was released as a fiscal year (FY) 2019 funding opportunity to support projects that strengthen the behavioral health safety net for older adolescents and young adults at a high-risk transition point.

What problem is this program trying to solve?

The program focuses on a common gap that happens when people move from child-serving systems into adult systems. Many youth and young adults with serious mental disorders do not seek help on their own and can lose access to services during this transition, often only showing up when a crisis occurs. The grant emphasizes proactive outreach, earlier identification, and coordinated services so people do not "fall through the cracks."

Who is the target population for services supported by this grant?

The target population is youth and young adults ages 16 to 25 who are living with serious emotional disturbance (SED) or serious mental illness (SMI). In the funding announcement, these are collectively referred to as serious mental disorders.

What ages does the program cover?

The program is designed specifically for transition-age youth and young adults ages 16 through 25.

What outcomes is the program trying to improve?

The program aims to improve access to treatment and supportive services and to improve emotional and behavioral health functioning. The desired impact goes beyond symptom reduction and includes better day-to-day functioning and improved long-term life outcomes tied to adult roles and responsibilities, such as staying in school, entering the workforce, building stable relationships, and living more independently.

Does the program focus only on clinical treatment?

No. While treatment access is a core priority, the program also emphasizes supportive services and coordinated care that help young people function in real-world settings and move toward healthier, more productive adulthood.

Why does the program emphasize outreach and engagement?

The announcement highlights that many youth and young adults with SED/SMI are among the least likely to seek help on their own. Because of that, Healthy Transitions stresses outreach and engagement strategies that actively connect people to effective care rather than waiting for them to present in crisis settings (for example, emergency or institutional settings).

What types of challenges does the opportunity mention for the target group?

The announcement notes that many young people with serious mental disorders, including those with intellectual and developmental disabilities, are not consistently working or enrolled in school, vocational training, or higher education. It also notes that some experience compounding challenges such as homelessness or involvement with juvenile or criminal justice systems, which can increase the likelihood of crises and institutional placements (including psychiatric hospitalization or detention).

What kinds of services or approaches are expected in Healthy Transitions projects?

Funded projects are expected to build or expand developmentally appropriate services for ages 16 to 25 and deliver them in culturally and linguistically competent ways. The framework described in the announcement includes raising community and system awareness, improving screening and early detection, strengthening outreach and engagement, improving referrals and linkages, enhancing cross-system coordination, and implementing evidence-informed treatment and supportive interventions.

What does "developmentally appropriate" mean in this context?

Based on the announcement language, it means services designed to fit the needs of transition-age youth and young adults (16 to 25), reflecting the realities of this life stage and the shift from child to adult roles and systems.

What does "culturally and linguistically competent" mean for this grant?

The opportunity states that services should be delivered in ways that are culturally and linguistically competent, meaning projects should be responsive to the culture and language needs of the people they serve as they provide services and supports.

What systems does the program expect projects to coordinate with?

The announcement points to coordination across multiple systems that touch youth, including education, workforce, housing, and justice systems, alongside behavioral health services.

What is meant by improving "screening and early detection"?

As described in the opportunity, this refers to strengthening how communities and systems identify serious mental disorders in transition-age youth earlier, so they can be connected to appropriate services sooner rather than later.

What is meant by improving "referrals and linkages"?

In practical terms, the program emphasizes creating clearer pathways so youth and young adults can be referred and linked to treatment and supports effectively, reducing fragmentation and missed handoffs between services.

What is meant by "evidence-informed" interventions?

The announcement describes implementing evidence-informed treatment and supportive interventions, meaning approaches that are informed by evidence and used to support improved outcomes for transition-age youth and young adults.

How many awards were anticipated?

SAMHSA anticipated making about 14 awards under this opportunity.

What is the maximum award amount?

The award ceiling listed in the announcement is up to $1,000,000 per award.

What type of funding instrument is this?

The funding instrument type is a grant.

What is the activity category for this opportunity?

The activity category is health.

When was this funding opportunity created and when did it close?

The opportunity was created on October 22, 2018, and had an original closing date of December 21, 2018.

What is the Funding Opportunity Number (FON) and CFDA listing?

The Funding Opportunity Number is SM 19 001 and the CFDA number listed is 93.243.

Who is eligible to apply?

Eligibility is listed broadly as "Others," with clarification to be provided in the full eligibility section of the announcement. This typically signals that a range of non-federal entities may be eligible depending on the specific requirements for that program year, but the precise eligible applicant types are not detailed in the information provided here.

What is the overall goal of Healthy Transitions?

The overall goal is to improve the service continuum for transition-age youth with serious mental disorders by making care easier to access, more coordinated across systems, and more responsive to their developmental stage and real-world circumstances, reducing missed opportunities for early intervention and sustained support.

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