Opportunity Information: Apply for TI 18 016
The Tribal Opioid Response Grants (TOR) opportunity 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). Released for fiscal year 2018 under funding opportunity number TI 18 016 (CFDA 93.788), the program is designed to help tribal communities strengthen their response to the opioid crisis by expanding access to effective, culturally appropriate services that prevent opioid misuse, treat opioid use disorder (OUD), and support long-term recovery. The overall goal is to reduce unmet treatment needs and lower opioid overdose deaths in tribal communities through a coordinated set of prevention, treatment, and recovery activities.
A central focus of TOR is improving access to evidence-based treatment, including medication-assisted treatment (MAT) using one of the three FDA-approved medications for OUD. In practice, this means funding can be used to help tribes build or expand the systems needed to deliver high-quality OUD care, such as clinical staffing, care coordination, service delivery partnerships, and community-based supports that make treatment more reachable and sustainable for people who need it. Importantly, SAMHSA emphasizes that services should be culturally appropriate, reflecting tribal values, community priorities, and local approaches to healing, while still aligning with evidence-based standards of care.
The opportunity expects tribes to ground their proposed activities in a clear understanding of local needs and available resources. If a tribe already has a recent needs assessment, it should use those findings to identify service gaps and opportunities. If not, the grant supports conducting strategic planning and needs and capacity assessments to map the scope of opioid-related harms, existing prevention and treatment infrastructure, workforce capacity, referral networks, and barriers to care. This planning is meant to guide practical decisions about which prevention strategies, treatment services, and recovery supports will have the most impact in that specific community.
SAMHSA also requires applicants to explain how they will expand access to treatment and recovery support services while advancing substance misuse prevention in coordination with other federally supported efforts. This coordination requirement signals that TOR funds should not operate in isolation; instead, tribes should align TOR-funded work with related initiatives and resources, avoiding duplication and building a more comprehensive and efficient response to the opioid epidemic across programs. At the same time, TOR funding must supplement and not supplant existing opioid-related prevention, treatment, or recovery activities. In other words, the grant is intended to add capacity or enhance services, not replace funding that is already supporting those activities.
Another key requirement is a strong plan for improving retention in care. Because OUD is widely treated as a chronic condition, the program expects grantees to adopt a chronic care model or another proven or innovative approach that demonstrably improves ongoing engagement in treatment. This could involve structured follow-up, peer and recovery coaching, care management, reduced barriers to continuing medication, stronger transition supports after crisis episodes, or other strategies that help people stay connected to care long enough to stabilize and recover.
From the funding details provided, SAMHSA anticipated making up to 263 awards under this opportunity. The listing shows an award ceiling of $50,000,000. The opportunity was created on June 21, 2018, with an original application closing date of August 20, 2018. Eligibility is listed broadly as "Others" with further clarification referenced in the full announcement, indicating that eligible applicants are defined specifically in the official guidance, typically focusing on tribal governments and certain tribal organizations depending on SAMHSA eligibility rules for the program.
Overall, TOR is structured as a practical, community-driven funding opportunity that supports tribes in building a fuller continuum of opioid-related services. It prioritizes culturally grounded and evidence-based care, expands access to MAT and related treatment services, strengthens prevention efforts, invests in recovery supports, and requires deliberate planning for coordination and long-term engagement in care so that improvements translate into measurable reductions in overdose deaths and unmet treatment needs.Apply for TI 18 016
- 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 "Tribal Opioid Response Grants" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.788.
- This funding opportunity was created on Jun 21, 2018.
- Applicants must submit their applications by Aug 20, 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 $50,000,000.00 in funding.
- The number of recipients for this funding is limited to 263 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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