Opportunity Information: Apply for SM 23 011

The Cooperative Agreements to Implement Zero Suicide in Health Systems grant (Funding Opportunity Number SM-23-011) is a discretionary federal funding opportunity from the U.S. Department of Health and Human Services, administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). It uses a cooperative agreement funding instrument, which generally means SAMHSA expects to have an active partnership role during implementation rather than simply awarding funds and stepping back. The opportunity sits within the health funding activity category and is associated with CFDA number 93.243.

The core purpose of the program is to support health systems in implementing the Zero Suicide model for adults across an entire health system or multiple connected systems. Zero Suicide is designed as a comprehensive, multi-setting approach to suicide prevention that is embedded into routine healthcare operations, not treated as a standalone initiative. The model is meant to reach adults who may be at risk for suicide across various points of care (for example, primary care, behavioral health, emergency departments, inpatient and outpatient settings), with consistent processes and accountability throughout the organization.

Awardees are expected to implement all seven elements of the Zero Suicide framework: Lead, Train, Identify, Engage, Treat, Transition, and Improve. In practical terms, this means organizational leadership is expected to set clear suicide prevention as a priority (Lead), staff should be prepared through training to recognize and respond to suicide risk (Train), systems should reliably detect and assess risk using consistent practices (Identify), people identified as at risk should be actively connected and kept connected to care (Engage), evidence-based or evidence-informed interventions should be delivered to reduce risk (Treat), handoffs and follow-up should be strengthened during transitions in care when risk can increase (Transition), and data-driven continuous quality improvement should be used to refine performance over time (Improve). SAMHSA also requires that principles of health equity be incorporated across the framework, signaling that implementation should account for disparities in risk, access, engagement, and outcomes among different populations and communities.

The overarching outcomes SAMHSA is aiming for through this program are reductions in suicide ideation, suicide attempts, and deaths by suicide. Rather than focusing only on crisis response, the grant emphasizes prevention and consistent clinical and operational practices across a system so that suicide risk is identified earlier, addressed more effectively, and managed more safely during key transition points.

From the funding details provided, the opportunity was created on March 7, 2023, with an original application closing date of May 8, 2023. The award ceiling is listed as $700,000, and SAMHSA expected to make 17 awards. Eligibility is broadly labeled as "Others," with the specific eligible applicant types referred to an additional eligibility section in the full announcement, implying that applicants needed to confirm their fit against the detailed criteria in that expanded guidance.

  • 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 "Cooperative Agreements to Implement Zero Suicide in Health Systems" 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 07, 2023.
  • Applicants must submit their applications by May 08, 2023. (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 $700,000.00 in funding.
  • The number of recipients for this funding is limited to 17 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for SM 23 011

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