Targeted Capacity Expansion-HIV Program: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High Risk for HIV/AIDS (Short Title: TCE-HIV: High Risk Populations) | TI 17 011

Opportunity Information: Apply for TI 17 011

The Targeted Capacity Expansion-HIV (TCE-HIV): High Risk Populations opportunity (Funding Opportunity Number TI 17 011) is a FY 2017 discretionary cooperative agreement offered by the U.S. Department of Health and Human Services through SAMHSA, Center for Substance Abuse Treatment (CSAT). Its central goal is to expand and strengthen service capacity so that racial and ethnic minority individuals who have substance use disorders (SUD) and, in many cases, co-occurring substance use and mental disorders (COD), are more effectively engaged in care when they are living with HIV or are at high risk of acquiring HIV. A major theme of the program is improving real-world linkage and retention across behavioral health and HIV systems of care, while also supporting national progress toward the HIV 90-90-90 goals (increasing awareness of HIV status, ensuring access to treatment, and improving viral suppression through effective care).

The program is explicitly focused on populations that experience disproportionate HIV burden and barriers to treatment access, especially racial and ethnic minority communities and sexual and gender minority groups. The opportunity highlights high risk groups such as Black young men who have sex with men (YMSM) ages 18 to 29, as well as Latino YMSM and men who have sex with men (MSM) age 30 and older. It also includes gay, bisexual, and transgender individuals who have a SUD or COD and are either HIV positive or at elevated risk for HIV. In practice, this means applicants are expected to design service approaches that are culturally responsive, tailored to the realities of these communities, and capable of addressing stigma, trauma, and structural barriers that can prevent people from staying connected to treatment.

Funded projects are intended to support a coordinated set of activities that bring substance use treatment, HIV-related services, and supportive services together in a more seamless pathway. Core activities include linkage to care for racial and ethnic minority individuals with SUD and/or COD treatment needs who are HIV positive or at high risk for HIV, with an emphasis on delivering or connecting clients to evidence-based SUD/COD treatment and recovery support. The program also supports HIV testing and case management, including active linkage to HIV medical care and treatment once someone is diagnosed or re-engaged. Recognizing common co-morbid health risks, the opportunity includes hepatitis-related services such as testing, vaccination, and referral or linkage to treatment and case management. It also permits housing support services, reflecting the idea that housing stability can be a key factor in whether someone can consistently attend appointments, adhere to treatment, and maintain recovery. In addition, the program calls for outreach efforts and for enhancements to organizational infrastructure and service capacity specifically aimed at retaining clients in both SUD/COD treatment and HIV/AIDS care over time, not just enrolling them once.

The outcomes SAMHSA expects from these cooperative agreements are both clinical and public health oriented. Projects should increase the number of people with SUD/COD who are HIV positive and who are linked to HIV care, including a measurable increase in people receiving antiretroviral therapy (ART). They should also reduce the impact of behavioral health problems, lower HIV risk behaviors and ultimately HIV incidence, and address trauma-related conditions that often co-occur with substance use and HIV vulnerability. Another major expected result is improved access to and retention in care for people dealing with overlapping needs across behavioral health, HIV, and hepatitis, with an emphasis on sustained engagement rather than short-term contact. The underlying intent is to ensure that people diagnosed with SUD and/or COD who are HIV positive or at the highest risk are not left navigating fragmented systems, and instead receive appropriate behavioral health services alongside HIV prevention and treatment supports.

From an administrative standpoint, this opportunity was issued March 3, 2017, with an application closing date of May 3, 2017. Awards were structured with an award ceiling of $500,000, with SAMHSA anticipating approximately 57 awards. The listing includes CFDA 93.243, and the eligibility category is noted as "Others" with additional eligibility details referenced in the full announcement. Because this is a cooperative agreement rather than a standard grant, recipients should generally expect more substantial federal involvement in the project, often through ongoing collaboration, monitoring, and technical assistance expectations. A key funding condition is that cooperative agreement funds must be used to serve people diagnosed with a substance use disorder as the primary condition, meaning the SUD treatment and recovery framework is the anchor point, with HIV and related supports integrated around it.

• 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 "Targeted Capacity Expansion-HIV Program: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High Risk for HIV/AIDS (Short Title: TCE-HIV: High Risk Populations)" 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 03, 2017.
• Applicants must submit their applications by May 03, 2017. (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 $500,000.00 in funding.
• The number of recipients for this funding is limited to 57 candidate(s).
• Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for TI 17 011

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