Opportunity Information: Apply for HRSA 23 090

The Integrated Substance Use Disorder Training Program (ISTP) is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), focused on strengthening the behavioral health and addiction workforce in underserved communities. The main aim is to increase the number of clinicians who are prepared to deliver integrated services for mental health and substance use disorders (SUD), including opioid use disorder (OUD), in community-based settings where patients often first seek care. A key emphasis is on care models that blend primary care, mental health treatment, and SUD prevention, treatment, and recovery supports in one coordinated system, including programs that serve children and adolescents.

Under this opportunity, applicants are expected to design and run a structured training program that is either 12 months full-time or 24 months half-time. The program is meant for both (1) individuals still completing the clinical training required for licensure and (2) already-practicing professionals. The target disciplines include nurse practitioners, physician assistants, health service psychologists, counselors, nurses, and social workers. The training experience must be practical and clinically grounded, building real-world capacity for participants to treat patients with mental health conditions and SUD/OUD across the full continuum of care, from prevention and early intervention to treatment and long-term recovery support.

The program goals center on developing a stronger pipeline of clinicians who can work effectively at common access points of care, especially in underserved areas where workforce shortages and service fragmentation can limit treatment availability. ISTP is intended to deepen clinical skill, expand provider confidence, and increase the availability of integrated services for people who might otherwise struggle to access coordinated mental health and addiction care. A notable component is the expectation that the training will support preparation to deliver evidence-based OUD treatment, including medications for opioid use disorder (MOUD). The opportunity specifically highlights MOUD preparation for physician assistants and advanced practice nurses, reflecting the need to broaden the number of clinicians able to provide or support medication-based OUD treatment within integrated care teams.

The objectives of ISTP are threefold. First, it seeks to increase the number of trainees and practicing clinicians across the listed disciplines who are trained to deliver integrated mental health and SUD/OUD services in underserved, primary care-oriented community settings, including pediatric-serving sites. Second, it requires applicants to plan, develop, and operate a training program embedded in settings that truly integrate primary care, mental health, and SUD/OUD services, covering prevention, treatment (including MOUD), and recovery. Third, it aims to help create a lasting foundation of skills and program infrastructure within the host community-based sites, so that team-based training and integrated service delivery can be sustained and strengthened over time. Team-based care is a central expectation, meaning trainees should learn to coordinate across disciplines and roles to address complex patient needs in a cohesive, patient-centered way.

From an administrative standpoint, this is a discretionary grant (Funding Opportunity Number HRSA-23-090; CFDA 93.732) within HRSA's health funding portfolio. The notice lists an award ceiling of $515,000 and anticipates making about 17 awards. The opportunity was originally posted on January 20, 2023, with an original application deadline of March 21, 2023. Eligibility is listed broadly as "Others" with additional details referenced in the full eligibility section of the funding announcement, which typically means applicants should verify organizational eligibility and any partnership or training-site requirements in the full notice before applying.

Overall, ISTP is geared toward building a better-prepared, more widely distributed clinical workforce that can meet mental health and addiction needs where gaps are greatest. It prioritizes hands-on, integrated, community-based training; expansion of OUD treatment capacity, including medication-based care; and long-term strengthening of team-based service models that connect primary care and behavioral health, including in settings serving pediatric populations.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Integrated Substance Use Disorder Training Program (ISTP)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.732.
  • This funding opportunity was created on Jan 20, 2023.
  • Applicants must submit their applications by Mar 21, 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 $515,000.00 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 HRSA 23 090

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Integrated Substance Use Disorder Training Program (ISTP) - FAQs

What is the Integrated Substance Use Disorder Training Program (ISTP)?

ISTP is a federal discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It focuses on strengthening the behavioral health and addiction workforce in underserved communities by supporting structured, clinically grounded training that prepares clinicians to deliver integrated mental health and substance use disorder (SUD) services, including opioid use disorder (OUD) care.

Which federal agency is offering this grant?

The grant is offered by HRSA, which is part of the U.S. Department of Health and Human Services (HHS).

What is the main purpose of ISTP?

The main aim is to increase the number of clinicians prepared to deliver integrated services for mental health and SUD (including OUD) in community-based settings, especially where patients often first seek care. The program emphasizes coordinated models that blend primary care, mental health treatment, and SUD prevention, treatment, and recovery supports.

What types of care models does ISTP emphasize?

ISTP emphasizes integrated care models that coordinate primary care, mental health services, and SUD/OUD services within a single, coordinated system. This includes prevention, early intervention, treatment, and long-term recovery supports, and includes programs that serve children and adolescents.

Who is the training program intended to serve?

The training program is intended for two groups: (1) individuals still completing the clinical training required for licensure, and (2) already-practicing professionals who are seeking additional structured training in integrated mental health and SUD/OUD care.

Which clinical disciplines are targeted by ISTP?

The opportunity identifies the following target disciplines: nurse practitioners, physician assistants, health service psychologists, counselors, nurses, and social workers.

How long is the required training program?

Applicants are expected to design and operate a structured training program that is either 12 months full-time or 24 months half-time.

What kind of training experience is expected?

The training experience is expected to be practical and clinically grounded, focused on building real-world capacity to treat patients with mental health conditions and SUD/OUD across the full continuum of care, from prevention and early intervention through treatment and long-term recovery support.

Where is the training expected to take place?

The training is expected to be embedded in community-based settings that truly integrate primary care, mental health, and SUD/OUD services. The program is geared toward primary care-oriented access points, particularly in underserved areas.

Does ISTP focus on underserved communities?

Yes. A central focus is strengthening the workforce in underserved communities, where provider shortages and fragmented services can reduce access to coordinated mental health and addiction care.

Is pediatric care included in the program's priorities?

Yes. The opportunity specifically includes settings that serve children and adolescents and notes pediatric-serving sites as part of the intended training environment.

What is ISTP's stance on opioid use disorder (OUD) treatment?

ISTP expects training to support preparation to deliver evidence-based OUD treatment, including medications for opioid use disorder (MOUD). This reflects the goal of expanding clinical capacity to address OUD within integrated care teams.

Which trainees are specifically emphasized for MOUD preparation?

The opportunity specifically highlights MOUD preparation for physician assistants and advanced practice nurses, emphasizing the need to broaden the number of clinicians who can provide or support medication-based OUD care in integrated settings.

What are the core objectives of ISTP?

ISTP lists three main objectives: (1) increase the number of trainees and practicing clinicians across the listed disciplines who are trained to deliver integrated mental health and SUD/OUD services in underserved, primary care-oriented community settings (including pediatric-serving sites); (2) plan, develop, and operate a training program embedded in settings that integrate primary care, mental health, and SUD/OUD services, covering prevention, treatment (including MOUD), and recovery; and (3) create a lasting foundation of skills and program infrastructure within the host sites so team-based training and integrated service delivery can be sustained over time.

Is team-based care required under ISTP?

Team-based care is a central expectation. Trainees are expected to learn to coordinate across disciplines and roles to address complex patient needs in a cohesive, patient-centered way.

What does "integrated services" mean in the context of this opportunity?

Based on the description provided, integrated services refers to coordinated care that combines primary care, mental health services, and SUD/OUD prevention, treatment, and recovery supports within one connected system, delivered in real-world community settings.

What is the Funding Opportunity Number (FON) for this grant?

The Funding Opportunity Number is HRSA-23-090.

What is the CFDA number associated with ISTP?

The opportunity lists CFDA 93.732.

Is this a discretionary or formula grant?

This opportunity is described as a discretionary grant.

What is the maximum award amount (award ceiling)?

The notice lists an award ceiling of $515,000.

How many awards does HRSA anticipate making?

HRSA anticipates making about 17 awards.

When was the opportunity posted and what was the original deadline?

The opportunity was originally posted on January 20, 2023, with an original application deadline of March 21, 2023.

Who is eligible to apply?

Eligibility is listed broadly as "Others," with additional details referenced in the full eligibility section of the funding announcement. Applicants are expected to verify organizational eligibility and any partnership or training-site requirements in the full notice before applying.

What kinds of organizations should verify eligibility details in the full notice?

Because eligibility is broadly categorized as "Others" in the summary, any prospective applicant organization should confirm the specific eligibility requirements, including any required training-site characteristics or partnerships, by reviewing the full funding announcement.

What long-term outcomes is ISTP trying to achieve?

ISTP is intended to build a stronger, more widely distributed pipeline of clinicians capable of delivering integrated mental health and addiction services, expand provider confidence and skills, increase availability of integrated services in underserved areas, and strengthen the infrastructure at community-based sites so integrated, team-based models can continue and improve over time.

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