Opportunity Information: Apply for HHS 2017 IHS BH2I 0001
The Behavioral Health Integration Initiative (BH2I) is an Indian Health Service (IHS) discretionary grant opportunity designed to strengthen how behavioral health and primary care work together for American Indian and Alaska Native (AI/AN) communities. At its core, the grant aims to improve both physical and mental health outcomes for people experiencing behavioral health challenges by building an integrated, coordinated system of care. The initiative directly supports the IHS mission of raising the physical, mental, social, and spiritual health of AI/AN people, with an emphasis on practical, on-the-ground improvements inside IHS, Tribal, and Urban Indian Organization (I/T/U) health facilities.
A central focus of BH2I is expanding the capacity of clinics and health programs to deliver behavioral health services in a more connected, whole-person way, rather than treating mental health, substance use, and physical health as separate silos. The grant encourages integration that includes trauma-informed care and also recognizes the role of nutrition, exercise, social supports, spiritual care, and culturally grounded services alongside medical and primary care. The underlying idea is that stronger coordination across these areas can reduce preventable illness and deaths, while also improving day-to-day functioning and overall quality of life for individuals and families impacted by mental illness, substance use disorders, and adverse childhood experiences.
BH2I promotes improvements across the full spectrum of behavioral health services. That includes routine screening for mental health and substance use conditions, with explicit attention to serious mental illness, alcohol and substance use disorders, opioid use disorder, suicidality, and trauma exposures such as interpersonal violence, physical abuse, and adverse childhood experiences. Beyond screening, the grant emphasizes assessment (including risk assessment and diagnosis), patient-centered treatment planning, and access to evidence-based outpatient treatment for mental and substance use disorders. Treatment may involve both pharmacological and psychosocial approaches. The opportunity also highlights the importance of crisis services, peer support, and care coordination, reflecting an expectation that successful integration requires both clinical services and the operational ability to connect patients to the right level of care at the right time.
Another key element of the initiative is flexibility around models of care. IHS notes that Tribal communities and service sites face different realities, resources, and constraints, so integration may look different depending on local needs and capabilities. Even with that flexibility, funded approaches are expected to improve clinical processes and workflow across multidisciplinary teams, helping behavioral health and primary care staff operate as a coordinated unit. The grant is intended to support sites that have identified service gaps and have begun building the connections needed to close them, including programs pursuing new or innovative ways to coordinate across different operational structures, such as between federally operated and tribally operated health services.
In terms of expected results, BH2I is aimed at increasing access to integrated health and social well-being services, improving early identification and early intervention for mental health and substance use concerns, and strengthening detection and response to serious physical health issues, including chronic disease. The initiative also seeks to generate practical learning about what integration models work best in AI/AN health systems by identifying and assessing unique needs, as well as the real-world challenges, barriers, and successes that occur during implementation. Overall, the program anticipates measurable improvements in patient health for people participating in integrated care programs.
Administratively, the opportunity is a grant (Funding Opportunity Number HHS-2017-IHS-BH2I-0001) under CFDA 93.933, offered by the Department of Health and Human Services, Indian Health Service. Eligible applicants include federally recognized Native American tribal governments, other Native American tribal organizations, and certain other applicants as specified in the full eligibility language. The award ceiling listed is $500,000, with an anticipated 12 awards. The opportunity was originally posted on Aug 15, 2017, with an original closing date of Sep 16, 2017.Apply for HHS 2017 IHS BH2I 0001
- The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Behavioral Health Integration Initiative" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.933.
- This funding opportunity was created on Aug 15, 2017.
- Applicants must submit their applications by Sep 16, 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 12 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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Behavioral Health Integration Initiative (BH2I) Grant FAQs
1) What is the Behavioral Health Integration Initiative (BH2I)?
BH2I is an Indian Health Service (IHS) discretionary grant opportunity designed to strengthen how behavioral health and primary care work together for American Indian and Alaska Native (AI/AN) communities by building an integrated, coordinated system of care.
2) What is the main goal of BH2I?
The main goal is to improve both physical and mental health outcomes for people experiencing behavioral health challenges by supporting practical, on-the-ground integration of behavioral health and primary care within IHS, Tribal, and Urban Indian Organization (I/T/U) health facilities.
3) How does BH2I define "integration" of behavioral health and primary care?
BH2I promotes connected, whole-person care rather than treating mental health, substance use, and physical health as separate silos. Integration is expected to improve clinical processes and workflow across multidisciplinary teams so behavioral health and primary care staff operate as a coordinated unit.
4) Who is this initiative intended to benefit?
The initiative is intended to benefit AI/AN individuals and families impacted by mental illness, substance use disorders, adverse childhood experiences, trauma exposures, and related behavioral health challenges, with the broader objective of strengthening health outcomes in AI/AN communities.
5) What kinds of services or activities does BH2I emphasize?
BH2I emphasizes a full spectrum approach that can include routine screening, assessment and diagnosis (including risk assessment), patient-centered treatment planning, evidence-based outpatient treatment (pharmacological and psychosocial), crisis services, peer support, and care coordination.
6) What behavioral health conditions are specifically highlighted for screening and attention?
The opportunity explicitly highlights screening and attention to serious mental illness, alcohol and substance use disorders, opioid use disorder, suicidality, and trauma exposures such as interpersonal violence, physical abuse, and adverse childhood experiences.
7) Does BH2I include trauma-informed care?
Yes. The grant encourages integration that includes trauma-informed care and recognizes the importance of identifying and responding to trauma exposures during screening and care delivery.
8) Are non-clinical supports included in BH2I's view of integrated care?
Yes. BH2I recognizes the role of nutrition, exercise, social supports, spiritual care, and culturally grounded services alongside medical and primary care as part of a whole-person approach.
9) Does BH2I support treatment approaches beyond counseling?
Yes. The opportunity notes that evidence-based outpatient treatment may include both pharmacological and psychosocial approaches, reflecting a broad view of treatment options.
10) Is crisis response part of what BH2I expects sites to address?
Yes. Crisis services are specifically highlighted, along with peer support and care coordination, as important elements for effective integration and ensuring people connect to the right level of care at the right time.
11) Does BH2I require a single, fixed integration model?
No. IHS emphasizes flexibility because Tribal communities and service sites have different realities, resources, and constraints. Integration may look different depending on local needs and capabilities, while still being expected to improve coordinated workflows and clinical processes.
12) What types of health facilities or systems are referenced as implementation settings?
The initiative emphasizes improvements inside IHS, Tribal, and Urban Indian Organization (I/T/U) health facilities and also acknowledges coordination challenges across different operational structures, including between federally operated and tribally operated health services.
13) What kinds of gaps is BH2I meant to address?
BH2I is intended to support sites that have identified service gaps and have begun building the connections needed to close them, including programs pursuing new or innovative ways to coordinate care across teams and systems.
14) What outcomes does BH2I expect or aim to produce?
The initiative aims to increase access to integrated health and social well-being services, improve early identification and early intervention for mental health and substance use concerns, strengthen detection and response to serious physical health issues (including chronic disease), and produce measurable improvements in patient health for people participating in integrated care programs.
15) Does BH2I include a learning or evaluation component?
Yes. The program seeks to generate practical learning about which integration models work best in AI/AN health systems by identifying and assessing unique needs and documenting real-world challenges, barriers, and successes during implementation.
16) What is the Funding Opportunity Number (FON) for BH2I?
The Funding Opportunity Number is HHS-2017-IHS-BH2I-0001.
17) What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA 93.933.
18) Which federal agency offers this grant?
The grant is offered by the U.S. Department of Health and Human Services (HHS), Indian Health Service (IHS).
19) Who is eligible to apply for BH2I?
Eligible applicants include federally recognized Native American tribal governments, other Native American tribal organizations, and certain other applicants as specified in the full eligibility language.
20) What is the maximum award amount (award ceiling)?
The listed award ceiling is $500,000.
21) How many awards were anticipated?
The opportunity anticipated 12 awards.
22) When was the opportunity posted, and what was the original closing date?
The opportunity was originally posted on Aug 15, 2017, with an original closing date of Sep 16, 2017.
23) Is BH2I focused only on behavioral health, or also physical health?
BH2I is explicitly focused on improving both behavioral health and physical health outcomes by strengthening coordination and integration. It also highlights improved detection and response to serious physical health issues, including chronic disease.
24) What is the overarching mission alignment mentioned for BH2I?
The initiative directly supports the IHS mission of raising the physical, mental, social, and spiritual health of AI/AN people, emphasizing practical improvements in care delivery within I/T/U systems.
25) Does BH2I mention specific operational expectations for clinics and teams?
Yes. Funded approaches are expected to improve clinical processes and workflow across multidisciplinary teams so behavioral health and primary care staff function as a coordinated unit and can connect patients to appropriate care levels effectively.
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