Community Programs for Youth and Young Adults at Clinical High Risk for Psychosis
🏛 Substance Abuse and Mental Health Services Adminis (HHS-SAMHS-SAMHSA)
Can you apply?
This grant is for organizations serving youth and young adults ages 12–25 who are at clinical high risk for psychosis. Eligible applicants include 501(c)(3) nonprofits, public health departments, community health centers, schools, tribal organizations, and state/local government agencies. The program supports development and implementation of community-based early intervention services that provide coordinated specialty care, psychoeducation, family support, and psychosocial treatment to help delay or prevent the onset of psychotic disorders. Activities may include screening, assessment, case management, peer support, employment support, and coordination with clinical partners. Geographic scope is nationwide; applicants must demonstrate capacity to serve the target population and establish partnerships with mental health providers.
⚖️ Cost sharing / matching required — applicants must contribute their own funds.
This grant is for organizations serving youth and young adults ages 12–25 who are at clinical high risk for psychosis. Eligible applicants include 501(c)(3) nonprofits, public health departments, community health centers, schools, tribal organizations, and state/local government agencies. The program supports development and implementation of community-based early intervention services that provide coordinated specialty care, psychoeducation, family support, and psychosocial treatment to help delay or prevent the onset of psychotic disorders. Activities may include screening, assessment, case management, peer support, employment support, and coordination with clinical partners. Geographic scope is nationwide; applicants must demonstrate capacity to serve the target population and establish partnerships with mental health providers.
Program description
The purpose of this program is to identify youth and young adults, not more than 25 years old, at clinical high risk for psychosis and provide evidence-based interventions to prevent the onset of psychosis or lessen the severity of psychotic disorder.
Who can apply
Eligible applicants
- 501(c)(3) Public Charity
- City / Municipal Government
- Community Health Center
- Public K-12 School
- Tribal Organization
Demographic focus
Details
This grant is for organizations serving youth and young adults ages 12–25 who are at clinical high risk for psychosis. Eligible applicants include 501(c)(3) nonprofits, public health departments, community health centers, schools, tribal organizations, and state/local government agencies. The program supports development and implementation of community-based early intervention services that provide coordinated specialty care, psychoeducation, family support, and psychosocial treatment to help delay or prevent the onset of psychotic disorders. Activities may include screening, assessment, case management, peer support, employment support, and coordination with clinical partners. Geographic scope is nationwide; applicants must demonstrate capacity to serve the target population and establish partnerships with mental health providers.
How to apply
Application links
Key dates & requirements
Required documents
- SF-424 federal application form and SF-LLL lobbying certification
- Project narrative (typically 20–30 pages) describing need, model, staffing, and activities
- Detailed line-item budget for the project period with narrative justification
- Organizational capacity documentation (nonprofit status, audited financials, organizational chart)
- Letters of support/commitment from clinical partners, schools, health departments, and other key collaborators
- Résumés or CVs of key personnel and clinical leadership
- Evaluation plan with measurable objectives, data collection methods, and timeline
- Sustainability and transition plan for long-term funding
- Evidence of community input and needs assessment
- Indirect cost rate agreement (NICRA) or other approved cost allocation documentation
Program contact
- 👤 Rachel Bailey Content Administrator
- 📧 NOFOBudget.CMHS@samhsa.hhs.gov
- 📞 3013673764
Funding track record
Recent awards under CFDA 93.104 from the last 3 years — real organizations that won funding through this same program.
Top 10 Largest Recent Awards
-
$15,000,000
-
$12,629,014
-
$12,000,000
-
$10,927,447
-
$10,911,629
-
$10,740,401
-
$10,672,466
-
$10,555,987
-
$9,863,367
-
$9,809,730
Top States by Funding
- NY 8 awards $33.9M
- PA 8 awards $33.6M
- OH 6 awards $26.7M
- FL 7 awards $25.7M
- CO 3 awards $24.2M
Source: USAspending.gov — federal spending transparency. Data covers last 3 years.
Funding history
Annual funding for this program — Federal obligations (CFDA 93.104). How funding has trended year over year.
| 2024 | $109,069,423 | |
| 2025 | $111,112,536 | |
| 2026 est. | $111,112,536 |
FAQ
Who is eligible to apply for this grant?
501(c)(3) nonprofits, public/private community mental health centers, substance abuse treatment facilities, schools, local health departments, tribal nations, and state/local government agencies are typically eligible. Applicants must be able to serve youth ages 12–25 at clinical high risk for psychosis.
What activities and services does this grant support?
Funded activities include early identification and screening, comprehensive assessment, individual and group psychotherapy, family psychoeducation and support, case management, peer support services, employment and education support, and coordination with healthcare providers for medication management when appropriate.
What is the typical application deadline and timeline?
Applications open May 15, 2026, and close June 15, 2026. Review and award notification typically occur within 4–6 months after the deadline.
How competitive is this grant and what funding range should I expect?
This is a moderately to highly competitive program. Typical awards range from $150,000–$350,000 per year for new projects, depending on scope and target population size. Multi-year funding is often available (2–3 years).
What is expected in the project narrative and budget?
The narrative should describe the target population, community need, proposed evidence-based intervention model, staffing plan, evaluation approach, and sustainability strategy. Budgets must detail direct service costs, staff salaries, training, and administrative expenses with clear justification.
💡 Tips for applicants
- Build a strong coalition that includes primary care or mental health clinicians, school partners, and peer support specialists before applying; reviewer teams value evidence of genuine collaboration.
- Use recent epidemiological data on psychosis rates and early intervention outcomes in your community to establish compelling need and feasibility.
- Select one evidence-based clinical model (e.g., NAVIGATE, OnTrack, or similar coordinated specialty care framework) and describe how you will implement fidelity monitoring and staff training.
- Address sustainability explicitly: identify secure funding streams (insurance billing, state mental health dollars, contracts) that will support services after grant funding ends.
- Invest in a solid evaluation plan with clear metrics (e.g., screening rates, conversion to psychosis, employment/education outcomes) and identify a qualified evaluator or partner organization.
⚠️ Common mistakes
Applications often fail when they lack clear clinical partnerships and trained staff—reviewers want to see that you have psychiatrists, psychologists, or licensed clinicians on board or under contract. Another frequent weakness is vague or aspirational sustainability plans; successful applications demonstrate concrete strategies for maintaining services through insurance reimbursement, state/local funding commitments, or earned revenue. Finally, weak evaluation designs that lack measurable outcomes or don't align with national metrics weaken competitiveness significantly.
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