This Funding Opportunity Announcement (FOA) encourages studies that develop and test the effectiveness of strategies for implementation and sustainable delivery of evidence-based mental health interventions and services to improve clinical and functional outcomes for underserved populations in under-resourced settings in the United States. Studies should identify and use innovative approaches to remediate barriers to provision, receipt, and/or benefit from evidence-based practices (EBPs) and generate new information about factors integral to achieving equity in mental health outcomes for underserved populations. Research generating new information about factors causing/reducing disparities are strongly encouraged, including due consideration for the needs of individuals across the life span
This initiative is focused on developing and testing the effectiveness of strategies to deliver evidence-based mental health services, treatment interventions, and/or preventive interventions (EBPs) in low-resource mental health specialty and non specialty settings within the United States, where EBPs are not currently delivered or delivered with fidelity, such that there are disparities in mental health and related functional outcomes (e.g., employment, educational attainment, stable housing retention and integration in the community, treatment of comorbid substance use disorders, etc.) for the population(s) served. Of interest are settings where a significant number of children, youth, adults, or older adults with or at risk for mental illnesses can be found and evidence-based mental health treatments or services are not currently delivered. Studies should identify and use innovative approaches to remediate barriers to provision, receipt, or benefit from EBPs and generate new information about factors integral to achieving greater equity in mental health and related functional outcomes for underserved populations. Research generating new information about factors causing/reducing disparities is strongly encouraged.
The goal is to develop scalable implementation strategies that achieve delivery of EBPs with high fidelity in these settings and significantly improve clinical and functional outcomes toward greater equity with outcomes documented in non-disparity populations.
For the purposes of this FOA, NIMH uses the following definitions:
- under-resourced settings are settings in which limited capital and human resources create barriers to meeting the mental health care needs of the population to be served
- evidence-based practicesaretreatmentsorservicesthatintegratethebestclinicalresearchevidencewithclinicalexpertiseandpatientvalues for care delivery
- underserved populations include members of minority groups or other individuals experiencing disparities in mental health outcomes, including: Latinx populations, African American populations, American Indian and Alaska Native populations, refugees, individuals with Limited English Proficiency (LEP), individuals with disabilities, persons from sexual and gender minority groups . Also included are: people living in a geographic area with a shortage of health care services (e.g., rural or frontier areas); groups that face economic barriers to health care; individuals who are homeless or unstably housed; incarcerated, detained, under community supervision, or recently released from incarceration, and people with serious mental illness (SMI).
Letters of Intent (optional) are due July 25, 2020. Applications are due August 25, 2020.