Download Complete RFA Announcement in PDF format (229KB)

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By enlisting the assistance of addiction medicine and psychiatry medical specialty organizations and other organizations that focus on opioid addiction, medication assisted treatment, and recovery from opioid addiction, the grantee will offer physicians, substance abuse specialists, and other health professions the information and consultation they need to provide safe, appropriate, and effective pharmacologic treatment for opioid dependence, thereby reducing resistance and barriers to the availability of treatment. The grantee will address medical and psychiatric comorbidities that are highly prevalent in those with addictive disorders and which contribute to the complex nature of opioid addiction. SAMHSA has demonstrated that prevention works, treatment is effective, and people recover from mental and substance use disorders. Behavioral health is an essential part of health service systems and community-wide strategies that work to improve health status and lower costs for families, businesses, and governments. Continued improvement in the delivery and financing of prevention, treatment, and recovery support services provides a cost effective opportunity to advance and protect the Nation’s health. In order to achieve this goal, SAMHSA has identified eight Strategic Initiatives to focus the Agency’s work on improving lives and capitalizing on emerging opportunities. The PCSS-MAT program addresses the Prevention of Substance Abuse and Mental Illness Strategic Initiative. One of the goals of this Strategic Initiative, which is consistent with the intent of PCSS-MAT, is to reduce prescription drug misuse and abuse through the education of current and future prescribers regarding appropriate prescribing practices for pain and other medications subject to abuse and misuse. More information is available at the SAMHSA website: http://www.samhsa.gov/About/strategy.aspx. The PCSS-MAT grant program is authorized under Section 509 of the Public Health Service Act, as amended. This announcement addresses Healthy People 2020 Substance Abuse Topic Area HP 2020-SA. 2. EXPECTATIONS Required Activities PCSS-MAT grant funds must be used to support the following infrastructure development and physician support activities: Infrastructure Development Activities • Organizational/structural change (e.g., to increase access to or efficiency of services); • Development of interagency coordination mechanisms (between national professional medical organizations or related organizations); 6
• Provider/network development (e.g., physician clinical support network/system development and enhancement to inform physicians of established standards of care); • Quality improvement efforts; and • Physician workforce development. Physician Support Activities Applicants must demonstrate the ability to provide consultative services, telephone consultation, on-site training, observation of practice, and peer mentoring to physicians on the indications and usage of FDA approved medications for opioid dependence including methadone, buprenorphine (mono and combination), and naltrexone (oral and extended release injectible). Applicants may propose other activities, such as conducting a limited number of regional meetings, developing clinical guidelines, on-line Web conferences, mobile applications, or other educational activities to improve physician workforce performance. Physician support activities must focus on the following content areas: • Assessment and diagnosis using the Diagnostic and Statistical Manual, Fourth Edition, Text Revision (DSM-IV-TR) (or the potential DSM-IV-TR successor); • Induction, maintenance, and detoxification protocols; • Strategies to avoid and treat complications; • Ancillary medications; • Recommended visit and monitoring schedules; • Special psychosocial strategies on motivating patients, setting limits, or implementing contingency plans; • Medically supervised withdrawal and opioid withdrawal scales; • Referrals to counseling, other ancillary services, or self-help groups; • Diagnosis and treatment of psychiatric co-morbidities or co-occurring disorders, including, but not limited to, chronic pain, poly-substance abuse, hepatitis, and HIV disease; • HIV and hepatitis screening, counseling, testing, and referrals; • Referrals to higher levels of care; • Special populations (e.g., pregnant, adolescent, elderly, pain patients, and veterans); and • Important patient recovery indicators. According to the National Survey on Drug Use and Health, individuals who experience mental illness or who use illegal drugs have higher rates of tobacco use than the total population. Data from the National Health Interview Survey, the National Death Index, and other sources indicate earlier mortality among individuals who have mental and substance use disorders than among other individuals. Due to the high prevalence rates of tobacco use and the early mortality of the target population for this grant program, grantees are encouraged to promote abstinence from tobacco products (except with regard to accepted tribal traditional practices) and to integrate tobacco 7
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Page 11 and 12: • Comply with all aspects of the
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Page 17 and 18: V. APPLICATION REVIEW INFORMATION 1
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