Protection and Advocacy for Individuals with Mental Illness

To enable the expansion of the Protection and Advocacy system established in each State to: (1) Protect and advocate the rights of individuals with mental illness; (2) investigate incidents of abuse and neglect of individuals with mental illness if the incidents are reported to the system or if there
is probable cause to believe that the incidents occurred; (3) investigate incidents of serious injury and deaths in public and private care and treatment facilities and non-medical community-based facilities for children and youth; and (4) to receive reports of all serious injuries and deaths related to incidents of seclusion and restraint in public and private care and treatment facilities in the States and Territories.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Guam Legal Services Corporation $ 241,100   2021-10-012023-09-30
Office Protection & Advocacy For The Disabled $ 241,100   2021-10-012023-09-30
Virgin Islands Advocacy Inc $ 241,100   2021-10-012023-09-30
Disability Rights Connecticut, Inc. $ 450,000   2021-10-012023-09-30
Disability Rights Center Of Kansas, Inc $ 450,000   2021-10-012023-09-30
Missouri Protection & Advocacy Services, Inc $ 570,152   2021-10-012023-09-30
Disability Rights New Jersey $ 690,534   2021-10-012023-09-30
Executive Office Of The Commonwealth Of Puerto Rico $ 521,784   2021-10-012023-09-30
Native American Disability Law Center Inc $ 241,100   2021-10-012023-09-30
Disability Rights South Dakota $ 450,000   2021-10-012023-09-30

Program Accomplishments

Fiscal Year 2016: 57 awards were made. Fiscal Year 2017: 57 awards will be made. Fiscal Year 2018: It is estimated 57 awards will be made.

Uses and Use Restrictions

Funds may be used to assist in meeting the costs of planning, developing, expanding, and implementing activities to support attainment of the protection and advocacy goals.

Grant funds must supplement, not supplant, nonfederal funds available in the State in which the protection and advocacy system is established.

Not more than 10 percent of an allotment can be used for providing technical assistance and training for staff, and a system which is a public entity cannot be required by the State to obligate more than 5 percent of the allotment for administrative expenses.

Eligibility Requirements

Applicant Eligibility

State, local, and territory government agencies, public or private organizations designated by the Governor under Part C of the Developmental Disabilities Assistance and Bill of Rights Acts as systems to protect and advocate the rights of persons with developmental disabilities in that State.

Beneficiary Eligibility

Individuals with significant mental illness or severe emotional impairment (children) who are at risk for abuse, neglect, or civil rights violations while residing in care or treatment facilities have service priority. Persons with significant mental illness and severe emotional impairment living in the community, including their own home, may be served as determined by their state protection and advocacy systems PAIMI program funded priorities and objectives and available resources includes persons who are in the process of being admitted to a facility rendering care or treatment, persons being transported to such a facility, or persons who are involuntarily confined in a municipal detention facility, jails, or prisons.


Costs will be determined in accordance with 2 CFR 200/45 CFR Part 75, Subpart E - Cost Principles applies to this program. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. An annual application is required in accordance with 42 CFR Part 51.

Award Procedures

Grants are directly awarded by the Center for Mental Health Services to the system established in the State to protect and advocate the rights of persons with developmental disabilities, as outlined in the 'Developmental Disabilities Assistance and Bill of Rights Act of 2000', as amended October 30, 2000 by Public Law 106-420 (45 USC 6041 et seq.) .


Oct 01, 2016


Protection and Advocacy for Individuals with Mental Illness Act of 1986, 42 USC 10801 et seq; Developmental Disabilities Assistance and Bill of Rights Act, as amended October 30, 2000, 42 U.S.C 6041 et seq.

Range of Approval/Disapproval Time

From 30 to 60 days.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory Formula: Title 42, Part 51, Public Law 106-420. Matching requirements are not applicable to this program. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Each allotment is available for obligation for a 24-month period; payments are made through an Electronic Transfer System. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


By January 1, an annual report must be submitted in accordance with the requirements stated in the authorizing Act (Public Law 106-420) at Section 105(a) (7) and Section 114.

Federal Cash Transaction Report (FCTR) is due quarterly to the Division of Payment Management.

Progress reports are not applicable.

Federal Financial Report (SF-425) is due 90 days after the end of the project period.

Performance monitoring is not applicable.


In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.


Records must be retained for at least 3 years after the date of submission of required Federal Financial Reports (SF-425).

Financial Information

Account Identification



(Formula Grants) FY 16 $35,318,517; FY 17 est $35,319,775; and FY 18 est $35,319,775

Range and Average of Financial Assistance

$229,300 to $3,140,635; Avg. $619,645.

Regulations, Guidelines, and Literature

45 CFR 1386 Subpart B (DD regulations) and 42 CFR 51 (PAIMI regulations), Notice of Proposed Rulemaking FR 59739: 64367ff, December 14, 1994, and 2 CFR 200/45 CFR Part 75 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards.

Information Contacts

Regional or Local Office


Headquarters Office

Odessa Crocker 5600 Fishers Lane, Rockville, Maryland 20857 Email: Phone: 240-276-1078

Criteria for Selecting Proposals

Applications for allotments must fulfill statutory requirements. For information on statutory and Federal regulations requirements contact: Karen Armstrong, Division of State & Community Systems Development, Center for Mental Health Services, SAMHSA, HHS, 5600 Fisher Lane, Rockville, Maryland 20857. Tel: (240) 276-1741 or Email:

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