PPHF- Cooperative Agreements to Implement the National Strategy for Suicide Prevention (Short Title: National Strategy Grants)

The purpose of this program is to support states in implementing the 2012 National Strategy for Suicide Prevention (NSSP) goals and objectives focused on preventing suicide and suicide attempts among working-age adults 25-64 years old in order to reduce the overall suicide rate and number of suicides
in the U.S.


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.

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Mental Health & Substance Abuse Services, Tennessee Department Of $ 1,410,000   2014-09-302018-09-29
Research Foundation For Mental Hygiene Inc $ 1,880,100   2014-09-302018-09-29
Mental Health And Substance Abuse Services, Oklahoma Department Of $ 1,410,000   2014-09-302018-09-29
Research Foundation For Mental Hygiene Inc-$ 30,314   2014-09-302018-09-29
Human Services, New Mexico Department Of $ 1,409,430   2014-09-302017-09-29
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   

Program Accomplishments

Fiscal Year 2016: 4 awards were made. Fiscal Year 2017: No award will be made. Fiscal Year 2018: No award will be made.

Uses and Use Restrictions

? Develop and implement a plan for rapid follow-up of adults who have attempted suicide or experienced a suicidal crisis after discharge from emergency departments and inpatient units.

This should include care transition and care coordination services.

? Establish follow-up and care transition protocols to help ensure patient safety, especially among high risk adults in health or behavioral health care settings who have attempted suicide or experienced a suicidal crisis, including those with serious mental illnesses.

The plan should establish follow-up and care transition protocols to help ensure patient safety, especially among high risk adults including those with serious mental illness.

The plan should include how you will work with medical professionals including, but not limited to, primary care and emergency department personnel and ensure the transfer of relevant demographic and treatment information between the medical provider and the behavioral health entity.

? Provide, or assure provision of, suicide prevention training to community and clinical service providers and systems serving adults at risk. ? Incorporate efforts to reduce access to lethal means among individuals with identified suicide risk.

This effort will be done within all appropriate federal, state, and local laws.

? Work across state departments and systems in order to implement comprehensive suicide prevention.

Relevant state agencies should include, but are not limited to, agencies responsible for Medicaid; health, mental health, and substance abuse; justice; corrections; labor; veterans affairs; and the National Guard.

? Collaborate with mental health and substance abuse service settings, primary care and specialty behavioral health settings, integrated primary/behavioral health care delivery settings, emergency departments, and Lifeline crisis centers.

In addition to the health care sector, include other relevant sectors such as workplace or justice settings.

Develop a plan to ensure coordination across sectors. ? Incorporate the input of suicide attempt and suicide loss survivors, including family members and friends. ? Demonstrate the impact of grant activities on adult suicide deaths and attempts within key sectors, including health and behavioral health, by utilizing timely surveillance data at the beginning, during, and at the end of their grant.

Modify your efforts as needed during the grant cycle based on this surveillance data. Grantees must screen and assess clients for the presence of co-occurring mental and substance use disorders and use the information obtained from the screening and assessment to develop appropriate treatment approaches for the persons identified as having such co-occurring disorders, including identifying, assessing, and treating their suicide risk. Develop partnerships in order to implement collaboration activities described above in section 2.1, Required Activities. Adopting and/or enhancing your computer system, management information system (MIS), electronic health records (EHRs), etc., to document and manage client needs, care process, integration with related support services, and outcomes.

Training/workforce development to help your staff or other providers in the community identify mental health or substance abuse issues or provide effective services consistent with the purpose of the grant program.

Please note that grantees will be asked to demonstrate the impact of grant activities by measuring the competence/confidence of health and behavioral health clinical staff at the beginning, during, and end of their grant.

Impact of grant activities on skills in the following areas must be measured: assessment of suicide risk and protective factors, formulation of a risk summary to inform the choice of intervention, use of best-practice interventions to ensure safety including lethal means safety, treatment of suicide risk, and follow-up to ensure continuity of care.

Develop a plan for assuring that suicide prevention activities supported by this grant program will be sustained post-grant cycle.

Cost principles describing allowable and unallowable expenditures for federal grantees, including SAMHSA grantees, are provided in the following documents, which are available at http://www.samhsa.gov/grants/management.aspx: Educational Institutions: 2 CFR Part 220 and OMB Circular A-21 State, Local and Indian Tribal Governments: 2 CFR Part 225 (OMB Circular A-87) Nonprofit Organizations: 2 CFR Part 230 (OMB Circular A-122) Hospitals: 45 CFR Part 74, Appendix E In addition, SAMHSA?s National Strategy grant recipients must comply with the following funding restrictions: ? No more than 30 percent of the total grant award may be used for developing the infrastructure necessary for expansion of service. ? No more than 20 percent of the total grant award may be used for data collection, performance measurement and performance assessment, including incentives for participating in the required data collection.

Eligibility Requirements

Applicant Eligibility

Eligibility is limited to the Mental Health Authority in states, territories, and the District of Columbia.

The purpose of this program is to support states in implementing the 2012 National Strategy for Suicide Prevention (NSSP) goals and objectives focused on preventing suicide and suicide attempts among working-age adults 25-64 years old in order to reduce the overall suicide rate and number of suicides in the U.S.


The Mental Health Authority within states and territories are uniquely positioned and have the necessary statewide infrastructure in place to promote suicide prevention as a core component of health care services and to coordinate the required activities, including convening all other relevant state agencies to advise and/or participate in the initiative.

Beneficiary Eligibility

Consumers that are working-age adults between 25-64 years old.


Official documentation that all participating mental health/substance abuse treatment provider organizations: 1) comply with all applicable local (city, county) and state requirements for licensing, accreditation, and certification; OR 2) official documentation from the appropriate agency of the applicable state, county, or other governmental unit that licensing, accreditation, and certification requirements do not exist. 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. Applicants must download the SF-424 application forms through http://www.samhsa.gov/grants/apply.aspx.

Award Procedures

Applications are awarded based on the outcomes of the SAMHSA peer review and CSAT National Advisory Council review, and approval by the Administrator, SAMHSA. Grants are awarded directly by SAMHSA to the applicant organization.


Sep 30, 2014


Section 520 of the Public Health Service Act.

Range of Approval/Disapproval Time

From 30 to 60 days. To be determined by agency or office administering the funds.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

To be determined by agency or office administering the funds. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


GPRA and data collection reports. The (SF-425) Federal Financial Report is required by SAMHSA, Division of Grants Management 90 days after the end of each 12 month period and 90 days after the final 12 month budget period.

No cash reports are required.

Local assessment reports which analyze the performance of the program.

No expenditure reports are required.

Grantees will be required to report on progress achieved, barriers encountered, and efforts to overcome these barriers in a performance assessment report to be submitted at least annually.


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; SAMHSA has the right to disallow costs and recover funds on the basis of a later audit or other review; records shall be retained beyond the 3 year period for that reason.

Financial Information

Account Identification



(Cooperative Agreements) FY 16 $2,350,097; FY 17 est $0; and FY 18 est $0

Range and Average of Financial Assistance

up to $587,524 per year.

Regulations, Guidelines, and Literature

Not Applicable.

Information Contacts

Regional or Local Office


Headquarters Office

Roger George 5600 Fisher Lane, Rockville, Maryland 20857 Email: roger.george@samhsa.hhs.gov Phone: 2402761418

Criteria for Selecting Proposals

SAMHSA applications are peer-reviewed according to the evaluation criteria listed above. Decisions to fund a grant are based on: the strengths and weaknesses of the application as identified by peer reviewers; when the individual award is over $150,000, approval by the Center for Mental Health Services? National Advisory Council; availability of funds; equitable distribution of awards in terms of geography (including urban, rural and remote settings) and balance among populations of focus and program size; and equitable distribution of awards in terms of the highest rates of suicide and highest number of deaths by suicide or suicide attempts within the 25-64 age range (see Appendices K, L, and M).

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