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Grant writers: SAMHSA’s “Services Program for Residential Treatment for Pregnant and Postpartum Women” (PPW) program

Grant writers may have seen the NOFO for SAMHSA’s FY ’23″Services Program for Residential Treatment for Pregnant and Postpartum Women” (PPW) program, which has $11.5 million available for 22 grants of up to $525,000 per year for five years—implying a lifetime total availability $57.5 million. Smart nonprofit and public agencies will look closely at SAMHSA’s PPW program, given the large amount of funding at stake and the clear need for more residential treatment beds. We can help: call us at 800.540.8906 ext. 1 or contact us to get a fast, free fee quote that will help your nonprofit or public agency write a winning proposal. SAMHSA’s 83-page FY ’23 PPW NOFO likely contains many gotchas and other surprises that we’ll ferret out—leaving you free to run your organization.

The PPW program offers funding for pregnant and/or postpartum women to get help with substance-use disorders (SUDs), along with housing and wraparound supportive services that will help aid recovery. Basically, SAMHSA’s “Services Program for Residential Treatment for Pregnant and Postpartum Women” (PPW) looks to provide not only treatment and amelioration of SUD, but also all the wraparound supportive services that a pregnant or postpartum woman might need to remain sober and take care of her child, or children. The goal of the program should remind you of the goal for the HRSA Healthy Start Initiative (HSI) grant program: both programs fund similar activities, even if the funding agency differs and PPW is for residential, not outpatient, services.

SAMHSA’s PPW program wants to lower the total level of infant mortality, and the total level of maternal mortality. It has a bit of the old “Pathways to Responsible Fatherhood” RFP feel too, in that PPW seeks to, wherever possible, promote family stability and family unification. I’m reminded of the way that there are various essays and research reports out there observing that female college graduates are overwhelmingly married when they have kids, as was true in the 1960s; among the non-graduates, however, marriage rates have cratered. Here’s one report along those lines, although one could dig up many others. As it says: “Marriage used to be a classless phenomenon. But, not anymore: in 2008, marriage rates amongst college-educated 30-year-olds surpassed those without a degree for the first time.” More educated women tend to have kids with a spouse, and less educated women tend to have kids without a spouse, and in an unstable households. I’ve seen calls that educated women (and men) should “preach what they practice”—that is, speak up about the need to get married prior to having kids, and to avoid having kids in the midst of turbulent, uncommitted relationships. Child support doesn’t replace fathers, in this view.

The above paragraph has some ideas in it that need to be approached delicately and tastefully in a proposal, and experienced grant writers will understand how to do this. Nonetheless, intact families are part of what SAMHSA is dancing around in its NOFO. The NOFO emphasizes that “Services Program for Residential Treatment for Pregnant and Postpartum Women” (PPW) applicants need to offer in-patient services in facilities, usually one or more single-family houses, overseen by round-the-clock staff supervision. Applicants should probably have a psychiatrist on staff or via contract at least part of the time. The challenge with the PPW NOFO will likely include having a facility that is zoned correctly and that the applicant can use. Well, that, and getting staff for what might be a challenging patient population.

There are a number of straightforward required activities: treatment includes the typical assessment process, which will lead to some form of “Individual Improvement Plan” (IIP) or the like, which will tailor SUD treatment for the individual’s needs. The applicant will come up with appropriate instruments to be deployed. Treatment will include medications—thus the the psychiatrist, physicians assistants (PAs), and other waivered providers with prescribing power—and the overall goal is to manage the SUD to the extent possible. Overall, this is an intriguing NOFO for federally qualified health centers (FQHCs), as well as other substance abuse providers.

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