Opportunity Information: Apply for HHS 2022 IHS BH2I 0001
The Behavioral Health Integration Initiative (BH2I) is a discretionary grant program from the Department of Health and Human Services, Indian Health Service (IHS), designed to strengthen how behavioral health and primary care work together in American Indian and Alaska Native (AI/AN) communities. The central aim is to improve both physical and mental health outcomes for people experiencing behavioral health challenges by building a more integrated, coordinated system of care. In practice, this means helping Tribal and Urban Indian Organization (UIO) health facilities expand their ability to deliver behavioral health services alongside primary care and broader wellness supports, so patients can receive more comprehensive, connected care rather than fragmented services spread across separate programs.
A major focus of BH2I is increasing local capacity to provide whole-person, trauma-informed care that reflects the realities and priorities of AI/AN communities. The opportunity emphasizes integrating behavioral health with other elements that influence health and recovery, such as nutrition, exercise, and social supports, along with spiritual, cultural, and community-based approaches where appropriate. By improving how these services are delivered together, the program is intended to reduce morbidity and mortality and to improve quality of life for people living with mental illness, substance use disorders (including opioid use disorder), and the impacts of adverse childhood experiences and trauma.
The grant strongly encourages applicants to cover the full spectrum of behavioral health services within an integrated model. This includes routine screening for mental health and substance use disorders, including serious mental illness, alcohol and other substance use disorders, opioid use disorder, suicidality, and trauma exposures (for example interpersonal violence, physical abuse, and adverse childhood experiences). It also includes clinical assessment and risk assessment, diagnosis, patient-centered treatment planning, and evidence-based outpatient treatment using both pharmacological and psychosocial approaches. Beyond scheduled treatment, BH2I highlights the importance of crisis services, peer support, and care coordination so that patients can move smoothly between providers and levels of care, and so that follow-up does not fall through the cracks.
BH2I is built around the idea that integration can look different depending on each community's needs, resources, and health system structure. IHS explicitly recognizes that Tribal communities face unique circumstances and that integrative models of care will vary across sites, but all supported approaches should improve clinical processes and workflow across multidisciplinary teams. The program is geared toward sites that can identify gaps in existing services and are working to connect policy and service-level pieces that are often separated. It also anticipates and supports new, practical ways of doing business across Federal and Tribal health programs where differing management structures can make coordination difficult.
Technology-enabled integration is another key element. Applicants are expected to make use of tools that support integrated care operations, such as systems that can create and manage patient registries, document Current Procedural Terminology (CPT) codes, and track behavioral health screening and assessment scores over time. These tools are intended to make coordination between behavioral health and primary care teams more consistent and measurable, and to help clinics monitor patients' progress, follow up on positive screens, and manage caseloads in a structured way.
In terms of program impact, BH2I is aiming for earlier identification and intervention for mental health conditions, substance use disorders, and serious physical health issues, including chronic disease, by embedding behavioral health more directly into routine care. Expected outcomes include improved access to integrated services, better coordination across health and social well-being supports, and clearer evidence on what integration models work best in AI/AN settings. The opportunity also calls for learning across sites by identifying and assessing different models and documenting challenges, barriers, and successes, with the broader expectation that patients participating in these integrative programs will experience improved overall health.
Administratively, the opportunity is listed as HHS 2022 IHS BH2I 0001 under CFDA 93.654. Eligible applicants include federally recognized Native American tribal governments and other Native American tribal organizations, with additional eligibility details referenced in the full notice. The award ceiling is $400,000, with an estimated 15 awards anticipated. The opportunity was created on November 4, 2021, with an original closing date of February 2, 2022.Apply for HHS 2022 IHS BH2I 0001
- The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Behavioral Health Integration Initiative" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.654.
- This funding opportunity was created on Nov 04, 2021.
- Applicants must submit their applications by Feb 02, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $400,000.00 in funding.
- The number of recipients for this funding is limited to 15 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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