Opportunity Information: Apply for TI 21 009

The First Responders - Comprehensive Addiction and Recovery Act Grants (FR-CARA) is a discretionary grant opportunity offered by the U.S. Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA). Released for fiscal year 2021 under funding opportunity number TI 21 009 (CFDA 93.243), the program is aimed at strengthening community responses to opioid overdoses by expanding the ability of first responders and other key community personnel to quickly administer overdose-reversal medications or devices that have been approved or cleared under the Federal Food, Drug, and Cosmetic Act.

At its core, the grant is designed to make overdose reversal more available and more consistently used in real-world emergencies. Funded recipients are expected to train first responders and additional community sectors at the state, tribal, and local governmental levels on how to carry and properly administer approved or cleared overdose-reversal drugs or devices for cases of known or suspected opioid overdose. In practical terms, this means building local capacity so that people who are likely to arrive first at an overdose scene (and other community partners positioned to intervene) have both the tools and the know-how to respond safely and effectively.

Beyond training and distribution, FR-CARA also emphasizes building the surrounding infrastructure that turns an overdose reversal into a pathway to longer-term help. Grant recipients are expected to establish or improve processes and protocols that support referral and linkage to appropriate treatment and recovery support services after an overdose event. This focus reflects the broader public health goal of pairing immediate lifesaving intervention with follow-up care, so that individuals who experience an overdose can be connected to evidence-based treatment and ongoing recovery supports rather than returning to the same risk environment without assistance.

Another notable element of the program is its explicit attention to responder and community safety in the context of increasingly potent synthetic opioids and other dangerous substances. Recipients must address safety considerations related to fentanyl, carfentanil, and other high-risk licit and illicit drugs, which can create additional hazards during emergency response. This typically involves developing guidance, protocols, and training content that reduce risk to responders while maintaining rapid, effective overdose response.

In terms of scale and funding details provided in the announcement, SAMHSA anticipated making about 20 awards, with an award ceiling of up to $800,000 per award. The opportunity was posted March 19, 2021, with an original application closing date of May 17, 2021. Eligibility is listed broadly as "Others" with additional clarification referenced in the full notice, indicating that applicants needed to consult the detailed eligibility language to confirm whether their organization or governmental unit qualified.

Overall, FR-CARA is structured to support a comprehensive, community-level overdose response system: equip and train the people most likely to intervene, standardize safe administration practices for overdose reversal, and put in place the handoffs and referral mechanisms that connect overdose survivors to treatment and recovery resources, with particular care given to the hazards posed by fentanyl and related substances.

  • The Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "First Responders-Comprehensive Addiction and Recovery Act Grants" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243.
  • This funding opportunity was created on Mar 19, 2021.
  • Applicants must submit their applications by May 17, 2021. (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 $800,000.00 in funding.
  • The number of recipients for this funding is limited to 20 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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