The goal of this initiative is to reduce the adverse consequences of substance use disorders by strengthening primary prevention, early diagnosis, and prompt access to treatment.

Substance use disorders (SUDs) are chronic medical illnesses that can be devastating for families and communities, and create high demands on health care, criminal justice, and social services. In community health assessments carried out by local health departments across the state, SUDs are the most frequently listed high-priority health issue. In a 2017 report, we found that Montana’s health care system is severely under capacity for coping with these illnesses: only six percent of Montanans with a SUD currently receive treatment and the state has one of the nation’s lowest rates of medication-assisted treatment for opioid use disorders.

In partnership with state, tribal, and local agencies and communities, we announced a major, multi-year commitment to address this problem. The Substance Use Disorder Prevention and Treatment Initiative will make investments in the five Opportunities for Action which were endorsed by state leadership at the Montana Substance Use Disorder Summit held on Nov 7, 2017.

Funding Opportunity

Our investments for this initiative will center on activating the primary care system to care for SUDs, and increasing the use of evidence-based prevention programs. We emphasize projects that will build SUD screening and treatment into practices that are working to integrate primary care and behavioral health services, as well as those that will improve SUD outcomes through partnerships between criminal justice, corrections, and health care. Under this initiative, grant funding is available for specific projects and decisions will be based on our general selection criteria. Specific projects that will be considered for funding under this initiative include:

  • Adding outpatient SUD services to non-profit primary care practices, hospital-based practices, and federally qualified health centers through partnerships or expansion of scope.
  • Offering medication-assisted treatment (MAT) in integrated behavioral health settings.
  • Creating criminal justice and corrections agency-led programs to divert people with SUDs to treatment.
  • Enhancing the continuum of care provided by SUD providers by adding peer support services.
  • Implementing screening, brief intervention, and referral to treatment (SBIRT) in primary care and hospital settings.

If you are interested in applying for grant funding under this initiative, please contact MHCF Senior Program Officer Scott Malloy.

Integrated Behavioral

Perinatal Drug and Alcohol Use

Health Leadership

Focus Area: Behavioral

Substance Use Disorders Reports

Our Work in Substance Use Disorders

Substance Use Disorder Grantees

Townsend Health Systems

Initiation of a Licensed Addiction Counselor into the Broadwater Health Center Integrated Care Team

Grant Term: 12 months; 2018-2019
Grant Amount: $40,000

This project will add the treatment of substance use disorders into Broadwater’s primary care practice. Grant funding will be used to hire a licensed addiction counselor who will help implement screening, brief intervention, and referral to treatment and medication-assisted treatment for opioid use disorders. Additionally, funds will be used to allow the grantee to seek state approval as a substance use disorder provider, which will be needed for Broadwater to be reimbursed by Medicaid for their services.

Lincoln County Health Department

Lincoln County Substance Use Disorder Follow-Up and Referral

Grant Term: 12 months; 2018-2019
Grant Amount: $19,955

This project will help the county health department work with a community coalition to implement a new diversion program that will operate in the hospital emergency department and the county detention center and route people with substance use disorders to treatment rather than the criminal justice system.

Fort Peck Tribes - Spotted Bull Recovery Resource Center

Tatanka Gdes’ka Capacity Building Project

Project Term: 24 months; 2017-2019
Grant Amount: $150,000

This project will establish and begin operation of a methamphetamine in-patient treatment center on the Fort Peck Indian Reservation. The project has three main components. It will: build the capacity of Spotted Bull Recovery Resource Center to conduct third-party billing and generate continuous revenue to fund operations; support the upgrade of current substance use disorder infrastructure to meet in-patient treatment standards; and prioritize and implement integrated behavioral health principles and programming to ensure a strong inpatient and outpatient continuum of care. This will provide a continuity of care for patients and ensure that those with medical and mental illnesses complicating a methamphetamine addiction are able to receive comprehensive, effective treatment. Once up and running the facility will have the capacity to treat patients from northeastern Montana and potentially from other tribes.

Gateway Recovery Services

Peer Support for Substance Abuse

Project Term: 18 months; 2017-2019
Grant Amount: $75,000

This project will implement peer support for substance abuse in Gateway and Cascade counties. Implementation will take place over three phases: 1) Providing peer support for clients who have been placed on a waiting list for an evaluation by a licensed addiction counselor. 2) Use of the peer support program to improve show-rates for current clients in order to increase their chances of successfully completing treatment. 3) Making peer support available to law enforcement and local emergency rooms. Studies have shown that peer supporters can reduce the number of law enforcement and emergency room contacts with targeted patients and improve attendance at treatment and treatment outcomes. The intent of this project is for peer supporters to reach people in home and community settings, quickly build rapport and help motivate individuals with substance use disorders to enter and remain engaged in care.

Yellowstone Boys and Girls Ranch

Substance Use Disorder Treatment Program

Project Term: 24 months; 2017-2019
Grant Amount: $75,000

This project will allow the Yellowstone Boys and Girls Ranch to expand their substance use disorder services and will support their application to the State of Montana Chemical Dependency Bureau for substance use disorder treatment licensure. Once they receive their state license, the Yellowstone Boys and Girls Ranch will be able to expand their services to additional counties and enhance their partnerships in each region. The project’s goal is to hire three additional licensed addictions counselors to provide outpatient and intensive outpatient services, and school-based services to meet the needs of communities served by Yellowstone Boys and Girls Ranch.

2018 Call for Proposals

Find out about this year’s available grants.