Reducing the adverse health and social consequences of substance use disorders by strengthening prevention, early diagnosis, and prompt access to effective treatment.

Substance use disorders (SUD) 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 SUD, 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 SUD 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 Program Director Scott Malloy.

Integrated Behavioral
Health Initiative

Perinatal Behavioral Health Initiative

Focus Area: Behavioral

Substance Use Disorders Reports

Our Work in Substance Use Disorders

Substance Use Disorder Grantees

Montana Supreme Court

2018 Montana Statewide Drug Court Conference

Project Term: 12 months; 2018-2019
Grant Amount: $12,988

This grant will support a convening of the 34 drug courts across the state. This project allows for the courts to convene around four primary goals: 1) Native American cultural competency and best practices for treating American Indians with a substance use disorder; 2) knowledge and skill building in what it takes to become a trauma-informed drug court, thus improving drug court outcomes; 3) medication-assisted treatment (MAT) and implementation of MAT in drug courts; 4) motivational interviewing techniques and support in drug courts. Partners include the Center for Court Innovation, National Association of Drug Court Professionals, the Native American Addiction Technology Center, the Tribal Law and Policy Institute, DPHHS, Montana Department of Transportation, and the Judicial Branch of Montana.

Flathead City-County Health Department

Developing a Comprehensive Plan to Transform Behavioral Health and the Criminal Justice System

Project Term: 24 months; 2018-2020
Grant Amount: $47,565

Many individuals with behavioral health disorders find themselves involved in criminal justice due to barriers to adequate treatment and support. This project will identify resources in the Flathead community to support individuals who are unnecessarily involved in the criminal justice system due to a behavioral health disorder. Through the Sequential Intercept Model (SIM) mapping process, the Flathead County Health Department will identify current gaps in service and develop a community plan to improve outcomes. SIM will be utilized to organize behavioral health services to better meet the needs of individuals with behavioral health disorders who are involved in the criminal justice system. Through this project, the community will identify where crisis diversion activities can be developed or enhanced to meet treatment needs and assist with reentry from the justice system or inpatient setting back into the community. The grantee will include a team of stakeholders in this process that includes community experts in mental health, substance use, law enforcement, criminal justice, housing, health, tribal, social services, and individuals directly impacted by behavioral health disorders in Flathead County.

Montana's Peer Network

Statewide Peer Support Outcomes Collection Project

Project Term: 12 months; 2018-2019
Grant Amount: $43,774

This project will develop and implement a universal peer support data collection platform that can provide real-time outcome data on peer programs statewide. Outcome-based data collection can be used to secure future funding and demonstrate cost savings for long-term sustainability of peer services. This data platform would be available to any entity utilizing peer services statewide with real-time data outcomes from all programs collectively. Funding will be used to develop and host the statewide data collection platform for peer support programs and will help build a stronger business infrastructure through hiring administrative support staff to support the growing use of peers throughout the state. This new staff will help oversee the data platform, collection, and analysis and assist with general administrative duties for the organization.

Teton County Health Department

Addressing Substance Use Disorders through Community Partnerships

Project Term: 12 months; 2018-2019
Grant Amount: $25,244

For this project, the Teton County Addictions Task Force (TCATF) will work with Gateway Community Services (a behavioral health service provider from Great Falls) to implement SAMHSA’s Strategic Prevention Framework to reduce youth substance use in Teton County. TCATF is comprised of the Teton County Health Department, Benefis Teton Medical Center, local law enforcement, local schools, the local advisory committee, social services, and community members. Gateway Community Services will provide training and technical assistance to TCATF to complete each step of the strategic prevention framework. Cultural competence and sustainability are guiding principles of the strategic prevention framework and will be a primary focus of the work that takes place through this project.

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.

2019 Call for Proposals

Find out about this year’s available grants.