Substance abuse prevention, treatment, and recovery services block grant

The Department of Health and Human Services Substance Abuse and Mental Health Services Administration awarded $181.859 million to the Ohio Department of Mental Health and Addiction Services on October 1, 2025, under the Block Grants for Prevention and Treatment of Substance Abuse program (CFDA 93.959). The award funds substance abuse prevention, treatment, and recovery services across Ohio through September 30, 2027, with administrative oversight at Columbus, Ohio.

The recipient passes funding to county and regional boards of alcohol, drug addiction, and mental health services; community-based treatment providers; and local government entities throughout Ohio. Sub-recipients deliver substance abuse treatment, mental health services, opioid use disorder interventions, crisis stabilization, case management, peer recovery support, supported housing assistance, and integrated behavioral health services for individuals with co-occurring disorders. Notable sub-recipients include Stark County Mental Health and Addiction Recovery (serving homelessness and addiction recovery), Cuyahoga County Community Mental Health Board (overdose prevention and substance abuse treatment), Lorain County Board of Mental Health (rapid rehousing and supportive services), and multiple county-level mental health and recovery boards operating across Ohio's urban and rural jurisdictions. Several sub-recipients also coordinate with local law enforcement and court systems to implement drug courts, crisis intervention team training, and diversion programs for justice-involved populations. The block grant mechanism allows pass-through of federal SAMHSA funding to state-designated agencies and subordinate recipients, with sub-awards recorded for at least 45 distinct county and regional entities throughout Ohio.