Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)

Active

Assistance listing
93.104
Agency
Grant awards
758 $2,786,900,110 in federal obligations

Program facts

Also known as
(CMHS Child Mental Health Service Initiative)
Assistance types
  • Project Grant
  • Cooperative Agreement
  • Block Grant
Treasury account
  • 75-1363-0-1-551
More information

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) funds comprehensive community mental health services for children, youth, and young adults birth through age 21 with serious emotional disturbance (SED) under Assistance Listing 93.104, with the most recent grant awards disbursed on September 30, 2026.

The program has sustained active funding for 28 years, with 758 total awards on record and a recent pace of 25 to 40 awards annually through 2026. Combined federal dollars obligated across the portfolio total $2.79 billion. Grant awards are predominantly Project Grants (71% of awards), with substantial shares of Cooperative Agreements (26%) and Block Grants (3%). All funding concentrates within SAMHSA; the portfolio shows two distinct funding entities both within SAMHSA, with one accounting for 438 awards ($1.05 billion federal dollars) and the other 320 awards ($1.74 billion federal dollars). Non-federal cost-share from recipients adds $110 million to the combined obligated total, indicating modest matching requirements.

Awarded projects establish coordinated systems of care through single points of access, family-driven service planning, wraparound care coordination, and evidence-based practices including trauma-focused cognitive behavioral therapy, functional family therapy, and motivational interviewing. Scope includes clinical high-risk psychosis (CHR-P) prevention programs, early childhood mental health services for infants and toddlers, school-linked behavioral health integration, and crisis stabilization services. Recent awards range from $422,961 to $45 million, with median awards in the $1 to $3 million range serving 20 to 1,500 youth annually over four-year performance periods.

Recent awards exemplify program scope: Maine's Children's Mental Health Initiative ($4.94 million) will provide mental health services to approximately 5,080 individuals and care coordination to 2,780 through two rural clinical sites in Maine; Colorado's COACT 4.0 ($45 million) expands high-fidelity wraparound services statewide to prepare for Medicaid benefit implementation; North Dakota's System of Care ($6 million) strengthens crisis services and intensive care coordination across urban, rural, and frontier communities; and the University of Connecticut's National Technical Assistance Center ($25.34 million) delivers training and technical assistance to Children's Mental Health Initiative and Statewide Family Network recipients nationwide.

Two opportunities are actively open. SM-27-003 (Children's Mental Health Initiative, posted September 3, 2026) accepts Cooperative Agreement applications from state governments, county and city governments, and federally recognized tribal governments—no stated due date. SM-26-013 (Children's Mental Health Initiative, posted December 10, 2025, due April 20, 2026—now closed) has been superseded. Two additional opportunities remain open with future deadlines: SM-26-012 (Community Programs for Youth and Young Adults at Clinical High Risk for Psychosis, due June 15, 2026) targets stepped-care interventions for youth ages up to 25 at clinical high-risk psychosis; and SM-23-013 (Grants for Expansion and Sustainability, with rolling deadlines in February and March) supports System of Care implementation and expansion with multi-year funding cycles.

Objective and description

Objective

To provide comprehensive community mental health services to children, youth, and young adults, birth through age 21 with a serious emotional disturbance (SED), which may include efforts to identify and serve children at risk, and their families. Im

Description

The program will ensure that services are provided collaboratively across child-serving systems; that each child or adolescent served through the program receives an individualized service plan developed with the participation of the family (and, where appropriate, the child); that each individualized plan designates a case manager to assist the child and family; and that funding is provided for mental health services required to meet the needs of youngsters in these systems.

Eligibility

Applicant eligibility

State, any political subdivision of a State, and any Indian tribe or tribal organization (as defined in section 4(b) and section 4(c) of the Indian Self-Determination and Education Assistance Act).

Beneficiary eligibility

Physically Afflicted (e.g. TB, Arthritis, Heart Disease), Mentally Disabled, Infant (0-5), Child (6-15), Youth (16-21) Children under age 22 with a diagnosed serious emotional disturbance, serious behavioral disorder, or serious mental disorder.

Uses of assistance

Grant funds may be used for salaries, wages and fringe benefits of professional and support staff; travel directly related to carrying out service activities; supplies, communications, and rental of equipment and space; training specifically aimed at one of the following: the development of individualized service plans; the provision of therapeutic foster care, group home care; intensive home-based services, or intensive day treatment services; administration of the system; and appropriate continuing education of two days or less; contracts for performance of activities under the approved project; and other such items necessary to support project activities. Grant funds and required matching funds may not be used for: other required services; to purchase or improve real estate property; provide residential care and/or services in residential treatment centers serving more than 10 children in inpatient hospital settings; any training activities with the exception of those mentioned above; and non-mental health services including mental health medical services, educational services, vocational counseling and rehabilitation, and protection and advocacy.

Use restrictions

Grant funds and required matching funds may not be used for: other required services; to purchase or improve real estate property; provide residential care and/or services in residential treatment centers serving more than 10 children in inpatient hospital settings; any training activities with the exception of those mentioned above; and non-mental health services including mental health medical services, educational services, vocational counseling and rehabilitation, and protection and advocacy.100% of funds are set aside for discretionary activities.

Length and time phasing of assistance

Project will be funded for up to 6 years. Payments will be made under an Electronic Transfer System.

How to apply

Preapplication coordination

Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Criteria for selecting proposals

The following review criteria will be used in evaluating proposals: (1) Potential significance of the proposed project; (2) appropriateness of goals and objectives; (3) adequacy and appropriateness of the proposed approach and activities; (4) evidence of the applicant's readiness and commitment to the proposed project; (5) commitment to family participation in system development and care of their children and adolescents; (6) capability and experience of project director, consultants, and other key staff; (7) adequacy of available resources; (8) reasonableness of the proposed budget; (9) cooperation in the evaluation activities; and (10) evidence of activities directed at developing continues funding support. Award criteria include: (1) quality of proposed project as determined by the review process; and (2) availability of funds.

Award procedure

Applications are awarded directly by SAMHSA to the applicant organization after a number of considerations, including but not limited to merit review, program analysis, and the Center for Mental Health Services National Advisory Council concurrence.

Grant opportunities

Opportunity Status Posted Applications due
Children's Mental Health Initiative SM-27-003 Forecasted —
Children's Mental Health Initiative SM-26-013 Closed
Community Programs for Youth and Young Adults at Clinical High Risk for Psychosis SM-26-012 Closed
Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis SM-24-007 Closed
Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances SM-23-013 Closed
Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances SM-22-007 Closed
Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances SM-21-004 Closed
Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances SM-20-007 Closed
Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances SM-19-009 Closed
Cooperative Agreements for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (Short title: System of Care Expansion and Sustainability Cooperative Agreements) SM-17-001 Closed
Cooperative Agreements for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances SM-15-009 Closed
Planning Grants for Expansion of the Comprehensive Community Mental Health Services for Children and Their Families SM-13-001 Closed
Show all 12

Grant awards

Award Recipient Federal obligations Awarded
Iedapt-CHR-p: an integrated stepped-care program for youth at clinical high risk for psychosis in orange county - the… H79SM091137 University Of California Irvine $650,000
Outreach, assessment & support for intervention in early psychosis (OASIS) - OASIS (outreach, assessment & support… H79SM091136 Maricopa County Special Health Care District $487,500
Tarrant county clinical high risk for psychosis (CHR-p) - the tarrant county clinical high risk for psychosis (CHR-p)… H79SM091135 My Health My Resources Of Tarrant County $650,000
The harris center's clinical high risk psychosis program (chrp) - the harris center's clinical high risk psychosis… H79SM091130 The Harris Center For Mental Health & IDD $481,923
Massachusetts psychosis prevention project (M3P) - massachusetts psychosis prevention partnership (M3P) is a… H79SM091128 Massachusetts Department Of Mental Health $650,000
CHR-p strong (supporting treatment, resiliency, outreach, networking, and growth) H79SM091126 Health Services Kentucky Cabinet For $650,000
Community prevention and intervention of individuals at clinical risk for psychosis - through the early detection… H79SM091121 Austin-Travis County Mental Health And Mental Retardation Center $650,000
Step-based care for individuals at clinical high-risk for psychosis - the proposed project will support the continued… H79SM091120 Franklin County Board Of Commissioners $523,891
Sway: supporting wellness for adolescents and young adults at clinical high risk for psychosis H79SM091113 Research Foundation For Mental Hygiene, Inc. $650,000
Pathways to possibility: central virginia early psychosis prevention and recovery program - horizon behavioral health… H79SM091079 Horizon Behavioral Health $428,000

Latest 10 of 758 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 254 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $120,470,323
FY2025 $272,357,529
FY2024 $294,321,529
FY2023 $225,370,879
FY2022 $230,199,281
FY2021 $201,793,023
FY2020 $103,281,289
FY2019 $64,099,899
FY2018 $96,854,583
FY2017 $96,773,534
FY2016 $86,221,862
FY2015 $59,216,501
FY2014 $57,584,548
FY2013 $46,408,696
FY2012 $64,214,932
FY2011 $85,262,367
FY2010 $87,743,974
FY2009 $84,229,718
FY2008 $57,474,478
FY2007 $38,576,533
FY2006 $1,999,618
FY2005 $29,316,542
FY2004 $362,160
FY2003 $79,089,337
FY2002 $118,295,085
FY2001 $57,962,992
Show all 26

Quick answers

What is Assistance Listing 93.104?

Assistance Listing 93.104 is Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED), a federal grant program run by Substance Abuse and Mental Health Services Administration (Department of Health and Human Services).

What is the CFDA number for Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)?

Its CFDA number is 93.104: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.104 awarded?

758 grant awards under 93.104 have obligated $2,786,900,110 in federal funds to 254 recipients.

Who receives the most funding from 93.104?

The recipients obligated the most under Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED) are Department Of Human Services Colorado ($68,741,967), Tennessee Department Of Mental Health & Substance Abuse Services ($63,519,368) and Hawaii Department Of Health ($51,177,310).

How much did 93.104 obligate in fiscal year 2025?

Grants under 93.104 obligated $272,357,529 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.104?

1 listed opportunity under 93.104 is open or forecasted. The latest, Children's Mental Health Initiative, was posted on September 3, 2026.

On GovTribe

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