Protection and Advocacy for Individuals with Mental Illness

Active

Assistance listing
93.138
Agency
Grant awards
1,485 $1,038,641,445 in federal obligations

Program facts

Also known as
(PAIMI)
Assistance types
  • Formula Grant
  • 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 funds administrative, legal, and advocacy services protecting adults with significant mental illness and children with significant emotional disturbance through CFDA 93.138, with the most recent awards disbursed October 1, 2025.

The program supports protection and advocacy activities ensuring enforcement of constitutional, federal, and state statutes on behalf of target populations. Service priorities include individuals at risk for abuse, neglect, or civil rights violations while in care or treatment facilities; individuals living in community settings; those in involuntary detention, jails, or prisons; and those in the process of admission to facilities. The eligible applicant pool is statutorily limited to systems established in states, the District of Columbia, American Indian Consortiums, and U.S. territories to protect and advocate for persons with developmental disabilities.

Grant activity is highly stable and ongoing. The program has distributed 1,485 awards since 2000, with a consistent cadence of 57 awards per year over the past five years. Combined federal obligations total $1.04 billion across the full portfolio. The portfolio is dominated by Formula Grants (1,370 awards, 92 percent) with a smaller Block Grant component (115 awards, 8 percent). Allotments are available for obligation over 24-month periods with payments made through electronic transfer.

Funding comes from a single federal agency: the Department of Health and Human Services Substance Abuse and Mental Health Services Administration. Recent awards from October 2025 and October 2024 show typical grants ranging from $338,632 to $4.3 million in federal obligations, with representative recent awards including Formula Grant X98SM090667 for $4.3 million, X98SM090663 for $3.7 million, and X98SM090669 for $2.7 million. The October 2025 award cycle distributed grants with completion dates of September 30, 2027.

No recent grant opportunities are open or posted in the source. Applications for allotments follow statutory requirements; interested parties should contact the Division of State & Community Systems Development at the Center for Mental Health Services for guidance on application procedures and eligibility confirmation.

Objective and description

Objective

The purpose of the PAIMI program is to pursue administrative, legal, and other appropriate remedies to address complaints of abuse, neglect, and rights violations. The PAIMI program is also intended to protect and advocate for the rights of adults w

Description

The PAIMI grant program is intended to protect and advocate for the rights of adults with Significant (Serious) Mental Illness (SMI) and children with Significant (Serious) Impairment or Emotional Disturbances (SED) through activities to ensure the enforcement of the Constitution, and Federal and State statutes.

Eligibility

Applicant eligibility

Eligibility is statutorily limited to "eligible systems" within the states, the District of Columbia, the American Indian Consortium, American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. The term "eligible system" means the system established in a state/territory to protect and advocate for the rights of persons with developmental disabilities under subtitle C of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 [42 U.S.C. 15053].

Beneficiary eligibility

Individuals with significant mental illness (adults) and or significant severe emotional impairment (children/youth) who are at risk for abuse, neglect, or civil rights violations while residing in care or treatment facilities have service priority. Individuals with significant mental illness (adults) and severe significant emotional impairment (children/youth) living in the community settings, including their own home, may be served as determined by their state protection and advocacy systems PAIMI program funded priorities and objectives and available resources includes individuals persons who are in the process of being admitted to a facility rendering care or treatment, individuals being transported to such a facility, or individuals who are involuntarily confined in a municipal detention facility, jails, or prisons

Uses of assistance

Law, Justice, and Legal Services Funds may be used to assist in meeting the costs of planning, developing, expanding, and implementing activities to support attainment of the protection and advocacy goals. Not more than 10 percent of an allotment can be used for providing technical assistance and training for staff. Also, a a system which is a public entity cannot be required by the State to obligate more than 5 percent of the allotment for administrative expenses.

Use restrictions

Law, Justice, and Legal Services Funds may be used to assist in meeting the costs of planning, developing, expanding, and implementing activities to support attainment of the protection and advocacy goals. Not more than 10 percent of an allotment can be used for providing technical assistance and training for staff. Also, a a system which is a public entity cannot be required by the State to obligate more than 5 percent of the allotment for administrative expenses.

Length and time phasing of assistance

Each allotment is available for obligation for a 24-month period; payments are made through an Electronic Transfer System.

How to apply

Criteria for selecting proposals

Applications for allotments must fulfill statutory requirements. For information on statutory and Federal regulations requirements contact: Karen Armstrong, Division of State & Community Systems Development, Center for Mental Health Services, SAMHSA, HHS, 5600 Fisher Lane, Rockville, Maryland 20857.

Award procedure

Grants are directly awarded by the Center for Mental Health Services to the system established in the State to protect and advocate the rights of persons with developmental disabilities, as outlined in the "Developmental Disabilities Assistance and Bill of Rights Act of 2000", as amended October 30, 2000 by Public Law 106-420 (45 USC 6041 et seq.) .

Grant awards

Latest 10 of 1,485 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 Disability Rights California $84,238,826 8%
2 Disability Rights Texas $65,241,819 6%
3 Disability Rights Florida Inc. $46,888,253 5%
4 Disability Advocates Inc. $33,079,578 3%
5 Disability Rights Pennsylvania $29,740,355 3%
6 Equip For Equality, Inc. $28,928,102 3%
7 Georgia Advocacy Office, Inc. $25,613,209 2%
8 Disability Rights North Carolina $24,720,236 2%
9 Disability Rights Michigan $24,624,301 2%
10 Disability Rights Ohio $23,173,198 2%

10 of 74 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $50,701,078
FY2025 $117,724,971
FY2024 $72,061,924
FY2023 $85,804,349
FY2022 $79,474,383
FY2021 $66,631,080
FY2020 $35,331,864
FY2019 $35,335,256
FY2018 $35,329,908
FY2017 $34,972,411
FY2016 $35,318,517
FY2015 $35,314,703
FY2014 $35,332,924
FY2013 $33,571,479
FY2012 $35,972,992
FY2011 $36,040,475
FY2010 $36,291,321
FY2009 $35,930,184
FY2008 $36,095,360
FY2007 $33,320,000
FY2006 $7,361,582
FY2005 $5,477,284
FY2004 $11,401,632
FY2003 $41,310,301
FY2002 $5,477,265
FY2001 $4,421,906
Show all 26

Quick answers

What is Assistance Listing 93.138?

Assistance Listing 93.138 is Protection and Advocacy for Individuals with Mental Illness, 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 Protection and Advocacy for Individuals with Mental Illness?

Its CFDA number is 93.138: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.138 awarded?

1,485 grant awards under 93.138 have obligated $1,038,641,445 in federal funds to 74 recipients.

Who receives the most funding from 93.138?

The recipients obligated the most under Protection and Advocacy for Individuals with Mental Illness are Disability Rights California ($84,238,826), Disability Rights Texas ($65,241,819) and Disability Rights Florida Inc. ($46,888,253).

How much did 93.138 obligate in fiscal year 2025?

Grants under 93.138 obligated $117,724,971 in federal funds in fiscal year 2025.

On GovTribe

See this program's full record

  • Every grant award and opportunity under it
  • Funding by recipient, agency and assistance type
  • Alerts for new opportunities
  • Ask GovTribe AI about this program