Comprehensive Behavioral Health Center Of ST Clair County Inc.

Comprehensive Behavioral Health Center Of ST Clair County Inc., a minority-owned, Black American-owned tax-exempt nonprofit organization based in East St. Louis, Illinois, operates as a federal grant recipient focused on permanent supportive housing, rapid rehousing, case management, and integrated mental health and substance abuse treatment services. The organization acts primarily as a sub-recipient (86% of recent awards) on federal grant programs flowing through state pass-throughs, with a smaller direct prime recipient footprint (14% of awards) concentrated in HUD Continuum of Care Project Grants.

The organization has operated since 1957 and reports over 60 years of experience serving economically disadvantaged communities. The recent federal award footprint spans 118 total awards with $37.3 million in combined obligation across seven distinct federal agencies, though concentration is pronounced among health and human services grant programs. The Department of Health and Human Services Substance Abuse and Mental Health Services Administration dominates the prime award count (44 awards), followed by HHS Health Resources and Services Administration (35 awards), with Department of Housing and Urban Development's Assistant Secretary for Community Planning and Development placing an additional 15 prime awards. Activity expanded significantly from a single award in 2022 to 52 awards in 2024, then moderated to 10 in 2025 and 6 through April 2026.

Concrete prime grant work includes four HUD Continuum of Care Project Grants as direct recipient: $568,526 awarded March 1, 2026, with completion February 28, 2027; $359,840 awarded January 1, 2026, through December 31, 2026; $214,941 awarded January 1, 2026, through December 31, 2026; and $138,378 awarded October 1, 2025, through September 30, 2026. Each award funds permanent supportive housing, rapid rehousing, transitional housing, supportive services, and Homeless Management Information Systems delivery to approximately 500 clients annually, with focus on adults with serious mental illness, co-occurring disorders, and individuals re-entering from incarceration. A SAMHSA Center for Mental Health Services Project Grant of $545,869 (ultimate completion February 28, 2026, on a September 30, 2021 award date) supported expansion of mental health and substance abuse outpatient services for youth and adults.

Sub-recipient activity flows predominantly through the Illinois Department of Human Services, which channels Block Grants for Community Mental Health Services, Block Grants for Prevention and Treatment of Substance Abuse, and Maternal Infant and Early Childhood Home Visiting Program (MIECHV) funding. Sub-awards span continuous sub-grants from state pass-through administration since 2023, with multiple tranches in 2024 and 2025 reflecting rolling state fiscal-year funding cycles. The organization also received a sub-award from the University of Illinois for a COVID-19 Treatment Cascade Optimization Study (April 1, 2024) and from the Illinois Department of Public Health for adverse childhood experiences training (February 21, 2024).

Four awards face ultimate completion within the next twenty-four months, representing modest recompete activity relative to the 2024–2025 volume. The organization's federal footprint is grant-centric and regionally concentrated, with no contract prime work, no parent contract vehicles, and no teaming relationships with commercial contractors—the business model centers on direct service delivery to vulnerable populations in St. Clair County under federal grant programs passed through state administering agencies.