County Of Hamilton

County Of Hamilton Mental Health And Recovery Services Board, doing business as Health Dept, is a U.S. local government entity (county agency) based in Cincinnati, Ohio that acts as a prime recipient on federal mental health and substance use disorder grants and as a sub-recipient on state pass-through allocations from the Ohio Department of Mental Health and the Ohio Department of Job & Family Services. The organization operates exclusively in the federal grant space — no federal contracts or contract vehicles — with 84% of recent awards flowing through state intermediaries.

The organization's capability portfolio centers on mobile crisis intervention, crisis stabilization infrastructure, and behavioral health service delivery in Hamilton County. As a prime recipient, County Of Hamilton Mental Health and Recovery Services Board recently secured a $750,000 Project Grant from the Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services under the Projects of Regional and National Significance program (CFDA 93.532) awarded September 30, 2026, to expand and formalize its 24/7 mobile crisis team serving 838,418 residents across 405.5 square miles. The grant funds increased staffing, formalized partnerships with 911, 988, emergency first responders, and community services, and builds continuous quality improvement infrastructure to divert mental health and substance use disorder crises from law enforcement to community care. The mobile crisis team currently serves adults and youth, with 2025 encounter data showing 59% ages 18–54, 23% ages 55 and older, and primary diagnoses including schizophrenia spectrum disorders (26%) and bipolar disorder; the grant runs through September 30, 2030. As a second prime award, the organization received $550,000 as a Project Grant from the Department of Justice Office of Justice Programs Bureau of Justice Assistance (CFDA information not provided in source) awarded October 1, 2022, to develop and implement the Hamilton County Crisis Receiving and Stabilization Center in partnership with the Cincinnati Police Department and Greater Cincinnati Behavioral Health Services as a subgrantee; that award completes September 30, 2027.

Sub-recipient work dominates the footprint — 53 of 63 total awards (84%) flow through the Ohio Department of Mental Health and Ohio Department of Job & Family Services. The sub-recipient stream includes recurring annual allocations under the Mental Health Block Grant, the Substance Abuse Prevention and Treatment (SAPT) Block Grant, State Opioid Response (SOR) grants, the Projects for Assistance in Transition from Homelessness (PATH) program, the Project AWARE Ohio mental health awareness and training initiative, and the Mental Health Block Grant Bi-Partisan Act provisions. SAMHSA and the Bureau of Justice Assistance account for the vast majority of customer concentration — 60 of 63 awards (97% coverage) flow through these two HHS components. Combined dollars obligated across all awards reach $46.9 million. Activity has remained steady year over year — 12 to 14 awards annually from 2023 through 2026 — with only one award reaching ultimate completion in the next twenty-four months (minimal recompete exposure in the near term). Place of performance is Cincinnati, Ohio, with service delivery across Hamilton County. The organization partners with Central Clinic Behavioral Health and University of Cincinnati Medical Center on the expanded mobile crisis initiative.