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24 grants worth up to $50.1M match your search

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Re-imagining e-SBIRT to reduce stigma and strengthen FASD prevention

open

NIAAA - National Institute on Alcohol Abuse and Alcoholism

Fetal Alcohol Spectrum Disorder (FASD) is a lifelong and highly consequential condition affecting up to 1 in 20 children in the U.S. Despite the availability of evidence-based treatment options, only a very small minority of pregnant women meeting criteria for an alcohol use disorder receives treatment; and of those not receiving treatment, 95% do not feel that they need it. Screening and brief intervention approaches (SBIRT) are designed to reach this non-treatment seeking majority and are widely recommended for use in pregnancy. However, although SBIRT is predicated on small effects that have a meaningful public health impact when delivered at scale, decades of research have shown that (1) its effects are smaller than once hoped, and (2) it is challenging to implement in busy healthcare settings. In response, we have extensively studied digital SBIRT approaches (e-SBIRT), with promising results regarding efficacy—particularly when pairing e-SBIRT with digital “dose” enhancers such as text messages and booster sessions. Unfortunately, implementation challenges have persisted despite the greatly reduced effort needed to implement e-SBIRT in prenatal care settings. Continued innovation is urgently needed. We propose two enhancements designed to increase e- SBIRT scalability and impact. First, we will improve scalability by testing e-SBIRT delivery within a whole- health pregnancy checkup and feedback model addressing a range of protective and risk factors, such as sleep, prenatal care adherence, mental health, and nutrition, in addition to alcohol. This adaptation will reduce stigma and increase perceived relevance among patients as well as clinic staff. Although allocating disproportionate time to alcohol, this approach will also allow delivery of content addressing factors known to contribute to alcohol use, such as depression. Second, we will improve impact by augmenting individual-level e-SBIRT with an engaging intervention to help family members, friends, and/or partners—selected by the pregnant participant—to effectively support the pregnant participant’s health in all areas, including alcohol. In the R61 phase, Aim 1 will use mixed methods to develop e-SBIRT multi, a user-centered, multi-level, and multi-target screening and brief intervention for pregnant participants and their key support network. R61 phase Aim 2 will evaluate e-SBIRT multi feasibility and acceptability in a single-arm trial. If e-SBIRT multi meets a priori benchmarks/milestones, R33 phase Aim 3 will test it against enhanced treatment as usual in a confirmatory two-arm randomized clinical trial (N = 326 pregnant women plus support participants). R33 phase Aim 4 of this hybrid type 1 trial will evaluate implementation outcomes among healthcare professionals, clinic staff, pregnant participants, and support network participants. This project will develop and rigorously evaluate two enhancements with the potential to increase brief intervention acceptability and impact while retaining the high-reach advantages of e-SBIRT. It represents an important step toward re-imagining SBIRT to achieve the goal of a true public health impact on FASD.

Up to $510K
2028-07-31
health research

Free to search & build · $99 one-time to unlock the application pack · No subscription

Replacing, Removing, or Upgrading Underground Storage Tanks Grant

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State Water Resources Control Board

Replacing, Removing, or Upgrading Underground Storage Tanks (RUST) grants are available to assist small business underground storage tank (UST) owners and operators in financing up to 100 percent of the costs necessary to upgrade, remove, or replace project tanks to comply with the requirements of Health and Safety Code section 25284.1, 25292.05, 25292.4, 25292.5, or 41954. Please note that removal-only projects are now eligible for RUST grants. Grants are available for between $3,000 and $70,000 to eligible UST owners/operators. An additional $140,000 in RUST grant moneys above the $70,000 maximum is available for remote public fueling stations for the purpose of removing and replacing a single-walled UST. (See Health and Safety Code § 25299.107(e) for more information.) Eligibility Requirements Grant applicants must be a UST owner and/or operator and meet all of the following requirements: • The applicant is a small business that employs fewer than 20 full-time and part-time employees, is independently owned and operated, and is not dominant in its field of operation; • The grant applicant’s principal office and its officers must be domiciled in California; • The facility where the project tank is located was legally in business retailing gasoline after January 1, 1999. • All of the tanks owned and operated by the grant applicant are subject to compliance with Health and Safety Code chapter 6.7 and implementing regulations; • The facility where the subject tank is located has sold, at retail, less than 900,000 gallons of gasoline annually for each of the two years preceding the submission of the grant application; (Gallonage is based upon taxable sales figures provided to the State Board of Equalization (BOE) on the grant applicant’s BOE 401 GS including Schedule G.) • The grant applicant meets either of the following: The grant applicant is in compliance with Health and Safety Code sections 41954 and 25290.1, 25290.2, 25291, or subdivisions (d) and (e) of section 25292; (The facility must provide a current UST permit, a current Permit to Operate, and proof of EVR compliance as evidence of compliance with the permit compliance requirements.) or   Revised 1/2020 The grant applicant meets the requirements for a waiver from the RUST grant permit compliance requirements. (The project is for removal-only and the grant applicant does not qualify for a RUST loan.)   This is not a reimbursement program. Work cannot begin until you have an agreement executed by the State Water Board.  

Up to $70K
Rolling
environment & water

Free to search & build · $99 one-time to unlock the application pack · No subscription

Replacing, Removing, or Upgrading Underground Storage Tanks Loan

open

State Water Resources Control Board

Replacing, Removing, or Upgrading Underground Storage Tanks (RUST) loans are available to assist small business underground storage tank (UST) owners and operators in financing up to 100 percent of the costs necessary to upgrade, remove, or replace project tanks, including corrective actions, to meet applicable local, state, or federal standards, including, but not limited to, any design, construction, monitoring, operation, or maintenance requirements adopted pursuant to Health and Safety Code section 25284.1, 25292.05, 25292.4, or 41954. Loan Terms Low-interest loans are available for between $10,000 and $750,000, for a term of 10 or 20 years. • Ten-year loans are secured by the Uniform Commercial Code Financing Statement on business assets. • Twenty-year loans are secured by a deed of trust on real estate with adequate equity. • A loan fee of 2 percent must be paid at final loan closing. • Please contact the State Water Board or your local Financial Development Corporation for the current interest rate. Eligibility Requirements Loan applicants must be a UST owner and/or operator and meet all of the following requirements: • The loan applicant is a small business that employs fewer than 500 full-time and part-time employees, is independently owned and operated, and is not dominant in its field of operation; • The loan applicant’s principal office and its officers must be domiciled in California; • All of the tanks owned and operated by the loan applicant are subject to compliance with Health and Safety Code chapter 6.7 and the regulation adopted pursuant to that chapter; • The loan applicant must provide financial and legal documents necessary to demonstrate the ability to repay the loan and availability of adequate collateral to secure the loan; and Revised 8/2020 • The loan applicant must have complied, or will comply, with the financial responsibility requirements specified in Health and Safety Code section 25299.31 and the regulations adopted pursuant to this section. This is not a reimbursement program. Work cannot begin until you have an agreement executed by the State Water Board.  

Up to $750K
Rolling
environment & water

Free to search & build · $99 one-time to unlock the application pack · No subscription

Scaling up AUD Information Resources for Provider Education: The Behavioral Health Counseling Competencies AUD Training Suite

open

NIAAA - National Institute on Alcohol Abuse and Alcoholism

Scaling up AUD Information Resources for Provider Education: The Behavioral Health Counseling Competencies AUD Training Suite Project Summary The alcohol treatment gap is a multi-dimensional phenomenon that requires intervention related to public awareness, access to specialty care, and improvement in the quality and quantity of the broader, behavioral health workforce. The current proposal targets the latter via the development of a training product designed to increase provider knowledge and skill related to alcohol misuse and AUD. This Phase I/II Fast Track STTR proposal will create a didactic and interactive simulation training that will facilitate provider use of the content and tools within NIAAA’s key dissemination resource - Rethinking Drinking. The product will incorporate two additional elements. First, content delivery will be grounded in an NIAAA-funded training program targeting four core competencies of behavioral health counseling: 1) developing a behavior change relationship, 2) providing psychoeducation, 3) setting and monitoring behavior change goals, and 4) providing behavioral skills training. Second, training technology will include proprietary conversation-simulation technology that has a 15-year track record in changing provider behaviors. The team includes the small business applicant, the primary academic partner, and the conversation simulation company. Additional content expertise will be provided by a panel of subject matter experts. The team are established independent investigators, small business award recipients, and long-standing collaborators, which enhances the feasibility and probability of success in meeting the following Specific Aims. Phase I will establish feasibility and technical merit via the development, expert panel review, and end user piloting of the first of the four-module training program – Alcohol and you, establishing a behavior change relationship. Phase II will develop Module 2 How much is too much? providing psychoeducation, Module 3 Thinking about change, goal setting and monitoring, and Module 4 Setting drinking boundaries, providing behavioral skills training and conduct a pilot randomized trial (N = 55) comparing the training suite to a dissemination as usual control using a pre-post, standardized patient design. Commercialization will occur throughout the award period and particularly in year three. The proposed project merges team expertise and technical support to create a novel training product that can increase the quality and quantity of the behavioral health workforce, thereby contributing to reductions in the alcohol treatment gap.

Up to $303K
2027-06-30
health research

Free to search & build · $99 one-time to unlock the application pack · No subscription

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