The RFA for the CRRI was released in the spring of 2010 with the following stated objective:
The purpose of this place-based initiative is to improve behavioral health outcomes through enhanced coordination and evidence-based health promotion, illness prevention, treatment, and recovery support services in communities affected by the recent economic downturn.
Eligible applicants were to implement a four-level initiative in collaboration with other service providers in their communities. Level I was to develop a media campaign to reduce the stigma about seeking help for behavioral health services and to inform residents about available resources in the community. Level II required awardees to identify and implement evidence-based services to prevent the emergence of behavioral health issues. For Level III, grantees were to develop and implement a community-wide plan for screening residents for behavioral health issues, providing evidence-based brief interventions for emerging challenges, and referring individuals with more profound issues to service providers in the community who could provide more intensive treatment, as needed. The implementation of this Screening, Brief Intervention, Referral and Treatment (SBIRT) model aimed explicitly to reduce the negative behavioral health effects of the economic downturn. And the final level, Level IV, required grantees to have a plan of intervention for residents in behavioral health crises.
In addition to the above components, awardees were required to collect and report data on enrolled clients so that SAMHSA could meet its Government Performance and Results Act (GPRA) requirements. Ultimately grantees recorded this information in SAMHSA's SAIS data system. Finally, grantees were required to participate in the evaluation of the initiative. This included participating in the site visits conducted by Westat, such as facilitating the visits and participating in any qualitative interviews conducted during the visits. In addition, grantees were required to collect and report selected community-level outcomes, such as rates of domestic violence, reports of child maltreatment, and substance abuse-related hospitalizations. Grantees also had to conduct a community survey to assess the effectiveness of their media campaigns. These outcomes were critical to determining if the initiative was having the intended impact on the whole community. Finally, grantees were required to report on various program-level outcomes, such as the number of individuals screened, number of individuals receiving various services (e.g., employment support, substance use disorder treatment, mental health treatment, parenting classes), and the number of collaborations established with other providers in the community.