Transformation Transfer Initiative

In a continued effort to assist states in transforming their mental health systems of care the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) has created the Transformation Transfer Initiative (TTI). The TTI provides, on a competitive basis, modest funding awards to States, the District of Columbia, and the Territories not currently participating in the Mental Health Transformation State Incentive Grant* (T-SIG) program. To view the

These flexible TTI funds are to be used to identify, adopt, and strengthen transformation initiatives and activities that can be implemented in the State, either through a new initiative or expansion of one already underway, and should focus on one or multiple phases of system change. TTI recipients are chosen on the following criteria:

  • Transformation readiness, demonstrated by examples of transformation initiatives already underway using State funds, Block grant funds, other identified public or private resources;
  • Existing multi-agency collaboration on transformation initiatives;
  • Proposed initiatives rooted in systems change with the greatest quality impact;
  • Identification of other state resources and infrastructure which may leverage the TTI award funds for the proposed initiative; and
  • Realistic timeframes, concrete activities, and measurable outcomes for the proposed initiative.

In FY 2007-2008, CMHS awarded TTI grants, all in the amount of $105,000 to the following ten states and one territory: 

  • Kentucky - Peer Support Initiative with State Medicaid Office
  • Minnesota - Developing a valid and reliable fidelity scale for their 4 statewide EBP: ACT, Supportive Employment, Integrated Dual Disorder Treatment, and Illness Management and Recovery
  • Tennessee - Transforming their juvenile forensic mental health services by providing courts with alternatives through a program of outpatient screening and forensic evaluation
  • Pennsylvania - Older Adult Peer Support Services Initiative
  • Puerto Rico - Integration of behavioral health into primary care settings
  • North Dakota - Peer Support Training and collaboration with State Medicaid Office in a statewide peer support initiative
  • Illinois - Create a co-occurring strategic plan and develop a criminal justice workgroup with regional sessions to develop regional system mapping to identify service gaps and barriers
  • Florida - Development of Recovery and Resiliency Task Forces in Florida’s six regions
  • Alabama - Coordination of public mental health and primary care through one large Adult Psychiatric Conference, followed by regional roundtable discussions between family practice physicians and mental health clinicians to develop a plan of action
  • North Carolina - Training and support to the Local Management Entities (LMEs) to learn from each other and foster EBPs
  • Iowa - Development of emergency mental health crisis services through Iowa’s CMHCs and improve their children’s mental health systems

Summaries of FY 2007-2008 projects are located here.