Monday, November 3, 2025 11/3/2025

Break-Free Cincinnati

Award Number: H79TI080396
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2018
PERIOD OF PERFORMANCE END DATE: 09/29/2023

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Break-Free Cincinnati - Abstract: Break-Free Cincinnati Break-Free Cincinnati (Break-Free) is a collaboration between Greater Cincinnati Behavioral Health Services (GCB), a comprehensive behavioral health agency, and Strategies to End Homelessness (STEH), the leader of the coordinated system of care for the homeless. GCB and STEH have collaborated for 10 years to provide housing and services to the region’s most vulnerable and underserved populations. Break-Free will provide integrated housing, behavioral health treatment, and employment services to substance-abusing adults experiencing homelessness in Cincinnati, OH. A significant portion of homeless adults do not link to housing and among those who do, one-third return to homelessness. Behavioral health issues, coupled with a lack of permanent housing that supports recovery, negatively impact housing placement and retention. Concurrently, treatment access issues, service gaps, and funding constraints limit access and retention in treatment and support services essential to recovery. Break-Free will address critical gaps in the current continuum that leave homeless substance abusers underserved. Break-Free will house and provide individualized services to 200 clients over the five-year project (30 in Yr. 1, 43 in Yr. 2, 43 in Yr. 3, 42 in Yr. 4, and 42 in Yr. 5) and will: Goal 1: Expand access to permanent housing that supports recovery by conducting outreach and adopting a Housing First model to link clients to permanent housing that supports recovery; Goal 2: Expand access to substance abuse treatment and recovery support services to include case management, benefits enrollment, outpatient treatment, employment services, and linkage to primary care; Goal 3: Improve housing and recovery outcomes specific to housing retention, treatment completion, employment, and employment retention, and; Goal 4: Develop a sustainable housing and service model that supports recovery for homeless substance abusers via information technology enhancements and expanded funding for treatment and employment services. Key interventions include: Housing First, Critical Time Intervention, Motivational Interviewing, Medication-assisted Treatment, and Individual Placement and Support – Supported Employment. Break-Free’s population of focus includes both African American (60%) and White (37%) clients, and is comprised of more men (69%) than women. 59% are between 18-44 years of age. Target clients are economically disadvantaged. 32% are uninsured and 53% have Medicaid. Physical and behavioral health needs are extensive. 35% report a chronic health condition, 42% a mental health problem, and 40% alcohol/drug abuse. GCB is poised to impact an underserved population within the homeless continuum of care and improve housing and recovery outcomes. GCB has the capacity, experience, and partnerships to enhance the coordination of housing, treatment, and support services to create a seamless continuum that offers all homeless persons access to the housing and supports needed to reduce homelessness and promote recovery.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2022	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	004	5	5/10/2024	NON-COMPETING CONTINUATION	$0
2024	2021	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	4	5/10/2024	NON-COMPETING CONTINUATION	$0
2024	2020	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	5/10/2024	NON-COMPETING CONTINUATION	$0
2024	2019	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	2	5/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	5/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $409,918 )
2022	2022	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	5	8/3/2022	NON-COMPETING CONTINUATION	$409,918
														Subtotal = $409,918

Issue Date FY: 2021 ( Subtotal = $409,872 )
2021	2021	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	4	7/30/2021	NON-COMPETING CONTINUATION	$409,872
														Subtotal = $409,872

Issue Date FY: 2020 ( Subtotal = $407,190 )
2020	2020	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	3	7/30/2020	NON-COMPETING CONTINUATION	$407,190
2020	2019	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	10/11/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	2	8/27/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	6/2/2020	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $407,190

Issue Date FY: 2019 ( Subtotal = $406,068 )
2019	2019	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	2	9/12/2019	SUPPLEMENT FOR EXPANSION	$10,000
2019	2019	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	2	7/26/2019	NON-COMPETING CONTINUATION	$396,068
2019	2018	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	5/23/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	2/5/2019	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $406,068

Issue Date FY: 2018 ( Subtotal = $403,354 )
2018	2018	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	9/27/2018	SUPPLEMENT FOR EXPANSION	$10,000
2018	2018	GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES	1501 MADISON RD FL 2	CINCINNATI	OH	45206	HAMILTON	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/11/2018	NEW	$393,354
														Subtotal = $403,354

Grand Total All Awards = $2,036,402

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Break-Free Cincinnati

Award Number: H79TI080396

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2018

PERIOD OF PERFORMANCE END DATE: 09/29/2023

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