The Klingenstein Third Generation Foundation:
Request for Proposals Addressing Access to Care

DECEMBER 1, 2018

Foundation Background and Mission

The Klingenstein Third Generation Foundation ("KTGF") funds programs in children's mental health, principally in the areas of childhood/adolescent depression and ADHD. It also funds medical student programs in child and adolescent psychiatry at select medical institutions. Through these programs, KTGF seeks to address the need for further research in pediatric ADHD and pediatric depression and the need to cultivate more child and adolescent psychiatrists.

Three years ago, the KTGF embarked on a new initiative designed to improve access to care and prevention of mental health problems in youth. Our principal objective was to develop new approaches (or expand existing models) to train professional and/or paraprofessional treatment providers and/or others (e.g. teachers, parents, primary care physicians, etc.) in the provision of mental health services. This approach was based on the Foundation's interests in the development and dissemination of evidence-based treatment approaches which could yield a direct and immediate impact on children currently affected by or at risk for psychiatric disorders, and to enhance the capacity to provide these services through the development of new models of care.

We launched the Access to Care initiative in the Fall of 2015, with an RFP for a demonstration project for established investigators and the addition of Access to Care fellowship slots for young investigators.

The Access to Care initiative was prompted by the recognition by KTGF Board members, based in part on their own personal experiences, that it is often difficult for parents to understand how the mental health system is structured, and to access appropriate and high quality care when confronted with challenging mental health needs of their children. The Board was particularly concerned about difficulties in access to care for families with limited supports and resources. Over the last few years, we have become convinced that challenges in access to care faced by children and their families have become even more acute. As a result, we have decided to "double-down" on our earlier Access to Care initiative and expand it with this current RFP.

Goal of the Request for Proposals

We are soliciting applications for investigator-initiated proposals to demonstrate the benefits of new health care delivery methods or prevention approaches. We are particularly interested in funding applications that build on promising pilot work and aim to develop larger demonstration projects.

In particular, the KTGF is most interested in improving access to mental health care for children, highlighting the important role of parents in this process, and expansion of the cadre of professional and paraprofessional treatment personnel who are trained to deliver mental health services. Primary outcomes should include the measurement of improved access and reduced time to service delivery, and the role of parents in navigating this process. We are additionally interested in the following secondary outcomes: minimizing the burdens and maladaptive behaviors associated with mental health problems in children; decreasing the development of secondary co-morbid disorders, and the development of adverse educational, relational and health outcomes; and general improvement in functioning of youth and their families.  

To achieve these objectives, it is essential to develop service delivery models that are both innovative and adaptable to administration in non-psychiatric settings (e.g., primary care, schools, or other novel settings). Moreover, to successfully impact the burden of psychiatric illness and related health problems across the US population will require training of multi-disciplinary teams - to extend the work typically done by psychiatrists and psychologists to a range of new professional and para-professional health care providers.  

We believe that parents are critically important to the successful treatment of their children - both because the well-being of parents is important to the health of their children and also because parents are key providers.  As such, to be considered within the scope of this Request for Proposals, applications must address: (1) the training of non-mental healthcare providers, including primary care providers; and (2) the important role of parents and caregivers in navigating issues related to access to care.

Eligibility, Guidelines and Components

Eligibility and Funding Levels 

  • Investigators from institutions and agencies that provide mental and behavioral health programs for children and adolescents are eligible. Investigators can be at any stage in their career, but must have collected pilot data sufficient to inform the development of the proposed project, and must be well enough established to lead an effort such as this.
  • The foundation expects to make up to two grant awards. Each award will be in the amount of $50,000 per year over a two-year period, for a total of $100,000 per grant. The Foundation recognizes that larger scale program implementation may require additional funding. As such, identifying sources of funding for the full-scale implementation phase of the project should be part of the initial planning project. Applications to extend the work of the original project after the two-year pilot implementation phase will be entertained.

RFP Guidelines

  • The proposal should build upon promising pilot data, specifically with regard to improved access to care and functional outcomes in youth with mental health problems, as articulated by the Foundation.This might include augmentation and larger-scale implementation of a program initially funded by the KTGF (for example, as one of the Access to Care fellowships), or a new project never before funded by KTGF.
  • The proposal must have potential for scaling (e.g., production of a template which can be applied in real world settings).
  • The proposal must include a plan to measure the effectiveness of the proposed project using established methods, and specifically in relation to the primary and secondary goals.
  • The proposal should clearly outline how: 1) non-psychiatrists will be integrated into interdisciplinary teams        delivering care to at-risk youth, or youth with existing mental health problems, and 2) how the role of parents will be addressed in this project.   
  • After one year, and at the conclusion of the planning project, the awardee will submit a report to the KTGF detailing the activities which have been conducted, recommendations to the field, and next steps required for program implementation and evaluation. 
  • Note: While the subject matter must address access to child and/or adolescent mental health services, it need not specifically target depression or ADHD.

Proposal Components
The program should include the following components in single spaced 12-point font:

  • Summary page: one-page description of the nature and scope of the project,      
  • Contact information of Principal Investigator
  • Background information regarding the PI’s department/agency (training programs in place, etc.) 
  • Detailed description of the proposed research. The research plan must clearly state the objectives of the research, how they will be tested, and address any challenges or potential barriers to program implementation (Not to exceed 6 pages) 
  • Brief bios and letters of support of key personnel 
  • Indication of the level of institution and faculty support of the project (Department Chair/Division Director Letter of support)
  • Timeline for project conduct and completion
  • Sources of potential funding for larger scale program implementation
  • Itemized Budget. Indirect costs may be requested, but the Foundation has a policy to limit indirect costs to 10%. Applications which wave the indirect costs will derive financial benefit of the extra funding available, and will be given priority in review.

RFP Addressing Access to Care

All submissions are completed online. Applications are due 11:59 pm EST December 1, 2018. The Foundation expects to award the grant by April 1, 2019. Funding will begin July 1, 2019, after IRB approval has been established and all relevant contracts have been put in place.

Please note: The applicant must enter their personal information when selecting Create New Account and registering. For this proposal select RFP Addressing Access to Care. When you are ready to begin your application, please click: START APPLICATION

Questions should be referred to Ms. Kathleen Pomerantz (