HHS Awards $42.3 Million To Push ‘Treatment First’ Model For Homelessness & Addiction

Authored by Kimberly Hayek via The Epoch Times,

A federal agency within the U.S. Department of Health and Human Services (HHS) awarded $42.3 million in new supplemental cash Friday to states and territories with the goal of speeding up the implementation of the Treatment First model for homelessness tied to addiction.

The Substance Abuse and Mental Health Services Administration (SAMHSA) funding supports the initiative falling under President Donald Trump’s executive order titled “Ending Crime and Disorder on America’s Streets” and the relevant Best Practices Toolkit that followed. That order from July 2025 directed agencies to put treatment and recovery ahead of the old approaches.

“President Trump has directed us to break the cycle of homelessness and addiction by putting treatment, recovery, and self-sufficiency first,” HHS Secretary Robert F. Kennedy Jr. said in a statement. “These investments will help states move people from crisis into treatment and from treatment into lasting recovery, stable housing, and work. We are funding results that help people reclaim their health and independence.”

About $17.3 million of the funds went to Community Mental Health Services Block Grant recipients. Officials say it builds systems, partnerships, workforce capacity, policies, and the technical pieces needed to make Treatment First a success. The funds will go toward technical assistance, training, policy work, and coordination across systems.

Roughly $25 million went to Substance Use Prevention, Treatment, and Recovery Services Block Grant recipients to expand options for safe, licensed, certified, or chartered sober and recovery housing, as well as the requisite technical assistance to ensure that more recovery residences open and quality standards tighten.

“Treatment First means building a system that does not leave people cycling between homelessness, emergency rooms, and the criminal justice system,” SAMHSA Principal Deputy Assistant Secretary Christopher D. Carroll said. “These investments will help states strengthen the infrastructure – partnerships, data, workforce, and recovery supports – needed to connect people with serious mental illness and addiction to effective treatment and support them on a path toward lasting recovery, stable housing, employment, and self-sufficiency.”

In June, the Department of Housing and Urban Development (HUD) published a $4.04 billion Continuum of Care notice. It walked away from the Housing First model, which provided permanent housing with no strings attached. Chronic homelessness climbed 81 percent from 2013 to 2025, despite the number of taxpayer-funded beds increasing 151 percent, HUD figures show.

HUD Secretary Scott Turner called Housing First a failure that “warehoused the vulnerable without results.” Housing alone will not fix a crisis driven by addiction and mental illness, he said.

Kennedy earlier this year announced more than $700 million for related work, of which nearly $100 million went to the STREETS program for homeless people dealing with addiction or serious mental illness. In February, he introduced the $100 million STREETS effort itself, built around continuous contact from the street through recovery, jobs and self-sufficiency.

A federal appeals court this week allowed HUD to forge ahead with funding shifts after lower-court challenges. The department has earmarked $1.3 billion for transitional housing and supportive services.