The Institute is working with the Roanoke City and Alleghany Health Districts (RCAHD) on a three-year process to improve the health department's community engagement strategies and data collection, and to make these strategies part of ongoing operations with the goal of continually assessing and refining service delivery.

The SAMHSA Evaluation Team has provided grant performance evaluation, needs and outcome assessments for several Substance Abuse and Mental Health Services Administration (SAMHSA) grants for two southwest Virginia community services boards: Mount Rogers Community Services and New River Valley Community Services. The purpose of these grants is to expand services to un- and under-insured adults and youth with serious mental illness, substance use disorders, or co-occurring disorders.

Mount Rogers Community Services (MRCS) received USDA Emergency Rural Health Care grant funding to expand and optimize their Smyth County mental health and recovery campus. A team of VT faculty and graduate students is evaluating health outcomes, the construction process, health economics, the partnership network, and the trauma-informed design components of the project.