PHW BIPOC Mental Health Community Hub Grant

1 Start 2 Complete

Welcome to the PHW Mental Health Community Hub application!

We believe that sustainable long term access to mental health support and resources within the context of a supportive community is one of the most effective ways for individuals and communities to develop resiliency. Faith communities are well poised to leverage their strength of being community anchors.

The PHW BIPOC Mental Health Community Hub Grant is an opportunity up to $50,0000. This grant is designed to lay the foundation for a Mental Health Community Hub in Western, Eastern, and Central North Carolina. The initial role of the Mental Health Community Hub would be the development of an interfaith network with support and resources aimed at the acute nature of mental health needs across the state by region. Those support and resources would include access to sliding scale therapy services, support groups for children, families, teens and adults, the development of a referral network and resources that are based on identifying social determinants of health that are uniquely affecting individuals and communities as a direct result of COVID-19 pandemic.

The Mental Health Resource Hub will be the collective work of a partnership between the faith community and existing mental health services in their geographical region. This would extend the bandwidth of both the faith community and local mental health resources. The cross collaboration will help resources be more accessible, attainable, and affordable. With this grant, faith communities have the ability to train and equip individuals with needed skills that eliminate shame and stigma around mental health concerns, offering a generational impact.

This grant is an exciting opportunity for BIPOC faith communities that already have established efforts around mental health and eliminating stigma. This is not geared for a start-up or brand new ministry but one that has established trust, rapport, and collaboration with mental health efforts in their community.

This grant will be open until Friday, May 5, 2023 at midnight. Grants will be reviewed and awarded mid-May 2023. For any questions or assistance, please email

Please read all instructions and requirements before proceeding to the form.

  • You must have a current PHW Collaborative Pledge on file.
  • The applicant must be a faith community.
  • The faith community must be predominantly of color/ BIPOC (Black and Brown, Indigenous, and People of Color).
  • If awarded, faith community will sign a Memorandum of Understanding to use the grant award as intended.
  • If awarded, the faith community must complete a PHW Mental Health Inclusion Plan.

If you need assistance completing the form, please don't hesitate to contact the Associate Director, Partners in Health and Wholeness, Mental Health Advocacy, Rev. Jessica Stokes


  • You are not able to save and come back to the Pledge form.
  • We recommend you print this document to prepare your responses BEFORE entering them on this form.
  • We also highly recommend you save your answers on a separate document as you fill out the form so that you do not lose your responses if the form closes for any reason.
  • A copy of your pledge submission will be sent to you and your faith leader.
  • All applications that include a request for grant funds that require in-person gatherings or other activities that could be affected by the COVID-19 virus, must include a Plan B in case of a worsening of the virus and/or a tightening of restrictions. For example: if your grant request includes in-person gatherings in an enclosed space, and the virus worsens or restrictions tighten, what will you do instead? If your grant request includes funds for children in school, but schools close, what will you do instead? Including this information in the grant request will allow us to review in a timely manner and not hold up your application while we follow up with you.

Form Submission Guidelines

When filling out the form, please type every name out fully with no abbreviations including congregation names, health lead names, and faith leader names.

Example: St. Maria's United Methodist Church
NOT: St Marias UMC

As we continue to expand our network, we hope you will continue to include as much detail as possible in the PHW forms. We ask Health Leads to always answer the 5 W's: Who, What, When, Where, and Why?

* Items with this symbol are required information

General Information

Mailing Address
Physical Address
Health Leader's Title and Contact Information
Faith Leader's Title and Contact Information

"LivingWorks Faith" Suicide Prevention Training Class $166.62 per person (12)- $1999.44
Talkspace Therapy App vouchers 75.00 (50)- $3,750
Honorarium for Mental Health Speakers (3) at $600.00 each (lodging, gas, food)- $1800

*your costs may vary