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29th Judicial Circuit Court

MO

The 29th Judicial Circuit Court applied for Category 1b suburban area grant funding in the amount of $887,194. The Jasper County Treatment Program (JCTP) will provide a postbooking connection to clinical treatment indicated by evidence-based needs for all offenders per screening for substance abuse, mental illness, criminogenic risk, and connection to enhanced treatment for family-based offenders. The program will also provide court-ordered referrals into the JCTP and referral into other offender programming as indicated for nonfamily substance abuse offenders, as well as develop individualized treatment plans for family-based substance abuse offenders. Also, the program will provide case management of JCTP participants targeting substance abuse and co-occurring disorders and communicate community treatment program participation requirements (i.e., probation conditions, such as mandatory counseling session participation, MAT plan compliance, drug testing, and court reporting). This project serves Jasper County (population 120,217). Priority considerations addressed in this application include eight high-poverty areas and a Qualified Opportunity Zone.

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ADAMHS Cuyahoga County

OH

ADAMHS (Alcohol, Drug Addiction, and Mental Health Services) Cuyahoga County applied for Category 1a urban area grant funding in the amount of $1,196,326. The ADAMHS Board of Cuyahoga County, Ohio COSSAP project provided access to rapid assessment, MAT induction, and peer recovery supports to survivors of overdose of opioids or stimulants to divert them from future involvement in the criminal justice system. The creation of an MAT unit and peer support recovery services within a countywide Diversion Center addressed the BJA objective of reducing the impact of opioids, stimulants, and other substances, including a reduction in overdose fatalities, while also mitigating the impacts on crime victims. Establishment of the MAT unit and peer support began with one shift at the 24-hour Diversion Center, with all three shifts fully functioning by project year three. Enrollments totaled 98 and ceased operation on December 31, 2023.

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Alabama Department of Mental Health

AL

The Alabama Department of Mental Health is applying for a Category 2 award in the amount of $6,000,000. Project Possibilities: A Collaborative Alabama Criminal Justice Project will develop, implement, and expand a combination of law enforcement diversion programs; comprehensive and real-time data collection, analysis, and dissemination; and medication-assisted treatment and peer support recovery support services into existing systems of service in the state of Alabama across Calhoun, Dekalb, Etowah, Jefferson, Madison, Mobile, Montgomery, and Walker counties, serving an approximate population of 2,015,797. The project will serve utilizers identified within and across the criminal justice system including those in need of diversion from and preventing the return to the criminal justice system. Goals are to expand and implement diversion programs/services that provide treatment and recovery support to divert and prevent the return of opioid, stimulant, and other substance abusing/addicted individuals from/to the criminal justice system; extend the state data collection (Central Data Repository or CDR) of substance use information to include non-opioid substances; expand current partnerships to enhance data-sharing and accessibility, analysis, and dissemination of real time data; expand resources to rural areas, thus bridging the gap of care from urban and suburban areas to rural areas, including developing and implementing innovative and evidence-based models of MAT services for individuals interacting with the criminal justice system; and monitor the impact/outcomes of interventions, spreading successful intervention statewide at the completion of the project period to reduce incarceration, recidivism, morbidity, and mortality for adults with a substance use disorder who are cycling through the criminal justice system. The project includes partnerships between the University of Alabama's VitAL program, the Alabama Bureau of Pardons and Paroles, the Recovery Organization of Support Specialist, and People Engaged in Recovery. Priority considerations addressed in this application include serving high poverty areas throughout the state, and the proposed activities will address Office of Justice Programs priority considerations including promoting civil rights, increasing access to justice, and building trust between law enforcement and the community.

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Alameda County Probation Department

CA

The Alameda County Probation Department (ACPD) is applying for a Category 1a urban area grant in the amount of $1,195,323. Alameda County’s Residential Multi-Service Opportunity Center will expand access to responsive community alternatives to incarceration, as well as the county’s capacity to provide evidence-based mental health and substance use treatment services, built through a collaborative system of care that reduce the impact of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities. This project serves Alameda County, a large, urban county with a population of 1.67 million. The project includes partnerships between ACPD and a qualified contracted service provider. Priority considerations addressed in this application include high-poverty area and a persistent poverty county, as well as enhanced public safety in federally designated Qualified Opportunity Zones.

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Albany County

NY

The Albany County, New York, project focuses on evaluating, supporting, and expanding the Albany Law Enforcement Assisted Diversion (LEAD) program. The program will support law enforcement deflection and diversion, an embedded clinician at the Albany County Department of Mental Health, and a field-initiated project bringing together justice and a behavioral health practitioner. The clinician will serve LEAD clients at intercepts identified using the Sequential Intercept Model (SIM), which bridges longstanding gaps in such services. A robust program of external evaluation would be provided through a partnership with the University at Albany’s School of Public Health, paired with enhanced data analysis and reporting across the initiative. Such evaluation will identify barriers to program implementation; assess program acceptability and benefits from the community perspective; and assess whether the program leads to desired outcomes. The findings are expected to contribute significantly to existing literature on engagement among individuals with substance use disorders who are justice-involved and individuals who are unlikely to participate in office-based clinical services. The project includes the adoption of LEAD in two or more municipalities and the addition of social contact referrals, which will serve as a second pathway into LEAD to go beyond pre-arrest diversions that have been in place in the City of Albany since 2016. With this change and expansion to additional jurisdictions, the program will serve approximately 75 additional clients. Among other benefits, this expansion is expected to advance racial equity by facilitating an increased emphasis on referrals of black individuals, who historically have represented 60 percent or more of arrests in Albany but only 38 percent of all diversions. Case management is provided by Catholic Charities Care Management Services, which has been serving Albany LEAD clients since 2016 and engages in a range of harm reduction-based programs on behalf of New York State and other funders.

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Allegheny County

PA

Allegheny County applied for grant funding under Category 1a in the amount of $1,199,505 to build needed pre-arrest/pre-booking diversion pathways to harm-reduction services for individuals with SUD/COD — leveraging Allegheny County Department of Human Services’ (DHS) Pathway to Care and Recovery, the county’s new front door to treatment and support, as well as other crisis system resources. This project will support diversion from the criminal justice system at two crucial points: (1) pre-arrest, so that police officers can divert individuals to the Engagement Center, avoiding arrest and incarceration entirely; and (2) pre-booking, so that magisterial district judges can divert individuals from getting booked in the jail during their initial bail hearing. This project will also build upon planning efforts with various suburban municipalities who have expressed interest in teaming together to establish flexible options for pre-arrest diversion to mobile case managers Allegheny County’s proposed project for COSSAP addresses the high-poverty area and Qualified Opportunity Zone priority considerations, as it is intended to benefit individuals who reside in these areas and will improve public safety.

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Arizona Criminal Justice Commission

AZ

The Arizona Criminal Justice Commission (ACJC) is applying for Category 2 in the amount of $6,000,000. The Arizona Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will advance Arizona’s goal of reducing overdose deaths by providing services to people involved in Arizona’s local justice system. The ACJC will make a total of nine competitive sub-awards to local sites to implement law enforcement diversion programs or virtual peer recovery services. The ACJC will work collaboratively with the nine sites to serve the unique needs of each community, while leveraging the states resources, training experience, and expertise to implement impactful, evidence-based strategies. The ACJC will also build the capacity of the local justice system, including jails and local law enforcement agencies, to implement these programs through robust training and technical assistance, including peer-to-peer learning and cross-site coordination. The project serves the entire state of Arizona, which has a population of 7,421,401. The project includes partnerships with the Arizona Health Care Cost Containment System (the state agency for substance misuse services), the Tucson Police Department, Heritage Health Solutions, and the Arizona Sheriffs Association. Priority considerations addressed in this application include making sub-awards to communities with a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; a lack of accessibility to treatment providers, facilities, and emergency medical services; and providing services to a high poverty area. Applicants will also be asked to demonstrate how their sub-award will further OJP’s priority of building trust between law enforcement and the community.

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Arkansas Department of Finance and Administration

AR

The Arkansas Department of Finance and Administration will: • Support an overdose crime scene team consisting of a criminal investigator and a peer recovery specialist to assist law enforcement task forces/agencies in a minimum of six geographically diverse sites (counties, regions, or localities) within the state. • Increase access and enrollment to treatment, increase education and awareness, and evaluate the grant strategies identified in 25 localities within the state to address offenders who may be opioid abusers. The sites to receive subawards will be selected through a competitive process. Subawardees will be required to use overdoes detection mapping application program. An independent evaluator will be selected after the grant is awarded.

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Arkansas Department of Finance and Administration

AR

The Arkansas Department of Finance and Administration is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Arkansas COSSAP Project will address the opioid epidemic strategically and continue providing support to areas that have been disproportionally impacted by the abuse of illicit opioids, stimulants, and other substances, as indicated by a high rate of treatment admissions for substances other than alcohol; high rates of overdose-related deaths; and lack of accessibility to treatment and recovery services. The primary focuses of the proposed projects are comprehensive, real-time, regional information collection, analysis, and dissemination; the development of peer recovery services and treatment alternatives to incarceration; and continued Comprehensive Opioid Abuse Site-based Program (COAP) overdose investigations involving peer recovery services and the implementation of strategies identified in the Comprehensive Opioid Abuse Strategic Plan. This project serves specific counties where high rates of opioid deaths have been identified in COAP Category 2; however, the specific subrecipients for the proposed projects have not been selected. The project includes partnerships between the Department of Finance and Administration Office of Intergovernmental Services (DFA-IGS), Department Human Services, Office of State Drug Director, and the Single State Authority, in addition to a new partnership between DFA-IGS and the Arkansas Coroners’ Association. Priority considerations addressed in this application include providing services to rural communities and the fact that the individuals (populations) intended to benefit from the project reside in high-poverty and/or persistent-poverty counties.

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Arkansas Department of Finance and Administration

AR

The Arkansas Department of Finance and Administration proposes to develop a statewide comprehensive opioid abuse plan that will include goals, objectives, and strategies addressing opioid abuse and misuse. The goals are to develop resources, recommend evidence-based practices, and create online tools that will aid Arkansas communities in reducing opioid abuse/misuse and related deaths and assist offenders with a history of opioid abuse. To meet the proposed objectives, the planning process will be facilitated by the planning consultant and consist of collaboration and partnerships from across state agencies and local entities. The required collaborative partner for this project is the Department of Human Services/State Drug Director, the state agency responsible for alcohol and substance abuse services. Other partnering agencies include the Department of Human Services/Office of the State Drug Director; representatives from the High Intensity Drug Trafficking Area Program (HIDTA); the Administrative Office of the Courts; Arkansas Community Correction (ACC), Probation and Parole; Department of Human Services, Child Welfare; Governor’s Office–Senior Advisor for Child Welfare; Arkansas Sheriff’s Association; Arkansas Chief’s Association; Drug Enforcement Administration (DEA); Arkansas Foundation for Medical Care (AFMC); Arkansas Municipal League (an association of city/county governments); the City of El Dorado; and the City of Marianna. After the plan is finalized and approved, the state will move towards the implementation phase. The state anticipates providing up to 25 subawards to localities/communities. Representatives from these localities/communities will be trained, utilize developed resources, implement strategies identified in the comprehensive plan, and become designated opioid task forces.

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Arlington County Government

VA

Arlington County Department of Human Services’ Behavioral Health Division (BHD) applied for grant funding under Category 1B in the amount of $899,815 over three years. This project will serve Arlington County (population 235,000) and is particularly focused on response in high-poverty regions of the county where opioid use and opioid overdoses remain prevalent. The project also works across traditional jurisdictional boundaries to provide wraparound services for individuals identified as high risk or otherwise involved in the Arlington criminal justice system. The purpose of this project is to improve access to and treatment in the detoxification program; provide early intervention to people arrested on substance use-related charges and identify alternatives to incarceration; improve recovery options by adding a reentry program to an established residential program; maintain collaboration between the police and BHD to address opioid overdoses and activity hotspots; assess and provide interventions for children and families impacted by substance use; and evaluate the use of evidence-based treatment and outcomes. The proposed addition of 1.0 FTE therapist and 1.0 FTE case manager will allow BHD to enhance services along the Sequential Intercept Model. The therapist will be focused on establishment, implementation, and evaluation of evidence-based programming in a variety of treatment settings and will be the clinical lead for the creation of diversion service plans and “Plans of Safe Care” for substance-exposed infants. The case manager will serve as the lead clinical staff for co-response with police and fire services to the community, and will provide community outreach, education, and naloxone distribution. Both positions will expand the reach of MAT programming in the county and will address gaps identified through comprehensive community assessment. A key feature of the proposal is a collaboration with an academic partner, Dr. Taxman from George Mason University, to evaluate performance, including outcomes and outputs, along with the development of fidelity assessments to measure evidence-based practice adoption. The project expands upon existing partnership with the police and fire departments, Child Protective Services, the offices of the sheriff, the public defender, and the Commonwealth’s attorney.

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Atlantic City (Inc)

NJ

Atlantic City is applying for Category 1 funding in the amount of $600,000. The Atlantic City COSSAP program will focus on promoting public safety and supporting access to recovery services, strengthening data collection and sharing, aligning and maximizing resources, and preventing substance use. It will implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery engagement through recommendations made by the city’s overdose fatality review team, bringing together stakeholders with different perspectives and different data sets to improve public health and clinical practices. Strategies include enhanced outreach to overdose survivors and their families and enhanced targeting of high-frequency cases. Goals of the project include reducing the impact of opioids, stimulants, and other substances on individuals and communities, reducing the number of overdose fatalities, and mitigating the impacts on crime victims by supporting comprehensive, collaborative initiatives, in part by enhancing the proactive use of prescription drug monitoring programs to support clinical decision making and preventing the misuse and diversion of controlled substances. The project serves Atlantic City, which has a population of 37,999. The project includes partnerships with the city’s Director of Public Health, the Jewish Family Services Department, Southern Jersey Family Medical Center, AtlantiCare Regional Medical Center Behavioral Health, the Atlantic City Police Department, the Atlantic City Municipal Court, and emergency medical services. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Augusta County

VA

The Commonwealth’s Attorney’s Office for the County of Augusta, Virginia, applied for grant funding in the amount of $600,000. This project serves Augusta County, a small, semi-rural county with the population of 74,701. The purpose of the project is to expand its currently existing LEAD program to serve the expanding number persons with substance use disorder. The grant will fund a new case management program, which will connect higher-risk, felony-level offenders with community resources prior to them being charged. The program will also institute a new transfer project, which will give medical professionals and first responders the ability to ensure continuity of care for clients presenting with SUD. The project includes partnerships between Augusta County Sherriff’s Department, Blue Ridge Court Services, Valley Community Services Board, Blue Ridge Criminal Justice Board, and the Institute for Reform and Solutions. Priority considerations addressed in this application include rural designation for part of the County of Augusta in seven of its census tracts.

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Bad River Band of Lake Superior Tribe of Chippewa Indians

WI

The Bad River Band of Lake Superior Tribe of Chippewa Indians will expand drug and alcohol treatment through the development and implementation of halfway house services and hiring counseling staff to provide services to clients seeking substance abuse counseling.

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Baltimore, City of

MD

The Diversionary Employment: Supported Employment and Peer Recovery Navigation in Baltimore City program will provide residents with substance use disorder (SUD) and justice system involvement with services specifically designed to address their compounded barriers to employment and retention. The program would add a peer recovery specialist (PRS) to the Mayor's Office of Employment Development's existing career center services and establish an in-house, intensive supported employment program, with a growing evidence base, tailored for this population. MOED manages two American Job Centers, along with a network of community job hubs, that co-locate dozens of human services in addition to providing career development and employment navigation support. Embedding a trained peer recovery specialist with their own lived recovery experience in this system will provide guidance to residents with SUD trying to navigate services and support to MOED staff in other service areas whose clients have substance use disorders. The PRS will strengthen existing relationships with recovery centers and work with re-entry programs to mitigate and prevent SUD-affected individuals’ ongoing involvement with the justice system. Supported employment is an evidence-based employment intervention for adults with behavioral health disorders that has demonstrated promise as a model for individuals in recovery. The program recognizes employment as a stabilizing force for this population and provides targeted job development and intensive, ongoing employment retention support along with integrated mental health services. MOED will implement this program in partnership with specialists who will provide supportive employment training, ongoing consultations with staff service providers, and periodic fidelity reviews. The program will be evaluated by a research team with expertise in the supported employment model, the justice system, and substance use disorder. The beneficiaries of the program will be Baltimore City residents with substance use disorder, primarily at Intercept levels 3-5, via referral from MOED’s internal re-entry programs, external re-entry partnerships, court diversion programs, and co-located partners at parole and probation. Individuals at Intercept level 0 will also have access to these services if they are at high risk for justice involvement. Peer recovery navigation services, both supportive and employment-focused, will be provided to 180 individuals. Additionally, the supported employment program will enroll 120 participants for career development services, conducted in concert with participants’ treatment teams, and 66 of those enrolled will obtain and maintain employment that supports their recovery goals.

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Berkeley County Council

WV

The Berkeley County Council is applying for Category 1 funding in the amount of $900,000. The COSSAP program will provide peer recovery services to address treatment and intervention needs of Berkeley County students and their family members; strengthen social services where children have been impacted by drug addition to connect them to community services; and provide sustaining funds to Project AWARE, an ongoing initiative of the Berkeley County School System with an overarching goal to improve the mental health and wellbeing of all school-aged children (K–12). Working in partnership with Berkeley County Schools and the Martinsburg Initiative, the program, hosted by the Berkeley Recovery Resource Center, will reach beyond the student population and connect families to community resources to support those in recovery or seeking recovery from substance use disorder (SUD), reducing opioid use and the number of overdoses. The hiring of a full-time social worker in the school system and youth case workers will guarantee an impact across both the new juvenile drug court and existing juvenile and adult programs. The project will also support a therapist, a peer recovery coach, and two case managers and expand case management in the ten middle and high schools of Berkeley County. It will fund the purchase of naloxone kits and staff development through additional peer recovery training, in particular in support of juveniles. The program aims to reach approximately 10,000 school-aged children in Berkeley County through prevention and education activities and expects to directly assist approximately 400 students through mental health/therapy provision and 250 families struggling with SUD through the provision of peer recovery services. The project will incorporate the ODMAP data collection tool to track near real-time fatal and non-fatal overdose data. The project serves Berkeley County, with a population of 119,171. The project will include partnerships with Berkeley County Schools, EastRidge Health Systems, and the Martinsburg Initiative. Priority considerations addressed in the application include the disproportionate impact on the county by the misuse of illicit opioids and prescription drugs as evidenced in part by high rates of overdose deaths from heroin and other opioids and a lack of accessibility to treatment providers and facilities.

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Berkely County Commission

WV

The Berkeley County Council, Berkeley County, West Virginia, project continues the Juvenile Opioid Treatment, Intervention and Prevention Program (JOTIPP) in order to expand the opportunity for Berkeley County to support the most vulnerable in the community to the opioid crisis-the children. Continuing the partnership with Berkeley County Schools, the program, hosted by the Berkeley County Recovery Resource Center and the Berkeley County Day Report Center, will: 1) Expand Peer Recovery services to address intervention and treatment needs primarily for students and secondarily, their family members; 2) Expand and strengthen education and prevention activities through small group settings in the 5 high schools, continuing to instill and reinforce resilience and reducing stigma; and 3) Provide funds to CATALIST, an initiative of the Berkeley County Day Report Center whose goal is to provide mental health and wellbeing of at-risk youth and their families. The continuing long-term goal is to curtail opioid use, supporting all citizens to lead productive, health lives. Sixteen percent of Berkeley County's population is school-aged children; by having the ability to provide streamlined services to a large portion of the county at one time allows for an elevated comprehensive, systematic approach to the opioid crisis. The JOTIPP program allows for a reach beyond the student population and connect families to community resources to support those in recovery or seeking recovery from substance use disorder (SUD) reducing opioid use and the number of overdoses. Ensuring programmatic success through comprehensive data analysis is a priority of this program. Therefore, partnership with a research company will guarantee efficiency, effectiveness and impact across both the juvenile programs and adult programs. The project serves Berkeley County, West Virginia with a population of 126,069 and will include partnerships with Berkeley County Schools and Berkeley County Sheriff. A research partner will be selected post-award. This application includes program evaluation which is identified as a priority consideration (13.3% of the budget).

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Berkshire Regional Planning Commission

MA

The Berkshire County, Massachusetts, project will establish and expand replicable community-centered, field-based interventions to address the full Opioid Use Disorder (OUD) Lifecycle of prevention, harm reduction, treatment and recovery in each of the three regions of Berkshire County. The purpose is to expand access to harm reduction, evidence-based treatment and recovery support services to underserved populations that will advance equity and enhance the research base to be replicable in similar rural areas that face long-standing disparities in access to affordable care. Project activities include 1) extend and expand the Berkshire Post Overdose Program to provide regionally specific medical and behavioral health-centered field outreach to individuals who recently experienced an overdose or are otherwise identified at higher risk for overdose; 2) outreach to and engagement with disadvantaged communities disproportionately affected by substances; 3) supplement existing capacities to address the OUD prevention, harm reduction, treatment and recovery landscape of the area; 4) extend and expand public communications strategies to directly support these efforts while reducing stigma; and 5) provide training to increase the toolkits and supports for first responders, practitioners, providers, families and social networks to reduce the number of community members intercepted by law enforcement and the courts. Expected outcomes include a reduction in fatal overdoses, a decrease in recidivism and intercepts by law enforcement, development of detailed process guides and toolkits that are replicable in similar areas, regular program assessments, and sustainable implementation of community-centered interventions that will empower the communities of Berkshire County to reimagine their futures free from the harms stemming from substance misuse and the related stigma. Subrecipient activities include field medical services, linkage to behavioral health resources, communications strategies to support these services, skill building training for professionals and social networks interacting with those struggling with substance use and contributing to the local and national knowledge base to replicate these activities in other rural areas experiencing similar disparities in the cost of care. The bulk of the funding (46%) will be directed towards field-initiated projects that bring together justice, behavioral health, and public health practitioners. Additional allowable expenses (14%) include embedding peers and experienced community members at intercepts 0 and 1 of the Sequential Intercept Model. Allowable uses also include harm reduction activities and linkage to evidence-based treatment and recovery for those at higher risk of overdose, arrest and/or recidivism; naloxone for law enforcement and first responders; and real-time data collection (2.5%). Less grant funding is needed for these activities as naloxone is provided at no cost, and real-time data collection is provided in-kind from the Northampton Department of Health and Human Services. Remaining project funds cover staff time and resources to implement these strategies (35.6%) and related trainings for first responders, professionals in the field, and families and social networks of those struggling with substance use (2%).

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Bernalillo County

NM

Bernalillo County in New Mexico will use grant funds to expand access to treatment and recovery support services across behavioral health, primary care, criminal justice, and emergency management services. Grant funds will be used to hire a full-time coordinator and two case managers. The county and partners will engage in comprehensive planning; create a mobile harm reduction center staffed by a nurse and the two case managers; increase medication-assisted treatment (MAT) for off reservation urban Indians; provide transitional housing for underserved youth and their families; and provide MAT to incarcerated youth. The University of New Mexico Institute for Social Research will serve as the research partner for the proposed project.

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Bishop Paiute Tribe

CA

The Bishop Paiute Tribe applied for a Category 1c tribal/rural area grant in the amount of $592,023. The Healing Project will support life in recovery for people recovering from substance use issues by focusing on health, home, purpose, and community. The Healing Project will also incorporate a cultural camp for the recovering community that will provide the appropriate healing services within the context of the Paiute and Native American Indian culture while also implementing evidence-based practices. This project serves the local Native American population of the Owens Valley, California. Priority considerations addressed in this application include the high-poverty, rural, and underserved Native American population.

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Boone County

IL

Boone County applied for Category 1c rural/tribal area grant funding in the amount of $599,000. The Boone County Support Outreach Recovery Team will to fill the identified need for a community law enforcement officer to work with the individuals who have been arrested and fill the identified need for an addiction counselor to work with the county’s jailed population. The second purpose of this program is to fill the identified need for an addiction counselor who will work as a recovery coach with Boone County’s jailed population. This individual will deliver services such as moral reconation therapy and substance abuse counseling. This project serves Boone County, Illinois (population 53,606). The project includes partnerships between the Boone County Health Department, the multidisciplinary team, the Rosecrance, and the Belvidere Police Department.

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Boulder County

CO

The Boulder County Community Services Department is applying for Category 1 funding in the amount of $899,902. Project Recovery will implement evidenced-based treatment and recovery services, recovery housing, peer recovery support services, pre- and post-booking treatment alternatives to incarceration, and medication-assisted treatment (MAT). The project will provide services within a recovery home environment in a collaboration between the Boulder County Jail and Tribe Recovery Homes, a provider of home-based recovery and peer support services, and will feature collaborations with community service providers, including the county’s homeless system and housing authorities, workforce, and physical health service providers. Deliverables include establishment of three recovery homes; service provision to 207 clients over three years; development of referral procedures to identify justice system-involved participants with substance use disorders, with a special focus on individuals experiencing homelessness; and implementation of evidence-based therapeutic programs, peer recovery, and MAT services. The goals of the project are to end the cycle of incarceration, support the recovery and reentry process, reduce incidences of crime and recidivism, and create a safer community. The project serves Boulder County, with a population of 326,196. The project includes partnerships with the Boulder County Jail, Tribe Recovery Homes Inc., the Colorado Mental Wellness Network, Homeless Solutions for Boulder County, and the Boulder Community Health and Colorado Community Health Alliance. The project will engage the OMNI Institute as a research partner. Priority considerations addressed in this application include supporting civil rights by limiting arrests due to substance use disorder and providing treatment and decreasing disproportionate minority confinement; protecting the public from crime and evolving threats by stopping the cycle of homelessness, substance use and incarceration, and the societal costs of substance misuse related to interdiction, law enforcement, prosecution, incarceration, and probation; and building trust between law enforcement and the community by providing alternatives to incarceration that demonstrate law enforcement’s commitment to appropriate care.

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Boulder County

CO

Boulder County applied for a Category 1b suburban area grant in the amount of $884,014. Project RENTR (Readiness, Engagement, Navigation, Treatment, and Recovery) will implement a range of allowable grant activities, including evidenced-based treatment services, peer recovery support services, pre- and post-booking treatment alternative to incarceration approaches, and court-based interventions. Project RENTR will increase services and treatment options for those with substance use disorders in pretrial/pre-booking, including those benefitting from a new Colorado law that reclassifies a misdemeanor drug felony as a misdemeanor. Project RENTR will also provide access to comprehensive screenings, assessments, case management, and treatment in the jail environment. The project will continue case management services for 90 days during the reentry process and accelerate access to community-based treatment options. This project serves Boulder County, Colorado, which has a population of 326,196. The project includes partnerships with the Boulder County Community Services Department. Priority considerations addressed in this application include high-poverty and persistent-poverty counties and Qualified Opportunity Zones.

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Buncombe County Health and Human Services

NC

Buncombe County Department of Health and Human Services (DHHS) proposes to connect individuals at risk of overdose with substance use treatment and peer support; provide transitional or recovery housing for individuals with opioid use disorder (OUD) leaving the jails or the emergency department; develop programs to address the opioid epidemic in rural areas; develop and implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the pretrial and post-trial populations leaving jails; and support the timely collection and integration of data to provide an understanding of drug trends, support program evaluation, inform clinical decision-making, identify at-risk individuals or populations, and support investigations. Buncombe County DHHS, the Sheriff’s Office, and Emergency Medical Services will implement the Overdose Detection Mapping Application Program (ODMAP).

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Burke County

NC

Burke County will support the continuation of its law enforcement-assisted diversion (LEAD) program and implement and pilot the Helping Achieve Recovery through Burke Opioid Use Reduction (HARBOUR) program which is patterned after the Recovery Community Center (RCC) model. The goals of the project include: (1) reduce overdose incidents and deaths; (2) give low-level offenders the opportunity to access treatment with long-term recovery support instead of criminal justice system involvement, thereby reducing recidivism rates and long-term costs to the taxpayers; (3) provide treatment and long-term recovery support along with maximizing the ability of those in recovery to reintegrate into the community. Partners include Burke County Sheriff’s Office, Morganton Department of Public Safety, Valdese Police Department, Drexel Police Department, Glen Alpine Police Department, Burke United Christian Ministries, Burke Council on Alcoholism and Chemical Dependency, Inc. (dba Burke Recovery), Catawba Valley Behavioral Health, and Burke County Health Department.

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Burlington County

NJ

Burlington County is applying for Category 1 funding in the amount of $900,000. The Burlington County COSSAP Program will expand law enforcement and other first responder deflection and diversion programs; embed social services within law enforcement in order to rapidly respond to drug overdoses where children are impacted; incorporate comprehensive, real-time, regional information collection, analysis, and dissemination; include naloxone training and distribution; and utilize evidence-based treatment, including medication-assisted treatment (MAT), as well as recovery support services including transitional or recovery housing and peer recovery support services. The project will support the 24/7 Operations program, a naloxone plus/Quick Response Team model that delivers services to people who use drugs through a “warm hand-off” from police to trained peer recovery specialists, expanding this service to reach the Burlington County Jail population; expansion of the Straight to Treatment program, a self-referral pathway in which people facing addiction can walk into police stations at designated times and get assessed, referred, and transported to treatment; and expansion of Hope One, a mobile access unit that offers critical support for persons and their families struggling with addiction, with the goals of preventing drug overdoses and deaths and providing linkages to treatment and recovery support services, in collaboration with the county sheriff’s office, the Department of Human Services, Volunteers of America, the New Jersey Transit Police, and community organizations. It will also support law enforcement-initiated training for motel/hotel owners on the distribution of Narcan, as well as the distribution of Narcan doses to replenish county and local law enforcement supplies, as needed. The county will also develop improved systems for collecting and analyzing data to improve internal operations and decision making while contributing to the state and national body of best practices on responding to the opioid crisis. The project serves Burlington County, which has a population of 446,596. The project includes partnerships with the county’s Department of Corrections, the Sheriff’s Department, the Department of Human Services, the County Prosecutor, and several treatment providers. The project will engage the Senator Walter Rand Institute for Public Affairs at Rutgers University as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Butler County Mental Health and Addiction Recovery Services Board

OH

Butler County, Ohio, is in southwest Ohio comprised of suburban and rural communities. The project aims to increase access to treatment and recovery supports services for residents of Butler County through engagement, data collection, and recovery support enhancement. The project has four key objectives: 1) Expand use and data collection for the county-wide data dashboard, including cross-sector analysis and integration of data from other sources, to inform strategies and policies. 2) Assess the needs of under-served populations across Butler County and increase engagement in services amongst those groups. 3) Decrease the number of individuals who are incarcerated to improve post substance use/overdose outcomes. 4) Improve comprehensive care to residents of Butler County impacted by substance use. The Butler County Prevention Coalition and Addiction Task Force (BCPCATF) will serve as the multi-disciplinary coordinating body for the project. The BCPCATF will work in conjunction with partners to implement strategic activities to address these objectives. The BCPCATF will work with community sectors to ensure proper data sharing and allow for a cross-system analysis to inform strategies and decision making. Miami University will coordinate with the BCPCATF to convene listening sessions with under-served populations in Butler County to assess the needs of these groups and strategize solutions for increase engagement in services. Additionally, the Butler County COSSUP Project will implement peer recovery support services through the misdemeanor court system and permanent supportive housing to increase engagement with treatment and recovery support services. The Butler County COSSUP Project will work with community partners through the coordination of the BCPCATF. Through strategic planning and specific workgroups, the project will focus on county-wide data analysis, engaging and assessing the needs of under-served populations, increasing access to treatment and resources for misdemeanor justice involved individuals, and providing comprehensive care through the implementation of peer recovery support services in specific needs areas. Partner organizations include subrecipients Miami University, Community Behavioral Health, and the Butler County General Health District, as well as the YWCA Hamilton and the Butler County Area Courts.

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Butler County of Ohio

OH

Butler County of Ohio applied for Category 1B grant funding in the amount of $900,000. The Butler County COSSAP project aims to reduce the impact of opioids, stimulants, and other substances on individuals within its communities, through reducing the number of overdose fatalities, as well as mitigating the impacts of on crime victims by supporting comprehensive, collaborative initiatives. This project serves Butler County, home to a population of 382,000. The project includes a partnership with Miami University’s Center for School-based Mental Health Programs. Priority considerations addressed in this application include rural challenges in a high-poverty area and Qualified Opportunity Zone.

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Cabell County

WV

Cabell County is applying for Category 1 funding in the amount of $1,130,000. The project will enable the expansion of the Huntington Quick Response Team (QRT) by building on existing cross-system planning and collaboration among law enforcement agencies, emergency medical services, fire departments, health care providers, public health agencies, the faith community, and agencies that provide substance misuse treatment and recovery support services. The QRT team connects overdosed individuals to a treatment facility within 72 hours of an overdose event and provides training on naloxone administration; it also focuses on community engagement and building readiness. The team will create operational protocols to guide its activities. The project will also create a follow-up response team that will provide active outreach to individuals who have previously interacted with the QRT to evaluate their current treatment and/or recovery progress and will offer access to services by which they can acquire skills required to join the workforce. The goals of the project are to reduce the number of overdoses in Cabell County and to reduce the number of frequent visitors with substance use disorders to Cabell County’s health care system. The project serves Cabell County, with a population of approximately 100,000. The project will include partnerships with the Huntington Police Department, the Cabell Huntington Health Department, Cabell County Emergency Medical Services, treatment providers from Prestera Center, and the faith community. The project will engage Dr. Nandini Manne from the Department of Public Health at Marshall University as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Camden County

NJ

The Camden County Department of Corrections (CCDOC) applied for Category 1a grant funding in the amount of $1,200,000. The Comprehensive Substance Use and Recovery Support Program for Incarcerated Individuals in the Camden County Correctional Facility (CCCF) will expand the department’s capacity to identify, respond to, treat, and support individuals incarcerated in the CCCF with a history of substance use, specifically individuals with a non- opioid use disorder. Through the use of substance use and recovery support services for individuals both pre- and post-release, this project serves Camden County, New Jersey, which has a population of approximately 513,000 across 37 municipalities. The project includes partnerships between Camden County Department of Health and Human Services Office of Mental Health and Addictions, CFG Health Network, and CCDOC’s contracted medical and mental health provider, as well as partnerships with Project HOPE, the Center for Family Services, Volunteers of America, Genesis Counseling Centers, and the New Jersey Division of Mental Health and Addiction Services. These agencies will support CCDOC reentry efforts, providing vital support to individuals such as housing, MOUD, SU, and mental health counseling, employment, and job-readiness training. Priority considerations addressed in this application include a high-poverty area and Qualified Opportunity Zone. There are six objectives of the proposed program. Objective 1 includes the implementation of a substance use screening tool and assessment during the booking and classification phase to effectively identify individuals incarcerated with a substance use disorder. Objective 2 provides substance use counseling and support services for individuals (both in person and via telehealth) while incarcerated in CCCF. Objective 3 provides integrated care coordination for individuals during a period of incarceration to promote and foster health equity of the justice-involved population. Objective 4 provides peer recovery support services to individuals transitioning home following release from the CCCF through the development of Peer Support Teams. Objective 5 provides recovery support housing to individuals that have engaged in substance use and/or receiving MOUD and are housing insecure at the time of release from CCCF. Lastly, Objective 6 is focused on establishing a Reentry Release Center to include a team of CDACs to continue the coordination of services upon release from CCCF.

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Cass County, Inc.

MI

Cass County, Inc. applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Cass County COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The program will also create co-responder crisis intervention teams of trained law enforcement officers and behavioral health practitioners to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services, as well as provide overdose education and prevention activities, and address the needs of children impacted by substance abuse. The project includes partnerships between 43rd Circuit Court judges, Woodlands Behavioral Healthcare Network, Office of the Sheriff, Office of the Prosecutor, Community Corrections, defense attorney, program coordinator, and the program evaluator. Priority considerations addressed in this application include the challenges that rural communities face and Qualified Opportunity Zone.

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Catawba County

NC

The County of Catawba applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to expand the current Law Enforcement Assisted Diversion (LEAD) program by offering additional financial support for Officer training and engagement in order to grow the referral pool. Second, funds will be used to further develop an existing jail services program to include a more robust pretrial diversion program. Finally, funds will be used to implement a new transitional, reentry housing program to be utilized by both LEAD and jail services. This project serves Catawba County, North Carolina, with a population of 150,000 people. The project includes partnerships between the Cognitive Connection and Rebound Treatment Center. Catawba Valley Behavioral Health has existing relationships with the local sheriff’s department, five local police departments and the Districts Attorney’s Office through the LEAD program. Priority considerations addressed in this application include high rates of overdose and overdose death.

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Cayuga County

NY

The Comprehensive Substance Use Diversion Program strives to reduce overdose fatalities in Cayuga County, New York, by embedding recovery peer support and other targeted services at specific points of contact for individuals with substance use disorder and diverting them from justice-involvement toward treatment and recovery. Local surveillance data shows that fatal overdoses overwhelmingly involve opioids and psychostimulants and increasingly impact women. This program puts a priority on providing services for women and people of color who have been historically underserved and will address specific challenges for people in crisis, people entering the legal and/or child welfare system, and people who have been released from treatment and/or incarceration. The diversion program will use the Sequential Intercept Model to expand or complement existing services in each of the intercepts and other points of contact. The program intends to fill six identified gaps: (1) naloxone education and distribution to rural law enforcement/first responders to enhance public safety and response during overdose emergencies; (2) embedded peer support and advocacy in child welfare departments (before justice involvement) to increase positive relationships, treatment retention, family unifications; (3) 911 diversion of people in crisis to mental health professionals to provide immediate care and stabilization and diversion from law enforcement and emergency room; (4) rapid linkage to MOUD and enhanced programming for Intervention Court participants and outreach to increase referrals to Intervention Court, prioritize treatment over incarceration, improve health and social outcomes; (5) enhanced post-incarceration/post-treatment peer support to ensure continued recovery support, promote treatment retention, provide support for securing job training and housing options; (6) embedded peer support and advocacy in child welfare departments (after justice involvement) to promote positive relationships, treatment retention, family unifications. The program will implement the following activities/allowable uses: (1) naloxone for law enforcement and first responders (12 percent); (2) embedding peer support in different settings (39 percent); (3) law enforcement/first responder diversion programs (2 percent); (4) court programming to prioritize and expedite treatment and recovery services for individuals at high risk of overdose (13 percent); (5) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs (0 percent); (6) recovery housing with peer support (5 percent); and (7) pursue comprehensive, real-time, regional information collection, analysis, and dissemination via the development of a publicly-accessible overdose data dashboard (8 percent).

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Cecil County

MD

The Cecil County Department of Community Services (DCS) is applying for Category 1 funding in the amount of $762,064. The project will enable the expansion of the Cecil County Prevention and Overdose Response and Trauma Support Services initiative (PORTSS), a first responder-led project. The PORTSS team, comprising a coordinator from the Department of Emergency Services, a peer recovery specialist from the Cecil County Health Department, and a case manager from DCS, will help bridge an identified communication gap between responding agencies and service providers and ensure outreach to victims and families. With the addition of the DCS case manager (a social worker), the team will assess needs, coordinate referrals, assist families, and follow up on family engagement. Services to families will include a warm handoff to substance use disorder treatment, trauma therapy for children and their caregivers, revitalization of Cecil’s Handle with Care program, referrals for behavioral/mental health services for children, assistance with accessing community resources (food, housing, utility assistance, etc.), educational assistance, and regular follow-up. The PORTSS team will utilize real-time data from Cecil County’s heroin coordinator, located in the Cecil County Sheriff’s Office (CCSO) and 9-1-1 call logs, enabling it to receive real-time notification of overdose “hot spots.” The PORTSS team will also provide regular training to first responders on adverse childhood experiences, trauma, and ethics. The project serves Cecil County, a largely rural jurisdiction with a population of nearly 103,000. The project includes partnerships with the Cecil County Sheriff’s Office, public schools in the county, the Cecil County Department of Social Services, Voices of Hope, Inc. (a recovery partner), and Bodhi Counseling and Upper Bay Counseling and Support Services, behavioral health providers. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Chautauqua County

NY

The Chautauqua County Sheriff’s Department is applying for Category 1 funding in the amount of $899,910. The Chautauqua Comprehensive Addiction Response and Evaluation System (Chautauqua CARES) is a county-wide, multi-sector network of law enforcement, behavioral health, and other community agencies collaborating to increase the accessibility, timeliness, and effectiveness of support for individuals with substance use disorders and their families. Chautauqua CARES will work to more fully incorporate law enforcement and behavioral health care roles in helping individuals and families struggling with addiction. The project will include development of a law enforcement diversion program for nonviolent drug offenders and support an expanded treatment program within the county jail. Chautauqua CARES will serve to coordinate and oversee standardized training, ordering of supplies, and evaluation of naloxone administration by first responders throughout the county and will further expand and raise the profile of drug take-back activities in the county. Chautauqua CARES will support law enforcement’s involvement in prevention efforts through coordinated school-based and other outreach activities. Goals for the program include increasing the number of county residents receiving services for substance use disorder and reducing the numbers of fatal overdoses in the county. The program will be overseen by the Chautauqua County Sheriff’s Department. The project serves Chautauqua County, which has a population of 126,903. The project includes partnerships with the Unified Court System Eighth Judicial District, the Chautauqua County District Attorney’s Office, the Chautauqua County Public Defender’s Office, the Chautauqua County Office of Probation, the Jamestown Police Department, the Chautauqua County Department of Mental Hygiene, the Chautauqua Substance Abuse Response Partnership, the Chautauqua County Department of Health and Human Services, Prevention Works, and HOPE Chautauqua. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Chesterfield County

VA

Chesterfield County Sheriff’s Office is applying for grant funding in the amount of $1,192,430. This project serves the metro Richmond area with a population of over 500,000 and is submitted under Subcategory 1a. The purpose of the project is to provide specialized pretrial supervision to individuals at high risk for overdose and expand reentry planning and medication-assisted treatment to inmates. The project includes partnerships between the Chesterfield County Sheriff’s Office, Chesterfield Community Corrections Services, Chesterfield Mental Health Supportive Services, other local agencies and a local evaluator. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.

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Citrus County

FL

Citrus County is applying for a Category 1 award in the amount of $387,581. The Citrus County Sheriff's Office Substance Abuse Social Worker Program will embed social services with law enforcement in order to rapidly respond to drug overdoses where children are impacted. Additionally, the Citrus County Sheriff’s Office intends to provide prevention, response, and diversion from the criminal justice system to individuals who are affected by substance misuse. The Sheriff’s Office will employ two substance misuse social workers to fulfill these goals. The substance misuse social workers will review and follow up on all reports of nonfatal overdoses, including contacting individuals who have experienced an overdose and connecting them with community-based resources. The substance misuse social worker will collaborate with child protective investigators with the Department of Children and Families (DCF), as well as case managers with Youth Family Alternatives (YFA). The social worker will communicate successes in treatment and assist in potential reunification of children and will also collaboratively work with DCF and YFA to connect children with early intervention therapy resources to reduce the likelihood of adverse childhood experiences affecting them. The Sheriff’s Office will also create and introduce a Marchman Act Assessment tool to be used in all non-fatal overdose cases. This project serves Citrus County, Florida, which has an approximate population of 149,657 residents. Partnerships include strong relationships with community partners, DCF, and YFA.

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City of Alamosa

CO

The City of Alamosa applied for Category 1c tribal/rural area grant funding in the amount of $599,997. The Specialized Case Management program will provide a non-arrest, community partner pathway to connect addicted individuals to intensive case management and harm-reduction resources using the evidence- based TASC Specialized Case management and Let Everyone Advance with Dignity (LEAD) model. The City of Alamosa is creating a system of care that will allow individuals to receive appropriate levels of service and treatment to address root challenges rather than utilizing a criminal justice system clearly not equipped to address substance use disorder effectively. The Specialized Case Management program will provide a third pathway into intensive case management, service coordination, and connection to harm- reduction resources. This project serves approximately 50,000 residents in the 12th Judicial District. The project includes partnerships between the City of Alamosa, Center for Restorative Programs, and the 12th Judicial District Office of the District Attorney. Priority considerations addressed in this application include the disproportionate impact of opioids and other substances on the region, the specific challenges faced by rural communities, and the high poverty area served by the project.

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City of Billings

MT

The City of Billings applied for Category 1b grant funding in the amount of $900,000. The Billings Peer Support Diversion Program (Billings PSDP) will develop a peer support-driven prebooking diversion program that provides support for individuals at high risk of overdose or chronic substance abuse. The program will use trained and certified peer support specialists, working independently and embedded with law enforcement to engage in street outreach with the chronically homeless through mobile behavioral health crisis response. The primary objective of the project is to use evidence-based strategies to divert high-risk individuals from incarceration into treatment and social support services. The project will also overcome local barriers related to length of treatment for methamphetamine recovery and limited recovery housing options in the community. This project serves individuals who have been arrested and chronically homeless individuals with opioid or stimulant use disorders in all of Yellowstone County, with a focus on downtown Billings, where this population is concentrated. The project includes partnerships among the City of Billings, Billings Police Department, Downtown Billings Association, and Rimrock, Montana’s largest mental health and substance abuse treatment provider. Priority considerations addressed in this application include a Qualified Opportunity Zone.

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City of Bismarck

ND

The City of Bismarck is applying for Category 1 funding in the amount of $900,000. Supporting First Responders Through Behavioral Health Interventions, Medication Assisted Treatment, and Connections to Care in the Emergency Department, a multidisciplinary overdose prevention, response, and referral model led by first responders, will serve as a bridge to intervene with overdose victims to transition them to medication-assisted treatment (MAT) and substance use disorder (SUD) treatment. Bismarck Police Department will partner with Heartview Foundation, a licensed addiction treatment provider, and Sanford Health Emergency Department to increase utilization of MAT for individuals with opioid use disorder; utilize recovery support services in the Sanford Emergency Department (ED) to develop a bridge between emergency room, law enforcement/first responders, and individuals needing treatment; and increase the availability of naloxone. The project will also increase communication efforts to reduce stigma surrounding SUDs, opioid use disorders (OUDs), and MAT. Deliverables include interventions with 90 individuals who have experienced an opioid overdose, as well as an additional 80 patients referred from the Opioid Overdose Bridge. Sanford Health ED will train ten medical professionals and twelve support staff members on SUD, MAT, and procedures for the Opioid Overdose Bridge. The project serves the Bismarck-Mandan Metropolitan Area in North Dakota, with an estimated population of 126,990. The project includes partnerships with the Bismarck, Mandan, and Lincoln Police Departments, the Burleigh and Morton County Sheriff’s Departments, Bismarck-Burleigh Public Health, Custer Health, Sanford Health Emergency Department, Ministry on the Margins, and Heartview Foundation. The project will engage Dr. Erin Winstanley, Vice Chair of Research, Department of Behavioral Medicine & Psychiatry at West Virginia University School of Medicine, as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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City of Boston

MA

The Boston Police Department's project aims to 1) increase coordination and collaboration across the Boston Police Department, Suffolk County District Attorney's Office, and North Suffolk Community Services, Inc., in addressing opioid epidemic in a highneeds area of Boston known as Mass and Cass (at the intersection of Melnea Cass Boulevard and Massachusetts Avenue); 2) strengthen the Services Over Sentences (SOS) Program so that it can better serve high-risk, high-need individuals who have been arrested in the area; 3) support Boston Police Department's Street Outreach Unit and City-Wide Bicycle Unit to provide increased outreach and diversion from arrest, as appropriate, to individuals experiencing mental illness and/or substance use disorders in the Mass and Cass area; and 4) conduct process and program evaluations so that the process by which these partnerships are formalized can be better understood and replicated, and to assess the effectiveness of the program in getting high-risk, high-need individuals into treatment and recovery. Project activities include establishing an interagency MOU; hiring two dedicated North Suffolk recovery coaches; hiring a full-time SOS Coordinator through the Suffolk County District Attorney's Office; supporting the Street Outreach Unit and City-Wide Bicycle Unit in their efforts to provide pre-arrest diversion; and partnering with Dr. Melissa Morabito to conduct the evaluations. These are allowable activities, falling under the umbrella of post-booking treatment alternative-to-incarceration programs and law enforcement diversion programs. Expected outcomes include strengthened collaboration across the Boston Police Department, Suffolk County District Attorney's Office and North Suffolk; increased SOS participation and service provision to eligible individuals; reduced criminal sentences for individuals who participate in the SOS Program; decreased recidivism among individuals who participate in the SOS Program; and increased number of individuals diverted from arrest to diversion. Substance-using individuals in the Mass and Cass area who have been recently or previously arrested for a crime (including individuals with outstanding warrants), but have not yet been prosecuted or sentenced, are the intended beneficiaries of the project. Subrecipient activities include the provision of recovery coach services (the cornerstone of the SOS Program) through North Suffolk, high-level project coordination through the Suffolk County District Attorney's Office, and evaluations to be performed by Dr. Morabito.

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City of Charleston

SC

The City of Charleston is applying for Category 1 funding in the amount of $900,000. The Charleston County Addiction Crisis Task Force Police Assisted Peer Recovery Program, a law enforcement diversion program that will fund three positions: one project coordinator to provide data collection and analysis services to all law enforcement agencies in Charleston County and two peer support specialists to support law enforcement officers while conducting outreach. The project will also expand Charleston’s existing partnership with the Police Assisted Addiction and Recovery Initiative (PAARI) to include officer training, oversight of peer support specialists, and the design of multimedia products to inform officers and the community of this outreach initiative. The project will fund Critical Incident Management Software (CIMS) to facilitate communication between police-based outreach programs and treatment facilities to track follow-up success, with support from Kelley Research Associates (KRA) and ODMAP to facilitate real-time overdose follow-up communication across the county. The peer support specialists will deploy with trained QRT officers for the purpose of engaging individuals who recently suffered an overdose or presented signs of a substance use disorder during an interaction with law enforcement. They will be responsible for developing recovery plans to support overdose survivors as they transition to treatment. Harm reduction kits that include fentanyl test strips, clean injection equipment, naloxone, gloves, and information on local resources so that overdose deaths and other negative health outcomes associated with drug use can be reduced will be made available to survivors and at other locations. The goal of the project is to achieve a 15 percent reduction in the number of days from overdose to outreach. The project serves the City of Charleston, which is the nexus of the Charleston-North Charleston-Summerville Metropolitan Statistical Area and has a population estimated at 713,000, with an estimated 411,000 in Charleston County. The project includes partnerships with the Charleston Police Department, the Charleston County Sheriff’s Office, the North Charleston Police Department, and the Mt. Pleasant Police Department, all of which have officers serving on the Charleston County Addiction Crisis Task Force (ACT Force). The project will engage Kelley Research Associates to implement the CIMS and to evaluate the program. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.

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City of Columbus, Department of Public Safety

OH

The City of Columbus Department of Public Safety applied for grant funding in the amount of $1200,000 under Category 1A. This project serves the 1,316,756 residents of the city of Columbus and Franklin County, Ohio. The Rapid Response Emergency Addiction Crisis Team (RREACT) EMS Outreach Unit is a unit within the Division of Fire’s Training and Emergency Medical Services Bureau and is supported by the Division of Police’s Crisis Response Team. RREACT EMS outreach members include firefighters/paramedics, Crisis Intervention Team (CIT) certified peace officers, a substance use case manager, a registered SUD nurse, a family case manager, and trauma specialist. This multidisciplinary outreach team goes directly into communities to connect with opioid users who survive overdose, but then refuse EMS transport to the emergency room. The goal of the outreach unit is to proactively create connections and build relationships with opioid users. RREACT follows up with addicted individuals in the community within 48 hours of nonfatal overdose; checks in on their immediate health and wellness; provides resource information, and creates opportunities for users to link with harm-reduction supplies, treatment programs, and social service supports. RREACT actively partners with local treatment providers, public health departments, justice agencies, and Franklin County’s Family and Children First Council to achieve desired project outcomes. Gretchen Hammond with Mighty Crow, Inc. serves as the evaluator for the proposed project. The applicant is eligible for COSSAP priority consideration based on overdose rates in Franklin County and the City of Columbus and the project’s impact on increased public safety in Qualified Opportunity Zones.

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City of Duluth

MN

The City of Duluth is applying for a Category 1 award in the amount of $899,982. The Substance Use Response Team of the City of Duluth Police Department’s Lake Superior Drug and Violent Crime Task Force (LSDVCTF) proposes a program model that would expand upon the services it currently provides, allow for the program to assist more individuals regardless of drug of choice, and shorten times between overdose events and contact from the team, thereby allowing for quicker access to treatment. This project serves the entire LSDVCTF region, which includes St. Louis, Carlton, and Lake Counties in Minnesota, as well as the city of Superior in Wisconsin. This entire region has a total population of 288,732. The project includes partnerships between St. Louis County Public Health and Human Services, St. Louis County Drug Court, the Center for Alcohol and Drug Treatment, and SOAR Career Solutions. This project will engage Dr. Jeff Maahs from the University of Minnesota Duluth as the research partner for this project. Priority considerations addressed in this application include services and referrals in designated Qualified Opportunity Zones.

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City of Duluth

MN

The City of Duluth applied for Category 1b suburban area grant funding in the amount of $899,055. The City of Duluth FY 2020 COSSAP Lake Superior Diversion and Substance Use Response Team Project will improve community outreach to overdose events by expanding outreach efforts to those with amphetamine-related substance use disorders and those who experience amphetamine-related overdoses. The program will reduce barriers between outreach contact and treatment, and maintain or expand current opioid response functions. This project serves St. Louis, Carlton, and Lake counties in Minnesota, as well as the city of Superior in Wisconsin. This region has a population of approximately 289,727 people. The project includes partnerships between St. Louis County Public Health and Human Services, St. Louis County Drug Court, and the Center for Alcohol and Drug Treatment. Priority considerations addressed in this application include Qualified Opportunity Zones.

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City of Fitchburg (Inc)

MA

The Fitchburg Police Department is applying for Category 1 funding in the amount of $504,063. The Fitchburg Outreach Initiative, a multidisciplinary program established in partnership with Community Health Link of Worcester, will incorporate referrals, prevention, response, case management, and education. This program is based on successful law enforcement diversion programs such as LEAD and PAARI. The Fitchburg Outreach Initiative will hire a full-time substance misuse clinician to be embedded within the police department to respond to opioid overdoses, substance use disorders, and co-occurring disorders in the City of Fitchburg. The clinician will provide follow-up and post encounter outreach to overdose survivors and their families. Additionally, the program will divert low-level offenders experiencing substance use disorders away from the criminal justice system and into treatment when it is safe and appropriate to do so. The Fitchburg Outreach Initiative will also launch an educational campaign highlighting prevention and resources available to families and survivors. The project serves the City of Fitchburg, which has a population of 40,882 residents. The project includes a partnership with Community Health Connections, a multi-faceted social and behavioral service agency that provides detox services, inpatient clinics, outpatient clinics, 24/7 urgent care for substance use disorders, a homeless shelter, mental health services, recovery services for youth, and family support services. Additional partnerships have since been created with GAAMHA which is an organization that provides a wide range of services including recovery support. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.

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City of Gallatin

TN

The Gallatin Police Department (Sumner County, Tennessee, population 191,283) — in partnership with the Sumner County Sheriff’s Office, local treatment provider Volunteer Behavioral Health, local courts, and scientific consultants — requests $892,085 from the Bureau of Justice Assistance FY 2020 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (Category 1b: Competition ID BJA-2020-17024) to implement a law enforcement-led substance abuse response to address the county’s increasing substance abuse problem. The proposed community-based strategy to address substance abuse and overdose risk will be implemented through enhancing connections to treatment; delivering evidence-based recovery services including needs assessment, individualized treatment plans, case management, medicated assisted treatment (MAT); providing a police-led awareness and prevention program to the county’s K-12 population, as well as a provision of Narcan to officer first responders. OJP priorities addressed include serving a designated Qualified Opportunity Zone, high-poverty areas, evidence-based services delivery, and program evaluation.

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City of Harrisonburg

VA

The City of Harrisonburg is applying for a Category 1 award in the amount of $600,000. The Harrisonburg Fire Department-Community Paramedic Program will implement a community paramedicine program in the City of Harrisonburg. In the past decade, emergency medical services (EMS) and fire departments have been called upon to create programs that offer care options for high-risk patient populations—such as those with substance use disorder—to reduce the burden these individuals have on community systems. Community paramedicine is a concept of prehospital care designed to use paramedics to help bridge the gap between access to primary care services and the needs of the community. The extension of acute and primary care providers and mental health (including substance use dependence) resources are made available by specially trained paramedics. The goals of this COSSAP-funded program are to increase connectivity to substance use disorder and co-occurring substance and mental health disorder treatment in the community; reduce the strain people with substance use disorders and co-occurring substance and mental health disorders have on the health care system; decrease recidivism rates linked to substance use and mental health disorders; create a roadmap to inform stakeholders and city/county leadership on the appropriate formation of the Marcus Alert System in their community; and begin determining the long-term financial sustainability of such outreach programs. This project serves the County of Rockingham, Virginia (population 81,244). The project includes partnerships between the Harrisonburg Fire Department, the Harrisonburg Police Department, the Middle River Regional Jail, the Rockingham County Sheriff’s Office, Sentara Healthcare, the Harrisonburg Rockingham Community Services Board, the Healthy Community Health Center, the Harrisonburg-Rockingham Crisis Intervention Team, Strength In Peers, the James Madison University School of Nursing, and Cordata Healthcare Innovations. Priority considerations addressed in this application include serving individuals residing in high-poverty areas.

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City of Henderson

NV

This initiative is a post-overdose outreach effort engaging overdose survivors and their social networks (e.g., family, friends, and acquaintances) to create positive outcomes. The overarching objective is to implement a strategy that addresses priority needs within the region/local by increasing public safety through a community-based endeavor designed to reduce or eliminate citizen harm and free law enforcement to perform their criminal justice duties effectively. The approach also includes helping individuals in substance use or mental health involved crises avoid unnecessary arrests, unintended injurious force by police officers, and involuntary commitments to the hospital. The plan incorporates engaging stakeholders to develop and create safe and supportive responses. These responses may consist of connecting individuals and their social networks with support services, appropriate health care, education on the disease of addiction, harm reduction services, safety education, parenting education, education on any co-occurring health care needs and training and treatment for those who suffer from a substance use disorder, and services for those coping with death or serious injury. The collaborative will consist of those with a stake in the community's well-being, including treatment professionals, grief counselors, social services, peer support entities, and government community resources. The engagement goal of the initiative is to follow up within 24-72 hours or as requested by the contacting authority. This time frame is crucial for potential behavior change in participants; letting them know care is available, increasing the likelihood for positive outcomes. The principal goals are 1) prevent fatal overdoses by connecting survivors with harm reduction resources, evidence-based treatment for substance use disorder and recovery supports; 2) engage people at high risk for overdose who are not otherwise receiving services or practicing overdose prevention, including optimizing engagement and minimizing criminal-legal consequences for the overdose survivor or others present; and 3) engage and assist those in need of post traumatic services.

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City of Holyoke Police Department

MA

The City of Holyoke Police Department (HPD) applied for Category 1c rural/tribal area grant funding in the amount of $597,650. Project ERASE (Expansion of Recovery from Addiction to Substances Efforts) will implement a multicomponent intervention program designed to (1) support individuals with opioid, stimulant, and other illicit substance issues with interventions to reduce addictions and associated mental health needs, (2) reduce overdoses and overdose deaths through prevention and intervention strategies, and (3) reduce substance-related crime in Holyoke. This project serves Behavioral Health Network and Gandara, the Holyoke Police Department, Hampden County Sheriff, Holyoke Probation, and research partners. The project includes partnerships between the House of Corrections to provide detox treatment options and develop a law enforcement liaison between HPD, the courts, and probation personnel. Priority considerations addressed in this application include a high-poverty area and enhanced public safety in Qualified Opportunity Zones.

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City of Houston Health Department

TX

The Houston Health Department (HHD) serves the city of Houston with a 2.3 million population. This project includes partnership with Houston Police Department (HPD) and The Center for Recovery and Wellness Resources (CRWR). This project, Collaboration Houston: Addressing Substance Use and Misuse (CHASM), expands upon COSSAP funded surveillance and alert system to inform outreach, education and mobilization. CHASM will implement a locally driven, comprehensive response to address substance use and misuse by: (1) Providing targeted substance use awareness activities in partnership with law enforcement for with K-12 students and curriculum-based education with justice involved individuals, parents/caregivers and older adults. (2) Integrating data from the current opioid surveillance system to improve community awareness, program messaging, and mobilization of stakeholder response. (3) Delivering evidence-based substance use treatment and recovery support services. Houston/Harris County continues to experience a rise in opioid misuse and overdose. In 2020, Harris County was the highest Texas county for the number of accidental poisoning deaths involving opioids. This area continues to experience increased rates of illicit drug use from 6.6 per 100,000 in 2010 to 9.1 in 2020. During this same period, death rates from substance use increased from 9.2 to 17.7, greater than Texas rate. Most drugs being used in Houston, including heroin and opioids, are now being cut with fentanyl further complicating this epidemic in Houston. Deaths involving fentanyl skyrocketed by 341% from 2019-2021. Houston is known as one of the most racially/ethnically diverse large metropolitan areas in the country, with over 145 languages spoken. However, Houston has an overrepresentation of underserved communities of color. In these neighborhoods, populations are of greater risk and require specific interventions, including youth and justice involved individuals. CHASM partners with law enforcement and recovery experts providing specific strategies for these communities and populations that are more likely to be impacted by opioid overdose, stimulants and other substance use. Awareness activities, curriculum-based education and substance use treatment will be augmented with real-time surveillance data. Public access to web-based data will include a warning system to gauge opioid overdoses, deaths and substance use trends in Houston. CHASM promotes public safety and supports access to recovery services. CHASM responds to contextual changes in the opioid epidemic through multi-sector collaboration and strategic, evidence-based interventions for individuals, groups and communities with higher vulnerability.

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City of Jacksonville

NC

The City of Jacksonville continues to utilize COSSAP 2019 funding with a focus on enhancing the services array with Transitional Housing Services assistance and Residential/Rehabilitation Treatment costs. Individuals identified within the COSSAP program who are eligible for transitional housing services or treatment services due to inability to provide these services for themselves will work with the Jacksonville Police Department’s Substance Abuse Counselor to locate and obtain these services through the Program.

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City of Jay

OK

The City of Jay accepted funding for a Category 1 award in the amount of $600,000. The Delaware County COSSAP program continues to develop comprehensive, locally driven responses to opioids, stimulants, and other substances of misuse by expanding access to treatment and recovery support services. The program employs a recovery services coordinator who supports the existing efforts of law enforcement case managers and the drug court supervisor. Meanwhile, the Project Coordinator seeks out additional strategic partnerships in efforts to reduce stigma and entice treatment seeking behaviors in place of law enforcement involvement. Project also focuses on substance use prevention in the local school districts by increasing community/parent/youth awareness of emerging drug trends. Local and national speakers are utilized for presentations and/or trainings, regarding evidence-based prevention curriculum. A COSSAP Advisory Council has been formed to serve as a formal cross-agency collaboration assembled for strategic planning and communication across the county. The program is working to facilitate comprehensive, real-time, regional information collection, analysis, and dissemination by ensuring that law enforcement agencies throughout the county have an officer trained to utilize ODMAP. This addresses the need for quality data collection, which is currently a challenge to obtain because of a lack of resources within this rural community. Project serves all of Delaware County, Oklahoma, which has a population of 42,433. The project includes partnerships between the Ottawa/Delaware County Drug Court Program, the Delaware County Health Department, the Delaware County Sheriff’s Department, Jay Police Department, Cherokee Nation Behavioral Health Prevention Programs, Delaware County Community Partnerships, Grand MH, Grove Police Department, Community Health Centers of NE Oklahoma and the Northeastern Oklahoma Regional Alliance. This project will engage CARE Consulting Group, led by Principal Investigator Dr. Jeremy Goldbach, as the evaluation partner. Priority considerations addressed in this application include Delaware County being an area with a high rate of primary treatment admissions for heroin, opioids, and stimulants and a lack of accessibility to treatment providers, facilities, and emergency medical services. In addition, Delaware County contains several census tracts that are high-poverty areas.

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City of Kirkland

WA

The Kirkland City Jail project will implement a holistic, evidence-based, comprehensive opioid, stimulant, and substance use site-based program that would provide lifesaving screening for substance use disorder, on-site medication-assisted treatment (MAT) options, drug-harm diversion support services, and transitional reentry planning for incarcerated individuals struggling with substance use disorder. By partnering with peer and community resources, the Kirkland City Jail's comprehensive opioid, stimulant, and substance use site-based program will (1) establish an in custody care infrastructure designed to provide quality treatment for individuals, (2) reduce the devastating impacts of substance use disorder, such as withdrawal, recidivism, overdose, and death, on individuals, families, and the surrounding community, (3) mitigate the consequences associated with substance use disorder, such as in-custody violence, self-harm, and withdrawal symptoms, (4) improve the quality of life for individuals suffering from a substance use disorder, (5) provide training and education for staff, individuals, families, and the community on substance use disorder and the stigma associated with MAT as a treatment modality. The Kirkland City Jail will partner with a substance use disorder treatment provider for on-site MAT medication management for patients with existing prescriptions, MAT medication, such as methadone, buprenorphine (brand names Suboxone, Subutex, and others), and extended release naltrexone (ER-naltrexone, brand name Vivitrol) induction for qualified individuals without a prescription, in-person or virtual behavioral therapy, drug-harm diversion resources, and comprehensive transitional reentry planning. A Kirkland City Jail comprehensive opioid, stimulant, and substance use site-based program will help bridge the gap between public safety and public health by providing life-saving treatment options for incarcerated individuals with substance use disorders before and after transitioning back into the community. The program will serve surrounding communities with an estimated population of 164,355.

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City of Long Beach

CA

The Long Beach City Prosecutor’s Office (CPO) is applying for Category 1 funding in the amount of $900,000. The Long Beach CPO Law Enforcement Assisted Diversion (LEAD) program will be implemented throughout the entire Long Beach community with a focus on high poverty area zip codes, targeting justice-involved individuals who meet criteria for pre-filing and pre-booking diversion intercepts. The project will expand supportive services through capacity building and training, access to wraparound case management, LEAD awareness building, and collective dialogue. The Long Beach Deputy City Prosecutor will develop guidelines that the Long Beach Police Department can utilize to determine an individual’s candidacy for diversion, develop training materials to be used for capacity building workshops with the Long Beach Police Department and other city departments, and create materials explaining how communities can implement and support diversion initiatives. The project serves the City of Long Beach, which has a population of 464,073. The project includes partnerships between the CPO and the Long Beach Police Department, the Long Beach Department of Health and Human Services, and community-based organizations providing services related to substance use, mental health, and homelessness. The project will engage NPC Research as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community and will benefit individuals residing in high-poverty areas.

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City of Lowell

MA

The Lowell Police Department is proposing to enhance and expand the Community Opioid-Outreach Program team (Lowell Police, Fire, Health, Trinity EMS, Lowell House) by adding a youth services coordinator to focus on the needs of children affected by the opioid epidemic, two outreach specialists to expand service to the homeless community by serving as a liaison between agencies to improve communication and connect their various resources, and conduct pro-active outreach to any individuals with substance use disorder before an overdose. Grant funds will support a coordinator, crime analyst, full-time clinical recovery specialist and youth services coordinator, outreach recovery specialist and research team. University of Massachusetts Lowell will serve as the research team comprised of researchers from Center for Community Research & Engagement, School of Criminology and Justice Studies, and Community Health and Sustainability.

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City of Madison

WI

The City of Madison Police Department proposes to enhance its pre-arrest diversion program with additional pathways to treatment that include self-referral, active outreach, naloxone plus (Quick Response Team), and officer prevention and intervention. Grant funds will be used to hire an addiction resource team comprised of an addiction resource officer, community paramedic, and certified peer specialist, as well as an assessment clinician for referred clients, program evaluator, and project coordinator. Additional funds will be used to purchase naloxone for community distribution. The project services residents of Madison and Dane County. Project partners include Public Health Madison and Dane County, Dane County Department of Human Services, Madison Fire Department, and the University of Wisconsin Population Health Institute (UW PHI). The project will engage Janae Goodrich of the UW PHI as the research partner.

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City of Martinsburg

WV

The City of Martinsburg, West Virginia, is partnering with the Martinsburg Initiative (TMI), to expand its substance use prevention and police social work program. The purpose of this project is to develop a comprehensive, multidisciplinary,trauma informed approach by building upon the mission of The Martinsburg Initiative: prevent substance use, build strong families, and empower the community. The project will create a position of project coordinator and add two social workers to the police department to cover all shifts. It will add a peer support specialist to the team to help with recovery services and add two school-based social workers to North and South Middle School. Additionally, a Crisis Intervention Team (CIT) will also be created, trained, and implemented to address individuals with substance use and unmet needs leading to substance use. The project will have three components as primary activities covering prevention, intervention, and treatment. In prevention, school social workers will provide prevention education using the evidence-based curriculum Too Good for Drugs and TMI prevention programs, identified individuals and families will be provided Naloxone, and overdose risk screenings and education will be provided. In intervention, law enforcement referrals will be received at Intercept points 0 and 1 of the Sequential Intercept Model for justice involved individuals at risk for substance use or overdose due to unmet behavioral health or socio-economic needs; case management of identified individuals; referrals, screenings, and evidence based interventions of identified at risk students in the middle schools; and connection to proper community resources to address the risk factors of substance use and overdose. In treatment, access to treatment will be expanded due to a coordinated referral system to local treatment centers and connections from the peer support specialist to help navigate the system and recovery services. This project is expected to have numerous expected outcomes to include the creation of CIT, improved response to substance use and mental health calls, reduced overdoses and overdose deaths particularly juveniles, reduced rates of recidivism, reduced stigma, more diversion into treatment, and increased resiliency in children. The service area is Martinsburg and intended beneficiaries include individuals and children struggling with substance use and their families. By addressing substance use as a public health issue, it aims to improve health and wellbeing of all members of the community.

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City of Menomonie

WI

The City of Menomonie Police Department (MPD) is applying for Category 1 funding in the amount of $584,202. Project Hope will benefit juveniles and adults in the City of Menomonie and Dunn County by employing strategies that provide alternatives to arrest and access to treatment opportunities. Project initiatives include the evidence-based Botvin LifeSkills program for juveniles, formation of a Quick Response Team (QRT) based on the Police Assisted Addiction and Recovery Initiatives (PAARI) model, implementation of a juvenile offender diversion program, an amnesty program focused on providing treatment opportunities, creation of a sworn behavioral health officer position, utilization of software analytics to identify potential clients in need of treatment, and mentoring services for juveniles. MPD will partner with the Dunn County Department of Public Health to promote a local needle exchange program and to share information on how to acquire naloxone to raise awareness of resources available for individuals suffering from an opioid or methamphetamine addiction. Project Hope will also work with children suffering from adverse childhood experiences; once children are identified as being impacted by substance use, they will be offered services such as therapy and counseling. The project serves Dunn County, with a population of 45,368, and specifically the City of Menomonie, with a population of 16,404. The project includes partnerships with the Menomonie Fire Department, the Dunn County Department of Human Services, and the Dunn County Criminal Justice Collaborating Council. Priority considerations addressed in this application include building trust between law enforcement and the community; a high rate of primary treatment admissions for heroin, opioids, and stimulants; and high rates of overdose deaths.

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City of Milwaukee

WI

The Milwaukee Fire Department (MFD) is applying for Category 1 funding in the amount of $1,200,000. The project will expand the Milwaukee Overdose Response Initiative (MORI), the city’s only first responder program, connecting individuals who have experienced a non-fatal overdose with community resources. MORI will provide immediate follow-up to all individuals in Milwaukee who have overdosed with emergency medical services (EMS) contact with a team of MFD community paramedics and peer support specialists. The team will link overdose survivors with education, resources, and treatment services and will ensure victims and families are supported with the goal of connecting all patients to opportunities for long-term recovery. MORI continuously collects and analyzes available EMS and dispatch data on all fatal and non-fatal overdoses in the city, using the data to deploy strategic outreach by the MORI team. The project aims to increase access to evidence-based medication-assisted treatment and recovery services for an estimated 1,650 people per year. It will also increase access to harm reduction materials, including naloxone, as well as other supportive resources for patients and family/friends. The project serves the City of Milwaukee, with an estimated population of 590,157. The project includes partnerships with WisHope, Community Medical Services, and CleanSlate, all of which provide peer support specialists, and with Milwaukee drug courts. The project will engage the Medical College of Wisconsin as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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City of Minneapolis

MN

The Minneapolis Health Department will partner with the Hennepin Health, Hennepin County Medical Center, Minneapolis Police Department, Minneapolis Fire Department, Emergency Medical Services, and Serve Minnesota to implement both hospital-based and community-based services to connect individuals at risk for overdose and/or survivors of a nonfatal overdose and their families with substance abuse and behavioral health treatment providers and recovery support. The Minneapolis Health Department Research and Evaluation Team will serve as the research partner for the proposed project.

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City of New Orleans

LA

The City of New Orleans Health Department is applying for a Category 1 award in the amount of $900,000. The Law Enforcement Assisted Diversion (LEAD) program will support a team of LEAD direct service staff. This team will include a case management supervisor overseeing a team of case managers and peer support specialists tasked to provide services within the fidelity of the LEAD model. Major tenants of this approach include providing intensive case management services within a person-centered, trauma-informed, and harm-reduction framework. LEAD case management staff members work to address the root causes of behaviors that led participants to encounters with law enforcement. This approach also benefits the New Orleans Police Department by providing a long-term solution that has historically been addressed through the immediate response of an arrest. Goals of the initiative include reducing municipal arrests and re-arrests in the 8th District related to mental illness and substance use through LEAD diversions to case management, potentially expanding LEAD eligible charges to include simple possession of illicit drugs, and developing and implementing an evaluation plan. This project serves the city of New Orleans, which is contiguous with Orleans Parish and has an estimated population of 390,144. The project includes partnerships with the New Orleans Police Department, the National Alliance on Mental Illness New Orleans, the New Orleans City Attorney’s Office, the Mayor’s Office of Criminal Justice Coordination, the Orleans Public Defender’s Office, the Orleans Parish District Attorney’s Office, and the LEAD National Support Bureau. Priority considerations addressed in this application include a jurisdiction with high rates of overdose deaths and a project that will benefit individuals residing in high-poverty areas or persistent-poverty counties, advance the promotion of civil rights, and build trust between law enforcement and the community.

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City of New Orleans Health Department

LA

The City of New Orleans Health Department proposes to use funds to continue a 2017 COAP-funded post-overdose response, Opioid Survival Connection, and conduct community outreach and education. Outreach and education activities include bystander response training and naloxone distribution to EMS and community members. Grant funds will be used to hire two project coordinators and purchase naloxone and training supplies. Overdose detection mapping application program will also be implemented. Project partners include New Orleans EMS, New Orleans Public Library, New Orleans Opioid Task Force, US Drug Enforcement Agency Field Office, Mayor’s Office of Community Engagement, and community organizations and providers.

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City of New York

NY

The New York City Office of the Chief Medical Examiner (OCME) is applying for Category 1 funding in the amount of $1,194,050. The project will enable OCME’s Drug Intelligence and Intervention Group (DIIG) to expand three initiatives: the suspected potential overdose tracking (SPOT) system, which is designed to inform key stakeholders of rapidly evolving overdose trends across New York City; the recently restructured New York City Overdose Fatality Review (OFR), by implementing a data management and evaluation system that incorporates an investigation of the social determinants of health associated with overdose deaths to ensure that OFR recommendations and outcomes are tracked systematically; and an OCME-based service referral program for next of kin of overdose decedents, by conducting a needs assessment and pilot program to better understand and meet the complex needs of next-of-kin. The goals of the project are to share overdose and drug use data and information quickly and effectively, examine the social determinants of health and structural inequalities that lead to high rates of overdose in high poverty areas of the city, and expand grief and trauma support for families of overdose victims, as well as linkages to care for high-risk individuals and social networks. The project serves New York City (population 8.3 million), with a focus on Bronx County, which has a population of 1.4 million. The project includes partnerships with the New York State Department of Health’s Office of Drug User Health Post Overdose Response Team (PORT), New York City’s Correctional Health Services, the New York City Police Department, the New York State Office of Addiction Services and Supports, the New York State Bureau of Narcotics Enforcement, New York City’s Department of Health and Mental Hygiene, and the district attorney offices of Manhattan, Queens, Staten Island, and the Bronx. The project will engage Health Research Inc. (HRI) as an evaluator. Priority considerations addressed in this application include an opportunity to benefit individuals residing in high-poverty areas and areas impacted by high rates of overdose deaths.

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City of Newburyport

MA

The City of Newburyport, Massachusetts, leads the Essex County Outreach (ECO) program. The primary focus of the project is law enforcement and first responder deflection and diversion programming (98 percent of the budget), followed by real-time data collection (two percent of the budget). This project serves the area of Essex County, which has a population of 785,205. ECO is a police-directed post-overdose outreach model and serves to make treatment more accessible for those struggling with substance use disorder (SUD) and their families. The key components of this program are informed by a recent Sequential Intercept Mapping Model (SIM) process that ECO completed, as well as lessons learned from the first four ECO program years. The ECO COSSAP grant prioritizes the following strategies that have emerged as gaps in resources: (1) program coordination/administrative support; (2) funding for police overtime for post-overdose follow-up visits; (3) clinical/child advocacy services; (4) housing and transportation resources to support clients in early stages of recovery; (5) addiction and recovery training for police officers; and (6) expansion of access to harm reduction supplies/kits. This project includes partnerships between the 34 police departments in Essex County, the Essex County Sheriff’s Department, and all local treatment providers and community service providers. ECO is administered by the Newburyport Police Department along with the Essex County Chief’s Association. The research partner for this project will maintain the Critical Incident Management System (CIMS) software which records real-time data on all overdoses that occur in Essex County. CIMS also manages and documents incident follow-up outreach visits to determine the success at connecting individuals with treatment services, shares information across communities using a county-wide incident notification system and provides real-time reporting tools.

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City of Newburyport

MA

Newburyport Police Department (NPD) in Massachusetts, one of the founding departments of the Essex County Outreach Program, proposes to expand the outreach program to encompass all of Essex County. The Essex County Outreach Program is a series of stigma-free entry points to treatment on demand. The program supports nonarrest or early diversion program models that reach people before they enter the criminal justice system. The program supports multiple law enforcement entry points to treatment, including self-referrals to the stations. Cross-sector collaboration and partnerships are key to the program’s success which is supported by clinicians, social workers, recovery coaches, and trained volunteers.

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City of Olympia

WA

The City of Olympia, Washington, faces a multifaceted crisis of factors related to homelessness, the opioid epidemic, lack of available mental health services, and challenges within the legal system to provide holistic solutions that address the needs of people engaging in low-level criminal activity. By investing in intentional collaboration between local government, social services providers, and research professionals. The City of Olympia believes these challenges can be addressed in a compassionate, evidenced-based way to help reduce the strain on emergency management and create opportunities for success among people impacted by behavioral health issues and criminal justice involvement. There are two primary activities of the project: training for city-employed first responders, and support for case management, peer support, and mental health services for community members. The training topics outlined in this proposal support the continuing education of crisis workers, firefighters, and paramedics during times of crisis, along with tools and resources to cope with the immense secondary trauma they experience that often leads to high burnout. The expansion of capacity in both hours of operation and caseload of a diversion program operated by Catholic Community Services of Western Washington, and the creation of an adult mental health program within the same agency, will provide meaningful solutions to the long-term needs of the community. By utilizing a coordinated approach, the city seeks to improve direct referral pathways from highly competent and well-resourced first responders to appropriate resources for relationship-based support, creating a compassionate and effective response to a community-wide struggle. Throughout the course of the project, a comprehensive process and outcome evaluation will be conducted by a highly-qualified research team at Washington State University. The project partners anticipate outcomes that include measurable increases in perceived and demonstrated skills for first responders, increased client contacts within the diversion program, the existence and operation of a community-based mental health program providing individual and group therapy, peer services, and psychiatric medication management, and decreased dispatch call volume for behavioral health incidents.

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City of Orlando

FL

The City of Orlando is applying for a Category 1 award in the amount of $685,458. The Orlando Police Department (OPD) Comprehensive Opioid Victim Advocacy and Enforcement Program will strengthen OPD’s overdose response efforts to both victims and families and free up investigators to close currently open cases. This will be accomplished, in part, by hiring two victim advocates who will focus on providing more in-depth victim services for survivors and families of overdose victims through embedded social services. The project will also increase investigator capacity to investigate overdoses and prosecute drug dealers by lessening the burden on investigators to follow up with families. We are also requesting funds for overtime pay for the sworn members of the Overdose Investigative Unit, who will have more time to focus on investigations and an increased caseload capacity once the victim advocates are hired and taking care of the social services aspects of the response to an overdose. Additional funds requested will allow three members of the Unit to travel to scheduled grant workshops in Year 2 and Year 3 of the grant. Funding is also being requested to provide the Overdose Investigative Unit with a laser Fentanyl detection device. This device will help to ensure the safety of the Victim Advocates, investigating officers, and the families of the victims as they will help create situational awareness of the presence of Fentanyl at overdose scenes. A second goal of the project will be to create safer communities by eliminating opioids and other illegal substances. To help facilitate this goal, we request funding for the purchase of one night vision device with a mount to facilitate agents’ ability to conduct surveillance in low-light environments. We will also utilize funds to purchase covert cameras to be placed in locations with high drug traffic activity. The covert cameras will be used to gather information on suspects and acquire probable cause for search warrants where drugs are being sold. It is anticipated that the footage captured on these cameras will help facilitate suspect identification and prosecutorial success while taking deadly drugs off the streets and helping save lives. We also request funding to purchase two high-powered computers to run a software product called Cellebrite Reader. Overdose investigations into opioid-related overdose deaths and the successful identification of the primary and additional suspects responsible often lead to collecting a suspect’s cell phone(s) as evidence. Once a search warrant is signed, the Digital Forensic Unit conducts a physical examination of the device. However, the Digital Forensic Unit has limited resources and time to undertake prolonged data analysis. Therefore, the device’s data is transferred to a hard drive and returned to the detective for research, review, and analysis utilizing a program called Cellebrite Reader, which allows for the quick and efficient review of large data files. While OPD currently owns the software, and it is being used successfully within its Homicide and Special Victims Units, the Overdose Investigative Unit requires the purchase of computers with architecture powerful enough to run it. These computers will not be on the City Network and will not be serviced through City IT. They will be instrumental in comprehensively and efficiently collecting data from suspects' cell phones, collecting evidence, and assisting with investigations. The combination of the night vision devices, the covert cameras, and the computers to run Cellebrite Reader software will help in our goal to increase investigator capacity to take dangerous opioids, stimulants, and other illegal drugs and those who sell them off the streets. Priority considerations addressed in this application include high rates of overdose deaths in the City of Orlando.

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City of Palmer

AK

The Palmer, Alaska, Police Department is leading this project on behalf of the Drug Endangered Children Multidisciplinary Task Force (MDT). The MDT was created to address gaps in the response to drug endangered children and their families living in Alaska’s Matanuska-Susitna Borough, to improve communication among agencies serving these populations, and to create a streamlined approach to providing family-centered, early intervention services to this population, with a goal of reducing both child victimization and repeat interactions between families and MDT member agencies. Grant funds will be used to hire a full-time MDT and drug endangered children (DEC) project coordinator to support MDT member agencies in adhering to newly established protocols, keep agencies on task, and collect, track, and analyze relevant data to determine the MDT’s efficacy in achieving its goals. Activities under this project include (1) real-time data collection and evaluation, which will help the MDT better understand the extent of the issue, the number of families referred to services, and determine the efficacy of the MDT’s efforts and adjust processes as needed; and (2) law enforcement and first responder deflection and diversion, through early identification and referrals of drug endangered children and their families to appropriate services to reduce repeat interactions. Roughly 50 percent of the project’s proposed budget is allocated to these uses, either through direct hires or contracts to hire family advocates to provide services and an evaluator to assist in identifying, collecting, and evaluating relevant data. Priority considerations addressed in this application include advancing racial equity and support for underserved communities (Alaska Native populations). This project serves residents of Alaska’s Matanuska-Susitna Borough and includes a partnership between the Alaska State Troopers, Alaska Youth and Family Network, Chickaloon Village Traditional Council, Knik Tribe, Mat-Su Regional Medical Center, Matanuska Susitna Borough School District, Palmer Police Department, State of Alaska Office of Children’s Services, Southcentral Regional Office, State of Alaska, Attorney General’s Office, Civil Division, State of Alaska Palmer District Attorney’s Office, Set Free Alaska, The Children’s Place (Regional Child Advocacy Center), and Wasilla Police Department.

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City of Port St. Lucie

FL

The City of Port St. Lucie (PSL) is located on the Southeast Coast of Florida with a population of 217,523 spread over an area of about 120 square miles. PSL has grown by 32.2 percent since 2010, at a rate of about 2.9 percent annually and has a population density of 1,843 people per square mile. This growth has brought with it considerable challenges, which includes the proliferation of drug overdoses. For this project, the Port St. Lucie Police Department (PSLPD) received grant funding for an Overdose Intervention Diversion Detective (OIDD) to expand its efforts to establish an enhanced response to opioid abuse within the city over grant period. The need to have a OIDD to focus on these cases is apparent and the traditional law enforcement response has proven inadequate to effectively address this growing concern in our community. This grant would help fund investigation of overdose cases and provide a critical service to the victims and families by connecting them to the community resources in place to address this issue. The number of overdose cases has had a negative impact on the community and made this detective position a vital necessity to response to overdoses. PSLPD recognizes that enforcement alone will not address this crisis, but by working together with various community partners, PSLPD believes it will increase access to and availability of substance treatment and recovery support along with education and outreach to the community. PSLPD will collect data on a continual basis to measure the effectiveness of the program by tracking the most at risk citizens for overdoses through daily review of overdose incidents reported in the records management system and the Overdose Detection Mapping Application Program (ODMAP). PSLPD also employs the lifesaving use naloxone to reverse the effect of an opioid overdose, which is assigned to every sworn officer.

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City of Saint Paul

MN

The City of St. Paul Police Department (SPPD) applied for Category 1b suburban area grant funding in the amount of $412,125. The Recovery Access Program (RAP) includes an embedded Licensed Alcohol and Drug Counselor (LADC) from the nonprofit organization People Incorporated to assist in connecting individuals with a substance use disorder or substance use related concerns to applicable services and supports, as well as responding after a non-fatal overdose incident to offer services and harm reduction resources. An SPPD officer is assigned to RAP to assist with the Naloxone Plus Model and Drug Surveillance Program. Funds are also used to hire an internal SPPD data analyst to collect and manage program performance and evaluation data for the purposes of program improvement and program sustainability beyond grant funding. This project serves the city of St. Paul’s population of about 310,000 individuals. The project includes partnerships with the University of Wisconsin-Madison Population Health Institute. Priority considerations addressed in this application include Qualified Opportunity zones and high-poverty area.

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City of Searcy

AR

The City of Searcy is applying for a Category 1 award in the amount of $600,000. The Searcy Police Department Comprehensive Opioid, Stimulant, and Substance Abuse (COSSA) project will promote a higher level of cooperation and collaboration among the local agencies; improve the effectiveness of law enforcement to combat illicit opioid use, possession, and distribution and to improve interdiction efforts through training that focuses on up-to-date and relevant information about opioid misuse protocols, the importance of sharing information statewide, and collaboration between Drug Task Force members and law enforcement in general; and support and offer assistance to those affected by opioid use and opioid overdose. This collaborative effort will produce more effective investigations, prosecutions, treatment, and recovery involving opioids. This project serves Searcy, the largest city and county seat of White County, Arkansas, which has a population of 23,660. The project includes partnerships between the Searcy Police Department, the White County Sheriff’s Office, the Prairie County Sheriff’s Office, the Lonoke County Sheriff’s Office, the Central Arkansas Drug Task Force, and health and rehabilitation community partners.

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City of Seattle

WA

The Seattle, Washington, Police Department is testing a program that provides transitional housing and other services to reentering justice-involved women with substance use disorder (SUD) histories who will be returning to Seattle and adjacent locations within King County after transitioning from prison to the community. Using a case-management approach to address women’s multiple service and treatment needs will improve reintegration and is expected to lead to better outcomes for program participants. Allowable activities include: law enforcement deflection and diversion (15 percent); use of real-time data (20 percent); evidence-based SUD treatment related to opioids, stimulants; other illicit drugs MAT, harm-reduction activities, and recovery-support services (30 percent); and transitional or recovery housing and peer recovery-support services (35 percent). Despite previous and ongoing efforts to address the drug-use epidemic, relatively little has been done to specifically address the needs of justice-involved women with SUD histories who are returning to the communities after a period of incarceration. To target justice-involved women with SUD histories, the project aims to align with and enhance existing efforts by: (1) increasing the knowledge and sensitivity of law-enforcement officers to identify and interact with justice-involved women with SUD histories in the community; (2) establishing methods and measures for improving needs and service assessment of justice-involved women with SUD histories before release to the community and regularly across a 12-month period to capture changes in needs regarding social services and SUD treatment; (3) providing housing for reentering women, working with Washington Department of Corrections on a stable housing location with associated program and education options; and (4) coordinating programming and SUD treatment for reentering women including facilitating connections to MAT and other treatment services in the community. Partnering with the Washington Department of Corrections to provide housing, programming and other services, this project will help to fill the gaps in knowledge about this population’s needs and a team of New York University researchers will evaluate the process and document the outcomes.

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City of Waterbury

CT

The City of Waterbury Department of Public Health is applying for Category 1 funding in the amount of $900,000. Waterbury’s Warm Hand-Off Program (WHOP) is a law enforcement and other first responder diversion program that offers a multidisciplinary overdose (OD) prevention, response, and referral-to-treatment model similar to LEAD and PAARI models. WHOP is designed to ensure early, immediate, and repeated referral to treatment for OD survivors by means of an OD Response Team modeled after Waterbury’s Crisis Intervention Team. WHOP will connect OD survivors at the scene of an overdose or at hospital emergency departments to harm reduction tools, family support services, and treatment for substance use disorders through the utilization of two full-time trained recovery coaches and Waterbury police partners. All first responders in the city, along with Waterbury Health Department and other city agencies, will collect and analyze data on opioid overdose by geographic information system (GIS) location, risk factors, and response efforts. The team will also enhance a targeted response to the highest-risk overdose survivors to improve their chances of survival and linkage to care. In addition, a cloud-based data collection software service will improve the capture, management, and retention of secure program-related data. The goal of the project is to reduce opioid overdose and overdose-related deaths in the City of Waterbury. The project serves the City of Waterbury, with a population of 110,366. The project includes partnerships with the Waterbury Police Department, the Waterbury Fire Department, the Office of the Mayor, the Waterbury Public Works Department, the Northwest Connecticut Public Safety Communications Center, American Medical Response & Trinity Health of New England’s Emergency Medical Services, the Greater Waterbury Health Improvement Partnership, and the New England High Intensity Drug Trafficking Area. The project will engage the University of Connecticut as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community and will benefit individuals residing in high-poverty areas or persistent-poverty counties.

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City of West Allis

WI

The City of West Allis Fire Department (WAFD) is applying for Category 1 funding in the amount of $900,000. The Mobile Integrated Health MAT Access Advocate Program (MAAP) will expand the range and capability of the West Allis Fire Department’s Mobile Integrated Health (MIH) team to facilitate MIH and medication-assisted treatment (MAT) services to every Milwaukee County municipality, as well as support the development of training materials to allow for application of sustainable MIH practices across the entire county. WAFD’s MIH team pairs a community paramedic and a certified peer recovery support specialist who provide targeted outreach and facilitate new enrollments or reengagements to MAT services, reaching the opioid use disorder (OUD) population via either real-time, 24/7 response to overdose emergencies or visitation to patients referred to the program from local and regional partners. MAAP will connect with each participating municipality’s local framework to establish a referral process and connect the local effort to broader regional efforts. A local hospital will provide MAT (including buprenorphine induction), mental health screening with counseling, and warm handoffs to primary care and community MAT clinics. MAPP will educate police, fire, and health departments in all Milwaukee County suburbs on how they can adopt the West Allis OUD outreach practices. MAAP will also work with county stakeholders to ensure children impacted by substance misuse receive required services. The project serves Milwaukee County, which comprises 19 municipalities and has a population of 945,726. The project includes partnerships with the Medical College of Wisconsin, the Milwaukee County Assistant District Attorney, the Milwaukee County House of Corrections, the Milwaukee County Opioid Fatality Review team, the Milwaukee County Medical Examiner’s Office, the Milwaukee Fire Department Opioid Response Initiative, the Wisconsin Department of Health Service, and the Milwaukee County Office of Emergency Management. The project will engage Dr. Jennifer Hernandez-Meier of the Departments of Emergency Medicine and Psychiatry at the Medical College of Wisconsin as the primary research and evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities.

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City of Woonsocket

RI

The City of Woonsocket Police Department is applying for a Category 1, Subcategory 1b award in the amount of $819,109. The Woonsocket LEADER in Treatment Program will implement the Law Enforcement Assisted Deflection, Engagement, and Retention (LEADER) in Treatment program. The LEADER in Treatment program will divert individuals with a substance use disorder or co-occurring disorders before formally entering the criminal justice system at the post-arrest/pre-prosecution stage.  The service area for this program is regional.  The program will be based out of the city of Woonsocket, although the program will also serve residents of Lincoln (population 21,105), Cumberland (population 35,263), North Smithfield (population 12,582), Pawtucket (population 72,117), Central Falls (population 19,568), and Providence (population 179,194) who are routinely arrested by the Woonsocket Police Department due to geographic proximity. The project includes partnerships between Community Care Alliance. This project will engage Rulo Strategies LLC, which will partner with researchers from Brown University as the research partner for this project. Priority considerations addressed in this application include that Woonsocket has been disproportionately impacted by the opioid crisis and is a community with a high rate of poverty.

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Clackamas County, Health Housing and Human Services

OR

Clackamas County applied for grant funding in the amount of $900,000 under Category 1B for the Law Enforcement Assisted Diversion (LEAD) Plus project. This project serves the 424,747 residents of Clackamas County, which consists of urban, suburban, and rural areas spanning 1,879 square miles (larger than the state of Rhode Island). The goals of LEAD Plus were to continue and enhance Clackamas County’s LEAD program and to support aligned system work. Clackamas County has achieved the first of these goals by securing sustainable funding for LEAD. The LEAD program in Clackamas County offers support for individuals experiencing unmet needs associated with homelessness, mental health, and substance use. Through outreach, intensive case management, and system navigation, it aims to reduce involvement in the criminal justice system. LEAD is now administered by a different division within Clackamas County, operating without grant funding. The Children, Family, & Community Connections Division is continuing to implement LEAD Plus through efforts to coordinate substance use and overdose prevention initiatives in the county, increase the capacity of the local public safety system to address systemic issues that will reduce disparities, and implement efficient strategies for data collection. Key partners included in this project include the Clackamas County District Attorney’s Office, Clackamas County Sheriff’s Office, Milwaukie Police Department, Clackamas County’s Health, Housing and Human Services Department, and local behavioral health, housing, and substance use prevention and treatment professionals.

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Clermont County Mental Health and Recovery Board

OH

The Clermont County Mental Health and Recovery Board (CCMHB) is applying for Category 1 funding in the amount of $858,171. The project will enable the expansion of existing Quick Response Teams (QRTs) in Clermont County. The CCMHRB will expand two of the three QRTs, with a focus on improving outreach and treatment connection rates; increase QRT outreach provided by the Clermont County Sheriff Office's (CCSO) QRT; enhance the QRTs to include a mental health professional to address mental health concerns encountered on QRT outreach attempts; and hire a coordinator to implement a "Handle with Care" program to provide support to children who encounter an overdose and/or have had their parents involved in recent drug charges. The goal of the project is to reduce overdoses and provide connection to treatment and support services for individuals with an opioid misuse disorder and/or a stimulant misuse disorder and their families/loved ones. It is estimated that 300 Clermont County residents will be served by the project annually, including youth and adults. The project serves Clermont County, a largely rural county with a population of 208,234. The project includes partnerships with the CCSO, Greater Cincinnati Behavioral Health, Child Focus (a children’s mental health provider), and local school districts and law enforcement agencies. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community.

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Cobb County

GA

Cobb County is applying for Category 1 funding in the amount of $1,200,000. The Cobb County COSSAP Initiative will feature an alternative-to-incarceration program that serves individuals at high risk for overdose or substance misuse whereby the county jail will offer case management services to opioid-involved offenders, including access to treatment/recovery programs, as well as life skills and other assistance programs. The Zone, a local community recovery organization, will employ a K-12 education consultant who will deliver a six-hour curriculum to elementary, middle, and high school students about substance use disorders that includes information about available resources for detoxification, rehabilitation, accountability courts, intensive outpatient programs, sober living, and aftercare. The project will also train peer support specialists and Crisis Response Team members to be available to law enforcement to respond to drug overdoses, including those where children might be present, through projects initiated by the Cobb County Fire Department and the Marietta Police Department and provide participants of Cobb County Accountability Courts and Pre-trial Diversion with weekly one-on-one recovery coaching, an individualized recovery plan, and job readiness training. Cobb County will also purchase naloxone for community-wide distribution and training. The project serves Cobb County, which has a population of approximately 760,000. The project includes partnerships with the District Attorney's Office (specifically its Major Narcotics Unit and Victim Witness Unit), the Cobb and Douglas Department of Public Health, the Cobb Office of the Medical Examiner, the Cobb County Police Department, Cobb Fire and Emergency Services, and the Zone. The project will engage Applied Research Services (ARS), Inc., as a research/evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Cocke County, Tennessee, Government

TN

Cocke County Government, located in the rural Appalachian Mountain region of eastern Tennessee, applied for grant funding under Subcategory 1b in the amount of $899,488. This project serves Tennessee's 4th Judicial District, which includes Cocke, Sevier, Jefferson, and Grainger counties and has a total combined population of 212,069. The purpose of the proposed Tennessee Recovery Oriented Compliance Strategy (TN-ROCS) Enhancement and Evaluation project is (1) to increase the capacity of this innovative court-based intervention program to link individuals across the district at high risk of overdose to appropriate, evidence-based behavioral health treatment and recovery support services; and (2) to independently validate the TN-ROCS model, such that key findings related to program quality and implementation fidelity can inform current and future data-driven expansion efforts. This project includes partnerships between Cocke County, 4th Judicial District Circuit Court Judge Duane Slone, Dr. Stephen Loyd, Dr. Jennifer Anderson, American Institutes for Research, and Rulo Strategies. All four priority considerations are addressed in this application. Cocke County is a geographically isolated rural area that is plagued by persistently high rates of poverty, substance use, and overdose fatality. Additionally, one census tract within Cocke County (9207.00) has been designated as a Qualified Opportunity Zone.

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Colorado Department of Public Health and Environment

CO

The Colorado Department of Public Health and Environment (CDPHE) applied for Category 2 statewide area grant funding in the amount of $6,000,000. The Colorado Opioid, Stimulant, and Substance Abuse Project will support comprehensive, collaborative initiatives in selected areas through a competitive request for applications from local public health, law enforcement, and substance use treatment providers serving residents in seven rural counties to conduct one or more of the BJA allowable uses of the funding to meet the specific local needs. Deliverables of the project include the selection and provision of at least six subawards within six months of the grant award, at least six contracts and scopes of work, a BJA-required implementation manual, an annual summary of the site project, project accomplishments from each site (sub-award), coordinated cross-site training and peer-to-peer learning, quarterly process data, annual evaluation data, and a written evaluation report at the end of the grant period. This project serves seven rural counties: Bent, Costilla, Crowley, Huerfano, Otero, Prowers, and Saguache. The project includes partnerships between the Prevention Services Division of CDPHE and the Office of Behavioral Health of the Colorado Department of Human Services, as well as local public health, law enforcement, and substance use treatment partners in the seven counties. Priority considerations addressed in this application include rural and high-poverty areas containing economic opportunity zones. Partner agencies and activities will be specified after a competitive Request for Applications is released in February 2021, the applications are reviewed, and awards are made.

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Commonwealth of Massachusetts dba Middlesex Sheriff's Office

MA

The Commonwealth of Massachusetts, dba Middlesex Sheriff’s Office, applied for a Category 1a urban area grant in the amount of $1,152,729. The Involving Families in Treatment of Inmates with Opioid Use Disorder (OUD) Project will reduce opioid overdose deaths and improve treatment outcomes for inmates with opioid use disorder by providing naloxone to family members and involving them in treatment. Through an enhancement of the Medication-Assisted Treatment and Directed Opioid Recovery (MATADOR) Program — which provides naltrexone, buprenorphine, methadone, and case management services — the proposed project activities include: (1) development and implementation of naloxone trainings and naloxone distribution for family members of inmates with OUD; (2) provision of a comprehensive family services program for inmates with substance use disorders, including outreach to engage families in the project, educational programs for families on substance use disorder, family counseling, and support groups, and (3) an evaluation of the project’s impact in improving treatment outcomes and reducing the risk of overdose deaths. This project serves Middlesex County, located in northeastern Massachusetts. Middlesex County, the most populous county in New England, has 1.6 million residents. The project includes partnership with Brandeis University. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and high rates of overdose deaths.

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Commonwealth of Massachusetts, Sheriff's Department Hampden

MA

The Commonwealth of Massachusetts Sheriff’s Department Hampden applied for a Category 1b suburban area grant in the amount of $900,000. Hampden County Sheriff’s Department’s All Inclusive Support Service Program will reduce opioid-related overdoses and related fatalities. The program will take a multipronged approach to (1) enhance a database in Hampden County that will allow for the collection, analysis, and dissemination of comprehensive, real-time overdose information, and (2) implement a law enforcement, first responder-driven multidisciplinary overdose prevention, response, and diversion referral model known as the Rapid Response and Connection Program. This project serves Hampden County, Massachusetts, which has a population of 470,406. The project includes partnerships between the Hampden County Sheriff’s Department, Office of the District Attorney, Baystate Medical Center, Trinity Health Mercy Medical Center, local law enforcement entities, and other established community partners. Priority considerations addressed in project include the disproportionate impact from substance use on a rural, high-poverty census tract and public safety impact in Qualified Opportunity Zones.

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Confederated Tribes of the Grand Ronde Community of Oregon

OR

The Confederated Tribes of the Grand Ronde Community of Oregon (the Tribe) is applying for a Category 1 award in the amount of $598,977. The Grand Ronde Opioid and Stimulant Site-Based Project will improve community awareness of drug use and help develop collaborative expanded prevention and intervention programs in treatment and counseling, transitional housing, and community school prevention and education. The objectives include creating a men’s transition house program for a house that a state marijuana tax grant is buying, including creating policies and procedures, providing household supplies, and linking to health care, employment training, and education support services; hiring a school resource officer and creating a program at the local public school district that the Tribe’s members attend; helping with start-up and operations of a new medication-assisted treatment (MAT) clinic in Portland by buying methadone dispensers and providing a peer support specialist; and performing additional outreach and education in Grand Ronde based on expanding programs to address drug use and addiction and assisting with comprehensive program development. This project serves the Tribe’s six-county service area, which includes the Reservation community of Grand Ronde on the Polk-Yamhill county line, adjacent to the city (and the school district) of Willamina. It also includes Salem, where the Tribe just opened a MAT clinic, and Multnomah County, which includes the Tribe’s in-development Portland MAT clinic. The Tribe has 5,572 members, although the Portland MAT project will focus on serving the Tribe’s members in the Portland metropolitan area as well as descendants and other Native Americans. There are 22,598 just in the core tri-county area of Portland. The Tribe will also serve other local area residents, as capacity allows, who need care and want to use the Tribe’s recovery model. The project includes partnerships between Tribal departments with their own authority working with each other (Tribal Police Department, Health and Wellness, Social Services, and Education) and the Willamina Public School District. Priority considerations addressed in this application include the fact that Willamina and Grand Ronde are in a federal low-income opportunity zone. The project will advance the promotion of civil rights and benefit individuals residing in high-poverty areas or persistent-poverty counties.

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Connecticut Department of Mental Health and Addiction Services

CT

The Connecticut Department of Mental Health and Addiction Services (DMHAS) is applying for Category 2 funding in the amount of $5,999,998. The Community and Law Enforcement for Addiction Recovery (CLEAR) Project is a multilateral, community-based opioid overdose response program that will be piloted in six jurisdictions across Connecticut. The CLEAR Project will establish partnerships between community agencies and law enforcement to increase connections to care for people with a substance use disorder (SUD) and create a collaborative response to addiction among community partners. For each jurisdiction, the CLEAR Project will conduct assessments; implement an IPIS/Cordata Integrated System for data tracking and referral management; establish a coordinated safety net of recovery coaches and overdose response teams; support families, including through the identification and referral to services of children impacted by a family member’s SUD; increase access to medication-assisted treatment; and implement a community-based, data-driven dispatch response to surges in overdoses. The goal is to create a replicable model for overdose response that can be scaled in communities across the entire state. Sites were selected based on need, population diversity, and readiness to implement the program. The project serves Bridgeport, Greenwich, Norwalk, Torrington, Winsted, and the State Police Troop B and State Police Troop L service districts; together, the districts represent much of Fairfield and Litchfield counties. The project includes partnerships between DMHAS and the McCall Center for Behavioral Health, Liberation Programs Inc., the Bridgeport Police Department, the Greenwich Police Department, the Norwalk Police Department, the Torrington Police Department, and the Winsted Police Department. The project will engage Dr. Carol Gregory and Dr. Kelly Firesheets as evaluation partners. Priority considerations addressed in this application include a high rates of overdose deaths. The project will also benefit individuals residing in high-poverty areas.

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Cook County

IL

This project serves Cook County, Illinois’ 5.2 million residents. The purpose of the project is to further develop a regional learning health system approach to substance use disorder (SUD) care for justice-involved individuals. The proposed project builds upon and enhances the work underway through the Cook County Health (CCH) fiscal year 2020 COSSAP site-based program to: (1) expand the partnerships of the Cook County Community Recovery Learning and Action Network (CCCR-LAN), a regional multisectoral collaborative that guides the COSSAP-funded efforts; (2) expand and optimize the Cook County Recovery Home Coordinated Capacity Project, a recovery home navigation program successfully piloted in February 2022 that has received 36 referrals with 22 percent successful placement rate; (3) expand the scope of the CCCR-LAN to include improved access to SUD care for individuals on electronic monitoring; and (4) implement a data-sharing linkage between County Care and Cook County Adult Probation to improve enrollment in the Medicaid health plan and engagement in care coordination services. This project aims address three allowable uses of funds: (1) evidence-based SUD treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (30 percent); (2) recovery housing and peer recovery support services (40 percent); (3) embedding social workers, peers, and/or persons with lives experience within the Sequential Intercept Model (30 percent). The project will work with partners from criminal justice, recovery housing, SUD treatment, harm reduction, state agencies, social service, healthcare, and public health organizations who have demonstrated their commitment to the goals of this initiative and to active participation in the CCCR-LAN. CCH anticipates this project will result in improved access to and coordination of SUD care and recovery support services for justice-involved individuals in Cook County, which they hope will lead to improved health outcomes, including reduced risk of drug overdose, for this population.

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Cook County Health

IL

Through this funding, Cook County Health will (1) convene the Cook County Community Recovery Learning and Action Network to address recovery housing capacity and coordination; (2) begin development of a real-time, regional recovery housing information system, including collection, analysis, and dissemination across partners; (3) with partners, conduct a feasibility study for a low barrier, harm reduction and recovery-oriented, transitional housing model for justice-involved individuals with SUD to address gaps in the current recovery housing landscape. Work towards a pilot in years 2 and 3; and (4) support recovery home beds and recovery support services for corrections-involved individuals. This project serves Cook County, Illinois, which has 5.2 million residents. The project includes partnerships with transitional and recovery housing providers, substance use treatment providers, criminal justice partners, state agencies, community-based partners, and public health organizations. Priority considerations addressed in this application include high-poverty areas, and this project will offer enhancements to public safety in economically distressed communities (Qualified Opportunity Zones).

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County of Amador

CA

The Amador County Sheriff's Office, in Amador County, California, is located approximately 45 miles southeast of Sacramento in a part of California known as the foothills of the Sierra Nevada Mountains. In 2021, the population was estimated at approximately 41,259 residents, which includes a state prison. This project supports a jail-based project in Amador County. The Amador County Sheriff's Office will establish a comprehensive reentry program that involves three core components: (1) Discharge planning; (2) Job training; and (3) Peer recovery support.

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County of Cambria

PA

The Cambria County, Pennsylvania, project will expand access to transitional housing, case management services, and workforce development for individuals who have left incarceration and are on probation services with Cambria County Adult Probation and Parole Services. The project will focus on the following: (1) Partner with Breaking the Barriers to provide recovery housing and case management services to up to 90 individuals over the life of the grant. (2) Partner with Goodwill of the Southern Alleghenies to provide workforce development and education services to up to 100 individuals over the life of the grant. (3) Partner with a researcher to continue to provide research-based strategies to identify treatment/resource needs, address system gaps, and evaluate program effectiveness through objective measures. Planned activities/allowable uses include evidence based substance use disorder treatment related to opioids, stimulants, and other drugs, such as MAT, as well as harm reduction activities and recovery support services for pre-trial and post-trial populations leaving jail or residential treatment programs.

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County of Chesterfield

VA

The Chesterfield County Sheriff's Office project serves a population of over 500,000. The initiative will allow the Chesterfield County Sheriff's Office to expand evidence-based substance use treatment, peer recovery support services, and recovery housing for justice-involved individuals at multiple intercepts. These services are essential to supporting treatment engagement. The project addresses COSSUP's allowable use of implementing evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs and recovery support services for pre-trial and post-trial populations leaving jail. Deliverables include providing case management, treatment, and discharge planning for 300 individuals, providing recovery housing for 130 justice-involved individuals, providing peer recovery support services to up to 240 justice-involved individuals, and providing evidence-based supervision and treatment to up to 240 individuals on pretrial supervision over the life of the grant.

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County of Dallas

TX

The Dallas County Criminal Justice Department project focuses on supporting and enhancing its Pretrial Diversion Assessment Program (PTDAP). The funding request is to hire 3 full-time program clinicians to complete pretrial diversion evidenced based assessments, 1 full-time program coordinator to support the program, and funding for program evaluation and research. The grant will expand access to treatment and recovery support services for individuals with substance use disorders in the criminal justice system, specifically first-time felony offenders charged with a low-level, non-violent offense. Dallas County's PTDAP started in July 2021 and needs continued and expanded funding to support the growing program and to continue operation. The project will complete evidence-based risk-need-responsivity assessments on pretrial defendants by a program clinician. This will provide individualized recommendations for the appropriate pretrial diversion program, treatment, and recovery support services. When the defendant successfully completes his/her pretrial diversion program, his/her case is dismissed and expunged, preventing a felony conviction. The PTDAP will serve any eligible defendant within Dallas County, an urban county with a population of approximately 2.6 million. It is estimated that around 600 defendants a year in Dallas County would qualify for the PTDAP. The primary activities of the PTDAP are to provide a post-booking treatment alternative-to-incarceration program, pretrial diversion program; to enable court programming to prioritize and expedite treatment and recovery services for individuals at high-risk of overdose and substance use disorder; and to increase access to evidenced-based treatment. The project goal is to expand and expedite pretrial diversion for firsttime felony offenders with eligible offenses, by leveraging a streamlined process and evidence-based assessments to determine the individual's needs for treatment, recovery support, resources, and appropriate diversion programs, reducing the number of defendants sent to prison, state jail, or released on probation and resulting in a conviction. The project's objectives include increasing referrals and assessments to racial minority groups and underserved communities to advance racial equity, reduce time to expedite the pretrial diversion process, and expand access to needed evidence-based substance use treatment and recovery support. This includes utilizing the assessments to screen defendants for needed for cognitive-behavioral treatment, Mediation Assisted Treatment (MAT), and other treatment and support to address those who have significant substance use history and are at higher risk of overdose.

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County of Greene

NY

Greene County is a fully rural county in upstate New York with a high burden of overdose. In 2021 the county rate of opioid involved overdose deaths was double the upstate New York average. That same year, Greene County ranked 2nd of 57 upstate New York counties for overdose deaths involving opioids and it ranked 1st for deaths involving heroin. Fentanyl drives the epidemic, with 88% of deaths in the last two years involving fentanyl, often in combination with stimulants, heroin or other substances. Fatality rates are particularly high in the Mountain Top, a remote region of the Catskill Mountains. Greene County Public Health will establish Data Driven Opioid and Recovery Coordination (DDORC) and aim to reduce overdose fatalities, and to decrease sub-county disparities in fatality rates. Specifically, Greene County will expand epidemiological surveillance of overdose trends and disparities in overdose volume and assess access and linkage to treatment and recovery resources. Greene County will also expand MAT services, focusing on linkage to care for justice-involved people and we will enhance Law Enforcement and First Responder Leave Behind and Diversion programs, as well as other novel programs for First Responder overdose response. All of this work will be guided collaboratively by the DDORC, a group of multidisciplinary stakeholders led jointly by Public Health and Public Safety. Specific project goals include: 1) utilize real-time overdose and other substance use related data to describe and address overdose risks, barriers and facilitating factors for substance use treatment and recovery, and disparities in accessing substance use related services; 2) increase access to evidence-based substance disorder treatment by expanding MAT services available at Greene County Public Health and build linkage to care systems between public health and public safety that specifically target justice-involved individuals; 3) increase coordination between public health and public safety partners through support of law enforcement diversion and overdose response programs and overdose-related EMS services; and 4) implement and convene a data-driven multidisciplinary coordinating body lead by Greene County Public Health with participation from public safety partners and other county and community-based agencies that serve people who use drugs. Greene County Public Health will coordinate this project in partnership with the Greene County Sheriff's Office and Albany Medical Center's Divisions of Prehospital Care and Addiction Medicine, sub-recipients, as well as with support from the Regional Emergency Medical Organization (REMO).

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County of Hamilton

OH

Hamilton County Public Health (HCPH)'s project will improve its response to overdose deaths and have more real time data as it relates to next of kin interviews and identify and support innovative community overdose prevention strategies as identified by the Overdose Fatality Review (OFR) Team. HCPH will expand the OFR and next-of-kin interviewing to increase access to qualitative data and create space for implementation of OFR recommendations. The primary activities that will be implemented include 1) Interview friends and family of deceased individuals; 2) Interview friends and family of individuals who currently have an SUD and may have suffered a nonfatal overdose; 3) Partner with Hamilton County Heroin Task Force to serve as liaison between HCPH, QRT, and local law enforcement; 4) Partner with an academic evaluator (Ohio University) to evaluate the project; 5) Develop a dashboard that showcases OFR activities and recommendations; 6) Develop a tool to determine which recommendations are suggested for funding; 7) Outreach to hospitals and funeral homes; 8) Lead OFR meetings. This project will serve Hamilton County residents. Expected project outcomes include increasing the number of next of kin interviews by 50%, obtaining a baseline number of interviews of loved ones who know someone in active addiction and implementing and providing funding for two OFR recommendations per project year.

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County of Hudson

NJ

The County of Hudson, New Jersey, project will serve the County of Hudson, which has an urban population of 702,463 residents. The purpose of this project is to expand upon several current initiatives that help prevent drug overdoses and reduce incidence of substance use across the county. The allowable activities incorporated within the project include law enforcement and first responder deflection and diversion; real-time data collection; services for families impacted by their family member's substance use; and embedding behavioral health professionals, peers, and/or persons with lived experience along the Sequential Intercept Model. Primary activities include: continuation of the Overdose Fatality Review Team (OFRT) bi-monthly meetings and decedent reviews for overdose fatalities; oversight of the OFRT sub-committee which develops recommendations for preventing and reducing overdose; embedding a Community Navigator and Peer Navigator within the Department of Health and Human Services who will receive clients via referrals from parole/probation officers and the courts, including family court and recovery court; launching a family support program which provides light case management and referrals/linkages to services to affected family members of justice-involved individuals with SUDs; community-wide naloxone kit distribution; crisis intervention trainings to the Hudson County Regional SWAT Team and other officers; and launching a mobile unit outreach program in collaboration with the Hudson County Sheriff's Office. Overall, the project will support the implementation and expansion of several evidence-based, data-driven solutions at the intersection of public health, public safety, and behavioral health. This project is critical to ensuring best practices at all levels of care to improve outcomes of justice-involved individuals with SUDs and reduce overdoses in the long-term.

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County of Lancaster Administration Building

SC

The Lancaster County Opioid Action Network project represents the work of over 40 public, private, civic, and faith-based partners working together over the past three years to address a range of community problems, especially opioid related crime, misuse, and overdose. The project attempts to reduce misuse by 20% in year one and by 30% in year two. With support from a Research Team, an extensive assessment of the problem will take place, including examination of underlying contributors. A series of strategies are along with a tracking system to provide real time feedback to practitioners. Based on cursory data analysis, several strategies are and include replication of Law Enforcement Assisted Diversion (LEAD), increased access to treatment resources, support for first responders impacted by the traumatic explosion of opioid deaths, and an overdose awareness and education component. The project will provide resources for training of every law enforcement officer in the county on LEAD (Law Enforcement Assisted Diversion), promote visible prescription drug take back strategies, and assist with training, handling, and distribution of Naloxone. Priority considerations include Opportunity Zone, Poverty, and Rural.

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County of Lenoir

NC

Lenoir County's project is a regional project serving two rural counties in eastern North Carolina-Lenoir and Greene Counties-with a combined population of greater than 50,000. The grant will expand evidence-based substance use treatment, recovery housing, and case management services for justice-involved individuals at multiple intercepts. Specifically, under this project, Lenoir and Greene County will: Provide recovery housing and case management services to up to 157 individuals over the life of the grant; Provide transportation support to up to 300 individuals over the life of the grant; Provide monthly structured, supervised visitation for children impacted by parental substance use in the family court system; Support identifiable and accessible prescription drug take-back programs for unused, controlled substances in the home; Provide evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs, as well as harm reduction activities and recovery support services; Partner with a researcher to continue to provide research-based strategies to identify treatment/resource needs, address system gaps, and evaluate program effectiveness through objective measures.

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County of Marion

OH

The Marion County Prosecutors Office in Marion County, Ohio, project will enhance the Prosecutor Intervention Program for people suffering from substance use disorders (SUD)/opioid use disorders (OUD). The target population for the program are individuals with SUD/OUD who encounter the criminal justice system and are charged by law enforcement with a low-level offense. It is well known that incarceration is not a suitable solution for people suffering with SUD/OUD, so the overarching goal of this program is to divert individuals from incarceration and instead place them in appropriate treatment, ensuring compliance with the treatment program, and help them achieve long-term recovery. The service area is all of Marion County, OH. Marion County is in North Central Ohio and encompasses 404 square miles. As of the 2020 census, the population of the county is 65,359 (census.gov, 2020) and has been identified as a rural area by the Federal Office of Rural Health Policy. In 2020, the Age-Adjusted rate of Unintentional Drug Overdose Deaths in Marion County was 60.6, 15 points higher than the Ohio average of 45.6 (Ohio Department of Health 2020 Drug Overdose Data). The Marion County Prosecutor Intervention Program (PIP) allows the Prosecuting Attorney to divert individuals struggling with SUD/OUD from the criminal justice system to appropriate treatment services. An assigned project coordinator works with each client to ensure: 1) Connections to appropriate treatment and community resources; 2) Stable housing; 3) and follow up engagement. Marion County has a unique level of collaboration within the county. Local law enforcement, EMS and fire, regional hospitals, Marion County Courts, and local treatment agencies recognize the need for additional services for the population struggling with SUD/OUD. The creation of the PIP program has strengthened the relationships and collaboration efforts of county agencies, creating a solid foundation to enhance their capability of responding and providing emergency treatment for those struggling with SUD/OUD as well as working to reduce overall recidivism rates and overpopulation of the jail system.

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County of Oneida

WI

The Oneida County Health Department proposes to advance the Oneida County Community Response Team (OC CRT) Law Enforcement and First Responder Deflection and Referral to Treatment Program and establish recovery housing, both of which involve the progression of peer recovery coach services. The purpose is to improve current comprehensive, multi-disciplinary, evidence-based, community centered referral to treatment programs at multiple intercepts of the criminal justice system and establish recovery supports that enhance treatment and health outcomes for individuals experiencing substance use concerns. Project activities include expanding law enforcement and first responder participation in OC CRT deflection activities, as well as, collaboration with the newly formed Criminal Justice Coordinative Committee to establish comprehensive diversion programs at multiple intercepts of the sequential model. The project emphasizes developing peer recovery coach services, as well as, the integration of social workers to provide case management and care coordination services. In addition, the project aims to build an Advancing Recovery Capital Workgroup focused on establishing recovery housing, including recovery support services, in the region. Expected outcomes include: improved coordination of public health and response agency efforts through multi-disciplinary teams, increased number of evidence-based interventions within the criminal justice system, decreases recidivism rates, increased linkages to care and engagement in treatment, increased availability of recovery support resources, improved housing stability, and reduced morbidity and mortality associated with substance use. Beneficiaries of this project include various organizations involved at different intercepts of the criminal justice system by reducing recidivism rates and the burden of addressing behavioral health concerns within the system. Individuals experiencing substance use concerns will experience improved health outcomes and the ability to become productive members of society. The general community benefits from reduced property and public order crime. Most importantly, by supporting caregivers experiencing substance use concerns, the project improves social determinants of health for children living in these environments and helps impact family cycles of addiction. Subrecipient activities include: law enforcement and first responders will participate in follow-up contact interventions; recovery support services will provide case management, care coordination, and skill building services; recovery housing subrecipient will coordinate and provide guidance on steps to establishing recovery housing, finding and updating suitable locations, and training on systems of operation; data analysis subrecipient will complete process and outcome evaluation and reporting activities.

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County of Page

VA

The Page County Sheriff’s Office proposes to develop the Page County Cognitive Mental Health and Substance Abuse Treatment Project that will provide cognitive behavioral treatment for individuals who are involved with the justice system as a result of their opioid use. The project includes a coordinator to manage the operations of a day reporting center where individuals can receive individual or group sessions in person or via teleconferencing. The project will fund equipment for the telehealth component and will serve the county of Page and the towns of Rileyville, Luray, Stanley, and Shenandoah. Project partners include Page County Sheriff’s Office, Page County Jail, Luray Police Department, Stanley Police Department, and the Shenandoah Police Department.

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County of Reno

KS

The Reno County Health Department will establish Medication Assisted Treatment (MAT) in the jail and implementation funding to support the work of an Overdose Fatality Review Board. Reno County's efforts in partnering to implement overdose mapping, and implementation of harm reduction activities have had positive interactions across our community. These activities have led to a spike alert protocol and messaging for citizens when dangerous substances were entering our community. Messaging, anti-stigma, and education efforts over the past two years have begun to change minds which is evident in the data collected in the 2022 Health Assessment which indicates that 66% of our population support harm reduction efforts and view substance misuse as a disease. Implementing MAT in the Reno County Correctional Facility will provide a harm reduction service to individuals who experience substance use disorder and enter incarceration. MAT is a resource to support jail administrators in providing effective treatment for individuals with opioid use disorder and helping to halt the opioid epidemic in the United States. Jails can be on the front lines of this epidemic, and they also are in a unique position to initiate treatment in a controlled, safe environment. MAT is a cornerstone for best practice for recovery from substance misuse, particularly when coupled with evidence based therapy offered from our partners. This will improve medical and mental health outcomes and reduce relapses and recidivism. Reno County is ready to implement harm reduction efforts that will provide equitable support for all citizens who are ready for recovery. Implementation of an Overdose Fatality Review Board will engage partners such as law enforcement, district attorneys, mental health providers, drug court, not-for-profits, medical partners, and families. The board will review data and activities from individuals who have passed due to an overdose, giving Reno County the opportunity to better understand if there was a missed opportunity to go further upstream and implement prevention methods. Allowing for the development of policies, and services to support individuals and families experiencing substance use disorder. These actions will support prevention efforts, recovery supports, reduce recidivism, and reduce secondary trauma based off the recommendations of this multidisciplinary team.

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County of Stanislaus

CA

Continuation funding from the BJA FY 2023 Comprehensive Opioid, Stimulant, and Substance Use Site-based Program (COSSUP), will enable Stanislaus County, California, to expand and enhance comprehensive programs to identify, respond to, treat, and support those impacted by the overdose crisis and the impacts of used and misuse of opioids, stimulants, or other substances. Lead agency for the project is County of Stanislaus, a unit of local government in California. Project partners are Stanislaus County Behavioral Health and Recovery Services, Center for Human Services and Stanislaus County Health Services Agency. County of Stanislaus's population is over 500,000. The project goal is to reduce the impact of the use and misuse of opioids, stimulants, and other substances on individuals and communities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives. This will be accomplished by embedding COAP-funded staff with the current Community Assessment, Response, and Engagement (CARE) Multidisciplinary Team (Evidence-based practice) colocated in Modesto, California. The project objectives are to support comprehensive, locally driven response to the use and misuse of opioids, stimulants, and other substances that expand access to treatment and recovery support services; support law enforcement-led deflection programs; and promote education and prevention activities. This will be accomplished by implementing a multidisciplinary overdose prevention, response, and deflection/diversion model led by law enforcement (CARE MDT); providing evidence-based SUD treatment such as Motivational Interviewing as well as harm reduction activities, including educating users on the proper use of Naloxone; and providing access to transitional/recovery housing and recovery support services. The project deliverables are to maintain a working relationship with the BJA supported COSSUP training and TA providers and to establish/maintain a multidisciplinary coordinating body that focused on addressing the issues that arise due to the use and misuse of opioids, stimulants, and other substances. The multidisciplinary coordinating body will be the CARE MDT, who will also collaborate closely with the Stanislaus County Opioid Safety Coalition. The will support: (1) Personnel costs; (2) Travel costs for BJA-required training and convening; (3) Program Supplies; (4) Recovery Housing; (5) Emergency Housing Vouchers. The service area is Stanislaus County, California including all towns and rural hamlets. The target population served by this grant will be primarily homeless individuals impacted by the overdose crisis in Stanislaus County.

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County of Tillamook

OR

Tillamook County, Oregon, will implement a project that is consistent with the goals, objectives, and intended outcomes of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP), which include reducing overdose deaths, promoting public safety, and supporting access to substance use disorder (SUD) treatment and recovery services, as well as evidence-based, culturally relevant interventions for adults and affected family members at any intercept point of the justice system. The purpose of the project is to continue to build upon the work and accomplishments of Opioid Use Response in Tillamook County (OUR Tillamook), a countywide, community-based, and multisectoral consortium that was formed in 2019 to address the opioid epidemic afflicting a rural, coastal region that is home to nearly 28,000 people residing in an area just over 1,100 square miles. The COSSUP initiative will address identified gaps and opportunities to expand prevention, treatment, and recovery services for individuals experiencing substance use disorder (SUD), and will primarily target opioid use disorder (OUD) experienced by low-income and uninsured/underinsured residents. Specific project activities will include: 1) delivering crisis intervention training to local law enforcement and first responders to assist efforts to deflect and divert individuals away from adult or juvenile justice systems; 2) the purchase of NARCAN (naloxone) and related supplies for law enforcement and first responders to administer and distribute in the field to prevent or reverse rural opioid overdoses and build community trust and participation; 3) continuing education and prevention programs that connect law enforcement agencies with K-12 students utilizing the Hazelden Betty Ford Foundation school-based prevention curriculum; and 4) hiring a peer support specialist to create a law enforcement liaison program to build bridges of support and collaboration between law enforcement officers and people with OUD in the justice system. By the end of the 36-month project period, expected outcomes will include: 1) the completion of mental health and SUD/OUD specific crisis intervention and de-escalation training for all law enforcement agencies and first responders; 2) administration or distribution of up to 100 doses of NARCAN per month in rural cases of confirmed or suspected opioid overdose; and 3) the continued delivery of the Hazelden Betty Ford Foundation school-based prevention program with active law enforcement participation at three local K-12 school districts during the grant period.

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Craven County Government

NC

The Craven County Sheriff’s Office is a unit of local government in New Bern, North Carolina, a rural area in Eastern North Carolina. Working with community partners, The Craven County Sherriff’s Office proposes to provide jail-based and re-entry programs to: (1) expand or enhance pre-booking or post-booking treatment or intervention programs that serve individuals at high risk for overdose or substance abuse; (2) expand or enhance embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model to assist persons in the criminal justice system and their families navigate the justice system and increase their connection to treatment and recovery support services (66 percent of the budget), and (3) expand and enhance evidence-based treatment and recovery support services including transitional or recovery housing (15 percent of the budget), transportation (7 percent of the budget), and peer recovery support services (12 percent of the budget). Funding from this grant will increase access to behavioral health treatment and services, improve linkage to peer specialists and recovery support, and provide transitional recovery housing to the most vulnerable individuals leaving the Craven County Jail.

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Crook County

OR

The Crook County Health Department’s Comprehensive Opioid, Stimulant, and Substance Abuse Prevention Program will identify and implement an evidence-based law enforcement and first responder diversion program; build capacity with the school district and law enforcement for education and prevention programs for K-12; enhance real-time data collection, analysis, and dissemination; increase access and accessibility to harm reduction strategies such as naloxone distribution and medication take-back programs; and assess needs and capacity for supporting medication-assisted treatment within the local jail, in addition to local recovery and support services. This project serves Crook County, a rural community in Oregon with a population of 25,562. The project includes partnerships between the Crook County Health Department, the Crook County Sheriff’s Office, the Prineville Police Department, BestCare Treatment Services, Rimrock Trails Treatment Services, the Crook County School District, Central Oregon Health Counsel, the Pain Standards Taskforce, St. Charles Health Systems, and Crook County Fire and Rescue. Those who will benefit from CCHD’s COSSAP project include individuals with opioid use and other substance use disorders, community partner organizations, and the community as prevention curriculum is implemented into Crook County School District K-12 and outreach and educational materials are provided to the entire population.

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Cumberland County

ME

The County of Cumberland applied for Category 1b suburban area grant funding in the amount of $899,824. The Bridges for ME: Person-Centered Recovery and Reentry Project will focus on the development of an advisory council with at least five community partners and memorandums of understanding with five diverse treatment providers and annual screenings of 1,200 people for SUD/OUD conditions, while offering of 600 people resource referrals and naloxone. The project will also provide an annual provision of group support and reintegration planning to 200 people in jail, as well as intensive reentry services for 150 individuals receiving community service, including MAT and peer navigator services for 60 days. This project serves Cumberland County, population 281,674. The project includes partnerships between Cumberland County Jail, Maine Pretrial Services, Co-occurring Collaborative Serving Maine, Amistad, SMART, Maine Department of Corrections Probation, Portland Police Department, MAT providers Catholic Charities Maine, Spurwink Adult Behavioral Health Services, Maine Behavioral Healthcare IMAT, Northern Light Portland Internal Medicine, and Discovery House. Priority considerations addressed in this application include Cumberland County as a region disproportionately impacted by substance abuse.

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Cumberland County (Inc)

NJ

The County of Cumberland (Inc) is applying for Category 1 funding in the amount of $900,000. Fighting Relapse Effort Employing Drug Offense Monitoring Plus (FREEDOM+) is a collaborative diversionary program that will offer treatment and key peer recovery supports as a critical intervention that interrupts perpetuated criminal behavior. Additional harm reduction, prevention, and intervention efforts like Narcan distribution and education, fentanyl test strips, the U.S. Drug Enforcement Administration's National Drug Take Back Initiative, and integrating Law Enforcement Assisted Diversion (LEAD) and Police Assisted Addiction and Recovery Initiative (PAARI) programs are the "plus" part of this project to support community members fighting to be substance free. The FREEDOM+ program aims to drive those caught in the cycle of relapse and drug-seeking behavior toward treatment on threat of legal consequence, while setting up the participant for success with compassionate peer recovery support services. This project serves an estimated 600 defendants who will be offered, through their defense counsel, an opportunity to participate in FREEDOM+, with hopes that the offered opportunity and supports will motivate as many as 50 percent of participants to remain compliant into sustained recovery. The project includes partnerships with the Cumberland County Department of Human Services (CCDHS), which is a primary partner in implementing FREEDOM+, and its substance misuse programs. CCDHS operates a state licensed treatment facility where they will administer Comprehensive Drug and Alcohol Evaluations and provide a quality, evidenced-based, multi-faceted approach to address substance use problems for individuals and families. CCDHS also operates the Capital Recovery Center, which will be instrumental in managing the progress of defendants participating in FREEDOM+ and providing holistic peer recovery supports. This project will engage Rutgers University’s Walter Rand Institute (WRI) as evaluator. FREEDOM+ advances the U.S. Department of Justice priorities in three ways: by increasing access to justice, protecting the public from crime and evolving threats, and building trust between law enforcement and the community. In addition, Cumberland County meets the Office of Justice Programs priority of being a high-poverty area.

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Cumberland, County of

ME

The purpose of the Pathways for ME: Person-Centered Recovery and Reentry project is to reduce fatal overdose deaths and recidivism and enhance public safety in Cumberland County, Maine. The Cumberland County Public Health Department project will implement activities under the following allowable uses: embed peers in the jail and community to assist people with SUD and justice involvement; implement pre-booking and post-booking treatment alternatives to incarceration program; housing navigation and support for transitional or recovery housing; and coordinated efforts among police departments to expand the use of diversion. To meet the goal of the project, the primary activities are to: facilitate and sustain a coordinated network of organizations that provide reentry support and case management; expand the network to include Police Community Liaisons; screen people for Substance Use Disorder (SUD) and co-occurring disorders in the jail; provide reentry supports as people with SUD leave the jail; and increase peer recovery support in the jail and upon release. The activities will be focused on people who have an SUD and are in the county jail at least seven days. Given the complexity of needs among the target population and a host of barriers for people as they leave jail, the project relies on several strategic partnerships (and subawards) across a range of organizations and services that, together, create a tailored and coordinated system of care. Those organizations include: Cumberland County Jail, Maine Pretrial Services, Co-occurring Collaborative Serving Maine, Amistad, and Portland Recovery Community Center. Other partners include SUD treatment providers and Police Departments across the county. The expected outcomes of the project are: 1) A coordinated network of organizations that meets at least 2 times per month to coordinate care, eliminate barriers, and provide reentry services to people with SUD as they leave the county jail. 2) Annual screening of 1000 people for SUD and co-occurring disorders and offering materials on treatment and recovery support for all who screen positive. 3) All people who leave the jail receive naloxone. 4) Annually, 100 people in the jail receive reentry support, including navigation for the continuity of Medications for Opioid Use Disorder and safe housing as well as linkages to peer recovery support. 5)Annually, 100 people in the community receive reentry support, peer recovery support and community service navigation immediately after release from jail. John Snow, Inc will collect data and conduct the evaluation for the project.

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Cuyahoga County

OH

The Alcohol, Drug Addiction, and Mental Health Services Board of Cuyahoga County (ADAMHS) is in the Northern District of Ohio (NDOH). Cuyahoga is the NDOH’s most populous county with 1.2 million residents in 58 municipalities. Since 2018, ADAMHS has partnered in surveillance and outreach with law enforcement, public/private health, and social welfare agencies to improve the effects of the opioid epidemic, but stark challenges remain. The county suffered 675 overdose deaths in 2021, one of the highest rates per 100,000 population in the country, with similar numbers expected in 2022. The purpose of this effort is to identify, respond to, and support those affected by illicit drugs, reduce overdose deaths, and mitigate impacts on individuals in the criminal justice system. ADAMHS will (1) expand comprehensive information gathering, analysis, and dissemination of fatal and nonfatal overdose incidents that promote the use of real-time data collection for planning and response and emerging drug trends (65 percent); and (2) conduct a peer recovery support services pilot (29 percent), with an evaluation of the latter (6 percent). This work involves the follow subrecipients: the Begun Center for Violence Prevention Research and Education, Cuyahoga County Board of Health, and Thrive Peer Recovery Services. The three objectives are to: (1) expand the Cuyahoga County Multi-Jurisdictional Overdose Surveillance Program to gain more information and develop clearer insight for better informed planning and response, especially across underserved communities; (2) enhance and diversify the data subcommittee of the U.S. Attorney’s Office NDOH Heroin and Opioid Task Force by increasing participation of more culturally specific, faith-based, and citizen action organizations; and (3) pilot a peer recovery support services program to bridge in-custody and community-based services for many non-Hispanic Black and Hispanic persons. Overdose Surveillance Program deliverables are an expanded overdose data dashboard, quarterly written drug trend and overdose hotspot alerts, annual reports of overdose trends, and quarterly reports of synthesized law enforcement decedent data provided to the county Overdose Fatality Review, including infographics, data briefs, and manuscripts submitted for peer review, and a medical examiner coded-data final report. Data subcommittee deliverables are bi-monthly meetings, a more diverse membership roster, and bi-monthly data subcommittee oral presentations by regional, state and national peers.

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Dallas County Hospital District

TX

Dallas County Health District dba Parkland Health is devoted to serving the health care needs of its surrounding communities. Parkland Health has more than 165 outpatient specialty and sub-specialty clinics on its main campus, operates an extensive mobile health van program to care for the underserved and homeless in Dallas County, and serves as the medical provider for the Dallas County Jail through its Correctional Health Department. The Correctional Health Department has provided health care services at the Dallas County Jail and Juvenile Justice Centers since 2006. The Correctional Health Department endeavors to offer evidence-based medication-assisted treatment to adults and juveniles who present upon intake with substance use disorder. The program’s goals are to provide MAT service with counseling and rehabilitative groups, advance racial equity, support evidence-based prevention for youth substance use and assist all patients with social determinants of care during their transition back to the community. The project will provide evidence-based substance use disorder treatment, following the Medication Assistance Treatment program. The project will also collaborate with the courts and probation services to facilitate the release and provide resources in the community to support the individual after release. Using the Sequential Intercept Model, MAT-trained Social workers and peer-lived mentors will partner with service providers for assistance with supportive services such as transitional housing, health insurance, healthcare home placement, pharmacy assistance, career planning and placement, and the identification of a peer with lived experienced for discharge. Peer mentors will receive training via webinars from the National Reentry Resource Group and the Substance Abuse and Mental Health Services Administration (SAMHSA) Resource Center. Expected outcomes will demonstrate a need for the program, show racial inequities as it relates to the background of patients participating, and show a decrease in recidivism. This data should drive processes and contribute to supportive funding. Activities under the grant include: evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (34 percent) and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (33 percent).

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DeKalb County (Inc)

IL

DeKalb County Court Services is applying for Category 1 funding in the amount of $900,000. The DeKalb County Comprehensive Opioid, Stimulant, and Other Substance Use Disorder Project will serve clients involved with the DeKalb County Court system by providing immediate access to treatment services for persons with substance use disorders (SUDs) who come into the criminal justice system and recovery services after treatment. Clients can enter the program at any point in the criminal justice system, from a first appearance in court through a time when they may be sentenced and supervised by the court. Services will be provided to the individual whether the client resides in the community or is incarcerated awaiting trial. The program in DeKalb County will cover treatment costs for eligible clients in need of immediate help for SUDs, assist with transportation getting to and from treatment, and help fund medication-assisted treatment. The project will also create new opportunities to enhance post-treatment success by providing additional recovery support services, including hiring and training a dedicated peer recovery support specialist. The project coordinator will train personnel in DeKalb County Court Services on the administration of naloxone. Policies and procedures will be developed with input from all partners in the criminal justice system, including a diversion plan that can be used to keep clients from obtaining a conviction if they successfully complete the program. The project serves DeKalb County, which has a population of 104,897. The project includes partnerships between DeKalb County Court Services and the DeKalb County Drug Overdose Prevention Program, local city and county government officials, the local judiciary, the State’s Attorney’s Office, the Public Defender’s Office, local law enforcement agencies, and local/regional service providers. The project will engage New York University’s Marron Institute as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Delaware County, Pennsylvania

PA

The Delaware County Department of Human Services, Division of Drug and Alcohol, applied under Category 1A for Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program grant funding in the amount of $1,200,000. This project will serve the county of Delaware, Pennsylvania, the fifth most populous county in the Commonwealth of Pennsylvania with 562,960 residents. The purpose of the project is to expand evidence-based treatment, specifically medication-assisted treatment, and recovery support services, focusing on peer recovery support, within Delaware County’s criminal justice system. The objective of the project is to expand access to buprenorphine treatment in the Delaware County prison, George W. Hill Correctional Facility, to ensure that individuals are supported in their recovery while incarcerated and engaged in recovery support services upon release, linking returning citizens to transportation, recovery meetings, employment opportunities, or higher levels of care. The project includes partnerships between Delaware County’s Single County Authority, George W. Hill Correctional Facility, and WellPath LLC.

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Department of Public Safety

MA

The Commonwealth of Massachusetts is implementing the Diversion to Care (DivCare) project; a responsive and adaptive approach to reduce exposure to the criminal justice system and alleviate racial inequity by strengthening regional implementation of interventions along the Sequential Intercept Model (SIM) grounded in community input and participation in project design, implementation, and evaluation (Priority 1A). The goals of DivCare are to improve statewide coordination and increase access to harm reduction, addiction treatment, and recovery services in 6 overdose burdened communities through reduced justice system involvement. Project activities will include: (1) statewide coordination to maximize existing resources, improve data surveillance systems, and better coordinate responses to events such as seizures and clinic closures; (2) incorporation of communities experiencing racial and ethnic inequities in project design, implementation, and evaluation; (3) implementation of interventions that reduce exposure to the criminal justice system and focus on racial inequities; (4) integration of peers and people with lived experience in intervention activities; and (5) expanded utilization of evidence-based harm reduction, addiction treatment, and recovery support resources across the intercept points. Site selection factors will include readiness, capacity, need, and geography. Expected outcomes include: improved realtime data collection and data sharing agreements at the state and local level; expansion of culturally specific interventions advised by a community feedback process; integration of people with lived experience into the intersecting criminal justice and addiction care continuum; strengthened regional coordination of community-based harm reduction, treatment, and recovery services across the intercept points. Local jurisdictions and their community residents who are at risk of both criminal justice involvement and harms from the use of opioids, stimulants, and other substances are the intended beneficiaries of the project. Subrecipient activities will include creation of data-sharing agreements between partners, using SIM map workshops to identify intercept points in need of strengthening, integration of culturally specific advisory groups including peers with lived experience to approve intervention activities, and enhanced utilization of evidence-based harm reduction, addiction treatment, and recovery support services across the intercept points focused on racial inequities. This project will be aided by training and technical assistance plan using nationally renowned experts in addiction, criminal justice, and SIM mapping. The only active BJA-COSSAP grant award at the state jurisdiction level, the EOTC managed Project NORTH (awarded FY20), will end 9/30/23.

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Department of State Police Michigan

MI

The need to expand overdose prevention, SUD treatment, and other harm reduction services is high in Northern Michigan. Like many rural areas, there are few options for community-based SUD care and funding is limited. Both Michigan's Upper Peninsula and its northern Lower Peninsula lack critical community mental health infrastructure to ensure continuity of service after acute drug-related crisis and access to harm reduction resources. This dramatically impacts the health of northern communities, some of which have rates of hepatitis C, a viral infection associated with injection drug use, that exceed Michigan's densely populated urban counties. Moreover, health care and first responder resources are more geospatially dispersed, leading to delays in treatment and access to critical harm reduction interventions. However, current funding is insufficient to meet the demands of innovative prevention programs to support northern counties in reducing morbidities and mortalities associated with SUD and drug overdoses. Therefore, to build infrastructure and increase capacity for SUD services in Northern Michigan and one centrally located, urban community, the Michigan State Police (MSP), in collaboration with the Bay Mills Indian Community, Catholic Human Services, Greater Flint Health Coalition, Harm Reduction Michigan, Nathan's House, and the Michigan Public Health Institute, is proposing several innovative prevention programs. MSP is leading the project with ten counties in Northern and Central Michigan in partnership with local tribal, public health, and community organizations and the University of Michigan School of Nursing as the evaluation partner. The goal of the project is to offer SUD and overdose prevention services that will promote health during critical moments in recovery and prevention. For example, a comprehensive education campaign for K-12, at-risk youth and county-level overdose fatality reviews will be implemented as primary prevention strategies. Likewise, drug checking and other harm reduction services will be used to prevent overdose during active use. For consumers who are newly entering community services, MAT programming will be expanded, and additional behavioral health clinicians will be recruited to offer SUD counseling services. In Genesee County, a comprehensive, interdisciplinary recovery community center that centralizes community-based services will be implemented. To help prevent contact with the justice system, recovery coaches and jail-based SUD care will be implemented to prepare consumers for re-entry. Finally, transitional recovery housing capacity will be bolstered to provide stable housing and extended recovery support. Overall, these projects will build critical infrastructure in Northern and Central Michigan for quality SUD care.

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District of Columbia Office of the Chief Medical Examiner

DC

The District of Columbia Office of the Chief Medical Examiner (DC-OCME) has applied and been granted a Category 1a rural area grant in the amount of $1,200,000. DC-OCME Toxicology Opioid and Illicit Drug Surveillance (TOIDS) will reduce the impact of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities, as well as mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives like conducting forensic toxicology laboratory testing of illicit drug misuse and novel testing for opioids. In addition, it will be analyzing comprehensive, real-time, regional information collection, analysis, and dissemination; and streamlining the forensic toxicology lab testing methodology through Lean Sigma Six (LSS) training of staff and LSS reform of the lab. Products include a sustainable LSS lab and staff, a comprehensive reference of new opioids, and free online resources on DC-OCME’s web page. DC-OCME will disseminate best practices with community partner and advocates. This project serves the District of Columbia with a population of 702,455. The project includes partnerships between the Network for Victim Recovery of D.C., D.C. Forensic Nurse Examiners, D.C. Metropolitan Police Department, D.C. Department of Transportation, D.C. Office of Victim Services and Justice Grants, and D.C. Department of Health. Priority considerations addressed in this application include the poverty priority, the persistent poverty counties priority, and Qualified Opportunity Zones.

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Douglas County Community Service Board

GA

The Douglas County Community Services Board (DCCSB) is applying for Category 1 funding in the amount of $1,196,998. The Douglas County COSSAP Postbooking Pilot program will be implemented by DCCSB and the Recovery Community Organization (RCO) within the Douglas County Sheriff’s Office's Jail Division (DCJ) to identify and refer individuals needing substance misuse treatment. DCCSB will provide treatment, including medication-assisted treatment, referring out individuals who need more intensive treatment. Participating individuals will be connected to the Never Alone Clubhouse, a safe space where members of the recovery community can form positive connections. Upon completing treatment, individuals will receive a certificate of completion for judges to consider for charges and sentencing. Additionally, DCCSB aims to increase access to care by helping individuals overcome financial hurdles to receiving treatment: individuals will receive an average of $2,000 of treatment services in lieu of court-mandated services. The pilot also seeks to separate substance misuse treatment from the judicial system to increase the number of individuals seeking treatment and improve engagement. DCJ will refer approximately ten individuals per month. The final goal is to connect individuals to a peer recovery community to decrease the likelihood of substance misuse and increase the likelihood of discontinuing criminogenic behavior. By the end of the project, 360 individuals in Douglas County will have the option of connecting with RCO for peer support before trial. The project serves Douglas County, which has a population of 148,981. The project includes partnerships with the Douglas County Sheriff's Office's Jail Division and RCO. Priority considerations addressed in this application include promoting the civil rights of access to care and building trust between law enforcement and the community.

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Erie County

OH

The Erie County, Ohio, Health Department (ECHD) project will expand prevention and harm reduction services to combat the opioid epidemic in Erie County. The Erie County Pathways project will focus on providing enhanced care to law enforcement/first responders dealing with behavioral or mental health issues, and youths through school programming. ECHD has identified five primary objectives for this project: (1) developing a pathway and increase services for first responders who are able to access behavioral and mental health care and services in a secure manner; (2) enhancement of Erie County drug take back programs by securely collecting opioids and other illicit substances for disposal during twice-yearly destruction events and distribution of Deterra; (3) partnering with Erie County school districts to expand prevention programs for adolescents; (4) Post overdose response: funding the Erie County Sheriff’s office 9-11 Dispatch for the Drug Overdose Response Team to conduct visits with non-fatal overdose survivors ; (5) Increase referrals/prevention education for mental health and substance use treatment and recovery services. The project includes the following activities: (1) drug take back programs and prevention education outreach for adolescents as well as distribution of Deterra bags for the community (10 percent); (2) law enforcement/first responder mental health and substance use program (25 percent); (3) Implement Botvin Life Skills. Collect pre-post survey data from schools that implement Botvin educational programming/create evaluation (10 percent); (4) Increase referral for mental health and substance use treatment/recovery services through prevention education as well as referral systems for schools, responders and the SUD community (15 percent); (5) education/prevention programming connecting law enforcement and schools (20 percent); (6) evidence-based substance use disorder (SUD) and opioid use disorder (OUD) prevention, and referral support services (10 percent); and (7) Participate and provide prevention education during community events and school events (10 percent). The target service area for this project is Erie County, Ohio, with a population of about 74,000 individuals. The three-year project will develop, implement, and coordinate alcohol and other drug prevention/treatment/recovery care to strengthen and expand access to treatment and recovery for those struggling with addiction. Target populations are adults and adolescents. ECHD operates the Erie County Community Health Center through which integrated health care plans will be developed for individuals struggling with SUD/OUD as well as family members/caregivers.

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Essex County Sheriff's Department

MA

The Essex Medicated Assisted Treatment Recovery Project (EMATRP) will be expanding and enhancing its current MAT program and support services pre- and post- release through these initiatives: (1) enhancing the current MAT program with care continuum coordinators, (2) providing pre-release harm-reduction education for all MAT participants to include naloxone upon release for 3,000 inmates, and (3) partnering with Spectrum for clinical stabilization services beds to provide participants with transitional housing and peer recovery for up 825 inmates. This project serves Essex County in Massachusetts with a population of 800,017. The project includes partnerships between Wellpath. Priority considerations addressed in this application include high-poverty area and Qualified Opportunity Zone.

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Executive Office of the Governor of Delaware

DE

The Executive Office of the Governor of Delaware - Criminal Justice Council will implement new opioid-intervention programs in five geographically diverse localities: Dover (Kent County), Smyrna (Kent County), Millsboro (Sussex County), Seaford/Laurel (Sussex County), and Georgetown/Lewes/Milton (Sussex County). The project goals are to: (1) increase the number of law enforcement diversion programs; (2) reduce overdose deaths; (3) increase transitional housing availability; and (4) increase services for youth impacted by opioid overdoses. One initiative will involve establishing pre-arrest or post-arrest law enforcement diversion programs (using the Police Assisted Addiction and Recovery Initiative [PAARI] model) for individuals who commit low level, nonviolent, drug-related offenses by utilizing community-based substance abuse and behavioral health services. The project will also include identifying cases where youth are impacted by an overdose and providing evidence-based responses, providing transitional or post recovery housing for individuals, and improving the collection/integration of data by purchasing a statewide case management system for law enforcement and Delaware’s Division of Substance Abuse and Mental Health.

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Executive Office of the Governor Of Delaware

DE

Delaware is disproportionately impacted by the abuse of illicit opioids and prescription drugs as seen in our high rates of overdose deaths from heroin and other opioids and lack of accessibility to treatment providers and facilities. Delaware is third in the nation for rates of overdose fatalities. In 2021, 515 Delawareans died from a drug overdose. The Delaware COSSAP Saving Lives will implement new opioid-intervention programs in six geographically diverse localities and establish pre-arrest or post-arrest law enforcement diversion programs for individuals who commit non-violent, drug-related offenses by utilizing community-based substance use disorder and behavioral health services. This project coordinates services statewide and two geographic locations are in rural parts of the state. Grant funds will implement strategies identified in the statewide coordinated plan to provide law enforcement resources to address the opioid epidemic in Delaware (38 percent of funds). Funds will include coordinating social services with law enforcement for response to children impacted during a drug overdose (10 percent of funds). Funds will expand the take-back program for unused controlled substances found in the home, hospitals, and long-term care facilities (2 percent of funds). The project goals include: (1) increase number of law enforcement diversion programs; (2) reduce incidence of overdose deaths; (3) increase transitional housing availability (20 percent of funds); (4) increase services to youth impacted by addiction; and (5) produce an evaluation report. The project includes partnerships between the Criminal Justice Council, Division of Public Health’s Office of Health Crisis Response, Division of Substance Abuse and Mental Health, and Delaware Association of Chiefs of Police. The project includes an evaluator from the University of Delaware.

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Executive Office of the State of Maryland

MD

Maryland has taken numerous steps to combat the increasing number of overdoses and deaths resulting from the heroin and opioid crisis. Some of these efforts include creating workgroups, enacting legislation, and declaring a State of Emergency. Although Maryland remains committed to addressing this crisis, overdose deaths continue to significantly impact the state at an alarming rate. According to the CDC, the overdose death rate in Maryland increased from 20.9 deaths per 100,000 in 2015 to 44.6 in 2020. Based on the Overdose Detection Mapping Application Program (ODMAP), overdose deaths in Maryland increased by 8.28 percent, from 12,581 in 2018 to 13,623 in 2021. During the same time, heroin and non-fatal/fatal overdoses increased by 3.7 percent, while fentanyl overdoses increased 108 percent. Furthermore, there were a total of 32,405 overdoses in Maryland between January 2020 and June 2, 2022. For the Maryland Efforts to Expand the Fight Against Opioids (MEEFAO) project, the Governor’s Office of Crime Prevention, Youth, and Victim Services (GOCPYVS) is partnering with the Maryland Department of Health, the Opioid Operational Command Center, the Maryland Judiciary, and more to respond to the growing challenges resulting from the opioid epidemic. The Maryland Statistical Analysis Center will also be engaged to support action-oriented research, performance management, and evaluation of all selected sites. The evaluation of MEEFAO is expected to contribute to the national body of knowledge as it relates to best practices. The expected outcomes of MEEFAO will also decrease opioid overdose deaths, decrease recidivism rates, improve relationships between law enforcement and the community, and improve social and behavioral outcomes in the community.

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Fairfield County

OH

The South-Central Ohio Major Crimes Unit and its Outreach/Overdose Response Team (Project FORT) serves Fairfield County which is situated in south central Ohio adjacent to Columbus, the state capital. According to 2021 US Census estimates, the population of Fairfield County is 161,064 with the area bearing a distinctly Appalachian feel in both geography and demographics. With an average of 3,280 overdose events occurring each day in Ohio Fairfield County has observed a huge increase in the use of Fentanyl/Fentanyl analogues and psychostimulants like Methamphetamine. In 2018 73 percent of all drug overdoses involved Fentanyl or a Fentanyl analogue while deaths associated with Methamphetamine have increased by 487.5 percent since 2014. This shift from traditional opiates has had a dramatic impact on the number of incarcerations in Fairfield County. In just five years recidivism rates have increased by 77 percent in Fairfield County. The Major Crimes Unit/Project FORT through a new collaboration with Fairfield County Reentry Program seeks to lower recidivism rates as well as reducing overdoses and overdose deaths targeting individuals in rural areas. The initiative will provide enhanced access to treatment and recovery services and Medically Assisted Treatment for individuals being released from jail. This project would provide an aftercare plan and care team for everyone that would include: (1) connections to appropriate treatment and community resources; (2) Peer Support/Recovery Coach; and (3) follow up engagement with Project FORT. Additionally, the Major Crimes Unit would add a full-time overdose death investigator who would create a comprehensive response plan to overdose and overdose deaths, liaison with local law enforcement and conduct follow up investigations with a goal of bring closure to these grieving families and hold those responsible for these tragic and unnecessary deaths accountable. With COSSAP funding, Project FORT will work to decrease recidivism rates and increase the number of individuals engaging in treatment and recovery services through breaking the cycle of incarceration for those struggling with substance use disorder by providing: (1) immediate connection to treatment/recovery services upon release; (2) follow-up care; (3) enhanced access to recovery housing; (4) transportation to treatment/recovery services; and (5) comprehensive investigation of overdose deaths.

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Florida Office of the State Courts Administrator

FL

The Florida Office of the State Courts Administrator proposes that five established family dependency drug courts increase the number of families they serve and it proposes to institute/enhance peer-support programs; incorporate medication-assisted treatment; establish substance use disorder prevention programs for the children whose parents are participants in family dependency drug court; execute evidence-based, parent-child relationship-strengthening programs; strengthen peer-to-peer collaboration among sites with an annual all-sites meeting and cross-site visits; and increase training and technical assistance regarding substance use disorder and opioid use disorder. This project serves family dependency drug courts in Broward, Palm Beach, Orange, Marion, and Citrus counties. Dr. Barbara Andraka-Christou and her team from the University of Central Florida will serve as the evaluator for this project.

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Franklin County

OH

Franklin County, Ohio, applied for grant funding under Category 1A in the amount of $1,200,000. This project will serve individuals incarcerated at the Franklin County Jail and screened as at-risk for substance use dependency and drug-related overdose. The purpose of the project is to (a) reduce drug-related overdoses and deaths, (b) increase peer support and treatment referral and linkage, (c) increase access to medication-assisted treatment pre- and post-release, and (d) decrease recidivism. The Fast Track to Treatment initiative includes partnerships with the Franklin County Sheriff’s Office, Franklin County Municipal Court, Southeast Inc., Alvis180, and PrimaryOne Health. Priority considerations addressed in this application include a program model that focuses services in a county with a demonstrated disproportionate number of drug overdose deaths (43.3 overdoses per 100,000 as compared to the U.S. rate of 20.7 overdose deaths per 100,000) and program implementation intended to improve public safety by targeting services in federally designated Qualified Opportunity Zones. Dr. Gretchen Clark-Hammond, CEO of Mighty Crow, shall serve as program evaluator for the proposed project.

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Franklin County Board of Commissioners

OH

Franklin County, Ohio, in collaboration with Franklin County Public Health, Columbus Public Health, and the Franklin County Sheriff’s Office, along with a number of community-based providers, propose to implement Integrated Substance Use Proactive Engagement and Response (iSUPER), a multi-layered, multi-agency initiative intended to contribute to our local collective understanding of best practices through (1) increased access to treatment and recovery supports for justice-involved individuals and underserved populations at greatest risk for overdose; (2) expanded distribution of naloxone to law enforcement and other first responders; (3) strengthened harm reduction efforts through the deployment of five vending machines dispensing an array of harm reduction and medical supplies in our hardest-hit neighborhoods; (4) expanded emergency recovery housing options; and (5) increased linkage to peer support services. Services through iSUPER will be dedicated to six Franklin County zip codes with the highest rates of overdose, along with justice-involved individuals released from the Franklin County Correctional Center and assessed as at risk for an opioid use disorder. During the 3-year grant program, it is anticipated that 6,141 individuals will be directly served through iSUPER.

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Franklin County Municipal Court

OH

Franklin County Municipal Court applied under Category 1A for grant funding in the amount of $903,289 to support and enhance its MAT, Assessment, Referral, Care and Hope (MARCH) project. This project serves Franklin County and the areas surrounding Columbus, Ohio, with an estimated population of 922,223. The purpose of the project is to continue to fund, expand, and enhance the court’s MAT program — an innovative and effective collaborative effort among Franklin County and City of Columbus justice and government stakeholders. Grant funds would continue to support the positions of MAT project manager and one community case manager through 2023. Enhancements would add an additional community case manager and a contracted peer support specialist to significantly increase the capacity of the program, opening more days to in-custody referrals and facilitating the offering of a full-time behavioral health walk-in clinic. The project includes partnerships between Franklin County Municipal Court, Columbus City Attorney, Office of Justice Policy and Programs, Franklin County Sheriff’s Office, Franklin County ADAMH Board, and a variety of community behavioral health providers. The MARCH program will enhance public safety in Qualified Opportunity Zones.

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Gaston County

NC

The purpose of the Gaston County, North Carolina, project is to initiate the following activities: (1) bring together multiple county entities—substance abuse treatment providers, law enforcement, courts, health care providers, and the faith-based community—to collaborate in implementing a law enforcement assisted diversion program (LEAD); (2) augment treatment and recovery services for individuals who are at high risk for overdose and recidivism and are participants in recovery court; and (3) incorporate transitional/recovery housing assistance and certified peer recovery support services into both the LEAD and the recovery court programs. The expected outcomes are to improve public safety, reduce criminal recidivism, and reduce the associated costs of legal and criminal-justice-service utilization. The service area is all of Gaston County, the seventh largest county in North Carolina, with a population of 230,226. The project expects to serve approximately 50 participants yearly: 25 through LEAD and 25 within the recovery court. The Gaston County Police Department is the lead agency and partners include the District Attorney’s Office, Olive Branch Ministry—an affiliate of the North Carolina Harm Reduction Coalition, and the Gaston County Controlled Substance Coalition. The Coalition is a permanent task force of community leaders that will serve as the multi-disciplinary body for the project. The District Attorney’s Office will assign an Assistant District Attorney to both the Operational and Coordinating Groups. Olive Branch Ministry will provide training for stakeholders in the principles of harm reduction and will provide certified peer support specialists. The project will also identify a contracted source to provide evidence-based clinical assessments and individualized treatment plans. The Gaston County Police Department will supervise three full-time positions: a LEAD case manager, a recovery court case manager, and a project coordinator. Case management will focus on the whole individual and stress comprehensive assessment, service planning, and service coordination. The project coordinator’s roles and responsibilities will include consulting with the multi-disciplinary coalition, overseeing the programmatic and financial components of the grant, collaborating with stakeholders to develop program resources (e.g., policies, protocols, and screening forms), arranging trainings, troubleshooting stakeholders’ concerns, identifying resources, facilitating meetings, developing information-sharing systems in collaboration with the coalition, and streamlining communication.

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Gaston County

NC

The Gaston County Government is applying for Category 1 funding in the amount of $899,999. The Gaston County Comprehensive Project to Improve Outcomes for Children Impacted by Substance Abuse will align county entities, substance misuse treatment providers, law enforcement agencies, courts, health care providers, and the faith-based community to provide an integrated system of referrals and services for children victimized by the opioid crisis. Under the supervision of Gaston County Health and Human Services’ (HHS) Children and Family Division, a therapeutic center will be established to provide therapeutic services for children in foster care who have been referred to the center by courts, direct therapeutic services for children lacking health insurance, counseling and therapeutic services for foster care children removed from their homes because of substance misuse, a county initiative to support rehabilitation rather than incarceration for opioid users, and outpatient substance misuse treatment. Gaston County HHS will also initiate a Therapeutic Visitation Center for the targeted population.

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Georgia Criminal Justice Coordinating Council

GA

The Georgia Criminal Justice Coordinating Council applied for Category 2 statewide area grant funding in the amount of $2,289,701. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) establish a multi-locality naloxone initiative to include continued training for law enforcement personnel and provide funding to assist with the replenishment of the opioid reversal drug; (2) establish and implement a pre-arrest/post-booking diversion program for youth and adults who have a moderate to high risk of substance abuse within Athens-Clarke County; (3) provide K-12 youth in Athens-Clarke County with increased access to education and treatment; and (4) provide a comprehensive, real-time, information collection database for the City of Savannah to expand the pre-arrest diversion program, which is funded through the FY 2018 Comprehensive Opioid Abuse Site Program (COAP). This project serves serve 23 of Georgia’s 159 counties. The project includes partnerships between Athens-Clarke County Unified Government and City of Savannah.

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Governor's Office of Crime Control and Prevention

MD

Maryland’s “Regrounding Our Response: A Coordinated Public Safety and Public Health Approach to the Opioid Epidemic” initiative will establish six new law enforcement assisted diversion (LEAD) sites (St. Mary’s County, Columbia in Howard County, Westminster in Carroll County, Annapolis City in Anne Arundel County, Hagerstown in Washington County, and Cumberland in Allegany County), support three existing LEAD sites (Belair in Harford County, Wicomico County, and Baltimore City), and support detention-based interventions in partnership with the Office of the Public Defender in five of the nine sites. The objectives include: (1) reduce recidivism in LEAD participants; (2) reduce calls for service for drug-related activity in the target areas; (3) reduce criminal justice costs incurred by LEAD participants; and (4) improve police understanding of and response to issues related to addiction and mental health disorders. The Maryland Statistical Analysis Center will support the research, performance management, and evaluation of all the selected sites.

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Grand Traverse Band of Ottawa and Chippewa Indians

MI

The Grand Traverse Band of Ottawa and Chippewa Indians (GTB) applied for Category 1c tribal/rural area grant funding in the amount of $600,000. The GTB COSSAP Project will address the current substance use issues identified by Grand Traverse Band’s Behavioral Health intakes, with statistics confirming the continued need for substance use services and recovery support for adolescents and adult federally recognized Native Americans who are experiencing depression, trauma, suicide ideation, and co-occurring disorders. This project serves 5,100 Native Americans in the GTB six-county service area located in lower northwest Michigan (Antrim, Benzie, Charlevoix, Grand Traverse, Leelanau, and Manistee counties). The project includes partnerships between GTB Public Safety and the GTB Tribal Court departments. Priority considerations addressed in this application include addressing specific challenges that rural communities face.

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Grays Harbor County

WA

The County of Grays Harbor is applying for a Category 1 award in the amount of $600,000. The Grays Harbor County Jail System of Care Expansion project will expand services by increasing capacity in the Grays Harbor County Jail to serve individuals who have a psychostimulant disorder as well. This expansion would include additional staff time for medical monitoring, managing recovery groups, and bolstering re-entry supports. The project will develop and implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the pretrial and post-trial populations leaving the county jail. This includes implementing medication-assisted treatment, cognitive behavioral treatment, wellness recovery planning, and re-entry care navigation within the county jail and supporting the transition to community-based services once released from custody. The goal of this expanded system of care is to increase the number of affected individuals returning to the community with established sobriety and behavioral health supports, decrease morbidity and mortality for those individuals, and decrease recidivisms among this population. This project serves Grays Harbor County, which has a population of just over 75,000 people. The project includes partnerships between the Grays Harbor Sheriff’s Office, the Coastal Community Action Program, Medtriq Suboxone Clinic, Lifeline Connections, Columbia Wellness, Grays Harbor Therapeutic Court (Superior Court), and the Grays Harbor County Commissioners.

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Guam Behavioral Health and Wellness Center

GU

The Guam Behavioral Health and Wellness Center (GBHWC) applied for Category 1b suburban area grant funding in the amount of $900,000. The Guam Family Recovery Program will provide swift American Society of Addiction Medicine assessments and placement when deemed appropriate. The program will also offer peer support services to identified clients and decrease the time from arrest to access possible treatment for clients suffering from the ills of substance use. A total of 450 assessments will be performed throughout the grant period. This project serves the community of Guam. The project includes partnerships between GBHWC, Department of Corrections, Superior Court of Guam, TOGHE, OASIS, and the Salvation Army Lighthouse Recovery Center.

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Gunnison County

CO

In June of 2019, Gunnison County, Colorado, was awarded the Health Resources Service Administration (HRSA) Rural Communities Opioid Response Planning grant (RCORP) to better understand the current services and resources to prevent, treat and support people who are recovering from substance use disorder (SUD). The Consortium initially consisted of six key organizations: Gunnison County Juvenile Services, Gunnison County Health and Human Services, the Health Coalition of the Gunnison Valley, the Center for Mental Health, Gunnison Valley Hospital, and Western Colorado University. Over the past three years this group has grown to over 30 individuals/organizations representing diverse sectors of the community including parents, youth, and individuals with lived experience. This Consortium completed a needs and gaps analysis report and developed a three-year strategic plan. The Consortium, now titled Grasp, will oversee the implementation efforts of the Comprehensive Opioid, Stimulant, and Substance Abuse program. Grasp is dedicated to the prevention, treatment, and recovery of SUD across the lifespan. Program activities include: (1) strengthen diversion program and explore alternative to ticketing for youth and adults; (2) education and prevention programs to connect law enforcement agencies with K-12 students; (3) increase services for children and youth impacted by their parents’ or other family members’ substance use with wraparound services and using the sequential intercept model with the embedded clinical social worker; (4) increase medication-assisted treatment (MAT) and rural ambulatory medically supervised withdrawal services in Gunnison and Crested Butte; (5) implement harm reduction strategies and expand upon naloxone distribution; (6) support recovery housing in the community and on Western Colorado University’s campus; (7) data collection and reporting. Program goals include: (1) improve the quality and sustainability of rural behavioral health care services through supporting rural health care providers to offer coordinated, evidence-based, trauma-informed SUD, and other care services; (2) reduce drug-related arrests for people aged 35 and younger in Gunnison County and reduce recidivism at the jail; (3) address structural- and system- level barriers to improve rural residents’ access to quality, integrated SUD, and other behavioral health care services.

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Hamilton County

OH

Hamilton County, Ohio, is situated at the southernmost tip of the state, bordering Kentucky and Indiana and has an estimated 826,139 residents. Hamilton County includes 49 distinct cities, villages, and townships, the largest of which is Cincinnati. In 2021, Hamilton County suffered 454 overdose deaths and continues to witness 50-70 overdoses per week. As the opioid epidemic worsens, the Hamilton County Justice Center has become the largest detox facility in Hamilton County, with 6,000 individuals detoxing annually. Hamilton County needs intentional and strategic interventions to deflect individuals out of the criminal justice system and into evidence-based care and treatment that is most appropriate to address their needs. This project is lead by the Hamilton County Addiction Response Coalition (HC ARC) and involves Hamilton County’s Co-Responder Deflection Pilot (HC CORE), which is a collaborative, co-responder intervention to assist individuals with substance use disorder, mental health disorder, co-occurring disorders, or experiencing homelessness, with a specially trained team of law enforcement and peer navigators who create community-based pathways to treatment, recovery support services, housing, case management, or other needs-based services. HC CORE will involve all six Police Treatment and Community Collaborative (PTACC) deflection pathways as a referral source to a single, co-responder program: (1) self-referral, (2) active outreach, (3) intervention, (4) prevention, (5) post-overdose response, and (6) community-based response. HC CORE will employ its own peer navigation team to ensure that care and case management are provided through a local and neutral lens, also ensuring that the CORE peer navigators will work with the participant from the point of first encounter, onward. The CORE Case Plan will include activities and services that enrich and stabilize the lives of the participants. By embedding peer navigators with law enforcement for deflection efforts, HC CORE will incorporate real-time data collection, drug take-back programs, harm reduction activities, and recovery support services to successfully serve individuals at all stages within the continuum of care model.

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Hamilton County Addiction Response Coalition

OH

Hamilton County applied for Category 1A grant funding in the amount of $1,000,000. The Hamilton County Addiction Response Coalition (HC ARC), under the proposed quick response team (QRT) expansion program, will address and has already addressed a number of the overarching goals of the solicitation, specifically, encouraging cross-system planning and collaboration among officials who work in law enforcement, pretrial services, courts, probation and parole, child welfare, reentry, prescription drug monitoring programs, and emergency medical services, as well as health care providers, public health partnerships, and agencies that provide substance abuse treatment and recovery support services. The QRT expansion plans to engage current community stakeholders, as well as new community stakeholders and partnerships beyond the coalition to target hot-spot areas. The QRT will continue to expand its on-the-ground efforts by utilizing HC ARC member organizations to not only provide outreach and resources to individuals suffering from addiction, but also the organizations they frequent to arm them with tools and resources. HC ARC has established a coordinated multidisciplinary response team that includes law enforcement, treatment providers, government representatives from the county and city, and a program administrator. This project serves Hamilton County, population 817,473. The project includes partnerships between Hamilton County Public Health Department and the Talbert House. There are no priority considerations addressed in this application.

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Hancock County

OH

The Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board is applying for a Category 1 award in the amount of $600,000. The Recovery Community Organization Outreach Project in Hancock County, Ohio, will enhance recovery support services (RSS) and peer recovery support services (PRSS) and increase access to transitional or recovery housing for individuals 18 years and older who have a history of opioid, stimulant, or other substance use disorders and are either at risk or involved in the criminal justice system in Hancock County. The project activities will aim to expand availability and access to recovery housing and peer recovery support services, increase coordination of services between criminal justice and recovery support service systems, and conduct an evaluation of the project’s impact. The main goals of the proposed project are to reduce the impact of opioids, stimulants, and other substances on individuals and the community (i.e., reduce recidivism and nonfatal overdoses) and reduce the number of overdose fatalities. This project serves Hancock County, which has a population of approximately 75,000 people. The project includes partnerships between FOCUS: Recovery and Wellness Community, LOFT (a youth drop-in center program), Recovery Homes, Family Resource Center, the Hancock County Sheriff’s Office, the Adult Probation Department, Findlay Municipal Court, and the Findlay Mayor’s Office. This project will engage Brandeis University’s Institute for Behavioral Health as the research partner.

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Henderson County/Henderson County Health Department

NC

The Henderson County Health Department, through the County of Henderson, applied for Category 1b grant funding in the amount of $900,000. The funds will be used to expand access to recovery support services. The program seeks to provide peer-delivered services with a focus on rehabilitation and recovery, utilizing North Carolina certified peer support specialists and care coordinators. Services provided by the certified peers include psychosocial rehabilitation, habilitation, family support and training, short-term crisis intervention, and empowerment. This project serves a suburban area or medium-sized county with a population between 100,000 and 500,000. The project includes partnerships between Henderson County’s Behavioral Health Summit, Free Clinix, and Hope RX.

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Hennepin County

MN

The Hennepin County Sheriff’s Office (HCSO) is applying for Category 1 funding in the amount of $1,067,674. The Peer Support and Community Outreach Program will enable HCSO to expand peer recovery support services to individuals in custody, as well as recovery support services including transitional or recovery housing. It will also expand community access to drug-take services. The HCSO, in partnership with Bold North Recovery and Consulting, will conduct community outreach and education efforts among residents at community events, which will feature distribution of medication disposal bags, education about the dangers of opioids, signs of addiction, treatment options, and the proper administration of naloxone. The HCSO will partner with Heritage Health Solutions to pilot Heritage CARES, a virtual peer recovery support services program, for which Heritage Health Solutions will provide training to key detention staff members. The project will conduct 24 community education sessions annually and distribute 1,200 drug disposal pouches and 2,499 naloxone kits. It will also provide virtual peer recovery support services for up to 435 residents. The project serves Hennepin County, which has a population of 1.3 million residents spanning 600 square miles. The project includes partnerships with Bold North Recovery and Consulting and Heritage Health Solutions. A priority consideration addressed in this application is building trust between law enforcement and the community.

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Hocking County

OH

Hocking County is applying for Category 1 funding in the amount of $539,464. The Hocking County Overdose Prevention and Harm Reduction Project will expand the county’s deflection programming from a Quick Response Team (QRT) called QRT Hocking Overdose Partnership Endeavor (HOPE) into one that partners with outside agencies by funding positions that link students and families to treatment and services for substance use disorders. The project will subcontract with a mental health practitioner within the Logan-Hocking School District (LHSD) and a deflection specialist within the Hocking County Health Department who will work directly with overdose victims and their families or those identified as being at a higher risk for having an overdose, as well as monitor a new crisis hotline within the health department and facilitate outreach and education into the community. LHSD will house the mental health practitioner within the high school and middle school in order to meet with students who have encountered an overdose or drug use, either among themselves or their families. The practitioner will be responsible for participating in the Handle with Care Program, an evidenced-based program designed to assist children in their school setting if a law enforcement encounter has happened inside their home. A multifaceted public awareness and education campaign will be created to increase the number of families who call the hotline. The goal of the project is to expand collaboration and partnerships among providers and agencies in Hocking County and to expand the existing framework of services to include stationary positions within fixed, strategic locations where students and families affected by the drug crisis frequent. The project serves Hocking County, a rural area with a population 28,264. The project includes partnerships with the LHSD and the Hocking County Health Department. The project will engage Wes Gilkey as a research partner. Priority considerations addressed in this application include the promotion of civil rights, support to crime victims, and building of trust between law enforcement and the community.

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Hoopa Valley Tribal Council

CA

The Hoopa Valley Tribal Court is applying for a Category 1C award in the amount of $600,000. The Hoopa Tribal Wellness Court Pre-Booking Enhancement will support ongoing operations and service expansion under its Adult Tribal Healing to Wellness Court. This project intends to increase and standardize services for individuals with substance use disorder and opioid use disorder. While many of these individuals are court-involved, services will also be made available to anyone seeking assistance, with priority for special populations. The special populations include pregnant women, individuals with or at-risk of HIV/AIDS, older adults caring for a minor child due to foster care involvement, and individuals entering the community from incarceration. This project utilizes a hub-and-spoke model to centralize service delivery for Wellness Court participants and increase favorable outcomes as they journey to health. Funding for medication-assisted treatment is requested to help assure that individuals working through opioid misuse have the support needed through full recovery. This project serves enrolled citizens of the Hoopa Valley Tribe, American Indian/Alaska Natives (AI/AN), and AI/AN citizens enrolled in other tribes living within the jurisdictional boundaries of the Hoopa Valley Tribe. The Hoopa Valley Tribe and its reservations are within Humboldt County, California. The project includes partnerships between the K’ima:w Medical Center, the Court's Probation Services, and the Judicial Project Advisory Team.

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Hyde County Health Department

NC

Through the implementation of its Substance Awareness Program, Hyde County Health Department (HCHD) aims to work collaboratively with community partners to reduce substance misuse, overdoses, and deaths, and disease transmissions & infections (related to intravenous drug use) by increasing the utilization of treatment & harm reduction resources; supporting people who use drugs (PWUD) and those in recovery; and providing education to PWUD, their families, and the general community.

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Idaho Department of Health and Welfare

ID

The Idaho Department of Health and Welfare (DHW) is applying for Category 2 funding in the amount of $3,075,000. The Idaho COSSUP Program will implement six projects designed to increase naloxone access, education, and distribution; enhance coordination and expansion of take-back programs; increase access to medication-assisted treatment through provider and public safety education; and evaluate DHW’s naloxone distribution efforts to vulnerable populations. Idaho’s seven local public health districts (PHDs) will serve as project implementation sites to provide naloxone trainings and overdose rescue kits to law enforcement officers, first responders, and vulnerable populations in their regions. The PHDs will also organize and promote permanent drug take-back locations and take-back day events in identified vulnerable counties. The program will fund the statewide naloxone distribution program and the seven PHDs to distribute naloxone to law enforcement officers, first responders, and other organizations interacting directly with individuals at risk of an overdose. To increase accessibility to medication-assisted treatment, DHW will identify vulnerable counties across the state and fund Project ECHO Idaho and a media-marketing vendor to develop and disseminate educational materials to providers. Project ECHO will produce medications for opioid use disorder (MOUD)/substance use disorder (SUD) podcast episodes, conduct outreach, and complete an assessment of current MOUD/SUD educational activities. The project serves the State of Idaho, which has an estimated population of 1,839,106. The project includes partnerships between DHW and the seven Idaho Public Health Districts, Project ECHO Idaho, and the Idaho Division of Behavioral Health. The project will contract with a third-party evaluator to conduct an evaluation of naloxone distribution activities funded under this grant. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Indiana Family and Social Services Administration

IN

The Indiana County Leaders Collaboration for Change (ICLCC) will establish and/or build upon existing collaborative relationships between first responders, the criminal justice system, child welfare and foster care, behavioral health, primary care and addiction service providers to identify, develop (or) enhance, and implement specific countywide programs designed to reduce the impact of opioids, stimulants, and other substances on individuals and communities. The counties will achieve this by developing (or) enhancing and implementing one or more of the following within their county: Law Enforcement Assisted Diversion (LEAD) model programs (new to Indiana), prebooking or postbooking treatment alternative-to-incarceration programs, education and prevention programs to connect law enforcement in schools, embed social services with law enforcement to rapidly respond to drug overdoses where children are impacted, and expand access to evidence-based treatment and recovery support services across the criminal justice system. This project serves individuals across Knox, Wayne, Fayette, Floyd, Clark, Allen, and Madison counties. The project includes partnerships between the Division of Mental Health and Addiction and seven county coalitions. Priority considerations addressed in this application include rural, high-poverty, and economically distressed regions.

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Iowa Governor's Office of Drug Control Policy

IA

The Iowa Governor’s Office of Drug Control Policy will: • Reduce substance abuse and criminal involvement involving nonviolent individuals by implementing or expanding pre-/post-arrest diversion to treatment in Black Hawk, Story, and Jones Counties. • Expand citizen access to medication disposal in 25 new sites in underserved areas of the state. The Criminal and Juvenile Justice Planning Agency, Iowa’s Statistical Analysis Center, will serve as the evaluator for the project.

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Izard County

AR

This project will serve the Sixteenth Judicial District in northern Arkansas, a rural region comprised of five counties: Izard, Stone, Fulton, Cleburne, and Independence. The mission of this project is to reduce the impact of substance misuse, including overdose deaths, in the area. This will be accomplished by helping more people with substance use disorder (SUD) receive treatment instead of entering the criminal justice system. This project will also help increase community awareness about substance misuse and improve the ability of law enforcement agencies and communities to respond to overdoses. The primary focus for activities will be law enforcement deflection/diversion and access to peer recovery support services, and most of the activities will be conducted by COSSAP investigators and peer recovery support specialists (PRSS). Peers are individuals who have experienced SUD, are in sustained recovery, and have been trained to help others achieve recovery. By expanding access to peer support services, this project will connect more people with SUD to the treatment they desperately need. COSSAP investigators are deputies from the Izard County Sheriff’s office who are also assigned to the existing Drug Task Force for the district. Having designated COSSAP agents on the district task force will ensure that more cases involving substance use can be referred for peer support and that treatment arrangements can be made as quickly as possible. This project will also include outreach and education activities across the district and will improve the accuracy and efficiency of data collection. Allowable activities include: (1) enhancing access to peer recovery support services (35 percent); (2) law enforcement and first responder deflection and diversion (35 percent); (3) embedding PRSS at multiple points of Sequential Intercept Model (10 percent); (4) prevention programs to connect law enforcement agencies with K-12 students (10 percent); (5) drug take-back programs (5 percent); (6) data collection (5 percent).

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Johnson County

AR

The Johnson County Opioid Response Effort (JCORE), through the Johnson County Sheriff’s Office, centers on teaming peer specialists with specialty investigators so that behavioral health resources can be implemented during the timeframe when individuals are most receptive to help. This “golden moment” falls immediately after overdose or investigation and possible arrest. By pairing services with investigation, diversion to drug courts, treatment, and other transitional services moves the individual into a more positive path to recovery instead of the traditional method of incarceration only. Utilizing two teams of peer and investigator allows for round the clock coverage without creating stress of continuous coverage on one team which results in burnout. Peer specialists respond to police calls for drug-related incidents and follow the individual through medical care and incarceration as necessary, placing the peer specialist in a position to engage family and friends to elicit support. Peer specialists can use their lived experience to help the individual see the benefits of life change. This approach has proven that individuals are more inclined to assist in investigations and the team approach has reduced stigma among law enforcement. Peer specialists also provide training and distribution of naloxone to the support systems of individuals. Classes and support groups conducted within the jail identifies individuals incarcerated for other charges who are also struggling with substance use disorders. After identification, those individuals can be moved toward treatment options and recovery, resulting in decreased jail population and lowered recidivism. JCORE will utilize participation in drug takeback programs, law enforcement diversion, naloxone for law enforcement, and treatment alternatives to incarceration. The primary use of the funds will center on embedding peer specialists at various points in the Sequential Intercept Model which makes it a labor-intensive program.

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Judiciary Courts of The Commonwealth of Massachusetts

MA

The Middle District Attorney’s Office (MDAO) in Worchester, Massachusetts, will implement the Milford Recovery Center and Substance Use Prevention Project. Objectives include: 1) locally driven responses to the use and misuse of opioids, stimulants, and other substances that expand access to treatment and recovery support services and 2) promote education and prevention activities. The MDAO is the prosecution agency for the 60 communities in Worcester County, Massachusetts. The county has 862,111 residents and covers the largest geographical area of any Massachusetts county. This project is guided by the county’s law enforcement, municipal leaders, medical providers, treatment agencies, educational institutions, and others participating in the District Attorney’s Central Massachusetts Opioid Task Force. This multi-disciplinary group works together to assess risk and protective factors related to the opioid epidemic and support the development and implementation of strategic and collaborative solutions. COSSUP funding for the Milford Recovery Center and Substance Use Prevention Project will continue operations and expand services at Chris’ Corner, a successful peer-based recovery center located in Milford Massachusetts. This project will improve access to services through increased direct care staffing and expanded hours of operation – resulting in the capacity to serve twice as many people each year. Efforts will also include education and prevention programming for students, youth, and professionals across Worcester County and the distribution of Naloxone to first responders and families. As aligned with COSSUP priorities this project will accomplish the following: 1) Reduce the number of opioid overdoses and overdose deaths in Worcester County; 2) Decrease the incidence of Opioid Use Disorder in Worcester County; 3) Increase the number of individuals receiving treatment and recovery support services in Worcester County; and 4) Increase the use of evidence-based programming in schools and youth groups in Worcester County.

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Judiciary Courts of the State of Hawaii

HI

The First Circuit Court of the State of Hawaii is applying for a Category 1 award in the amount of $996,657. The COSSAP Hawaii program will provide treatment, recovery support services, and family court interventions by implementing and expanding comprehensive efforts to identify, respond to, treat, and support those impacted by drugs of misuse in the adult and juvenile justice system on Oahu, Hawaii. This program will help both the Family Court’s Juvenile Client Services Branch and the Adult Client Services Branch provide much-needed client treatment and support services currently impacted by a budget shortfall due to the COVID-19 pandemic. This project serves Oahu, Hawaii, which has a population greater than 500,000. The project includes partnerships between the Hawaii State Department of Health, Alcohol and Drug Abuse Division and new and existing community providers to deliver the contracted services for the juvenile and adult activities for this project. Priority considerations addressed in this application include high poverty areas for adults and juveniles in the First Circuit criminal and juvenile justice system that are from neighborhoods on Oahu that are disproportionately impacted by poverty, homelessness, and substance use and have limited access to services in their community.

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Judiciary Courts of the State of Oklahoma

OK

The Tulsa County District Court, Fourteenth Judicial District of Oklahoma, is applying for Category 1 funding in the amount of $1,200,000. The project will launch the Tulsa County Anti-Recidivism Misdemeanor Diversion (TURN) Program, a court-based intervention program (mixed pre- and post-plea model) that expedites treatment and recovery services for justice-involved individuals with substance use disorders, mental illnesses, and co-occurring SUDs/MIs who are at high risk for overdose. TURN requires that participants engage with service and treatment providers in exchange for dismissed charges, no court fines or fees, and fewer court dates, among other benefits. By prioritizing stabilization and long-term social success, TURN will improve outcomes for individuals whose current primary source of treatment is the Tulsa County Jail. Deliverables include 1,000 misdemeanor cases diverted out of the criminal justice system and 800 alternative sentence recommendation outcomes. The program will be administered by Tulsa County Alternative Court Programs (TCACP), a division of the court. The project serves Tulsa County (OK), with an estimated 2019 population of 651, 552. The project includes partnerships with the Tulsa County District Attorney, the Tulsa County Public Defender, the Oklahoma Department of Mental Health and Substance Abuse Services, the Mental Health Association of Oklahoma, Oklahoma Family & Children’s Services, the Tulsa Police Department, and the Tulsa County Sheriff’s Office. The project will engage Oklahoma State University’s National Center for Wellness and Recovery as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.

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Justice and Community Services

WV

The Justice and Community Services (JCS) Section of the West Virginia Division of Administrative Services (DAS), which is the State Administrative Agency for criminal justice-related activities in the state, is applying under Category 2 for grant funding in the amount of $6,000,000 under the FY 2020 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (COSSAP) grant program. The purpose of the project is two-fold. First, the project will establish a cutting-edge approach to pre-arrest diversion by integrating quick response teams, LEAD, and the West Virginia Angel Initiative (Angel) to establish the WV QLA Early Intervention Program. This program will be implemented into the following nine counties: Berkeley, Cabell, Kanawha, McDowell, Mercer, Monongalia, Raleigh, Wood, and Wyoming. The total population of these counties is 763,728 and accounts for 61 percent of the overdose fatalities within West Virginia. Second, the project will assist county commissions and non-profit organizations to assist with the recruitment, retention, and training of peer recovery coaches throughout the state. Coaches will be required to possess the following credentials to be funded under this initiative: 1) a high school diploma or recognized equivalent; 2) experience with substance use challenges; 3) involved with a personal support and/or recovery system; 4) reside in stable, recovery-oriented housing the last six (6) months; 5) have no involvement with the legal system within the last six (6) months and/or pending legal issues; and 7) no intensive behavioral health involvement within the last six (6) months, including intensive services, detoxification services, and/or residential treatment services. JCS has partnered with the West Virginia Office of Drug Control Policy and West Virginia Department of Health and Human Resources Bureau for Behavioral Health in the implementation, monitoring, oversight, and sustainment of the proposed project. Priority considerations addressed in this application include rural and high-poverty areas.

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Kane County

IL

The Kane County State's Attorney's Office is applying for a Category 1 award in the amount of $1,199,114. The Kane County Pre-Arrest Diversion Initiative will reduce the harms to self and community caused by the ongoing public safety and health effects of substance use disorder, untreated mental health issues, and homelessness through the creation of a system that provides access to necessary care outside of the criminal legal system. The Kane County State’s Attorney’s Office has begun establishing relationships with community-based agencies and mental health service providers throughout Kane County, in addition to an early collaboration with the Elgin Police Department, which has created a Collaborative Crisis Services Unit in part to participate in pre-arrest diversion. The Kane County Sheriff is prepared to join the initiative when it expands beyond Elgin, and the long-term goal is for additional municipal police departments to participate. Objectives of Law Enforcement Assisted Diversion (LEAD) pre-arrest diversion are to improve public safety, reduce the number of people entering the criminal legal system, eliminate racial disparities in the system, create sustainability by reinvesting systems savings, and improve police-community relations. This project serves Kane County, Illinois, population 532,403. The project includes partnerships between the Eglin Police Department, the Kane County Sheriff's Office, county board members, city council members, multiple service agency directors, Aurora University's Social Work Department, and community advocates for racial and social justice. Priority considerations addressed in this application include the fact that Elgin contains three high poverty census tracts, making it a priority area to provide an alternative to the potential harms involved in going through the criminal legal system.

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Kansas Department of Health and Environment

KS

The Kansas Department of Health and Environment’s All Hands on DECK (Drug Endangered Children in Kansas) is a project designed to prevent and mitigate adverse childhood experiences, specifically targeting drug endangered children (DEC), those who are found in environments where illegal drugs are manufactured, sold, distributed, used or where there is other significant evidence of illegal drugs. Approximately 140,860 Kansas children are living in environments where their parent or caregiver uses substances, and an estimated 5,155 Kansas infants are born exposed to substances every year. Recent data show Kansas has had increases in drug overdoses and deaths that are higher than the national average. Drug endangered children are much more likely to use substances themselves; have chronic diseases like diabetes, heart disease and obesity; experience mental health issues; and have social problems including financial difficulties and employment challenges. The comprehensive statewide program addresses substance use and misuse, promotes public safety, reduces overdose deaths, and supports access to prevention, harm-reduction, treatment, and recovery services in Kansas communities and multiple systems including the justice system. The goals of this project are to (1) improve identification of and response to drug endangered children in Kansas by providing training, increasing collaboration and multidisciplinary approaches, and implementing a robust subaward component; (2) increase awareness of drug endangered children in Kansas through development of a statewide media campaign, an increase in real-time data collection and dissemination, and integration of DEC awareness into existing initiatives like drug take back days; and 3) build the capacity of project partners to implement a statewide DEC initiative. The project is designed and implemented with an equity frame and will target those who have been underserved and/or adversely affected by inequality. The project divides the state into six regions to ensure geographic equity and will target all four Kansas tribes-- Iowa, Kickapoo, Potawatomi, and Sac and Fox. This project is focused on changing the trajectory for children suffering the negative impacts of living in environments where drugs are present and will develop a model that can be replicated throughout Kansas and across the United States.

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Kentucky Justice and Public Safety Cabinet

KY

The proposed project, Kentucky Comprehensive Advocacy and Resource Efforts (K-CARE), will help to ensure that individuals negatively impacted by opioids are provided with support in the form of a community resource coordinator (CRC). K-CARE will place CRCs with Kentucky’s four (4) civil legal services providers, which provides access to CRCs for all 120 Kentucky counties via the civil legal service placements, as well as targeted support for other projects that align with the original intention of the funding. Those other projects included a fifth civil legal services provider who offers support to individuals in residential treatment settings, a law enforcement-based K-CARE project, naloxone distribution via the KY Office of Drug Control Policy, and expansion of the K-CARE model into the judicial system via a partnership with the KY Administrative Office of the Courts who embedded CRCs in ten pre-trial offices to support a diversion program. K-CARE CRCs will serve as a vital referral source for the constellation of needs that are likely to present, including linking victims with available services for interpersonal violence such as domestic violence shelters, child advocacy centers, and protective services. Likewise, K-CARE CRCs will help individuals in need to secure access to necessary health care services, transportation, employment assistance, job training, vocational rehabilitation programs, and independent/transitional housing options in their communities.

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Kings County

CA

The project serves Kings County, California, which has a population of approximately 150,373. The purpose of the project is to build strong coordination between in-custody and community-based treatment, establish a job training program for individuals reentering the community from jail, and establish virtual peer recovery support services for individuals leaving jail. The project addresses the allowable use of establishing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as medication-assisted treatment (MAT), with a focus on building strong coordination between in-custody and community-based treatment and recovery support services (100 percent of the budget). The project includes a partnership with Kings County Jobs Training Office, Wellpath, and Heritage Health Solutions.

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Kittitas County

WA

The Kittitas County COSSAP Project will develop and implement an evidence-based medication-assisted treatment in jail to address individuals who are incarcerated and suffer from an opioid use disorder.

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Kittitas, County of

WA

The Kittitas County Sheriff's Office project will serve those incarcerated at the Kittitas County Jail located in Ellensburg, Washington, including both Kittitas County residents as well as other clients from other areas of the state as well. As of 2020, Kittitas County has an estimated population of 44,337 and the jail's daily population is steadily rising since the pandemic, but currently an average of 98 people incarcerated daily. The request for this funding is to develop a project that will expand and enhance evidence-based medication for opioid use disorder (MOUD), as well as recovery support services within the Kittitas County Jail. The Kittitas County Jail currently has a FY 2020 COSSUP grant this project will continue the services, while enhancing the program to continue to lower recidivism and having a positive effect on the entire community they serve. According to the Rural Health Grants Eligibility Analyzer, Kittitas County is eligible for Rural Health Grants. According to the most available stats in 2018, The ration of Kittitas County residents to primary care physicians is 1710:1. The University of Washington released stats in January of 2023 that states crime lab data for police evidence testing indicate a 186% increase in the number of cases positive for opioids statewide between 2002- and 2018-2020, with increases in most counties. The Kittitas County Jail houses all persons who are booked within the 2,297.3 square miles and serve all local Law Enforcement agencies as well as the United State Marshalls and Washington State Department of Corrections. The program is designed to enhance and increase staff training, screening, delivery of onsite services including intake, induction, dosing, care coordination and post-release coordination. The Kittitas County Sheriff's Office will seek a MOUD partner that is committed to enhancing the already established programming and consist of medical providers carrying certifications in Addiction and Emergency Medicine, Internal, OB/GYN, and Family Medicine, as well as other specialties. The program will include a researcher to develop and provide the necessary data as required and to further find ways to increase its capabilities by utilizing a mixed method approach consisting of participant interviews, MAT retention rates, and recidivism statistics.

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Knox, County of

TN

Knox County is implementing a probation-focused case management program (Intensive Case Management Program). The program's purpose is to provide an evidence-based response to the use and misuse of opioids, stimulants, and other substances by expanding access to treatment and recovery support services for probationers supervised through the Knox County Probation Department. The project will provide intensive case management services and substance use treatment for individuals on probation who have a substance use disorder and are at risk for overdose. The project will also increase access to recovery support services for individuals on probation, which will be partially accomplished through a subrecipient agreement with the Metro Drug Coalition. Expected outcomes include reducing risk of overdose death and enhancing evidence-based treatment and recovery service engagement for those on supervised probation.

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Lackawanna County Government

PA

Fatal substance overdoses throughout Lackawanna County, Pennsylvania, have increased in 2020 and 2021 after seeing a significant decrease in 2019, despite expansive efforts to combat substance use disorder within the county. In response to this public health crisis, Lackawanna County has implemented several innovative initiatives to address the opioid epidemic and reduce overdose deaths, including the Lackawanna County District Attorney Office (LCDAO) led Lackawanna County overdose fatality review (OFR) team. The Lackawanna County OFR is a multidisciplinary group that conducts extensive case reviews and examines local overdose fatality data to find the root causes of addiction, understand the factors that ultimately led to an overdose, identify gaps in treatment and missed opportunities for intervention, and generate data-driven recommendations to decrease overdose fatalities throughout the county. The project will serve the residents of Lackawanna County to reduce the amount of both fatal and non-fatal overdoses through a focus on program implementation and improvement. The funding will support the OFR’s ability to conduct evaluations of the next of kin interview process, provide mentorship, guidance, and technical support to developing OFR teams, conduct an external evaluation of Lackawanna County OFR Team, establish an awareness and education campaign, and implement recommendations generated by the Lackawanna County OFR team. The Lackawanna County District Attorney’s Office will engage in a subgrant with the University of Pittsburgh Program Evaluation and Research Unit (PERU) to support the Lackawanna County District Attorney’s Office as a research and evaluation partner. PERU will provide support related to problem analysis, evaluations, assessment of implementation, and strategic planning of interventions. All funds requested by the Lackawanna County District Attorney’s Office will be allocated to the category of real-time data collection and the goals and objectives of the proposed program will be related to the implementation of recommendations generated by and improvement of the established county OFR team.

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Lafourche Parish Sheriff's Office

LA

The Lafourche Parish, Louisiana, Sheriff’s Office (LPSO) will develop and implement a comprehensive opioid prevention effort that promotes civil rights and racial equity in the identification, response, treatment, and support of those impacted by illicit opioids, stimulants, and other drugs in Lafourche Parish, Louisiana. The goal of Project Comprehensive Opioid Prevention Effort (COPE) is to deploy needed service activities and protocols to reduce overdose deaths, promote public safety, and support access to prevention, harm-reduction, treatment, and recovery services, both in the community and the justice system. The Project will function under the direction of a Project COPE Steering Committee, which is a permanent multidisciplinary coordinating body that focus on addressing the issues that arise due to the impacts of illicit opioids, stimulants, and other drugs. It is composed of representatives from the LPSO, court system, Lafourche Parish Coroner’s Office, Parish Government, public and private school systems, Nicholls State University, and prevention, intervention, and treatment agencies. Program activities include law enforcement deflection and diversion, real time data collection, education, and prevention, pre and post booking treatment alternatives to incarceration, evidence-based substance use disorder treatment, and social workers and peer embedment at any intercept of the Sequential Intercept Model. A program-specific priority is in support of Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities through the Federal Government.” In partnership with the Kingdom Impact Global Worship Centre, underserved populations that have been adversely affected by the opioid epidemic will be identified and strategically facilitated under the program.

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Lake County

IL

The Lake County, Illinois, Health Department and Community Health Center project serves Lake County, Illinois, with a population of 711,239. The purpose of this project is to provide wraparound evidenced-based treatment for consumers of the A Way Out 3.0 program including medication-assisted treatment (MAT), recovery support services, peer support, case management, and transitional and recovery housing. A Way Out 3.0 will serve as an evidence-based treatment initiative for individuals at high risk of overdose and substance abuse and as a pre-booking and post-booking alternative to incarceration. The project will focus on increasing access to treatment, increasing treatment success rates, reducing overdoses, and providing community outreach. This project will aim to have 90 percent of consumers with opioid use scheduled to receive services or treatment within 24 hours of initial contact; 70 percent of consumers will successfully complete their first treatment episode; and 90 percent of consumers will receive information regarding MAT and/or naloxone. Additionally, peer support groups will be offered bi-weekly for consumers, and one community outreach session will be conducted by the A Way Out team per month. Priority considerations addressed in this application include a high rate of primary treatment episodes for heroin and other opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities. An individual from Rosalind Franklin University of Medicine and Sciences will serve as the evaluator for the project.

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Lancaster County

SC

The entire county of Lancaster is 98,012 residents. The proposed project will provide resources for training of every law enforcement officer in the county on LEAD (Law Enforcement Assisted Diversion); promote visible prescription drug takeback strategies; and assist with training, handling, and distribution of naloxone. Priority considerations include the presence of a Qualified Opportunity Zone, poverty, and rural challenges. This application is for Category 1c grant funding.

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Lane County

OR

Lane County Sheriff’s Office applied for grant funding in the amount of $900,000 under Category 1B. The project serves Lane County, Oregon, which has a population of 382,067. The purpose of the Lane County Jail Substance Use Intervention and Transition Program is to stand up a comprehensive in-jail medication assisted treatment (MAT) program with community transition through peer support and transitional housing. The in-jail program will be paired with peer support, which will facilitate a transfer to the program’s primary partner, Lane County Health and Human Services, MLK Community Health Clinic. The clinic houses the county’s MAT program and behavioral support unit. The program will also offer transitional housing support to encourage MAT engagement with community providers. The program will use multiple housing providers in order to best meet the needs of participants (for example, veterans and those with co-occurring disorders and higher or lower service needs,). Priority considerations addressed in this application include high rates of overdose deaths and a lack of accessibility to treatment providers and facilities. Additionally, the proposal will provide enhancements to public safety in economically distressed communities (Qualified Opportunity Zones).

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Lenoir County

NC

The County of Lenoir applied for Category 1b grant funding for the amount of $288,713. The purpose of the project is to improve capacity of the district’s Family Accountability and Recovery Court (FARC) to serve families involved in the family court system due to substance dependence. Project objectives include providing more seamless and comprehensive treatment, as well as recovery services to parents with substance use disorders through increased staff capacity, enhanced training and professional development, and expanding treatment and complementary services. The project also aims at addressing systemic barriers faced by parents with substance use disorders through family transitional housing and expanded transportation assistance, as well as improving FARC performance through evaluation and performance management. This project serves North Carolina’s 8th Judicial District (Lenoir, Wayne, and Green counties). The total population of the district is 201,483. The project includes partnerships between Lenoir County, the 8th Judicial District FARC program, Hope Restorations Inc., Kinston Community Health Center, and the National Center for State Courts. Priority considerations addressed in this application include rural challenges, high and persistent poverty, and improved safety in Qualified Opportunity Zones.

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Lewis and Clark County

MT

The County of Lewis and Clark applied to Category 1c grant funding and will be recommended to receive $513,850. It proposes to implement the Medication-Assisted Treatment (MAT) Bridges Project, which will support the delivery of treatment in the detention center for individuals with opioid use disorder. MAT medications, in combination with counseling and behavioral therapies, provide an evidence-based, holistic patient approach to the treatment of opioid dependency. The county is requesting funding for MAT medications and medically necessary lab work, as well as to support staff to implement the MAT Bridges program in the detention center. The MAT Bridges program is projected to increase retention in treatment for individuals upon release into the community and decrease recidivism rates for MAT Bridges participants. This project serves an estimated population of 69,432, including both rural and urban communities in the county. The project includes partnerships between the county’s Criminal Justice Services Department, the County of Lewis and Clark Sheriff's Office and detention center, and two local federally qualified health centers. Priority considerations addressed in this application include a rural area.

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Lincoln County

NC

Lincoln County, North Carolina, is a mix of urban and rural communities. There were 143 cases of documented overdose/substance misuse in 2019 compared to 380 in 2021–over a 100 percent increase. In all age ranges, overdose/substance misuse increased since 2019. Lincoln County lacks critical infrastructure to support enhanced needs of individuals with substance use disorder and county leadership is prepared to make the necessary changes to align Lincoln County with the priority areas outlined by the state government in North Carolina. Currently, there is no deflection or diversion work happening in Lincoln County, so the Lincoln County Health Department is using grant funds to create a community paramedicine-led Post Overdose Response Team (PORT), the first deflection and diversion program of its kind for first responders in the county. The full budget will be used to build and implement the program including hiring staff, buying supplies, acquiring a robust data tracking system among other expenses that might arise. The PORT would serve individuals with substance use disorder to mitigate injury and death. The PORT program will consist of a certified community paramedic, a certified peer recovery support specialist, and a licensed clinical social worker. The team will connect with eligible individuals and their family members to provide peer support services, linkages to appropriate care, education on the disease of addiction, harm reduction services, safety education, parenting education, and education on any co-occurring health care needs, and training to those who suffer from a substance use disorder and their loved ones. The goals for this program include: (1) reduce reoccurring use of emergency services or hospital emergency departments; (2) connect people with services for acute or long-term needs; and (3) assist individuals in recovery, sobriety, and daily life skills.

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Lincoln County

OR

The Lincoln County Sheriff’s Office (LCSO) is applying for a Category 1 award in the amount of $599,999. The LCSO-SBIRT project will implement a screening, brief intervention, treatment, and referral to treatment (SBIRT) program aligned to the COSSAP funding purpose of expanding comprehensive efforts to identify, respond to, treat, and support people impacted by illicit opioids, stimulants, and other drugs. This project serves Lincoln County, with the service population being adults 18 years of age and older who are booked into the Lincoln County Jail and who prescreen positive for risky substance use behaviors. The LCSO SBIRT program will serve 200 people over the life of the project. The project includes partnerships between ReConnections; Amy Yates, LCSW, Justice Counselor; and Data Specialist Brooke O’Byrne. Priority considerations addressed in this application include the fact that Lincoln County has five high-poverty census tracts in an area disproportionately impacted by substance use (e.g., lack of community treatment and high rates of overdose deaths), and the project will advance justice and build trust between law enforcement and the community.

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Logan County

WV

The County of Logan, Southwestern Regional Day Report Center's Fresh Start Program, is a comprehensive alternative-to-incarceration program designed to reduce clients’ risk of relapse and recidivism while improving their quality of life through treatment, peer support, and community connectedness. Due to the pervasive opioid and stimulant epidemic, Fresh Start has expanded and diversified its approach to those impacted. Enhancements include providing participants with further educational and certification opportunities, developing an internship program for participants who are near completion of the program, and helping participants repair relationships through family-centered activities. This project serves a target population of high-risk individuals as measured by the Level of Service Case Management Inventory with an elevation in the moderate to high range for the Alcohol or Other Drug Problems subscale and who meet criteria as suffering from an opioid or stimulant use disorder as classified in the Diagnostic and Statistical Manual of Mental Disorders – 5th Edition. The project includes partnerships between chief probation officers, the region's adult drug court and family treatment court, the West Virginia Supreme Court, the West Virginia Food and Farm Coalition, Grow Appalachia, the Hungry Lambs Food Initiative, West Virginia University Extension Services, county health departments, West Virginia Jobs and Hope, and the West Virginia Military Authority.

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Los Angeles County

CA

The Los Angeles Department of Health Services proposes to implement a Law Enforcement Assisted Diversion (LEAD) program in the geographic area of East Los Angeles. Grant funds will be used to hire staff of the LEAD program including an attorney, sheriff’s deputies, and a Project Coordinator. Funds will also be used to secure reentry case management, transitional housing services, and purchase naloxone for distribution. Project partners include the Los Angeles County Sheriff’s Department, Los Angeles County District Attorney’s Office, and community-based organizations. The applicant will engage Ricky Bluthenthal of the Keck School of Medicine, University of Southern California as the research partner.

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Los Angeles County

CA

The County of Los Angeles is applying for Category 1a urban area grant funding in the amount of $1,200,000. The Los Angeles County Department of Health Services Office of Diversion and Reentry (ODR) will (1) expand law enforcement referral opportunities to divert individuals who commit low-level drug and prostitution offenses as a result of unmet health, behavioral health, and socioeconomic needs away from the criminal justice system and into supportive services by broadening eligibility criteria to include individuals with histories of stimulant, opioid and/or other substance use; (2) reduce the number of individuals in Hollywood with unmet substance use, mental health, housing, employment, or health needs entering the criminal justice system for low-level offenses; and (3) increase access to harm-reduction services and case management, including overdose education and access to naloxone for Hollywood LEAD (Law Enforcement Assisted Diversion) participants. This project serves the City of Los Angeles (population 3,949,776). The project includes partnerships between ODR, Los Angeles Police Department, Los Angeles County District Attorney’s Office, Los Angeles City Attorney’s Office, Community Health Project Los Angeles (service provider), and Dr. Ricky Bluthenthal from the University of Southern California.

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Louisville Jefferson County Metro Government

KY

Louisville Jefferson County Metro Government is applying for a Category 1a urban area grant in the amount of $1,200,000. The MAT Expansion Project, known as IMPACT—Innovative Medication Program for Addiction Care and Treatment, aims to increase access to medications for Opioid Use Disorder in the jail. The project will expand in-custody access to MAT to reduce overdose deaths, reduce criminal behavior, and improve treatment retention and treatment outcomes for the population with moderate to severe opioid use disorder (OUD). Goals of the project include: increase access to MAT to incarcerated individuals already enrolled in a community opioid treatment program or office-based opioid treatment program prior to arrest, increase access to MAT by initiating two FDA-approved medications (methadone and buprenorphine) for OUD, improve treatment retention by providing in-custody behavioral therapies for substance use disorder and referral and linkage to care in the community upon release, and developing protocols to control medication diversion and offer ongoing staff training to address safety and security and the stigma associated with MAT as a treatment modality. This project serves the Louisville Metro City/County with a combined population estimated of 771,517. The project includes partnerships between Wellpath, and the MORE Center.

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Lowell, City of

MA

The City of Lowell, Massachusetts, Police Department (LPD) project will expand and enhance the City of Lowell's existing Community Opioid Outreach Program (CO-OP). The CO-OP was implemented in 2016 to try to connect persons in Lowell, who recently overdosed, to services. The partners include LPD, Lowell Fire Department, Lowell Health Department, Pridestar Trinity EMS, and Lowell House Addiction Treatment and Recovery, Inc. The purpose of the project is to meet the growing needs of those with substance use disorder (SUD) in the City of Lowell. Project activities will include adding a Recovery Housing Specialist and bilingual Outreach Recovery Specialist to the CO-OP team. These positions will be essential to addressing the needs of homeless individuals with SUD and better serving individuals with SUD who speak English as a second language. The LPD is also proposing to provide financial assistance for transitional and recovery housing with recovery support services to individuals that qualify. Additionally, the department will continue to support the Lowell Health Department's Youth Outreach Specialist. This individual will assist youth and their families impacted by substance use and work closely with the Recovery Housing Specialist to secure housing for homeless young adults (18-26) with SUD. The LPD is also proposing to partner with the University of Massachusetts Lowell to conduct an evaluation of the project to understand the effect the program has on the opioid epidemic in the City of Lowell and the lives of those struggling with SUD and housing. Expected outcomes include securing transitional or recovery housing for 36 homeless individuals with SUD, increasing the number of individuals that access recovery services (i.e. youth and individuals that speak a different language), and increasing the number of individuals with SUD that make forward progress on stages of change. The project will address the following allowable activities: expand law enforcement and first responder deflection program (80%) and provide transitional or recovery housing and peer recovery support services (6%). 14% of the budget will also be dedicated to program evaluation. A breakdown of the budget is below. Additionally, please note that the LPD was awarded the BJA FY 19 Comprehensive Opioid Abuse Site-based Program in the amount of $900,000 (2019-AR-BX-K005). This grant will end in September 2023.

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Macomb County

MI

Macomb County is applying for a Category 1 award in the amount of $595,168. The Macomb County Prosecutor’s Office/Families Against Narcotics (FAN) REDIRECT Diversion Program will reduce the number of overdoses, assist people in getting treatment for addiction, reduce drug-related crimes, and improve the relationship between law enforcement and the community. The overall goal of REDIRECT is to reduce both drug-related crime and overdose mortalities among high-need/high-risk people in Macomb County who may have committed a minor, non-violent, drug-related offense by offering them a referral to treatment and continuum of care, in lieu of arrest and prosecution of criminal charges. The objectives are to launch REDIRECT in all 18 police departments within the county, provide a continuum of care to participants for 12 months to support their sobriety, and to reduce the stigma of addiction within law enforcement and the community. This project serves Macomb County, which has a population of approximately 873,000. The project includes a partnership with FAN, a grassroots organization known and respected by law enforcement throughout the county. Priority considerations addressed in this application include that the project will benefit individuals residing in a high-poverty area or persistent-poverty county.

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Makah Indian Tribe of the Makah Indian Reservation

WA

In the Comprehensive Opioid Abuse Site-Based Program application, the Makah Tribe is proposing to utilize funding under Category 1: Local or Tribal Applicants, Subcategory 1c. The applicant intends to utilize funds from this application to continue funding the two FTE positions from the previous application: the COSSAP case manager and one coordinator, who will implement the LEAD program, develop MAT protocols, and help further expand the Sisuk Houses. There are no priority considerations for this application.

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Marion County

IN

The County of Marion is applying for a Category 1 award in the amount of $1,163,404. The Marion County Sheriff's Office’s (MCSO) Increasing MAT Capacity program will increase medication-assisted treatment (MAT) program capacity to fund a full scale, comprehensive MAT program that focuses on three parts: continuation, induction, and community connectivity. MAT in this program refers to the use of U.S. Food and Drug Administration (FDA)-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders as a medical disorder. There are three FDA-approved medications used to treat opioid use disorder (OUD), and two will be used in this program: buprenorphine and naltrexone. This program will screen all arrestees at Marion County Jail Intake for OUD, continue MAT treatment for patients that self-report at Marion County Jail Intake to be currently enrolled in a MAT program, identify at-risk patients and induct on MAT, and ensure patients are connected to health insurance and MAT in the community prior to their release. This project serves Marion County, which includes the city of Indianapolis, Indiana, and has a population of approximately 101,020. The project includes partnerships between MCSO, MCSO’s Behavioral Management Team, Wellpath, and Midtown Community Mental Health. Priority considerations addressed in this application include that the individuals who will benefit from the project live in high-poverty areas.

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Massachusetts Administrative Office of the Trial Court

MA

The Trial Court of Massachusetts, on behalf of six states (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont), will establish a New England Regional Judicial Opioid Initiative (RJOI). This project will support comprehensive cross-system planning and collaboration among officials who work in multiple justice and justice related settings while staying focused on the judiciary and judiciary stakeholders (e.g. law enforcement, pre-trial services, the courts, probation and parole, child welfare, reentry, prescription drug monitoring programs (PDMPs), and emergency medical services, as well as health-care providers, public health partners, and agencies that provide substance use disorder treatment and recovery support services). The New England RJOI will also develop and enhance public safety, behavioral health, and public health information-sharing partnerships that leverage key public health and public safety data sets and implement interventions based on this information. The project will have a researcher and is presently completing contract negotiations for these services. Please note that Abby Kuschel currently leads this initiative as Project Director, not Jessica Fix. Ms. Fix is registered in JustGrants as Grant Award Administrator and is responsible for administrative/fiscal oversight. We are unable to update this field as it locked in the web form.

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Massachusetts Administrative Office of the Trial Court

MA

The Massachusetts Administrative Office of the Trial Court applied for a Category 2 statewide grant in the amount of $6,000,000. Project NORTH (Navigation, Outreach, Recovery, Treatment, and Hope) will increase treatment engagement and retention, decrease risk of overdose, and reduce risk of justice-system involvement. The objectives of the project are to increase access to evidence-based treatment and care coordination, decrease barriers to treatment retention, increase recovery support and recovery capital, and increase access to overdose-prevention education and naloxone distribution. This project serves 62 communities in 9 counties and 2.7 million people. Locations include Barnstable, Boston, Brockton, Chelsea, Haverhill, Fall River, Lawrence, Lowell, Lynn, New Bedford, Pittsfield, Quincy, Springfield, Taunton, and Worcester. The project includes partnerships between the Executive Office of Health and Human Services, MassHealth (Medicaid office), Department of Public Health, Department of Mental Health, the University of Massachusetts Chan Medical School's Center of Excellence for Specialty Courts, and the Massachusetts Alliance for Sober Housing. Priority considerations in this application include rural regions, high-poverty areas, and Qualified Opportunity Zones. Please note that Marisa Hebble currently leads this initiative as Project Director, not Jessica Fix. Ms. Fix is registered in JustGrants as Grant Award Administrator and is responsible for administrative/fiscal oversight. We are unable to update this field as it locked in the web form.

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Massachusetts Supreme Judicial Court

MA

The Massachusetts Middle District Attorney’s Office, in partnership with AdCare Hospital and the National Alliance for Drug Endangered Children, received funding to support the Worcester County Drug Diversion and Drug Endangered Children Initiative. The Middle District Attorney’s Office is the lead prosecution agency for the 60 communities that make up Worcester County, Massachusetts. The county has 862,111 residents and covers the largest geographical area of any county in the Commonwealth. Over the last seven years, the county’s law enforcement, municipal leaders, medical providers, treatment agencies, and other vested parties have joined forces to assess risk and protective factors related to opioid misuse. These representatives make up the Central Massachusetts Opioid Task Force, which aims to reduce overdoses and overdose deaths among residents, to prevent first-use of opioids, and to change the trajectory of intergenerational trauma resulting from substance misuse. The project will use data-driven, evidence-based strategies to reduce the number of low-level offenders with a history of substance use disorder that become incarcerated in Central Massachusetts. The Task Force recognizes the need for greater awareness and response to the impact caregiver substance use has on children. Local data indicates the identification rate of these children is lower than expected in a region the size of Worcester County. Unidentified children inherently lack access to the trauma informed services needed to address their victimization and its long-term impacts. This project will utilize national expertise in assessing community needs and developing appropriate responses through proven practices. The project will achieve the following: (1) expand diversion opportunities for low-level offenders with history of substance misuse; (2) reduce the number of unintentional overdose deaths among low-level offenders and criminal justice system-involved individuals in Worcester County; (3) evaluate the impact of diversion strategies and substance-abuse treatment for low-level offenders with history of substance misuse; (4) operationalize a county-wide Drug Endangered Children Alliance; and (5) Reduce impact of trauma on children in Worcester County.

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Massachusetts Supreme Judicial Court

MA

The Franklin County Sheriff's Office, in collaboration with the Opioid Task Force of Franklin County, the North Quabbin Region, and other partners, will expand services provided by the Community Opportunity, Network, Navigation, Exploration, and Connection Team (CONNECT) project. Serving 30 rural communities across nearly 1,000 square miles, CONNECT became the first team serving 86,773 residents to respond to fatal and non-fatal overdoses in July 2021 in the only federally designated rural county in Massachusetts. CONNECT was created to address consistently high levels of fatal overdoses in a region marked by persistent poverty, further exacerbated by the COVID-19 pandemic, which drove up opioid-related fatalities by 45.5% between 2020 and 2021. Despite the presence of CONNECT, gaps remain. Lack of law enforcement and first responder capacity, budget cuts, and staff turnover have emerged as issues. The distribution of naloxone to our law enforcement and first responders remains a priority as many municipalities cannot afford it due to high costs. Advancing racial equity in our work has also emerged as a priority, as data reveal people of color are disproportionately impacted by opioid overdoses in Massachusetts. Rural isolation and lack of access to services remain a concern, where limited transportation routes and Internet connectivity prevent individuals from accessing SUD treatment services and peer recovery coaching supports in community settings, preventing their entry into the mental health and criminal justice systems. To address these challenges, CONNECT will: 1) implement a set of new strategies at Intercept Zero that would include the creation of a CONNECT mobile outreach program to visit residents in their communities, including targeting priority populations (e.g., trade workers), create self and at-risk referral pathways to leverage CONNECT services to prevent opioid overdoses from occurring, provide grief support visits, and create an opioid fatality review team; 2) embed peer recovery coaches in community, court, and emergency room settings; 3) continue to provide naloxone to law enforcement and first responders; 4) support CONNECT Cultural Humility Initiative to ensure the diversity, equity, inclusion, and justice principles are part of our community outreach; and 5) expand real-time data collection with our Critical Management System for CONNECT's new services. Led by research scientists Pamela Kelley and Dr. Sean Varano, Kelley Research Associates will act as CONNECT's Research Partner to assess its effectiveness.

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Mecklenburg County

NC

The Mecklenburg County Sheriff’s Office (MCSO) is applying for Category 1 funding in the amount of $1,199,985. The project will enable the expansion of the Behavioral Health Day Treatment program in the MCSO Detention Center administered by the Mecklenburg County Community Support Services Substance Use Department, increasing the program’s capacity and thereby reducing its waiting list. The program serves detention residents with co-occurring mental health/substance use disorders by providing treatment and peer recovery support services and addressing critical reentry needs. The project will enable MCSO to implement virtual peer recovery support services and expand access to transitional or recovery housing during the transition from in-custody to the community. Project deliverables include providing treatment to 360 detention residents, rental assistance for 45 detention residents, and virtual peer recovery support services to up to 435 individuals as they transition from the detention facility to the community. The project serves Mecklenburg County, which has a population of 1,074,475. The project includes partnerships with Heritage Health Solutions, which will pilot virtual peer recovery support services. Priority considerations addressed in this application include disproportionately impacted by the misuse of illicit opioids, stimulants, or other substances as evidenced high rates of overdose deaths and building trust between law enforcement and the community.

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Mendocino County

CA

Mendocino County Behavioral Health and Recovery Services (MCBHRS) is applying for Category 1 funding in the amount of $600,000. The Bridge Program will identify individuals with opioid use disorder (OUD) and other substance use disorders (SUDs) and start them on medication-assisted treatment (MAT) in custody and case manage them to MAT and/or substance use treatment services at clinics and Mendocino County Behavioral Health Substance Use Disorders Treatment (SUDT) sites pre-release. The program will continue to follow these individuals post-release and support them however possible. The program will fund a behavioral health case manager to work full time within the jail and perform comprehensive case management and discharge planning. The project serves rural Mendocino County, which has a population of 86,749. The project includes partnerships between MCBHRS and the SUDT, Mendocino County Sheriff’s Office, Mendocino Community Health Clinics, and Mendocino Coast Clinics. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Metropolitan Government of Nashville and Davidson County

TN

The Metro Public Health Department proposes to implement the Opioid Overdose Reduction Program which will implement a robust overdose monitoring and data reporting system, to drive the strategic planning of the Overdose Reduction Workgroup, a multi-disciplinary team of over 26 agencies and organizations. The program will conduct an analysis of the severity of the opioid crisis in Nashville and provide much needed data to community stakeholders. Additionally, they will implement an Overdose Fatality Review Team to further investigate overdose causes, trends and opportunities for earlier intervention. Grant funding is requested for: a full-time comprehensive opioid abust program coordinator and full-time epidemiologist, .35 FTE opioid response coordinator will carry out project requirements.

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MHMR of Tarrant County

TX

MHMR of Tarrant County (MHMR) applied for grant funding in the amount of $1,200,00 in direct response to BJA-2020-17023 (Category 1: BJA-2020-17024). The geographic area of focus for this program is Tarrant County, an urban community of 2,080,000 residents, including the cities of Fort Worth and Arlington. The purpose of this program is to improve the public safety of the community, support the welfare of children, and promote family stability impacted by parental substance use disorders and other related concerns through participation in the Tarrant County Family Recovery Court (FRC) and the MHMR Pine Street Rehabilitation Center services utilizing the Recovery Model. Secondary goals include: (1) improve access to treatment through the FRC/drug court services, and identification and referral of Pine Street participants with substance abuse and unstable living conditions; (2) reduce substance use and improve the psychological well-being of FRC participants; (3) increase permanency by reducing the effect of substance use and trauma through the provision of safe and stable housing; and (4) increase the participant’s ability to live independently and responsibly. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.

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Miami-Dade County

FL

The County of Miami-Dade is applying for a Category 1 award in the amount of $1,200,000. The Miami-Dade County Advance DirEcted Prevention and Treatment (ADEPT) Program will provide evidence-based treatment, including medication-assisted treatment (MAT), as well as recovery support services, including transitional or recovery housing and peer recovery support services, to opioid users. This project will use funding to expand access to rate limiting services for substance use disorder (SUD) treatment services within a well-established service network using existing proven evidence-based practices, deliver social media messaging to increase prevention for at-risk populations and access to available services for those with SUD in the social networks of those receiving SUD services in our community, and deliver social media messaging to increase prevention for at-risk populations and access to available services for those with SUD in high-risk zip codes in our community. This project serves Miami-Dade County, the most populous county in Florida, with over 2.7 million residents. The project includes a partnership with Thriving Mind South Florida. This project will engage Dr. Anthoni Llau of the Florida Department of Health in Miami-Dade County as the research partner for this project. Priority considerations addressed in this application include a lack of accessibility to treatment providers and facilities and to emergency medical services, specifically mental health treatment.

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Michigan Department of State Police

MI

The Michigan State Police (MSP) is applying for Category 2 funding in the amount of $5,675,564. The MSP COSSAP project will provide subawards to multiple community agencies in seven counties (Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee) across Michigan that have not previously received Bureau of Justice Assistance funding to develop and expand their overdose prevention programs. The selected counties are a mix of rural and urban jurisdictions that have experienced a high overdose burden, have limited access and resources to substance use treatment services compared to other counties in the state, and are ready to implement their programs within the required time frame of the grant. Strategies include development and expansion of quick response teams, law enforcement embedded social workers, jail-based medicated-assisted treatment with recovery coaches, law enforcement assisted diversion, naloxone for first responders, and drug checking sites; the latter will be the first program in Michigan to pilot this service for people who use drugs. The project will also support drug take back events. The MSP will partner with local agencies to ensure that there is no duplication of funding. The goal of the project is to reduce the rate of overdoses and the racial/ethnic disparities in overdose mortality rates in order to help families and communities heal and recover. The project serves Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee counties, with a total population of 1,458,377. The project includes partnerships between MSP and local public health departments, community organizations, and law enforcement agencies in each of the participating counties. The project will engage the University of Michigan School of Nursing as an evaluation/research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Middle District Attorney's Office

MA

The Worcester County Regional Outreach project at the Middle District Attorney’s Office (MDAO) enhances county-wide response to substance use, misuse, and abuse for non-fatal overdoses and children affected by opioids. This program implements a post-overdose follow-up strategy using the Critical Incident Management System (CIMS) to track fatal and non-fatal overdose incidents. CIMS allows overdoses to be tracked in real-time and alerts the follow-up team of the need for a home visit. Police and clinicians or recovery coaches make home visits within 72 hours of a non-fatal overdose and provide the survivor and their family with resources and referrals for service. Services are also offered for any children involved with the incident or individual. The Worcester County Regional Outreach project has the following goals: 1) To reduce the number of unintentional overdose deaths in Worcester County; 2) To increase the number of individuals receiving treatment and recovery support services in Worcester County; 3) To improve outcomes for children affected by substance abuse; and 4) To build a sustainable model for long term substance abuse and overdose prevention.

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Milwaukee County

WI

Milwaukee County, with an estimated population of 945,726, through the Milwaukee County Medical Examiner’s Office and in collaboration with the Milwaukee Community Justice Council, the Medical College of Wisconsin, and a variety of public health and public safety partners, sought $1,200,000 in Subcategory 1a grant funding to create a Milwaukee Overdose Public Health and Safety Team (OD-PHAST). This project would expand and further coordinate current efforts to address overdoses, as well as overall substance misuse issues across the county. The OD-PHAST project aims to: (1) expand the delivery and analysis of near real-time data between multiple public health and public safety partners; (2) utilize both aggregate data and insights from case reviews to develop strategies and recommendations for changes to reduce the likelihood of future overdose incidents; (3) increase capacity to deliver timely toxicology findings to public health and safety partners; (4) enrich understanding of fatal overdose risk factors through expanded next-of-kin interviews; and (5) connect families impacted by overdose, particularly children, to services to mitigate the impact of the trauma experienced. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.

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Minnehaha County

SD

Minnehaha County applied under Category 1b for grant funding in the amount of $900,000 under the reporting umbrella of the Minnehaha County Sheriff’s Office. This project serves the population of Minnehaha County, which includes a population of 186,749 residents. The purpose of the project is to reduce reliance of the criminal justice system to deal with individuals with substance abuse disorders. The project includes partnerships between Minnehaha County (Sheriff’s Office, SAO, Human Services), the Sioux Falls Police Department, Avera Hospital, Urban Indian Health, and the University of South Dakota. The program-specific priority area the applicant will address is the lack of accessibility to treatment providers. The OJP policy priority area the applicant will address is to enhance public safety in four Qualified Opportunity Zones. The applicant will partner with researchers in the Department of Family Medicine at the University of South Dakota to submit performance measurement and related assessments (including a gap assessment) to make data-informed decisions. These deliverables will also include assessments of the peer navigator and associated program. Final reports will be produced that summarize community crime changes and analysis of benefits to Qualified Opportunity Zones.

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Minnesota Department of Public Safety—Bureau of Criminal Apprehension

MN

The Minnesota Department of Public Safety (DPS) will support the “Timely Treatment, Strengthened Service, and Effective Evaluation for Overdose Prevention: Linkage to Care Across Minnesota” project to achieve the following objectives in eight sites: • Reduce opioid misuse and opioid overdose death by supporting local efforts to implement effective opioid overdose prevention projects. • Support local efforts to implement treatment and recovery support linkage activities serving individuals vulnerable for drug overdose. • Support implementation of local multidisciplinary intervention models to bring together stakeholders with different perspectives and different information to identify drug overdose prevention strategies. • Enhance access to naloxone among people who use drugs to decrease overdose deaths. • Enhance successful local multidisciplinary overdose prevention activities to decrease overdose deaths. • Evaluate the extent to which additional funding to eight opioid overdose prevention projects, referred to as “Tackling Opioid Use With Networks (TOWN)”, impact the incidence of overdose in communities. • Create a TOWN Manual in collaboration with the communities to support the expansion and sustainability of the TOWN model. The eight sites will implement three evidence-based activities: (1) peer recovery specialists in emergency departments; (2) treatment linkage by emergency medical services; and (3) overdose fatality review teams. The project will also enhance six Minnesota Department of Public Safety-funded syringe services programs by providing each site with naloxone to distribute to participants who use opioids. Dr. Catherine Diamond from the Minnesota Department of Health will lead the project evaluation.

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Mississippi State Department of Health

MS

The Mississippi State Department of Health (MSDH) is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Mississippi Opioid, Stimulant, and Substance Abuse Program will implement universal SUD screening with comprehensive evidence-based SUD interventions delivered through collaboration between patient and provider. They will improve the timeliness and quality of drug overdose information on death certificates and the transfer of this information electronically to support the rapid exchange of death information. The program will select an appropriate web-based naloxone administration training portal to train law enforcement and other first responders on administration of naloxone and expand the availability of naloxone to those that receive training. Also, the program will extend and expand access to evidence-based treatment interventions through MSDH county health departments. This project serves all citizens of the state of Mississippi, a predominately rural state with a population of 2.9 million residents. The project includes partnerships between the Mississippi Public Health Institute, Mississippi Office of Forensics Laboratories, and the University of Mississippi Medical Center. Priority considerations addressed in this application include rural, high-poverty areas, and Qualified Opportunity Zones.

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Missoula County

MT

The County of Missoula and the Missoula County Attorney’s Office are applying for Category 1 funding in the amount of $600,000. The project will expand the Missoula County Prosecution-Led Pretrial Diversion Program, called Calibrate, which currently diverts low-risk, first-time offenders from criminal charges, in order to assist higher-risk individuals with drug charges or substance use disorders, providing them an opportunity to seek treatment rather than face criminal charges. The project will hire new staff members, including a diversion specialist, and will contract with two licensed addiction counselors. Its objectives are to serve more participants, to screen and enroll additional candidates into the program, and to monitor their progress. It will also provide participants with chemical dependency evaluations and develop a referral list of substance use providers to provide easier access for participants. The project serves Missoula County, an area of 2,600 square miles with an estimated population of 121,630. The project includes partnerships with the state Office of Public Defenders, the Missoula County Detention Facility, local law enforcement agencies, and justices of the peace. The project will engage the University of Montana as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.

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Monongalia County

WV

The Monongalia County Health Department project service area includes all of Monongalia County. This encompasses urban and rural areas where community concerns include resident struggles with substance use disorder (SUD), access to treatment options, and stigma surrounding these issues. In 2019, Monongalia County was found to have the fifth highest frequency of overdose deaths in the state, with 71% of these deaths involving opioids. The county was one of five awarded a grant in 2019 by the West Virginia Department of Health and Human Resources to develop a Quick Response Team (QRT). The goal of that funding was to reduce the numbers of unintentional opioid overdose deaths and increase the numbers of individuals participating in treatment and rehabilitation. QRT is comprised of emergency medical services, 911, law enforcement, Peer Recovery Support Specialists (PRSS), public health officials, social service providers, faith-based organizations, and local pharmacies. The main goals of this project are consistent with COSSUP's goals to reduce the impact of the use and misuse of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives.

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Montana Department of Corrections, Crime Control Bureau

MT

The Montana Board of Crime Control will develop a comprehensive plan that identifies policies and practices to assist local communities and providers in engaging and retaining offenders with opioid use disorder in treatment and recovery services and to increase the use of diversion in Montana. After the plan is completed, grant funds will be used to support the development of local, sustainable diversion programs and projects that link offenders to treatment and recovery services in priority communities. The primary partner for this project is the Addictive and Mental Disorders Division of the Montana Department of Public Health and Human Services (DPHHS).

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Montgomery County

OH

Public Health - Dayton & Montgomery County, a local governmental health department, is applying for Category 1 funding in the amount of $1,200,000. The Linkage to Hope Project will enhance data sharing among partners, advance data collection and analysis, and expand the current Certified Peer Recovery Support (CPRS) services into the criminal justice system, thereby filling a gap in the continuum of care for those who are in active addiction. The project will expand a comprehensive real-time data system to include regional information, collection, analysis, and dissemination, integrating hospital and criminal justice data systems into a care coordination platform that enables the CPRS services to respond to individuals in active addiction. The project will also expand current overdose fatality review (OFR) efforts by integrating qualitative data collection to contextualize overdose trends as well as barriers to care following fatal and nonfatal overdoses. The data will be used to develop program and policy recommendations and improve coordination and collaboration between agencies and community conditions to prevent future overdose deaths. The project will also prototype a risk stratification system to identify the largest risk factors of addicted individuals in order to determine the level of risk of future overdoses and expand court-based interventions to expedite treatment and recovery services for individuals who are at high risk of a drug overdose by utilizing CPRS services. The goals of the project are to provide support and direct connection to additional resources that will decrease future criminal justice involvement and increase individuals’ likelihood of moving towards recovery. The project serves Montgomery County, which has a population of 531,987; 38 percent of the population has a poverty rate above 20 percent. The project includes partnerships with the Montgomery County Criminal Justice Council, Ascend Innovations, Cordata, the Montgomery County Coroner’s Office, the Montgomery County Common Pleas Court, the City of Dayton Police Department, the Montgomery County Sheriff’s Office, and the Greater Dayton Area Hospital Association. The project will engage Ascend Innovations, Eastway Behavioral Healthcare, and Wright State University’s Center for Interventions, Treatment, and Addictions Research as data analysis and evaluation partners. Priority considerations addressed in this application include high rates of overdose deaths and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.

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Montgomery, County of

OH

Public Health - Dayton and Montgomery County (PHDMC) is one of 113 local governmental health departments in Montgomery County, Ohio and serves an estimated population of 537,309 residents. PHDMC has provided drug epidemic surveillance since 2010 and co-leads a community-wide effort to respond to the drug crisis, the Community Overdose Action Team (COAT). The COAT members are supportive and invested in the implementation of the Continued Linkage to Hope Project. The purpose of the Continued Linkage to Hope Project is to enhance data sharing among partners, advance data collection and analysis, and expand the current Certified Peer Recovery Support (CPRS) services into the criminal justice and hospital systems by filling a gap in the continuum of care for those who are in active addiction. The Continued Linkage to Hope Project will address the allowable uses of funding by: (1) Further enhancing and expanding a comprehensive real-time data system to include regional information, collection, analysis, and dissemination. PHDMC will continue to work with its data partners to integrate hospital and criminal justice data systems into a care coordination platform that will be available to the CPR's to assist in response to those in active addiction. (2) Enhancing and expanding the current Overdose Fatality Review efforts by integrating qualitative data collection to contextualize overdose trends as well as barriers to care following fatal and nonfatal overdoses. The data has been and will continue to be used to develop program and policy recommendations and improve coordination and collaboration between agencies and community conditions to prevent future overdose deaths. (3) Prototyping a risk stratification system to prioritize and respond to drug overdose survivors by utilizing a machine-learning algorithm to identify the largest risk factors of addicted individuals. PHDMC and other county behavioral health providers will use the scores to determine the level of risk of future overdose or death. (4) Expanding law enforcement and court-based interventions to expedite treatment and recovery services for individuals who are at high risk of a drug overdose by utilizing CPRS services. The Continued Linkage to Hope Project will enhance and expand a system of care that increases engagement for those in active addiction by embedding CPRS's into the municipal courts. CPRS's will provide the much-needed support and direct connection to additional resources that will decrease future criminal justice involvement and increase individuals' likelihood of moving towards recovery.

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Multnomah, County of

OR

The Multnomah County project will expand and enhance the continuum of support for justice-involved individuals with opioid and other substance use disorders (SUD). The project bolsters the care continuum between the jail and post-release settings, aimed at increasing the likelihood of Medication Assisted Treatment (MAT) (also known as Medication Supported Recovery or MSR) initiation and maintenance between jail and community settings. If implemented, this project will increase overall effectiveness of support service provision and sustainability for justice-involved individuals experiencing SUD, improve access for marginalized populations to SUD supports, and ensure smooth transitions to community supports for individuals with SUD being discharged from jail. Primary activities and associated outcomes include: (1) Work with Multnomah County Sheriff's Office to increase ability to administer MSR more efficiently to clients in custody. (2) Provide access to low-barrier MSR at MCHD's Harm Reduction Clinic (HRC), co-located with syringe services in the community. (3) Provide additional social worker/case manager support at SSP sites and the HRC. (4) Promote education and prevention activities at SSP sites and the HRC. (5) Strengthen multidisciplinary oversight and coordination. (6) Work with the BJA evaluation team to create an evaluation plan (including process, impact, output measures, as appropriate).

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Municipio de Bayamon

PR

The Municipality of Bayamon in Puerto Rico applied under Category 1B for grant funding in the amount of $890,070 for the purpose of implementing a Bayamon Whole-of-Community Opioid Overdose and Crime Reduction Initiative. This project serves the Bayamon population of approximately 207,960. Its primary deliverables include planning documents for information sharing, naloxone deployment and training, public safety and K-12 schools education and early threat detection, Safe Community response initiatives, and treatment outreach improvements to support high-impact overdose victims such as homeless individuals, veterans, and youths. For priority considerations, the applicant meets the criteria for an above 20 percent high-poverty area, as U.S. Census data indicates Bayamon's poverty rate is 37.4 percent. In addition, Bayamon has documented in Qualified Opportunity Zone reports 60 Census track areas with 58 that are designated as low-income communities.

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Muscogee Creek Nation

OK

The Muscogee Creek Nation Department of Health (MCNDH) is applying for Category 1 funding in the amount of $600,000. The MCNDH COSSAP Program will work across Muscogee Creek Nation (MCN) tribal programs to identify adult citizens who are at risk or suffering from opioid use disorder (OUD); train law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation; and expand treatment for patients. MCNDH will partner with the MCN Lighthorse Police Department (LHP) to administer the grant. The project will hire a project coordinator and a client navigator to establish a relationship with a medication-assisted treatment provider; provide annual professional training to all providers at all tribal health clinics; review and update policies and procedures on opioid treatment and administration; and review the process to identify, screen, assess, and refer OUD patients. The project will also purchase 300 naloxone kits to provide to law enforcement officers, emergency management personnel, and rural volunteer firefighters upon completion of naloxone administration training; purchase two 38-gallon drug disposal bins to be placed at two locations within the reservation for disposal of unwanted, unused, or expired controlled substances; and purchase 2,500 drug disposal system pouches. The project aims to provide case management and peer support for at least 100 patients; training for 300 law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation on how to identify an opioid overdose and how to administer naloxone; and training for 500 MCNDH staff, law enforcement officers, emergency management personnel, and rural volunteer firefighters to identify patients for potential OUD. The project serves the Muscogee Creek Nation, which has a population of 91,053 across 11 counties in east-central Oklahoma. The project includes partnerships between MCNDH, LHP, the MCN’s Social Services Program, the Indian Child Welfare Program, and the Family Violence Prevention Program. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Nevada Office of the Attorney General

NV

The Nevada Office of the Attorney General (NOAG) is applying for Category 2 funding in the amount of $5,751,772. The project involves enhancing existing or implementing new drug deflection/diversion programs undertaken by Mobile Outreach Safety Teams (MOST) or Forensic Assessment Services Triage Teams (FASTT), increasing provision of naloxone, and conducting drug take-back days to address drug/mental health crisis situations. MOST is a jail and hospital diversion program whereby public safety personnel and behavioral health clinicians collaborate to address the behavioral health needs of people involved in or at risk of involvement in the criminal justice system. FASTT provides assessment and case management for individuals who are screened as moderate to high risk using the Ohio Risk Assessment System and those with mental health and co-occurring disorders. The project serves seven sites from Nevada’s 16 counties and one independent city: Carson City, Churchill, Douglas, Lincoln, Lyon, Nye, and Storey. The subaward sites consist of three designated rural areas, three designated frontier areas, and the smallest urban area in Nevada. The project includes partnerships between the NOAG and the Nevada Department of Health and Human Services and community coalitions. The project will engage the University of Nevada, Reno (UNR’s) program evaluation team as an evaluation partner. Priority considerations addressed in this application include high rates of overdose deaths and a lack of accessibility to treatment providers and facilities.

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New Hampshire Department of Justice

NH

The New Hampshire Department of Justice (DOJ) is applying for Category 2 funding in the amount of $4,710,993. The project will enable the expansion of the Prevention, Enforcement, & Treatment (PET) Program, which is designed to help lower recidivism rates of overdose victims and provide support to families of those struggling with substance use disorders (SUDs) by tasking a police officer to respond to overdose calls in a jurisdiction and to connect individuals and their family members to lifesaving resources. The project will expand PET from Laconia to six other counties across the state in partnership with Amoskeag Health, a nonprofit health care provider who, along with the Manchester Adverse Childhood Experiences Response Team Technical Assistance Center (ACERT TAC) will enable a multigenerational approach to SUD. The ACERT TAC will provide training and resources for the communities to ensure their networks of programs and services are trauma-informed. The project will integrate PET and adverse childhood experiences (ACEs) into the first responders’ curriculum when responding to calls related to drug use. PET will offer a core of services to the families of individuals with SUD while identifying and utilizing resources from Manchester ACERT TAC to address the ACEs in children. The project serves the State of New Hampshire, which has an estimated population of 1,377,529. It will focus on the jurisdictions of Laconia, Belmont, Berlin, Claremont, Londonderry, Manchester, and Merrimack. The project will include partnerships between the New Hampshire DOJ and the Belmont Police Department, the Berlin Police Department, the Claremont Police Department, the Laconia Police Department, the Londonderry Police Department, the Manchester Police Department, the Merrimack Police Department, and Amoskeag Health. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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New Jersey Department of Law and Public Safety

NJ

The New Jersey Department of Law and Public Safety (DL&PS), Office of the Attorney General, is applying for Category 2 funding in the amount of $6,000,000. The project will establish Law Enforcement Assisted Diversion (LEAD) programs in six areas of New Jersey. DL&PS will use available data to identify areas where LEAD would best be implemented, prioritizing sites that have been disproportionately impacted by the misuse of illicit opioids, stimulants, or other substances. DL&PS will work with each site, in conjunction with project partners and a consultant, to ensure that each program design is an approved LEAD replication. During the planning phase, DL&PS will contract with a consultant for support, training, and technical assistance; hire a project coordinator to ensure that performance measures, deliverables, and reporting requirements are satisfied; work with public safety and public health entities on data collection needs; and procure an academic partner to assist in developing data collection guidelines, oversee site data collection, and evaluate the programs. DL&PS will seek assistance with data collection from the Integrated Drug Awareness Dashboard. The project serves the State of New Jersey, which has a population of 9,288,994. The project includes partnerships between DL&PS and New Jersey’s Division of Mental Health and Addiction Services, the New Jersey Department of Health, the New Jersey State Police’s Drug Monitoring Initiative, the New Jersey Prescription Monitoring Program, and the New Jersey Coordinator for Addiction Responses and Enforcement Strategies. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community.

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New Jersey State Parole Board

NJ

The New Jersey State Parole Board (NJSPB) is applying for a Category 2 award in the amount of $3,278,813. The FY 2021 COSSAP-New Jersey State Parole Board project will provide peer recovery-based services to individuals with substance use disorder who are under parole supervision, as well as expand Rutgers University’s current Intensive Recovery Treatment Support (IRTS) program and create a team of providers specifically dedicated to the needs of individuals under NJSPB supervision. The target population to be served under this grant will be a minimum of 110 adult offenders released from New Jersey state correctional facilities to parole supervision residing in any one of New Jersey’s 21 counties. Medium-to-high-risk offenders will be identified prior to their release from prison and will be referred, when released on parole, to receive IRTS services with the aid of a Peer Health Navigator. The project includes a partnership with Rutgers University Behavioral Health Care. Priority considerations addressed in this application include protecting the public from crime and evolving threats, building trust between law enforcement and the community, and serving individuals residing in high-poverty areas.

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Nez Perce Tribe

ID

The Nez Perce Tribe is applying for Category 1 funding in the amount of $600,000. The Nez Perce Tribe Opioid, Stimulant, and Substance Abuse Diversion and Resiliency project, a collaboration among the tribe's behavioral health program, the tribal prosecutor's office, and the Nez Perce Tribal Police, will establish a youth diversion program to provide an alternative to jail for juveniles, featuring a youth diversion program coordinator within the prosecutor's office. It will also have a youth life skills coach within the behavioral health program, provide youth activities to build resiliency, establish a youth law enforcement officer within Nez Perce Tribal Police to serve as a positive mentor to tribal youth and to help prevent substance misuse among youth, and provide funding to the tribal court and behavioral health program in order to authorize residential treatment for those with co-occurring mental and substance use disorders. The project addresses a critical need for the tribe to take steps to increase youth resiliency to illicit substances and to provide alternatives to incarceration as a means of helping offenders rebuild their lives. Its goals are to engage at least 60 percent of current youth offenders in the program by the end of year one of the project, 70 percent in year two, and 80 percent in year three. The project serves the Nez Perce Tribe's reservation, an area of 1,208 square miles in north central Idaho with a population of 18,854. The project will include partnerships among the tribe's behavioral health program, the tribal prosecutor's office, the Nez Perce Tribal Police, the Nez Perce Tribal Executive Committee’s Law and Justice Subcommittee, the tribal court, the public defender, and the Department of Social Services. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas or persistent-poverty counties.

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Niagara County

NY

The project serves all of Niagara County, New York, along with sub-recipient agency Community Missions Inc and partners including probation, law enforcement and public health, will create Niagara County PATH-3D (Presenting Alternatives for Treatment and Healing – Deflect, Destigmatize, attend to Diversity, Equity and Inclusion), a two-pronged, harm-reduction approach connecting individuals to recovery supports and treatment while diverting from criminal justice involvement. PATH-3D will expand the community’s quick response to opioid overdose team (QRT) to include response to overdoses of any drug type and add Family Peer Support (CRPA-F). QRT will expand referral sources beyond law enforcement, including other first responders, hospitals, providers, and self-referral. Dispatched to conduct follow-up with individuals post overdose, the QRT will engage an individual and assess for and assist with a broad range of social, medical, and recovery support needs. Family support will be provided, including for a fatal overdose. The QRT will connect with 40 percent of individuals referred, will link 50 percent of those served with recovery supports, and affect a 10 percent decrease in overdoses countywide. PATH-3D will also create a probationer response team (PRT), embedding a licensed clinician and CRPA into probation to assist probationers at risk of violation or revocation due to substance related issues. The PRT will engage probationers, assess, develop individual plans, and connect participants to recovery supports. Recognizing the disparate impact of overdose and criminal justice involvement on black, indigenous, and people of color in the community, PATH-3D will select program design and activities promoting racial equity and removing barriers to access for historically underserved and marginalized individuals.

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North Carolina State Department of Health and Human Services

NC

The North Carolina Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (NC DHHS) will implement evidence-based strategies to reduce the rate of opioid overdose associated with individuals involved in the local justice system. NC DHHS will competitively subaward nine sites to implement pre-arrest diversion programs, jail-based overdose prevention education and naloxone upon release, jail-based medication assisted treatment, and connections to care upon release. Six sites will be new projects and three sites will involve expanding or enhancing existing projects. The state will collaborate with Dr. Lauren Brinkley-Rubinstein from the University of North Carolina at Chapel Hill Department of Social Medicine as the research partner for the project.

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Northumberland County

PA

Northumberland County is applying for a Category 1 award in the amount of $595,168. The Northumberland County Opioid and Substance Use Response Program will address the numerous issues and difficulties faced by individuals suffering from substance use in the area. The programs to be procured through this grant are as follows: the hiring of a wellness nurse to assist Children and Youth Services; the hiring of a certified recovery specialist to assist a local recovery club; the hiring of a project coordinator; the use of DJ Choices, a prevention advocacy group that will conduct assemblies at local schools; trainings for individuals and families suffering from substance use; and the implementation of sober events. This project serves Northumberland County, which has a population of 90,843. The project includes partnerships between Northumberland County’s Opioid Coalition, the Greater Susquehanna Valley United Way, the Oasis Recovery Club, and Crossroads Counseling Inc. This project will engage Brandn Green, PhD, of JG Research and Evaluation as the research partner for this project.

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Oakland County

MI

The Oakland County Sheriff’s Office (OCSO) provides law enforcement services to the citizens of Oakland County, Michigan–a population of more than 1.2 million residents. The county’s overdose crisis is a public safety and health emergency that threatens the well-being of individuals who misuse drugs and impacts the safety of communities. Prescription drugs and prescription drug abuse are driving an epidemic of overdose deaths that include the boundaries of Oakland County. Mutual trust is essential to maintain public safety and a partnership between law enforcement and the mental health community to provide applicable services and enhanced response to persons in crisis is needed. This grant seeks to expand an existing law enforcement deflection and diversion program and educate community members on the crisis response concept and 100 percent of the budget will be dedicated to these activities. The program will provide the ability to expand individual agency Crisis Intervention Team (CIT) trained law enforcement officers, along with the creation of a county-wide crisis response team made up of dedicated CIT law enforcement officers who receive advanced training and respond where the need arises, like a county-wide task force. The crisis response program will include 12 communities that contract with the OCSO for law enforcement services and 39 local and multijurisdictional law enforcement agencies within Oakland County. The Crisis Response Unit will provide training to teachers, counselors, and citizens in the crisis response concept. The training is not a certification in CIT but will enhance an understanding around crisis response and mental health. By creating a county-wide crisis response unit and increasing CIT training, officers will be better equipped to respond to individuals experiencing a crisis and divert them to mental health agencies to receive appropriate care. The anticipated outcome of this program is a decrease in overdose deaths within Oakland County.

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Oconee County

SC

The purpose of this program is to design and implement a collaborative intervention strategy that provides (pre-booking or post-booking) treatment alternative-to-incarceration programs serving individuals at high risk for overdose or substance abuse utilizing evidence-based recovery support services (transitional/recovery housing and peer support) and medication-assisted treatment (MAT). To meet these objectives, the proposed initiative will provide: 1) assessment-based individualized treatment plans, 2) MAT (Medication Assisted Treatment), 3) transitional housing at the OARS Center, 4) cognitive behavioral therapy, and 5) peer support services. Services will be delivered in the Oconee Addiction Recovery & Solutions Center located adjacent to the Oconee Law Enforcement Center that, as a communitywide enterprise, was recently renovated for this purpose. OARS will coordinate with the Oconee County Sheriff’s Office, the Oconee County Detention Center, the Oconee County Drug Court, the 10th Judicial Circuit Solicitor’s Office, and the Center for Family Medicine to deliver the proposed initiative through: 1) the development of a comprehensive, locally driven evidence-based response to opioids, stimulants, and other substances with expanded access to supervision, treatment, and recovery support services; 2) supporting law enforcement and other first responder diversion programs for nonviolent drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders; 3) needs assessment tools to identify and prioritize services for jail offenders; 4) the use of evidenced-based treatment practices; and 5) rigorous program evaluation by Clemson University providing feedback and improvement opportunities.

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Ohio Department of Health

OH

The Ohio Department of Health project will provide evidence-based substance use disorder (SUD) treatment, such as medication-assisted treatment (MAT), as well as harm reduction services in local communities. The project seeks to reduce unintentional drug overdose deaths in six geographically diverse counties by implementing the following activities: (1) expansion of evidence-based harm reduction activities to Black and Hispanic populations. This will include the provision of harm reduction services (e.g., naloxone) and education in high-burden zip codes to ensure the highest-risk underserved populations are being reached. Potential outreach sites include barbershops/salons, churches, colleges, bars, shelters, homeless encampments, and other locations to be determined; (2) improve access to MAT within existing syringe service programs. Sites funded under this project will be required to work with local providers to improve access to MAT, specifically buprenorphine, for SSP clients; and (3) provide harm reduction services to those leaving local or regional jails. Funded counties will be required to provide evidence-based harm reduction services to those leaving local or regional jails within the selected counties. To implement this project, ODH will contract with a researcher to assist with the development of the project action plan and to conduct an evaluation of the three proposed activities for each site.

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Ohio Office of Criminal Justice Services

OH

The Ohio Office of Criminal Justice Services (OCJS) applied under Category 2 on behalf of the State of Ohio for grant funding in the amount of $6,000,000 for the First Responder Diversion Programs in Ohio project. Through this grant, first responder diversion (FRD) programs will be created and/or expanded in rural and urban areas across Ohio. The project serves Cuyahoga, Fairfield, Franklin, Hamilton, Lawrence, Lorain, and Mansfield counties. Federally designated Qualified Opportunity Zones and high-poverty areas were a consideration in identifying several of the pilot sites. The project partners include OCJS, Cordata, Talbert House, the University of Cincinnati, and drug task forces in participating FRD sites.

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Ohio State Board of Pharmacy

OH

The Ohio Prescription Drug Monitoring Program (PDMP) - Investigation and Enforcement Project will hire four Board of Pharmacy Agents to review data in the state’s PDMP, known as Ohio Automated Rx Reporting System (OARRS), to identify healthcare providers who may be in violation of Ohio law or administrative rules and conduct investigations of such providers, operate a pre-criminal intervention program, and conduct training on the use of OARRS for law enforcement as part of active investigations. Additionally, the project will improve the overall quality and accuracy of PDMP data by purchasing analytics software and a subscription services that enhances the Board’s ability to match prescriber data in the system.

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Oklahoma County Criminal Justice Advisory Council

OK

The Misdemeanor Diversion Expansion is a community-based diversion from prosecution program that expedites the delivery of substance use and co-occurring disorder (SUD/COD) treatment at SAMHSA Sequential Intercept 3: Jails/Courts. Grant funds will be used to hire key personnel to increase the participant capacity of MDP and enable long-term developmental planning of diversion programs in Oklahoma County. The Oklahoma County Criminal Justice Advisory Council (CJAC) provides residents of Oklahoma County with effective, efficient criminal justice reform. There are two intended subrecipients of grant funds for the project: the Diversion Hub and Catalyst Behavioral Services. Beneficiaries of services provided through the Misdemeanor Diversion Expansion are individuals with active misdemeanor cases in the Oklahoma County District Court who are at high risk for a substance use or co-occurring disorder. The project aims to reduce justice involvement and correlated overdose risk for this population through the delivery of social and treatment services and the development of data-driven responses to gaps in services. Primary activities include case management to increase the capacity of misdemeanor diversion; case management to identify candidates for diversion and support MDP graduates; treatment case management that enables the on-site provision of Medication Assisted Treatment; Peer Recovery Support that outreaches to individuals struggling with treatment engagement; data collection and analysis that identifies critical relationships between risk factors, program outcomes, and gaps in services; and development management to apply data to improve program structure and create infrastructure for future diversion programs. Four-hundred and fifty cases will be diverted from traditional prosecution and managed by an MDP case manager. Four-hundred and fifty cases will be screened for MDP qualifications and assisted after MDP graduation. Three-hundred and fifty cases will be provided with on-site SUD/COD treatment services. Two-hundred cases will be provided with Peer Recovery Support. Copies of data analysis and developmental reports will be supplied to the Bureau of Justice Assistance.

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Onslow County

NC

Onslow County is applying for a Category 1 award in the amount of $899,943. The Onslow County COSSAP 2021 project will provide medication-assisted treatment (MAT), therapeutic counseling, and recovery case management in the Onslow County Detention Center (OCDC). The three target populations are opioid-addicted pregnant women, those currently receiving MAT from a community provider when booked into OCDC, and inmates initially assessed with an opioid dependency and a misdemeanor conviction. In addition, each individual will be connected to appropriate MAT, evidence-based therapeutic counseling, and recovery support services in the community upon release. These services will include recovery housing, health, education/training, and employment support coordinated by the recovery support case manager and a certified peer support specialist. This project serves Onslow County, which has a population of 211,881. The project includes partnerships between Southern Health Partners, Oxford House, Women/Children Housing, Hope is Alive, Coastal Carolina Community College and its Adult High School, NCWorks Career Center, the Onslow County Public Health Department, Goshen Medical Center, the Onslow County Department of Social Services, ACT Associates, and Integrated Family Services.

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Onslow, County of

NC

The Onslow County, North Carolina, project will expand evidence-based substance use treatment in the Onslow County Detention Center (OCDC), Court programming to identify need for services for children and youth impacted by their parent/family substance use, recovery housing support and comprehensive, real-time, information collection, analysis and trends. Onslow County is in the southeastern coastal plain of North Carolina and has an estimated population of 209,491. There are also approximately 45,079 active-duty marines and sailors stationed at Camp Lejeune and New River Air Station. Onslow County has experienced the ravages of the opioid epidemic at a higher level than many communities in the state, and has worked since 2016 to strategically develop services and resources to support their citizens. The overarching goal of this application is to provide linkages for those affected by an opioid use disorder or other substance disuse to treatment services and resources. This includes both those incarcerated, and the children and families affected by substance use. Project activities include establishing a therapeutic community within the OCDC for individuals with substance use disorders. Inmates will be provided evidence-based treatment such as individual and group counseling, family support when appropriate, strategies for relapse prevention to include harm reduction, community and social support systems, and crisis contingency planning. Case plans will be developed with inmate and community resource connections made upon release. Referrals will be made to Oxford House for safe, sober housing while partnering to increase recovery housing inventory within the County. In addition, a Licensed Clinical Addictions Specialist will coordinate with the Courts, (including the new Veterans Treatment Court), the Department of Social Services (DSS), Child Protective Services (CPS) and the OCDC to provide immediate linkages to appropriate services for children, youth, and families in cases where substance misuse is identified. Comprehensive, real-time data will be collected and analyzed by the Project Manager and a multi-disciplinary workgroup of service provider agencies and community stakeholders to monitor progress to goals and guide the program. Onslow County currently has a FY 2021 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program providing medication assisted treatment (MAT) and case management in the Onslow County Detention Center.

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Orange County

FL

Orange County, Florida, Government Health Services project’s Orange County Post-Overdose Response Team (PORT) will increase access to evidence-based treatment and recovery support for individuals living with an opioid use disorder (OUD). The service area is all of Orange County, with a particular focus on those census tracts with the highest overdose rates, and on individuals who have more than one unintentional overdose requiring emergency response. PORT addresses field-initiated projects that bring together justice, behavioral health, and public health practitioners to implement new or promising practices–which may not yet have a research base–in addressing the impact of opioids, stimulants, and other substances on communities as a whole and individuals at risk of or with justice system involvement. This includes the application of evidence-based strategies from other fields that have not yet been fully examined in the justice context. While there is promising research on the use of a PORT model in multiple settings around the U.S., there is still a need for extensive testing and research. In addition, the focus of this proposal on improved outcomes for people with OUD, while reducing stress on the healthcare and law enforcement infrastructure is not yet a well-examined strategy. The project will target communities that see a disproportionate number of accidental overdose cases, often in areas with higher poverty rates and underserved populations. These communities have traditionally not had equitable access to awareness, prevention, intervention, or treatment. These communities also have disproportionate engagement with the criminal justice system. Targeting individuals with OUD in these communities with the intensive case management approach that PORT provides is a key way to remove barriers to equitable access and better outcomes for individuals and communities.

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Orleans Parish District Attorney

LA

The Orleans Parish District Attorney (OPDA)’s office project includes a multidisciplinary coordinating body by consolidating existing anti-opioid committees into a singular body–the Metropolitan Overdose Data to Action Program (MODTAP). The service area of this project is the city of New Orleans, which is home to a diverse community with significant underserved populations and the anchor of a metropolitan area totaling just under one million individuals. This data-driven approach ensures that resources are applied in the right area and at the right time, and best practices are adopted. In New Orleans, the coalition is willing, but the data is weak. While there has been great support for across-the-board efforts in responding to the crisis, the actual utilization of the plethora of data available to drive collaborative decision-making has been lacking. Each stakeholder collects data, makes decisions, and applies resources independently in their own silo. Even in areas where there is general agreement on the efficacy of an agreed-upon strategy, there is no consensus being developed on how to deploy it most effectively. MODTAP would be charged with collecting, reviewing, and disseminating data collected by the member organizations and the local Overdose Mapping Application Program to conduct quarterly overdose fatality reviews (OFR). The OFR process will be supported by evidence-based Risk Terrain Mapping that will guide the policy recommendations and collective actions of MODTAP on a micro-level. In turn, OPDA will use the findings and recommendations by MODTAP to maximize participation in the diversion of substance use disorder-related offenses into non-criminal legal system resolutions. Planned activities for MODTAP are real-time data collection and a post booking treatment alternative-to-incarceration program, including screening to identify candidates for referral to the Law Enforcement Assisted Diversion Program (LEAD).

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Ottawa County Community Mental Health

MI

Ottawa County Community Mental Health applied for Category 1b suburban area grant funding in the amount of $900,000. The Coordinated Substance Use Disorder treatment for Jail and Reentry Populations Project will (1) implement post-booking substance use clinical assessments for all eligible inmates in Ottawa County Jail, (2) implement individual and group-based substance use treatment programming for inmates identified as having a substance use disorder, and (3) implement a coordinated community reentry strategy for post-sentence release from jail that promotes access to social services and strengthens probation supervision. This project serves Ottawa County, Michigan. Priority considerations addressed in this application include Qualified Opportunity Zones, as well as rural and high-poverty areas.

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Ottawa County Community Mental Health

MI

Ottawa County's Community Mental Health project will reduce the impact of opioids, stimulants and other substances for justice involved individuals in Ottawa County, Michigan, by increasing access to comprehensive treatment, case management and recovery support services. Community Mental Health of Ottawa County received a FY 2020 COSSAP grant. Accomplishments in implementation include 97 individuals receiving assessments for substance use or co-occurring disorders in six months, which led to 77 referrals for substance use or co-occurring treatment services. Program implementation has identified a strong need for an additional case manager for timely treatment and referral coordination. Expansion of services through this grant application include (1) coordinated case management comprising 57% of the overall budget; (2) pre-booking or post-booking treatment alternative-to-incarceration; (3) individual, group and doubling MAT treatment; (4) peer recovery support services; and (5) transitional housing comprising of 6% of the overall budget. Expected outcomes include a reduction in substance use dependency, an increase in stabilization as individuals re-enter the community and improved multi-agency collaboration.

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Page County Government

VA

The County of Page is applying for a Category 1 award in the amount of $600,000. The Page County Jail Medication-Assisted Treatment (MAT) Enhancement Re-Entry (JMATER) Program will address the growing opioid problem and the negative consequences of substance misuse and related crimes through evidence-based treatment and recovery services, peer support, and abstinence monitoring. The JMATER program will expand and enhance the current Jail MAT Re-Entry (JMATR) Program by adding in-house treatment and recovery services by hiring two dedicated substance use treatment staff members—a re-entry case manager and a substance use disorder therapist. These positions will allow for more timely responses to the treatment needs of program participants. Given the increasing pattern of drug misuse in Page County, referrals to JMATER are expected to exceed 50 eligible high-risk/high-need participants in the first year. Current trends indicate most referrals will be for probation violations on possession of Schedule I or II substances or prescription drugs as well as initial drug possession charges. The JMATER Program will provide 24-hour emergency/crisis intervention, case management, individual/group therapy, peer support, access to inpatient detoxification and residential treatment centers, transitional housing, an intensive outpatient program, trauma-informed services, and access to medication-assisted treatment induction and follow-up care through a telehealth system. The enhanced JMATER Program will help to reduce the substantial jail overcrowding and high arrest rates in Page County. This project serves Page County, a rural Virginia community with a total population of approximately 24,000. The project includes partnerships between local organizations and community-based partners, the Commonwealth of Virginia Department of Corrections, Strength in Peers, Gemeinshaft Home, the Page County Sheriff's Office Foundation, and the Town of Luray Police Department. This project will engage Dr. Debra Stanley as the evaluation partner for this project. Priority considerations addressed in this application include the fact that the targeted county is a high-poverty qualified opportunity zone rural area serving an economically distressed community.

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Palm Beach County Board of County Commissioners

FL

COSSAP funding supports a care coordinator/housing specialist assisting Clients in finding a recovery housing placement using Recovery Housing Vouchers. Recovery support services are provided by engagement with a peer recovery support specialist and using the enhancement funding through the Recovery Support Services Funds. This intervention program prioritizes and expedites recovery support services to individuals at high risk for overdose. The Office of Behavioral Health and Substance Use Disorders (OBHSUD) seeks to fund a comprehensive person-centered, recovery-oriented approach with the goal of ensuring housing stability to support persons involved with the criminal justice system who have a substance use disorder. This demonstration program focuses on achieving housing stability given its key predictive value in achieving long-term recovery outcomes. The program team participates and works closely with the County’s strategic government and community partners as well as its research partner, Florida Atlantic University, to define and measure housing stability standards, and other recovery support interventions in the recovery residence environment in order to determine their impact on long-term recovery outcomes.

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Pennsylvania Department of Corrections

PA

The Pennsylvania Department of Corrections will focus on persons reentering the community from Pennsylvania Department of Corrections facilities who are high-frequency utilizers of services across systems (e.g., justice, health care, social services). Project efforts will focus on improving data sharing across relevant entities in the Commonwealth, with formation of a stakeholder team to advise on naloxone distribution, data sharing systems, and administrative protocols. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.

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Pennsylvania State Police

PA

The Pennsylvania State Police will use funds to implement Project TRIAD, which will synchronize innovative, technology-driven enforcement strategies, leveraging information received through community input. Project TRIAD is named for its three component parts: Component 1–Targeted Enforcement; Component 2–Problem Oriented Policing through Community Partnerships; and Component 3–Public Outreach. In addition, a research component will be funded to assess impact.

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Pinellas County dba Board of County Commissioners

FL

The Pinellas County CARE Team Expansion will enhance current overdose response by increasing connections and engagements in community substance use treatment services, providing peer support to overdose survivors and families, conducting overdose fatality reviews to identify trends and potential gaps in the system of care, and increasing first responder and community access to naloxone. This project serves Pinellas County, Florida, with an estimated population of 970,532. The project includes partnerships between Pinellas County Human Services and Pinellas County Safety and Emergency Services.

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Pitt County

NC

The Pitt County, North Carolina, Sheriff's Office proposes to expand the evidence-based substance use disorder (SUD) treatment programs that operate within the Pitt County Detention Center. The Sheriff's Heroin Addiction Recovery Program (SHARP) and the Women's Empowerment and Recovery (WEAR) program are designed to combat substance use disorder and overdose deaths in Pitt County. These programs include general education development/high school equivalency services, cognitive behavioral therapy, moral recognition therapy, peer support services, access to a social worker, licensed substance abuse counselors, peer support services, and Medicated Assisted Treatment. The proposed expansion would fund three more years of programmatic staff, offer ride-sharing services to newly released low-income detainee’s for SUD’s related treatment and recovery needs, provide a residential treatment housing option to low-income individuals with substance use disorder, contract with a local university for programmatic development and evaluation, and connect law enforcement with more local K-12 students. The plan is use 7 percent of the budget to provide 2,100 total rides, 700 per project year, to treatment and recovery support services by partnering with the specialized non-profit organization, Danny’s Ride. Funds will also be used to hire a case manager who will track participants, create discharge plans, and aid participants with discharge needs. Thirty-five percent of the budget will go towards the salaries and benefits of the SHARP/WEAR Programs Coordinator and the Social Worker. The Pitt County Sheriff’s Office will partner with East Carolina University (ECU) for programmatic evaluation/analysis, data collection, SHARP/WEAR curriculum development, and family life education classes for detainees (20 percent of the budget). The Principal Investigator for the project will be Dr. Mallette, CFLE, and her team of human service graduate students. This COSSAP project will also dedicate 4 percent of the funds to expand the reach of evidence-based D.A.R.E. programming in Pitt County. D.A.R.E is an education and prevention program that connects law enforcement agencies to K-12 students. The curriculum has been reinvented to include components such as opioid and OTC/Rx drug abuse, vaping prevention, depression awareness, coping mechanisms, bullying, and communication skills.

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Ponca Tribe of Oklahoma

OK

The Ponca Tribe of Indians of Oklahoma, headquartered in White Eagle, Oklahoma, with tribal jurisdiction extending to parts of Kay and Noble Counties, has a membership of 3,522. The tribe operates a small, ambulatory health clinic, White Eagle Health Center with a user population approaching 5,000 consisting of infants, children, adolescents, adults, and elders. The White Eagle Health Center service area encompasses four additional counties which are resident to four other rural tribes each with limited access to mental health and substance use disorder treatment services. The purpose of the project is to provide evidence-based treatment (30% of budget), recovery support services (40% of budget), tribal and county court-based intervention programming (20% of budget), naloxone distribution for law enforcement and first responders (5% of budget), and identifiable and accessible take back programming for unused controlled substances (5% of budget). The goals of the program are to: 1) Increase the accessibility of EBPs for American Indian/Alaskan Native (AI/AN) clients diagnosed with a substance use disorder 2) Reduce recovery support barriers for clients diagnosed with a substance use disorder; 3) Equip tribal law enforcement, other first responders and community members with the necessary education and equipment for administering Naloxone for the purpose of reversing opioid overdose; and 4) Establish reoccurring opportunities to facilitate the proper disposal of controlled substances by AI/AN community members. The project includes partnerships between the White Eagle Health Center, White Eagle Health Center-Behavioral Health Department, Ponca Tribal Court, Ponca Tribal Transit, Ponca Tribe Domestic Violence Services, and Ponca Indian Child Welfare. Data collection protocols will be developed to effectively measure the success of the program's objectives. This information will assist the COSSUP Project in reporting required performance measures to the Bureau of Justice Assistance. An annual report will be created to disseminate to stakeholders, community members, and other interested parties to increase investment in this program and provide a model for treating those impacted by illicit opioids, stimulants, and other drugs of abuse.

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Public Health Authority of Cabarrus County

NC

The Public Health Authority of Cabarrus County is applying for Category 1 funding in the amount of $900,000. Through the Providing Medication Assisted Treatment (MAT) and Recovery Support Services to Individuals with Opioid Use Disorder (OUD) project, Cabarrus Health Alliance (CHA), the local health department for Cabarrus and Rowan counties, will provide MAT to 50 uninsured individuals with OUD residing in the counties. The program will combine pharmacotherapy (via buprenorphine-naloxone), behavioral health treatment, voluntary access, recovery support services, and low-barrier access for participation. CHA will receive referrals for detainees post-release from the Cabarrus County Detention Center (CCDC) and recruit other MAT patients through its internal syringe access program and MAT program for pregnant women with OUD. The program will expand local capacity for care beyond pregnant women with OUD to adults with OUD; increase the number of individuals with OUD receiving MAT in combination with behavioral health services; and decrease opioid overdoses among participants of the MAT program. The project serves Cabarrus and Rowan counties, with a total population of 358,541. Parts of both counties are U.S. Human Resources and Services Administration-designated Medically Underserved Areas and Health Professional Shortage Areas in primary, dental, and mental health care and are also designated as High-Poverty Areas. The project includes partnerships with CCDC, the Stepping Up Initiative, and Atrium Health Addiction Services. Priority considerations addressed in this application include disproportionate impact by the misuse of opioids, protecting the public from crime and evolving threats, and benefiting individuals residing in high-poverty areas or persistent-poverty counties.

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Pueblo Department of Public Health and Environment

CO

The Pueblo County Department of Public Health and Environment (PDPHE) is applying for Category 1 funding in the amount of $899,280. The Pueblo County Partners for Data (PCPD) and Substance Abuse Response project will expand substance use and treatment datasets using quantitative and qualitative data from existing PCPD partner agencies (safety, health systems, harm reduction, schools, and social services) and new partnerships; facilitate data sharing and integration among partners; cultivate community partner and member use of the data to recognize gaps and make real-time decisions to reduce the impact of substance use on individuals and communities, reduce overdose deaths, and mitigate impacts on crime victims; enhance data infrastructure, including the data software and hardware to effectively manage a larger quantity of data; provide technical assistance to partners to collect data and assist with data organization in a compatible manner; disseminate data to the public, community partners, and community leaders so they are informed and able to make decisions based on substance use trends; and ensure data collection, analysis, and dissemination incorporate a health equity lens with the focus on reducing bias and disparities. The project will be carried out by a core team of five individuals working in the Office of Policy and Strategic Implementation at PDPHE. Deliverables include an enhanced data dashboard with additional quantitative measures such as MAT encounters, social determinants of health, prescriptions, and qualitative measures incorporating local stories; a data network where community partners, members, and researchers can request datasets based on research questions and programmatic or policy needs; a governance agreement to outline how to share, format, translate, link, and integrate data while adhering to appropriate privacy requirements to enhance data infrastructure; and an inclusive Health Equity in Data plan including community member involvement to guide data collection, analysis, and dissemination. The project serves Pueblo County, which has an estimated population of 168,424. The project includes partnerships between the PCPD and the District Attorney’s Office, the county Department of Human Services, local law enforcement agencies, hospitals, Pueblo Triple Aim Corporation, a federally qualified health center, a transitional housing center, the local fire department, and a behavioral health provider. The project will engage an external evaluation team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also support efforts to protect the public from crime and evolving threats, promote civil rights, and build trust between law enforcement and the community.

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Pulaski County

AR

The Pulaski County Sheriff's Office (PCSO) seeks funding through the BJA COSSAP grant for the purposes of treating substance use disorder (SUD) sufferers, providing transitional housing to SUD sufferers, and embedding peers at multiple stages of the Sequential Intercept Model (SIM). PCSO serves Pulaski County, the most urban county in Arkansas with 400,000 inhabitants and 800 square miles of area. The PCSO Reentry Program will implement the proposal in Pulaski County. PCSO was awarded a 2019 COSSAP grant, but this application represents a substantively different proposal as it focuses on Peer Recovery Support Specialists (PRSS), medication-assisted treatment (MAT), and transitional housing. Salary for additional PCSO Reentry staff represents the largest portion of the requested funds, at 55 percent, which funds four additional staff: a grant administrator, a Substance Abuse Counselor (SAC), and two PRSS. The grant administrator will spend 100 percent of their time administering this program, expanding the partnership network, and developing new funding sources to continue the program after the award expires. The SAC and the two PRSS will be embedded at multiple intercepts in the SIM as detailed in the grant narrative. Expected outcomes include program self-sufficiency stemming from the grant administrator’s funding efforts and increased support at multiple stages of SIM for SUD sufferers. Much of this support will occur at the PCSO Regional Detention Facility (RDF) in the form of 30 additional sessions per week for each additional counselor. The next largest requested expenditure funds pre-release evidence-based SUD treatment at the PCSO RDF at 21 percent. MAT represents the bulk of these costs but grant monies will also fund evidence-based curriculum materials for courses such as Cognitive Behavioral Therapy. The PCSO contracts with Turn Key Health for all medical services in the PCSO RDF and will continue to do so with MAT as detailed in the grant narrative. The requested monies will fund MAT for approximately 150 people. Lastly, the PCSO requests funds for transitional and recovery housing at 11 percent of the grant. These monies will fund approximately 225 months of housing for SUD sufferers post-release. The PCSO leverages existing partnerships with many facilities to extend the impact of these funds as detailed in the grant narrative. If successful, this proposal will significantly expand the reach and depth of services the PCSO offers to justice-involved Arkansan sufferers of SUD.

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Pulaski County Sheriff's Office

AR

The Pulaski County Sheriff’s Office in Arkansas will combat the opioid epidemic by including a diversion program for pre-sentencing offenders through expansion on their current Crisis Intervention Team, providing transitional housing, and installing tamper proof drug collection receptacles at two precincts in the outermost parts of the county to allow for more localized collection of unused and expired medications for those citizens who reside in the outermost sections of the county.

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Purchase District Health Department

KY

The Purchase District Health Department is partnering public health, public safety, and recovery communities to address SUD/OUD epidemic with the purpose of impacting racial and gender equity of recovery service delivery and reducing drug-related harms including overdose and incarceration. The project serves eight counties in far western Kentucky with a population totaling 200,000 people. Project activities fall into four categories: 1) Reducing overdose by (a) distributing naloxone to at-risk individuals and their families and (b) educating young people about fentanyl; 2) Implementing a deflection/pre-arrest diversion program that increases access to substance use and behavioral health treatment; 3) Implementing a warm-handoff to peer support for individuals released from jail; and 4) Providing housing vouchers for individuals in recovery. Expected outcomes include reduced drug-related recidivism, increased utilization of substance use disorder services, and improved coordination of services between public safety, public health, and behavioral health service providers. The intended beneficiaries of the project are individuals with active substance use disorder, individuals in recovery, justice-involved individuals, and families of individuals with substance use disorder. The project includes a rigorous evaluation component and research activities to inform future programming and best practices.

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Rio Arriba County

NM

Rio Arriba County, through Rio Arriba Health & Human Services (RAHHS), is applying for Category 1 funding in the amount of $582,810. The project will enable RAHHS to expand its Law Enforcement Assisted Diversion (LEAD) Program, resulting in enhanced coverage during peak off-business hours and an expanded intake network in order to maximize the number of beneficiaries of the program. While referrals from law enforcement will be prioritized, referrals will also be accepted pre-arrest from community providers, as will self-referrals. RAHHS will also work with the New Mexico Behavioral Health Services Division (BHSD) to develop a reimbursement model for care that is consistent with LEAD, provides the actual services needed by LEAD clientele, and can be scaled to the 32 other counties in New Mexico. The project will assign one certified peer support worker case manager to district court to serve and redirect LEAD clients back to LEAD who disappear into the corrections system in other counties and will expand prevention efforts by assigning a half-time clinician to provide dialectical behavioral therapy to at-risk youth in the Española and Chama School Districts. Deliverables include the referral of 80 individuals by law enforcement for pre-arrest diversion to treatment. The project serves Rio Arriba County, which has an estimated population of 38,921. The project includes partnerships with BHSD, the Rio Arriba County Sheriff’s Office, the Española Police Department, the New Mexico State Police, Adult Probation, the District Attorney’s Office, the Public Defender’s Office, the First Judicial District Court, the Rio Arriba Community Health Council, the Northern New Mexico Rural Health Network, and the Opiate Use Reduction (OUR) Network. The project will engage Dr. Anne Hayes Egan of New Ventures Consulting as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Rockland County, NY

NY

The County of Rockland, New York, applied for Category 1b suburban area grant funding in the amount of $899,964. The Law Enforcement Assisted Diversion (LEAD) program will start with a pilot with the largest law enforcement agency in Rockland County and then roll out to other police agencies. The goal is to improve public safety, reduce the number of low-level substance-using offenders from entering the criminal justice system, address issues of disproportionality, and strengthen the relationships between prosecution, law enforcement, and the community. This project serves Rockland County, New York. The project includes partnerships between the District Attorney’s Office, Town of Clarkstown Police Department (for the pilot), all local law enforcement agencies in Rockland County, the Rockland Council on Alcoholism and other Drug Dependence, and the Samaritan Daytop Village. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.

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Ross County Health District

OH

The Ross County Peer Recovery Support Services, Data Collection and Youth Drug Prevention Enhancement/Expansion Project is a collaborative effort to enhance current community efforts for peer recovery support services, multi-sector data collection for response to emerging drug threats, and youth drug prevention education to fight emerging drug threats in local communities in Ross County, Ohio. Ross County has continued to experience a steady increase in suspected drug overdoses as well as overdose fatalities with 2021 begin the worst year on record for unintentional drug overdoses and overdose fatalities. Community response to emerging drug threats has continued to evolve as the community has built the partnerships and collaborations needed to effectively address community issues revolved around substance use disorder and overdoses. The project is an opportunity to expand our community collaborations, enhance and expand peer recovery support services, and data collection and youth drug prevention efforts around drug use and substance use disorder. The project will focus on enhancing and expanding established peer recovery support services through a subaward project with the Ross County Community Action Commission to those who experience substance use disorder during treatment, post treatment and recovery with an emphasis on building additional capacity in peer recovery services data collection, evaluation, and program improvements. The Project will also employ a full-time health educator, who will work in conjunction with local schools, local law enforcement, and k-12 aged population in drug prevention education efforts to fill gaps and needs with youth prevention efforts in the community. Finally, the project will employ a full-time data/project coordinator with the Ross County Health District who will enhance and expand local multi sector data collection projects for drug overdose surveillance, quick response team outreach, overdose fatality reviews, and peer recovery support services with an emphasis on building program evaluation processes. Sixty percent of the funding will be allocated to peer recovery support services; 20 percent of funding will go towards real-time data collection; and 20 percent of funding will cover education and prevention programs to connect law enforcement agencies with K-12 students. This project will serve all of Ross County, a rural area in Southern Ohio with a population of 76,666 (U.S. Census 2019 est.).

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Ross County Health District

OH

Ross County Health District applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Ross County Peer Recovery Service Center will expand access to treatment and recovery support services for individuals at high risk of overdose involving opioids, stimulants, and other substances through a new program of countywide coordination of recovery support services. System coordination will occur early in the individual’s involvement with the criminal justice system, identifying key recovery sites for navigation and service connection. The project will employ a dedicated peer recovery services coordinator who works out of the Ross County Community Action Commission (RCCAC) through a newly developed service line: a countywide Peer Recovery Service Center (PRS Center). In addition, dedicated recovery housing capacity will be a part of the recovery support system, as will an enhanced network of peer recovery supporters. The Ross County Peer Recovery Service Center will enhance the applicant’s current integrated service delivery system that promotes public health, sustained recovery, and safety for the community. This project serves Ross County, with a population of 76,666. The project includes partnerships between the Ross County Health District, RCCAC, Ross County Sheriff’s Office and Ross County Jail, Ross County Probation, Post Overdose Response Team, Ross County Common Pleas Court, Ohio University-Chillicothe, the Peer Recovery and Outreach Center.

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Rutherford County

TN

Rutherford County is applying for Category 1 funding in the amount of $471,807. The Rutherford County Emergency Medical Services (RCEMS) COSSAP Program will improve tracking, analysis, and dissemination of medicolegal data as relates to drug-related deaths and improve death investigation procedures within Rutherford County. The project will fund personnel to implement and manage the new Office of the State Medical Examiner (OSCME)-provided comprehensive case management system by collecting real-time comprehensive information regarding death investigations to include specifically overdose and drug-related deaths; and form a comprehensive opioid, stimulant, and substance misuse fatality review by liaison with OSCME, law enforcement officials, public health agencies, and other interested entities. The two new medicolegal death investigators will be available to assist the Operations Support Death Investigations Supervisor and the County Medical Examiner with those cases that do not reach the threshold for full autopsy performance but do require a thorough external examination with toxicology testing. This would allow for improved efficiency and timeliness for forensic results required for death certification, reporting to investigating law enforcement agencies, reporting to family of the decedents, and for any subsequent adjudication procedures and final disposition arrangements. Tracking of new drugs into the jurisdiction during review of toxicology reports on all medical examiner forensic cases will guide local and regional law enforcement efforts as it relates to crime prevention and identification of evolving threats. The project serves Rutherford County, which has a population of approximately 350,000. The project includes partnerships between RCEMS, OSCME, and the Rutherford County Sheriff’s Office. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Rutherford, County of

TN

Substance use disorder (SUD) and related issues are a burden on the citizens of Rutherford County, Tennessee. In 2021, there were 3,841 fatal overdoses in Tennessee, of which 141 were in Rutherford County. According to the latest CDC data, Tennessee is reported to have the 11th highest rate of overdose deaths per 100,000 population. Rutherford County's 2021 overdose fatality rate was 34 per 100,000 persons. Funding will be utilized to develop the Sheriff's Harm Reduction Program (SHARP). SHARP will reduce SUD and overdose in persons encountering law enforcement while reducing recidivism and incarceration for drug related offenses within the jurisdiction of Rutherford County, Tennessee. This project is in collaboration with Prevention Coalition for Success, Rutherford County Adult Detention Center, Rutherford County Correctional Work Center, Rutherford County Medical Examiner, Rutherford Opioid Board, 16th Judicial District Recovery Court, and Rutherford County Re-Entry Program. All participants listed above are stakeholders in regard to rehabilitation, recidivism and re-entry of incarcerated persons into the community. SHARP will accomplish this by embedding two Certified Peer Support Specialists (CPSS) into Rutherford County Adult Detention Center and Rutherford County Correctional Work Center. These CPSS will assist individuals with navigation of the behavioral healthcare system and recovery resources for incarcerated persons. The Tennessee Department of Mental Health and Substance Abuse Services describes CPSS as having the ability to support others in achieving their personal recovery goals by promoting self-determination, personal responsibility, and empowerment in self-directed recovery. SHARP will also utilize funding for transportation of SUD individuals to behavioral healthcare facilities. SHARP will fill a substantial gap in service provision in Rutherford County, by providing treatment services for incarcerated persons. SHARP's aim is to detect incarcerated individuals struggling with SUD and give them the opportunity to access the services they need by identifying effective behavioral interventions andbolstering community and supervision services to curtail use. We will connect individuals to establish evidence-based treatment services for those struggling with SUD. Through SHARP, this vulnerable population will receive greater access to treatment and recovery services, which will reduce the impact and misuse of opioids, stimulants, and other substances, and reduce overdose fatalities in Rutherford County. The project will leverage the strides Rutherford County has made in recognizing and addressing SUD in every population and address our shortcomings in intercepting and addressing SUD problems within our correction facilities.

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Saint Louis County

MN

The County of St. Louis applied for Category 1b suburban area grant funding in the amount of $897,607. The St. Louis County FY 2020 COSSAP Initiative will expand access to evidence- based treatment (including medication-assisted treatment and recovery services in jail), expand peer recovery support services and access to treatment for rural residents, and provide coordination to support comprehensive responses to substance abuse. This project serves St. Louis County with a population of approximately 200,431. The project includes partnerships between the St. Louis County Jail, Recovery Alliance Duluth, Human Development Center, and Duluth Family Medicine Clinic. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing communities that are primarily rural and/or localities facing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.

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Saint Louis County Department of Public Health

MO

Saint Louis County Department of Public Health is applying for Category 1: Locally Driven Response to the Opioid Epidemic, Subcategory 1a, in order to implement a Law Enforcement Assisted Diversion (LEAD) program and requests $1,200,000 for the three-year project. This program focuses on redirecting individuals with low-level, non-violent, drug-related offenses who also suffer from Opioid Use Disorder (OUD) from the criminal justice system to treatment and wrap-around services in St. Louis County. The project will impact St. Louis County, Missouri, population 996,945. Project partners include St. Louis County Justice Services (jail), Police (largest police department in the county), Prosecuting Attorney’s Office, and Public Health (provides medical care within jail), as well as community partner agencies, many of which sit on the Prosecuting Attorney Diversion Advisory Committee. The proposed project will have the following anticipated outcomes: 1) Establish a trauma-informed, culturally-responsive approach to diversion, 2) Effectively engage partners in connecting LEAD-eligible individuals with access to case management and peer support services, and 3) Improve public safety through decreased recidivism and increased connection to treatment and wrap-around services that will also improve participants’ health outcomes. The proposed project addresses Category 1 priority considerations by improving public safety in 13 federally-designated Qualified Opportunity Zones, as LEAD participants are 58 percent less likely to be arrested after enrollment in the program. Further, Missouri has comparatively higher rates of opioid deaths than the United States (16.4 and 14.9 respectively), and St. Louis County continues to fall in the top tier of Missouri counties with respect to the rate of opioid overdose deaths, experiencing a 72 percent increase in opioid-related deaths over the past 5 years.

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San Luis Obispo County Behavioral Health Department

CA

The County of San Luis Obispo Behavioral Health Department applied for a Category 1b suburban area grant in the amount of $900,000. The San Luis Obispo County Behavioral Health Program will provide recovery support services in the form of a recovery residence stay (drug- and alcohol-free living) to all COSSAP participants in San Luis Obispo County who need this level of care. All recovery residences provided funding with this grant will be MAT compliant in order to serve those with opiate use disorders. In addition, this grant will provide for a Behavioral Health Clinician III (Licensed Practitioner of Healing Arts) to conduct assessments of individuals leaving emergency rooms after an overdose and for the law enforcement Community Action Teams (CATs) who pick up individuals for early intervention in the community, as well as assessing those arrested, cited, and released from the county jail for drug offenses. A peer recovery coach will also be hired to provide important peer support, including modeling hope and recovery, mentoring, as well as engagement and community networking support, which has previously not been available from the agency. This project serves 200 individuals in the County of San Luis Obispo The project includes partnerships between Superior Court, Probation and Sheriff's Department, and local community hospital stakeholders.

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Screven County Sheriff's Office

GA

The Screven County Sheriff's Office applied for Category 1c tribal/rural grant funding in the amount of $587,825. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) employ needs assessment tools to identify and prioritize services for jail offenders, (2) expand diversion programs for drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders, (3) deliver an evidenced-based prevention program, and (4) offer rigorous program evaluation providing feedback and improvement opportunities. This project serves Screven County, Georgia, with a population of 14,300. The project includes partnerships between the Community Service Board of Middle Georgia, Ogeechee Division; Drug Court for the Ogeechee Judicial Circuit; and scientific partners. Priority considerations addressed in this application include a 100 percent rural county, high-poverty area, and Qualified Opportunity Zone.

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Seattle King County Department of Public Health

WA

Seattle and King County (PH) requested funding in the amount of $1,200,000 over a 36-month period for the King County Jail Buprenorphine Inductions (KCJBI) project. This project serves King County, with a population of approximately 2.25 million. With the requested funding, KCJBI will initiate incarcerated individuals with opioid use disorder onto medication-assisted treatment with buprenorphine. To expand the MAT program, the KCJBI project will initiate individuals onto MAT during incarceration. This will be accomplished by utilizing requested funds to increase nursing and corrections officer staffing needed to execute the project. At release, individuals will be connected to a MAT provider in the community for ongoing treatment; of note, King County received DOJ COAP funding in 2019 to hire two substance use disorder specialists and one program assistant to assist in the delivery of this service. This project includes partnerships between PH, King County Department of Adult and Juvenile Detention, and community MAT providers. Priority considerations for this award include serving an area that has been disproportionately impacted by the use of illicit substances, a high-poverty area, and Qualified Opportunity Zones.

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Seminole County

FL

Seminole County has drafted an evidence-based four-part plan to combat opioid use, abuse, overdose, and arrest which conforms to the following activities: (1) naloxone for law enforcement and first responders (18 percent of budget); (2) court programming to prioritize and expedite treatment and recovery services for individuals at high risk for overdose, as well as services for children and youth impacted by their parents’ or other family members’ substance abuse (25 percent of budget); (3) embedding social workers, peers, and/or persons with lived-in experience at any intercept of the Sequential Intercept Model. This program component will hire a social worker to conduct screenings and plan and implement an Education and Community Outreach program, with special attention to targeted, high-need communities (31 percent of budget); (4) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (16 percent of budget). The program service area is Seminole County, Florida and the program's expected outcome is to achieve a tangible drop in opioid overdose, use, and arrest, expand the workforce serving citizens with addiction, expand recovery support services, and remove barriers to access to support in historically underserved populations. The county works in accordance with the SAMSHA Sequential Intercept Model (SIM), Ohio Risk Assessment System (ORAS), Alcohol Use Disorders Identification Test (AUDIT), and Drug Abuse Screening Test (DAST) to consistently assess and facilitate communication and coordinate services across criminal justice, medical and service provider agencies. To implement successful programs, the county will partner with the 18th Judicial Circuit Court Administration, The Seminole County Sheriff’s Office, the Florida Department of Health, Brooke Research & Consulting, LLC, and the Public Safety Coordinating Council.

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Seneca County Sheriff's Office

OH

Seneca County is located in north-central Ohio (population 55,178 and population density of 103 persons per square mile) and, like most rural communities in the region, suffers from underemployment, decreasing revenues, and high rates of substance abuse and mental illness. Consistent with OJP priority areas, Seneca County has a high rate of primary treatment admissions for opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers. The purpose of the project is to better address the many needs of the population in Seneca County by providing (1) increased in-house (jail) access to therapy, (2) recovery support during reentry, and (3) transportation, in particular, to outpatient therapy following release from jail. The project includes building upon and expanding an existing partnership between SCSO and Firelands Counseling and Recovery Services, a recognized community mental health center in Ohio accredited by the Joint Commission. Priority considerations addressed in this application include postbooking treatment alternative to incarceration for individuals at high risk of overdose or substance abuse; evidence-based treatment provision, including MAT (naltrexone); and recovery support services. Drs. Holly Ventura Miller and J. Mitchell Miller from the University of North Florida will serve as the evaluators for the proposed initiative. This proposal includes a comprehensive mixed-methods process and outcome evaluation incorporating both qualitative and quantitative research techniques. The proposed project will infuse sincerely needed resources into one of the communities most devastated by the still-rising opioids crisis and provide examples of data collection and evaluation steps that could be replicated in other criminal justice and public health settings.

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Seneca Nation of Indians

NY

The Seneca Nation of Indians applied for Category 1c tribal/rural area grant funding in the amount of $595,366.30. The Seneca Nation’s Native Connections Clubhouse Program (SNNCP) will provide opioid, stimulant, and substance abuse education, prevention, and intervention programming that connects law enforcement agencies with K-12 students and provides ongoing community support systems for at-risk youth. Objective one is to provide school administrations, students, and families with access to law enforcement agencies through the School Resource Officer Program; connecting K-12 students to opioid, stimulant, and substance abuse education, prevention, and intervention programming and resources. Objective two is to provide Native American youth and families with access to evidenced-based opioid, stimulant, and substance abuse prevention and intervention strategies/tools/programs beyond traditional school/business hours by opening an after-hour’s safe place, the Clubhouse, for a minimum of 25 hours per week on the Allegany Territory. This project serves the Seneca Nation of Indians Tribe. The project includes partnerships between Lakeshore Central Schools and Silver Central Schools.

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Sevier County Government

TN

Sevier County will enhance the Sevier County Offender Recovery Program (SCORP), a comprehensive, collaborative effort to identify and refer individuals to treatment and recovery following incarceration. Interventions begin during incarceration; however, the majority of services are provided immediately at release during the probationary period. Funds will be used to hire a peer mentor coordinator, a women’s service liaison, and a probation/life skills coach for incarcerated women enrolled in the program and expand the substance abuse prevention education program to include the families of SCORP participants.

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Sierra County

NM

Sierra County in New Mexico will develop a crisis intervention team to assist law enforcement officers in developing a law enforcement diversion program, provide jail-based opioid and behavioral health services, provide skill-building and treatment, assist incarcerated individuals transitioning to community-based services once released from custody, add community behavior health treatment planning and services, and conduct opioid education programs in schools. This project will engage Ann Hays Egan of New Ventures Consulting as the research partner for this project.

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Snohomish County

WA

The Snohomish County Prosecuting Attorney’s Office (PAO) is applying for Category 1 funding in the amount of $1,200,000. The project will enable the expansion of the Snohomish County Law Enforcement Assisted Diversion (LEAD) project, a cross-sector collaborative effort involving the PAO, the Everett City Attorney, the Everett and Lynnwood Police Departments, the County Executive, the Mayors of Everett and Lynnwood, and the Snohomish County Public Defenders Association. The LEAD program utilizes both pre- and post-arrest diversions: pre-arrest referrals are made by both police and prosecutors who identify individuals who they believe would benefit from a referral to community-based services; post-arrest diversions are made by officers who have grounds to arrest individuals who have committed LEAD-eligible violations. Expansion will enable the county to increase the number of individuals diverted to the program and possibly expand its geographic coverage, as several jurisdictions in the county have indicated that they would like to adopt LEAD. The goals of the program include reorienting local responses to safety, disorder, and behavioral health problems; improving public safety and health through health-oriented interventions; and reducing the number of individuals in the criminal justice system due to low-level law violations. The project serves Snohomish County, with an estimated population of 822,000. The project will include partnerships between the PAO and the Everett City Attorney, the Everett and Lynnwood Police Departments, the County Executive, the Mayors of Everett and Lynnwood, and the Snohomish County Public Defenders Association. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community, advance the promotion of civil rights, and benefit individuals residing in high-poverty areas.

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South Carolina Department of Alcohol and Other Drug Abuse Services

SC

The South Carolina Department of Alcohol and Other Drug Abuse Services (DAODAS) project supports law enforcement diversion programs in six diverse jurisdictions across South Carolina (population 5,282,634). The South Carolina COSSUP Initiative is a collaborative plan between DAODAS (the Single State Authority and cabinet-level agency under the Governor's Office); six diverse law enforcement agencies serving Abbeville County (population 24,299), Dorchester County (population 163,327), Georgetown County (population 63,921), Greenwood County (population 69,241), Myrtle Beach (population 37,100), and West Columbia (population 17,466); substance use disorder (SUD) service providers, and university scientists to serve as model programs for diverting individuals from the criminal justice system and enhancing connections to services for people with SUDs and people who use drugs. Per the objectives of Category 2, the Initiative will develop a statewide law enforcement model response to substance use problems by: 1) establishing model deflection and diversion programs across six diverse jurisdictions in the state (27% of budget); 2) embedding social workers into law enforcement agencies to provide case management and support services (23% of budget); 3) delivering evidence-based substance use disorder and co-occurring (mental health and substance use) disorders treatment, including medication-assisted treatment (39% of budget); and 4) conducting a scientific mixed-methods program evaluation providing feedback and identifying improvement opportunities. To aid in implementing this plan, recovery community stakeholders from across the state will be included on the multidisciplinary South Carolina Deflection and Diversion Coordinating Council, which will serve as a permanent standing body with the mission of increasing cooperation and collaboration to sustain diversion and recovery efforts (see memoranda of understanding). The project will support OJP Priority Area 1(A) by addressing issues related to racial equity and the removal of barriers to access and opportunity for communities that have been historically underserved, marginalized, and adversely affected by inequality through the implementation of Fair and Impartial Policing training for law enforcement and treatment services targeting underserved minority communities. The project will include a strong research-practitioner partnership with the Center for Criminal Justice and Social Research at Clemson University to provide a scientific mixed-methods program evaluation to provide empirical feedback for program improvement and dissemination of process and outcome findings to the law enforcement and research communities.

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South Western Oklahoma Development Authority

OK

South Western Oklahoma Development Authority is applying for a Category 1 award in the amount of $467,365. The Western Oklahoma Opioid Prevention Consortium will develop, implement, or expand comprehensive programs in response to illicit opioids, stimulants, or other substances of misuse. This project’s objectives and methods will include developing education and prevention programs to connect law enforcement agencies with students in 6th through 9th grades in the public school system by using the "keepin’ it REAL" curriculum, an effective, multicultural middle school drug prevention program derived from evidence-based research; providing naloxone to law enforcement and other first responders each year, which will help with the opioid overdose death rate; establishing drug take-back programs to safely dispose of unused controlled substances that are found in the home and used by hospitals and long-term care facilities; distributing in-home medication lockboxes to the public to help reduce accidental overdose and to help prevent someone stealing one’s prescriptions. This project serves five counties which are designated as rural challenges, persistent poverty counties, or qualified opportunity zones by the Office of Justice Programs and U.S. Census information: Caddo, Harmon, Jackson, Kiowa, and Tillman Counties. The total population size of the five counties is 73,314. The project includes partnerships between law enforcement agencies and the Western Oklahoma Opioid Prevention Consortium in each of the five counties. This project will engage a researcher selected by the Bureau of Justice Assistance who may conduct a site-specific or cross-site evaluation in future years as the research partner for this project. The project will also consult with research partners at Southwestern Oklahoma State University and other partner agencies. Priority considerations addressed in this application include lack of accessibility to treatment providers and facilities and to emergency medical services.

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Southern Nevada Health Dist

NV

The Southern Nevada Health District (SNHD) serves Clark County, Nevada which reports a population of 2,338,127 individuals. This COSSUP project will be carried out by two main agencies: Southern Nevada Health District and the Las Vegas Metropolitan Police Department (LVMPD), in an effort to further integrate and expand current multijurisdictional partnerships in Clark County, Nevada, to end fatal drug overdose. These agencies will create a field-initiated linkage to care team that responds to overdoses using a public health framework, called Southern Nevada Post-Overdose Response Team Supports (SPORTS). In addition, the project will enable the expansion of law enforcement diversion services and increase training on the importance and use of naloxone for law enforcement and other first responders and increase naloxone availability for their use and distribution. Expected outcomes include an increase in access to linkage to care and diversion services and decrease in fatal drug overdose. The project will also involve a research partnership with the University of Nevada Las Vegas (UNLV) School of Public Health to assess the effectiveness of the model and implementation to achieve stated outcomes. The two sub-awardees on the project are LVMPD and UNLV. The initiative will also further current funded partnership activities of the Southern Nevada Opioid Advisory Council. The grant beneficiaries include first responders, people and families that experience overdose, governmental agencies, substance use disorder treatment agencies, and recovery community organizations throughout Clark County, Nevada, during the life of the grant and beyond.

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St. Joseph County

MI

The County of St. Joseph applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The County of St. Joseph COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The project will also create Law Enforcement Assisted Diversion (LEAD) to enhance co-responder crisis intervention teams to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services; provide overdose education and prevention activities; and address the needs of children impacted by substance abuse. This project serves St. Joseph County, Michigan, with a population of 60,964. The project includes partnerships between the 45th Circuit Court of Michigan, sheriff, Community Mental Health and Substance Abuse Services, defense attorney, Office of the Prosecutor, Community Corrections, program evaluator, and program coordinator. Priority considerations addressed in this application include the specific challenges that rural communities face and a Qualified Opportunity Zone.

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St. Lawrence County

NY

St. Lawrence County applied for Category 1b suburban area grant funding in the amount of $900,000. The St. Lawrence County Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (COSSAP) utilizes patient-centered care to facilitate access to substance use treatment for individuals with opioid use disorder who are not currently getting the needed care. The program will expand harm-reduction services and recovery support opportunities, as well as increase access to communicable disease testing and preventive care to individuals in high-risk populations. Also, the program will provide essential patient-centered addiction services for the people at greatest risk for overdose. This project serves the 109,558 residents of St. Lawrence County. The project includes partnerships between St. Lawrence County Community Services, St. Lawrence Health Systems, Seaway Valley Prevention Council, the Maximizing Independent Living Center, and New Hope Transformation Ministries (dba Grace House). Priority considerations addressed in this application include Qualified Opportunity Zones and the specific challenges that rural communities face.

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St. Lawrence County

NY

St. Lawrence County, New York, will expand medication-assisted treatment (MAT), peer support, and harm reduction activities for underserved and high risk populations, including incarcerated individuals and victims of recent overdose. This project will serve the 108,505 residents of St. Lawrence County, located in northern New York State, immediately south of the U.S. border with Canada. The project’s service area may extend beyond County borders, to neighboring Franklin, Jefferson, and Lewis Counties. St. Lawrence County is large, rural, and subject to harsh winter weather. Typical barriers to treatment are made worse by transportation challenges including limited bus routes, shortage of drivers for public transit and volunteer transportation, rising fuel prices, and an unreliable medical transportation program. The Washington/Baltimore HIDTA Overdose Detection Mapping Application Program (ODMAP), an overdose mapping tool used by the County, indicates a 265 percent increase in the number of overdoses reported from 2019 to 2021. In addition, data from the St. Lawrence County Drug Task Force indicates significant increases in drug-related felonies (64 percent) and misdemeanors (90 percent) from 2018 to 2021. The County’s Opioid Treatment Program (OTP) will expand to provide MAT services at the County Correctional Facility; continue to support the Peer Support Services established through FY2020 COSSAP (which has helped reduce “no-shows” from 50 percent to 15 percent); provide client, staff, and community education on overdose prevention and access to harm reduction resources through a new Harm Reduction/Transportation Specialist; establish new harm reduction services including needle exchange and syringe disposal; and coordinate community awareness and stigma reduction media campaigns and community events. Direct oversight of the project will be provided by the St. Lawrence County Opioid Rural Response (SLCORR) Committee, whose purpose is to reduce the morbidity and mortality of substance use disorder (SUD), including opioid use disorder (OUD). SLCORR is led by the St. Lawrence County Community Services Board (SLCCSB) and includes the following stakeholders: St. Lawrence County Community Services, St. Lawrence County Overdose Prevention Program, Seaway Valley Prevention Council, Maximizing Independent Living Center (MILC), and New Hope Transformation Ministries (dba Grace House), a transitional living residence.

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St. Louis County

MN

The purpose of this proposed project is to provide wrap around care for people with substance use disorders transitioning through the criminal justice system in St. Louis County (SLC), Minnesota, as well as recovery and behavioral health counseling at Northeast Regional Corrections Center (NERCC). SLC is working on the following allowable uses: (1) providing a ready source of Naloxone for SLC rural law enforcement, provide Naloxone and training to probation officers, and send Naloxone with people with substance use disorders (SUDs) when released from jail; (2) post-booking treatment alternative-to-incarceration programs; (3) evidence-based SUD treatment; (4) harm reduction activities and recovery support services; (5) medication-assisted treatment (both induction and continuation of previous prescriptions) is provided in SLC Jail and NERCC. This project will create an internal multi-disciplinary coordinating body within the jail, based on the forensic assertive community team model. This Jail Team will work with flagged inmates to create in-jail and transitional treatment plan, ensuring access to and continuation of services for people with SUDs, co-occurring mental health disorders and SUDs, and polysubstance use disorder. This grant will support embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model and behavioral health specialists (providing drug counseling and cognitive behavioral therapy) and a peer recovery specialist providing recovery services. The expected outcomes for this project include enhanced access to coordination of care for justice-involved individuals across all intercepts in SLC, increased post booking diversions, increased access to behavioral health and recovery services in the jail, and creation of a jail system that consistently begins a release and transition plan creation process for people with SUDs at booking. The project serves SLC, the largest county geographically in MN, with a population of 199,070. This project will benefit justice involved individuals suffering from SUDs in SLC and the broader Arrowhead Region. Subrecipients of the grant include Arrowhead Regional Corrections probation program; Center for Alcohol and Drug Treatment, the regional in-patient treatment center; Dr. Buffington to perform Rule 20 prescreens; and Recovery Alliance Duluth, a recovery community organization.

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St. Mary's County

MD

The St. Mary’s County Health Department (SMCHD) is applying for a Category 1 award in the amount of $899,963. The St. Mary’s County Day Reporting Center project will provide community-based services and treatment to offenders under parole/probation in St. Mary’s County, Maryland. The offenders will live at home and report to the center on a daily basis. While at the center, the offenders receive various services including substance misuse counseling, anger management, moral reconation therapy, parenting skills, relapse prevention, mental health coordination, job skills, case management, educational classes, life skills, after-care planning, and touch-ups. This project serves a population of roughly 113,510 individuals in St. Mary's County. The project includes partnerships between SMCHD and St. Mary's County Detention and Rehabilitation Center (SMCDRC).

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St. Tammany Parish Government

LA

St. Tammany Parish will develop an information system to analyze and track the opioid client population across justice system and health intercepts in order to reduce cases of overdose and increase treatment and recovery service access. Key partners for this project include the 22nd Judicial District Court, the Safe Haven Advisory Board, St. Tammany Parish Hospital, the St. Tammany Parish Sheriff’s Office and Jail, and the District Attorney’s Office.

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State of New Jersey, Department of Law and Public Safety

NJ

The Department of Law and Public Safety and the New Jersey Division of Consumer Affairs will improve New Jersey Prescription Monitoring Program (NJPMP) information, reporting, quality, and integrity which will allow for better clinical decision making by prescribers. Also, New Jersey's efforts to prevent the abuse, misuse and diversion of controlled substances by creating a module that will develop and generate prescriber report cards to provide prescribers insight into their opioid prescribing patterns, developing hardware and software upgrades for New Jersey's Integrated Drug Awareness Dashboard (IDAD), and producing and disseminating educational materials and informational displays to utilize in NJPMP outreach campaign. Two epidemiologists will be hired to conduct analysis of NJPMP and related data.

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Surry County

NC

The Government of Surry County, North Carolina, project will establish services targeting underserved groups experiencing addiction. The underserved comprise three groups: incarcerated persons, persons with substance use disorder disabilities, and juveniles impacted by family substance use. Each is at high-risk for justice involvement, discrimination, and poor outcomes. This project will provide supports to minimize inequity among these populations through the provision of substance use treatment in the county detention center, quality recovery housing, and substance use prevention and treatment for youth. Each of these components will include navigation to community resources with a collaborative, trauma-informed approach by organizations focused on meeting the unique needs of individuals and families. The goals are to prevent future addictions, steer the addicted to recovery, and establish trust between the afflicted and the professionals poised to help them succeed. In conjunction with this project, a professional advisory committee will promote equity throughout the planning and implementation of services. Surry County Government will manage the delivery of treatment services within the county detention center. Additionally, two subrecipients will deliver services to the recovery and juvenile communities. New Hope New Beginnings (a nonprofit dedicated to helping people achieve substance-free success) will head the recovery housing portion. Surry Friends of Youth (a local youth-serving nonprofit) will provide support, prevention education, and treatment to juveniles impacted by addiction. Preexisting collaborative relationships between grant recipients will allow any Surry County residents affected by addiction to access services. This project will benefit persons suffering from addiction will benefit from treatment and of social connection and resources and the families and neighbors of individuals entering recovery will benefit from decreased trauma and the knowledge that recovery can be achieved. Expected outcomes of this project include decreases in overdose, crime, recidivism, incarceration, homelessness, child victimization and other risk factors correlated with relapse and substance use. Research partners will perform evaluations using the results-based accountability framework. All programming will rely on evidence-based best practices with a focus on building the relationships necessary to foster successful recovery.

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Surry County Government

NC

Surry County Government applied for Category 1c grant funding in the amount of $595,568. The project will establish an accessible continuum of care to reduce the impact of substance use on the community. Currently, two essential components are lacking in the community: (1) data analysis to link needs, treatment, and services; apprise cost effectiveness; and track impact outcomes countywide; and (2) transportation assistance for people needing treatment. This proposal outlines a plan to implement these two critical elements. This project serves Surry County, North Carolina, which has a population of 73,232. The project includes partnerships between preventive, treatment, recovery, social, and justice service agencies in the county. Priority considerations addressed in this application include: rural, Qualified Opportunity Zones, a high rate of treatment admissions, high rates of overdose and overdose death, and a high rate of drug-related crime.

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Tennessee Department of Mental Health and Substance Abuse Services

TN

The Tennessee Department of Mental Health and Substance Abuse Services is applying for category 2 in the amount of $6,000,000. This project will increase local community’s capacity to respond to the presence of Substance Use Disorders (SUDs) among justice involved individuals and reduce the impact of SUDs among justice involved individuals. This project will include partnerships with the Tennessee Department of Health to support the expansion of Medication Assisted Treatment (MAT) in COSSAP jail sites and the Tennessee Bureau of Investigation to support Drug Endangered Children Task Forces, Field Based Drug Testing, and overdose data mapping. This project serves to support ten new implementation project sites; 1) Blount, 2) Roane, 3) Anderson, 4) Bradley, 5) Dickson, 6) Cheatham, 7) Roane, 8) Tipton, 9) Grundy and 10) Montgomery counties. Priority Considerations: Qualified Opportunity Zones: All 10 sites targeted for this COSSAP project have Qualified Opportunity Zones in their county: See Attachment 6. High-Poverty Areas or Persistent-Poverty Counties: Two of the targeted counties: Grundy and Cocke are rated by the TN Dept of Economic and Community Development as “Distressed”, while the other eight (8) counties are rated as “Transitional”. Poverty rates for all targeted counties are above the national average (12.3%) with Grundy (28.5%), Cocke (25.0%) and Bradley (18.0%) all exceeding the Statewide poverty rate of 16.7%. Address Specific Challenges That Rural Communities Face: Six of the ten sites selected have more than (50%) of their population residing in rural areas, which Grundy County having (100%) of its population residing in a rural area.

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Tennessee Department of Mental Health and Substance Abuse Services

TN

The Tennessee Department of Mental Health and Substance Abuse will: • Support six new implementation project sites (Davidson, Montgomery, Sumner, Putnam, Wilson, and Washington counties) as well as five enhancement project sites for counties that are currently COAP funded (Sullivan, Hamilton, Knox, Jefferson, and Coffee Counties). Sullivan and Hamilton Counties will (1) embed behavioral health clinicians with law enforcement; (2) provide employment readiness and connection to employment services both pre- and post-incarceration; and/or (3) deliver evidence-based cognitive behavioral therapy courses. • Enhance six regional drug-endangered children response teams in Dickson, Cheatham, Lawrence, Franklin, Jefferson, and Scott Counties. Response teams will use a collaborative approach in meeting the needs of children affected by drug overdose events as well as their parents. The Tennessee Bureau of Investigation will also implement a statewide prevention strategy by creating a virtual reality game with education content for students to engage with at school events. • Integrate three certified peer recovery support specialist (CPRS) positions in probation and parole offices across the state, one in each of the three Grand Divisions of Tennessee. • Provide recovery support services, including recovery housing, as part of a comprehensive response. Dr. Carolyn Marie Audet and Lauren Allard will serve as the research partners for this project.

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Terrebonne Parish Consolidated Government

LA

The project supports a community collaboration among the Terrebonne Parish District Attorney's Office Extensive Narcotics Diversion Program (END) and partner public agencies and community organizations to address substance use disorders while reducing unnecessary prosecution and incarceration for felony level drug offenses. The END program seeks to divert non-violent offenders from the traditional court system offering a treatment and recovery resolution instead. The END program is a pre-booking and post-booking treatment alternative to incarceration program. It is a prosecutor led court diversion /intervention program; it utilizes court programming to prioritize and expedite treatment and recovery services for individuals at high risk of overdose; it coordinates evidence-based substance use disorder treatment related to opioids, stimulants and other drugs. Funding will be used to improve and enhance the screening process to increase the number of qualified felony level drug offenses that are offered the opportunity to receive case management referrals and treatment in lieu of conviction and incarceration. The goal is to identify appropriate END participants as early as possible in the process and to increase our capacity to handle the additional participants. By providing expanded case management, treatment referrals and other social services through the program, we can address the substance use and any disorders while pausing the court process in order to allow the participant to address these issues and begin the recovery process. In 2022, the district attorney's office received referrals totaling 625 felony drug offenses. Of these 61 were screened and approved for participation in the END program, being offered the opportunity to participate in supervision and treatment, avoiding trial, conviction and incarceration. Forty-two (42) of these cases, 6.72%, eventually enrolled in the program. The expansion of the program would seek a 20% year over year increase in the number of participants given the opportunity to treatment alternative to traditional case processing. In addition, recent losses in funding and other economic challenges such as COVID-19 and Hurricane IDA have also degraded our ability to offer treatment alternatives to incarceration thru pre-trial diversion programming. BJA support through this award will allow the END program to expand prosecutor screenings to identify all eligible participants, provide dedicated case management, data collection, and increased drug testing to support treatment and recovery as an alternative to incarceration.

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The Health & Hospital Corporation of Marion County

IN

The Health and Hospital Corporation of Marion County (doing business as Eskenazi Health) project is carried out by three agencies—the Substance Use Outreach Services Program (SUOS), the Safe Syringe Access and Support Program (SSAS), and Project POINT—and will encompass a multi-pronged approached to support patients, staff, and community/government partners. These programs will provide community-based prevention services in the form of education and prevention programs and naloxone distribution; community-based intervention in the form of substance use disorder (SUD) treatment and harm reduction activities and support services; and post-intervention support in the form of transitional housing assistance and peer recovery services. The project will focus on the following activities: (1) a drug take-back program (approximately 7 percent of budget); (2) real-time data collection (approximately 11 percent of budget); (3) naloxone distribution (approximately 17 percent of budget); (4) K-12 education and prevention programs (approximately 25 percent of budget); (5) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs as well as harm reduction activities and recovery support services (approximately 21 percent of budget); (6) transitional or recovery housing and peer recovery support services (approximately 19 percent of budget). This grant-funded initiative is a collaboration between Eskenazi Health and partner agencies, including the Marion County Coroner’s Office and the Indiana Department of Health Laboratory Services Commission, and will impact first responders, substance use disorder providers and patients, and governmental agencies throughout Marion County during the life of the grant and beyond.

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Tippecanoe County

IN

Tippecanoe County Government is applying for a Category 1 award in the amount of $1,200,000. The NewLeaf Wellness Center and Treatment Program will intervene at the pre-trial state or post-conviction state of criminal cases by identifying mental health and addiction treatment needs and connecting those individuals with the appropriate services. It will provide needed mental health and substance misuse services to participants through Tippecanoe County Community Corrections’ newly formed NewLeaf Wellness Center. Educational and treatment services provided through NewLeaf Wellness Center will include evidenced based practices such as living in balance, relapse prevention, cognitive behavioral therapy, trauma-informed care, and moral reconation therapy. The overall goal of this project is to accomplish a reduction in recidivism, jail overcrowding, and drug-related fatalities. This project serves Tippecanoe County, Indiana, which has an estimated population of 196,195. The project includes (but is not limited to) partnerships between local law enforcement agencies, Tippecanoe County Courts, Tippecanoe County Community Corrections, Valley Oaks, Meridian Health Services, NAMI, Calla Collaborative Health, Purdue University, Court Services, and Health Call. This project will engage Tippecanoe County Community Corrections Executive Director Jason Huber as the research partner for this project.

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Town of Scarborough

ME

The Town of Scarborough is applying for Category 1 funding in the amount of $600,000. The project will support the expansion of the Law Enforcement Assisted Diversion (LEAD) program in the Scarborough Police Department (SPD), launched in November 2020 under the guidance of the LEAD National Support Bureau. Individuals are linked to the program by police officers and receive an intake assessment consisting of goal identification and setting, referrals for services, and social support. Program participants are also able to enroll in the Heroin Opioid Prevention Effort (HOPE) program, a Police Assisted Addiction & Recovery Initiative (PAARI)-model program operated by SPD. The project will support the hiring of a case manager to assist the SPD Social Services Division. Additional funding will be used to support short-term housing costs for individuals enrolled in the program; clinical and psychiatric care for individuals without health insurance; and emergency services to facilitate transportation of participants, food, clothing, prepaid phone service, and necessities. Deliverables for this project include reducing recidivism for participants and increasing referrals for services. The project serves Scarborough, a community of 20,352 citizens in Southern Cumberland County, spread over 70.63 square miles. The project includes partnerships with the Cumberland County District Attorney’s Office; Maine Health-Maine Medical Center Psychiatry; Spurwink Behavioral Health Services; Milestone Detoxification Center; and the Scarborough Economic Development Corporation. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Town of Seekonk

MA

The Seekonk Police Department is applying for Category 1 funding in the amount of $798,156. The Bristol County Outreach Opioid Intervention/Mental Health Program is a law enforcement-led post-overdose outreach collaboration among eight towns in Bristol County that will facilitate access to treatment for individuals struggling with substance use disorder, as well as support for their families and friends. The program includes hiring a project coordinator/clinician and a recovery specialist to support the eight-town coalition of police departments in their efforts to provide post overdose/referral recovery support services to individuals experiencing non-fatal overdoses and those determined to be at risk for overdose. Outreach teams will conduct post-overdose home visits within 72 hours of an overdose to offer access to treatment. Outreach will also include distribution of harm reduction tool kits including naloxone. All eight towns currently use countywide overdose/referral tracking software called the Critical Incident Management System (CIMS), which tracks all fatal and non-fatal overdoses, shares data among law enforcement agencies, and documents post-overdose follow-up. The project serves the towns of Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset in Bristol County, which have an aggregate population of 136,738. The project includes partnerships between the municipal police departments in Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset. The project will engage Kelley Research Associates as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Transylvania County

NC

Transylvania County, through its Community Awareness Recovery Effort (C.A.R.E.) Coalition, is applying for Category 1 funding in the amount of $599,767. The Creating Access to Therapeutic, Reentry, and Recovery Support Services in Transylvania County Detention Center program will create access to trauma-informed behavioral health services and peer support specialist-informed recovery and reentry services for detainees residing in the detention center. This goal will be achieved by hiring and training a behavioral health therapist and a care coordinator to support the needs of detainees across the continuum of their detention, from booking/intake to release. The project will also support expansion of Transylvania County’s substance use disorder response efforts to include trauma-informed care (TIC) approaches and evidence-based interventions specifically targeted at persons involved with the criminal justice system; distribution of naloxone to detainees upon release; completion of a strategic plan for advocacy for medication-assisted treatment (MAT) bridge prescription; and TIC training for detention, law enforcement, and probation officers. The project serves Transylvania County, which has a largely rural population of 34,385. The project includes partnerships with the Transylvania Opioid Response Team, the Transylvania County Sheriff’s Office, and Transylvania Public Health. The project will engage the University of Western Carolina as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Tulsa County District Attorney

OK

The Community Approach to Vulnerable Adult Treatment (CATVAT) is a treatment-focused diversion project that ameliorates the impact of substance use on vulnerable adults in Tulsa County by diverting their court cases appropriately, providing wraparound services, and preventing possible future victimization, at SAMHSA Sequential Intercept 3: Jails/Courts and Intercept 2: Initial Court Hearings/Initial Detention. Grant funds will be used to retain and hire personnel include two prosecutors and three case managers who will handle substance-involved vulnerable adult cases holistically. There is one intended subrecipient of grant funds, Family and Children's Services. Beneficiaries of services provided through the grant project are vulnerable adults in Tulsa County who commit offenses or become victims due to untreated substance use, mental illness, or co-occurring disorders. CATVAT is a collaborative, multidisciplinary program to alleviate the impacts of substance use on individuals with one or more factors that categorize them as vulnerable, including advanced age, Serious Mental Illness, intellectual disability, and other characteristics. Primary activities include joint staffing by CATVAT prosecutors and case managers of complicated vulnerable adult cases to determine treatment needs, divert criminal cases, detect victimization, prosecute individuals appropriately, and provide social services to prevent future victimization. 400 cases will be diverted from traditional prosecution; 300 court-ordered outpatient cases will be managed; 100 cases ineligible for COO will be managed; 400 screenings for SUD/MI of jail inmates 65 years and older will be conducted; 200 cases will be prosecuted with diversion consideration; 100 victim cases will be managed; 300 victim case follow-ups will be conducted; and 500 cases will be jointly staffed. The requested $1,600,000 will be budgeted between the following allowable uses of Category 1 funds: Pre-booking or post-booking treatment alternative-to-incarceration programs (55%), and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (45%).

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Tulsa County District Attorney

OK

The Tulsa County, Oklahoma, District Attorney’s Tulsa County Collaborative Jail Reentry (TCJR) Initiative is a collaborative effort between the Tulsa County District Attorney and Family and Children’s Services, a nonprofit behavioral and mental health provider and proposed subrecipient. Grant funding will provide for a prosecutor to attend daily bond docket and otherwise serve as an early identifier of possible diversion candidates in the Tulsa County Jail. This prosecutor will work jointly with a data specialist to improve tracking and identification protocols, and case managers to locate the best alternatives to prosecution for eligible candidates who have a substance use disorder and/or mental illness. The case managers, together with a licensed clinical social worker and a peer recovery support specialist, will provide the candidates with treatment inside the jail and connect them with treatment and support services after release, thereby establishing a continuum of care between incarceration and community living. The TCJR Initiative aims to reduce Tulsa County’s high substance use and overdose rates by deploying essential personnel to make treatment accessible within the jail and after release, and by bolstering the ability of agency personnel to track and share data to inform prosecutorial decision-making about diversion eligibility. The target population is Tulsa County Jail inmates with substance use disorders and/or mental illnesses. Objectives include: 1) identify inmates in need of treatment services (2) connect inmates with treatment services inside the jail, (3) help inmates stay connected to treatment and supportive services after release; and (4) improve data tracking and sharing capabilities to inform prosecutorial decision-making Program measurements and performance targets include: (1) 2,000 inmates identified as needing treatment services; (2) 600 inmates connected to treatment services inside the jail; (3) 400 inmates assisted with treatment and support services after release; and (4) report on data upgrades and utilization. The budget includes (1) real-time data collection (10 percent); (2) pre-booking or post-booking treatment alternative-to-incarceration programs (55 percent); (3) evidence-based substance use disorder treatment related to opioids (25 percent); (4) transitional or recovery housing and peer recovery support services (10 percent).

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Ulster County

NY

The Ulster County Sheriff’s Office will; (1) expand a law enforcement diversion co-response team previously funded by the Bureau of Justice Assistance modeled after LEAD, PAARI, QRT, and traditional care management to provide peer services within the rural areas of the county; (2) provided peer care management services in the Ulster County Jail to provide MAT programing support, as well as pre/post re-entry services to assist the coordination of re-entry for individuals with SUD, linking individuals with community-based treatment and recovery supports which increase access to behavioral health care, and following up with individuals for up to post release; and (3) provide naloxone vending machines in public spaces at the jail and in the community as a harm reduction measure for close networks of individuals experiencing opioid use disorder to gain easy and equitable access. The project includes collaboration between Ulster County Department of Mental Health, the Ulster County Sheriff’s Office, and Opioid Response as County Law Enforcement's High Risk Mitigation Team. This expansion project aims to increase collaboration between law enforcement and the community with the following goals: (1) reduce opioid fatalities in the rural region of the county by 40 percent in three years; (2) decrease opioid fatalities among incarcerated individuals upon re-entry by 40 percent over the course of three years; (3) increase naloxone distribution to the families and networks of individuals experiencing opioid use disorder by 100 percent within three years. The goal of all proposed programs is to enhance relationships between law enforcement and black, indigenous, and people of color communities struggling with substance use disorder by ensuring that all outreach and practices are trauma informed and sensitive to the historical and systemic racism.

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Ulster County

NY

Ulster County is applying for Category 1b suburban area grant funding in the amount of $900,000. The High-Risk Mitigation Team (HRMT) will increase ORACLE’s capacity to respond to overdose scenes by providing crisis intervention training (CIT) to officers throughout Ulster County. The project will develop the HRMT to work directly with ORACLE, providing certified peer advocate services (CRPA) and intensive case management within the city of Kingston, New York. The project will also develop an initial alert system for first responders in Kingston to alert the ORACLE team of overdose when it happens. This project serves Ulster County, a community of approximately 177,573 people. The project includes partnerships between the Ulster County Department of Health and Mental Health, Ulster County Sheriff’s Office, and ORACLE team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and a high rate of overdose deaths.

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Unified Court System of New York State

NY

The New York State Unified Court System (UCS) is applying for Category 2 funding in the amount of $5,783,403. The New York Rural Opioid Court Initiative will implement opioid courts (OICs)—pre-plea court programs that expedite treatment and recovery services for offenders at high risk for overdose—in eight USDA-designated rural counties in New York State (Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Lewis). The project provides the infrastructure, planning, and evaluation of evidence-based treatment interventions, supervision, and recovery supportive services to successfully divert defendants with substance use disorder at risk of overdose. The OICs’ development will be supported locally by engaging in Sequential Intercept Model mapping in each jurisdiction and by the establishment of an OIC Center of Excellence, which will provide guidance to the selected counties in applying best practices to address the issues of polysubstance use disorders, mental health, and trauma. The project will also improve court supervision and access to treatment and peers through teleservices and will engage with drug testing laboratories to enhance testing for complex synthetic drugs to target effective supervision, treatment, and supportive services. The goal of the project is to stabilize defendants while an appropriate disposition of their case is determined so that participants may connect with treatment and other services that produce behavior change. The project serves Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Lewis counties in New York State, with a combined population of 408,060. The project includes partnerships with the New York Office of Addiction Services and Supports and Policy Research Associates. The project will engage NPC Research as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Unified Government of Wyandotte County

KS

Wyandotte County has seen a steep increase in opioid overdose and overdose deaths since 2018. To address this the Wyandotte County Health Department (WCHD) has started a Peer Support Navigation Program to assist with linkage to care. Hiring peers is an evidence-based practice that increases a person with Substance Use Disorder (SUD) likelihood of seeking recovery-based services due to the shared understanding, respect, and mutual empowerment regarding the challenges of changing SUD behaviors. Wyandotte County also suffered a great loss in the fall of 2022 when the only inpatient treatment center in the county, Mirror Inc., shut its doors permanently. This closure eliminated the potential for nearby residential treatment, which directly affects not only general community members who are interested and open for recovery access, but those experiencing potential incarceration due to drug use as well. Now that there is no inpatient option, local drug court participants do not have an immediate treatment follow up for their programming, nor a Mirror employee that had worked with drug court to provide assessments to establish this treatment connection. This has resulted in drug court participants sitting in jail for up to 2 months awaiting an assessment for follow-up care. The closing of Mirror Inc. established a new partnership between WCHD and the local drug court. This partnership has developed a greater collaboration in the corrections setting. First, to utilize this funding to hire a Masters Licensed Addiction Counselor (LMAC) through Wyandot Behavioral Health Network (WBHN) to provide assessments that can decrease the time it takes for drug court participants and general probation offenders to access recovery services. WBHN is a family of organizations serving the mental health needs of Wyandotte County, Kansas and beyond. Along with mental health services, they offer outpatient SUD treatment services, and they are starting a Medication Assisted Treatment program. WBHN hiring the LMAC, would allow them to complete assessments needed and allow them to create a services chart should they want to receive services from the organization. The LMAC could also provide some treatment such as substance use treatment and mental health therapy, if further collaboration is to take place. Creating this position and embedding it in the court and community corrections facilities will aid in care navigation as well as provide a consistent person thus providing a more coordinated approach for the for the individual.

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Ventura County

CA

The proposed project will support three inter-related programmatic enhancements at the Ventura County Jail, to achieve the overarching goal of expanding substance use disorder (SUD) care and retention for this high-risk population. Ventura County has seen a sharp rise in opioid- and methamphetamine-related overdose deaths, with a 33 percent increase in deaths from 2021 to 2022. The jail population mirrors the SUD problems seen in the general population; however, there are limited treatment and support services currently available as a means of reducing problems related to SUD among persons involved with county corrections. This project aims to address the challenges being faced related to the rising prevalence of SUD in the county, with a particular emphasis on people with histories of opioid use disorder and stimulant use, through early SUD identification of persons in the county jail system and improved delivery of treatment and supportive services. The specific services that will be implemented/expanded include conducting uniform SUD screening at intake (including comparison testing of two screening tools; expanding access to in-custody medication for opioid use disorder; and improving community SUD aftercare attendance and housing stability for those referred for ongoing SUD treatment, including use of a newly established Patient Navigator to provide more efficient responses to client needs during the high-risk period when returning to the community. In addressing these goals, this project responds to several of the allowable uses/practices specified in the solicitation, including evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (25 percent); transitional or recovery housing and peer recovery support services (35 percent); embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (25 percent); and field-initiated projects that bring together justice, behavioral health, and public health practitioners (15 percent). The project will include partnerships with county health care providers with expertise in addiction treatment. The inclusion of a research partner (New York University) will ensure that the project process and outcomes are appropriately documented and reported.

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Wake County

NC

The Wake County Sheriff’s Office (WCSO) will develop an Opioid Abuse Management Program, which aims to reduce the high rate of opioid overdoses and opioid fatalities in Wake County. The Opioid Abuse Management program will be overseen by a Program Coordinator who will implement and oversee the progress of the program. Funding through the program will ensure that all deputies are equipped with naloxone to administer and reverse the effects of an overdose. The program will also provide handheld narcotics analyzers and necessary accessories, which will enable deputies to quickly identify suspected controlled substances in emergency situations. Tablets will also be funded through the program and will be provided to deputies responding to substance abuse calls. These tablets will provide a direct connection to Alliance Health Access and Information Line, where deputies will receive immediate virtual assistance from a social services professional. Tablets will also be used in the Detox Unit by project staff for reporting and data management, as well as by residents housed in the Detox Unit to assist with job applications, substance abuse treatment programs, and telehealth visits. WCSO recognizes that our duty of care must not stop upon a resident’s release and therefore will implement collaborative partnerships with behavioral health clinics and treatment providers to expand our comprehensive efforts to respond to, treat, and support those impacted by illicit opioids, stimulants, and other drugs of abuse once released from our care. WCSO will procure a software company to develop and implement a Substance Abuse Disorder Management Platform that will track treatment during incarceration and upon release. This software will connect the WCSO with outside healthcare professionals to better understand patterns and to share crucial information.

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Warren County

OH

The Warren County Common Pleas Court (WCCP) Services Department is applying for Category 1 funding in the amount of $900,000. The Recovery Engagement Alternative Community Treatment (REACT) Program is a court-based intervention program designed to serve individuals not accepted by Warren County’s Recovery Court but in need of treatment services. A collaboration of court and probation services, REACT will expand access to supervision, treatment, and recovery support services across the criminal justice system. It will shift the focus of participating probation officers to rehabilitative efforts and support services to increase the number of clients who complete probation and treatment successfully, as well as find housing and employment. The REACT program is for adults on community supervision through WCCP with a substance use disorder, a history of unsuccessful previous community supervision, repeated prior treatment episodes, and with other areas of high criminogenic risk and need. REACT clients will be supervised by a probation officer trained in evidence-based practices. The probation officer and the client will work toward mutual goals of facilitating sobriety and cognitive-behavioral change, securing safe and stable housing, and securing stable employment. Deliverables include provision of services for 70 participants annually and housing for 32 participants per year. The project serves Warren County, which has a population of 234,602. The project includes partnerships between WCCP and Talbert House, Solutions Community Counseling and Recovery Centers, and New Foundations Recovery Housing. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Wayne County Sheriff's Office

NC

The Wayne County Detention Center, through the Wayne County Sheriff’s Office, applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to provide best practices in developing, implementing, and sustaining a jail-based medication-assisted treatment (MAT) program during incarceration and upon release. The benefits include stemming the cycle of arrest, incarceration, and release typically linked to substance use disorders; helping to maintain a safe and secure jail for inmates and staff; and reducing costs, since data indicate that MAT for opioid use disorders is cost-effective. This project serves Wayne County, North Carolina, which is the sixth largest agricultural county in the state with over 116,000 residents. The project includes partnerships between Southern Health Partners, Wayne County’s Day Reporting Center, and Dixon Social Interactive Services, Inc. Priority considerations addressed in this application include Qualified Opportunity Zones and persistent poverty.

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Weber County

UT

Weber County, Utah, is enhancing the reentry support services for justice-involved individuals in the community, with special attention to those who have experienced or are at risk of experiencing homelessness, as part of its collaborative response to reentry. The Weber County Community Reentry Coalition will oversee the project and will build upon existing partnerships between the Weber County Sheriff’s Office, Weber Human Services, Utah Support Advocates for Recovery Awareness, Ogden Police Department, Lantern House Homeless Shelter, Weber Housing Authority, Weber Public Defender Group, and more. The project will integrate peer recovery support services within the local criminal justice system, increase reentry coordination systems navigation capacity to bridge gaps along the sequential intercept model, provide funds for housing assistance, and mitigate costs associated with obtaining housing assistance and/or employment. Approximately 73 percent of grant funds will be used to support: (1) two full-time peer recovery support specialist positions to provide critical addiction recovery support services that are tailored to meet the specific needs of individuals returning from incarceration with substance use disorders and experiencing homelessness for the first time or chronically; and (2) three full-time reentry coordinator positions to conduct assessment, reentry planning, resource connection, and systems navigation with the ability to work in the jail, shelter, and community policing as necessary to serve as a bridge between these agencies that see many people cycle between them. Approximately 27 percent of grant funds will be used to help pay for: (1) supplemental housing assistance, along with vouchers, for initial costs such as first month’s rent or deposit for those exiting incarceration with no income or means to pay; and (2) costs associated with reentry and recovery support services.

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West Virginia Division of Administrative Services, Justice and Community Services

WV

The Justice and Community Services (JCS) section of the West Virginia Division of Administrative Services seeks to: • Expand and improve the state’s Handle with Care (HWC) initiative. The HWC initiative supports children exposed to trauma and violence through improved communication and collaboration between law enforcement and schools/child care agencies and mental health providers, and connects families, schools, and communities to mental health services; • Expand and enhance the West Virginia law enforcement assisted diversion program, which diverts those suspected of low-level drug and prostitution offenses away from jail and prosecution into case management, legal coordination, and other supportive services. This aspect of the proposed project will focus heavily on the counties of Braxton, Calhoun, Clay, Gilmer, Webster, and Wirt, which currently lack diversion programs; and • Enhance and expand telehealth services for those in underserved and geographically isolated communities. Similar to the diversion aspect, the telehealth aspect of the proposed project would expand services to Braxton, Calhoun, Clay, Gilmer, Webster, and Wirt Counties. These services will include psychiatric evaluations with treatment plan development, individual and group counseling, cognitive-behavioral therapy, medication-assisted treatment (including buprenorphine and naltrexone), and peer recovery support services. JCS has partnered with the West Virginia Office of Research and Strategic Planning, West Virginia Department of Health and Human Resources Bureau for Behavioral Health, and the West Virginia Office of Drug Control Policy in the implementation, monitoring, oversight, and sustainment of the proposed project.

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Whitley County

KY

Whitley County, Kentucky, is one of many Appalachian communities devastated by illicit drugs. Drug overdose mortality in this county far exceeds Kentucky’s rate, the Appalachian region’s rate, and is nearly double the U.S. rate according to the University of Chicago’s NORC Opioid Community Assessment Tool. This project aims to reduce the impact of illicit substances on people and community. Primary activities include: (1) embedding community health workers in local law enforcement agencies; (2) supporting ongoing collaboration between local law enforcement agencies, the local health department, and a local federally qualified health center providing integrated behavioral health services; (3) collecting real-time data; and (4) supporting law enforcement, first responder, and jail diversion opportunities. This project expects outcomes to include a reduction in overdose deaths, a decrease in repeat law enforcement and first responder responses, and increased access to treatment.

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Winnebago County

WI

The Winnebago County District Attorney’s Office (WCDAO) is applying for Category 1 funding in the amount of $1,897,863. Stimulant and Opioid Addiction Recovery (SOAR) will develop a diversion strategy using evidence-based components for people with substance use disorder (SUD) and felony drug-possession cases and will improve data infrastructure, engaging stakeholders that include local justice, health, and service agencies and community-based service providers. SOAR will operate in two phases, the first beginning with the defendant being arrested or summoned to an initial court appearance. Phase 1 includes a 24/7 drug-monitoring program; Phase 2 consists of a post-charge diversion agreement. The project will collaborate with a recovery-services and training facility in Winnebago County that will provide certified peer support specialists. A local pharmacy will provide naltrexone shots to participants who are interested in pursuing that path. Pragmatic field tests of process improvements will document performance and feasibility of implementation. The project’s goal is to identify and respond to the needs of persons with SUD who are currently excluded from diversion programs. Deliverables include improved data collection to characterize and respond to SUD; a screening tool for treatment and diversion for persons with SUD; and improvements in domains important to the justice system, social-service agencies, the community, and SUD-involved persons, such as increased treatment engagement and reduced recidivism. The project serves Winnebago County, a largely rural county with a population of approximately 170,000. The project includes partnerships between WCDAO and the Winnebago County Department of Human Services, the Winnebago County Department of Public Health, Options Lab, the Winnebago County Circuit Court, the Wisconsin State Public Defender’s Office, and Fox Valley Peer-based Response, Information, Support, and Maintenance. The project will engage the New York University's Marron Institute as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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Winnebago County

WI

The Winnebago County Health Department (WCHD) project will leverage existing coalition work, create best practices in prevention, and address the county’s increasing number of overdose deaths. The Winnebago County Overdose Fatality Review (OFR) Team has been a platform for community change to address system issues, yet the number of overdoses continues to rise. While partners recognize the benefits of the work, there is an identified need to increase the level of response and improve the collected metrics. The project includes: 1) Real-time data collection. WCHD will contract with a researcher to continue regular OFR monthly reviews to: (1) collect overdose data; (2) understand aggregate data trends; (3) report findings to the OFR governing committees; (4) build collaborative partnerships throughout the community to drive coordinated action related to substance use; (5) increase capacity for the implementation of current and new OFR recommendations to continue addressing the main purpose of OFRs, to prevent overdose deaths. In addition, WCHD will contract with a researcher who will evaluate the current state of the work and impact in the community through data analysis, utilization of the CDC Overdose Data2Action Evaluation tool, and provide data to COSSAP to help drive future action. 2) Embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model. WCHD will contract with Fox Cities Victim Crisis Response to respond on-scene to address the grief and needs of next-of-kin by connecting them to support services and conducting next-of-kin interviews to better understand the circumstances that led to an overdose death and to prevent future overdoses. 3) law enforcement and first responder deflection and diversion; and peer recovery support services. WCHD will contract with Solutions Recovery, Inc. to implement a WC-OFR recommended, data-driven rapid response program that is being created in summer 2022 for full launch in fall 2022, and to create sustainability of the program over three years. Through this COSSAP funding, Winnebago County will have the expanded resources to implement recommendations and changes driven by data that holistically affect individuals and families who have been overlooked, forgotten, and left on their own to change their lives. Creating a new person-centered customer service model of care, support, navigation, and hope will change the trajectory of overdose deaths in Winnebago County.

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Wisconsin Department of Justice

WI

The Wisconsin Department of Justice (DOJ) will support the implementation of local law enforcement assisted diversion (LEAD) and medication-assisted treatment (MAT) programs in jails. Five pre-booking diversion sites using the LEAD model will be selected to provide diversion to treatment at the pre-arrest or post-arrest stages. Nine jail-based sites will be selected to provide non-narcotic, non-addictive injectable MAT to an inmate in the days immediately preceding re-entry to the community. The MAT program will include community-based care coordination for inmates exiting the county or tribal jail and rely on evidence-based, trauma-informed practices for substance use disorder treatment. This project will engage the Wisconsin DOJ's Bureau of Justice Information and Analysis as the research partner for this project.

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Worcester County

MD

The Worcester County Health Department (WCHD) is applying for Category 1 funding in the amount of $600,000. The project will enable the countywide expansion of the Law Enforcement Assisted Diversion (LEAD) program launched in July 2021 in Ocean Pines through the addition of two case managers and support staff to assist in data collection and partner coordination. The LEAD program will work with other first responders, including fire department and emergency medical services (EMS) staff members. This expansion will include collaboration with the Worcester County Sheriff’s Office, targeting high utilizers of law enforcement and other first responder services across Worcester County. The additional case management staff will provide linkages to care, social services, and recovery support services to appropriate individuals identified by fire/EMS professionals and law enforcement officers. The expansion of the LEAD program will increase access to treatment for individuals who are abusing or misusing opioids, stimulants, and other substances and those who have co-occurring substance use and mental health disorders. It will also benefit law enforcement and first responder systems by redirecting high utilizers to more appropriate services. The project serves Worcester County, a largely rural county with a population of 52,276. The project will include partnerships between WCHD and the Worcester County Office of the State’s Attorney, the Ocean Pines Police Department, the Worcester County Local Behavioral Health Authority, the Worcester County Sheriff’s Office, the Eastern Shore Criminal Justice Academy, and the Governor’s Office of Crime Prevention, Youth and Victim Services. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

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York County

PA

The York/Adams Drug and Alcohol Commission proposes to establish a new program to connect persons leaving prison with the appropriate evidence-based treatment and support services, which may include medication-assisted treatment; connect individuals who are on work-release with treatment and nontreatment services; and establish an integrated data system containing all law enforcement naloxone utilizations, emergency medical services naloxone utilizations, and hospital emergency department admissions and encourage prescription drug monitoring program usage.

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Yurok Tribe

CA

The overall goal of the Yurok Wellness and Safety Net Tenders project is to reduce opioid-related overdose (OD) risks and avoidable deaths, disease, and other negative effects on health and social wellbeing among Yurok tribal community members. With strategic assistance from our project partners and guided by the Yurok Tribal Wellness Coalition, serving as our project multidisciplinary coordinating board, the project will implement lifesaving activities in our California geographic catchment area of the Yurok Indian Reservation and Humboldt and Del Norte (HM-DN) counties. Together these counties span over 5,282 square miles in this mountainous region of Northern California. Its thick cover of trees, seemingly endless rural terrain, and washed-out single-lane dirt roads, often inaccessible in the winter, provide cover for covert activities including underground cannabis cultivation and human, sex, and drug trafficking (including opioids, methamphetamine, and cannabis). Project activities include: creating and implementing culturally specific OD reversal and response training first responders and members of other key community sectors including family members from HM and DN counties; dispensing thousands of naloxone, other approved opioid OD devices, and fentanyl test strip kits; improving local data collection; standardization, reporting, and leveraging a harm reduction partner's low threshold buprenorphine access, and developing a screening and diversion program with DN County Justice Partners. The project will be housed under the Yurok Tribal Court to enhance tribal wellness services and referrals to outside community assistance such as shelter, housing, and domestic violence and behavioral health services.

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