The Office of the District Attorney in Alabama’s 22nd Judicial Circuit will concentrate on response and prevention. Response will include the formation of the opiate abuse prevention task force, which will be responsible for providing expedited responses for all opiate overdoses as well as for violent crimes involving opiates. The office will provide training for all local first responders on proper crime scene management and preservation as well as treating overdose victims and witnesses. Overdose response kits will be distributed to all police and fire departments in the county. Advertising campaigns will encourage those present during an overdose to call 9-1-1 without fear of arrest, provided they are not directly responsible for the overdose. The task force will host meetings with local doctors and pharmacists to develop and promote safe prescribing protocols. In the event that patients are found to be abusing prescriptions, the office will take the proper procedures to hold them accountable and to promote treatment through rehabilitation. The office will take all available steps to prosecute any doctors found to be illegally or unnecessarily prescribing opiates. Prevention efforts will be directed at high school students through part-time work-study peer helpers, who will be hired to maintain communication with students to warn them about the dangers of opioid use. The office will also partner with Operation Save Teens, a program that shows area teenagers the dangers of opiate abuse.
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.
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 will provide 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 would address 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 will begin with one shift at the 24-hour Diversion Center, with all three shifts fully functioning by project year three. Project enrollment goals include serving 30 clients in the first year, 50 in the second year, and 75 in the third. This project serves 1.2 million residents in Cuyahoga County. The project did not include partnerships. Priority considerations addressed in this application include a high rate of treatment admissions for opioids, high rates of overdose deaths, lack of accessible treatment, persistently high poverty in the county, and the designation as a Qualified Opportunity Zone.
The Adams County Health Department will embed a community care coordinator within the Sheriff's Office, Probation Department and County Court to provide a real-time interface between community recovery resources and the criminal justice system; expand capacity of the quick response team; expand drug treatment opportunities to incarcerated individuals, including MAT; establish peer recovery support for individuals returning to the community before release; establish a Handle with Care program; and establish an overdose fatality review committee.
Alabama's Department of Mental Health (ADMH), working in partnership with the Alabama Department of Economic Affairs and multiple state agencies as well as community organizations, will develop a Centralized Data Repository (CDR) to hold data and distribute results to identified agencies. Combining the information from an arrest to treatment to death to hospital care to community impact will offer a data solution that allows analysis informing targeted strategies to reduce prescription drug abuse and opioid addiction. This combined data-driven initiative will aid in reducing the number of people diverting, misusing, and abusing prescription drugs and opioids in Alabama in a way that siloed data as it exists now will never be able to accomplish.
Alabama’s Department of Mental Health, in partnership with the Alabama Bureau of Justice Assistance, a division of the Alabama Department of Economic and Community Affairs, will pilot an evidence-based model or models of diversion from incarceration for opioid-addicted individuals interacting with the criminal justice system and to study the impact/outcomes of such interventions, spreading successful intervention statewide at the completion of the project period, to reduce incarceration, recidivism, morbidity, and mortality for adults with opioid use disorders (OUDs) who are cycling through the criminal justice system.
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.
The Alaska Department of Health and Social Services will institute an Alaska Public Safety and Public Health Drug Overdose Death Review that will assess the social, behavioral, and health system determinants of overdose deaths, with the goal of identifying opportunities for prevention and development of effective public policies.
Albany County applied for a Category 1b suburban area grant in the amount of $898,062. The Growing LEAD: Increasing Operational Capacity to Improve and Expand Service in Albany County program will be increased with the addition of case managers to grow caseload capacity by 200 percent, an increase of approximately 50 new clients annually. Additionally, a full-time, dedicated project director and community engagement and outreach coordinator will be hired to improve coordination between partners and the public, increase public awareness of LEAD, and develop policies and procedures to better serve LEAD communities. This project serves the city of Albany, with a population of over 97,000. The project includes partnerships between Albany County Executive Office, District Attorney’s Office, sheriff, mayor of Albany, City of Albany Police Department, Center for Law and Justice, and Central Avenue Business Improvement District. Priority considerations addressed in this application include Qualified Opportunity Zones.
The Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County will use grant funds to support a Data Subcommittee of the Heroin and Opioid Task Force (HOTF). The Data Subcommittee will develop an action plan and a blueprint for an integrated data sharing platform to be implemented by the HOTF. Begun Center of Case Western Reserve University will serve as the research partner for the proposed project.
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.
The Appalachian District Health Department, the Mediation and Restorative Justice Center and the Watauga County Sheriff’s Office are proposing to strengthen existing treatment services for offenders with opioid and other substance use disorders, establish a Law Enforcement Assisted Diversion (LEAD) program, embed peer support services in the local criminal justice system, and increase the capacity of first responders to respond to the opioid epidemic with effective, evidence-based interventions. Grant funds will support: a full-time hybrid position to serve as the detention center social worker/LEAD case manager and will serve as project coordinator; a full time peer-support specialist to work as a key member of these programs to ensure development and implementation meet the unique needs of those who have experienced addiction and incarceration.
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.
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.
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.
The Arkansas Office of the State Drug Director, together with Arkansas Foundation for Medical Care, proposes to create a statewide data sharing infrastructure with a single data repository/database; an interactive Web portal accessible by law enforcement, criminal justice, and health-care stakeholders; and syndromic drug overdose surveillance via dashboards and heat maps. The objectives of the project are to promote cross-system planning and coordination of opioid abuse prevention and treatment interventions through information-sharing partnerships with key stakeholders; increase the timeliness, comprehensiveness, and reporting of fatal and nonfatal opioid overdose data; disseminate surveillance findings to key stakeholders and policymakers to inform prevention and response efforts; and monitor use of the data sharing system and implement ongoing quality controls.
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.
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.
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.
The County of Bergen applied for a Category 1a urban area grant in the amount of $1,200,000. The BCPO-COSSAP Project will establish a comprehensive, evidence-based response to the opioid crisis. This response will be composed of multiple teams and initiatives, including the Heroin Addiction Recovery Team (HART), Fair Lawn Initiative (FLI), and a county-level Overdose Fatality Review Team. These teams will work independently and share data to best coordinate response needs for opioid and addiction needs across Bergen County. This project serves Bergen County, which is home to 948,046 residents. The project includes partnerships between the Bergen County Police Chiefs Association; Bergen County police departments; Newark Community Solutions, Center for Court Innovation; Center for Alcohol and Drug Resources, a division of Children’s Aid and Family Services; Bergen County Health Department and Division of Alcohol and Drug Dependency; and New Bridge Medical Center. Priority considerations addressed in this application include Bergen County’s 12 Qualified Opportunity Zones.
The Berkeley County Council proposes to provide mental health services to children ages 12-18 who are at risk of substance abuse or are experiencing substance abuse personally or at home. Peer recovery coaching will be provided for families with a school-age student or family member suffering substance use disorders. Finally, prevention and education activities will be offered for children.
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.
Bexar County Commissioners Court will create a strategic plan, develop a dashboard of all data related to opioid use and abuse, and fund evidence-based outpatient and residential treatment. The University of Texas at San Antonio will serve as the evaluator for the proposed project.
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.
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.
The Boone County Health Department will use grant funds to integrate behavioral health services into the jail’s detainee health services, including introducing medication-assisted treatment and initiate a Recovery Navigator program to provide comprehensive case management to detainees and opioid-abusing individuals coming into contact with law enforcement and first responders. The grant funds will support a full-time navigator and project coordinator. The Boone County Task Force will provide direct support to include developing a screening and referral process, identify and implement evidence-based services; develop sustainability and implementation plans, and an evaluation plan to track impacts and outcomes.
The Boston Police Department (BPD), in partnership with the Boston Public Health Commission, will expand and enhance a community-based, first-responder, post-overdose follow-up program in the city of Boston. Multidisciplinary teams consisting of at least one BPD member and one public health advocate will conduct home-based outreach intervention with at least 100 individuals per quarter who have recently experienced nonfatal opioid overdoses to provide access to naloxone and recovery support services. These individuals will receive prioritized access to detoxification and treatment services, as well as access to medication-assisted treatment. Dr. J. Richard Woy of JRW Associates will serve as research partner.
Boulder County Community Justice Services will work with the project partners to develop diversion and policy-related programming across intercept points providing treatment and support for offenders with medium to high criminogenic risk who are facing opioid-related substance use disorder. We specifically seek to identify those with treatment needs who are residing in jail, or those reentering the community, with a focus across all interventions on those who are high system utilizers. The OMNI Institute will serve as the research partner for the proposed project.
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.
The Bristol Bay Native Association will use grant funds to respond to identified gaps by facilitating the development of an outreach/quick response team to support those impacted by the opioid epidemic throughout the recovery process. The outreach/quick response team will divert survivors of overdoses to substance abuse treatment. If children are present at the time of an overdose, the team will guide the families to resources. This project will provide community-wide education and prevention activities that help build coping skills and introduce healthy alternative activities, including culturally appropriate therapeutic art therapy. The project will incorporate overdose dectection mapping application program.
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).Project Profile
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.Project Profile
Butler County will expand the existing pilot Quick Response Team (QRT) to the more rural areas of the county, establish victim services by hiring a care coordinator, expand school-based groups for children of opiate abusers, and establish law enforcement and court-based diversion options for nonviolent opioid abusers. Miami University of Ohio will serve as the local research partner. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP). This project has been completed and all federal funds have been spent.
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.
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.
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.
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.
The Tlingit and Haida Comprehensive Opioid Abuse Prevention and Intervention Project will plan, develop, and implement a civil diversion program though the Tlingit and Haida Court that targets Native families in southeast Alaska impacted by opioid abuse. The project will utilize a stakeholder consultation model for completing assessment, capacity building, and strategic planning necessary to implement and sustain a comprehensive, culturally competent diversion program and system.
Central Council Tlingit and Haida Indian Tribes of Alaska applied for a Category 1c tribal/rural area grant in the amount of $599,673. The Comprehensive Tribal Action Plan for Opioid, Stimulants, and Substance Abuse Prevention in the Tlingit and Haida Communities will increase access to supportive services for substance use, decrease hospitalizations and overdose rates, and increase public safety using a local and culturally driven approach. A tribal action plan will be produced to map a strategic plan for specific, positive change in each tribal community to address alcohol and substance misuse. This project serves Juneau, Alaska, and additional villages in southeast Alaska. The project includes partnerships between the Southeast Alaska Regional Health Consortium, Village Public Safety Officer Program, Tribal Court, Alaska Department of Corrections, Juneau Alliance for Mental Health Inc., Tribal Council members, and village leaders. Priority considerations addressed in this application include opportunity zones, as well as rural and high-poverty priorities.
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.
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.
In response to increasing rates of opioid overdose across New Mexico, the City of Albuquerque will implement the Albuquerque Peer to Peer program, which seeks to more effectively connect survivors with substance abuse treatment immediately after an overdose incident. Between January 2015 and June 2016, the City of Albuquerque Fire Department responded to nearly 600 opiate overdoses. Peer engagement specialists will ensure a streamlined connection between survivors and those at risk of overdose presenting in the emergency department for treatment. To complement this comprehensive and sustainable approach to treatment, the University of New Mexico’s Institute for Social Research will work to evaluate the impact of the program on the city’s population. The peer engagement specialists will work closely with the Albuquerque Police Department and a handful of community-based treatment providers to reduce the incidence of opioid overdoses in Albuquerque.
The City of Albuquerque applied for Category 1a urban area grant funding in the amount of $1,126,454. The Gateway to Recovery project will aid in the recovery of homeless individuals experiencing substance use disorder (SUD) while they are engaged in services at city-funded emergency homeless shelters through linkages to transitional or recovery housing and peer recovery support services. The solution complements existing strategies to help residents obtain long-term housing. This project serves the city of Albuquerque, with a population estimated at 903,000. The project includes partnerships between Bernalillo County, Heading Home, and UNM Health Sciences Center-Family Medicine. Priority considerations addressed in this application include high rates of overdose deaths of individuals who are intended to benefit from the requested grant residing in high-poverty areas.
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.
The City of Brockton will use award funds to support its Project Link Up, primarily through salaries for police officers and its crime analyst and a contracted recovery coach, as well as city surveillance cameras and enhanced street lighting in targeted areas. The Brockton Police Department Project Link Up uses crime mapping and reports analysis to employ a two-pronged strategy to combat substance use disorder and firearms violence in those identified areas while linking citizens with necessary resources to improve their quality of life. A recovery coach co-response strategy is utilized in city areas most ravaged by the opioid epidemic as an RC-officer team outreaches to citizens most at risk for Substance Use Disorder, linking them to resources in the city ranging from the Department's own Champion Plan (providing free transportation to and initial stay at a recovery/treatment center) to housing to mental health services. Drug take-back days are also conducted throughout the city. In the neighborhoods most affected by firearms violence, officer teams conduct business outreach, discussing target hardening and ways police can help them while simultaneously showing a presence through street enforcement. All Project LinkUp shifts also include gathering answers to a community survey, sparking discussions with citizens and fostering good community-police relations.
The city of Brockton will develop a collaborative case management system involving healthcare experts, treatment specialists, police outreach officers, and recovery coaches. The case management team will work intensively to engage the highest risk populations and provide them with resources that will best meet their needs with the goal of sustained engagement in treatment. The project includes partnerships among the city of Brockton, the Champion Plan, Gandara Center, and Brockton Area Multi-Services, Inc. Community Outreach, Prevention, and Education (C.O.P.E.) Center. This project will engage Kelly Research Associates as its research partner.Project Profile
The City of Charleston will use funding to hire a full-time coordinator and peer recovery coaches and support joint funding of a data analyst with the West Virginia Drug Intervention Institute (WV DII) at the University of Charleston to expand data analysis. Project partners include Thomas Hospital and WV DII. The City of Charleston has engaged WW DII at the University of Charleston as its research and evaluation partner.
The Chicago Police Department (CPD) will expand their current law enforcement diversion initiative and allow the treatment provider staff to provide assessment and referral services to three additional CPD Districts. This project will be focused on the West Side of Chicago, with a population of 487,687. Funds will be used to hire treatment staff that will be able to administer the deflection program, provide training to officers in the additional districts on the program, institute quarterly HealthStat (fatal and non-fatal overdose review), and evaluation. CPD has also engaged an evaluation research partner, the University of Chicago Crime Lab. They will collect data, perform analysis, and contribute to the program and research design. Additionally, CPD has committed to integrating overdose detection mapping application program into their data collection.Project Profile
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.
Dayton, Ohio, will enhance the Get Recovery Options Working (GROW) program. GROW is a coordinated multidisciplinary response team that includes the Dayton Police Department, Dayton Fire Department, and peer recovery specialists. Dr. Mary Huber from Wright State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The Dayton Police Department (DPD) — serving the city of Dayton, Ohio (population 146,040) — sought grant funding from COSSAP Category 1b in the amount of $899,964 to provide services in Dayton, mitigating the incidence of overdose/overdose deaths and addressing a substantial increase in opioids, stimulants, and other illicit substance use. DPD will support development, implementation, and expansion of a comprehensive, quick-response model by adding additional staff of certified peer support personnel, including in-reach services with the Montgomery County Jail, and targeting veterans and other identified at-risk populations. DPD will apply best-practice law enforcement strategies, including installation of FLOCK Safety License Plate Reader units and upgrading family-friendly interview rooms into evidence-based prevention programs operated by WestCare Ohio, and will contract with Cordata Health Initiatives to implement a customizable database designed for and currently being utilized by COSSAP-funded programs in Ohio to track and report quick-response and peer-lead services. Priority considerations addressed in this application include Qualified Opportunity Zones.
The Detroit Police Department’s Opioid Abuse Diversion Program will create and implement a law enforcement-led pre- and post-arrest diversion in Detroit using the Law Enforcement Assisted Diversion (LEAD) model. The School of Criminal Justice at Michigan State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The City of Duluth in Minnesota will enhance its part-time diversion program funded under a 2018 COAP grant. With grant funding, they will expand the Lake Superior Diversion Program to full-time by hiring a Diversion Officer. Funds will also be used to secure one treatment bed for use by the program and support project coordinator and data analyst positions. Additional activities include naloxone purchase, training, and the development of specialized training for law enforcement on children and families. Project partners include the Center for Alcohol and Drug Treatment, St. Louis County’s Substance Abuse Prevention and Intervention Initiative, and the South St. Louis County Drug Court. The project will serve a multi-jurisdictional geographic area. The applicant has engaged an independent evaluator for the program. The applicant requests priority consideration as a Qualified Opportunity Zone.
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.
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.
The city of Hamilton will expand its response to opioid addiction by collaborating with Heroin Hope Line, Transitional Living (TLC), and New Life Mission to reduce the number of drug-dependent individuals within the city of Hamilton. The Hamilton Police Department currently uses several officers on a part-time basis to assist with the intervention of drug-dependent individuals. With grant funds, the Hamilton Police Department will dedicate officers who will identify potential individuals for the program through overdose reports, conduct follow-up with victims of overdoses, and proactively reach out to individuals at risk of overdose.Project Profile
The Holyoke Police Department will use funds primarily for salaries that support a project coordinator, a narcotics intervention officer, a recovery coach, and a mental health supervisor. Through the Project Recovery and Engagement of Addicts and Chronic users of Heroin (REACH) Project, the Holyoke Police Department will address the significant opiate drug problem in Holyoke, Massachusetts. Project goals are to decrease the number of overdose victims, decrease the number of narcotics crimes, and increase the support systems for people addicted to opioids in Holyoke.
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.
The Houston Health Department (HHD) will partner with Houston Emergency Medical Services (EMS), Houston Forensic Sciences Center, and the Houston Police Department (HPD) to implement the Drug Overdose and Misuse Alert System (DOMAS) project to fill the current gap in access to real-time data to address opiate overdose and misuse in Houston. The objectives are: (1) Implement overdose detection mapping application program using EMS data for real-time alerts and mapping for overdoses with notifications to law enforcement, public health, health care providers and the public. (2) Provide situational awareness of prescribing patterns for opioids/other drugs and actual overdose sites at the zip code level by analysis of Texas Prescription Drug Monitoring Program data. (3) Enhance awareness of street drugs among stakeholders through cooperation with the Houston Forensic Science Center, to provide timely local analysis of seized drugs, especially opioids.
The city of Jacksonville proposes to implement peer navigators to provide case management to individuals with opioid use disorder (OUD); a law enforcement-assisted diversion program (LEAD); a Quick Response Team; continuum of care for children and families of individuals with OUD, including a psychologist in the schools; and establish an overdose fatality review board. Doctors Christina Lanier and Kristen DeVall from the University of North Carolina Wilmington will evaluate the project.
The Longmont Department of Public Safety, located in Boulder County, Colorado, will expand its Crisis Outreach Response and Engagement (CORE) program. Grant funds will be used to support a paramedic, two peer case managers, a project coordinator, and treatment for individuals who are struggling with substance use or co-occurring disorders. The University of Colorado, Boulder, will serve as the research partner on the proposed project.
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.Project Profile
The City of Madison Police Department proposes to enhance its pre-arrest diversion program with additional pathways to treatment that include self-referral (Safe Stations), 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 applicant will use overdose detection mapping application program to inform its project activities. 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.Project Profile
The Manchester Police Department will enhance the existing Adverse Childhood Experiences Response Team Enhancement (ACERT) Project. The ACERT response team includes a Manchester police officer to provide law enforcement, security, and safety; a crisis services advocate to provide support and explain available victim services; and a community health worker to prevent retraumatization. Plymouth State University will serve as the research partner for the proposed project. Training in trauma-informed services will also be provided to first responders. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Miami Police Department will implement a diversion program that follows the law enforcement-assisted diversion (LEAD) model. Officers who encounter a subject will have the authority to offer a 12-month treatment program as an alternative to arrest and incarceration. If a person agrees to participate, he or she must sign a legally binding treatment agreement. The Behavioral Science Research Institute will serve as the project’s research partner.
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.Project Profile
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, training supplies, and a vehicle. Overdose detection mapping application program will also be implemented. Project partners include University Medical Center Emergency Department, New Orleans EMS, New Orleans Public Library, New Orleans Opioid Task Force, US Drug Enforcement Agency Field Office, Mayor’s Office of Community Engagement, Xavier University College of Pharmacy, and community providers.Project Profile
The Newark Police Division will use grant funds to support a pre-arraignment diversion program in partnership with the Essex County Prosecutor’s Office and Newark Community Solutions. Police officers will be trained to identify signs and symptoms of opioid abuse and dependency and will flag individuals arrested on eligible charges. The Essex County Prosecutor’s Office will determine eligibility and Newark Community Solutions will support participants. Newark Community Solutions will hire a full-time coordinator, full-time case manager, and part-time case manager. The Center for Court Innovation will provide analytic and training support and Rutgers University will serve as the research partner.Project Profile
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.
The North Chicago Police Department will establish the New Beginnings Community Resource Center that is accessible 24 hours a day to North Chicago residents (population of 32,574) and the Lake County citizenry (population of 703,520). This community resource center will be staffed by licensed social workers, substance abuse clinicians, and a crime data analyst. The licensed social workers will specialize in the following areas: drug counseling, victim’s assistance, opioid addiction services, nonprofit charities, career training, and immigration support. The resource center will provide information for the following: drug rehabilitation services, fact sheets on opioid addictions, drug use safety, support groups, counseling programs, career training and financial assistance, schedules of public transportation, childcare assistance, and job placement. This community gathering place will also assist victims of domestic violence, violent crimes, and human trafficking and financially needy families. As such, planting a community development center inside of the police department will immediately reduce drug-related crimes within the City of North Chicago.
The City of Northampton applied for Category 1a urban area grant funding in the amount of $1,194,203. The City of Northampton Public Health/Public Safety Post-Overdose Outreach Program will reduce opioid overdose deaths and enhance public safety through the development, implementation, and expansion of interventions focused on the following allowable uses: law enforcement and other first responder diversion programs; comprehensive, real-time, regional information collection, analysis, and dissemination; and naloxone for law enforcement and other first responders. The first aim of this project is to expand DART — a countywide, nationally recognized public safety/public health post-overdose, high-risk substance use disorder, and family, community, and bereavement support program. This project serves a population of 28,726 in Northampton, Massachusetts. The project includes partnerships between South County Action EMS and Northampton Recovery Center. Priority considerations addressed in this application include Qualified Opportunity Zones.
The City of Paterson, New Jersey, applied for Category 1b grant funding in the amount of $900,000. The Paterson Coalition for Opioid Assessment and Response (COAR) will support initiatives led by the City's inaugural Opioid Response Team (ORT), staffed by specially-trained law enforcement, emergency medical technicians, social workers, and peer recovery support workers. The ORT functions as the COAR's ground force by which to perform proactive outreach on a group and personalized basis with residents in “hot spot” areas, as identified based on the collective data and research of COAR. The program works closely with the adjacent Overdose Fatality Review Team to better analyze and understand overdose cases and trends, allowing COAR to identify additional gaps in services or policies that would potentially minimize its high rate of overdoses. Also, the program provides to hire staff needed to build the capacity and sustainability of COAR over time, as well as support the proposed activities. This project serves the City of Paterson, which has a population of ~160,000 residents. This effort involves partnerships between law enforcement entities from the local (Paterson Police Department), county (Passaic County Prosecutor’s Office), and interstate/federal (New York/New Jersey High Intensity Drug Trafficking Area) levels; addiction and health professionals from local (Paterson Department of Health and Human Services/Division of Health), county (Passaic County Department of Health and Human Services/Division of Mental Health and Addiction Services), and regional (St. Joseph’s University Medical Center) levels; community-based partners who work hands-on to develop policy (Health Coalition of Passaic County) and programs to support the region’s substance-using residents; and traditional Narcan distributors (Paterson Fire Department and Paterson Emergency Medical Services). Priority considerations addressed in this application include: addressing needs in high-poverty areas; supporting law enforcement in Qualified Opportunity Zones; and addressing areas with a high rate of primary treatment admissions for heroin/opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers.
The City of St. Paul applied for Category 1b suburban area grant funding in the amount of $412,125. The Recovery Access Program (RAP) will include embedded social workers provided by People Incorporated to respond to drug overdoses where children are affected. A police officer will be assigned to RAP to assist the proposed investigator with the Naloxone Plus Model and Drug Surveillance Program. The St. Paul Police Department (SPPD) proposes to use these funds to include an investigator to act as a liaison between the police, treatment facilities, and community resources, as well as to serve as an advocate for drug courts or other measures in place of incarceration when appropriate. Funds will also be 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.
The purpose of this project in St. Louis, Missouri, is to reduce overdose deaths in the City of St Louis by collaborating with engaged stakeholders to create a more coordinated, data-driven approach to mitigate this overdose epidemic. The intent is to act as a bridge from first responders to additional resources and wraparound services for those who are surviving and recovering from substance use disorder through a combination of facilities, equipment, personnel, procedures and communications operating within a common organizational structure. Intent is to provide targeted interventions and to determine what resources are needed. The City of St. Louis Department of Health plans to work with network substance use related agencies through the Behavioral Health Network of Greater St. Louis. The City of St. Louis doesn’t currently have the capacity to adequately, professionally, effectively provide the behavioral health and peer support services to serve as that bridge between first responders and additional Behavioral Health resources as well as wraparound services for those who are surviving and recovering from substance use disorder through a combination of facilities, equipment, personnel, procedures and communications operating within a common organizational structure. Behavioral Health Network of Greater St. Louis (BHN) does have the proven ability to access these services. They are currently working in the region through the EPICC (Engaging Patients in Care Coordination) program. See: https://www.bhnstl.org/initiatives/epicc Currently BHN is coordinating recovery services in our hospitals and from referrals with EMS (Emergency Medical Services) units in other jurisdictions outside of the City of St. Louis. This project would create that framework and relationship for a more upstream pilot project in the City of St. Louis that takes this one step farther with interventions at a time closer to overdose – perhaps shortly after overdose survivors are revived with Narcan -- closer to the time EMS personnel are stabilizing drug overdose survivors for transport to the hospital or their refusal of transport. Nevertheless, the drug overdose survivors in both instances often require additional services that may lead to future treatment and recovery. BHN would secure and coordinate Peer Specialists, certified by the State of Missouri in behavioral health or substance use disorders, working recovery coaches, coordinating with the St. Louis City Emergency Management Services (EMS), part of the Fire Department (EMS /Fire), to connect to recovery and services those with whom EMS provides substance misuse (primarily opioids) emergency treatment, as well as providing information and meeting direct needs (short-term 1-3 day housing, transportation to access Medication Assisted Treatment and/or Recovery Services, preparation for intake, and basic clothing and food to sustain temporarily) until connected to Recovery Services, in areas of high need, identified by EMS/Fire and the Department of Health, along with required reporting. If it is not possible to embed the recovery coaches within EMS, the City of St. Louis through its Department of Health would still benefit from the same services BHN is providing by referral from EMS to them. Additionally, in order to evaluate effectiveness and seek sustainability beyond September 30, 2022, the City of St. Louis is seeking evaluation services from Washington University in St. Louis for process and outcomes of the drug overdose intervention services being provided through the certified peer specialists that are coordinated with EMS/Fire or by referral from EMS/Fire.
The City of St. Louis Circuit Attorney’s Office (CAO) is requesting funding for St. Louis Circuit Attorney Navigation, Diversion, and Opportunity program: a post-arrest diversion program offered on a pre-booking, pre-charge, or pre-plea basis to individuals with low-level drug possession charges—providing them with education, access to treatment and wrap-around case management services as an alternative to incarceration. The program will serve individuals who have committed opioid-related offenses in the City of St. Louis, Missouri, program eligibility will be determined by the location of the offense, not the residency of the participant. Participants will receive treatment, healthcare, housing, and employment services through referral partnerships with Affinia Healthcare, Queen of Peace Center, CareSTL Health, The Missouri Network for Opiate Reform and Recovery, MO Better Living, and the St. Louis Agency on Training and Employment. Additionally, the CAO will work with the St. Louis Director of Public Safety to facilitate the creation of a citation referral system with the St. Louis Metropolitan Police Department. Funding will support a full-time project manager, three full-time case managers, half-time administrative staff, emergency financial assistance, and metro tickets to participants. The University of Missouri St. Louis – Missouri Institute of Mental Health (UMSL-MIMH) will serve as the evaluation partner.Project Profile
The City of Tampa will implement a Law Enforcement Assisted Diversion program. Grant funds will be used to hire a Project Coordinator and a Case Manager/Peer Support Specialist, conduct training and outreach, and partner with the University of South Florida to conduct evaluation activities. Training and outreach activities will focus on education around stigma and the science of addiction. Law enforcement and community members will be trained. The applicant proposes to incorporate overdose detection mapping application program into the project. The University of South Florida will serve as the research partner.Project Profile
Clackamas County Community Corrections will improve the data infrastructure and develop diversion strategies that target incarcerated individuals eligible for early release into treatment, individuals on probation and reentering the community who meet the criteria for medication-assisted treatment (MAT), and supportive housing for justice-involved females to reunify with their children while receiving treatment or for those who are pregnant. BetaGov/Litmus at New York University (NYU) will serve as the evaluator for the proposed project.
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 primary goals of LEAD Plus are to continue and enhance the implementation of the LEAD program and add a new layer of coordination that connects the many opioid and substance abuse efforts in the county into a truly comprehensive and integrated approach. Clackamas County’s LEAD program is unique. It employs outreach, intensive case management, system navigation and coordination to support individuals struggling with Substance Use Disorder (SUD) move towards healing and recovery and transition from homelessness to permanent, stable housing. LEAD’s trauma-informed approach reduces barriers to SUD services and supports and increases the number of individuals that choose to engage in care coordination. The LEAD program also enhances Clackamas County’s public safety system by reducing participant engagement in the local criminal justice system. To end this cyclical engagement, LEAD provides an opportunity to divert eligible individuals from the criminal justice system to supportive services that improve their circumstances. The LEAD program reduces service access barriers through improved coordination with system partners. LEAD also supports participants by offering basic necessities such as food, medicine and shelter as well as help to secure identification, legal, and employment services. Key partners included in this project include the Clackamas County District Attorney’s Office, Clackamas County Sheriff’s Office, Milwaukie Police Department, the Indigent Defense Corporation, homeless/houseless service providers, and substance abuse treatment providers. The program is administered by Clackamas County's Children, Family, & Community Connections Division.
The Clare County, Michigan, Prosecuting Attorney’s Office will establish a task force to focus on drug-related problems, to include the opioid epidemic. Representatives from all five of the law enforcement agencies that service Clare County, medical personnel, substance abuse counselors, pharmacists, a representative from probation and parole, and any other professionals who are identified during the implementation will comprise the task force. Federal agencies will also be invited to participate in the task force to participate in investigations that might be more effectively prosecuted at the federal level. The assistant prosecutor in charge of the program will coordinate with the U.S. Attorney’s Office for the Eastern District.
The Cleveland County Health Department will establish the Points of HOPE (Halting Overdose through Prevention and Education) to expand an outreach program facilitated within the Cleveland County Detention Center to reduce overdoses and establish programs to prevent chronic diseases associated with intravenous drug use. Cleveland County will also develop a multidisciplinary team consisting of the health department, social services, behavioral health providers, school administration, and other providers to review child protection cases involving substance abuse to ensure care and follow-up for children. The team will develop trainings for the community and youth-serving agencies.
The Cobb District Attorney’s Office will create an Opioid Fatality Review Project and provide wraparound services to families that have lost a loved one to an overdose; establish a case manager to provide wraparound services to opioid offenders who do not qualify for one of Cobb’s existing Accountability Courts; and establish an investigator to initiate deep-dive investigations into opioid dealers and distributors. Applied Research Services, Inc. will serve as the evaluator for the proposed project.
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.
The Colorado Department of Public Health and Environment (CDPHE) will expand Colorado’s existing innovative, multidisciplinary approach to reduce opioid abuse and overdose by linking prescription drug monitoring program (PDMP) data to key public health and public safety data sets to create a de-identified analytic data file that can be used to identify hot spots throughout the state. Specifically, CDPHE and its partners will achieve the following goals during the three-year project period: (1) enhance public safety/behavioral health/public health treatment partnerships to leverage key data sets to better understand Colorado’s opioid epidemic; (2) increase data-driven responses to Colorado’s opioid epidemic; and (3) assess the impact of the implementation of Colorado Senate Bill 18-022 on PDMP utilization and patient outcomes. The University of Colorado School of Medicine will serve as the evaluator for the proposed project.
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.
The subrecipient, University of Colorado Denver, will develop clinical decision support tools to facilitate prescription drug monitoring program (PDMP) use, automate PDMP screening, integrate clinical characteristics into screening, and add new hospitals and practice settings to increase the generalizability of the findings. Funds will also be used to systematically investigate the impact of mandated PDMP use, automated PDMP screening, and adding high risk clinical features to PDMP screening using clinical decision-making tools to incrementally modify the shared EHR, then measure the effect of each modification in all care settings across 10 hospitals in 2018. As the new improvements are implemented, the impact on PDMP use as well as patient-level outcomes such as high risk prescribing and future opioid use will be measured.
The objective of the initiative is to enhance public safety, behavioral health, and public health by leveraging existing data sets to inform implementation of highly focused opioid interventions. Columbus Public Health will hire a HIDTA/ODMAP data integration project manager and contract with an IT vendor to develop and implement application program interfaces to export real-time, first responder overdose data from the local records management system to ODMAP. The project team will then train local police and fire departments on how to access and analyze countywide HIDTA data. Columbus Public Health will also hire a substance use disorder epidemiologist to combine local public health and social determinant data with HIDTA public safety data. This data set will serve as the foundation for a countywide interactive overdose data tool. Mighty Crow, Inc. will serve as the evaluator for the data integration project.
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.
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.
The Confederated Tribes of the Chehalis Reservation applied for Category 1c grant funding in the amount of $339,519, and proposes a Chehalis Comprehensive Opioid, Stimulant, Substance Abuse Site-based Program to be run by Tsapowum, the Chehalis Tribal Behavioral members of the Chehalis Reservation, which has a population of 922. The Chehalis COSSAP proposes to increase the Chehalis tribal response to opioids in the tribal community by providing a comprehensive MAT program by distributing Narcan to tribal first responders, including Chehalis Tribal Police Officers, staff at the Chehalis Tribal Wellness Center, and staff of Tsapowum. These specially chosen departments are first responders to overdose, as well as members of the Chehalis Tribal Opioid Task Force. These departments support the Chehalis COSSAP goal of reducing overdoses by half and overdose deaths to zero by 2023. Priority considerations addressed in this application include rural and high poverty areas.
The Connecticut Prescription Monitoring Program (PMP), in partnership with other state agencies, will merge the Office of the Chief Medical Examiner (OCME) and the state forensic laboratory system with the Connecticut Prescription Monitoring and Reporting System (CPMRS) to allow prescribers and pharmacists to identify patients who have died and reduce inappropriate dispensing; create a new module to allow law enforcement users access to both death data and toxicology information within the CPMRS to assist in their investigations; and conduct educational campaigns to introduce these new features and the benefits that would expand the ability of prescribers, pharmacists, and law enforcement to avoid and deter controlled substance misuse or diversion.
Through this funding, Cook County Health will convene the Cook County Community Recovery Learning and Action Network to (1) address recovery housing capacity, including harm-reduction models of recovery housing and coordination for persons experiencing chronic homelessness; (2) begin development of a real-time, regional recovery housing information system, including collection, analysis, and dissemination across partners, and (3) implement and evaluate an intervention to promote referral for medications for addiction treatment, recovery support, and recovery housing for individuals with substance use disorders, with a special focus on individuals under supervision of the Cook County Adult Probation Department. 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).
Cook County Health and Hospital System (CCHHS) and the Office of the Chief Judge (OCJ) are expanding their efforts to reduce the prevalence of opioid addiction in the Adult Probation Department (APD) in Cook County through Category 3. The goal of the proposed project, Universal Opioid Screening in Adult Probation to Reduce Usage and Overdose, is to engage activities around opioid addiction and facilitate training for probation officers and staff members; interagency partnerships for screening, assessment, and coordination of care of opioid use by probationers; and program evaluation.
Cook County will hire an epidemiologist at the Cook County Medical Examiner’s Office (CCMEO) to assist in fulfilling data requests from partner agencies and performing drug-related statistical analysis pertaining to opioid-related deaths; install progressive updates in the CCMEO’s digital case management system to include additional data that may be pertinent to the collaborating agencies; and quantitate naloxone concentrations in postmortem samples if the drug is present in a decedent’s system. Partnering agencies will include the Cook County Department of Public Health, the Chicago Department of Public Health, the Cook County Health and Hospitals System, and the Chicago High Intensity Drug Trafficking Area.
The Juneau County Sheriff’s Office proposes a jail-based substance use disorder program in collaboration with the Juneau County Department of Human Services. It will include a coordinator to provide expanded case management services to include screening and assessment; a full-time jail-based therapist to develop treatment plans and provide individual and group therapy, and referral to a community-based MAT program. The Sheriff’s Office intends to contract with a local program evaluator to conduct yearly evaluations to assess the overall implementation and the effectiveness of the program in achieving its stated goals and objectives.
The County of Monmouth, under the auspices of the Monmouth County Sheriff's Office Corrections Division, known as the Monmouth County Correctional institution (MCCI), will expand an existing in-custody medication-assisted treatment (MAT) program and provide cognitive behavioral treatment.
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.
The Rutherford County Sheriff’s Office will provide medication-assisted treatment, cognitive behavioral therapy for incarcerated individuals, and enhanced reentry services to include peer support and community-based opioid use disorder (OUD) outpatient treatment through its federally qualified health center, Blue Ridge Community Health Services. The Sheriff’s Office has partnered with the Rutherford County Department of Social Services to provide the screening, assessment, and therapeutic services during incarceration and will provide Safe Harbor Program follow-up services to individuals with OUD and affected children.
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.
Cumberland County will expand post-overdose outreach to the entire community, provide linkage to care opportunities for persons experiencing a non-fatal overdose, creating an opioid fatality review, and enhance diversion programs by removing barriers to transitional housing.Project Profile
The DeKalb County Opioid Dependency Diversion Program (ODDP) will increase immediate access to medication-assisted treatment (MAT) services. The team, overseen by a full-time ODDP coordinator, will develop services that will include identifying persons with opioid abuse, providing MAT and recovery support services as part of a diversion program in an attempt to divert from harsher sentences, accessing MAT services for persons who have been charged but are awaiting trial, and assisting clients with some type of community supervision to access MAT. BetaGov/Litmus at New York University will serve as the evaluator for the proposed project.
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, the GEO Group, Delaware County Council, Delaware County Office of the District Attorney, and Prospect Crozer Community Campus.
The Department of Criminal Justice Services (DCJS) and the Department of Behavioral Health and Developmental Services (DBHDS) will develop a statewide plan that focuses on cross-system collaboration of criminal justice and behavioral health to engage justice-involved individuals in substance-use treatment and recovery. The plan will identify evidence-based programs and practices to assist localities in engaging and retaining justice-involved individuals with opioid use disorders (OUD) in treatment and recovery services. The plan will also contain strategies to improve statewide coordination and collaboration and increase the use of alternatives to incarceration. Virginia will identify and target high-need localities and jurisdictions across the state to receive funding for services and support. The initiative will be evaluated to determine its impact and identify model programs that can be replicated throughout the state.
The Department of Emergency Services and Public Protection will use the grant funds to implement and populate a commercial off-the-shelf (COTS) software Uniform Crime Reporting repository with geographic information system (GIS) capabilities. The goal is for federal, state, and local law enforcement to use this system to direct available investigative and patrol resources more efficiently and effectively.
The North Carolina Controlled Substances Reporting System improvement program improves the exchange of information and collection of data on controlled substances II-V among states by increasing the number of prescribers regularly using the prescription drug monitoring program; provide a training program for system users based on their identified needs; produce and disseminate educational materials using online resources and cross-sector expertise; and support collaborations among law enforcement, public health officials, and prosecutors by increasing the system’s ability to respond to sector needs.
Guam’s Department of Public Health and Social Services will enhance and improve data analysis by upgrading to the AWARxE Advanced Prescription Monitoring Program analytics. Guam will also partner with the Commonwealth of the Northern Mariana Islands to increase the capability of public and private pharmacies to report prescription information to the Guam Prescription Drug Monitoring Program (PDMP).
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.
The Dona Ana County Health and Human Services Department will implement a law enforcement assisted diversion program and other activities aimed at reducing opioid use and mitigating the impact on individuals and communities. The project includes a coordinator and case manager as well as services from the National Alliance on Mental Illnesses for peer support and the Las Cruces Police Department for officer training and implementation costs. Naloxone will also be purchased, funds will be used for transitional housing, and trauma-informed training. New Mexico State University will serve as the research partner for the proposed project.Project Profile
The DuPage County Health Department (DCHD) will deliver medication-assisted treatment (MAT) at the DuPage County Jail, implement a data management team to unify disparate data sources related to opioid use in the county; and implement a cross-sector Overdose Fatality Review Team based on the RxStat model. The Illinois Criminal Justice Information Authority will serve as the research partner for this project.Project Profile
The Dutchess County Department of Behavioral and Community Health will lead an effort to prevent overdose fatalities through timely, comprehensive information sharing within a communitywide collaborative that includes public safety, public and behavioral health, and other vested partners. This will strengthen community capacity to respond to acute overdose-related risks and build a sense of shared efficacy and resiliency in the face of an ongoing, ever-evolving epidemic. These goals will be achieved by applying objective methodology in three areas: (1) transformation of an existing underdeveloped task force into a streamlined, well-equipped, data-driven, opioid response collaborative, (2) enhanced overdose surveillance relating to populations at risk as well as emergent, high-risk substances, and (3) comprehensive capacity building initiatives aimed at integrating harm-reduction principles into existing service delivery models and identifying and addressing disparities in access to behavioral health services.
The Eastern Band of Cherokee Indians’ Integrated Opioid Abuse Program will develop a task force composed of tribal decision makers who will create policies and keep agencies accountable to indicators of success. A multidisciplinary team will provide direct services to high-frequency drug users and their families. These two teams will work together to develop a plan to create a secured mental health/opioid abuse treatment center and secure transportation for participants becoming certified peer recovery support specialists.
El Paso County Community Supervisions and Corrections Department in El Paso, Texas, applied for grant funding under Subcategory 1a in the amount of $1,199,787. This project serves El Paso County with a population of approximately 839,238. The purpose of the project is to expand access to evidence-based treatment by piloting and evaluating telebehavioral health for probationers and expanding access to medication-assisted treatment. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing communities that are facing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.
The County of Erie applied for Category 1a urban area grant funding in the amount of $1,200,000. The Erie County New York Comprehensive Quick Response Program to Overdose will enhance the county’s Law Enforcement Diversion Programs using the Quick Response Program to Overdose (QRP model). The model will blend various strategies to work in a comprehensive manner, including expanding naloxone distribution/deployment by law enforcement, police remotely referring overdose survivors from the field to MAT in emergency departments (using the Buffalo MATTERS telemedicine appointment capability), and leveraging the HIDTA ODMAP app to link survivors to the public health peer teams for follow-up and navigation to long-term treatment agencies. The Erie County Comprehensive Quick Response Program to Overdose will provide a seamless flow after an opioid overdose rescue by police. ODMAP will initiate a follow-up through the public health peer response team, who will reach out to the survivor to offer support at each stage of the process and track their engagement with treatment. This project serves Erie County, with a population of 925,702. The project includes partnerships between public health, law enforcement, emergency medicine services, high- intensity drug trafficking areas (ODMAP program), county mental health, family advocates, and the SUNY at Buffalo research evaluation partner. Priority considerations addressed in this application include targeting high-poverty areas and designated Qualified Opportunity Zones in economically distressed areas of Erie County.
The Erie County Probation Department will implement the Probation Opioid Response Initiative. The focus of this effort will be to expand services to offenders diverted to probation. The program will institute the use of a validated risk assessment tool to identify probationers who are at risk for opiate/opioid overdose and place them on specialized caseloads. Two peer navigators will be assigned to work alongside probation officers. Naloxone will be distributed to probationers on the opioid caseload at assignment and to probationers who overdose within 24–48 hours after notification. Hilbert College will serve as the research partner for the proposed project.
Erie County will develop the Drug Overdose Response Team (DORT). DORT will be available 24/7 to respond on scene to calls about drug overdoses whenever first responders are involved, provide short-term case management, and conduct intensive follow up. DORT will serve the geographic area of Erie County with a population just under 75,000. This project includes partnerships with the Erie County Sheriff’s Office and Erie County Prosecutor’s Office.
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.
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.
The Delaware Criminal Justice Council, in partnership with the Division of Substance Abuse and Mental Health, will implement the Delaware Smart Criminal Justice and Treatment Change Team to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will implement programs to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will be used to implement comprehensive policies and practices identified in the planning phase and outlined in the coordinated state criminal justice and treatment plan. Subgrants will be awarded that assist and provide financial support to units of local government and community services agencies to implement strategies that support treatment and recovery service engagement; increase the use of diversion and alternatives to incarceration; and reduce the incidence of overdose death. The geographic area is the entire state of Delaware.
The Florida Department of Health will enhance the Florida Prescription Drug Monitoring Program (PDMP) system, known as E-FORCSE (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), by employing an epidemiologist to provide data analysis to inform and guide health-care practitioners and policymakers and expanding existing outreach and education. E-FORCSE will also fund integration of PDMP information into clinical workflow by providing mini-grants to small physician practices and independent pharmacies.
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.
Floyd County Fiscal Court applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Floyd County Family Services Program will (1) increase access to evidence-based treatment and recovery support services for 150 adults and/or families involved with the criminal justice system, (2) improve the health and recovery of 150 adults and/or families impacted by substance use disorders or co-occurring mental illness and substance abuse (including opioid use disorders), (3) reduce the number of overdose fatalities, and (4) improve the safety of children affected by parental drug overdose. This will be accomplished by addressing four allowable uses of funds, including (1) embedding social services (therapist) with law enforcement to rapidly respond to drug overdoses where children are affected; 2) provide naloxone for law enforcement to address opioid overdoses; 3) provide evidence-based treatment, recovery and peer recovery support services for the targeted population; and 4) coordinate with courts to prioritize and expedite treatment and recovery services to individuals at high risk for overdose and family issues stemming from SUD. This project serves Floyd County, Kentucky, with a population of 36,926. The project includes partnerships between the Mountain Comprehensive Care Center as the region’s Community Mental Health Center, Healthcare for the Homeless provider and Rape Crisis Center, Floyd County Family Court, Floyd County District Court, Floyd County Sherriff’s Office, Kentucky State Police, Appalachian Research and Defense Fund of Kentucky, Big Sandy Health Care, and Big Sandy Area Community Action Agency. Priority considerations addressed in this application include a rural community that faces a persistent-poverty and has a Qualified Opportunity Zone and areas with high rates of overdose.
The Franklin County Pathways to Healthy Living Program will offer services to individuals booked into the Franklin County Correctional Center wtih a history of substance use to include screening, cognitive behavioral treatment, medication-assisted treatment (MAT), and linkage to peer support. Participants will be linked with a team pre- and post-release to ensure continuity of care. Funding will support implementation of the RREACT Buddies program, a mentorship program for youth ages 10-16 who have been impacted by the addiction crisis. Youth are paired with first responder mentor to build healthy prosocial relationships and connect with community resources. Additional components of the project include funding for a Peer Supporter in the Franklin County Municipal Court "h.a.r.t." Specialty Docket " for those with an opioid use history, and staffing support for a local comprehensive harm reduction center.
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 ADAMH. 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.
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.
The Franklin County Municipal Court will enhance and evaluate the MAT + Link opioid intervention. Through MAT + Link, offenders struggling with opioid addiction have access to medication-assisted treatment (MAT) in jail or immediately upon release through court-based services. There will be a MAT + Link project manager, and a full-time case manager will serve as coordinator. Pretrial and Probation Services will partner with an external evaluator to track the impact of MAT + Link on treatment adherence and recidivism.
The Franklin County Sheriff’s Department applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Community Opportunity, Network, Navigation, Exploration, and Connection Team (CONNECT) will provide real-time assistance to individuals who survived, witnessed, or are at risk of an opioid overdose (e.g., family, family drug court participants, children, and community members). Team members will make in-person follow-up visits within 72 hours to individuals who survived or witnessed an opioid overdose, including affected children, to assess health, behavioral, and social needs. In addition, team members will connect individuals to community-based behavioral health, treatment, and recovery support services, while ensuring that opioid overdose survivors and witnesses navigate care across the criminal justice, human services, and educational systems. The program will expand Naloxone availability and appropriate use by first responders and law enforcement personnel, focusing on Naloxone deserts, and establish a system that offers real-time data collection, analysis, and dissemination of key data points to reduce opioid-related deaths. This project serves 87,130 residents in 30 communities spanning two rural counties in Western Massachusetts. The project includes partnerships between research scientists Pamela Kelley and Dr. Sean Varano and other community stakeholders representing law enforcement, the peer recovery community, harm reduction, courts, housing, and other basic human needs sectors.
The County of Fulton applied for Category 1a urban grant funding in the amount of $1,200,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Program will expand Fulton County’s comprehensive efforts to identify, respond to, treat, and support those impacted by substance use disorders and reduce impact on the criminal justice system. The Fulton County Department of Behavioral Health and Developmental Disabilities (DBHDD) and its partners will expand pre-arrest diversion, case management, and training for law enforcement personnel to the city of Atlanta and two other jurisdictions using the Law Enforcement Assisted Diversion model; provide recovery support services including transitional or recovery housing through Fulton DBHDD and its local partners; and offer evidence-based treatment including medication-assisted treatment through partner Grady Hospital. This project serves the city of Atlanta (population 498,044). The project includes partnerships between the Atlanta Fulton Pre-Arrest Diversion Initiative, Grady Hospital, Mary Hall Freedom House, Atlanta Recovery Center, Trinity Community Ministries, Sober Living of America, There’s Another Option, Highsmith Collins, Atlanta Police Department, and the Fulton County Offices of the District Attorney, Public Defender, and Solicitor General. Priority considerations addressed in this application include Qualified Opportunity Zones, high-poverty areas, and a lack of accessibility to treatment providers, facilities, and emergency medical services. Dr. Kevin Baldwin from Applied Research Services serves as the lead evaluator for the proposed project.
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.
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.Project Profile
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.
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.
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.
The Hamilton County Heroin Coalition (HCHC) will implement a pilot pre-arrest diversion program, using the Law Enforcement Assisted Diversion (LEAD) model, in the City of Cincinnati, for individuals who commit low-level, nonviolent offenses. HCHC will divert these individuals to community-based substance abuse and behavior health services. The University of Cincinnati’s School of Criminal Justice will serve as the research partner on the proposed project.
The Hancock County Alcohol, Drug Addiction, and Mental Health Services Board will expand upon the county’s current Quick Response Team efforts by developing a law enforcement assisted diversion program, coordinating local efforts with the ohio high intensity drug trafficking areas, and conducting an evaluation. The applicant will explore the use of overdose dectection mapping application program. Brandeis University will serve as the research partner for the proposed project.
The Harris County Community Supervision and Corrections Department will develop protocols for diverting appropriate individuals to treatment assessments and community-based care; develop protocols for smoothing the transition between in-custody medication-assisted treatment (MAT] to community supervision and continued treatment for those exiting to probation; and link opioid-abusing individuals with recovery coaches to support recovery efforts, reduce barriers, and improve community engagement.
The Health and Hospital Corporation of Marion County (HHC) is implementing a Category 1a urban area grant in the amount of $1,200,000. The Health and Hospital Corporation Expanding Prevention and Care project proposes a two-pronged approach. First, the project is an expansion of Project POINT (Planned Overdose Intervention, Naloxone, and Treatment), an opioid overdose response team located in the Eskenazi Health Department, which will add services for patients with stimulant or other substance use disorders. The second approach is the establishment of a new arm of the Marion County Public Health Department (MCPHD) Substance Use Outreach Services, Youth Virtually, which will provide a prevention program aimed at high-risk youth facing suspension or expulsion from Indianapolis Public Schools for possessing drugs and/or drug paraphernalia on school property. The COVID-19 pandemic has prompted the implementation of this evidence-based online program, ensuring participation regardless of restrictions due to the virus. The project serve s Marion County (home of Indianapolis, Indiana) with a population of 964,582. The project includes partnerships between the HHC divisions of Eskenazi Health, Indianapolis Emergency Medical Services, and MCPHD. Other collaborators include the Indianapolis Metropolitan Police Department; Indianapolis Public Schools, including the Unified Students Support Division and the Positive Supports Academy; and Indy HeartBeat, a public safety provider in Indianapolis. Priority considerations addressed by this project include high-poverty areas, enhanced public safety in Qualified Opportunity Zones, and the disproportionate impact of the opioid epidemic on Marion County, which is experiencing higher rates of opioid overdose than many other areas of the country.
The Marion County Public Health Department will expand the Indianapolis Harm Reduction Team (IHART) Program to employ two full-time peer support specialists, who will facilitate access to treatment, health-care resources, and community-based services. IHART will hire a full-time project coordinator to oversee the operation and serve as a liaison with the criminal justice and public health systems, mental health and substance abuse treatment providers, and other government and community-based entities. Indiana University will serve as the research partner for the proposed project.
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.
The Hocking County Sheriff’s Office will hire two Crisis Intervention Team trained substance abuse and mental health deputies to be stationed at the Hocking Valley Community Hospital. These officers will be available in the emergency room to triage individuals who arrive in a substance use-related crisis, as well as respond to crisis calls in the community. Referrals will be made by the officers to community treatment providers. Grant funds will be used to hire these officers as well as a project coordinator. The applicant also plans to implement overdose detection mapping application program. Project partners include the Hocking Valley Community Hospital, Hocking County Juvenile/Probate Court, Hocking County Prosecutor’s Office, and the Alcohol,Drug Addiction, and Mental Health Services Board.
The Hoopa Valley Tribe will deliver customized interventions through the criminal justice system of Humboldt County and the Hoopa Valley Tribal Court. Among this project's deliverables are a full community needs assessment, an opioid diversion work plan, the implementation of data tracking systems across multiple domains, and broadened awareness of best practices for both county and tribal partners. The proposed project will be one of the first cross-jurisdictional diversion programs in Indian Country specifically designed to meet the opioid epidemic.
Hudson County will use grant funds to hire two peer recovery navigators and expand recovery wrap-around services for individuals and families in need including primary health services, mental health and addiction treatment services. The County will also hire staff to work in at three municipal police departments to provide case management services to those working towards recovery. The Rutgers Center for State Public Health Policy will serve as the evaluator for this project.
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.
The Illinois 2019 Prescription Monitoring Program Enhancement Project will improve website usability by enhancing the features and analytics of the prescription monitoring program (PMP), expanding the quality of the PMP data, and providing a platform to improve prescriber communications. To increase the value of the PMP system, staff will provide interstate data sharing through the RxCheck hub, provide more comprehensive patient profiles, provide clinical decision support tools, collect and display previous diagnosis information, and collect and display pain agreements.
The Indiana Family and Social Service Administration, Division of Mental Health and Addiction, through the Integrated Response Project (IRP), will ensure that Marion County inmates with an opioid abuse diagnosis or a history of opioid overuse are connected with and engaged in treatment and recovery services upon their release and will enhance the provision of additional law enforcement pre-arrest diversion beds and linkage to services.
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.
The Indiana State Department of Health (ISDH) will increase the timeliness and robustness of fatal drug overdose reporting. This will be accomplished by funding comprehensive toxicology testing for suspected cases of drug overdose deaths across Indiana. ISDH will also obtain more comprehensive demographic data of persons who have suffered fatal drug overdoses. By providing mini-grants to overcome barriers associated with using ISDH’s coroner case management system, coroners will be encouraged to utilize this system and thus provide more comprehensive demographic data on fatal overdoses. ISDH will link toxicology results with existing demographic information regarding the deceased persons and disperse aggregated data to the opioid data working group. ISDH will also develop an innovative pilot project that will involve the enhanced toxicology testing of leftover clinical samples (blood and/or urine) from patients who are treated in a hospital following a suspected drug overdose event. Such testing will provide more robust public health information including situational awareness of illicit and licit drug use that results in drug overdose events. It will also allow local and state officials to track drugs circulating in Indiana as well as identify novel substances in its communities. Finally, ISDH will utilize the data collected by the toxicology testing from both fatal and nonfatal drug overdoses to inform targeted interventions. Indiana University–Purdue University will serve as the researcher for the proposed project.
The Iowa Governor’s Office of Drug Control Policy will facilitate the collation and dissemination of data from multiple sectors into a statewide opioid dashboard, the Iowa Opioid Data Exchange (IODE). The Division of Intelligence and Fusion Center will be the lead implementation agency for this project. Key partners include state agencies and other organizations with primary responsibility for administration of data, which are central to the success of this project. These partners include the Governor’s Office of Drug Control Policy, Department of Public Health, Iowa Board of Pharmacy (Prescription Drug Monitoring Program [PDMP]), Iowa Office of State Medical Examiner, Division of Intelligence/State Fusion Center (in coordination with the Midwest High Intensity Drug Trafficking Areas [HIDTA]), State Crime Laboratory, Iowa Emergency Medical Services Bureau, Iowa Poison Control Center, and Iowa Division of Criminal and Juvenile Justice Planning. The multidisciplinary dashboard will provide a holistic and timely opioid-related surveillance report from a variety of public health and public safety data sets. IODE aims to improve the connectivity, cohesiveness, timeliness, and overall effectiveness of opioid-related surveillance data collection, analysis, and sharing to enhance the health and public safety response in rural communities and larger cities across Iowa.
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.
Itasca County in Minnesota proposes to embed substance abuse clinicians in local law enforcement agencies to improve their responses to individuals in need of support and treatment; establish an interagency taskforce; and provide specialized training to first responders. First Call for Help of Itasca county will hire a half-time coordinator and 2.5 full-time recovery support specialists (embedded in law enforcement) to expand recovery services. Also, overdose detection mapping application program (ODMAP) will be incorporated.Project Profile
Jefferson County Commission applied for Category 1a urban area funding in the amount of $1,189,215. The Jefferson County Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will extend peer recovery services to include expanded pretrial supervision, as well as provide evidence-based treatment, including medication-assisted treatment (MAT), to individuals at high risk for overdose. This project serves a population of more than 500,000 in Jefferson County, Alabama. The project includes partnerships between the University of Alabama Department of Psychiatry — Substance Abuse Division, Jefferson County Sheriff's Office, 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.
The Kansas Board of Pharmacy, the administrator of the Kansas Prescription Drug Monitoring Program (K-TRACS), will implement a public awareness campaign for K-TRACS; conduct an audit of K-TRACS records and recommend corrective action, remedial measures, and policies; and hire a special investigator to define and develop the criteria to expand the analysis of K-TRACS data by identifying individuals with questionable behaviors, suspicious prescribing patterns, or harmful practices.
Kenton County Fiscal Court applied for Category 1b suburban area grant funding in the amount of $900,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will develop, implement, and expand Law Enforcement Assisted Diversion to policing agencies with pre-arrest diversion coordinators to reduce incarceration and lower the cost to communities and provide a case manager for those leaving incarceration to reduce recidivism. The program will also contract a peer support specialist to assist quick response teams responding to overdoses to establish connections, provide harm-reduction information, and easy access to naloxone. In addition, the program will provide supportive services to those wanting treatment and those in recovery. Supportive services will include referrals to community partners, case management, transportation, recovery housing, assistance with identification and an Indigent Essentials Backpack. This project serves Kenton, Pendleton, and Grant counties with a total population of 205,701. The project includes partnerships between Mental Health America, Northern Kentucky Community Action, Life Learning Center, Transitions, Sun, Alexandria’s Angels, Erlanger Police social workers, and the City of Falmouth.
The Kentucky Cabinet for Health and Family Services will use grant funding to engage one full-time grant law enforcement liaison, and one full-time grant criminal epidemiologist who will play key roles in supporting law enforcement requests for prescription drug monitoring program data and assistance. The grant law enforcement liaison will work closely with the five pharmacist consultants already employed by Kentucky All Schedule Prescription Electronic Reporting to provide valuable knowledge regarding criminal investigations and prosecutions of offenders violating state and federal controlled substance laws.
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 hire one CRC to serve at each of the 16 Kentucky State Police (KSP) posts and a program administrator who will be located at KSP Headquarters. The program administrator will monitor the program, serve as a resource for CRCs throughout the state, and report outcome information. Each CRC will collaborate with law enforcement officers at their assigned posts to identify individuals in need of services. K-CARE CRCs will participate in the KSP Angel Initiative, a statewide program that allows a person experiencing substance abuse to voluntarily present him or herself at any KSP post to request help. 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. KSP utilizes overdose detection mapping application program as well as an electronic reporting form within the state’s law enforcement operations system that tracks Naloxone administrations by law enforcement personnel throughout the state. Currently, there are efforts being made to link the systems so information will be fed electronically into the ODMAP system. The Kentucky Criminal Justice Statistical Analysis Center will serve as the research partner on this project.Project Profile
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.
The Lac Courte Oreilles Band of Lake Superior Indians (a federally recognized Indian Tribe) applied under Category 1c for grant funding in the amount of $589,959. This project will serve the Ojibwe Indian membership of the Lac Courte Oreilles Tribe (LCO) of rural northern Wisconsin. The population of the Tribe is 7,796, with thousands more familial descendants. The purpose of the project is to provide evidence-based opioid treatment that supports services to tribal individuals in need of transitional or recovery housing with a Bimaadiziwin tribal culture-based peer recovery support services, including medication-assisted treatment and recovery. The project will improve collaboration and partnerships between tribal and community-serving agencies in support of an EBT “wraparound” system of comprehensive Anishinaabe culture-based mental health treatment and recovery that uses the ASAM Criteria to determine the most appropriate level of treatment and care. This project includes important partnerships between the LCO Residential Treatment Center and tribal and county human services agencies, such as: LCO Comprehensive Community Services, LCO Tribal Court, LCO Bizhiki Wellness Center, Social Services Department, Vocational Rehabilitation Program, and the Minimaajisewin Home Program. OJP policy priority areas for Category 1 that are addressed by this project application from the Lac Courte Oreilles Tribe applicant are: applications that address specific challenges that rural communities face, individuals who reside in high-poverty areas (the reservation), and individuals who offer enhancements to public safety in economically distressed communities.
The Lackawanna County District Attorney’s Office will establish a local, multiagency overdose fatality review (OFR) team. This team will meet on a monthly basis to conduct an in-depth review of Lackawanna County overdose deaths, increase collaboration among partner agencies, gather and analyze data regarding these cases, and develop and implement recommendations with the goal of decreasing overdose deaths throughout Lackawanna County. This project will also establish a database that promotes data sharing and collaboration among local stakeholders to identify at-risk populations and allow for more targeted programs to reduce overdose fatalities. The University of Pittsburgh, Program Evaluation and Research Unit will serve as the research partner for the proposed project.
The County of Lake, doing business as Lake County Health Department and Community Health Center, applied for a Category 1a urban area grant in the amount of $1,100,024. The Lake County A Way Out 2.0 Program 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 admitted to a treatment provider within 24 hours of initial contact and 70 percent of consumers successfully complete their first treatment episode. Also, 90 percent of consumers will receive information regarding MAT and naloxone and given an appropriate referral. Finally, 90 percent of consumers will meet with their peer recovery support specialist weekly, and one community outreach session will be conducted by the project coordinator per month. This project serves Lake County, Illinois, with a population of 703,462. The project includes partnerships between Rosalind Franklin University of Medicine and Sciences. 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.
The Lamar County Board of Supervisors applied for Category 1c rural/tribal area grant funding in the amount of $599,981. The Lamar County LEAD Program will develop a trauma-informed, comprehensive, community-based response to divert individuals experiencing opioid or stimulant misuse/abuse from the criminal justice system to treatment. The objectives are to (1) divert 100 individuals with SUD from the criminal justice system to treatment and case management service providers, and (2) provide harm-reduction case management services to 150 individuals with SUD. A total of 250 individuals will be served over the project period. This project serves Lamar County, Mississippi, which has a population of 63,300. The project includes partnerships between Pine Belt Mental Healthcare Resources’ Grant and Research Department. Priority considerations addressed in this application include the lack of accessibility to treatment providers and facilities and emergency medical services, and rural challenges.
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.
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).
The Circuit Court of LaPorte, Indiana, will develop a family recovery court (FRC) to provide a holistic approach to families of children in need of services (CHINS) with co-occurring substance abuse problems. CHINS cases are filed by the state against parents who are neglecting or abusing their children. Project partners include Choices! Counseling Services, Swanson Center, Department of Child Services, and the Public Defender’s offices. Dr. Roy Fowles from Purdue University Northwest will serve as the researcher.Project Profile
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.
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.
Lexington-Fayette Urban County Government applied for Category 1b suburban area grant funding in the amount of $511,078. The Lexington Overdose Outreach Project-2 (LOOP-2) has five specific aims. The first aim of LOOP-2 is to continue and expand a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. Second, LOOP-2 will provide outreach to individual survivors of drug overdose identified by emergency response by the Lexington Division of Fire and Emergency Medical Services to connect them either with treatment and recovery services or harm-reduction services, including naloxone. The third aim is through the addition of a case manager to the project for continued follow-up with individuals who elect not to seek treatment services when met by the response team. The fourth aim is to bolster the pre-arrest diversion program at Lexington Police Department (LPD) where all police officers will be trained to assist individuals with whom they come in contact by providing connections to treatment and recovery services or harm-reduction services. This project serves Lexington-Fayette County. The project includes partnerships between NewVista, Hope Center and Chrysalis House, Voices of Hope, Isaiah House, and Kentucky Office of Drug Control Policy. Priority considerations addressed in this application include an area disproportionately affected by the abuse of illicit opioids and prescription drugs with high rates of primary treatment admissions for heroin and high rates of overdose deaths from heroin and other opioids.
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.
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.
The Louisiana Department of Health, Office of Behavioral Health will support access to, and engagement in, treatment and recovery support services for offenders with opioid abuse in Orleans and East Baton Rouge Parishes jails, as well as increased use of diversion in Orleans and Jefferson parishes, This will be accomplished by providing support for peer support specialists and treatment staff members at the Day Reporting Center in New Orleans, which serves both Orleans and Jefferson Parishes.
The Louisiana Department of Public Safety and Corrections proposes to provide a comprehensive plan to develop and implement a medically managed opiate withdrawal program for offenders with opiate use disorders entering Bayou Dorcheat Correctional Center (BDCC). The program will provide assessment and medication-assisted therapy (MAT) with buprenorphine; provide pre- and post-release MAT in the form of oral naltrexone and/or the extended-release naltrexone injection for opioid use disorder (OUD) offenders; provide pre-and post-release intensive substance abuse treatment, employing a comprehensive case plan and discharge plan; and provide pre- and post-release peer recovery support services. Partners include: Probation and Parole, Louisiana Department of Health’s Office of Behavioral Health, Northwest Louisiana Human Service District, and Ascent Powered by Sober Grid.
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.
The Lucas County Sheriff’s Office Community Advocates Outreach Project (CAOP), a division of the Drug Abuse Response Team (DART), applied under Category 1B for three-year total grant funding in the amount of $231,232 to serve 441,815 residents of Lucas County, Ohio. Federal funding will assist program expansion, which will reduce the demand of opioids, reduce the supply of opioids, and promote harm-reduction. The project will achieve these goals through (1) development, promotion, and implementation of a three-year mixed-media drug awareness campaign; and (2) the evaluation of the CAOP educational component of DART. The project includes partnerships with Arrowhead Behavioral Health, Boys and Girls Club of Toledo, Brightside Academy, Glass City Academy, Maumee Indoor Theater, the Mental Health and Recovery Services Board of Lucas County, St. Francis De Sales School, Toledo Public Schools, and UMADAOP Lucas County. Priority consideration addressed in this application is for a high-poverty area.
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.
Marion County will expand its pilot diversion program in Salem, Oregon. This project will be based on the Law Enforcement-Assisted Diversion (LEAD) model.
Marion County will expand its Law Enforcement-Assisted Diversion (LEAD) initiative in targeted neighborhoods in Salem, Oregon. The Oregon Criminal Justice Commission will serve as the research partner for the proposed project.
The Maryland Department of Health will develop a multidisciplinary data-governing framework and will partner with the Chesapeake Regional Information System for our Patients (CRISP) for data linking and for the establishment of a data warehouse. The data-governing framework will inform the design of a data warehouse to more efficiently utilize state resources while enabling secure access to drug-involved data. The data-governing framework and warehouse infrastructure will work in concert to produce key, data-driven, actionable recommendations guiding the state’s opioid response and enhance public safety, public health, and behavioral health partnerships and program evaluations.
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.
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. Proposed locations include Boston, Brockton, 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, and the Massachusetts Alliance for Sober Housing. Priority considerations in this application include rural regions, high-poverty areas, and Qualified Opportunity Zones.
The Cheyenne Regional Medical Center proposes a pre-arrest law enforcement assisted diversion program (LEAD) program. The project will include a part-time coordinator and a full-time case manager who will hold primary responsibility for planning and implementation of LEAD and client case management. Project partners include Laramie County, Cheyenne Police Department, Laramie County Sheriff’s Office, Cheyenne Municipal Court, and treatment providers.
The Menominee Indian Tribe of Wisconsin will develop a Police Assisted Addiction and Recovery Initiative (PAARI) model of law enforcement diversion to reduce opioid abuse and the number of overdose fatalities. Grant funds will be used to support a program coordinator, who will assist in implementing the program; a clinical therapist; and three peer support specialists. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Menominee Indian Tribe of Wisconsin will mitigate the impact of opioid abuse on crime victims within the Menominee tribal jurisdiction by hiring two full-time crisis response case managers at Tribal Social Services to work with first responders, the Clinic of Behavioral Health, and the Child Protection Team when children are present at the scene of an overdose or are impacted by familial substance abuse. The grant funds will also be used to support a program coordinator who will assist in implementing the program, a clinical therapist, and a family preservation worker.
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.Project Profile
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.
The Comprehensive Opioid Abuse Site-based Program (COAP) was developed as part of the Comprehensive Addiction and Recovery Act (CARA) legislation. COAPA purpose is to provide financial and technical assistance to states, units of local government, and Indian tribal governments to plan, develop, and implement comprehensive efforts to identify, respond to, treat, and support those impacted by the opioid epidemic. The Harold Rogers Prescription Drug Monitoring Program (PDMP) has been incorporated into the FY 2019 COAP solicitation. The purpose of the Harold Rogers PDMP is to improve collaboration and strategic decision making among regulatory and law enforcement agencies and public health entities to address prescription drug and opioid abuse, save lives, and reduce crime. COAP aims to reduce opioid abuse and the number of overdose fatalities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives. The program also supports the implementation, enhancement, and proactive use of PDMPs to support clinical decision making and prevent the abuse and diversion of controlled substances. Grantees are prohibited from using federal funds to support activities that violate the Controlled Substances Act. The objective of Category 1 is to encourage and support the development of comprehensive, locally driven responses to the opioid epidemic that expand access to supervision, treatment, and recovery support services across the criminal justice system; support law enforcement and other first responder diversion programs for non-violent drug offenders; promote education and prevention activities; and address the needs of children impacted by the opioid epidemic. All projects are expected to involve multiple agencies and partners. The Miami-Dade Corrections and Rehabilitation Department proposes to expand medication-assisted treatment (MAT) services in the county jail, provide reentry services and utilize residential treatment beds and emergency housing. Grant funds will be used to hire personnel to deliver MAT and reentry services, purchase residential treatment beds and emergency housing, and conduct a Sequential Intercept Mapping workshop. Project partners include Jackson Health System, City of Miami Homeless Assistance Program, Miami-Dade County Community Action and Human Services Department, and South Florida Behavioral Health Network, Inc. The applicant will engage the Behavioral Science Research Institute as their research partner.
The Michigan Department of Health and Human Services (MDHHS) will form a multidisciplinary team (MDT) of personnel from various community partners in an effort to work collaboratively and share data related to opioid abuse. Five Michigan counties will receive contracted substance abuse services to use during Child Protective Services (CPS) investigations, CPS open cases, and foster care cases. These services will be provided to rural counties that currently do not have access to the resources. MDHHS will provide at least ten “Connection between Trauma, Substance Abuse, and Mental Health” training sessions conducted by Dr. Stephanie Covington and her staff regarding the link between trauma and substance use. This statewide training will be available for all child welfare staff members. Finally, an online training will be developed to ensure that mandated reporters across Michigan have a robust understanding of their reporting requirements. Certification for the training will be provided. The University of Michigan will act as the action researcher to determine whether any changes to policy and child welfare practices would be beneficial.
The Michigan State Police, in partnership with the University of Michigan, will develop and pilot Community Overdose Assessment Teams (COATs) in up to three counties. The purpose of a COAT will be to review each overdose to identify causes and incidences of opioid overdose deaths within the selected sites, identify risk factors and gaps in the systems, develop recommendations to agencies of each local COAT to prevent future deaths, and provide recommendations to the state on how to address the epidemic, such as changes to laws or regulations.
The Middle District Attorney’s Office, in partnership with the Regional Substance Navigation Program (RSNP) and Community Connections, proposes the expansion of a successful regional model in the Greater Milford region. The RSNP has formal partnerships between police and the mental health agency, Community Connections, to provide rapid response to non-fatal overdoses and engage individuals in treatment. The RSNP also provides counseling, peer support, referrals, prevention, and intervention programming in the region. Community partners include schools, police, government agencies, municipalities, community-based organizations, and other stakeholders. Funding requested will increase RSNP staffing with licensed mental health professionals and recovery coaches, including services for children, through Trauma-Focused Cognitive Behavioral Therapy and Animal Assistive Therapy. Additional staff will increase capacity to serve the region and to potentially expand to serve up to 20 towns. A recovery center will be established, housing the previously detailed services, educational and life skills programs, recovery activities such as recovery yoga and safe, substance-free social activities for individuals in recovery. Grant funding will support a full-time coordinator, recovery services and direct client services, rent, and furnishings of the recovery center.
COAP supports the Middle District Attorney’s Office in implementing the Worcester County Drug Diversion Initiative. Clinicians from AdCare Hospital assist law enforcement and prosecutors in identifying and screening individuals who may be appropriate for diversion to substance abuse treatment programs. This program is currently operating out of two locations – Leominster and Gardner/Winchendon District Courts— and it will soon be integrated into five district courts throughout Worcester County. Fitchburg State University will serve as the research partner for the proposed project.
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.
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.
The Milwaukee County Behavioral Health Division will use grant funds to implement medication-assisted treatment (MAT) for sentenced and sanctioned offenders in custody at the Milwaukee County House of Correction and support their transition to community-based services once released from custody. Dr. Tina Freiburger from the University of Wisconsin-Milwaukee will conduct both a process and outcome evaluation.Project Profile
The Milwaukee Prostitution and Opioid Diversion Project (MPOD) within the Milwaukee County Housing Division will establish a public health and justice partnership to address the unique needs of women in street prostitution and sex trafficking who abuse illicit or prescription opioids (and other drugs) and frequently come into contact with the justice system for prostitution or drug-related arrests or as victims of sex trafficking. MPOD will enhance service capacity in the current Sisters Diversion Project, a municipal pre-arrest prostitution diversion program, building on the pre-existing partnership among the Milwaukee Police Department, the Milwaukee County Behavioral Health Division, the Milwaukee County District Attorney’s Office, local treatment agencies, and the Medical College of Wisconsin; and enhance coordination and services for women in Milwaukee County’s Early Interventions Program (specifically, its pretrial diversion program). MPOD will engage the Medical College of Wisconsin as the research partner for this project.
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.
The Minnesota Bureau of Criminal Apprehension will create a drug monitoring initiative within the Minnesota Fusion Center. Key partners include local, state, federal, and tribal public safety and public health agencies, including the Minnesota Prescription Monitoring Program (MNPMP), Minnesota Department of Health, Department of Human Services, and Minnesota Poison Control.
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.Project Profile
The Mississippi State Department of Health will improve data quality for ongoing monitoring of the impact of opioid abuse in the state by (1) incorporating Syndromic Surveillance clinical data; (2) integrating emergency medical services (EMS) data with Syndromic Surveillance so that providers may view opioid overdose events; (3) enhancing EMS data quality so as to report opioid/drug overdose events; and (4) enhancing law enforcement data quality.
The Mississippi State Department of Health will establish a state opioid and heroin data center to serve as an information resource for Mississippi. A comprehensive analysis of multiple data sources produced from this center will be utilized by the community, health-care providers, and other stakeholders to reduce the number of inappropriate opioid prescriptions and decrease the number of opioid fatalities in Mississippi. The objectives are to leverage key data sets to create a holistic view of the environment; inform Mississippi prescribers, policymakers, law enforcement, other stakeholders, and the public about the impact of prescription drug and heroin abuse for development of data-driven, evidence-based interventions; and use data to examine state and local-level policies for conformance with best practices and facilitation of positive interventions.
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).
The Montgomery County Department of Public Safety (MCDPS) will develop and enhance public safety, behavioral health, and public health information sharing partnerships that leverage key public health and public safety data sets (e.g., de-identified prescription drug monitoring program [PDMP] data, naloxone administrations, emergency medical services [EMS] run data, fatal and nonfatal overdose data, 9-1-1 dispatch information) by implementing the Emergency Medical Overdose Surveillance System (EMODSS) Project. The EMODSS Project will be established as a permanent initiative under MCDPS, Division of Homeland Security, Intelligence Fusion Center. The EMODSS Project will be used to supplement Overdose Detection Mapping Application Program (ODMAP) data with a goal of creating an automatic feed from EMODSS to ODMAP. The information acquired through EMODSS will enhance the Liberty High Intensity Drug Trafficking Areas (HIDTA) regional situational awareness picture.
The Mount Rogers Community Services Board will enhance opioid treatment services and support. The project includes a coordinator, two peer recovery specialists, a system navigator, and a lead clinician. The project will also support recovery housing. The project services the Twin County area, including Carroll County, Grayson County, and the city of Galax.Project Profile
The Multnomah County Health Department will use grant funds to embed an opioid use disorder (OUD) corrections counselor and peer recovery mentors in booking for Multnomah County. The individuals in these positions will identify persons in need of OUD treatment and assist them in successfully engaging with recovery programs that offer medication-assisted therapy (MAT). A full-time coordinator will be employed to engage partners in a planning process to further identify gaps and refine project strategies, as well as ongoing coordination of opioid overdose strategies for populations with OUD. A focus of the grant activities is to screen and identify offenders for OUD and provide navigation services and peer recovery support to connect them to treatment, including MAT, and other critical resources. Dr. David Dowler of Program Design and Evaluation Services will serve as the research partner for the proposed project.Project Profile
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.
The Muscogee (Creek) Nation (MCN), the fourth-largest federally recognized tribe in the United States, is proposing the MCN COAP and Treatment Project. Project MCN will pursue three goals. First, MCN will develop an internal referral process to identify tribal citizens suffering from opioid abuse who need additional services and support or citizens at higher risk as a result of exposure. Second, MCN will create an internal database of patient health information to inform and evaluate patient needs for treatment and prevention opportunities. Third, MCN will increase the number of providers certified and licensed for medication-assisted treatment and new telebehavioral health options at a primary care facility. Use of these expanded options will be driven by data analysis and recommendations from a research partner.
The Native Village of Port Heiden is a federally recognized tribe located in Port Heiden, Alaska. The village proposes to procure marine/land equipment to aid in the enforcement and interception of illegal substance importation; develop a strategic plan utilizing the Sequential Intercept Model as a guide; procure transitional sober housing; and increase/strengthen youth services.
The New Bedford Police Department (NBPD) will increase its capacity to offer outreach and referral services to individuals who have chosen diversion from prosecution and who have overdosed or been identified as at risk of overdosing. NBPD will (1) hire a full-time project manager to coordinate efforts within the department and with external partners; (2) add two recovery coaches to provide outreach and follow-up post-treatment coaching; (3) implement the Critical Incident Management System (CIMS) to house the necessary data to monitor and evaluate this effort and; (4) complete yearly evaluations to assess the overall effectiveness of the project in achieving its overall goals/objectives and evaluate the processes and implementation by tracking critical measures associated with the implementation of the program model. Kelley Research Associates will serve as the research partner for the proposed project.
The New Castle County Division of Police is proposing to expand Hero Help, a law enforcement led diversion by creating a team (substance abuse clinician, nurse, police officer, case manager, victim advocate) embedded in the patrol division, to respond immediately to 9-1-1 calls for service. Grant funds support a full-time project coordinator, nurse, child victim advocate (respond to overdose where children are impacted) and a licensed clinician. Additionally, to improve analytic capacity, develop a data collection tool to capture near real-time fatal and nonfatal overdoses. University of Delaware, Center for Drug and Health Studies, and Daniel O’Connell will serve as the research partner.Project Profile
The New Hampshire Department of Justice will use internet-enabled tablets and a secure application to allow for real-time case monitoring and peer recovery support. Three pilot locations were selected for this project.
The New Hampshire prescription drug monitoring program (PDMP) will expand the implementation of information exchange among state PDMPs, extend query search capabilities, develop a training program for system users to improve clinical decision making and prevent the abuse and diversion of controlled substances, and evaluate of the impact of the utilization of PDMP data and reports on prescriber behavior. The program will also continue to implement the sharing of statistical and/or de-identified analyses, geographical analyses, or any other analytical process that can demonstrably improve the understanding of local and regional issues and develop targeted, effective response strategies.
The New Mexico Human Services Department applied for Category 2 statewide area grant funding in the amount of $6,000,000. The implementation and enhancement of Law Enforcement Assisted Diversion (LEAD) programs in New Mexico will reduce criminal behavior, decrease criminal justice and emergency health service utilization, and improve public safety by supporting the development of LEAD in tribal and nontribal jurisdictions. The project aims to reduce drug overdose and improve the quality of life for people with a substance use disorder while supporting a coordinated collaborative response to behavioral health among criminal justice, social service, and public health systems. This project serves approximately 900,000 residents in New Mexico. The project includes partnerships between Bernalillo County, Santa Fe County, Taos County, Lea County, San Juan County and San Miguel County. Priority considerations addressed in this application include the high rate of individuals in New Mexico jails and prisons estimated to have an untreated substance use disorder and the high rates of racial disparity in corrections.
The New York State Unified Court System will partner with the Center for Court Innovation (CCI) and the New York State Office of Alcoholism and Substance Abuse Services to implement the New York State Opioid Reduction Teleservices Program. Up to three opioid courts will be selected—based on demonstrated need and rural location—to receive technology-based access to medication-assisted treatment (MAT) providers. The court system and CCI researchers will develop materials to educate the field about using remote technology to improve treatment, judicial monitoring, and MAT induction.
The County of Niagara will use funds to develop a law enforcement assisted diversion (LEAD) program and a quick response post-opioid overdose team (QRT). Funds will be used to hire staff for the presenting alternatives for treatment and healing (PATH) team that will implement the LEAD and QRT programs. These positions include a project coordinator, harm-reduction case manager, and two peer recovery specialists. The PATH Steering Committee includes partnerships among the Niagara Falls Police Department, District Attorney's office, Sheriff's Office, Department of Mental Health & Substance Abuse, community peer supports, and treatment providers. The applicant has engaged faculty from Niagara University to serve as the project evaluator.
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.Project Profile
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.
The Bronx District Attorney, in partnership with the Bronx Criminal Court and the Center for Court Innovation/Bronx Community Solutions, will address the crisis in opioid deaths and overdose by enhancing the Overdose Avoidance Recovery (OAR) Program. This enhanced OAR Program will be expanded into two additional courtrooms. BetaGov/Litmus at NYU will serve as the evaluator for the proposed project. The program was expanded to create a new court part to divert felony cases involving defendants needing opioid and substance use disorder treatment.
The Ohio Department of Rehabilitation and Correction will partner with the Ohio Department of Mental Health and Addiction Services under the Bureau of Correctional Recovery Services to develop virtual reality products aimed at enhancing treatment services for people with opioid abuse and others with opioid involvement. The pilot sites include two prisons: Dayton Correctional Institution and Warren Correctional Institution. In addition to the two prison sites, two community-supervision offices, both in isolated rural areas with limited access to treatment, have been selected as pilot community sites: Pike County Adult Parole Authority and Scioto County Adult Parole Authority. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
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.
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.
This grant will help integrate the Oklahoma prescription monitoring program (PMP) into prescriber clinical workflow, including patient history, summary information, and clinical risk indicators. While PMPs have seen great advancements over the years, Oklahoma is still unique in that it remains the only state with real time data collection and this enhancement would provide that real-time data to prescribers in a more efficient way. This project will support the integration for over 20,000 prescribers throughout the State of Oklahoma.
The Orange County Health Care Agency applied for a Category 1a rural area grant in the amount of $1,200,000. The Orange County Health Care Agency’s Closing the Gaps by Expanding Access for Reentry Clients program will provide (1) a transfer for those leaving Orange County Central Jail to a peer support recovery specialist for transportation and immediate connection to a case coordinator at one of four MAT and substance use disorder (SUD) treatment county clinics, (2) MAT and SUD treatment services by psychiatrists at the four county clinics, and (3) training by addiction specialist(s) for mental health workers and physicians in the county clinics on SUD and best-practices for working with MAT clients. This project serves Orange County, California, with approximately 3.2 million residents. The project includes partnerships between Correctional Health Services (CHS) and is supported by the Orange County Sheriff’s Department. Priority considerations addressed in this application include high rates of overdose deaths and a need to increase accessibility to treatment providers in the City of Santa Ana with areas of 25 percent poverty.
The Orleans Parish will enhance the Orleans Re-Entry Court by screening offenders for opioid addictions at sentencing; referring offenders with opioid addictions to receive medication-assisted treatment; and offering offenders job training services, education, and cognitive behavioral interventions while incarcerated and upon release. Loyola University New Orleans will serve as the research partner.
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.
In Palm Beach County, COSSAP funding will be used to support a care coordinator/housing specialist assisting Clients in finding a recovery housing placement using the Recovery Housing Voucher. 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 will prioritize and expedite 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 will focus on achieving housing stability given its key predictive value in achieving long-term recovery outcomes. The successful applicant will participate and work closely with the County’s strategic government and community partners as well as its research partner, Florida Atlantic University (FAU) 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. The program will utilize the Sequential Intercept Model (SIM), developed by the National GAINS Center. Using the SIM as a conceptual framework, the proposed project will target individuals at Intercept 3: Specialty Courts and Jail and Intercept 4: Re-entry.
The Pennsylvania Commission on Crime and Delinquency (PCCD) will fund projects for counties that work with the Technical Assistance Center at the University of Pittsburgh School of Pharmacy’s Program Evaluation and Research Unit to implement evidence-based programs to reduce overdose deaths.
The Pennsylvania Commission on Crime and Delinquency will sponsor the Forensic Drug Chemistry Surveillance Project to support five counties (Beaver, Franklin, Lackawanna, Schuylkill, and Washington) in establishing new quantitative, real-time forensic drug chemistry analysis workflow protocols. These new protocols will identify responsive strategies that enhance investigations by connecting cases and promoting rapid dissemination of critical information. Accurate, complete, and timely forensic drug chemistry data within a region can help law enforcement plan strategic and immediate responses based on local needs, and larger public safety investigative agencies will be able to use the drug intelligence to monitor trends and intercept drug trafficking routes. Improved drug testing will also enhance public information sharing about the dangers of drugs in the community. The University of Pittsburgh School of Pharmacy Program Evaluation and Research Unit will serve as a research partner.Project Profile
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.
The Pennsylvania Department of Health will develop and implement a systematic, sustainable Web-based solution to obtain timely and accurate statewide drug overdose death report data from Pennsylvania county coroners and medical examiners. Overdose death data collected and analyzed through this solution will be used to support statewide, county, and local-level drug death information sharing for public safety, behavioral health, and public health prevention, as well as rescue and treatment initiatives. This data will also be incorporated into Pennsylvania’s Opioid Data Dashboard.
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.
Pinellas County is developing a Strategic Information Partnership (SIP) to (1) support real-time/timely data collection from key stakeholders to better articulate the current state of the problem; (2) improve communication for targeted outreach, enforcement, and education; (3) support cross-system planning and data evaluation to better inform policymakers on targeted interventions; and (4) leverage scarce resources and avoid duplication of efforts.
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.
The Pueblo of Pojoaque will create the Pueblo of Pojoaque Opioid Prevention and Intervention Project, a court-based, pre-prosecution diversion program. A project coordinator and an outreach worker/case manager will be hired. The State of New Mexico Sentencing Commission will serve as the evaluation partner for the proposed project.
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.Project Profile
The Purchase District Health Department applied for Category 1b suburban area grant funding in the amount of $900,000. The Purchase District Health Department program will implement a coordinated response to illicit opioids, psychostimulants, and counterfeit prescription drugs in Purchase. Four types of activities will be implemented: (1) provide naloxone for law enforcement and other first responders; (2) establish law enforcement and other first responder diversion programs; (3) conduct comprehensive, real-time, regional information collection, analysis, and dissemination; and (4) provide recovery support services, including recovery housing and peer recovery support services. This project serves eight counties totaling 196,563 people in western Kentucky. The project includes partnerships between law enforcement, first responders, and public health agencies who are active members of the Purchase Area Health Connections Opioid Task Force.
The Puyallup Reservation applied under Category 1C for grant funding in the amount of $600,000. The area is highly urbanized as the cities of Tacoma, Fife, Puyallup, Federal Way, and Milton overlap and abut with the Tribe’s Reservation. Pierce County has a population of 876,764. Community Family Services, a department within Puyallup Tribal government administration, connects clients to individualized treatment depending on what stage of recovery a person is in, and services include case management and connection to cultural services. The Puyallup Tribe proposes using grant funding to improve client outcomes by providing inpatient treatment at a culturally appropriate, dual-diagnosis facility, as well as mental health assessments for individuals with mental health concerns and enhanced reentry services for individuals in treatment or incarcerated. The proposed project will positively impact families impacted by opioid, stimulant, and other substance abuse disorders, and improve the quality of life within the Puyallup Tribal community as a whole. The only priority consideration addressed in this application is for a Qualified Opportunity Zone.
The Puyallup Tribe of Indians, a federally recognized tribe in western Washington State, will implement the Community Reentry Services Project. Members reentering the community from inpatient treatment or a correction facility will receive treatment, case management, peer-to-peer mentorship, and vouchers for housing and transportation.
The University of California, Davis (UC Davis) will work with the California Department of Justice and other partners to perform a rigorous evaluation of California’s new law mandating use of its prescription drug monitoring program. The evaluation will focus on effects of mandated PDMP use on prescribing patterns and health outcomes, including potential unintended consequences. UC Davis will work with the Northern California High Intensity Drug Trafficking Area (HIDTA) to establish a foundational relationship between public health and law enforcement agencies. In particular, UC Davis will focus on exploring new data sources from law enforcement agencies to share with public health agencies about opioid supply and overdose. The goal is to develop protocols to predict opioid overdose and share information about supply disruptions with emergency departments, first responders, and other key agencies. UC Davis will also explore protocols for communicating directly with local emergency services directors.
Region XII Commission on Mental Health and Mental Retardation doing business as Pine Belt Mental Healthcare Resources will develop a pre-arrest law enforcement diversion program. Funds will be used to develop a team of peer recovery support providers, a nurse, therapist, and a project coordinator that will accept referrals from law enforcement and a local emergency department. Project partners include Pine Belt Mental Healthcare Resources, Forrest and Lamar Counties Sheriffs’ Departments, Hattiesburg and Petal Police Departments, and Forrest General Hospital. The applicant will engage an independent research partner.
The Reno Police Department, in partnership with the Washoe County Health Department and other community partners, will implement evidence-based practices in the field of tobacco prevention by launching a mass-reach health communication campaign with the goal of changing the social norms surrounding prescribed opioids. This program will also follow up with individuals/families who have experienced a suspected overdose and provide information regarding resources such as how to seek a substance abuse evaluation and/or counseling, medication-assisted treatment (MAT) and other treatment, and where to obtain naloxone. Finally, the program will launch a prescriber education campaign.
The Office of Addiction Services and Supports (OASAS) partnered with the New York State Unified Court System (UCS), Center for Court Innovation (Center) and Lerner Center for Public Health Promotion in the Maxwell School of Citizenship and Public Affairs at Syracuse University (Lerner) on the New York Opioid Treatment Court Enhancement Project. This project seeks to enhance and evaluate substance abuse treatment and recovery support service systems treating offenders participating in geographically diverse Opioid Courts around the State of New York through the following goals: 1) Conduct training and certification in Evidence-based Cognitive Behavioral Interventions for utilization by clinicians and recovery advocates working in Opioid Courts. The Partners on this initiative have coordinated with Correctional Counseling Inc. and the Change Companies to train cohorts of clinicians, clinical supervisors and recovery advocates on Moral Reconation Therapy-Opioid (MRT-O) and Interactive Journaling (IJ) to be used in Opioid Courts. 2) Conduct a process evaluation of the Opioid Court collaborative systems of care. 3) Determine the effectiveness of the cognitive behavioral interventions for programs treating the same population and measure the outcomes impacted by these cognitive behavioral models.
The Rhode Island Department of Health (RIDOH) prescription drug monitoring program (PDMP) Enhancement Project will strengthen the organization of RIDOH’s PDMP, build dedicated staffing, engage stakeholders as well as plan and develop enhancements conforming to best practices. To further strengthen the PDMP, RIDOH is working with the Executive Office of Health and Human Services (EOHHS) to secure additional CMS funding for actual implementation of PDMP enhancements that are going to be outputs of this grant.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to those who are at risk of overdosing and encouraging them to be assessed and treated. The project will support the HOPE Initiative by enhancing the ongoing efforts of state and local government to address the opioid overdose epidemic, including gathering real-time law enforcement data on opioid overdoses to identify individuals with opioid use disorder. In addition, the project will support a program involving law enforcement and case management to provide outreach to individuals with opioid use disorder. Outreach efforts will include victims and child welfare services. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
Rio Arriba County Health and Human Services Department, the Rio Arriba County Sheriff’s Office, and the Española Police Department will implement pre-arrest diversion for low-level, nonviolent offenders using the Law Enforcement-Assisted Diversion (LEAD) model. The University of New Mexico Health Sciences Center has committed to work with Northern New Mexico College to serve as the research partner for the proposed project.
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.
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.
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.
Missouri is the only state in the U.S. without a statewide prescription drug monitoring program (PDMP) to manage the prescribing, dosing, and dispensing of controlled substances. In 2017, 951 Missourians lost their lives due to an opioid-related overdose. City and county jurisdictions have partnered across the state to launch, manage, and sustain a cross-jurisdictional PDMP, operated by St. Louis County, that covers 84 percent (61 counties and 11 cities) of the state’s population and 94 percent of providers in Missouri. The proposed project will provide technical assistance to actively engage additional jurisdictions and support existing jurisdictions with the PDMP—tailoring technical assistance and support to all Missouri counties; enhance PDMP platform to support goals of the PDMP program (inform clinical care, improve clinical practice, and decrease misuse/abuse of controlled substances), and promote the PDMP system functionality and benefits throughout the state, educating program partners on system utilization to inform, and improve clinical practice.
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.
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.
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.
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.
Seattle and King County Public Health is proposing to provide enhanced care coordination services focusing on treatment decision-making within the correctional setting and the linkage and retention of formerly incarcerated individuals into community-based opioid use disorder treatment programs. Transition support services for individuals who receive Medicated Assisted Treatment will be provided as well as increased identification of individuals with OUD, enhanced release planning from jail, and linage to a community provider for up to five visits following release from jail. Grant funds requested will provide: a half-time coordinator, two full-time substance use disorder specialists, a health program assistant and a lead evaluator, Dr. Hood, Seattle King County Public Health.Project Profile
The Seattle Police Department, in partnership with the Washington State Department of Corrections, King County Prosecuting Attorney’s Office, and the Public Defenders Association, will enhance in-custody access to services, mentoring, and peer support; expand reentry access to services (including stable housing and opioid abuse-related treatment), mentoring, and peer support; and provide options for diversion to treatment for persons on community supervision instead of return to custody. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
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.
The Seneca Nation of Indians Peacemakers Court will address the increasing number of opioid overdoses and overdose-related deaths in the Seneca National Territories by reducing reliance on emergency health care and the criminal justice system by high-frequency opioid users. In partnership with Seneca Strong, a community-based drug and alcohol prevention and recovery program, the Peacemakers Court will create a community-driven, culturally competent diversion project that will specifically target Native American opioid utilizers who have a high number of contacts with multiple systems. The project coordinator will assemble a multidisciplinary team responsible for developing the program’s policy and procedures. Programming will include culturally specific professionals and confidential trainings and individualized wraparound services, in addition to a data analysis.
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.
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.Project Profile
The Shelby County Division of Community Services will use addiction peer recovery specialists to link individuals with substance use disorders to treatment and case management services, bridge the gap between victims and resources, and be on call 24/7/365 with law enforcement, emergency medical services, and local emergency rooms working to identify patients and encourage them into treatment. The University of Memphis will serve as the research partner for this project.
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.
The South Carolina Department of Alcohol and Other Drug Abuse Services will assist in developing a medication-assisted treatment (MAT) project in York County, in partnership with the Sixteenth Judicial Circuit Solicitor’s Office, the York County Sheriff’s Office, and treatment partners. Winthrop University will serve as the evaluator for the proposed project.
The Southeastern Pennsylvania Transportation Authority (SEPTA) will implement a Police Rapid Response Pilot Program. The Rapid Response Team will be the lead responding unit to overdose calls in the Kensington Transit Corridor. SEPTA officers will provide naloxone to overdose patients, social services information, and transportation to a treatment facility for individuals who wish to be seen by medical professionals. Dr. Jerry Ratcliffe from Temple University will serve as the research partner for the proposed project, and Philadelphia-based nonprofit Angels in Motion will provide linkages to social support services.
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.
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.
The Opioid Community of Practice (OCP) began in October 2017 and is coordinated by St. Louis County Department of Public Health. The OCP is a multijurisdictional learning collaborative composed of public health entities and action researchers that provides a designated space for strategic planning, knowledge sharing, protocol evaluation, peer review, and innovation. OCP members are engaged in a continuous process of learning to identify barriers, highlight successful interventions, and identify new opportunities for potential collaboration. Participation of local public health agencies ripples from anchoring jurisdictions from St. Louis County, St. Louis City, St. Charles County, Kansas City, Jackson County, Clay County, Columbia–Boone County, and Springfield–Greene County. The group aims to improve outreach on OCP initiatives to the growing number of jurisdictions (currently 72) participating in the St. Louis County Prescription Drug Monitoring Program (PDMP) and beyond. The group also includes researchers from the Missouri Institute of Mental Health at the University of Missouri–St. Louis and leaders from local law enforcement, the Missouri Hospital Association, United Way of Greater St. Louis, the Behavioral Health Network of Greater St. Louis, and the Missouri Department of Health and Senior Services. The goals and objectives for this project are: (1) collaborate to improve data identification, collection, and utilization of opioid data; (2) prioritize and enhance community-based interventions and system-level strategies using improved opioid data and collective action that address social determinants of health; and (3) leverage action researchers, local public health entities, and regional data collaborative groups to evaluate the collective impact of the learning community and the impact of resulting interventions on reducing opioid misuse.
St. Mary’s County Health Department in Maryland will work with other community agencies to expand the data that are used to support the Opioid Intervention Team. The utilization of Overdose Detection Mapping Application Program (ODMAP), Prescription Drug Monitoring Program (PDMP), and first responder data will be increased. In addition, the agency will increase the multidisciplinary engagements with community organizations and neighboring jurisdictions and increase recovery support services and educational opportunities for prescribers and patients.
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.
Stanislaus County will expand upon it's current community assessment, response, and engagement (CARE) multidisciplinary team (MDT). The team includes staff representation from the Modesto Fire Department, Modesto Police Department, Stanislaus County Behavioral Health and Recovery Services, Stanislaus County Probation Department, Stanislaus County Community Services Agency, and nonprofits that provide case management and peer recovery services. Funding will be used to hire a public health nurse, a substance use clinician, and a project coordinator as well as purchase recovery housing and emergency shelter vouchers.
The New Jersey Department of Law and Public Safety (DLPS) will collaborate with state agencies to develop a computerized, data-sharing dashboard, known as the Integrated Drug Awareness Dashboard (IDAD). The IDAD will leverage data sets specific to each agency, such as the New Jersey State Police and the Division of Consumer Affairs, and include identified and de-identified arrest and drug seizure data and Prescription Drug Monitoring Program (PDMP) data into one centralized platform. The goal is to synthesize multiagency information to create specialized and user-specific reports that will improve the sharing of opioid information across state agencies. The dashboard will create a holistic picture of the opioid environment, help develop targeted interventions, develop analytic opioid hot spots, and push notifications. Montclair State University will serve as the action research partner.
The New Jersey Department of Law and Public Safety (DLPS) will use grant funds to create a coordinated plan, formulated with pertinent stakeholders, to assess how best to leverage available data, resources, and funding streams to establish opioid response teams in the five most at-risk and in-need municipalities in New Jersey to add another point of entry to treatment for opioid-addicted individuals. The New Jersey DLPS will offer subawards to help fund opioid response teams at the local level. DLPS’s goal for the program is to provide crisis intervention for opioid-addicted individuals at multiple entry points, thus facilitating another link to treatment and recovery programs through law enforcement.
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.
The New Jersey Department of Law and Public Safety will develop clinical alerts and unsolicited reports to alert prescribers of potential doctor/pharmacy shoppers, excessive dosages, and dangerous drug combinations and establish a pharmacy inspection program to audit for prescription drug monitoring program (PDMP) compliance and prompt training and education upon identification of practice deficiencies.
The Ohio Board of Pharmacy will improve overall data quality by developing a prescription drug monitoring program (PDMP) enhancement that requires all users to automatically update their information within the system every six months and correct any missing information; create a treatment location tool for clinicians in the Ohio Automated Rx Reporting System (OARRS) that uses dispensing data from the system and other external sources to locate active prescribers of medication-assisted treatment to treat opioid abuse; continue to review data in the state PDMP; and work with state, federal, and local law enforcement to initiate criminal and/or administrative investigations of health-care providers.
The Supreme Court of Ohio has been awarded funding for the eight-state regional project, to create the Appalachia/Midwest Regional Judicial Opioid Initiative (RJOI), which includes Illinois, Indiana, Kentucky, Michigan, North Carolina, Ohio, Tennessee, and West Virginia. This initiative facilitates the improvement of PDMP exchanges across state lines, establishes regional best practices, and coordinates and standardizes procedures that provide a more targeted, unified regional response to the opioid epidemic. The RJOI effort is led by the Leadership Committee (composed of each state’s Supreme Court chief justice and the state court administrator), which relies on the National Center for State Courts for aid and coordination. Indiana University’s Public Policy Institute is the action researcher for the project.
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.
The Tennessee Bureau of Investigation Crime Lab will decrease response times for reporting drug analysis and case results to stakeholders, expand forensic testing to improve the comprehensiveness of drug data available, and develop an avenue to report drug abuse in more real time than is currently available in the state.
The Tennessee Department of Health will create an overdose epidemic response coordinator position; integrate data on overdoses that occur and are treated in the field, including data from emergency medical services and law enforcement; and increase the ability to expand analytic work such as studying the roles of new drugs of concern including gabapentin, stimulants, and illicit drugs.
The Tennessee Department of Health will improve the state prescription drug monitoring program (PDMP) (known as the Controlled Substances Monitoring Database [CSMD]) by joining the RxCheck hub, exploring the potential for integrating into electronic health records in Tennessee, and incorporating additional risk models and clinical information that can provide enhanced data to sites engaged in electronic health record integration.
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.
The Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) will establish the Tennessee Comprehensive Opioid Response Strategies program, in collaboration with the Tennessee Department of Finance of Administration, Office of Criminal Justice Programs (OCJP). Funding will be used for the update of a statewide plan, the Prescription for Success Plan. A new statewide opioid response plan has been implemented during 2018 and is now the guideline for implementation strategies under the project. Local communities are being selected to participate in Sequential Intercept Mapping planning workshops. The action plans developed in these workshops will be supported by implementation funding through the grant. State planning resources will be integrated into local planning workshops.
The Tennessee Department of Mental Health and Substance Abuse Services will support the expansion of behavioral telehealth care services in nine counties in Tennessee, seven of which are designated as rural-based, according to the Economic Research Service Rural-Urban Commuting Areas definition. Each of the participating counties has a poverty rate above the statewide average.
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.
The Texas Department of Criminal Justice Technology-assisted Treatment will expand the continuum of care for participants who need services for opioid abuse but lack the resources (e.g., transportation, recovery support) to obtain the services. The proposed pilot sites shall service clients who have used or abused opioids and are returning to a rural county in or surrounding one of the four cities (Amarillo, Longview, Odessa, and Texarkana) listed among the nation’s top 25 cities identified as having opioid users. These Texas counties may include but are not limited to Angelina, Bowie, Camp, Cass, Cook, Delta, Ector, Fannin, Franklin, Grayson, Gregg, Harrison, Hopkins, Houston, Hunt, Jasper, Kaufman, Lamar, Marion, Midland, Morris, Navarro, Nacogdoches, Newton, Nueces, Panola, Polk, Potter, Red River, Rockwall, Rusk, Sabine, San Augustine, San Jacinto, Shelby, Titus, Trinity, Tyler, and Upshur.
The City of Ithaca applied for Category 1b suburban area grant funding in the amount of $900,000. The Ithaca LEAD Program (ILP) will reduce repeated arrests and incarceration for people whose unlawful conduct stems from unmet behavioral health needs in the city of Ithaca and adjacent towns in Tompkins County, New York. ILP will reduce racial disparities in criminal justice involvement for the region’s African-American population, reduce unnecessary arrests and prosecutions imposed on the justice system, improve officer efficiency, maximize the value of the city’s community-based service array, and improve outcomes for this complex population. In the era of COVID-19, these changes are especially critical. Across the nation, officers are confronting new challenges in interacting with people on the street; jails are striving to reduce incarceration so as to mitigate COVID-19 risks; and judges, attorneys, and court staff are seeking to reduce congestion in courtrooms. This project serves the city of Ithaca, New York. The project includes partnerships with Tompkins County District Attorney and Legislature, Community Leadership Team DCI, Ithaca Police Department, Tompkins County Sheriff, REACH Medical, Greater Ithaca Activities Center, and the LEAD National Support Bureau. Priority considerations addressed in this application include Qualified Opportunity Zones, as well as challenges faced by rural communities and high-poverty areas.
The Town of East Bridgewater applied for Category 1a urban area grant funding in the amount of $1,200,000. Plymouth County Outreach (PCO) will enhance the current PCO model in three ways: (1) creating a reentry support system for those returning from the Plymouth County House of Corrections with identified substance use disorders; (2) developing hotspot-targeted outreach to areas experiencing disproportionately high overdose rates; (3) expanding the harm-reduction toolkit distributed during post-overdose home visits to include items related to opioids and stimulants, including naloxone. This project serves Plymouth County, which has a population of 521,202. The project includes partnerships between 27 municipal police departments in Plymouth County, as well as the Bridgewater State University Police Department, Plymouth County District Attorney and Sheriff’s offices, as well as all local hospitals and treatment facilities. Priority considerations addressed in this application include a high rate of overdose deaths in a persistent poverty area.
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.
The Institute of Business Analytics (IBA) is the research hub for the Culverhouse College of Business at the University of Alabama. IBA will develop the Unified Nexus for Leveraging Opioid Crime Knowledge (UNLOCK) system, which will provide decision makers with the information they need to allocate resources and policies in a timely manner. The UNLOCK system will serve as a data communications pipeline whereby information from the Alabama Department of Forensic Sciences, Medicaid, and other future partners can flow back up the chain to decision makers in a de-identified manner. The data will consist of summarized toxicology information, evidence test results, and coroner death report information and other georeferenced data that will assist decision makers. The UNLOCK system will be deployed to field officers, law enforcement administrators, prosecutors, community affiliates, public health providers, and researchers to provide them with complete analytics capability.
The University of Kentucky Research Foundation, on behalf of the Kentucky Injury Prevention and Research Center (KIPRC), a bona fide agent for the Kentucky Department for Public Health (DPH), will (1) develop an algorithm-based mechanism to identify high-volume, high-risk opioid prescribing specialty groups within a health-care system to provide actionable information to health-care leadership to initiate targeted education; (2) develop an algorithm to identify inpatients whose specific principal diagnoses increase the likelihood that they will receive opioid prescriptions upon discharge and during follow-up care; and (3) develop diagnosis-specific patient education materials to facilitate a health-care system intervention for inpatients with these diagnoses. The results will be disseminated by developing reports, peer-reviewed manuscripts, and a repository of developed and tested patient- and prescriber-oriented educational materials to facilitate replication in other health-care systems and settings.
The State of Vermont Department of Health Division of Alcohol and Drug Abuse Programs will identify community-level data sets pertaining to opioid use/misuse and associated physical, mental, environmental, and social health consequences and develop a data platform for community groups to access and manipulate data to identify pertinent local areas of concern. Vermont is recruiting a research partner for the proposed project.
The Washington State Department of Health will improve the quality and accuracy of prescription monitoring program (PMP) data, expand use of PMP data for surveillance of opioid-related health outcomes, enhance the production and dissemination of education materials, and assist the Washington State Department of Health in advancing a vision of a modular, interoperation, and flexible architecture for public health surveillance.
The Washington State Department of Health (DOH) will link prescription drug monitoring program (PDMP) data with various public health data sets housed within DOH and expand data visualizations and data sharing to help Washington State (and local partners) make data-based decisions regarding treatment and prevention of prescription drug-related health outcomes.
The Waukesha County Criminal Justice Collaborating Council will work with the District Attorney’s Office to develop a pre-charge diversion program for low-risk offenders who abuse illicit or prescription opioids and expand the use of deferred prosecution agreements for moderate-risk offenders who abuse illicit or prescription opioids. The University of Wisconsin–Milwaukee will serve as the evaluator for the proposed project.
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 fourth largest agricultural county in the state with over 123,000 residents. The project includes partnerships between Southern Health Partners, Wayne County’s Day Reporting Center, Wayne County Health Department, and One to One with Youth, Inc. Priority considerations addressed in this application include Qualified Opportunity Zones and persistent poverty.
The West Allis Health Department will implement the Cardiff Model, an enhanced violence surveillance system and intervention that involves information sharing and violence prevention among law enforcement, public health, and the medical field. The model requires (1) the collection, linking, and mapping of interpersonal violence information from emergency departments, police departments, and other relevant areas (e.g., emergency medical services [EMS]); and (2) the convening of a multidisciplinary stakeholder consortium to discuss and utilize timely information to implement data-informed violence-prevention activities. The Cardiff Model has not been evaluated regarding its impact in the United States and requires evaluation in the proposed health-care, population, and environmental contexts. Further, by incorporating and discussing opioid-related data sets (e.g., the Overdose Detection Mapping Application Program [ODMAP], the Prescription Drug Monitoring Program [PDMP]) alongside violence data sets, this model may have utility for addressing the intersection of violence and opioid misuse. The Medical College of Wisconsin and its Comprehensive Injury Center will serve as the research partner for the proposed project.
The West Virginia Department of Health and Human Resources proposes a partnership among the West Virginia Office of Emergency Medical Services (EMS); the West Virginia Poison Control Center; medical examiners; the West Virginia Office of Maternal, Child and Family Health; and EMS, fire, and law enforcement personnel. The project will develop and enhance information sharing partnerships by linking data and distributing performance measure reports with respect to prehospital naloxone administration as well as fatal and nonfatal overdoses. The University of North Carolina–Chapel Hill Department of Emergency Medicine EMS Performance Improvement Center will serve as the research partner for the proposed project. A Web service will be developed that delivers data to the Overdose Detection Mapping Application Program (ODMAP).
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.
The Justice and Community Services (JCS) section of the West Virginia Division of Administrative Services will address the opioid crisis in West Virginia by increasing the number of technology-assisted treatment services for individuals involved with the justice system because of an opioid use disorder in rural areas. The program plans to provide mental health services, addiction recovery services, and alternative sanctions or diversions. These services will be implemented through existing community corrections programs and future partnerships to provide risk and need assessments, group counseling, and individual counseling. The project will purchase and install the necessary hardware and software in statewide community corrections programs. The Office of Research and Strategic Planning (ORSP), a unit with JCS, will provide the research needs of the project.
The Justice and Community Services (JCS) section of the West Virginia Division of Administrative Services partnered with the West Virginia Office of Research and Strategic Planning (ORSP), the West Virginia Division of Health Human Resources’ Bureau for Behavioral Health (BBH), county commissions, and nonprofit residential recovery programs in increasing the number of peer recovery coaches and expanding available peer recovery services throughout the state.
The Whatcom County Prosecuting Attorney’s Office (PAO) proposes to implement a Law Enforcement Assisted Diversion (LEAD) program in Whatcom County. Grant funds will be used to hire a Project Coordinator through the Whatcom County PAO and three case managers through a subcontract to Sea Mar Community Health Center. Funds will also be used to support transitional housing. Project partners include the Whatcom County Public Defender’s Office, the Whatcom County Sheriff’s Office, the Whatcom County Health Department, the City of Bellingham Police Department, the City of Bellingham City Attorney’s Office and Sea Mar Community Health Center.Project Profile
The Winnebago County District Attorney will improve data infrastructure and develop diversion strategies for people with opioid use disorders using evidence-based components. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
The Wisconsin Department of Justice, in partnership with the Wisconsin Department of Health Services, will develop a comprehensive state plan that will assist the state and localities in engaging and retaining individuals in the justice system in diversion, treatment, and recovery services. This plan will identify training and technical assistance programs for localities aimed at improving treatment engagement and client outcomes; supporting the tracking, compiling, coordinating, and dissemination of statewide and local data; and expanding the collaborative efforts between state and local agencies. Funding is also provided to implement the plan once it is approved.
The Wisconsin Department of Justice (DOJ), in partnership with the Wisconsin Department of Safety and Professional Services, Department of Health Services, and Medical College of Wisconsin, will develop and enhance local and state information sharing partnerships by adding overdose fatality review teams in eight jurisdictions, providing training to these new teams, and piloting a bidirectional information sharing of the Prescription Drug Monitoring Program (PDMP) with the DOJ, emergency medical services, and the medical examiner to better inform prescribers of overdose activity.
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.Project Profile
The Wyoming County District Attorney’s Office (WCDAO) will establish a peer recovery support program to improve access to treatment for overdose survivors and their families. The certified recovery specialists will meet with patients in the emergency department and throughout the community and will coordinate referrals/warm hand-offs to behavioral health agencies within the county. WCDAO will also establish a new program to connect individuals who interact with first responder agencies, including EMS, fire departments, and law enforcement, with evidence-based treatment resources for substance abuse and mental health. This program will also provide training to first responders on addiction, mental health, and trauma-informed care. A formal law enforcement diversion program will also be created to connect individuals with treatment.Project Profile
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.Project Profile
Yurok Tribal Health and Human Services applied for a Category 1c tribal/rural area grant in the amount of $600,000. The Regional Expectations Accede to Coordination for Healing: Opioids Undercut by Treatment (REACH OUT) program will provide pre-court and court-connected culturally responsive programs that prioritize and expedite early assessment, treatment, recovery, and other supportive services to address communities impacted by opioids, stimulants, and other substances. The program will use the following strategies: (1) tribal healing to wellness approaches; (2) peer recovery; (3) team staffing and court hearings; (4) hot spot analysis (measuring increases in MAT and other drug treatment services); and (5) community education about culturally attuned services that meet the needs of the whole individual, family, and community. This project serves rural territories in Del Norte (1,139 tribal members and 27,828 total population), Humboldt (2,024 tribal members and 136,800 total population), and Trinity (45 tribal members) counties in northwestern California. The project includes partnerships between two tribal courts, two state courts, and their justice partners’ tribal and county law enforcement, attorneys, medical clinics, hospitals, and social services. Priority considerations addressed in this application include rural, high-poverty communities facing real challenges, such as lack of public transportation, limited availability of alcohol and other drug treatment, and other support services.
The Yurok Tribal Court’s long-term goal is to develop, implement, and enhance diversion programs to address the escalating opioid epidemic within the Yurok community. The Yurok Tribe will be implementing the Yurok Opioid Diversion to Healing (YODH) Program. YODH will complete a Yurok Tribal Action Plan and community assessment, implement a community education and outreach program and workplace opioid awareness program, develop and implement a screening process in collaboration with the Humboldt and Del Norte Sheriffs’ Offices and the Superior Courts, and establish a formalized diversion process.