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 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 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 City of Searcy is applying for a Category 1 award in the amount of $600,000. The Searcy Police Department Comprehensive Opioid, Stimulant, and Substance Abuse (COSSA) project will promote a higher level of cooperation and collaboration among the local agencies; improve the effectiveness of law enforcement to combat illicit opioid use, possession, and distribution and to improve interdiction efforts through training that focuses on up-to-date and relevant information about opioid misuse protocols, the importance of sharing information statewide, and collaboration between Drug Task Force members and law enforcement in general; and support and offer assistance to those affected by opioid use and opioid overdose. This collaborative effort will produce more effective investigations, prosecutions, treatment, and recovery involving opioids. This project serves Searcy, the largest city and county seat of White County, Arkansas, which has a population of 23,660. The project includes partnerships between the Searcy Police Department, the White County Sheriff’s Office, the Prairie County Sheriff’s Office, the Lonoke County Sheriff’s Office, the Central Arkansas Drug Task Force, and health and rehabilitation community partners.
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 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.
Mendocino County Behavioral Health and Recovery Services (MCBHRS) is applying for Category 1 funding in the amount of $600,000. The Bridge Program will identify individuals with opioid use disorder (OUD) and other substance use disorders (SUDs) and start them on medication-assisted treatment (MAT) in custody and case manage them to MAT and/or substance use treatment services at clinics and Mendocino County Behavioral Health Substance Use Disorders Treatment (SUDT) sites pre-release. The program will continue to follow these individuals post-release and support them however possible. The program will fund a behavioral health case manager to work full time within the jail and perform comprehensive case management and discharge planning. The project serves rural Mendocino County, which has a population of 86,749. The project includes partnerships between MCBHRS and the SUDT, Mendocino County Sheriff’s Office, Mendocino Community Health Clinics, and Mendocino Coast Clinics. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
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.
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 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.
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 Connecticut Department of Mental Health and Addiction Services (DMHAS) is applying for Category 2 funding in the amount of $5,999,998. The Community and Law Enforcement for Addiction Recovery (CLEAR) Project is a multilateral, community-based opioid overdose response program that will be piloted in six jurisdictions across Connecticut. The CLEAR Project will establish partnerships between community agencies and law enforcement to increase connections to care for people with a substance use disorder (SUD) and create a collaborative response to addiction among community partners. For each jurisdiction, the CLEAR Project will conduct assessments; implement an IPIS/Cordata Integrated System for data tracking and referral management; establish a coordinated safety net of recovery coaches and overdose response teams; support families, including through the identification and referral to services of children impacted by a family member’s SUD; increase access to medication-assisted treatment; and implement a community-based, data-driven dispatch response to surges in overdoses. The goal is to create a replicable model for overdose response that can be scaled in communities across the entire state. Sites were selected based on need, population diversity, and readiness to implement the program. The project serves Bridgeport, Greenwich, Norwalk, Torrington, Winsted, and the State Police Troop B and State Police Troop L service districts; together, the districts represent much of Fairfield and Litchfield counties. The project includes partnerships between DMHAS and the McCall Center for Behavioral Health, Liberation Programs Inc., the Bridgeport Police Department, the Greenwich Police Department, the Norwalk Police Department, the Torrington Police Department, and the Winsted Police Department. The project will engage Dr. Carol Gregory and Dr. Kelly Firesheets as evaluation partners. Priority considerations addressed in this application include a high rates of overdose deaths. The project will also benefit individuals residing in high-poverty areas.
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.
Citrus County is applying for a Category 1 award in the amount of $387,581. The Citrus County Sheriff's Office Substance Abuse Social Worker Program will embed social services with law enforcement in order to rapidly respond to drug overdoses where children are impacted. Additionally, the Citrus County Sheriff’s Office intends to provide prevention, response, and diversion from the criminal justice system to individuals who are affected by substance misuse. The Sheriff’s Office will employ two substance misuse social workers to fulfill these goals. The substance misuse social workers will review and follow up on all reports of nonfatal overdoses, including contacting individuals who have experienced an overdose and connecting them with community-based resources. The substance misuse social worker will collaborate with child protective investigators with the Department of Children and Families (DCF), as well as case managers with Youth Family Alternatives (YFA). The social worker will communicate successes in treatment and assist in potential reunification of children and will also collaboratively work with DCF and YFA to connect children with early intervention therapy resources to reduce the likelihood of adverse childhood experiences affecting them. The Sheriff’s Office will also create and introduce a Marchman Act Assessment tool to be used in all non-fatal overdose cases. This project serves Citrus County, Florida, which has an approximate population of 149,657 residents. Partnerships include strong relationships with community partners, DCF, and YFA.
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 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.
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.
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.
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 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 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 County of Marion is applying for a Category 1 award in the amount of $1,163,404. The Marion County Sheriff's Office’s (MCSO) Increasing MAT Capacity program will increase medication-assisted treatment (MAT) program capacity to fund a full scale, comprehensive MAT program that focuses on three parts: continuation, induction, and community connectivity. MAT in this program refers to the use of U.S. Food and Drug Administration (FDA)-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders as a medical disorder. There are three FDA-approved medications used to treat opioid use disorder (OUD), and two will be used in this program: buprenorphine and naltrexone. This program will screen all arrestees at Marion County Jail Intake for OUD, continue MAT treatment for patients that self-report at Marion County Jail Intake to be currently enrolled in a MAT program, identify at-risk patients and induct on MAT, and ensure patients are connected to health insurance and MAT in the community prior to their release. This project serves Marion County, which includes the city of Indianapolis, Indiana, and has a population of approximately 101,020. The project includes partnerships between MCSO, MCSO’s Behavioral Management Team, Wellpath, and Midtown Community Mental Health. Priority considerations addressed in this application include that the individuals who will benefit from the project live in high-poverty areas.
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 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 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.
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.
Initially, the Boston Police Department (BPD) COSSAP strategy consisted of the following: BPD in partnership with the Boston Public Health Commission, expanded and enhanced 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 along with the Boston Fire Department conducted a home-based outreach intervention with at least 100 individuals per quarter who had recently experienced nonfatal opioid overdoses to provide access to naloxone and recovery support services. These individuals received prioritized access to detoxification and treatment services, as well as access to medication-assisted treatment. While this strategy was implemented for a large duration of the grant, the BPD and COB experienced a number of policy changes due to a homelessness and SUD crisis in Boston’s Melnea Cass neighborhood of Boston, while in the midst of a global disaster (COVID-19), and major city of Boston anti-police protests, demanding that police not intervene with those homeless / SUD persons in the Melnea Cass area. Furthermore, during the same time period, Boston was experiencing a 300% increase in reported drug facilitated sexual assaults (DFSAs). Following such events, and due to significant increases in spiked drinks across the city, we put together a DFSA Initiative that was presented to, and approved by the COSSAP Program Officer from the US Department of Justice/Bureau of Justice Assistance, to implement under this grant. Given that, we are in the process of working with our Intelligence, Sexual Assault, and Licensing Units to identify a more efficient method of gathering intel and collecting data regarding these cases, while also developing a new crime code, training manual, and incremental steps to address this issue internally with the BPD, and externally with our City of Boston agency and community partners, including but not limited to the Higher Education community. . We are currently cultivating relationships with various Boston colleges and universities and will be convening a monthly round table to discuss DFSA on college campuses, and in local bars and house parties, while also partnering with the COB’s Public Health Department to work on the development of a public awareness campaign.
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 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.
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 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 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 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 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.
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.
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 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.
The Seekonk Police Department is applying for Category 1 funding in the amount of $798,156. The Bristol County Outreach Opioid Intervention/Mental Health Program is a law enforcement-led post-overdose outreach collaboration among eight towns in Bristol County that will facilitate access to treatment for individuals struggling with substance use disorder, as well as support for their families and friends. The program includes hiring a project coordinator/clinician and a recovery specialist to support the eight-town coalition of police departments in their efforts to provide post overdose/referral recovery support services to individuals experiencing non-fatal overdoses and those determined to be at risk for overdose. Outreach teams will conduct post-overdose home visits within 72 hours of an overdose to offer access to treatment. Outreach will also include distribution of harm reduction tool kits including naloxone. All eight towns currently use countywide overdose/referral tracking software called the Critical Incident Management System (CIMS), which tracks all fatal and non-fatal overdoses, shares data among law enforcement agencies, and documents post-overdose follow-up. The project serves the towns of Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset in Bristol County, which have an aggregate population of 136,738. The project includes partnerships between the municipal police departments in Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset. The project will engage Kelley Research Associates as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
The St. Mary’s County Health Department (SMCHD) is applying for a Category 1 award in the amount of $899,963. The St. Mary’s County Day Reporting Center project will provide community-based services and treatment to offenders under parole/probation in St. Mary’s County, Maryland. The offenders will live at home and report to the center on a daily basis. While at the center, the offenders receive various services including substance misuse counseling, anger management, moral reconation therapy, parenting skills, relapse prevention, mental health coordination, job skills, case management, educational classes, life skills, after-care planning, and touch-ups. This project serves a population of roughly 113,510 individuals in St. Mary's County. The project includes partnerships between SMCHD and St. Mary's County Detention and Rehabilitation Center (SMCDRC).
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.
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 Michigan State Police (MSP) is applying for Category 2 funding in the amount of $5,675,564. The MSP COSSAP project will provide subawards to multiple community agencies in seven counties (Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee) across Michigan that have not previously received Bureau of Justice Assistance funding to develop and expand their overdose prevention programs. The selected counties are a mix of rural and urban jurisdictions that have experienced a high overdose burden, have limited access and resources to substance use treatment services compared to other counties in the state, and are ready to implement their programs within the required time frame of the grant. Strategies include development and expansion of quick response teams, law enforcement embedded social workers, jail-based medicated-assisted treatment with recovery coaches, law enforcement assisted diversion, naloxone for first responders, and drug checking sites; the latter will be the first program in Michigan to pilot this service for people who use drugs. The project will also support drug take back events. The MSP will partner with local agencies to ensure that there is no duplication of funding. The goal of the project is to reduce the rate of overdoses and the racial/ethnic disparities in overdose mortality rates in order to help families and communities heal and recover. The project serves Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee counties, with a total population of 1,458,377. The project includes partnerships between MSP and local public health departments, community organizations, and law enforcement agencies in each of the participating counties. The project will engage the University of Michigan School of Nursing as an evaluation/research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
The City of Duluth is applying for a Category 1 award in the amount of $899,982. The Substance Use Response Team of the City of Duluth Police Department’s Lake Superior Drug and Violent Crime Task Force (LSDVCTF) proposes a program model that would expand upon the services it currently provides, allow for the program to assist more individuals regardless of drug of choice, and shorten times between overdose events and contact from the team, thereby allowing for quicker access to treatment. This project serves the entire LSDVCTF region, which includes St. Louis, Carlton, and Lake Counties in Minnesota, as well as the city of Superior in Wisconsin. This entire region has a total population of 288,732. The project includes partnerships between St. Louis County Public Health and Human Services, St. Louis County Drug Court, the Center for Alcohol and Drug Treatment, and SOAR Career Solutions. This project will engage Dr. Jeff Maahs from the University of Minnesota Duluth as the research partner for this project. Priority considerations addressed in this application include services and referrals in designated Qualified Opportunity Zones.
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 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 Hennepin County Sheriff’s Office (HCSO) is applying for Category 1 funding in the amount of $1,067,674. The Peer Support and Community Outreach Program will enable HCSO to expand peer recovery support services to individuals in custody, as well as recovery support services including transitional or recovery housing. It will also expand community access to drug-take services. The HCSO, in partnership with Bold North Recovery and Consulting, will conduct community outreach and education efforts among residents at community events, which will feature distribution of medication disposal bags, education about the dangers of opioids, signs of addiction, treatment options, and the proper administration of naloxone. The HCSO will partner with Heritage Health Solutions to pilot Heritage CARES, a virtual peer recovery support services program, for which Heritage Health Solutions will provide training to key detention staff members. The project will conduct 24 community education sessions annually and distribute 1,200 drug disposal pouches and 2,499 naloxone kits. It will also provide virtual peer recovery support services for up to 435 residents. The project serves Hennepin County, which has a population of 1.3 million residents spanning 600 square miles. The project includes partnerships with Bold North Recovery and Consulting and Heritage Health Solutions. A priority consideration addressed in this application is building trust between law enforcement and the community.
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.
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.
The Mississippi State Department of Health (MSDH) is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Mississippi Opioid, Stimulant, and Substance Abuse Program will implement universal SUD screening with comprehensive evidence-based SUD interventions delivered through collaboration between patient and provider. They will improve the timeliness and quality of drug overdose information on death certificates and the transfer of this information electronically to support the rapid exchange of death information. The program will select an appropriate web-based naloxone administration training portal to train law enforcement and other first responders on administration of naloxone and expand the availability of naloxone to those that receive training. Also, the program will extend and expand access to evidence-based treatment interventions through MSDH county health departments. This project serves all citizens of the state of Mississippi, a predominately rural state with a population of 2.9 million residents. The project includes partnerships between the Mississippi Public Health Institute, Mississippi Office of Forensics Laboratories, and the University of Mississippi Medical Center. Priority considerations addressed in this application include rural, high-poverty areas, and Qualified Opportunity Zones.
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 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 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.
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 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.
Onslow County is applying for a Category 1 award in the amount of $899,943. The Onslow County COSSAP 2021 project will provide medication-assisted treatment (MAT), therapeutic counseling, and recovery case management in the Onslow County Detention Center (OCDC). The three target populations are opioid-addicted pregnant women, those currently receiving MAT from a community provider when booked into OCDC, and inmates initially assessed with an opioid dependency and a misdemeanor conviction. In addition, each individual will be connected to appropriate MAT, evidence-based therapeutic counseling, and recovery support services in the community upon release. These services will include recovery housing, health, education/training, and employment support coordinated by the recovery support case manager and a certified peer support specialist. This project serves Onslow County, which has a population of 211,881. The project includes partnerships between Southern Health Partners, Oxford House, Women/Children Housing, Hope is Alive, Coastal Carolina Community College and its Adult High School, NCWorks Career Center, the Onslow County Public Health Department, Goshen Medical Center, the Onslow County Department of Social Services, ACT Associates, and Integrated Family Services.
The Public Health Authority of Cabarrus County is applying for Category 1 funding in the amount of $900,000. Through the Providing Medication Assisted Treatment (MAT) and Recovery Support Services to Individuals with Opioid Use Disorder (OUD) project, Cabarrus Health Alliance (CHA), the local health department for Cabarrus and Rowan counties, will provide MAT to 50 uninsured individuals with OUD residing in the counties. The program will combine pharmacotherapy (via buprenorphine-naloxone), behavioral health treatment, voluntary access, recovery support services, and low-barrier access for participation. CHA will receive referrals for detainees post-release from the Cabarrus County Detention Center (CCDC) and recruit other MAT patients through its internal syringe access program and MAT program for pregnant women with OUD. The program will expand local capacity for care beyond pregnant women with OUD to adults with OUD; increase the number of individuals with OUD receiving MAT in combination with behavioral health services; and decrease opioid overdoses among participants of the MAT program. The project serves Cabarrus and Rowan counties, with a total population of 358,541. Parts of both counties are U.S. Human Resources and Services Administration-designated Medically Underserved Areas and Health Professional Shortage Areas in primary, dental, and mental health care and are also designated as High-Poverty Areas. The project includes partnerships with CCDC, the Stepping Up Initiative, and Atrium Health Addiction Services. Priority considerations addressed in this application include disproportionate impact by the misuse of opioids, protecting the public from crime and evolving threats, and benefiting individuals residing in high-poverty areas or persistent-poverty counties.
The Wake County Sheriff’s Office (WCSO) will develop an Opioid Abuse Management Program, which aims to reduce the high rate of opioid overdoses and opioid fatalities in Wake County. The Opioid Abuse Management program will be overseen by a Program Coordinator who will implement and oversee the progress of the program. Funding through the program will ensure that all deputies are equipped with naloxone to administer and reverse the effects of an overdose. The program will also provide handheld narcotics analyzers and necessary accessories, which will enable deputies to quickly identify suspected controlled substances in emergency situations. Tablets will also be funded through the program and will be provided to deputies responding to substance abuse calls. These tablets will provide a direct connection to Alliance Health Access and Information Line, where deputies will receive immediate virtual assistance from a social services professional. Tablets will also be used in the Detox Unit by project staff for reporting and data management, as well as by residents housed in the Detox Unit to assist with job applications, substance abuse treatment programs, and telehealth visits. WCSO recognizes that our duty of care must not stop upon a resident’s release and therefore will implement collaborative partnerships with behavioral health clinics and treatment providers to expand our comprehensive efforts to respond to, treat, and support those impacted by illicit opioids, stimulants, and other drugs of abuse once released from our care. WCSO will procure a software company to develop and implement a Substance Abuse Disorder Management Platform that will track treatment during incarceration and upon release. This software will connect the WCSO with outside healthcare professionals to better understand patterns and to share crucial information.
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 City of Bismarck is applying for Category 1 funding in the amount of $900,000. Supporting First Responders Through Behavioral Health Interventions, Medication Assisted Treatment, and Connections to Care in the Emergency Department, a multidisciplinary overdose prevention, response, and referral model led by first responders, will serve as a bridge to intervene with overdose victims to transition them to medication-assisted treatment (MAT) and substance use disorder (SUD) treatment. Bismarck Police Department will partner with Heartview Foundation, a licensed addiction treatment provider, and Sanford Health Emergency Department to increase utilization of MAT for individuals with opioid use disorder; utilize recovery support services in the Sanford Emergency Department (ED) to develop a bridge between emergency room, law enforcement/first responders, and individuals needing treatment; and increase the availability of naloxone. The project will also increase communication efforts to reduce stigma surrounding SUDs, opioid use disorders (OUDs), and MAT. Deliverables include interventions with 90 individuals who have experienced an opioid overdose, as well as an additional 80 patients referred from the Opioid Overdose Bridge. Sanford Health ED will train ten medical professionals and twelve support staff members on SUD, MAT, and procedures for the Opioid Overdose Bridge. The project serves the Bismarck-Mandan Metropolitan Area in North Dakota, with an estimated population of 126,990. The project includes partnerships with the Bismarck, Mandan, and Lincoln Police Departments, the Burleigh and Morton County Sheriff’s Departments, Bismarck-Burleigh Public Health, Custer Health, Sanford Health Emergency Department, Ministry on the Margins, and Heartview Foundation. The project will engage Dr. Erin Winstanley, Vice Chair of Research, Department of Behavioral Medicine & Psychiatry at West Virginia University School of Medicine, as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
Atlantic City is applying for Category 1 funding in the amount of $600,000. The Atlantic City COSSAP program will focus on promoting public safety and supporting access to recovery services, strengthening data collection and sharing, aligning and maximizing resources, and preventing substance use. It will implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery engagement through recommendations made by the city’s overdose fatality review team, bringing together stakeholders with different perspectives and different data sets to improve public health and clinical practices. Strategies include enhanced outreach to overdose survivors and their families and enhanced targeting of high-frequency cases. Goals of the project include reducing the impact of opioids, stimulants, and other substances on individuals and communities, reducing the number of overdose fatalities, and mitigating the impacts on crime victims by supporting comprehensive, collaborative initiatives, in part by enhancing the proactive use of prescription drug monitoring programs to support clinical decision making and preventing the misuse and diversion of controlled substances. The project serves Atlantic City, which has a population of 37,999. The project includes partnerships with the city’s Director of Public Health, the Jewish Family Services Department, Southern Jersey Family Medical Center, AtlantiCare Regional Medical Center Behavioral Health, the Atlantic City Police Department, the Atlantic City Municipal Court, and emergency medical services. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
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 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 New Jersey State Parole Board (NJSPB) is applying for a Category 2 award in the amount of $3,278,813. The FY 2021 COSSAP-New Jersey State Parole Board project will provide peer recovery-based services to individuals with substance use disorder who are under parole supervision, as well as expand Rutgers University’s current Intensive Recovery Treatment Support (IRTS) program and create a team of providers specifically dedicated to the needs of individuals under NJSPB supervision. The target population to be served under this grant will be a minimum of 110 adult offenders released from New Jersey state correctional facilities to parole supervision residing in any one of New Jersey’s 21 counties. Medium-to-high-risk offenders will be identified prior to their release from prison and will be referred, when released on parole, to receive IRTS services with the aid of a Peer Health Navigator. The project includes a partnership with Rutgers University Behavioral Health Care. Priority considerations addressed in this application include protecting the public from crime and evolving threats, building trust between law enforcement and the community, and serving individuals residing in high-poverty areas.
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 Nevada Office of the Attorney General (NOAG) is applying for Category 2 funding in the amount of $5,751,772. The project involves enhancing existing or implementing new drug deflection/diversion programs undertaken by Mobile Outreach Safety Teams (MOST) or Forensic Assessment Services Triage Teams (FASTT), increasing provision of naloxone, and conducting drug take-back days to address drug/mental health crisis situations. MOST is a jail and hospital diversion program whereby public safety personnel and behavioral health clinicians collaborate to address the behavioral health needs of people involved in or at risk of involvement in the criminal justice system. FASTT provides assessment and case management for individuals who are screened as moderate to high risk using the Ohio Risk Assessment System and those with mental health and co-occurring disorders. The project serves seven sites from Nevada’s 16 counties and one independent city: Carson City, Churchill, Douglas, Lincoln, Lyon, Nye, and Storey. The subaward sites consist of three designated rural areas, three designated frontier areas, and the smallest urban area in Nevada. The project includes partnerships between the NOAG and the Nevada Department of Health and Human Services and community coalitions. The project will engage the University of Nevada, Reno (UNR’s) program evaluation team as an evaluation partner. Priority considerations addressed in this application include high rates of overdose deaths and a lack of accessibility to treatment providers and facilities.
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.
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.
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.
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 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.
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.
Franklin County, Ohio, applied for grant funding under Category 1A in the amount of $1,200,000. This project will serve individuals incarcerated at the Franklin County Jail and screened as at-risk for substance use dependency and drug-related overdose. The purpose of the project is to (a) reduce drug-related overdoses and deaths, (b) increase peer support and treatment referral and linkage, (c) increase access to medication-assisted treatment pre- and post-release, and (d) decrease recidivism. The Fast Track to Treatment initiative includes partnerships with the Franklin County Sheriff’s Office, Franklin County Municipal Court, Southeast Inc., Alvis180, and PrimaryOne Health. Priority considerations addressed in this application include a program model that focuses services in a county with a demonstrated disproportionate number of drug overdose deaths (43.3 overdoses per 100,000 as compared to the U.S. rate of 20.7 overdose deaths per 100,000) and program implementation intended to improve public safety by targeting services in federally designated Qualified Opportunity Zones. Dr. Gretchen Clark-Hammond, CEO of Mighty Crow, shall serve as program evaluator for the proposed project.
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.
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.
Hocking County is applying for Category 1 funding in the amount of $539,464. The Hocking County Overdose Prevention and Harm Reduction Project will expand the county’s deflection programming from a Quick Response Team (QRT) called QRT Hocking Overdose Partnership Endeavor (HOPE) into one that partners with outside agencies by funding positions that link students and families to treatment and services for substance use disorders. The project will subcontract with a mental health practitioner within the Logan-Hocking School District (LHSD) and a deflection specialist within the Hocking County Health Department who will work directly with overdose victims and their families or those identified as being at a higher risk for having an overdose, as well as monitor a new crisis hotline within the health department and facilitate outreach and education into the community. LHSD will house the mental health practitioner within the high school and middle school in order to meet with students who have encountered an overdose or drug use, either among themselves or their families. The practitioner will be responsible for participating in the Handle with Care Program, an evidenced-based program designed to assist children in their school setting if a law enforcement encounter has happened inside their home. A multifaceted public awareness and education campaign will be created to increase the number of families who call the hotline. The goal of the project is to expand collaboration and partnerships among providers and agencies in Hocking County and to expand the existing framework of services to include stationary positions within fixed, strategic locations where students and families affected by the drug crisis frequent. The project serves Hocking County, a rural area with a population 28,264. The project includes partnerships with the LHSD and the Hocking County Health Department. The project will engage Wes Gilkey as a research partner. Priority considerations addressed in this application include the promotion of civil rights, support to crime victims, and building of trust between law enforcement and the community.
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.
The Muscogee Creek Nation Department of Health (MCNDH) is applying for Category 1 funding in the amount of $600,000. The MCNDH COSSAP Program will work across Muscogee Creek Nation (MCN) tribal programs to identify adult citizens who are at risk or suffering from opioid use disorder (OUD); train law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation; and expand treatment for patients. MCNDH will partner with the MCN Lighthorse Police Department (LHP) to administer the grant. The project will hire a project coordinator and a client navigator to establish a relationship with a medication-assisted treatment provider; provide annual professional training to all providers at all tribal health clinics; review and update policies and procedures on opioid treatment and administration; and review the process to identify, screen, assess, and refer OUD patients. The project will also purchase 300 naloxone kits to provide to law enforcement officers, emergency management personnel, and rural volunteer firefighters upon completion of naloxone administration training; purchase two 38-gallon drug disposal bins to be placed at two locations within the reservation for disposal of unwanted, unused, or expired controlled substances; and purchase 2,500 drug disposal system pouches. The project aims to provide case management and peer support for at least 100 patients; training for 300 law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation on how to identify an opioid overdose and how to administer naloxone; and training for 500 MCNDH staff, law enforcement officers, emergency management personnel, and rural volunteer firefighters to identify patients for potential OUD. The project serves the Muscogee Creek Nation, which has a population of 91,053 across 11 counties in east-central Oklahoma. The project includes partnerships between MCNDH, LHP, the MCN’s Social Services Program, the Indian Child Welfare Program, and the Family Violence Prevention Program. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
The Crook County Health Department’s Comprehensive Opioid, Stimulant, and Substance Abuse Prevention Program will identify and implement an evidence-based law enforcement and first responder diversion program; build capacity with the school district and law enforcement for education and prevention programs for K-12; enhance real-time data collection, analysis, and dissemination; increase access and accessibility to harm reduction strategies such as naloxone distribution and medication take-back programs; and assess needs and capacity for supporting medication-assisted treatment within the local jail, in addition to local recovery and support services. This project serves Crook County, a rural community in Oregon with a population of 25,562. The project includes partnerships between the Crook County Health Department, the Crook County Sheriff’s Office, the Prineville Police Department, BestCare Treatment Services, Rimrock Trails Treatment Services, the Crook County School District, Central Oregon Health Counsel, the Pain Standards Taskforce, St. Charles Health Systems, and Crook County Fire and Rescue. Those who will benefit from CCHD’s COSSAP project include individuals with opioid use and other substance use disorders, community partner organizations, and the community as prevention curriculum is implemented into Crook County School District K-12 and outreach and educational materials are provided to the entire population.
Marion County will expand its pilot diversion program in Salem, Oregon. This project will be based on the Law Enforcement-Assisted Diversion (LEAD) model.
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 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 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.
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 City of Charleston is applying for Category 1 funding in the amount of $900,000. The Charleston County Addiction Crisis Task Force Police Assisted Peer Recovery Program, a law enforcement diversion program that will fund three positions: one project coordinator to provide data collection and analysis services to all law enforcement agencies in Charleston County and two peer support specialists to support law enforcement officers while conducting outreach. The project will also expand Charleston’s existing partnership with the Police Assisted Addiction and Recovery Initiative (PAARI) to include officer training, oversight of peer support specialists, and the design of multimedia products to inform officers and the community of this outreach initiative. The project will fund Critical Incident Management Software (CIMS) to facilitate communication between police-based outreach programs and treatment facilities to track follow-up success, with support from Kelley Research Associates (KRA) and ODMAP to facilitate real-time overdose follow-up communication across the county. The peer support specialists will deploy with trained QRT officers for the purpose of engaging individuals who recently suffered an overdose or presented signs of a substance use disorder during an interaction with law enforcement. They will be responsible for developing recovery plans to support overdose survivors as they transition to treatment. Harm reduction kits that include fentanyl test strips, clean injection equipment, naloxone, gloves, and information on local resources so that overdose deaths and other negative health outcomes associated with drug use can be reduced will be made available to survivors and at other locations. The goal of the project is to achieve a 15 percent reduction in the number of days from overdose to outreach. The project serves the City of Charleston, which is the nexus of the Charleston-North Charleston-Summerville Metropolitan Statistical Area and has a population estimated at 713,000, with an estimated 411,000 in Charleston County. The project includes partnerships with the Charleston Police Department, the Charleston County Sheriff’s Office, the North Charleston Police Department, and the Mt. Pleasant Police Department, all of which have officers serving on the Charleston County Addiction Crisis Task Force (ACT Force). The project will engage Kelley Research Associates to implement the CIMS and to evaluate the program. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.
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.
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 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.
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 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.
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.
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.
The City of Madison Police Department proposes to enhance its pre-arrest diversion program with additional pathways to treatment that include self-referral, active outreach, naloxone plus (Quick Response Team), and officer prevention and intervention. Grant funds will be used to hire an addiction resource team comprised of an addiction resource officer, community paramedic, and certified peer specialist, as well as an assessment clinician for referred clients, program evaluator, and project coordinator. Additional funds will be used to purchase naloxone for community distribution. The project services residents of Madison and Dane County. Project partners include Public Health Madison and Dane County, Dane County Department of Human Services, Madison Fire Department, and the University of Wisconsin Population Health Institute (UW PHI). The project will engage Janae Goodrich of the UW PHI as the research partner.
The City of West Allis Fire Department (WAFD) is applying for Category 1 funding in the amount of $900,000. The Mobile Integrated Health MAT Access Advocate Program (MAAP) will expand the range and capability of the West Allis Fire Department’s Mobile Integrated Health (MIH) team to facilitate MIH and medication-assisted treatment (MAT) services to every Milwaukee County municipality, as well as support the development of training materials to allow for application of sustainable MIH practices across the entire county. WAFD’s MIH team pairs a community paramedic and a certified peer recovery support specialist who provide targeted outreach and facilitate new enrollments or reengagements to MAT services, reaching the opioid use disorder (OUD) population via either real-time, 24/7 response to overdose emergencies or visitation to patients referred to the program from local and regional partners. MAAP will connect with each participating municipality’s local framework to establish a referral process and connect the local effort to broader regional efforts. A local hospital will provide MAT (including buprenorphine induction), mental health screening with counseling, and warm handoffs to primary care and community MAT clinics. MAPP will educate police, fire, and health departments in all Milwaukee County suburbs on how they can adopt the West Allis OUD outreach practices. MAAP will also work with county stakeholders to ensure children impacted by substance misuse receive required services. The project serves Milwaukee County, which comprises 19 municipalities and has a population of 945,726. The project includes partnerships with the Medical College of Wisconsin, the Milwaukee County Assistant District Attorney, the Milwaukee County House of Corrections, the Milwaukee County Opioid Fatality Review team, the Milwaukee County Medical Examiner’s Office, the Milwaukee Fire Department Opioid Response Initiative, the Wisconsin Department of Health Service, and the Milwaukee County Office of Emergency Management. The project will engage Dr. Jennifer Hernandez-Meier of the Departments of Emergency Medicine and Psychiatry at the Medical College of Wisconsin as the primary research and evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities.
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 Winnebago County District Attorney’s Office (WCDAO) is applying for Category 1 funding in the amount of $1,897,863. Stimulant and Opioid Addiction Recovery (SOAR) will develop a diversion strategy using evidence-based components for people with substance use disorder (SUD) and felony drug-possession cases and will improve data infrastructure, engaging stakeholders that include local justice, health, and service agencies and community-based service providers. SOAR will operate in two phases, the first beginning with the defendant being arrested or summoned to an initial court appearance. Phase 1 includes a 24/7 drug-monitoring program; Phase 2 consists of a post-charge diversion agreement. The project will collaborate with a recovery-services and training facility in Winnebago County that will provide certified peer support specialists. A local pharmacy will provide naltrexone shots to participants who are interested in pursuing that path. Pragmatic field tests of process improvements will document performance and feasibility of implementation. The project’s goal is to identify and respond to the needs of persons with SUD who are currently excluded from diversion programs. Deliverables include improved data collection to characterize and respond to SUD; a screening tool for treatment and diversion for persons with SUD; and improvements in domains important to the justice system, social-service agencies, the community, and SUD-involved persons, such as increased treatment engagement and reduced recidivism. The project serves Winnebago County, a largely rural county with a population of approximately 170,000. The project includes partnerships between WCDAO and the Winnebago County Department of Human Services, the Winnebago County Department of Public Health, Options Lab, the Winnebago County Circuit Court, the Wisconsin State Public Defender’s Office, and Fox Valley Peer-based Response, Information, Support, and Maintenance. The project will engage the New York University's Marron Institute as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
The Berkeley County Council is applying for Category 1 funding in the amount of $900,000. The COSSAP program will provide peer recovery services to address treatment and intervention needs of Berkeley County students and their family members; strengthen social services where children have been impacted by drug addition to connect them to community services; and provide sustaining funds to Project AWARE, an ongoing initiative of the Berkeley County School System with an overarching goal to improve the mental health and wellbeing of all school-aged children (K–12). Working in partnership with Berkeley County Schools and the Martinsburg Initiative, the program, hosted by the Berkeley Recovery Resource Center, will reach beyond the student population and connect families to community resources to support those in recovery or seeking recovery from substance use disorder (SUD), reducing opioid use and the number of overdoses. The hiring of a full-time social worker in the school system and youth case workers will guarantee an impact across both the new juvenile drug court and existing juvenile and adult programs. The project will also support a therapist, a peer recovery coach, and two case managers and expand case management in the ten middle and high schools of Berkeley County. It will fund the purchase of naloxone kits and staff development through additional peer recovery training, in particular in support of juveniles. The program aims to reach approximately 10,000 school-aged children in Berkeley County through prevention and education activities and expects to directly assist approximately 400 students through mental health/therapy provision and 250 families struggling with SUD through the provision of peer recovery services. The project will incorporate the ODMAP data collection tool to track near real-time fatal and non-fatal overdose data. The project serves Berkeley County, with a population of 119,171. The project will include partnerships with Berkeley County Schools, EastRidge Health Systems, and the Martinsburg Initiative. Priority considerations addressed in the application include the disproportionate impact on the county by the misuse of illicit opioids and prescription drugs as evidenced in part by high rates of overdose deaths from heroin and other opioids and a lack of accessibility to treatment providers and facilities.
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 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.