The Meshik Soul Healing Project will provide screening for substance abuse and referrals to treatment and will incorporate a cultural camp in the Native Village of Port Heiden and provide for appropriate services within the context of the Aleut, Alaska, Native/American Indian culture. The project will serve the villages of Perryville, Pilot Point, Port Heiden, and Ugashik. The villages have tribal councils, which function as tribal governments and are rural communities.
The Office of the District Attorney in Alabama’s 22nd Judicial Circuit will concentrate on response and prevention. Response will include the formation of the opiate abuse prevention task force, which will be responsible for providing expedited responses for all opiate overdoses as well as for violent crimes involving opiates. The office will provide training for all local first responders on proper crime scene management and preservation as well as treating overdose victims and witnesses. Overdose response kits will be distributed to all police and fire departments in the county. Advertising campaigns will encourage those present during an overdose to call 9-1-1 without fear of arrest, provided they are not directly responsible for the overdose. The task force will host meetings with local doctors and pharmacists to develop and promote safe prescribing protocols. In the event that patients are found to be abusing prescriptions, the office will take the proper procedures to hold them accountable and to promote treatment through rehabilitation. The office will take all available steps to prosecute any doctors found to be illegally or unnecessarily prescribing opiates. Prevention efforts will be directed at high school students through part-time work-study peer helpers, who will be hired to maintain communication with students to warn them about the dangers of opioid use. The office will also partner with Operation Save Teens, a program that shows area teenagers the dangers of opiate abuse.
The Jefferson County Board of Health will create the Recovery Resource Center Peer Navigation Initiative (RPC-PNI). The project's overarching goal is a 30 percent reduction in opioid overdose deaths in Jefferson County. In 2014, Jefferson County reported a 140 percent spike in heroin deaths, and from 2013 to 2016, it underwent a 340 percent increase in fentanyl deaths. The program will provide a peer navigator to connect 600 individuals to treatment services immediately after a nonfatal overdose or to identify a need for treatment services absent an overdose. RPC-PNI will also convene a multidisciplinary oversight team to develop effective strategies and provide overdose prevention education to 750 individuals in the community. The University of Alabama at Birmingham (UAB) Department of Emergency Medicine will serve as the project’s research partner.
The Arizona Criminal Justice Commission (ACJC) will use grant funds to hire a criminal justice treatment coordinator and bring together representatives from partner agencies and community service agencies to create and implement the Arizona Criminal Justice and Treatment Improvement Project. Since the grant provided to ACJC was a statewide planning grant, the focus of this project period will be developing and submitting an implementation grant to the Bureau of Justice Assistance (BJA) in 2019 that promotes strategies to identify and provide treatment recovery support services to high-frequency utilizers of multiple systems who have a history of opioid misuse and expanding diversion and alternatives to incarceration programs. Partner agencies include the Arizona Health Care Cost Containment System, the Arizona High Intensity Drug Trafficking Areas (HIDTA), the Arizona Department of Health Services, the State Department of Corrections, the Department of Public Safety, the Attorney General’s Office, the Administrative Office of the Courts, county attorneys, county sheriffs, chiefs of police, and county and city administration. The Arizona COAP Project team submitted its implementation grant to BJA in June 2019 under category 2-C, requesting funds to implement new programs in six sites across Arizona and to enhance and evaluate existing programs.
The LEAD Hollywood pilot program is a community-based pre-booking diversion program that aims to reduce the number of people who use opioids reentering the criminal justice system, reduce deaths from opioid overdose, and improve the health and safety of communities and individuals in Hollywood impacted by opioid use. This will be accomplished by identifying 100 homeless individuals with histories of criminal justice system involvement and opioid use and providing them with harm-reduction services in lieu of arrest and prosecution for low-level drug and prostitution-related offenses. LEAD Hollywood will serve the neighborhood of Hollywood in Los Angeles, California.
The University of California, Davis (UC Davis) will work with the California Department of Justice and other partners to perform a rigorous evaluation of California’s new law mandating use of its prescription drug monitoring program. The evaluation will focus on effects of mandated PDMP use on prescribing patterns and health outcomes, including potential unintended consequences. UC Davis will work with the Northern California High Intensity Drug Trafficking Area (HIDTA) to establish a foundational relationship between public health and law enforcement agencies. In particular, UC Davis will focus on exploring new data sources from law enforcement agencies to share with public health agencies about opioid supply and overdose. The goal is to develop protocols to predict opioid overdose and share information about supply disruptions with emergency departments, first responders, and other key agencies. UC Davis will also explore protocols for communicating directly with local emergency services directors.
Boulder County Community Justice Services will work with the project partners to develop diversion and policy-related programming across intercept points as alternatives to traditional prosecution for offenders with low criminogenic risk who are facing opioid-related charges, those with treatment needs who are residing in jail, or those reentering the community, with a focus across all interventions on those who are high system utilizers. The OMNI Institute will serve as the research partner for the proposed project.
The Longmont Department of Public Safety, located in Boulder County, Colorado, will expand its Crisis Outreach Response and Engagement (CORE) program. Grant funds will be used to support a paramedic, two peer case managers, a project coordinator, and treatment for individuals who are struggling with substance use or co-occurring disorders. The University of Colorado, Boulder, will serve as the research partner on the proposed project.
The Colorado Department of Public Health and Environment (CDPHE) will expand Colorado’s existing innovative, multidisciplinary approach to reduce opioid abuse and overdose by linking prescription drug monitoring program (PDMP) data to key public health and public safety data sets to create a de-identified analytic data file that can be used to identify hot spots throughout the state. Specifically, CDPHE and its partners will achieve the following goals during the three-year project period: (1) enhance public safety/behavioral health/public health treatment partnerships to leverage key data sets to better understand Colorado’s opioid epidemic; (2) increase data-driven responses to Colorado’s opioid epidemic; and (3) assess the impact of the implementation of Colorado Senate Bill 18-022 on PDMP utilization and patient outcomes. The University of Colorado School of Medicine will serve as the evaluator for the proposed project.
The Delaware Criminal Justice Council, in partnership with the Division of Substance Abuse and Mental Health, will implement the Delaware Smart Criminal Justice and Treatment Change Team to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will implement programs to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will be used to implement comprehensive policies and practices identified in the planning phase and outlined in the coordinated state criminal justice and treatment plan. Subgrants will be awarded that assist and provide financial support to units of local government and community services agencies to implement strategies that support treatment and recovery service engagement; increase the use of diversion and alternatives to incarceration; and reduce the incidence of overdose death. The geographic area is the entire state of Delaware.
Pinellas County is developing a Strategic Information Partnership (SIP) to (1) support real-time/timely data collection from key stakeholders to better articulate the current state of the problem; (2) improve communication for targeted outreach, enforcement, and education; (3) support cross-system planning and data evaluation to better inform policymakers on targeted interventions; and (4) leverage scarce resources and avoid duplication of efforts.
The Savannah Police Department proposes to establish a pre-arrest diversion and behavioral response initiative by providing enhanced crisis intervention team training and offering substance abuse recovery treatment and behavioral health treatment. The applicant will provide data through Overdose Detection Mapping Application Program (ODMAP). David A. Bell, PhD, LLC, an independent evaluator, will serve as the evaluator for the proposed project.
Clinton, Iowa, will increase community collaboration with a multidisciplinary team to address high-frequency utilizers of multiple systems. To tackle this community epidemic, the multidisciplinary team engaged in this project has determined to formulate and implement a Drug Abuse Response Team (DART) composed of Clinton police officers and Clinton Fire Department EMS, as well as specially trained Area Substance Abuse Council members, who will work in partnership with other community agencies such as Mercy and Bridgeview to identify, educate, assist, and provide resources to at-risk individuals. In addition, a medication-assisted treatment (MAT) program will be implemented that will partner to provide peer recovery support services, cognitive behavioral therapy, and case management. Dr. Barbara St. Marie of the University of Iowa College of Nursing 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 Idaho Department of Health and Welfare (IDHW) will build a sustainable data infrastructure to ensure timely collection, analysis, and dissemination of opioid data. In addition, an action researcher will establish a suspected drug-induced death mortality review team. The data will be shared with Idaho’s strategic planning workgroup and other stakeholders. To address vulnerable populations, IDHW will work with the Idaho Office of Drug Policy to distribute naloxone in communities across Idaho. To educate prescribers in rural Idaho on substance abuse treatment and safe prescribing, IDHW will work with the University of Idaho to extend its Project ECHO program, an evidence-based, technology-enabled collaborative learning model that builds a clinician’s knowledge and ability to treat complex conditions. To evaluate Idaho’s efforts in educating prescribers on safe prescribing and prescription drug monitoring program (PDMP) utilization, IDHW will contract with a third-party evaluator.
Cook County will hire an epidemiologist at the Cook County Medical Examiner’s Office (CCMEO) to assist in fulfilling data requests from partner agencies and performing drug-related statistical analysis pertaining to opioid-related deaths; install progressive updates in the CCMEO’s digital case management system to include additional data that may be pertinent to the collaborating agencies; and quantitate naloxone concentrations in postmortem samples if the drug is present in a decedent’s system. Partnering agencies will include the Cook County Department of Public Health, the Chicago Department of Public Health, the Cook County Health and Hospitals System, and the Chicago High Intensity Drug Trafficking Area.
The Hamilton County, Indiana, Council on Alcohol and Other Drugs will implement an initiative known as the Community Opioid Prevention Effort (COPE). COPE will follow the Quick Response Team (QRT) diversion model, which will provide immediate intervention at on-scene overdoses, conduct visits to survivors of nonfatal overdoses, and provide recovery support and other community resources to individuals and their families. Treatment providers and recovery coaches will develop and implement strategies to identify and provide treatment and recovery support services. COPE will also encourage cross-system planning and collaboration among community officials, law enforcement, pre-trial services, the courts, probation, health-care providers, public health providers, emergency medical services, and substance abuse treatment providers.
The Marion County Public Health Department will expand the Indianapolis Harm Reduction Team (IHART) Program to employ two full-time peer support specialists, who will facilitate access to treatment, health-care resources, and community-based services. IHART will hire a full-time project coordinator to oversee the operation and serve as a liaison with the criminal justice and public health systems, mental health and substance abuse treatment providers, and other government and community-based entities. Indiana University will serve as the research partner for the proposed project.
The Health and Hospital Corporation of Marion County will tackle opioid misuse in Indianapolis, Indiana, by increasing community access to naloxone and connecting high-risk, opioid-misusing patients to undergo treatment for substance misuse. The project, dubbed Project POINT (Planned Outreach, Intervention, Naloxone, and Treatment), is a comprehensive response to Indiana’s opioid crisis. The project is operated by the Health and Hospital Corporation of Marion County, with close collaboration from the Indianapolis Metropolitan Police Department (IMPD) and the City of Indianapolis Office of Public Health and Safety. An additional project goal is to work with the Center for Criminal Justice Research to integrate data among local law enforcement, public safety, treatment, and public health agencies. The Indiana University Center for Criminal Justice Research will serve as the action research partner.
The Indiana Division of Mental Health and Addiction, in partnership with the Indiana Criminal Justice Institute (ICJI), Choices Coordinated Care Solutions (Choices), Centerstone, Relias Analytics, and the Indiana University Center for Collaborative Systems Change, seeks to address the treatment needs of justice-involved individuals of southern Indiana in seven rural counties. The project will use mobile technology hardware, software, internet connectivity, and Web-based services, along with other available resources, to assess participants in drug courts as well as individuals with opioid use disorder (OUD) to gain access to services and provide treatment when necessary as a diversion from charges.
The Indiana State Department of Health (ISDH) will increase the timeliness and robustness of fatal drug overdose reporting. This will be accomplished by funding comprehensive toxicology testing for suspected cases of drug overdose deaths across Indiana. ISDH will also obtain more comprehensive demographic data of persons who have suffered fatal drug overdoses. By providing mini-grants to overcome barriers associated with using ISDH’s coroner case management system, coroners will be encouraged to utilize this system and thus provide more comprehensive demographic data on fatal overdoses. ISDH will link toxicology results with existing demographic information regarding the deceased persons and disperse aggregated data to the opioid data working group. ISDH will also develop an innovative pilot project that will involve the enhanced toxicology testing of leftover clinical samples (blood and/or urine) from patients who are treated in a hospital following a suspected drug overdose event. Such testing will provide more robust public health information including situational awareness of illicit and licit drug use that results in drug overdose events. It will also allow local and state officials to track drugs circulating in Indiana as well as identify novel substances in its communities. Finally, ISDH will utilize the data collected by the toxicology testing from both fatal and nonfatal drug overdoses to inform targeted interventions. Indiana University–Purdue University will serve as the researcher for the proposed project.
The Kenton County Detention Center will reduce the prevalence of opioid abuse in Covington, Kentucky. In 2015, northern Kentucky lost nearly five times more residents to drug overdoses than to car accidents. This project proposes to address the issue by implementing the Kentucky Overdose Prevention and Education Project (KOPE), which has three main goals: to conduct an analysis of the severity of the opioid crisis; develop a multidisciplinary approach to address the needs of overdose survivors; and incentivize, propagate, and support pre-arrest diversion and naloxone distribution programs in the targeted region. This proposal will support naloxone distribution programs in the region. The Kenton County Detention Center will collaborate with local police departments and health-care and rehabilitation providers. Northern Kentucky University will serve as an action research partner.
The Lexington–Fayette Urban County Government will create the Lexington Overdose Outreach Project (LOOP). LOOP will consist of a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. The Kentucky Injury Prevention and Research Center at the University of Kentucky will serve as the research partner for the proposed project.
The University of Kentucky Research Foundation, on behalf of the Kentucky Injury Prevention and Research Center (KIPRC), a bona fide agent for the Kentucky Department for Public Health (DPH), will (1) develop an algorithm-based mechanism to identify high-volume, high-risk opioid prescribing specialty groups within a health-care system to provide actionable information to health-care leadership to initiate targeted education; (2) develop an algorithm to identify inpatients whose specific principal diagnoses increase the likelihood that they will receive opioid prescriptions upon discharge and during follow-up care; and (3) develop diagnosis-specific patient education materials to facilitate a health-care system intervention for inpatients with these diagnoses. The results will be disseminated by developing reports, peer-reviewed manuscripts, and a repository of developed and tested patient- and prescriber-oriented educational materials to facilitate replication in other health-care systems and settings.
The City of New Orleans Health Department will implement the New Orleans Opioid Survival Connection to connect 200 overdose survivors per year to treatment services to reduce the prevalence of opioid misuse in New Orleans. Accidental opioid-related deaths in New Orleans increased dramatically from 2015 to 2016, and Louisiana currently ranks 49th out of 50 states in United Health Care Foundation’s report on state opioid response. The program will work to reduce the negative effects of opioid misuse in the city by implementing an interdisciplinary approach to the problem. The project proposes to immediately provide interventions to overdose survivors in the city's most active emergency departments, connect patients to services, and rigorously follow their cases to ensure a warm handoff to treatment centers. The project also calls for an ongoing research and monitoring program to evaluate program effectiveness. The City of New Orleans Health Department will partner with a local emergency department as well as the Louisiana Public Health Institute as the project’s action researcher.
The Boston Police Department (BPD), in partnership with the Boston Public Health Commission, will expand and enhance a community-based, first-responder, post-overdose follow-up program in the city of Boston. Multidisciplinary teams consisting of at least one BPD member and one public health advocate will conduct home-based outreach intervention with at least 100 individuals per quarter who have recently experienced nonfatal opioid overdoses to provide access to naloxone and recovery support services. These individuals will receive prioritized access to detoxification and treatment services, as well as access to medication-assisted treatment. Dr. J. Richard Woy of JRW Associates will serve as research partner.
The Holyoke Police Department will use funds primarily for salaries that support a project coordinator, a narcotics intervention officer, a recovery coach, and a mental health supervisor. Through the Project Recovery and Engagement of Addicts and Chronic users of Heroin (REACH) Project, the Holyoke Police Department will address the significant opiate drug problem in Holyoke, Massachusetts. Project goals are to decrease the number of overdose victims, decrease the number of narcotics crimes, and increase the support systems for people addicted to opioids in Holyoke.
The Holyoke Police Department will implement Project Heroin Addiction Recovery Team Support (HARTS), designed to address the significant opiate drug problem in Holyoke, Massachusetts. The Holyoke Police Department will partner with the recovery coach to meet with all survivors of an opioid overdose, either in the community or at the emergency department. The University of Massachusetts, Amherst, will serve as the evaluator for the proposed project.
Plymouth County Outreach (PCO), a police and treatment outreach approach to high-risk individuals, will continue to develop its countywide, multifaceted approach involving law enforcement, hospital, recovery, and local treatment partnerships that conduct post-overdose home follow-up visits to overdose survivors who are not initially admitted to a hospital or treatment services. The local research partner, Kelley Research Associates, created a unique, real-time overdose tracking system that supports the daily overdose response program. The East Bridgewater Police Department will make data available through the Overdose Detection Mapping Application Program (ODMAP).
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.
St. Mary’s County Health Department in Maryland will work with other community agencies to expand the data that are used to support the Opioid Intervention Team. The utilization of Overdose Detection Mapping Application Program (ODMAP), Prescription Drug Monitoring Program (PDMP), and first responder data will be increased. In addition, the agency will increase the multidisciplinary engagements with community organizations and neighboring jurisdictions and increase recovery support services and educational opportunities for prescribers and patients.
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 Duluth Police Department’s Lake Superior Drug and Violent Crime Task Force (LSDVCTF) will purchase naloxone kits for police officers and first-responder members of the task force. A project coordinator will follow up on all overdose calls within the LSDVCTF area of operation and make face-to-face contact with overdose victims and their family members to provide referrals. The University of Minnesota, Duluth, will serve as the research partner on the proposed project. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Opioid Community of Practice (OCP) began in October 2017 and is coordinated by St. Louis County Department of Public Health. The OCP is a multijurisdictional learning collaborative composed of public health entities and action researchers that provides a designated space for strategic planning, knowledge sharing, protocol evaluation, peer review, and innovation. OCP members are engaged in a continuous process of learning to identify barriers, highlight successful interventions, and identify new opportunities for potential collaboration. Participation of local public health agencies ripples from anchoring jurisdictions from St. Louis County, St. Louis City, St. Charles County, Kansas City, Jackson County, Clay County, Columbia–Boone County, and Springfield–Greene County. The group aims to improve outreach on OCP initiatives to the growing number of jurisdictions (currently 72) participating in the St. Louis County Prescription Drug Monitoring Program (PDMP) and beyond. The group also includes researchers from the Missouri Institute of Mental Health at the University of Missouri–St. Louis and leaders from local law enforcement, the Missouri Hospital Association, United Way of Greater St. Louis, the Behavioral Health Network of Greater St. Louis, and the Missouri Department of Health and Senior Services. The goals and objectives for this project are: (1) collaborate to improve data identification, collection, and utilization of opioid data; (2) prioritize and enhance community-based interventions and system-level strategies using improved opioid data and collective action that address social determinants of health; and (3) leverage action researchers, local public health entities, and regional data collaborative groups to evaluate the collective impact of the learning community and the impact of resulting interventions on reducing opioid misuse. St. Charles County, Kansas City, Jackson County, Clay County, Columbia–Boone County, and Springfield–Greene County. The group aims to improve outreach on OCP initiatives to the growing number of jurisdictions (currently 72) participating in the St. Louis County Prescription Drug Monitoring Program (PDMP) and beyond. The group also includes researchers from the Missouri Institute of Mental Health at the University of Missouri–St. Louis and leaders from local law enforcement, the Missouri Hospital Association, United Way of Greater St. Louis, the Behavioral Health Network of Greater St. Louis, and the Missouri Department of Health and Senior Services. The goals and objectives for this project are: (1) collaborate to improve data identification, collection, and utilization of opioid data; (2) prioritize and enhance community-based interventions and system-level strategies using improved opioid data and collective action that address social determinants of health; and (3) leverage action researchers, local public health entities, and regional data collaborative groups to evaluate the collective impact of the learning community and the impact of resulting interventions on reducing opioid misuse.
The Eastern Band of Cherokee Indians’ Integrated Opioid Abuse Program will develop a task force composed of tribal decision makers who will create policies and keep agencies accountable to indicators of success. A multidisciplinary team will provide direct services to high-frequency drug users and their families. These two teams will work together to develop a plan to create a secured mental health/opioid abuse treatment center and secure transportation for participants becoming certified peer recovery support specialists.
The Nebraska Department of Health and Human Services will form a multidisciplinary action group; develop a data dashboard utilizing a combination of vital records data, hospital discharge data, Nebraska Prescription Drug Monitoring Program (NePDMP) data, and geographic information of treatment services available in Nebraska; and increase the number of toxicology trainings and reports on suspected drug-related overdose fatalities. This data dashboard will aid in areas such as developing targeted interventions, creating data-driven responses, and determining best practices. The action group will encompass representatives from areas such as behavioral health and treatment agencies, pharmacies, hospitals, law enforcement, and local agencies, all of whom will then oversee the development of this dashboard. The prescription drug overdose prevention epidemiologist will be the staff member responsible for collecting and reporting the required performance measures.
The Morris County Sheriff’s Office will use funds to maintain and expand its Hope One Mobile Outreach vehicle program, which is deployed twice a week to areas experiencing a high volume of opiate overdoses. This expansion will include the launch of a Police Assisted Addiction and Recovery Initiative (PAARI), utlizing municipal and county law enforcement with the assistance of community partners. The research partner, Epiphany Community Services, will be provided with the data to track client progress and report progress so that any necessary program adjustments can be made.
In response to increasing rates of opioid overdose across New Mexico, the City of Albuquerque will implement the Albuquerque Peer to Peer program, which seeks to more effectively connect survivors with substance abuse treatment immediately after an overdose incident. Between January 2015 and June 2016, the City of Albuquerque Fire Department responded to nearly 600 opiate overdoses. Peer engagement specialists will ensure a streamlined connection between survivors and those at risk of overdose presenting in the emergency department for treatment. To complement this comprehensive and sustainable approach to treatment, the University of New Mexico’s Institute for Social Research will work to evaluate the impact of the program on the city’s population. The peer engagement specialists will work closely with the Albuquerque Police Department and a handful of community-based treatment providers to reduce the incidence of opioid overdoses in Albuquerque.
The City of Santa Fe, New Mexico, through the Santa Fe Fire Department (SFFD), has implemented the Santa Fe Opioid Outreach Project (SFOO) to address increasing opioid overdose rates in the region. The project aims to increase the quality and prevalence of prevention and treatment services and to reduce opioid incidence and fatalities through outreach and response programs; intensive follow-up and case management with overdose survivors and their families to link them with support services and treatment; dissemination of naloxone kits, harm-reduction training, and prevention education; more efficient use of data to identify potential opioid misuse; and increased collaboration across multidisciplinary sectors in the community. The SFOO coordinator and the project paramedic utilize patient care records systems and first responder data to respond to overdoses and to any individual identified as being at risk for opiate overdose; establish personal contact with overdose survivors and their families; and provide resources for a successful intervention. Upon program launch, the New Mexico Department of Health contacted SFOO requesting assistance in opiate outreach to individuals identified through a mandatory reporting requirement of the local emergency room as well as syndromic surveillance. Although the emergency room has struggled with timely and accurate reporting, this partnership allowed SFOO staff members to access more contact information and, we believe, has helped increase SFOO's percentage of successful outreach attempts. Because of the early success of the SFOO project, the Santa Fe County Fire Department (SFCFD) has created a complementary program and has assigned a SFCFD EMT. The department is in the process of contracting a social worker to be co-housed with SFOO staff members to extend SFOO’s reach into Santa Fe County. The City of Santa Fe Police Department has been operating a Law Enforcement Assisted Diversion program (second in the nation), and SFFD was asked to take over the case management aspect of the LEAD program. It is projected that this will take place in July 2019. Recently, the Santa Fe County Sheriff’s Office (SFCSO) has expressed interest in providing LEAD referrals to SFFD as well. What started as a single agency project is, with the capacity made possible by DOJ BJA COAP funding, becoming a Regionalized Public Safety Opiate Outreach program.
The New Mexico Department of Health (NMDOH) will partner with Christus St. Vincent Regional Medical Center in Santa Fe County and Presbyterian Espanola Hospital in Rio Arriba County to expand the identification of individuals with drug overdoses at these two hospitals to the NMDOH and ensure that a peer support worker is providing information on treatment resources to those who survive an overdose. The overall goal is to ensure that patients who have overdosed have access to treatment and thus end the cycle of overdose deaths. Naloxone will also be purchased through this grant for distribution. The prescription drug overdose prevention coordinator and the peer support worker will provide data for the grant reporting as well as track and analyze overdose surveillance data.
The Pueblo of Pojoaque will create the Pueblo of Pojoaque Opioid Prevention and Intervention Project, a court-based, pre-prosecution diversion program. A project coordinator and an outreach worker/case manager will be hired. The State of New Mexico Sentencing Commission will serve as the evaluation partner for the proposed project.
The Reno Police Department, in partnership with the Washoe County Health Department and other community partners, will implement evidence-based practices in the field of tobacco prevention by launching a mass-reach health communication campaign with the goal of changing the social norms surrounding prescribed opioids. This program will also follow up with individuals/families who have experienced a suspected overdose and provide information regarding resources such as how to seek a substance abuse evaluation and/or counseling, medication-assisted treatment (MAT) and other treatment, and where to obtain naloxone. Finally, the program will launch a prescriber education campaign.
The Dutchess County Department of Behavioral and Community Health will lead an effort to prevent overdose fatalities through timely, comprehensive information sharing within a communitywide collaborative that includes public safety, public and behavioral health, and other vested partners. This will strengthen community capacity to respond to acute overdose-related risks and build a sense of shared efficacy and resiliency in the face of an ongoing, ever-evolving epidemic. These goals will be achieved by applying objective methodology in three areas: (1) transformation of an existing underdeveloped task force into a streamlined, well-equipped, data-driven, opioid response collaborative, (2) enhanced overdose surveillance relating to populations at risk as well as emergent, high-risk substances, and (3) comprehensive capacity building initiatives aimed at integrating harm-reduction principles into existing service delivery models and identifying and addressing disparities in access to behavioral health services.
In response to the 303 percent increase in synthetic opioid-related deaths from 2014 to 2015, the Erie County Department of Health will increase community access to naloxone and link overdose survivors to treatment. The project aims to more effectively link individuals across the sequential intercept model to care. In cases in which individuals cannot be connected directly to care, they can be linked to local organizations for support. Funds will also be used to create an ongoing systematic geospatial analysis of law enforcement and emergency medical services (EMS) calls for service and the product that caused each overdose. To take advantage of other information systems, the program will leverage data from I-STOP, the state’s prescription drug monitoring program. The program will be led by a multidisciplinary team with representatives from consumer peer groups, EMS, and behavioral health. Researchers from the University of Buffalo will serve as the research partner for the proposed project.
The Bronx District Attorney, in partnership with the Bronx Criminal Court and the Center for Court Innovation/Bronx Community Solutions, will address the crisis in opioid deaths and overdose by enhancing the Overdose Avoidance Recovery (OAR) Program. This enhanced OAR Program will be expanded into two additional courtrooms. BetaGov/Litmus at NYU will serve as the evaluator for the proposed project.
Dayton, Ohio, will enhance the Get Recovery Options Working (GROW) program. GROW is a coordinated multidisciplinary response team that includes the Dayton Police Department, Dayton Fire Department, and peer recovery specialists. Dr. Mary Huber from Wright State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
Fairfield County, Ohio, will implement the Fairfield County Overdose Response Team (FORT). Strategies include deploying an Overdose Response Team to perform follow-up visits with persons who have had a nonfatal overdose; providing expedited access to treatment, including medication-assisted treatment (MAT), to persons who have had a nonfatal overdose; performing overdose fatality case reviews; connecting people who identify as having a substance use disorder with available treatment and recovery options outside of the criminal justice system; and tracking every overdose in real-time using the Overdose Detection Mapping Application Program (ODMAP). Miami University in Oxford, Ohio, will serve as the research partner for the proposed project.
The Franklin County Pathways to Healthy Living Program will offer services to individuals booked into the Franklin County Correctional Center and in active withdrawal to include screening, cognitive behavioral treatment, medication-assisted treatment (MAT), and linkage to peer support. Participants will be linked with a team pre- and post-release to ensure continuity of care. Funding will support implementation of You’re Extra Special (YES) for children aged 7 to 14 with a parent diagnosed with addiction.
Between 2003 and 2015, Franklin County experienced a 343 percent increase in residents dying from drug-related overdoses. To combat what the DEA has referred to as “Ground Zero” of the opiate and carfentanil crisis, the government of Franklin County, Ohio, will implement the Diversion Alternative–Project Opioid (DA–PO) program, a comprehensive and multifaceted approach to reducing the impact of the opioid crisis. Expanding treatment and support services and reducing the number of overdoses and fatalities are the project’s main goals. In addition, the DA–PO program calls for planning and implementation of a Community Mayor's Drug Court, the launch of a robust harm-reduction campaign that will include hosting town hall meetings, distributing naloxone kits to families of overdose survivors, and distributing fentanyl test strips to those in active addiction. Mighty Crow Media will partner with Franklin County as the project’s researcher.
The Guernsey County Sheriff’s Office will increase support services for those impacted by addiction. The key component of the proposal is the implementation of a diversion program with an evidence-based curriculum at the Justice Center. Funds were also requested to purchase and install equipment to increase the safety and security of inmates in the county jail by improving the intake process at the jail.
The Hamilton County Heroin Coalition (HCHC)—a multidisciplinary team composed of public health officials, law enforcement, first responders, hospitals, elected officials, prevention experts, and others—seeks federal funds to respond to the opioid crisis in Cincinnati, Ohio. Between August and October 2016, Hamilton County saw a surge in overdoses, with 1,461 emergency room overdose visits and 1,685 calls to 9-1-1 due to overdoses. In response, the team hired an HCHC coordinator and a researcher to manage the group’s response to opioid misuse. This project is the expansion of the Quick Response Team model implemented across the county and provides an evaluation to determine the QRT model’s effectiveness. The University of Cincinnati’s Institute of Crime Sciences will serve as the project’s research partner.
The Hocking County Prosecutor’s Office, in collaboration with the Hocking County Sheriff’s Office, local treatment providers, and the Hocking County Health Department, has expanded an administrator role for the Hocking Overdose Partnership Endeavor (HOPE). HOPE is a coordinated, multi-disciplinary intervention and risk-reduction response team that is dedicated to connecting individuals who are at risk for overdose and/or survivors of a non-fatal overdose and their families with substance abuse and behavioral health treatment providers or peer recovery supports. HOPE consists of law enforcement, other first responders, treatment providers, child welfare providers, public health providers, and the prosecutor’s office. The applicant agreed to make data available through Overdose Detection Mapping Application Program (ODMAP).
Marion County will expand its pilot diversion program in Salem, Oregon. This project will be based on the Law Enforcement-Assisted Diversion (LEAD) model.
In Beaver County, Pennsylvania, accidental overdose deaths increased by 240 percent from 2014 to 2016, and more than 600 naloxone reversals were reported in 2016. Beaver County is also the first county in the region to report an overdose death from carfentanil, an analog of the synthetic opioid analgesic fentanyl, 10,000 times more potent than morphine. In response, Beaver County will implement a program to analyze the underlying causes of opioid misuse and to create a data exchange system for use by the Criminal Justice Advisory Board, the Sequential Intercept Model Committee, and the Drug Coalition to influence policy. Additional goals include evaluating outreach, prevention, and treatment efforts and to work to expand prescription drug monitoring. Townsend Associates LLC will serve as the project’s research partner.
The Pennsylvania Commission on Crime and Delinquency (PCCD) will fund projects for counties that work with the Technical Assistance Center at the University of Pittsburgh School of Pharmacy’s Program Evaluation and Research Unit to implement evidence-based programs to reduce overdose deaths.
The Pennsylvania 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 Southeastern Pennsylvania Transportation Authority (SEPTA) will implement a Police Rapid Response Pilot Program. The Rapid Response Team will be the lead responding unit to overdose calls in the Kensington Transit Corridor. SEPTA officers will provide naloxone to overdose patients, social services information, and transportation to a treatment facility for individuals who wish to be seen by medical professionals. Dr. Jerry Ratcliffe from Temple University will serve as the research partner for the proposed project, and Philadelphia-based nonprofit Angels in Motion will provide linkages to social support services.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to individuals at risk of overdosing and encouraging them to be assessed and treated. The project will support the technology, professional expertise, and partnerships needed to gather comprehensive data, perform outreach visits, execute research, and contribute to the administration of the HOPE Initiative. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to those who are at risk of overdosing and encouraging them to be assessed and treated. The project will support the HOPE Initiative by enhancing the ongoing efforts of state and local government to address the opioid overdose epidemic, including gathering real-time law enforcement data on opioid overdoses to identify individuals with opioid use disorder. In addition, the project will support a program involving law enforcement and case management to provide outreach to individuals with opioid use disorder. Outreach efforts will include victims and child welfare services. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
The Shelby County Division of Community Services will use addiction peer recovery specialists to link individuals with substance abuse to treatment and case management services, bridge the gap between victims and resources, and be on call 24/7/365 with law enforcement, emergency medical services, and local emergency rooms working to identify patients and encourage them into treatment. The University of Memphis will serve as the research partner for this project.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Sullivan County Overdose Response Team (SCORT) in Sullivan County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims as well as administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Sullivan County District Attorney’s Office through the Sullivan County Family Justice Center. The SCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Hamilton County Police and Community Overdose Response Team (PCORT) in Hamilton County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims, as well as providing administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Hamilton County District Attorney’s Office through the Hamilton County Family Justice Center. The PCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
Bexar County Commissioners Court will create a strategic plan, develop a dashboard of all data related to opioid use and abuse, and fund evidence-based outpatient and residential treatment. The University of Texas at San Antonio will serve as the evaluator for the proposed project.
Multiple departments within the Makah Tribal Organization have developed the concept of a “Healing Together House” (HTH). The HTH project will support a Law Enforcement-Assisted Diversion (LEAD) program as an alternative to the judicial system, addressing those who cycle in and out of the system with no resolution to their underlying needs. The project will develop a drop-in house to provide services such as a 24-hour safe place, recovery coaching, and a space to share meals with and provide education to a community.
From 2009 to 2014, deaths related to heroin have doubled in Mason County, Washington; the county had the fourth-highest rate of death (2011–2013) attributed to opiates, with a rate of more than 14.1 per 100,000 compared with the state rate of 8.6 per 100,000. This project includes a public education campaign, a prescription drug take-back component, and naloxone distribution as well as a comprehensive look at Mason County’s treatment and recovery system. Project goals include reducing the number of opioid-related deaths, increasing the number of opioid users who own naloxone take-home kits, developing a local recovery and treatment services network. and improving public awareness about the dangers of opioids and about local treatment and recovery support services.
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 Kenosha County Opioid Overdose Reduction Project was created in response to the high nonfatal overdose and opioid-related death rates in the community. The project utilizes state-certified peer support specialists to link overdose survivors and their families with treatment and support services. Local hospitals and the EMS community are partners in the effort to establish contact shortly after the initial overdose. The Kenosha County Opioid Overdose Task Force was formed in 2017 to promote awareness and education regarding opioid-related substance use disorders, overdose prevention, and harm reduction and to facilitate partnerships among member agencies - including EMS, hospitals, treatment providers, the recovery community, county government, the district attorney's office, probation and parole, the health department, the medical examiner's office, and law enforcement.
Aiming to reduce drug overdose rates in Martinsburg, West Virginia, the Berkeley County Council will implement the Berkeley County Volunteer Support Network. In 2014, Berkeley County had approximately 71 percent as many fatal overdoses per 100,000 people as Baltimore. To remedy the issue, the project strives to expand direct services to overdose survivors and improve the city’s ability to connect individuals to treatment services. Funds will also be utilized to conduct an analysis of the project’s effectiveness. The project will collaborate with the Berkeley County Health Department, the Berkeley County Day Report Center, the West Virginia State Police, the Martinsburg Police Department, and West Virginia University Medicine.
The City of Huntington, West Virginia, will implement a community Quick Response Team (QRT) that will include medical care providers, law enforcement, and recovery and treatment providers, along with research partners. This multidisciplinary team will strive toward a significant reduction in the number of overdoses, with an emphasis on the recurrent cases. Federal funds will be used to assess project participants’ needs and assess their capabilities and preferences to determine appropriate plans for intervention, which includes, but is not limited to, provision of access to recovery and treatment services. Community capacity and cohesion will be fostered by engaging and educating those communities that have been disproportionately affected by the crisis in substance abuse, mental health, treatment, and recovery service awareness. The overall target through the collaborative efforts of the QRT is to decrease the number of overdoses by at least 20 percent annually and the number of recurrent overdoses by 40 percent annually. The Marshall University Department of Public Health will serve as an action research partner.
The Logan County Commission, in partnership with the Southwestern Regional Day Report Center in Logan, West Virginia, will implement the Fresh Start program, which will facilitate access to treatment services to overdose survivors. West Virginia has the highest drug overdose death rate in the nation. Overdoses attributed to prescription drug overdoses are especially prevalent in the southernmost counties of West Virginia, including Logan County. At the center of the program will be agricultural and artisan programming, which aims to reconnect clients with their communities. The program will offer community mentoring, interagency teamwork, life-based skills development sessions, craftsmanship, artisanship, and credit attainment through the local community college. Another key component of the program is the creation of the Logan County Health Department Satellite site, to provide increased access to basic health-care services. Marshall University will serve as the project’s research partner.