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 Arizona Criminal Justice Commission (ACJC) is applying for Category 2 in the amount of $6,000,000. The Arizona Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will advance Arizona’s goal of reducing overdose deaths by providing services to people involved in Arizona’s local justice system. The ACJC will make a total of nine competitive sub-awards to local sites to implement law enforcement diversion programs or virtual peer recovery services. The ACJC will work collaboratively with the nine sites to serve the unique needs of each community, while leveraging the states resources, training experience, and expertise to implement impactful, evidence-based strategies. The ACJC will also build the capacity of the local justice system, including jails and local law enforcement agencies, to implement these programs through robust training and technical assistance, including peer-to-peer learning and cross-site coordination. The project serves the entire state of Arizona, which has a population of 7,421,401. The project includes partnerships with the Arizona Health Care Cost Containment System (the state agency for substance misuse services), the Tucson Police Department, Heritage Health Solutions, and the Arizona Sheriffs Association. Priority considerations addressed in this application include making sub-awards to communities with a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; a lack of accessibility to treatment providers, facilities, and emergency medical services; and providing services to a high poverty area. Applicants will also be asked to demonstrate how their sub-award will further OJP’s priority of building trust between law enforcement and the community.
The Alameda County Probation Department (ACPD) is applying for a Category 1a urban area grant in the amount of $1,195,323. Alameda County’s Residential Multi-Service Opportunity Center will expand access to responsive community alternatives to incarceration, as well as the county’s capacity to provide evidence-based mental health and substance use treatment services, built through a collaborative system of care that reduce the impact of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities. This project serves Alameda County, a large, urban county with a population of 1.67 million. The project includes partnerships between ACPD and a qualified contracted service provider. Priority considerations addressed in this application include high-poverty area and a persistent poverty county, as well as enhanced public safety in federally designated Qualified Opportunity Zones.
The Hoopa Valley Tribal Court is applying for a Category 1C award in the amount of $600,000. The Hoopa Tribal Wellness Court Pre-Booking Enhancement will support ongoing operations and service expansion under its Adult Tribal Healing to Wellness Court. This project intends to increase and standardize services for individuals with substance use disorder and opioid use disorder. While many of these individuals are court-involved, services will also be made available to anyone seeking assistance, with priority for special populations. The special populations include pregnant women, individuals with or at-risk of HIV/AIDS, older adults caring for a minor child due to foster care involvement, and individuals entering the community from incarceration. This project utilizes a hub-and-spoke model to centralize service delivery for Wellness Court participants and increase favorable outcomes as they journey to health. Funding for medication-assisted treatment is requested to help assure that individuals working through opioid misuse have the support needed through full recovery. This project serves enrolled citizens of the Hoopa Valley Tribe, American Indian/Alaska Natives (AI/AN), and AI/AN citizens enrolled in other tribes living within the jurisdictional boundaries of the Hoopa Valley Tribe. The Hoopa Valley Tribe and its reservations are within Humboldt County, California. The project includes partnerships between the K’ima:w Medical Center, the Court's Probation Services, and the Judicial Project Advisory Team.
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.
The Yurok Tribal Court’s long-term goal is to develop, implement, and enhance diversion programs to address the escalating opioid epidemic within the Yurok community. The Yurok Tribe will be implementing the Yurok Opioid Diversion to Healing (YODH) Program. YODH will complete a Yurok Tribal Action Plan and community assessment, implement a community education and outreach program and workplace opioid awareness program, develop and implement a screening process in collaboration with the Humboldt and Del Norte Sheriffs’ Offices and the Superior Courts, and establish a formalized diversion process.
The Boulder County Community Services Department is applying for Category 1 funding in the amount of $899,902. Project Recovery will implement evidenced-based treatment and recovery services, recovery housing, peer recovery support services, pre- and post-booking treatment alternatives to incarceration, and medication-assisted treatment (MAT). The project will provide services within a recovery home environment in a collaboration between the Boulder County Jail and Tribe Recovery Homes, a provider of home-based recovery and peer support services, and will feature collaborations with community service providers, including the county’s homeless system and housing authorities, workforce, and physical health service providers. Deliverables include establishment of three recovery homes; service provision to 207 clients over three years; development of referral procedures to identify justice system-involved participants with substance use disorders, with a special focus on individuals experiencing homelessness; and implementation of evidence-based therapeutic programs, peer recovery, and MAT services. The goals of the project are to end the cycle of incarceration, support the recovery and reentry process, reduce incidences of crime and recidivism, and create a safer community. The project serves Boulder County, with a population of 326,196. The project includes partnerships with the Boulder County Jail, Tribe Recovery Homes Inc., the Colorado Mental Wellness Network, Homeless Solutions for Boulder County, and the Boulder Community Health and Colorado Community Health Alliance. The project will engage the OMNI Institute as a research partner. Priority considerations addressed in this application include supporting civil rights by limiting arrests due to substance use disorder and providing treatment and decreasing disproportionate minority confinement; protecting the public from crime and evolving threats by stopping the cycle of homelessness, substance use and incarceration, and the societal costs of substance misuse related to interdiction, law enforcement, prosecution, incarceration, and probation; and building trust between law enforcement and the community by providing alternatives to incarceration that demonstrate law enforcement’s commitment to appropriate care.
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 Florida Office of the State Courts Administrator proposes that five established family dependency drug courts increase the number of families they serve and it proposes to institute/enhance peer-support programs; incorporate medication-assisted treatment; establish substance use disorder prevention programs for the children whose parents are participants in family dependency drug court; execute evidence-based, parent-child relationship-strengthening programs; strengthen peer-to-peer collaboration among sites with an annual all-sites meeting and cross-site visits; and increase training and technical assistance regarding substance use disorder and opioid use disorder. This project serves family dependency drug courts in Broward, Palm Beach, Orange, Marion, and Citrus counties. Dr. Barbara Andraka-Christou and her team from the University of Central Florida will serve as the evaluator for this project.
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 Iowa Governor’s Office of Drug Control Policy will: • Reduce substance abuse and criminal involvement involving nonviolent individuals by implementing or expanding pre-/post-arrest diversion to treatment in Black Hawk, Story, and Jones Counties. • Expand citizen access to medication disposal in 25 new sites in underserved areas of the state. The Criminal and Juvenile Justice Planning Agency, Iowa’s Statistical Analysis Center, will serve as the evaluator for the project.
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.
Cook County Health and Hospital System (CCHHS) and the Office of the Chief Judge (OCJ) are expanding their efforts to reduce the prevalence of opioid addiction in the Adult Probation Department (APD) in Cook County through Category 3. The goal of the proposed project, Universal Opioid Screening in Adult Probation to Reduce Usage and Overdose, is to engage activities around opioid addiction and facilitate training for probation officers and staff members; interagency partnerships for screening, assessment, and coordination of care of opioid use by probationers; and program evaluation.
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 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.
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.
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 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 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 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 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 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 County of Missoula and the Missoula County Attorney’s Office are applying for Category 1 funding in the amount of $600,000. The project will expand the Missoula County Prosecution-Led Pretrial Diversion Program, called Calibrate, which currently diverts low-risk, first-time offenders from criminal charges, in order to assist higher-risk individuals with drug charges or substance use disorders, providing them an opportunity to seek treatment rather than face criminal charges. The project will hire new staff members, including a diversion specialist, and will contract with two licensed addiction counselors. Its objectives are to serve more participants, to screen and enroll additional candidates into the program, and to monitor their progress. It will also provide participants with chemical dependency evaluations and develop a referral list of substance use providers to provide easier access for participants. The project serves Missoula County, an area of 2,600 square miles with an estimated population of 121,630. The project includes partnerships with the state Office of Public Defenders, the Missoula County Detention Facility, local law enforcement agencies, and justices of the peace. The project will engage the University of Montana as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.
The County of Catawba applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to expand the current Law Enforcement Assisted Diversion (LEAD) program by offering additional financial support for Officer training and engagement in order to grow the referral pool. Second, funds will be used to further develop an existing jail services program to include a more robust pretrial diversion program. Finally, funds will be used to implement a new transitional, reentry housing program to be utilized by both LEAD and jail services. This project serves Catawba County, North Carolina, with a population of 150,000 people. The project includes partnerships between the Cognitive Connection and Rebound Treatment Center. Catawba Valley Behavioral Health has existing relationships with the local sheriff’s department, five local police departments and the Districts Attorney’s Office through the LEAD program. Priority considerations addressed in this application include high rates of overdose and overdose death.
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.
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 Cumberland (Inc) is applying for Category 1 funding in the amount of $900,000. Fighting Relapse Effort Employing Drug Offense Monitoring Plus (FREEDOM+) is a collaborative diversionary program that will offer treatment and key peer recovery supports as a critical intervention that interrupts perpetuated criminal behavior. Additional harm reduction, prevention, and intervention efforts like Narcan distribution and education, fentanyl test strips, the U.S. Drug Enforcement Administration's National Drug Take Back Initiative, and integrating Law Enforcement Assisted Diversion (LEAD) and Police Assisted Addiction and Recovery Initiative (PAARI) programs are the "plus" part of this project to support community members fighting to be substance free. The FREEDOM+ program aims to drive those caught in the cycle of relapse and drug-seeking behavior toward treatment on threat of legal consequence, while setting up the participant for success with compassionate peer recovery support services. This project serves an estimated 600 defendants who will be offered, through their defense counsel, an opportunity to participate in FREEDOM+, with hopes that the offered opportunity and supports will motivate as many as 50 percent of participants to remain compliant into sustained recovery. The project includes partnerships with the Cumberland County Department of Human Services (CCDHS), which is a primary partner in implementing FREEDOM+, and its substance misuse programs. CCDHS operates a state licensed treatment facility where they will administer Comprehensive Drug and Alcohol Evaluations and provide a quality, evidenced-based, multi-faceted approach to address substance use problems for individuals and families. CCDHS also operates the Capital Recovery Center, which will be instrumental in managing the progress of defendants participating in FREEDOM+ and providing holistic peer recovery supports. This project will engage Rutgers University’s Walter Rand Institute (WRI) as evaluator. FREEDOM+ advances the U.S. Department of Justice priorities in three ways: by increasing access to justice, protecting the public from crime and evolving threats, and building trust between law enforcement and the community. In addition, Cumberland County meets the Office of Justice Programs priority of being a high-poverty area.
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.
Bernalillo County in New Mexico will use grant funds to expand access to treatment and recovery support services across behavioral health, primary care, criminal justice, and emergency management services. Grant funds will be used to hire a full-time coordinator and two case managers. The county and partners will engage in comprehensive planning; create a mobile harm reduction center staffed by a nurse and the two case managers; increase medication-assisted treatment (MAT) for off reservation urban Indians; provide transitional housing for underserved youth and their families; and provide MAT to incarcerated youth. The University of New Mexico Institute for Social Research will serve as the research partner for the proposed project.
The New Mexico Human Services Department applied for Category 2 statewide area grant funding in the amount of $6,000,000. The implementation and enhancement of Law Enforcement Assisted Diversion (LEAD) programs in New Mexico will reduce criminal behavior, decrease criminal justice and emergency health service utilization, and improve public safety by supporting the development of LEAD in tribal and nontribal jurisdictions. The project aims to reduce drug overdose and improve the quality of life for people with a substance use disorder while supporting a coordinated collaborative response to behavioral health among criminal justice, social service, and public health systems. This project serves approximately 900,000 residents in New Mexico. The project includes partnerships between Bernalillo County, Santa Fe County, Taos County, Lea County, San Juan County and San Miguel County. Priority considerations addressed in this application include the high rate of individuals in New Mexico jails and prisons estimated to have an untreated substance use disorder and the high rates of racial disparity in corrections.
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 Office of Addiction Services and Supports (OASAS) partnered with the New York State Unified Court System (UCS), Center for Court Innovation (Center) and Lerner Center for Public Health Promotion in the Maxwell School of Citizenship and Public Affairs at Syracuse University (Lerner) on the New York Opioid Treatment Court Enhancement Project. This project seeks to enhance and evaluate substance abuse treatment and recovery support service systems treating offenders participating in geographically diverse Opioid Courts around the State of New York through the following goals: 1) Conduct training and certification in Evidence-based Cognitive Behavioral Interventions for utilization by clinicians and recovery advocates working in Opioid Courts. The Partners on this initiative have coordinated with Correctional Counseling Inc. and the Change Companies to train cohorts of clinicians, clinical supervisors and recovery advocates on Moral Reconation Therapy-Opioid (MRT-O) and Interactive Journaling (IJ) to be used in Opioid Courts. 2) Conduct a process evaluation of the Opioid Court collaborative systems of care. 3) Determine the effectiveness of the cognitive behavioral interventions for programs treating the same population and measure the outcomes impacted by these cognitive behavioral models.
The City of Ithaca applied for Category 1b suburban area grant funding in the amount of $900,000. The Ithaca LEAD Program (ILP) will reduce repeated arrests and incarceration for people whose unlawful conduct stems from unmet behavioral health needs in the city of Ithaca and adjacent towns in Tompkins County, New York. ILP will reduce racial disparities in criminal justice involvement for the region’s African-American population, reduce unnecessary arrests and prosecutions imposed on the justice system, improve officer efficiency, maximize the value of the city’s community-based service array, and improve outcomes for this complex population. In the era of COVID-19, these changes are especially critical. Across the nation, officers are confronting new challenges in interacting with people on the street; jails are striving to reduce incarceration so as to mitigate COVID-19 risks; and judges, attorneys, and court staff are seeking to reduce congestion in courtrooms. This project serves the city of Ithaca, New York. The project includes partnerships with Tompkins County District Attorney and Legislature, Community Leadership Team DCI, Ithaca Police Department, Tompkins County Sheriff, REACH Medical, Greater Ithaca Activities Center, and the LEAD National Support Bureau. Priority considerations addressed in this application include Qualified Opportunity Zones, as well as challenges faced by rural communities and high-poverty areas.
The New York State Unified Court System (UCS) is applying for Category 2 funding in the amount of $5,783,403. The New York Rural Opioid Court Initiative will implement opioid courts (OICs)—pre-plea court programs that expedite treatment and recovery services for offenders at high risk for overdose—in eight USDA-designated rural counties in New York State (Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Lewis). The project provides the infrastructure, planning, and evaluation of evidence-based treatment interventions, supervision, and recovery supportive services to successfully divert defendants with substance use disorder at risk of overdose. The OICs’ development will be supported locally by engaging in Sequential Intercept Model mapping in each jurisdiction and by the establishment of an OIC Center of Excellence, which will provide guidance to the selected counties in applying best practices to address the issues of polysubstance use disorders, mental health, and trauma. The project will also improve court supervision and access to treatment and peers through teleservices and will engage with drug testing laboratories to enhance testing for complex synthetic drugs to target effective supervision, treatment, and supportive services. The goal of the project is to stabilize defendants while an appropriate disposition of their case is determined so that participants may connect with treatment and other services that produce behavior change. The project serves Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Lewis counties in New York State, with a combined population of 408,060. The project includes partnerships with the New York Office of Addiction Services and Supports and Policy Research Associates. The project will engage NPC Research as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
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.
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 Municipal Court applied under Category 1A for grant funding in the amount of $903,289 to support and enhance its MAT, Assessment, Referral, Care and Hope (MARCH) project. This project serves Franklin County and the areas surrounding Columbus, Ohio, with an estimated population of 922,223. The purpose of the project is to continue to fund, expand, and enhance the court’s MAT program — an innovative and effective collaborative effort among Franklin County and City of Columbus justice and government stakeholders. Grant funds would continue to support the positions of MAT project manager and one community case manager through 2023. Enhancements would add an additional community case manager and a contracted peer support specialist to significantly increase the capacity of the program, opening more days to in-custody referrals and facilitating the offering of a full-time behavioral health walk-in clinic. The project includes partnerships between Franklin County Municipal Court, Columbus City Attorney, Office of Justice Policy and Programs, Franklin County Sheriff’s Office, Franklin County ADAMH Board, and a variety of community behavioral health providers. The MARCH program will enhance public safety in Qualified Opportunity Zones.
The Tulsa County District Court, Fourteenth Judicial District of Oklahoma, is applying for Category 1 funding in the amount of $1,200,000. The project will launch the Tulsa County Anti-Recidivism Misdemeanor Diversion (TURN) Program, a court-based intervention program (mixed pre- and post-plea model) that expedites treatment and recovery services for justice-involved individuals with substance use disorders, mental illnesses, and co-occurring SUDs/MIs who are at high risk for overdose. TURN requires that participants engage with service and treatment providers in exchange for dismissed charges, no court fines or fees, and fewer court dates, among other benefits. By prioritizing stabilization and long-term social success, TURN will improve outcomes for individuals whose current primary source of treatment is the Tulsa County Jail. Deliverables include 1,000 misdemeanor cases diverted out of the criminal justice system and 800 alternative sentence recommendation outcomes. The program will be administered by Tulsa County Alternative Court Programs (TCACP), a division of the court. The project serves Tulsa County (OK), with an estimated 2019 population of 651, 552. The project includes partnerships with the Tulsa County District Attorney, the Tulsa County Public Defender, the Oklahoma Department of Mental Health and Substance Abuse Services, the Mental Health Association of Oklahoma, Oklahoma Family & Children’s Services, the Tulsa Police Department, and the Tulsa County Sheriff’s Office. The project will engage Oklahoma State University’s National Center for Wellness and Recovery as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.
Clackamas County applied for grant funding in the amount of $900,000 under Category 1B for the Law Enforcement Assisted Diversion (LEAD) Plus project. This project serves the 424,747 residents of Clackamas County, which consists of urban, suburban, and rural areas spanning 1,879 square miles (larger than the state of Rhode Island). The primary goals of LEAD Plus are to continue and enhance the implementation of the LEAD program and add a new layer of coordination that connects the many opioid and substance abuse efforts in the county into a truly comprehensive and integrated approach. Clackamas County’s LEAD program is unique. It employs outreach, intensive case management, system navigation and coordination to support individuals struggling with Substance Use Disorder (SUD) move towards healing and recovery and transition from homelessness to permanent, stable housing. LEAD’s trauma-informed approach reduces barriers to SUD services and supports and increases the number of individuals that choose to engage in care coordination. The LEAD program also enhances Clackamas County’s public safety system by reducing participant engagement in the local criminal justice system. To end this cyclical engagement, LEAD provides an opportunity to divert eligible individuals from the criminal justice system to supportive services that improve their circumstances. The LEAD program reduces service access barriers through improved coordination with system partners. LEAD also supports participants by offering basic necessities such as food, medicine and shelter as well as help to secure identification, legal, and employment services. Key partners included in this project include the Clackamas County District Attorney’s Office, Clackamas County Sheriff’s Office, Milwaukie Police Department, the Indigent Defense Corporation, homeless/houseless service providers, and substance abuse treatment providers. The program is administered by Clackamas County's Children, Family, & Community Connections Division.
The Lincoln County Sheriff’s Office (LCSO) is applying for a Category 1 award in the amount of $599,999. The LCSO-SBIRT project will implement a screening, brief intervention, treatment, and referral to treatment (SBIRT) program aligned to the COSSAP funding purpose of expanding comprehensive efforts to identify, respond to, treat, and support people impacted by illicit opioids, stimulants, and other drugs. This project serves Lincoln County, with the service population being adults 18 years of age and older who are booked into the Lincoln County Jail and who prescreen positive for risky substance use behaviors. The LCSO SBIRT program will serve 200 people over the life of the project. The project includes partnerships between ReConnections; Amy Yates, LCSW, Justice Counselor; and Data Specialist Brooke O’Byrne. Priority considerations addressed in this application include the fact that Lincoln County has five high-poverty census tracts in an area disproportionately impacted by substance use (e.g., lack of community treatment and high rates of overdose deaths), and the project will advance justice and build trust between law enforcement and the community.
Marion County will expand its Law Enforcement-Assisted Diversion (LEAD) initiative in targeted neighborhoods in Salem, Oregon. The Oregon Criminal Justice Commission will serve as the research partner for the proposed project.
The 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 purpose of this program is to design and implement a collaborative intervention strategy that provides (pre-booking or post-booking) treatment alternative-to-incarceration programs serving individuals at high risk for overdose or substance abuse utilizing evidence-based recovery support services (transitional/recovery housing and peer support) and medication-assisted treatment (MAT). To meet these objectives, the proposed initiative will provide: 1) assessment-based individualized treatment plans, 2) MAT (Medication Assisted Treatment), 3) transitional housing at the OARS Center, 4) cognitive behavioral therapy, and 5) peer support services. Services will be delivered in the Oconee Addiction Recovery & Solutions Center located adjacent to the Oconee Law Enforcement Center that, as a communitywide enterprise, was recently renovated for this purpose. OARS will coordinate with the Oconee County Sheriff’s Office, the Oconee County Detention Center, the Oconee County Drug Court, the 10th Judicial Circuit Solicitor’s Office, and the Center for Family Medicine to deliver the proposed initiative through: 1) the development of a comprehensive, locally driven evidence-based response to opioids, stimulants, and other substances with expanded access to supervision, treatment, and recovery support services; 2) supporting law enforcement and other first responder diversion programs for nonviolent drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders; 3) needs assessment tools to identify and prioritize services for jail offenders; 4) the use of evidenced-based treatment practices; and 5) rigorous program evaluation by Clemson University providing feedback and improvement opportunities.
Minnehaha County applied under Category 1b for grant funding in the amount of $900,000 under the reporting umbrella of the Minnehaha County Sheriff’s Office. This project serves the population of Minnehaha County, which includes a population of 186,749 residents. The purpose of the project is to reduce reliance of the criminal justice system to deal with individuals with substance abuse disorders. The project includes partnerships between Minnehaha County (Sheriff’s Office, SAO, Human Services), the Sioux Falls Police Department, Avera Hospital, Urban Indian Health, and the University of South Dakota. The program-specific priority area the applicant will address is the lack of accessibility to treatment providers. The OJP policy priority area the applicant will address is to enhance public safety in four Qualified Opportunity Zones. The applicant will partner with researchers in the Department of Family Medicine at the University of South Dakota to submit performance measurement and related assessments (including a gap assessment) to make data-informed decisions. These deliverables will also include assessments of the peer navigator and associated program. Final reports will be produced that summarize community crime changes and analysis of benefits to Qualified Opportunity Zones.
Cocke County Government, located in the rural Appalachian Mountain region of eastern Tennessee, applied for grant funding under Subcategory 1b in the amount of $899,488. This project serves Tennessee's 4th Judicial District, which includes Cocke, Sevier, Jefferson, and Grainger counties and has a total combined population of 212,069. The purpose of the proposed Tennessee Recovery Oriented Compliance Strategy (TN-ROCS) Enhancement and Evaluation project is (1) to increase the capacity of this innovative court-based intervention program to link individuals across the district at high risk of overdose to appropriate, evidence-based behavioral health treatment and recovery support services; and (2) to independently validate the TN-ROCS model, such that key findings related to program quality and implementation fidelity can inform current and future data-driven expansion efforts. This project includes partnerships between Cocke County, 4th Judicial District Circuit Court Judge Duane Slone, Dr. Stephen Loyd, Dr. Jennifer Anderson, American Institutes for Research, and Rulo Strategies. All four priority considerations are addressed in this application. Cocke County is a geographically isolated rural area that is plagued by persistently high rates of poverty, substance use, and overdose fatality. Additionally, one census tract within Cocke County (9207.00) has been designated as a Qualified Opportunity Zone.
The Tennessee Department of Mental Health and Substance Abuse Services is applying for category 2 in the amount of $6,000,000. This project will increase local community’s capacity to respond to the presence of Substance Use Disorders (SUDs) among justice involved individuals and reduce the impact of SUDs among justice involved individuals. This project will include partnerships with the Tennessee Department of Health to support the expansion of Medication Assisted Treatment (MAT) in COSSAP jail sites and the Tennessee Bureau of Investigation to support Drug Endangered Children Task Forces, Field Based Drug Testing, and overdose data mapping. This project serves to support ten new implementation project sites; 1) Blount, 2) Roane, 3) Anderson, 4) Bradley, 5) Dickson, 6) Cheatham, 7) Roane, 8) Tipton, 9) Grundy and 10) Montgomery counties. Priority Considerations: Qualified Opportunity Zones: All 10 sites targeted for this COSSAP project have Qualified Opportunity Zones in their county: See Attachment 6. High-Poverty Areas or Persistent-Poverty Counties: Two of the targeted counties: Grundy and Cocke are rated by the TN Dept of Economic and Community Development as “Distressed”, while the other eight (8) counties are rated as “Transitional”. Poverty rates for all targeted counties are above the national average (12.3%) with Grundy (28.5%), Cocke (25.0%) and Bradley (18.0%) all exceeding the Statewide poverty rate of 16.7%. Address Specific Challenges That Rural Communities Face: Six of the ten sites selected have more than (50%) of their population residing in rural areas, which Grundy County having (100%) of its population residing in a rural area.
The Tennessee Department of Mental Health and Substance Abuse will: • Support six new implementation project sites (Davidson, Montgomery, Sumner, Putnam, Wilson, and Washington counties) as well as five enhancement project sites for counties that are currently COAP funded (Sullivan, Hamilton, Knox, Jefferson, and Coffee Counties). Sullivan and Hamilton Counties will (1) embed behavioral health clinicians with law enforcement; (2) provide employment readiness and connection to employment services both pre- and post-incarceration; and/or (3) deliver evidence-based cognitive behavioral therapy courses. • Enhance six regional drug-endangered children response teams in Dickson, Cheatham, Lawrence, Franklin, Jefferson, and Scott Counties. Response teams will use a collaborative approach in meeting the needs of children affected by drug overdose events as well as their parents. The Tennessee Bureau of Investigation will also implement a statewide prevention strategy by creating a virtual reality game with education content for students to engage with at school events. • Integrate three certified peer recovery support specialist (CPRS) positions in probation and parole offices across the state, one in each of the three Grand Divisions of Tennessee. • Provide recovery support services, including recovery housing, as part of a comprehensive response. Dr. Carolyn Marie Audet and Lauren Allard will serve as the research partners for this project.
The Commonwealth’s Attorney’s Office for the County of Augusta, Virginia, applied for grant funding in the amount of $600,000. This project serves Augusta County, a small, semi-rural county with the population of 74,701. The purpose of the project is to expand its currently existing LEAD program to serve the expanding number persons with substance use disorder. The grant will fund a new case management program, which will connect higher-risk, felony-level offenders with community resources prior to them being charged. The program will also institute a new transfer project, which will give medical professionals and first responders the ability to ensure continuity of care for clients presenting with SUD. The project includes partnerships between Augusta County Sherriff’s Department, Blue Ridge Court Services, Valley Community Services Board, Blue Ridge Criminal Justice Board, and the Institute for Reform and Solutions. Priority considerations addressed in this application include rural designation for part of the County of Augusta in seven of its census tracts.
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.
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 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 Waukesha County Criminal Justice Collaborating Council will work with the District Attorney’s Office to develop a pre-charge diversion program for low-risk offenders who abuse illicit or prescription opioids and expand the use of deferred prosecution agreements for moderate-risk offenders who abuse illicit or prescription opioids. The University of Wisconsin–Milwaukee will serve as the evaluator for the proposed project.
The 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 Wisconsin Department of Justice (DOJ) will support the implementation of local law enforcement assisted diversion (LEAD) and medication-assisted treatment (MAT) programs in jails. Five pre-booking diversion sites using the LEAD model will be selected to provide diversion to treatment at the pre-arrest or post-arrest stages. Nine jail-based sites will be selected to provide non-narcotic, non-addictive injectable MAT to an inmate in the days immediately preceding re-entry to the community. The MAT program will include community-based care coordination for inmates exiting the county or tribal jail and rely on evidence-based, trauma-informed practices for substance use disorder treatment. This project will engage the Wisconsin DOJ's Bureau of Justice Information and Analysis as the research partner for this project.