The Tlingit and Haida Comprehensive Opioid Abuse Prevention and Intervention Project will plan, develop, and implement a civil diversion program though the Tlingit and Haida Court that targets Native families in southeast Alaska impacted by opioid abuse. The project will utilize a stakeholder consultation model for completing assessment, capacity building, and strategic planning necessary to implement and sustain a comprehensive, culturally competent diversion program and system.
Jefferson County Commission applied for Category 1a urban area funding in the amount of $1,189,215. The Jefferson County Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will extend peer recovery services to include expanded pretrial supervision, as well as provide evidence-based treatment, including medication-assisted treatment (MAT), to individuals at high risk for overdose. This project serves a population of more than 500,000 in Jefferson County, Alabama. The project includes partnerships between the University of Alabama Department of Psychiatry — Substance Abuse Division, Jefferson County Sheriff's Office, and a local evaluator. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.
The Arkansas Department of Finance and Administration will: • Support an overdose crime scene team consisting of a criminal investigator and a peer recovery specialist to assist law enforcement task forces/agencies in a minimum of six geographically diverse sites (counties, regions, or localities) within the state. • Increase access and enrollment to treatment, increase education and awareness, and evaluate the grant strategies identified in 25 localities within the state to address offenders who may be opioid abusers. The sites to receive subawards will be selected through a competitive process. Subawardees will be required to use overdoes detection mapping application program. An independent evaluator will be selected after the grant is awarded.
The Arkansas Department of Finance and Administration is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Arkansas COSSAP Project will address the opioid epidemic strategically and continue providing support to areas that have been disproportionally impacted by the abuse of illicit opioids, stimulants, and other substances, as indicated by a high rate of treatment admissions for substances other than alcohol; high rates of overdose-related deaths; and lack of accessibility to treatment and recovery services. The primary focuses of the proposed projects are comprehensive, real-time, regional information collection, analysis, and dissemination; the development of peer recovery services and treatment alternatives to incarceration; and continued Comprehensive Opioid Abuse Site-based Program (COAP) overdose investigations involving peer recovery services and the implementation of strategies identified in the Comprehensive Opioid Abuse Strategic Plan. This project serves specific counties where high rates of opioid deaths have been identified in COAP Category 2; however, the specific subrecipients for the proposed projects have not been selected. The project includes partnerships between the Department of Finance and Administration Office of Intergovernmental Services (DFA-IGS), Department Human Services, Office of State Drug Director, and the Single State Authority, in addition to a new partnership between DFA-IGS and the Arkansas Coroners’ Association. Priority considerations addressed in this application include providing services to rural communities and the fact that the individuals (populations) intended to benefit from the project reside in high-poverty and/or persistent-poverty counties.
The 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 Tribe will deliver customized interventions through the criminal justice system of Humboldt County and the Hoopa Valley Tribal Court. Among this project's deliverables are a full community needs assessment, an opioid diversion work plan, the implementation of data tracking systems across multiple domains, and broadened awareness of best practices for both county and tribal partners. The proposed project will be one of the first cross-jurisdictional diversion programs in Indian Country specifically designed to meet the opioid epidemic.
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.
Yurok Tribal Health and Human Services applied for a Category 1c tribal/rural area grant in the amount of $600,000. The Regional Expectations Accede to Coordination for Healing: Opioids Undercut by Treatment (REACH OUT) program will provide pre-court and court-connected culturally responsive programs that prioritize and expedite early assessment, treatment, recovery, and other supportive services to address communities impacted by opioids, stimulants, and other substances. The program will use the following strategies: (1) tribal healing to wellness approaches; (2) peer recovery; (3) team staffing and court hearings; (4) hot spot analysis (measuring increases in MAT and other drug treatment services); and (5) community education about culturally attuned services that meet the needs of the whole individual, family, and community. This project serves rural territories in Del Norte (1,139 tribal members and 27,828 total population), Humboldt (2,024 tribal members and 136,800 total population), and Trinity (45 tribal members) counties in northwestern California. The project includes partnerships between two tribal courts, two state courts, and their justice partners’ tribal and county law enforcement, attorneys, medical clinics, hospitals, and social services. Priority considerations addressed in this application include rural, high-poverty communities facing real challenges, such as lack of public transportation, limited availability of alcohol and other drug treatment, and other support services.
The Yurok Tribal Court’s long-term goal is to develop, implement, and enhance diversion programs to address the escalating opioid epidemic within the Yurok community. The Yurok Tribe will be implementing the Yurok Opioid Diversion to Healing (YODH) Program. YODH will complete a Yurok Tribal Action Plan and community assessment, implement a community education and outreach program and workplace opioid awareness program, develop and implement a screening process in collaboration with the Humboldt and Del Norte Sheriffs’ Offices and the Superior Courts, and establish a formalized diversion process.
Boulder County Community Justice Services will work with the project partners to develop diversion and policy-related programming across intercept points providing treatment and support for offenders with medium to high criminogenic risk who are facing opioid-related substance use disorder. We specifically seek to identify those with treatment needs who are residing in jail, or those reentering the community, with a focus across all interventions on those who are high system utilizers. The OMNI Institute will serve as the research partner for the proposed project.
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 Delaware Criminal Justice Council, in partnership with the Division of Substance Abuse and Mental Health, will implement the Delaware Smart Criminal Justice and Treatment Change Team to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will implement programs to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will be used to implement comprehensive policies and practices identified in the planning phase and outlined in the coordinated state criminal justice and treatment plan. Subgrants will be awarded that assist and provide financial support to units of local government and community services agencies to implement strategies that support treatment and recovery service engagement; increase the use of diversion and alternatives to incarceration; and reduce the incidence of overdose death. The geographic area is the entire state of Delaware.
The Florida 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 Comprehensive Opioid Abuse Site-based Program (COAP) was developed as part of the Comprehensive Addiction and Recovery Act (CARA) legislation. COAPA purpose is to provide financial and technical assistance to states, units of local government, and Indian tribal governments to plan, develop, and implement comprehensive efforts to identify, respond to, treat, and support those impacted by the opioid epidemic. The Harold Rogers Prescription Drug Monitoring Program (PDMP) has been incorporated into the FY 2019 COAP solicitation. The purpose of the Harold Rogers PDMP is to improve collaboration and strategic decision making among regulatory and law enforcement agencies and public health entities to address prescription drug and opioid abuse, save lives, and reduce crime. COAP aims to reduce opioid abuse and the number of overdose fatalities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives. The program also supports the implementation, enhancement, and proactive use of PDMPs to support clinical decision making and prevent the abuse and diversion of controlled substances. Grantees are prohibited from using federal funds to support activities that violate the Controlled Substances Act. The objective of Category 1 is to encourage and support the development of comprehensive, locally driven responses to the opioid epidemic that expand access to supervision, treatment, and recovery support services across the criminal justice system; support law enforcement and other first responder diversion programs for non-violent drug offenders; promote education and prevention activities; and address the needs of children impacted by the opioid epidemic. All projects are expected to involve multiple agencies and partners. The Miami-Dade Corrections and Rehabilitation Department proposes to expand medication-assisted treatment (MAT) services in the county jail, provide reentry services and utilize residential treatment beds and emergency housing. Grant funds will be used to hire personnel to deliver MAT and reentry services, purchase residential treatment beds and emergency housing, and conduct a Sequential Intercept Mapping workshop. Project partners include Jackson Health System, City of Miami Homeless Assistance Program, Miami-Dade County Community Action and Human Services Department, and South Florida Behavioral Health Network, Inc. The applicant will engage the Behavioral Science Research Institute as their research partner.
The County of Fulton applied for Category 1a urban grant funding in the amount of $1,200,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Program will expand Fulton County’s comprehensive efforts to identify, respond to, treat, and support those impacted by substance use disorders and reduce impact on the criminal justice system. The Fulton County Department of Behavioral Health and Developmental Disabilities (DBHDD) and its partners will expand pre-arrest diversion, case management, and training for law enforcement personnel to the city of Atlanta and two other jurisdictions using the Law Enforcement Assisted Diversion model; provide recovery support services including transitional or recovery housing through Fulton DBHDD and its local partners; and offer evidence-based treatment including medication-assisted treatment through partner Grady Hospital. This project serves the city of Atlanta (population 498,044). The project includes partnerships between the Atlanta Fulton Pre-Arrest Diversion Initiative, Grady Hospital, Mary Hall Freedom House, Atlanta Recovery Center, Trinity Community Ministries, Sober Living of America, There’s Another Option, Highsmith Collins, Atlanta Police Department, and the Fulton County Offices of the District Attorney, Public Defender, and Solicitor General. Priority considerations addressed in this application include Qualified Opportunity Zones, high-poverty areas, and a lack of accessibility to treatment providers, facilities, and emergency medical services. Dr. Kevin Baldwin from Applied Research Services serves as the lead evaluator for the proposed project.
The Georgia Criminal Justice Coordinating Council applied for Category 2 statewide area grant funding in the amount of $2,289,701. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) establish a multi-locality naloxone initiative to include continued training for law enforcement personnel and provide funding to assist with the replenishment of the opioid reversal drug; (2) establish and implement a pre-arrest/post-booking diversion program for youth and adults who have a moderate to high risk of substance abuse within Athens-Clarke County; (3) provide K-12 youth in Athens-Clarke County with increased access to education and treatment; and (4) provide a comprehensive, real-time, information collection database for the City of Savannah to expand the pre-arrest diversion program, which is funded through the FY 2018 Comprehensive Opioid Abuse Site Program (COAP). This project serves serve 23 of Georgia’s 159 counties. The project includes partnerships between Athens-Clarke County Unified Government and City of Savannah.
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 Circuit Court of LaPorte, Indiana, will develop a family recovery court (FRC) to provide a holistic approach to families of children in need of services (CHINS) with co-occurring substance abuse problems. CHINS cases are filed by the state against parents who are neglecting or abusing their children. Project partners include Choices! Counseling Services, Swanson Center, Department of Child Services, and the Public Defender’s offices. Dr. Roy Fowles from Purdue University Northwest will serve as the researcher.Project Profile
Kenton County Fiscal Court applied for Category 1b suburban area grant funding in the amount of $900,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will develop, implement, and expand Law Enforcement Assisted Diversion to policing agencies with pre-arrest diversion coordinators to reduce incarceration and lower the cost to communities and provide a case manager for those leaving incarceration to reduce recidivism. The program will also contract a peer support specialist to assist quick response teams responding to overdoses to establish connections, provide harm-reduction information, and easy access to naloxone. In addition, the program will provide supportive services to those wanting treatment and those in recovery. Supportive services will include referrals to community partners, case management, transportation, recovery housing, assistance with identification and an Indigent Essentials Backpack. This project serves Kenton, Pendleton, and Grant counties with a total population of 205,701. The project includes partnerships between Mental Health America, Northern Kentucky Community Action, Life Learning Center, Transitions, Sun, Alexandria’s Angels, Erlanger Police social workers, and the City of Falmouth.
The City of New Orleans Health Department proposes to use funds to continue a 2017 COAP-funded post-overdose response, Opioid Survival Connection, and conduct community outreach and education. Outreach and education activities include bystander response training and naloxone distribution to EMS and community members. Grant funds will be used to hire two project coordinators and purchase naloxone, training supplies, and a vehicle. Overdose detection mapping application program will also be implemented. Project partners include University Medical Center Emergency Department, New Orleans EMS, New Orleans Public Library, New Orleans Opioid Task Force, US Drug Enforcement Agency Field Office, Mayor’s Office of Community Engagement, Xavier University College of Pharmacy, and community providers.Project Profile
The Louisiana Department of Health, Office of Behavioral Health will support access to, and engagement in, treatment and recovery support services for offenders with opioid abuse in Orleans and East Baton Rouge Parishes jails, as well as increased use of diversion in Orleans and Jefferson parishes, This will be accomplished by providing support for peer support specialists and treatment staff members at the Day Reporting Center in New Orleans, which serves both Orleans and Jefferson Parishes.
The Louisiana Department of Public Safety and Corrections proposes to provide a comprehensive plan to develop and implement a medically managed opiate withdrawal program for offenders with opiate use disorders entering Bayou Dorcheat Correctional Center (BDCC). The program will provide assessment and medication-assisted therapy (MAT) with buprenorphine; provide pre- and post-release MAT in the form of oral naltrexone and/or the extended-release naltrexone injection for opioid use disorder (OUD) offenders; provide pre-and post-release intensive substance abuse treatment, employing a comprehensive case plan and discharge plan; and provide pre- and post-release peer recovery support services. Partners include: Probation and Parole, Louisiana Department of Health’s Office of Behavioral Health, Northwest Louisiana Human Service District, and Ascent Powered by Sober Grid.
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 Brockton will develop a collaborative case management system involving healthcare experts, treatment specialists, police outreach officers, and recovery coaches. The case management team will work intensively to engage the highest risk populations and provide them with resources that will best meet their needs with the goal of sustained engagement in treatment. The project includes partnerships among the city of Brockton, the Champion Plan, Gandara Center, and Brockton Area Multi-Services, Inc. Community Outreach, Prevention, and Education (C.O.P.E.) Center. This project will engage Kelly Research Associates as its research partner.Project Profile
The Holyoke Police Department will use funds primarily for salaries that support a project coordinator, a narcotics intervention officer, a recovery coach, and a mental health supervisor. Through the Project Recovery and Engagement of Addicts and Chronic users of Heroin (REACH) Project, the Holyoke Police Department will address the significant opiate drug problem in Holyoke, Massachusetts. Project goals are to decrease the number of overdose victims, decrease the number of narcotics crimes, and increase the support systems for people addicted to opioids in Holyoke.
The City of Holyoke Police Department (HPD) applied for Category 1c rural/tribal area grant funding in the amount of $597,650. Project ERASE (Expansion of Recovery from Addiction to Substances Efforts) will implement a multicomponent intervention program designed to (1) support individuals with opioid, stimulant, and other illicit substance issues with interventions to reduce addictions and associated mental health needs, (2) reduce overdoses and overdose deaths through prevention and intervention strategies, and (3) reduce substance-related crime in Holyoke. This project serves Behavioral Health Network and Gandara, the Holyoke Police Department, Hampden County Sheriff, Holyoke Probation, and research partners. The project includes partnerships between the House of Corrections to provide detox treatment options and develop a law enforcement liaison between HPD, the courts, and probation personnel. Priority considerations addressed in this application include a high-poverty area and enhanced public safety in Qualified Opportunity Zones.
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.
Maryland’s “Regrounding Our Response: A Coordinated Public Safety and Public Health Approach to the Opioid Epidemic” initiative will establish six new law enforcement assisted diversion (LEAD) sites (St. Mary’s County, Columbia in Howard County, Westminster in Carroll County, Annapolis City in Anne Arundel County, Hagerstown in Washington County, and Cumberland in Allegany County), support three existing LEAD sites (Belair in Harford County, Wicomico County, and Baltimore City), and support detention-based interventions in partnership with the Office of the Public Defender in five of the nine sites. The objectives include: (1) reduce recidivism in LEAD participants; (2) reduce calls for service for drug-related activity in the target areas; (3) reduce criminal justice costs incurred by LEAD participants; and (4) improve police understanding of and response to issues related to addiction and mental health disorders. The Maryland Statistical Analysis Center will support the research, performance management, and evaluation of all the selected sites.Project Profile
Cass County, Inc. applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Cass County COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The program will also create co-responder crisis intervention teams of trained law enforcement officers and behavioral health practitioners to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services, as well as provide overdose education and prevention activities, and address the needs of children impacted by substance abuse. The project includes partnerships between 43rd Circuit Court judges, Woodlands Behavioral Healthcare Network, Office of the Sheriff, Office of the Prosecutor, Community Corrections, defense attorney, program coordinator, and the program evaluator. Priority considerations addressed in this application include the challenges that rural communities face and Qualified Opportunity Zone.
The 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 Clare County, Michigan, Prosecuting Attorney’s Office will establish a task force to focus on drug-related problems, to include the opioid epidemic. Representatives from all five of the law enforcement agencies that service Clare County, medical personnel, substance abuse counselors, pharmacists, a representative from probation and parole, and any other professionals who are identified during the implementation will comprise the task force. Federal agencies will also be invited to participate in the task force to participate in investigations that might be more effectively prosecuted at the federal level. The assistant prosecutor in charge of the program will coordinate with the U.S. Attorney’s Office for the Eastern District.
The Grand Traverse Band of Ottawa and Chippewa Indians (GTB) applied for Category 1c tribal/rural area grant funding in the amount of $600,000. The GTB COSSAP Project will address the current substance use issues identified by Grand Traverse Band’s Behavioral Health intakes, with statistics confirming the continued need for substance use services and recovery support for adolescents and adult federally recognized Native Americans who are experiencing depression, trauma, suicide ideation, and co-occurring disorders. This project serves 5,100 Native Americans in the GTB six-county service area located in lower northwest Michigan (Antrim, Benzie, Charlevoix, Grand Traverse, Leelanau, and Manistee counties). The project includes partnerships between GTB Public Safety and the GTB Tribal Court departments. Priority considerations addressed in this application include addressing specific challenges that rural communities face.
The County of St. Joseph applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The County of St. Joseph COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The project will also create Law Enforcement Assisted Diversion (LEAD) to enhance co-responder crisis intervention teams to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services; provide overdose education and prevention activities; and address the needs of children impacted by substance abuse. This project serves St. Joseph County, Michigan, with a population of 60,964. The project includes partnerships between the 45th Circuit Court of Michigan, sheriff, Community Mental Health and Substance Abuse Services, defense attorney, Office of the Prosecutor, Community Corrections, program evaluator, and program coordinator. Priority considerations addressed in this application include the specific challenges that rural communities face and a Qualified Opportunity Zone.
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 City of St. Louis Circuit Attorney’s Office (CAO) is requesting funding for St. Louis Circuit Attorney Navigation, Diversion, and Opportunity program: a post-arrest diversion program offered on a pre-booking, pre-charge, or pre-plea basis to individuals with low-level drug possession charges—providing them with education, access to treatment and wrap-around case management services as an alternative to incarceration. The program will serve individuals who have committed opioid-related offenses in the City of St. Louis, Missouri, program eligibility will be determined by the location of the offense, not the residency of the participant. Participants will receive treatment, healthcare, housing, and employment services through referral partnerships with Affinia Healthcare, Queen of Peace Center, CareSTL Health, The Missouri Network for Opiate Reform and Recovery, MO Better Living, and the St. Louis Agency on Training and Employment. Additionally, the CAO will work with the St. Louis Director of Public Safety to facilitate the creation of a citation referral system with the St. Louis Metropolitan Police Department. Funding will support a full-time project manager, three full-time case managers, half-time administrative staff, emergency financial assistance, and metro tickets to participants. The University of Missouri St. Louis – Missouri Institute of Mental Health (UMSL-MIMH) will serve as the evaluation partner.Project Profile
The Lamar County Board of Supervisors applied for Category 1c rural/tribal area grant funding in the amount of $599,981. The Lamar County LEAD Program will develop a trauma-informed, comprehensive, community-based response to divert individuals experiencing opioid or stimulant misuse/abuse from the criminal justice system to treatment. The objectives are to (1) divert 100 individuals with SUD from the criminal justice system to treatment and case management service providers, and (2) provide harm-reduction case management services to 150 individuals with SUD. A total of 250 individuals will be served over the project period. This project serves Lamar County, Mississippi, which has a population of 63,300. The project includes partnerships between Pine Belt Mental Healthcare Resources’ Grant and Research Department. Priority considerations addressed in this application include the lack of accessibility to treatment providers and facilities and emergency medical services, and rural challenges.
The City of Billings applied for Category 1b grant funding in the amount of $900,000. The Billings Peer Support Diversion Program (Billings PSDP) will develop a peer support-driven prebooking diversion program that provides support for individuals at high risk of overdose or chronic substance abuse. The program will use trained and certified peer support specialists, working independently and embedded with law enforcement to engage in street outreach with the chronically homeless through mobile behavioral health crisis response. The primary objective of the project is to use evidence-based strategies to divert high-risk individuals from incarceration into treatment and social support services. The project will also overcome local barriers related to length of treatment for methamphetamine recovery and limited recovery housing options in the community. This project serves individuals who have been arrested and chronically homeless individuals with opioid or stimulant use disorders in all of Yellowstone County, with a focus on downtown Billings, where this population is concentrated. The project includes partnerships among the City of Billings, Billings Police Department, Downtown Billings Association, and Rimrock, Montana’s largest mental health and substance abuse treatment provider. Priority considerations addressed in this application include a Qualified Opportunity Zone.
Buncombe County Department of Health and Human Services (DHHS) proposes to connect individuals at risk of overdose with substance use treatment and peer support; provide transitional or recovery housing for individuals with opioid use disorder (OUD) leaving the jails or the emergency department; develop programs to address the opioid epidemic in rural areas; develop and implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the pretrial and post-trial populations leaving jails; and support the timely collection and integration of data to provide an understanding of drug trends, support program evaluation, inform clinical decision-making, identify at-risk individuals or populations, and support investigations. Buncombe County DHHS, the Sheriff’s Office, and Emergency Medical Services will implement the Overdose Detection Mapping Application Program (ODMAP).Project Profile
The County of Catawba applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to expand the current Law Enforcement Assisted Diversion (LEAD) program by offering additional financial support for Officer training and engagement in order to grow the referral pool. Second, funds will be used to further develop an existing jail services program to include a more robust pretrial diversion program. Finally, funds will be used to implement a new transitional, reentry housing program to be utilized by both LEAD and jail services. This project serves Catawba County, North Carolina, with a population of 150,000 people. The project includes partnerships between the Cognitive Connection and Rebound Treatment Center. Catawba Valley Behavioral Health has existing relationships with the local sheriff’s department, five local police departments and the Districts Attorney’s Office through the LEAD program. Priority considerations addressed in this application include high rates of overdose and overdose death.
The 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.
Through the implementation of its Substance Awareness Program, Hyde County Health Department (HCHD) aims to work collaboratively with community partners to reduce substance misuse, overdoses, and deaths, and disease transmissions & infections (related to intravenous drug use) by increasing the utilization of treatment & harm reduction resources; supporting people who use drugs (PWUD) and those in recovery; and providing education to PWUD, their families, and the general community.
The County of Bergen applied for a Category 1a urban area grant in the amount of $1,200,000. The BCPO-COSSAP Project will establish a comprehensive, evidence-based response to the opioid crisis. This response will be composed of multiple teams and initiatives, including the Heroin Addiction Recovery Team (HART), Fair Lawn Initiative (FLI), and a county-level Overdose Fatality Review Team. These teams will work independently and share data to best coordinate response needs for opioid and addiction needs across Bergen County. This project serves Bergen County, which is home to 948,046 residents. The project includes partnerships between the Bergen County Police Chiefs Association; Bergen County police departments; Newark Community Solutions, Center for Court Innovation; Center for Alcohol and Drug Resources, a division of Children’s Aid and Family Services; Bergen County Health Department and Division of Alcohol and Drug Dependency; and New Bridge Medical Center. Priority considerations addressed in this application include Bergen County’s 12 Qualified Opportunity Zones.
The Newark Police Division will use grant funds to support a pre-arraignment diversion program in partnership with the Essex County Prosecutor’s Office and Newark Community Solutions. Police officers will be trained to identify signs and symptoms of opioid abuse and dependency and will flag individuals arrested on eligible charges. The Essex County Prosecutor’s Office will determine eligibility and Newark Community Solutions will support participants. Newark Community Solutions will hire a full-time coordinator, full-time case manager, and part-time case manager. The Center for Court Innovation will provide analytic and training support and Rutgers University will serve as the research partner.Project Profile
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 New Jersey Department of Law and Public Safety (DLPS) will use grant funds to create a coordinated plan, formulated with pertinent stakeholders, to assess how best to leverage available data, resources, and funding streams to establish opioid response teams in the five most at-risk and in-need municipalities in New Jersey to add another point of entry to treatment for opioid-addicted individuals. The New Jersey DLPS will offer subawards to help fund opioid response teams at the local level. DLPS’s goal for the program is to provide crisis intervention for opioid-addicted individuals at multiple entry points, thus facilitating another link to treatment and recovery programs through law enforcement.
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 Dona Ana County Health and Human Services Department will implement a law enforcement assisted diversion program and other activities aimed at reducing opioid use and mitigating the impact on individuals and communities. The project includes a coordinator and case manager as well as services from the National Alliance on Mental Illnesses for peer support and the Las Cruces Police Department for officer training and implementation costs. Naloxone will also be purchased, funds will be used for transitional housing, and trauma-informed training. New Mexico State University will serve as the research partner for the proposed project.Project Profile
The New Mexico Human Services Department applied for Category 2 statewide area grant funding in the amount of $6,000,000. The implementation and enhancement of Law Enforcement Assisted Diversion (LEAD) programs in New Mexico will reduce criminal behavior, decrease criminal justice and emergency health service utilization, and improve public safety by supporting the development of LEAD in tribal and nontribal jurisdictions. The project aims to reduce drug overdose and improve the quality of life for people with a substance use disorder while supporting a coordinated collaborative response to behavioral health among criminal justice, social service, and public health systems. This project serves approximately 900,000 residents in New Mexico. The project includes partnerships between Bernalillo County, Santa Fe County, Taos County, Lea County, San Juan County and San Miguel County. Priority considerations addressed in this application include the high rate of individuals in New Mexico jails and prisons estimated to have an untreated substance use disorder and the high rates of racial disparity in corrections.
The 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.
Rio Arriba County Health and Human Services Department, the Rio Arriba County Sheriff’s Office, and the Española Police Department will implement pre-arrest diversion for low-level, nonviolent offenders using the Law Enforcement-Assisted Diversion (LEAD) model. The University of New Mexico Health Sciences Center has committed to work with Northern New Mexico College to serve as the research partner for the proposed project.
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.
Albany County applied for a Category 1b suburban area grant in the amount of $898,062. The Growing LEAD: Increasing Operational Capacity to Improve and Expand Service in Albany County program will be increased with the addition of case managers to grow caseload capacity by 200 percent, an increase of approximately 50 new clients annually. Additionally, a full-time, dedicated project director and community engagement and outreach coordinator will be hired to improve coordination between partners and the public, increase public awareness of LEAD, and develop policies and procedures to better serve LEAD communities. This project serves the city of Albany, with a population of over 97,000. The project includes partnerships between Albany County Executive Office, District Attorney’s Office, sheriff, mayor of Albany, City of Albany Police Department, Center for Law and Justice, and Central Avenue Business Improvement District. Priority considerations addressed in this application include Qualified Opportunity Zones.
The County of Erie applied for Category 1a urban area grant funding in the amount of $1,200,000. The Erie County New York Comprehensive Quick Response Program to Overdose will enhance the county’s Law Enforcement Diversion Programs using the Quick Response Program to Overdose (QRP model). The model will blend various strategies to work in a comprehensive manner, including expanding naloxone distribution/deployment by law enforcement, police remotely referring overdose survivors from the field to MAT in emergency departments (using the Buffalo MATTERS telemedicine appointment capability), and leveraging the HIDTA ODMAP app to link survivors to the public health peer teams for follow-up and navigation to long-term treatment agencies. The Erie County Comprehensive Quick Response Program to Overdose will provide a seamless flow after an opioid overdose rescue by police. ODMAP will initiate a follow-up through the public health peer response team, who will reach out to the survivor to offer support at each stage of the process and track their engagement with treatment. This project serves Erie County, with a population of 925,702. The project includes partnerships between public health, law enforcement, emergency medicine services, high- intensity drug trafficking areas (ODMAP program), county mental health, family advocates, and the SUNY at Buffalo research evaluation partner. Priority considerations addressed in this application include targeting high-poverty areas and designated Qualified Opportunity Zones in economically distressed areas of Erie County.
The New York State Unified Court System will partner with the Center for Court Innovation (CCI) and the New York State Office of Alcoholism and Substance Abuse Services to implement the New York State Opioid Reduction Teleservices Program. Up to three opioid courts will be selected—based on demonstrated need and rural location—to receive technology-based access to medication-assisted treatment (MAT) providers. The court system and CCI researchers will develop materials to educate the field about using remote technology to improve treatment, judicial monitoring, and MAT induction.
The Bronx District Attorney, in partnership with the Bronx Criminal Court and the Center for Court Innovation/Bronx Community Solutions, will address the crisis in opioid deaths and overdose by enhancing the Overdose Avoidance Recovery (OAR) Program. This enhanced OAR Program will be expanded into two additional courtrooms. BetaGov/Litmus at NYU will serve as the evaluator for the proposed project. The program was expanded to create a new court part to divert felony cases involving defendants needing opioid and substance use disorder treatment.
The 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 Seneca Nation of Indians Peacemakers Court will address the increasing number of opioid overdoses and overdose-related deaths in the Seneca National Territories by reducing reliance on emergency health care and the criminal justice system by high-frequency opioid users. In partnership with Seneca Strong, a community-based drug and alcohol prevention and recovery program, the Peacemakers Court will create a community-driven, culturally competent diversion project that will specifically target Native American opioid utilizers who have a high number of contacts with multiple systems. The project coordinator will assemble a multidisciplinary team responsible for developing the program’s policy and procedures. Programming will include culturally specific professionals and confidential trainings and individualized wraparound services, in addition to a data analysis.
The 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 Adams County Health Department will embed a community care coordinator within the Sheriff's Office, Probation Department and County Court to provide a real-time interface between community recovery resources and the criminal justice system; expand capacity of the quick response team; expand drug treatment opportunities to incarcerated individuals, including MAT; establish peer recovery support for individuals returning to the community before release; establish a Handle with Care program; and establish an overdose fatality review committee.
Butler County will expand the existing pilot Quick Response Team (QRT) to the more rural areas of the county, establish victim services by hiring a care coordinator, expand school-based groups for children of opiate abusers, and establish law enforcement and court-based diversion options for nonviolent opioid abusers. Miami University of Ohio will serve as the local research partner. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP). This project has been completed and all federal funds have been spent.
Butler County of Ohio applied for Category 1B grant funding in the amount of $900,000. The Butler County COSSAP project aims to reduce the impact of opioids, stimulants, and other substances on individuals within its communities, through reducing the number of overdose fatalities, as well as mitigating the impacts of on crime victims by supporting comprehensive, collaborative initiatives. This project serves Butler County, home to a population of 382,000. The project includes a partnership with Miami University’s Center for School-based Mental Health Programs. Priority considerations addressed in this application include rural challenges in a high-poverty area and Qualified Opportunity Zone.
Erie County will develop the Drug Overdose Response Team (DORT). DORT will be available 24/7 to respond on scene to calls about drug overdoses whenever first responders are involved, provide short-term case management, and conduct intensive follow up. DORT will serve the geographic area of Erie County with a population just under 75,000. This project includes partnerships with the Erie County Sheriff’s Office and Erie County Prosecutor’s Office.
The Franklin County Pathways to Healthy Living Program will offer services to individuals booked into the Franklin County Correctional Center wtih a history of substance use to include screening, cognitive behavioral treatment, medication-assisted treatment (MAT), and linkage to peer support. Participants will be linked with a team pre- and post-release to ensure continuity of care. Funding will support implementation of the RREACT Buddies program, a mentorship program for youth ages 10-16 who have been impacted by the addiction crisis. Youth are paired with first responder mentor to build healthy prosocial relationships and connect with community resources. Additional components of the project include funding for a Peer Supporter in the Franklin County Municipal Court "h.a.r.t." Specialty Docket " for those with an opioid use history, and staffing support for a local comprehensive harm reduction center.
Franklin County 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.
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.
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 Multnomah County Health Department will use grant funds to embed an opioid use disorder (OUD) corrections counselor and peer recovery mentors in booking for Multnomah County. The individuals in these positions will identify persons in need of OUD treatment and assist them in successfully engaging with recovery programs that offer medication-assisted therapy (MAT). A full-time coordinator will be employed to engage partners in a planning process to further identify gaps and refine project strategies, as well as ongoing coordination of opioid overdose strategies for populations with OUD. A focus of the grant activities is to screen and identify offenders for OUD and provide navigation services and peer recovery support to connect them to treatment, including MAT, and other critical resources. Dr. David Dowler of Program Design and Evaluation Services will serve as the research partner for the proposed project.Project Profile
The 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 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 purpose of this program is to design and implement a collaborative intervention strategy that provides (pre-booking or post-booking) treatment alternative-to-incarceration programs serving individuals at high risk for overdose or substance abuse utilizing evidence-based recovery support services (transitional/recovery housing and peer support) and medication-assisted treatment (MAT). To meet these objectives, the proposed initiative will provide: 1) assessment-based individualized treatment plans, 2) MAT (Medication Assisted Treatment), 3) transitional housing at the OARS Center, 4) cognitive behavioral therapy, and 5) peer support services. Services will be delivered in the Oconee Addiction Recovery & Solutions Center located adjacent to the Oconee Law Enforcement Center that, as a communitywide enterprise, was recently renovated for this purpose. OARS will coordinate with the Oconee County Sheriff’s Office, the Oconee County Detention Center, the Oconee County Drug Court, the 10th Judicial Circuit Solicitor’s Office, and the Center for Family Medicine to deliver the proposed initiative through: 1) the development of a comprehensive, locally driven evidence-based response to opioids, stimulants, and other substances with expanded access to supervision, treatment, and recovery support services; 2) supporting law enforcement and other first responder diversion programs for nonviolent drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders; 3) needs assessment tools to identify and prioritize services for jail offenders; 4) the use of evidenced-based treatment practices; and 5) rigorous program evaluation by Clemson University providing feedback and improvement opportunities.
The South Carolina Department of Alcohol and Other Drug Abuse Services will assist in developing a medication-assisted treatment (MAT) project in York County, in partnership with the Sixteenth Judicial Circuit Solicitor’s Office, the York County Sheriff’s Office, and treatment partners. Winthrop University will serve as the evaluator for the proposed project.
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.
Sevier County will enhance the Sevier County Offender Recovery Program (SCORP), a comprehensive, collaborative effort to identify and refer individuals to treatment and recovery following incarceration. Interventions begin during incarceration; however, the majority of services are provided immediately at release during the probationary period. Funds will be used to hire a peer mentor coordinator, a women’s service liaison, and a probation/life skills coach for incarcerated women enrolled in the program and expand the substance abuse prevention education program to include the families of SCORP participants.Project Profile
The 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.
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.
El Paso County Community Supervisions and Corrections Department in El Paso, Texas, applied for grant funding under Subcategory 1a in the amount of $1,199,787. This project serves El Paso County with a population of approximately 839,238. The purpose of the project is to expand access to evidence-based treatment by piloting and evaluating telebehavioral health for probationers and expanding access to medication-assisted treatment. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing communities that are facing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.
Arlington County Department of Human Services’ Behavioral Health Division (BHD) applied for grant funding under Category 1B in the amount of $899,815 over three years. This project will serve Arlington County (population 235,000) and is particularly focused on response in high-poverty regions of the county where opioid use and opioid overdoses remain prevalent. The project also works across traditional jurisdictional boundaries to provide wraparound services for individuals identified as high risk or otherwise involved in the Arlington criminal justice system. The purpose of this project is to improve access to and treatment in the detoxification program; provide early intervention to people arrested on substance use-related charges and identify alternatives to incarceration; improve recovery options by adding a reentry program to an established residential program; maintain collaboration between the police and BHD to address opioid overdoses and activity hotspots; assess and provide interventions for children and families impacted by substance use; and evaluate the use of evidence-based treatment and outcomes. The proposed addition of 1.0 FTE therapist and 1.0 FTE case manager will allow BHD to enhance services along the Sequential Intercept Model. The therapist will be focused on establishment, implementation, and evaluation of evidence-based programming in a variety of treatment settings and will be the clinical lead for the creation of diversion service plans and “Plans of Safe Care” for substance-exposed infants. The case manager will serve as the lead clinical staff for co-response with police and fire services to the community, and will provide community outreach, education, and naloxone distribution. Both positions will expand the reach of MAT programming in the county and will address gaps identified through comprehensive community assessment. A key feature of the proposal is a collaboration with an academic partner, Dr. Taxman from George Mason University, to evaluate performance, including outcomes and outputs, along with the development of fidelity assessments to measure evidence-based practice adoption. The project expands upon existing partnership with the police and fire departments, Child Protective Services, the offices of the sheriff, the public defender, and the Commonwealth’s attorney.
The Commonwealth’s Attorney’s Office for the County of Augusta, Virginia, applied for grant funding in the amount of $600,000. This project serves Augusta County, a small, semi-rural county with the population of 74,701. The purpose of the project is to expand its currently existing LEAD program to serve the expanding number persons with substance use disorder. The grant will fund a new case management program, which will connect higher-risk, felony-level offenders with community resources prior to them being charged. The program will also institute a new transfer project, which will give medical professionals and first responders the ability to ensure continuity of care for clients presenting with SUD. The project includes partnerships between Augusta County Sherriff’s Department, Blue Ridge Court Services, Valley Community Services Board, Blue Ridge Criminal Justice Board, and the Institute for Reform and Solutions. Priority considerations addressed in this application include rural designation for part of the County of Augusta in seven of its census tracts.
Chesterfield County Sheriff’s Office is applying for grant funding in the amount of $1,192,430. This project serves the metro Richmond area with a population of over 500,000 and is submitted under Subcategory 1a. The purpose of the project is to provide specialized pretrial supervision to individuals at high risk for overdose and expand reentry planning and medication-assisted treatment to inmates. The project includes partnerships between the Chesterfield County Sheriff’s Office, Chesterfield Community Corrections Services, Chesterfield Mental Health Supportive Services, other local agencies and a local evaluator. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.
The Department of Criminal Justice Services (DCJS) and the Department of Behavioral Health and Developmental Services (DBHDS) will develop a statewide plan that focuses on cross-system collaboration of criminal justice and behavioral health to engage justice-involved individuals in substance-use treatment and recovery. The plan will identify evidence-based programs and practices to assist localities in engaging and retaining justice-involved individuals with opioid use disorders (OUD) in treatment and recovery services. The plan will also contain strategies to improve statewide coordination and collaboration and increase the use of alternatives to incarceration. Virginia will identify and target high-need localities and jurisdictions across the state to receive funding for services and support. The initiative will be evaluated to determine its impact and identify model programs that can be replicated throughout the state.
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.
Seattle and King County Public Health is proposing to provide enhanced care coordination services focusing on treatment decision-making within the correctional setting and the linkage and retention of formerly incarcerated individuals into community-based opioid use disorder treatment programs. Transition support services for individuals who receive Medicated Assisted Treatment will be provided as well as increased identification of individuals with OUD, enhanced release planning from jail, and linage to a community provider for up to five visits following release from jail. Grant funds requested will provide: a half-time coordinator, two full-time substance use disorder specialists, a health program assistant and a lead evaluator, Dr. Hood, Seattle King County Public Health.Project Profile
The Lac Courte Oreilles Band of Lake Superior Indians (a federally recognized Indian Tribe) applied under Category 1c for grant funding in the amount of $589,959. This project will serve the Ojibwe Indian membership of the Lac Courte Oreilles Tribe (LCO) of rural northern Wisconsin. The population of the Tribe is 7,796, with thousands more familial descendants. The purpose of the project is to provide evidence-based opioid treatment that supports services to tribal individuals in need of transitional or recovery housing with a Bimaadiziwin tribal culture-based peer recovery support services, including medication-assisted treatment and recovery. The project will improve collaboration and partnerships between tribal and community-serving agencies in support of an EBT “wraparound” system of comprehensive Anishinaabe culture-based mental health treatment and recovery that uses the ASAM Criteria to determine the most appropriate level of treatment and care. This project includes important partnerships between the LCO Residential Treatment Center and tribal and county human services agencies, such as: LCO Comprehensive Community Services, LCO Tribal Court, LCO Bizhiki Wellness Center, Social Services Department, Vocational Rehabilitation Program, and the Minimaajisewin Home Program. OJP policy priority areas for Category 1 that are addressed by this project application from the Lac Courte Oreilles Tribe applicant are: applications that address specific challenges that rural communities face, individuals who reside in high-poverty areas (the reservation), and individuals who offer enhancements to public safety in economically distressed communities.
The Milwaukee Prostitution and Opioid Diversion Project (MPOD) within the Milwaukee County Housing Division will establish a public health and justice partnership to address the unique needs of women in street prostitution and sex trafficking who abuse illicit or prescription opioids (and other drugs) and frequently come into contact with the justice system for prostitution or drug-related arrests or as victims of sex trafficking. MPOD will enhance service capacity in the current Sisters Diversion Project, a municipal pre-arrest prostitution diversion program, building on the pre-existing partnership among the Milwaukee Police Department, the Milwaukee County Behavioral Health Division, the Milwaukee County District Attorney’s Office, local treatment agencies, and the Medical College of Wisconsin; and enhance coordination and services for women in Milwaukee County’s Early Interventions Program (specifically, its pretrial diversion program). MPOD will engage the Medical College of Wisconsin as the research partner for this project.
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 will improve data infrastructure and develop diversion strategies for people with opioid use disorders using evidence-based components. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
The Wisconsin Department of Justice (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.
The Justice and Community Services (JCS) section of the West Virginia Division of Administrative Services will address the opioid crisis in West Virginia by increasing the number of technology-assisted treatment services for individuals involved with the justice system because of an opioid use disorder in rural areas. The program plans to provide mental health services, addiction recovery services, and alternative sanctions or diversions. These services will be implemented through existing community corrections programs and future partnerships to provide risk and need assessments, group counseling, and individual counseling. The project will purchase and install the necessary hardware and software in statewide community corrections programs. The Office of Research and Strategic Planning (ORSP), a unit with JCS, will provide the research needs of the project.