The State of Alaska Tribal Diversion Project will support multiagency efforts in planning and implementing partnerships with tribes to establish effective law enforcement diversion programs for offenders, including those who abuse illicit or prescription opioids. This funding will support project implementation, enhancement, and management and address the opioid and drug epidemic in tribal communities. The deliverables will include implemented diversion agreements, along with subgrants to Alaska Tribes to directly support their efforts. Funding will also be used to support planning and collaboration among the Department of Law, the Department of Public Safety, the Department of Health and Social Services Division of Juvenile Justice, and Alaska Tribes.
The LEAD Hollywood pilot program is a community-based pre-booking diversion program that aims to reduce the number of people who use opioids reentering the criminal justice system, reduce deaths from opioid overdose, and improve the health and safety of communities and individuals in Hollywood impacted by opioid use. This will be accomplished by identifying 100 homeless individuals with histories of criminal justice system involvement and opioid use and providing them with harm-reduction services in lieu of arrest and prosecution for low-level drug and prostitution-related offenses. LEAD Hollywood will serve the neighborhood of Hollywood in Los Angeles, California.
The Longmont Department of Public Safety, located in Boulder County, Colorado, will expand its Crisis Outreach Response and Engagement (CORE) program. Grant funds will be used to support a paramedic, two peer case managers, a project coordinator, and treatment for individuals who are struggling with substance use or co-occurring disorders. The University of Colorado, Boulder, will serve as the research partner on the proposed project.
The 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 Miami Police Department will implement a diversion program that follows the law enforcement-assisted diversion (LEAD) model. Officers who encounter a subject will have the authority to offer a 12-month treatment program as an alternative to arrest and incarceration. If a person agrees to participate, he or she must sign a legally binding treatment agreement. The Behavioral Science Research Institute will serve as the project’s research partner.
The Savannah Police Department proposes to establish a pre-arrest diversion and behavioral response initiative by providing enhanced crisis intervention team training and offering substance abuse recovery treatment and behavioral health treatment. The applicant will provide data through Overdose Detection Mapping Application Program (ODMAP). David A. Bell, PhD, LLC, an independent evaluator, will serve as the evaluator for the proposed project.
Clinton, Iowa, will increase community collaboration with a multidisciplinary team to address high-frequency utilizers of multiple systems. To tackle this community epidemic, the multidisciplinary team engaged in this project has determined to formulate and implement a Drug Abuse Response Team (DART) composed of Clinton police officers and Clinton Fire Department EMS, as well as specially trained Area Substance Abuse Council members, who will work in partnership with other community agencies such as Mercy and Bridgeview to identify, educate, assist, and provide resources to at-risk individuals. In addition, a medication-assisted treatment (MAT) program will be implemented that will partner to provide peer recovery support services, cognitive behavioral therapy, and case management. Dr. Barbara St. Marie of the University of Iowa College of Nursing will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
Lake County Health Department and Community Health Center will expand the A Way Out program, which was launched in 2016. The program will add a crisis counselor to provide linkages to treatment, a navigator to provide case management and recovery support for participants, and a project coordinator. The research partners will be Dr. David Kosson, Dr. Kimberly Elliot, and Peter Corcoran from the Rosalind Franklin University of Medicine and Science. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Hamilton County, Indiana, Council on Alcohol and Other Drugs will implement an initiative known as the Community Opioid Prevention Effort (COPE). COPE will follow the Quick Response Team (QRT) diversion model, which will provide immediate intervention at on-scene overdoses, conduct visits to survivors of nonfatal overdoses, and provide recovery support and other community resources to individuals and their families. Treatment providers and recovery coaches will develop and implement strategies to identify and provide treatment and recovery support services. COPE will also encourage cross-system planning and collaboration among community officials, law enforcement, pre-trial services, the courts, probation, health-care providers, public health providers, emergency medical services, and substance abuse treatment providers.
The Health and Hospital Corporation of Marion County will tackle opioid misuse in Indianapolis, Indiana, by increasing community access to naloxone and connecting high-risk, opioid-misusing patients to undergo treatment for substance misuse. The project, dubbed Project POINT (Planned Outreach, Intervention, Naloxone, and Treatment), is a comprehensive response to Indiana’s opioid crisis. The project is operated by the Health and Hospital Corporation of Marion County, with close collaboration from the Indianapolis Metropolitan Police Department (IMPD) and the City of Indianapolis Office of Public Health and Safety. An additional project goal is to work with the Center for Criminal Justice Research to integrate data among local law enforcement, public safety, treatment, and public health agencies. The Indiana University Center for Criminal Justice Research will serve as the action research partner.
The Indiana Family and Social Service Administration, Division of Mental Health and Addiction, through the Integrated Response Project (IRP), will ensure that Marion County inmates with an opioid abuse diagnosis or a history of opioid overuse are connected with and engaged in treatment and recovery services upon their release and will enhance the provision of additional law enforcement pre-arrest diversion beds and linkage to services.
The Kenton County Detention Center will reduce the prevalence of opioid abuse in Covington, Kentucky. In 2015, northern Kentucky lost nearly five times more residents to drug overdoses than to car accidents. This project proposes to address the issue by implementing the Kentucky Overdose Prevention and Education Project (KOPE), which has three main goals: to conduct an analysis of the severity of the opioid crisis; develop a multidisciplinary approach to address the needs of overdose survivors; and incentivize, propagate, and support pre-arrest diversion and naloxone distribution programs in the targeted region. This proposal will support naloxone distribution programs in the region. The Kenton County Detention Center will collaborate with local police departments and health-care and rehabilitation providers. Northern Kentucky University will serve as an action research partner.
The Lexington–Fayette Urban County Government will create the Lexington Overdose Outreach Project (LOOP). LOOP will consist of a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. The Kentucky Injury Prevention and Research Center at the University of Kentucky will serve as the research partner for the proposed project.
The Louisville Jefferson County Metro Government will implement the Louisville Metro Law Enforcement Assisted Diversion (LEAD) Pilot. Project goals include reducing recidivism, improving public safety, and ensuring the health of offenders who consume opioids. Police officers will exercise discretionary authority to divert 50 individuals with opioid-related substance abuse disorders from police beats in the Russell and Portland neighborhoods into a community-based harm-reduction intervention. An interdisciplinary advisory council will provide administrative oversight for the project. A research team from the University of Louisville–Commonwealth Institute of Kentucky will evaluate project progress, specifically examining neighborhood-level arrests and individual substance use treatment utilization.
The Boston Police Department (BPD), in partnership with the Boston Public Health Commission, will expand and enhance a community-based, first-responder, post-overdose follow-up program in the city of Boston. Multidisciplinary teams consisting of at least one BPD member and one public health advocate will conduct home-based outreach intervention with at least 100 individuals per quarter who have recently experienced nonfatal opioid overdoses to provide access to naloxone and recovery support services. These individuals will receive prioritized access to detoxification and treatment services, as well as access to medication-assisted treatment. Dr. J. Richard Woy of JRW Associates will serve as research partner.
The Holyoke Police Department will use funds primarily for salaries that support a project coordinator, a narcotics intervention officer, a recovery coach, and a mental health supervisor. Through the Project Recovery and Engagement of Addicts and Chronic users of Heroin (REACH) Project, the Holyoke Police Department will address the significant opiate drug problem in Holyoke, Massachusetts. Project goals are to decrease the number of overdose victims, decrease the number of narcotics crimes, and increase the support systems for people addicted to opioids in Holyoke.
The Holyoke Police Department will implement Project Heroin Addiction Recovery Team Support (HARTS), designed to address the significant opiate drug problem in Holyoke, Massachusetts. The Holyoke Police Department will partner with the recovery coach to meet with all survivors of an opioid overdose, either in the community or at the emergency department. The University of Massachusetts, Amherst, will serve as the evaluator for the proposed project.
Plymouth County Outreach (PCO), a police and treatment outreach approach to high-risk individuals, will continue to develop its countywide, multifaceted approach involving law enforcement, hospital, recovery, and local treatment partnerships that conduct post-overdose home follow-up visits to overdose survivors who are not initially admitted to a hospital or treatment services. The local research partner, Kelley Research Associates, created a unique, real-time overdose tracking system that supports the daily overdose response program. The East Bridgewater Police Department will make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Detroit Police Department’s Opioid Abuse Diversion Program will create and implement a law enforcement-led pre- and post-arrest diversion in Detroit using the Law Enforcement Assisted Diversion (LEAD) model. The School of Criminal Justice at Michigan State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The Duluth Police Department’s Lake Superior Drug and Violent Crime Task Force (LSDVCTF) will purchase naloxone kits for police officers and first-responder members of the task force. A project coordinator will follow up on all overdose calls within the LSDVCTF area of operation and make face-to-face contact with overdose victims and their family members to provide referrals. The University of Minnesota, Duluth, will serve as the research partner on the proposed project. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Morris County Sheriff’s Office will use funds to maintain and expand its Hope One Mobile Outreach vehicle program, which is deployed twice a week to areas experiencing a high volume of opiate overdoses. This expansion will include the launch of a Police Assisted Addiction and Recovery Initiative (PAARI), utlizing municipal and county law enforcement with the assistance of community partners. The research partner, Epiphany Community Services, will be provided with the data to track client progress and report progress so that any necessary program adjustments can be made.
The New Jersey Department of Law and Public Safety (DLPS) will use grant funds to create a coordinated plan, formulated with pertinent stakeholders, to assess how best to leverage available data, resources, and funding streams to establish opioid response teams in the five most at-risk and in-need municipalities in New Jersey to add another point of entry to treatment for opioid-addicted individuals. The New Jersey DLPS will offer subawards to help fund opioid response teams at the local level. DLPS’s goal for the program is to provide crisis intervention for opioid-addicted individuals at multiple entry points, thus facilitating another link to treatment and recovery programs through law enforcement.
The City of Santa Fe, New Mexico, through the Santa Fe Fire Department (SFFD), has implemented the Santa Fe Opioid Outreach Project (SFOO) to address increasing opioid overdose rates in the region. The project aims to increase the quality and prevalence of prevention and treatment services and to reduce opioid incidence and fatalities through outreach and response programs; intensive follow-up and case management with overdose survivors and their families to link them with support services and treatment; dissemination of naloxone kits, harm-reduction training, and prevention education; more efficient use of data to identify potential opioid misuse; and increased collaboration across multidisciplinary sectors in the community. The SFOO coordinator and the project paramedic utilize patient care records systems and first responder data to respond to overdoses and to any individual identified as being at risk for opiate overdose; establish personal contact with overdose survivors and their families; and provide resources for a successful intervention. Upon program launch, the New Mexico Department of Health contacted SFOO requesting assistance in opiate outreach to individuals identified through a mandatory reporting requirement of the local emergency room as well as syndromic surveillance. Although the emergency room has struggled with timely and accurate reporting, this partnership allowed SFOO staff members to access more contact information and, we believe, has helped increase SFOO's percentage of successful outreach attempts. Because of the early success of the SFOO project, the Santa Fe County Fire Department (SFCFD) has created a complementary program and has assigned a SFCFD EMT. The department is in the process of contracting a social worker to be co-housed with SFOO staff members to extend SFOO’s reach into Santa Fe County. The City of Santa Fe Police Department has been operating a Law Enforcement Assisted Diversion program (second in the nation), and SFFD was asked to take over the case management aspect of the LEAD program. It is projected that this will take place in July 2019. Recently, the Santa Fe County Sheriff’s Office (SFCSO) has expressed interest in providing LEAD referrals to SFFD as well. What started as a single agency project is, with the capacity made possible by DOJ BJA COAP funding, becoming a Regionalized Public Safety Opiate Outreach program.
The 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.
The Reno Police Department, in partnership with the Washoe County Health Department and other community partners, will implement evidence-based practices in the field of tobacco prevention by launching a mass-reach health communication campaign with the goal of changing the social norms surrounding prescribed opioids. This program will also follow up with individuals/families who have experienced a suspected overdose and provide information regarding resources such as how to seek a substance abuse evaluation and/or counseling, medication-assisted treatment (MAT) and other treatment, and where to obtain naloxone. Finally, the program will launch a prescriber education campaign.
Erie County, New York, will establish an opioid mortality review board to inform future public health practice and policy related to primary and secondary prevention of opioid addiction and mortality through action research that operationalizes insight gained from mortality reviews.
In response to the 303 percent increase in synthetic opioid-related deaths from 2014 to 2015, the Erie County Department of Health will increase community access to naloxone and link overdose survivors to treatment. The project aims to more effectively link individuals across the sequential intercept model to care. In cases in which individuals cannot be connected directly to care, they can be linked to local organizations for support. Funds will also be used to create an ongoing systematic geospatial analysis of law enforcement and emergency medical services (EMS) calls for service and the product that caused each overdose. To take advantage of other information systems, the program will leverage data from I-STOP, the state’s prescription drug monitoring program. The program will be led by a multidisciplinary team with representatives from consumer peer groups, EMS, and behavioral health. Researchers from the University of Buffalo will serve as the research partner for the proposed project.
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).
The Columbus Department of Public Safety’s Rapid Response Emergency Addiction and Crisis Team (RREACT) will hire a project manager, fund a case manager, and fund staff members at the Franklin County Family and Children First Council to provide wraparound service coordination and trauma counseling for children and families impacted by overdose. Grant funds will be used to establish standard protocols for case management for overdose survivors who do not immediately choose to enter treatment; incorporate connection to kinship supports and trauma counseling for children and family members impacted by overdose; implement standards case management protocols; and measure the impact of community-based RREACT services on repeat overdose, entry into treatment, and future engagement with the justice system. The Columbus Division of Fire (which operates the RREACT Program) will partner with an external researcher for project evaluation.
Dayton, Ohio, will enhance the Get Recovery Options Working (GROW) program. GROW is a coordinated multidisciplinary response team that includes the Dayton Police Department, Dayton Fire Department, and peer recovery specialists. Dr. Mary Huber from Wright State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The Guernsey County Sheriff’s Office will increase support services for those impacted by addiction. The key component of the proposal is the implementation of a diversion program with an evidence-based curriculum at the Justice Center. Funds were also requested to purchase and install equipment to increase the safety and security of inmates in the county jail by improving the intake process at the jail.
The Hamilton County Heroin Coalition (HCHC)—a multidisciplinary team composed of public health officials, law enforcement, first responders, hospitals, elected officials, prevention experts, and others—seeks federal funds to respond to the opioid crisis in Cincinnati, Ohio. Between August and October 2016, Hamilton County saw a surge in overdoses, with 1,461 emergency room overdose visits and 1,685 calls to 9-1-1 due to overdoses. In response, the team hired an HCHC coordinator and a researcher to manage the group’s response to opioid misuse. This project is the expansion of the Quick Response Team model implemented across the county and provides an evaluation to determine the QRT model’s effectiveness. The University of Cincinnati’s Institute of Crime Sciences will serve as the project’s research partner.
The Hamilton County Heroin Coalition (HCHC) will implement a pilot pre-arrest diversion program, using the Law Enforcement Assisted Diversion (LEAD) model, in the City of Cincinnati, for individuals who commit low-level, nonviolent offenses. HCHC will divert these individuals to community-based substance abuse and behavior health services. The University of Cincinnati’s School of Criminal Justice will serve as the research partner on the proposed project.
The Hocking County Prosecutor’s Office, in collaboration with the Hocking County Sheriff’s Office, local treatment providers, and the Hocking County Health Department, will expand law enforcement and victim service partnerships by helping to identify high-frequency users who may have a history of opioid abuse in order to make recommendations to the Hocking Overdose Partnership Endeavor (HOPE). Funds will be used to expand the victim services component by adding a child case worker, whose responsibility will be to assist child victims who have experienced trauma in getting the treatment they need.
The Warren County, Ohio, Commissioners Office, in partnership with the Department of Children Services, Warren County Sheriff’s Office, Mental Health and Recovery Services of Warren and Clinton County, and the Addiction Policy Forum, propose to pilot the Child Assessment and Response Evaluation program, a 24/7 rapid response intervention program for children who are present at the scene of an overdose of a parent or loved one. The Urban Institute will serve as the research partner for the proposed project.
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.
Marion County will expand its pilot diversion program in Salem, Oregon. This project will be based on the Law Enforcement-Assisted Diversion (LEAD) model.
The Pennsylvania Commission on Crime and Delinquency (PCCD) will fund projects for counties that work with the Technical Assistance Center at the University of Pittsburgh School of Pharmacy’s Program Evaluation and Research Unit to implement evidence-based programs to reduce overdose deaths.
The Pennsylvania State Police will use funds to implement Project TRIAD, which will synchronize innovative, technology-driven enforcement strategies, leveraging information received through community input. Project TRIAD is named for its three component parts: Component 1–Targeted Enforcement; Component 2–Problem Oriented Policing through Community Partnerships; and Component 3–Public Outreach. In addition, a research component will be funded to assess impact.
The Southeastern Pennsylvania Transportation Authority (SEPTA) will implement a Police Rapid Response Pilot Program. The Rapid Response Team will be the lead responding unit to overdose calls in the Kensington Transit Corridor. SEPTA officers will provide naloxone to overdose patients, social services information, and transportation to a treatment facility for individuals who wish to be seen by medical professionals. Dr. Jerry Ratcliffe from Temple University will serve as the research partner for the proposed project, and Philadelphia-based nonprofit Angels in Motion will provide linkages to social support services.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to individuals at risk of overdosing and encouraging them to be assessed and treated. The project will support the technology, professional expertise, and partnerships needed to gather comprehensive data, perform outreach visits, execute research, and contribute to the administration of the HOPE Initiative. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to those who are at risk of overdosing and encouraging them to be assessed and treated. The project will support the HOPE Initiative by enhancing the ongoing efforts of state and local government to address the opioid overdose epidemic, including gathering real-time law enforcement data on opioid overdoses to identify individuals with opioid use disorder. In addition, the project will support a program involving law enforcement and case management to provide outreach to individuals with opioid use disorder. Outreach efforts will include victims and child welfare services. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
Lancaster County, South Carolina, will implement a pre-arrest diversion program based on the Law Enforcement Assisted Diversion (LEAD) model. A research partner will be selected at the time of the award. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Hamilton County Police and Community Overdose Response Team (PCORT) in Hamilton County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims, as well as providing administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Hamilton County District Attorney’s Office through the Hamilton County Family Justice Center. The PCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Sullivan County Overdose Response Team (SCORT) in Sullivan County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims as well as administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Sullivan County District Attorney’s Office through the Sullivan County Family Justice Center. The SCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
Multiple departments within the Makah Tribal Organization have developed the concept of a “Healing Together House” (HTH). The HTH project will support a Law Enforcement-Assisted Diversion (LEAD) program as an alternative to the judicial system, addressing those who cycle in and out of the system with no resolution to their underlying needs. The project will develop a drop-in house to provide services such as a 24-hour safe place, recovery coaching, and a space to share meals with and provide education to a community.
The North Mason Regional Fire Authority in Mason County, Washington, will partner with Peninsula Community Health Services to establish a Quick Response Team (QRT). A research partner will be selected at the time of the award.
The Menominee Indian Tribe of Wisconsin will develop a Police Assisted Addiction and Recovery Initiative (PAARI) model of law enforcement diversion to reduce opioid abuse and the number of overdose fatalities. Grant funds will be used to support a program coordinator, who will assist in implementing the program; a clinical therapist; and three peer support specialists. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Menominee Indian Tribe of Wisconsin will mitigate the impact of opioid abuse on crime victims within the Menominee tribal jurisdiction by hiring two full-time crisis response case managers at Tribal Social Services to work with first responders, the Clinic of Behavioral Health, and the Child Protection Team when children are present at the scene of an overdose or are impacted by familial substance abuse. The grant funds will also be used to support a program coordinator who will assist in implementing the program, a clinical therapist, and a family preservation worker.
The City of Huntington, West Virginia, will implement a community Quick Response Team (QRT) that will include medical care providers, law enforcement, and recovery and treatment providers, along with research partners. This multidisciplinary team will strive toward a significant reduction in the number of overdoses, with an emphasis on the recurrent cases. Federal funds will be used to assess project participants’ needs and assess their capabilities and preferences to determine appropriate plans for intervention, which includes, but is not limited to, provision of access to recovery and treatment services. Community capacity and cohesion will be fostered by engaging and educating those communities that have been disproportionately affected by the crisis in substance abuse, mental health, treatment, and recovery service awareness. The overall target through the collaborative efforts of the QRT is to decrease the number of overdoses by at least 20 percent annually and the number of recurrent overdoses by 40 percent annually. The Marshall University Department of Public Health will serve as an action research partner.