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 Bristol Bay Native Association will use grant funds to respond to identified gaps by facilitating the development of an outreach/quick response team to support those impacted by the opioid epidemic throughout the recovery process. The outreach/quick response team will divert survivors of overdoses to substance abuse treatment. If children are present at the time of an overdose, the team will guide the families to resources. This project will provide community-wide education and prevention activities that help build coping skills and introduce healthy alternative activities, including culturally appropriate therapeutic art therapy. The project will incorporate overdose dectection mapping application program.
The Native Village of Port Heiden is a federally recognized tribe located in Port Heiden, Alaska. The village proposes to procure marine/land equipment to aid in the enforcement and interception of illegal substance importation; develop a strategic plan utilizing the Sequential Intercept Model as a guide; procure transitional sober housing; and increase/strengthen youth services.
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 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 Los Angeles Department of Health Services proposes to implement a Law Enforcement Assisted Diversion (LEAD) program in the geographic area of East Los Angeles. Grant funds will be used to hire staff of the LEAD program including an attorney, sheriff’s deputies, and a Project Coordinator. Funds will also be used to secure reentry case management, transitional housing services, and purchase naloxone for distribution. Project partners include the Los Angeles County Sheriff’s Department, Los Angeles County District Attorney’s Office, and community-based organizations. The applicant will engage Ricky Bluthenthal of the Keck School of Medicine, University of Southern California as the research partner.
The County of Los Angeles is applying for Category 1a urban area grant funding in the amount of $1,200,000. The Los Angeles County Department of Health Services Office of Diversion and Reentry (ODR) will (1) expand law enforcement referral opportunities to divert individuals who commit low-level drug and prostitution offenses as a result of unmet health, behavioral health, and socioeconomic needs away from the criminal justice system and into supportive services by broadening eligibility criteria to include individuals with histories of stimulant, opioid and/or other substance use; (2) reduce the number of individuals in Hollywood with unmet substance use, mental health, housing, employment, or health needs entering the criminal justice system for low-level offenses; and (3) increase access to harm-reduction services and case management, including overdose education and access to naloxone for Hollywood LEAD (Law Enforcement Assisted Diversion) participants. This project serves the City of Los Angeles (population 3,949,776). The project includes partnerships between ODR, Los Angeles Police Department, Los Angeles County District Attorney’s Office, Los Angeles City Attorney’s Office, Community Health Project Los Angeles (service provider), and Dr. Ricky Bluthenthal from the University of Southern California.
The Orange County Health Care Agency applied for a Category 1a rural area grant in the amount of $1,200,000. The Orange County Health Care Agency’s Closing the Gaps by Expanding Access for Reentry Clients program will provide (1) a transfer for those leaving Orange County Central Jail to a peer support recovery specialist for transportation and immediate connection to a case coordinator at one of four MAT and substance use disorder (SUD) treatment county clinics, (2) MAT and SUD treatment services by psychiatrists at the four county clinics, and (3) training by addiction specialist(s) for mental health workers and physicians in the county clinics on SUD and best-practices for working with MAT clients. This project serves Orange County, California, with approximately 3.2 million residents. The project includes partnerships between Correctional Health Services (CHS) and is supported by the Orange County Sheriff’s Department. Priority considerations addressed in this application include high rates of overdose deaths and a need to increase accessibility to treatment providers in the City of Santa Ana with areas of 25 percent poverty.
The County of San Luis Obispo Behavioral Health Department applied for a Category 1b suburban area grant in the amount of $900,000. The San Luis Obispo County Behavioral Health Program will provide recovery support services in the form of a recovery residence stay (drug- and alcohol-free living) to all COSSAP participants in San Luis Obispo County who need this level of care. All recovery residences provided funding with this grant will be MAT compliant in order to serve those with opiate use disorders. In addition, this grant will provide for a Behavioral Health Clinician III (Licensed Practitioner of Healing Arts) to conduct assessments of individuals leaving emergency rooms after an overdose and for the law enforcement Community Action Teams (CATs) who pick up individuals for early intervention in the community, as well as assessing those arrested, cited, and released from the county jail for drug offenses. A peer recovery coach will also be hired to provide important peer support, including modeling hope and recovery, mentoring, as well as engagement and community networking support, which has previously not been available from the agency. This project serves 200 individuals in the County of San Luis Obispo The project includes partnerships between Superior Court, Probation and Sheriff's Department, and local community hospital stakeholders.
Stanislaus County will expand upon it's current community assessment, response, and engagement (CARE) multidisciplinary team (MDT). The team includes staff representation from the Modesto Fire Department, Modesto Police Department, Stanislaus County Behavioral Health and Recovery Services, Stanislaus County Probation Department, Stanislaus County Community Services Agency, and nonprofits that provide case management and peer recovery services. Funding will be used to hire a public health nurse, a substance use clinician, and a project coordinator as well as purchase recovery housing and emergency shelter vouchers.
Boulder County applied for a Category 1b suburban area grant in the amount of $884,014. Project RENTR (Readiness, Engagement, Navigation, Treatment, and Recovery) will implement a range of allowable grant activities, including evidenced-based treatment services, peer recovery support services, pre- and post-booking treatment alternative to incarceration approaches, and court-based interventions. Project RENTR will increase services and treatment options for those with substance use disorders in pretrial/pre-booking, including those benefitting from a new Colorado law that reclassifies a misdemeanor drug felony as a misdemeanor. Project RENTR will also provide access to comprehensive screenings, assessments, case management, and treatment in the jail environment. The project will continue case management services for 90 days during the reentry process and accelerate access to community-based treatment options. This project serves Boulder County, Colorado, which has a population of 326,196. The project includes partnerships with the Boulder County Community Services Department. Priority considerations addressed in this application include high-poverty and persistent-poverty counties and Qualified Opportunity Zones.
The City of Alamosa applied for Category 1c tribal/rural area grant funding in the amount of $599,997. The Angel Project will provide a non-arrest, self-referral pathway to connect addicted individuals to intensive case management and harm-reduction resources using the evidence- based Police Assisted Addiction and Recovery Initiative (PAARI) 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 Angel Project 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 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 Executive Office of the Governor of Delaware - Criminal Justice Council will implement new opioid-intervention programs in five geographically diverse localities: Dover (Kent County), Smyrna (Kent County), Millsboro (Sussex County), Seaford/Laurel (Sussex County), and Georgetown/Lewes/Milton (Sussex County). The project goals are to: (1) increase the number of law enforcement diversion programs; (2) reduce overdose deaths; (3) increase transitional housing availability; and (4) increase services for youth impacted by opioid overdoses. One initiative will involve establishing pre-arrest or post-arrest law enforcement diversion programs (using the Police Assisted Addiction and Recovery Initiative [PAARI] model) for individuals who commit low level, nonviolent, drug-related offenses by utilizing community-based substance abuse and behavioral health services. The project will also include identifying cases where youth are impacted by an overdose and providing evidence-based responses, providing transitional or post recovery housing for individuals, and improving the collection/integration of data by purchasing a statewide case management system for law enforcement and Delaware’s Division of Substance Abuse and Mental Health.Project Profile
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 New Castle County Division of Police is proposing to expand Hero Help, a law enforcement led diversion by creating a team (substance abuse clinician, nurse, police officer, case manager, victim advocate) embedded in the patrol division, to respond immediately to 9-1-1 calls for service. Grant funds support a full-time project coordinator, nurse, child victim advocate (respond to overdose where children are impacted) and a licensed clinician. Additionally, to improve analytic capacity, develop a data collection tool to capture near real-time fatal and nonfatal overdoses. University of Delaware, Center for Drug and Health Studies, and Daniel O’Connell will serve as the research partner.Project Profile
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 Pinellas County CARE Team Expansion will enhance current overdose response by increasing connections and engagements in community substance use treatment services, providing peer support to overdose survivors and families, conducting overdose fatality reviews to identify trends and potential gaps in the system of care, and increasing first responder and community access to naloxone. This project serves Pinellas County, Florida, with an estimated population of 970,532. The project includes partnerships between Pinellas County Human Services and Pinellas County Safety and Emergency Services.
The 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.
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.
Clinton, Iowa, will increase community collaboration with a multidisciplinary team to address high-frequency utilizers of multiple systems. To tackle this community epidemic, the multidisciplinary team engaged in this project has determined to formulate and implement a Drug Abuse Response Team (DART) composed of Clinton police officers and Clinton Fire Department EMS, as well as specially trained Area Substance Abuse Council members, who will work in partnership with other community agencies such as Mercy and Bridgeview to identify, educate, assist, and provide resources to at-risk individuals. In addition, a medication-assisted treatment (MAT) program will be implemented that will partner to provide peer recovery support services, cognitive behavioral therapy, and case management. Dr. Barbara St. Marie of the University of Iowa College of Nursing will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The 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.Project Profile
Boone County applied for Category 1c rural/tribal area grant funding in the amount of $599,000. The Boone County Support Outreach Recovery Team will to fill the identified need for a community law enforcement officer to work with the individuals who have been arrested and fill the identified need for an addiction counselor to work with the county’s jailed population. The second purpose of this program is to fill the identified need for an addiction counselor who will work as a recovery coach with Boone County’s jailed population. This individual will deliver services such as moral reconation therapy and substance abuse counseling. This project serves Boone County, Illinois (population 53,606). The project includes partnerships between the Boone County Health Department, the multidisciplinary team, the Rosecrance, and the Belvidere Police Department.
The Chicago Police Department (CPD) will expand their current law enforcement diversion initiative and allow the treatment provider staff to provide assessment and referral services to three additional CPD Districts. This project will be focused on the West Side of Chicago, with a population of 487,687. Funds will be used to hire treatment staff that will be able to administer the deflection program, provide training to officers in the additional districts on the program, institute quarterly HealthStat (fatal and non-fatal overdose review), and evaluation. CPD has also engaged an evaluation research partner, the University of Chicago Crime Lab. They will collect data, perform analysis, and contribute to the program and research design. Additionally, CPD has committed to integrating overdose detection mapping application program into their data collection.Project Profile
The North Chicago Police Department will establish the New Beginnings Community Resource Center that is accessible 24 hours a day to North Chicago residents (population of 32,574) and the Lake County citizenry (population of 703,520). This community resource center will be staffed by licensed social workers, substance abuse clinicians, and a crime data analyst. The licensed social workers will specialize in the following areas: drug counseling, victim’s assistance, opioid addiction services, nonprofit charities, career training, and immigration support. The resource center will provide information for the following: drug rehabilitation services, fact sheets on opioid addictions, drug use safety, support groups, counseling programs, career training and financial assistance, schedules of public transportation, childcare assistance, and job placement. This community gathering place will also assist victims of domestic violence, violent crimes, and human trafficking and financially needy families. As such, planting a community development center inside of the police department will immediately reduce drug-related crimes within the City of North Chicago.
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 County of Lake, doing business as Lake County Health Department and Community Health Center, applied for a Category 1a urban area grant in the amount of $1,100,024. The Lake County A Way Out 2.0 Program will focus on increasing access to treatment, increasing treatment success rates, reducing overdoses, and providing community outreach. This project will aim to have 90 percent of consumers with opioid use admitted to a treatment provider within 24 hours of initial contact and 70 percent of consumers successfully complete their first treatment episode. Also, 90 percent of consumers will receive information regarding MAT and naloxone and given an appropriate referral. Finally, 90 percent of consumers will meet with their peer recovery support specialist weekly, and one community outreach session will be conducted by the project coordinator per month. This project serves Lake County, Illinois, with a population of 703,462. The project includes partnerships between Rosalind Franklin University of Medicine and Sciences. Priority considerations addressed in this application include a high rate of primary treatment episodes for heroin and other opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities.
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 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.
Floyd County Fiscal Court applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Floyd County Family Services Program will (1) increase access to evidence-based treatment and recovery support services for 150 adults and/or families involved with the criminal justice system, (2) improve the health and recovery of 150 adults and/or families impacted by substance use disorders or co-occurring mental illness and substance abuse (including opioid use disorders), (3) reduce the number of overdose fatalities, and (4) improve the safety of children affected by parental drug overdose. This will be accomplished by addressing four allowable uses of funds, including (1) embedding social services (therapist) with law enforcement to rapidly respond to drug overdoses where children are affected; 2) provide naloxone for law enforcement to address opioid overdoses; 3) provide evidence-based treatment, recovery and peer recovery support services for the targeted population; and 4) coordinate with courts to prioritize and expedite treatment and recovery services to individuals at high risk for overdose and family issues stemming from SUD. This project serves Floyd County, Kentucky, with a population of 36,926. The project includes partnerships between the Mountain Comprehensive Care Center as the region’s Community Mental Health Center, Healthcare for the Homeless provider and Rape Crisis Center, Floyd County Family Court, Floyd County District Court, Floyd County Sherriff’s Office, Kentucky State Police, Appalachian Research and Defense Fund of Kentucky, Big Sandy Health Care, and Big Sandy Area Community Action Agency. Priority considerations addressed in this application include a rural community that faces a persistent-poverty and has a Qualified Opportunity Zone and areas with high rates of overdose.
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.
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 proposed project, Kentucky Comprehensive Advocacy and Resource Efforts (K-CARE), will help to ensure that individuals negatively impacted by opioids are provided with support in the form of a community resource coordinator (CRC). K-CARE will hire one CRC to serve at each of the 16 Kentucky State Police (KSP) posts and a program administrator who will be located at KSP Headquarters. The program administrator will monitor the program, serve as a resource for CRCs throughout the state, and report outcome information. Each CRC will collaborate with law enforcement officers at their assigned posts to identify individuals in need of services. K-CARE CRCs will participate in the KSP Angel Initiative, a statewide program that allows a person experiencing substance abuse to voluntarily present him or herself at any KSP post to request help. K-CARE CRCs will serve as a vital referral source for the constellation of needs that are likely to present, including linking victims with available services for interpersonal violence such as domestic violence shelters, child advocacy centers, and protective services. Likewise, K-CARE CRCs will help individuals in need to secure access to necessary health care services, transportation, employment assistance, job training, vocational rehabilitation programs, and independent/transitional housing options in their communities. KSP utilizes overdose detection mapping application program as well as an electronic reporting form within the state’s law enforcement operations system that tracks Naloxone administrations by law enforcement personnel throughout the state. Currently, there are efforts being made to link the systems so information will be fed electronically into the ODMAP system. The Kentucky Criminal Justice Statistical Analysis Center will serve as the research partner on this project.Project Profile
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.
Lexington-Fayette Urban County Government applied for Category 1b suburban area grant funding in the amount of $511,078. The Lexington Overdose Outreach Project-2 (LOOP-2) has five specific aims. The first aim of LOOP-2 is to continue and expand a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. Second, LOOP-2 will provide outreach to individual survivors of drug overdose identified by emergency response by the Lexington Division of Fire and Emergency Medical Services to connect them either with treatment and recovery services or harm-reduction services, including naloxone. The third aim is through the addition of a case manager to the project for continued follow-up with individuals who elect not to seek treatment services when met by the response team. The fourth aim is to bolster the pre-arrest diversion program at Lexington Police Department (LPD) where all police officers will be trained to assist individuals with whom they come in contact by providing connections to treatment and recovery services or harm-reduction services. This project serves Lexington-Fayette County. The project includes partnerships between NewVista, Hope Center and Chrysalis House, Voices of Hope, Isaiah House, and Kentucky Office of Drug Control Policy. Priority considerations addressed in this application include an area disproportionately affected by the abuse of illicit opioids and prescription drugs with high rates of primary treatment admissions for heroin and high rates of overdose deaths from heroin and other opioids.
The Purchase District Health Department applied for Category 1b suburban area grant funding in the amount of $900,000. The Purchase District Health Department program will implement a coordinated response to illicit opioids, psychostimulants, and counterfeit prescription drugs in Purchase. Four types of activities will be implemented: (1) provide naloxone for law enforcement and other first responders; (2) establish law enforcement and other first responder diversion programs; (3) conduct comprehensive, real-time, regional information collection, analysis, and dissemination; and (4) provide recovery support services, including recovery housing and peer recovery support services. This project serves eight counties totaling 196,563 people in western Kentucky. The project includes partnerships between law enforcement, first responders, and public health agencies who are active members of the Purchase Area Health Connections Opioid Task Force.
The 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 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.
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.Project Profile
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 Franklin County Sheriff’s Department applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Community Opportunity, Network, Navigation, Exploration, and Connection Team (CONNECT) will provide real-time assistance to individuals who survived, witnessed, or are at risk of an opioid overdose (e.g., family, family drug court participants, children, and community members). Team members will make in-person follow-up visits within 72 hours to individuals who survived or witnessed an opioid overdose, including affected children, to assess health, behavioral, and social needs. In addition, team members will connect individuals to community-based behavioral health, treatment, and recovery support services, while ensuring that opioid overdose survivors and witnesses navigate care across the criminal justice, human services, and educational systems. The program will expand Naloxone availability and appropriate use by first responders and law enforcement personnel, focusing on Naloxone deserts, and establish a system that offers real-time data collection, analysis, and dissemination of key data points to reduce opioid-related deaths. This project serves 87,130 residents in 30 communities spanning two rural counties in Western Massachusetts. The project includes partnerships between research scientists Pamela Kelley and Dr. Sean Varano and other community stakeholders representing law enforcement, the peer recovery community, harm reduction, courts, housing, and other basic human needs sectors.
The 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.Project Profile
The Town of East Bridgewater applied for Category 1a urban area grant funding in the amount of $1,200,000. Plymouth County Outreach (PCO) will enhance the current PCO model in three ways: (1) creating a reentry support system for those returning from the Plymouth County House of Corrections with identified substance use disorders; (2) developing hotspot-targeted outreach to areas experiencing disproportionately high overdose rates; (3) expanding the harm-reduction toolkit distributed during post-overdose home visits to include items related to opioids and stimulants, including naloxone. This project serves Plymouth County, which has a population of 521,202. The project includes partnerships between 27 municipal police departments in Plymouth County, as well as the Bridgewater State University Police Department, Plymouth County District Attorney and Sheriff’s offices, as well as all local hospitals and treatment facilities. Priority considerations addressed in this application include a high rate of overdose deaths in a persistent poverty area.
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
The County of Cumberland applied for Category 1b suburban area grant funding in the amount of $899,824. The Bridges for ME: Person-Centered Recovery and Reentry Project will focus on the development of an advisory council with at least five community partners and memorandums of understanding with five diverse treatment providers and annual screenings of 1,200 people for SUD/OUD conditions, while offering of 600 people resource referrals and naloxone. The project will also provide an annual provision of group support and reintegration planning to 200 people in jail, as well as intensive reentry services for 150 individuals receiving community service, including MAT and peer navigator services for 60 days. This project serves Cumberland County, population 281,674. The project includes partnerships between Cumberland County Jail, Maine Pretrial Services, Co-occurring Collaborative Serving Maine, Amistad, SMART, Maine Department of Corrections Probation, Portland Police Department, MAT providers Catholic Charities Maine, Spurwink Adult Behavioral Health Services, Maine Behavioral Healthcare IMAT, Northern Light Portland Internal Medicine, and Discovery House. Priority considerations addressed in this application include Cumberland County as a region disproportionately impacted by substance abuse.
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 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 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 City of Duluth applied for Category 1b suburban area grant funding in the amount of $899,055. The City of Duluth FY 2020 COSSAP Lake Superior Diversion and Substance Use Response Team Project will improve community outreach to overdose events by expanding outreach efforts to those with amphetamine-related substance use disorders and those who experience amphetamine-related overdoses. The program will reduce barriers between outreach contact and treatment, and maintain or expand current opioid response functions. This project serves St. Louis, Carlton, and Lake counties in Minnesota, as well as the city of Superior in Wisconsin. This region has a population of approximately 289,727 people. The project includes partnerships between St. Louis County Public Health and Human Services, St. Louis County Drug Court, and the Center for Alcohol and Drug Treatment. Priority considerations addressed in this application include Qualified Opportunity Zones.
The City of Duluth in Minnesota will enhance its part-time diversion program funded under a 2018 COAP grant. With grant funding, they will expand the Lake Superior Diversion Program to full-time by hiring a Diversion Officer. Funds will also be used to secure one treatment bed for use by the program and support project coordinator and data analyst positions. Additional activities include naloxone purchase, training, and the development of specialized training for law enforcement on children and families. Project partners include the Center for Alcohol and Drug Treatment, St. Louis County’s Substance Abuse Prevention and Intervention Initiative, and the South St. Louis County Drug Court. The project will serve a multi-jurisdictional geographic area. The applicant has engaged an independent evaluator for the program. The applicant requests priority consideration as a Qualified Opportunity Zone.Project Profile
Itasca County in Minnesota proposes to embed substance abuse clinicians in local law enforcement agencies to improve their responses to individuals in need of support and treatment; establish an interagency taskforce; and provide specialized training to first responders. First Call for Help of Itasca county will hire a half-time coordinator and 2.5 full-time recovery support specialists (embedded in law enforcement) to expand recovery services. Also, overdose detection mapping application program (ODMAP) will be incorporated.Project Profile
Missouri is the only state in the U.S. without a statewide prescription drug monitoring program (PDMP) to manage the prescribing, dosing, and dispensing of controlled substances. In 2017, 951 Missourians lost their lives due to an opioid-related overdose. City and county jurisdictions have partnered across the state to launch, manage, and sustain a cross-jurisdictional PDMP, operated by St. Louis County, that covers 84 percent (61 counties and 11 cities) of the state’s population and 94 percent of providers in Missouri. The proposed project will provide technical assistance to actively engage additional jurisdictions and support existing jurisdictions with the PDMP—tailoring technical assistance and support to all Missouri counties; enhance PDMP platform to support goals of the PDMP program (inform clinical care, improve clinical practice, and decrease misuse/abuse of controlled substances), and promote the PDMP system functionality and benefits throughout the state, educating program partners on system utilization to inform, and improve clinical practice.
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.
Region XII Commission on Mental Health and Mental Retardation doing business as Pine Belt Mental Healthcare Resources will develop a pre-arrest law enforcement diversion program. Funds will be used to develop a team of peer recovery support providers, a nurse, therapist, and a project coordinator that will accept referrals from law enforcement and a local emergency department. Project partners include Pine Belt Mental Healthcare Resources, Forrest and Lamar Counties Sheriffs’ Departments, Hattiesburg and Petal Police Departments, and Forrest General Hospital. The applicant will engage an independent research partner.Project Profile
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.
The Appalachian District Health Department, the Mediation and Restorative Justice Center and the Watauga County Sheriff’s Office are proposing to strengthen existing treatment services for offenders with opioid and other substance use disorders, establish a Law Enforcement Assisted Diversion (LEAD) program, embed peer support services in the local criminal justice system, and increase the capacity of first responders to respond to the opioid epidemic with effective, evidence-based interventions. Grant funds will support: a full-time hybrid position to serve as the detention center social worker/LEAD case manager and will serve as project coordinator; a full time peer-support specialist to work as a key member of these programs to ensure development and implementation meet the unique needs of those who have experienced addiction and incarceration.Project Profile
Burke County will support the continuation of its law enforcement-assisted diversion (LEAD) program and implement and pilot the Helping Achieve Recovery through Burke Opioid Use Reduction (HARBOUR) program which is patterned after the Recovery Community Center (RCC) model. The goals of the project include: (1) reduce overdose incidents and deaths; (2) give low-level offenders the opportunity to access treatment with long-term recovery support instead of criminal justice system involvement, thereby reducing recidivism rates and long-term costs to the taxpayers; (3) provide treatment and long-term recovery support along with maximizing the ability of those in recovery to reintegrate into the community. Partners include Burke County Sheriff’s Office, Morganton Department of Public Safety, Valdese Police Department, Drexel Police Department, Glen Alpine Police Department, Burke United Christian Ministries, Burke Council on Alcoholism and Chemical Dependency, Inc. (dba Burke Recovery), Catawba Valley Behavioral Health, and Burke County Health Department.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 city of Jacksonville proposes to implement peer navigators to provide case management to individuals with opioid use disorder (OUD); a law enforcement-assisted diversion program (LEAD); a Quick Response Team; continuum of care for children and families of individuals with OUD, including a psychologist in the schools; and establish an overdose fatality review board. Doctors Christina Lanier and Kristen DeVall from the University of North Carolina Wilmington will evaluate the project.Project Profile
The North Carolina Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (NC DHHS) will implement evidence-based strategies to reduce the rate of opioid overdose associated with individuals involved in the local justice system. NC DHHS will competitively subaward nine sites to implement pre-arrest diversion programs, jail-based overdose prevention education and naloxone upon release, jail-based medication assisted treatment, and connections to care upon release. Six sites will be new projects and three sites will involve expanding or enhancing existing projects. The state will collaborate with Dr. Lauren Brinkley-Rubinstein from the University of North Carolina at Chapel Hill Department of Social Medicine as the research partner for the project.Project Profile
The Wayne County Detention Center, through the Wayne County Sheriff’s Office, applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to provide best practices in developing, implementing, and sustaining a jail-based medication-assisted treatment (MAT) program during incarceration and upon release. The benefits include stemming the cycle of arrest, incarceration, and release typically linked to substance use disorders; helping to maintain a safe and secure jail for inmates and staff; and reducing costs, since data indicate that MAT for opioid use disorders is cost-effective. This project serves Wayne County, North Carolina, which is the fourth largest agricultural county in the state with over 123,000 residents. The project includes partnerships between Southern Health Partners, Wayne County’s Day Reporting Center, Wayne County Health Department, and One to One with Youth, Inc. Priority considerations addressed in this application include Qualified Opportunity Zones and persistent poverty.
The 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 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 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.
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.
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.
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.
The County of Niagara will use funds to develop a law enforcement assisted diversion (LEAD) program and a quick response post-opioid overdose team (QRT). Funds will be used to hire staff for the presenting alternatives for treatment and healing (PATH) team that will implement the LEAD and QRT programs. These positions include a project coordinator, harm-reduction case manager, and two peer recovery specialists. The PATH Steering Committee includes partnerships among the Niagara Falls Police Department, District Attorney's office, Sheriff's Office, Department of Mental Health & Substance Abuse, community peer supports, and treatment providers. The applicant has engaged faculty from Niagara University to serve as the project evaluator.Project Profile
The County of Rockland, New York, applied for Category 1b suburban area grant funding in the amount of $899,964. The Law Enforcement Assisted Diversion (LEAD) program will start with a pilot with the largest law enforcement agency in Rockland County and then roll out to other police agencies. The goal is to improve public safety, reduce the number of low-level substance-using offenders from entering the criminal justice system, address issues of disproportionality, and strengthen the relationships between prosecution, law enforcement, and the community. This project serves Rockland County, New York. The project includes partnerships between the District Attorney’s Office, Town of Clarkstown Police Department (for the pilot), all local law enforcement agencies in Rockland County, the Rockland Council on Alcoholism and other Drug Dependence, and the Samaritan Daytop Village. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.
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.
Ulster County is applying for Category 1b suburban area grant funding in the amount of $900,000. The High-Risk Mitigation Team (HRMT) will increase ORACLE’s capacity to respond to overdose scenes by providing crisis intervention training (CIT) to officers throughout Ulster County. The project will develop the HRMT to work directly with ORACLE, providing certified peer advocate services (CRPA) and intensive case management within the city of Kingston, New York. The project will also develop an initial alert system for first responders in Kingston to alert the ORACLE team of overdose when it happens. This project serves Ulster County, a community of approximately 177,573 people. The project includes partnerships between the Ulster County Department of Health and Mental Health, Ulster County Sheriff’s Office, and ORACLE team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and a high rate of overdose deaths.
ADAMHS (Alcohol, Drug Addiction, and Mental Health Services) Cuyahoga County applied for Category 1a urban area grant funding in the amount of $1,196,326. The ADAMHS Board of Cuyahoga County, Ohio COSSAP project will provide access to rapid assessment, MAT induction, and peer recovery supports to survivors of overdose of opioids or stimulants to divert them from future involvement in the criminal justice system. The creation of an MAT unit and peer support recovery services within a countywide Diversion Center would address the BJA objective of reducing the impact of opioids, stimulants, and other substances, including a reduction in overdose fatalities, while also mitigating the impacts on crime victims. Establishment of the MAT unit and peer support will begin with one shift at the 24-hour Diversion Center, with all three shifts fully functioning by project year three. Project enrollment goals include serving 30 clients in the first year, 50 in the second year, and 75 in the third. This project serves 1.2 million residents in Cuyahoga County. The project did not include partnerships. Priority considerations addressed in this application include a high rate of treatment admissions for opioids, high rates of overdose deaths, lack of accessible treatment, persistently high poverty in the county, and the designation as a Qualified Opportunity Zone.
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.Project Profile
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).
Butler County of Ohio applied for Category 1B grant funding in the amount of $900,000. The Butler County COSSAP project aims to reduce the impact of opioids, stimulants, and other substances on individuals within its communities, through reducing the number of overdose fatalities, as well as mitigating the impacts of on crime victims by supporting comprehensive, collaborative initiatives. This project serves Butler County, home to a population of 382,000. The project includes a partnership with Miami University’s Center for School-based Mental Health Programs. Priority considerations addressed in this application include rural challenges in a high-poverty area and Qualified Opportunity Zone.
The City of Columbus Department of Public Safety applied for grant funding in the amount of $1200,000 under Category 1A. This project serves the 1,316,756 residents of the city of Columbus and Franklin County, Ohio. The Rapid Response Emergency Addiction Crisis Team (RREACT) EMS Outreach Unit is a unit within the Division of Fire’s Training and Emergency Medical Services Bureau and is supported by the Division of Police’s Crisis Response Team. RREACT EMS outreach members include firefighters/paramedics, Crisis Intervention Team (CIT) certified peace officers, a substance use case manager, a registered SUD nurse, a family case manager, and trauma specialist. This multidisciplinary outreach team goes directly into communities to connect with opioid users who survive overdose, but then refuse EMS transport to the emergency room. The goal of the outreach unit is to proactively create connections and build relationships with opioid users. RREACT follows up with addicted individuals in the community within 48 hours of nonfatal overdose; checks in on their immediate health and wellness; provides resource information, and creates opportunities for users to link with harm-reduction supplies, treatment programs, and social service supports. RREACT actively partners with local treatment providers, public health departments, justice agencies, and Franklin County’s Family and Children First Council to achieve desired project outcomes. Gretchen Hammond with Mighty Crow, Inc. serves as the evaluator for the proposed project. The applicant is eligible for COSSAP priority consideration based on overdose rates in Franklin County and the City of Columbus and the project’s impact on increased public safety in Qualified Opportunity Zones.
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 Dayton Police Department (DPD) — serving the city of Dayton, Ohio (population 146,040) — sought grant funding from COSSAP Category 1b in the amount of $899,964 to provide services in Dayton, mitigating the incidence of overdose/overdose deaths and addressing a substantial increase in opioids, stimulants, and other illicit substance use. DPD will support development, implementation, and expansion of a comprehensive, quick-response model by adding additional staff of certified peer support personnel, including in-reach services with the Montgomery County Jail, and targeting veterans and other identified at-risk populations. DPD will apply best-practice law enforcement strategies, including installation of FLOCK Safety License Plate Reader units and upgrading family-friendly interview rooms into evidence-based prevention programs operated by WestCare Ohio, and will contract with Cordata Health Initiatives to implement a customizable database designed for and currently being utilized by COSSAP-funded programs in Ohio to track and report quick-response and peer-lead services. Priority considerations addressed in this application include Qualified Opportunity Zones.
The city of Hamilton will expand its response to opioid addiction by collaborating with Heroin Hope Line, Transitional Living (TLC), and New Life Mission to reduce the number of drug-dependent individuals within the city of Hamilton. The Hamilton Police Department currently uses several officers on a part-time basis to assist with the intervention of drug-dependent individuals. With grant funds, the Hamilton Police Department will dedicate officers who will identify potential individuals for the program through overdose reports, conduct follow-up with victims of overdoses, and proactively reach out to individuals at risk of overdose.Project Profile
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.Project Profile
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.
Hamilton County applied for Category 1A grant funding in the amount of $1,000,000. The Hamilton County Addiction Response Coalition (HC ARC), under the proposed quick response team (QRT) expansion program, will address and has already addressed a number of the overarching goals of the solicitation, specifically, encouraging cross-system planning and collaboration among officials who work in law enforcement, pretrial services, courts, probation and parole, child welfare, reentry, prescription drug monitoring programs, and emergency medical services, as well as health care providers, public health partnerships, and agencies that provide substance abuse treatment and recovery support services. The QRT expansion plans to engage current community stakeholders, as well as new community stakeholders and partnerships beyond the coalition to target hot-spot areas. The QRT will continue to expand its on-the-ground efforts by utilizing HC ARC member organizations to not only provide outreach and resources to individuals suffering from addiction, but also the organizations they frequent to arm them with tools and resources. HC ARC has established a coordinated multidisciplinary response team that includes law enforcement, treatment providers, government representatives from the county and city, and a program administrator. This project serves Hamilton County, population 817,473. The project includes partnerships between Hamilton County Public Health Department and the Talbert House. There are no priority considerations addressed in this application.
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 Hancock County Alcohol, Drug Addiction, and Mental Health Services Board will expand upon the county’s current Quick Response Team efforts by developing a law enforcement assisted diversion program, coordinating local efforts with the ohio high intensity drug trafficking areas, and conducting an evaluation. The applicant will explore the use of overdose dectection mapping application program. Brandeis University will serve as the research partner for the proposed project.Project Profile
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 Ohio Office of Criminal Justice Services (OCJS) applied under Category 2 on behalf of the State of Ohio for grant funding in the amount of $6,000,000 for the First Responder Diversion Programs in Ohio project. Through this grant, first responder diversion (FRD) programs will be created and/or expanded in rural and urban areas across Ohio. The project serves Cuyahoga, Fairfield, Franklin, Hamilton, Lawrence, Lorain, and Mansfield counties. Federally designated Qualified Opportunity Zones and high-poverty areas were a consideration in identifying several of the pilot sites. The project partners include OCJS, Cordata, Talbert House, the University of Cincinnati, and drug task forces in participating FRD sites.
Seneca County is located in north-central Ohio (population 55,178 and population density of 103 persons per square mile) and, like most rural communities in the region, suffers from underemployment, decreasing revenues, and high rates of substance abuse and mental illness. Consistent with OJP priority areas, Seneca County has a high rate of primary treatment admissions for opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers. The purpose of the project is to better address the many needs of the population in Seneca County by providing (1) increased in-house (jail) access to therapy, (2) recovery support during reentry, and (3) transportation, in particular, to outpatient therapy following release from jail. The project includes building upon and expanding an existing partnership between SCSO and Firelands Counseling and Recovery Services, a recognized community mental health center in Ohio accredited by the Joint Commission. Priority considerations addressed in this application include postbooking treatment alternative to incarceration for individuals at high risk of overdose or substance abuse; evidence-based treatment provision, including MAT (naltrexone); and recovery support services. Drs. Holly Ventura Miller and J. Mitchell Miller from the University of North Florida will serve as the evaluators for the proposed initiative. This proposal includes a comprehensive mixed-methods process and outcome evaluation incorporating both qualitative and quantitative research techniques. The proposed project will infuse sincerely needed resources into one of the communities most devastated by the still-rising opioids crisis and provide examples of data collection and evaluation steps that could be replicated in other criminal justice and public health settings.
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.
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. 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. There are no priority considerations with this 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.
Allegheny County applied for grant funding under Category 1a in the amount of $1,199,505 to build needed pre-arrest/pre-booking diversion pathways to harm-reduction services for individuals with SUD/COD — leveraging Allegheny County Department of Human Services’ (DHS) Pathway to Care and Recovery, the county’s new front door to treatment and support, as well as other crisis system resources. This project will support diversion from the criminal justice system at two crucial points: (1) pre-arrest, so that police officers can divert individuals to the Engagement Center, avoiding arrest and incarceration entirely; and (2) pre-booking, so that magisterial district judges can divert individuals from getting booked in the jail during their initial bail hearing. This project will also build upon planning efforts with various suburban municipalities who have expressed interest in teaming together to establish flexible options for pre-arrest diversion to mobile case managers Allegheny County’s proposed project for COSSAP addresses the high-poverty area and Qualified Opportunity Zone priority considerations, as it is intended to benefit individuals who reside in these areas and will improve public safety.
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 Wyoming County District Attorney’s Office (WCDAO) will establish a peer recovery support program to improve access to treatment for overdose survivors and their families. The certified recovery specialists will meet with patients in the emergency department and throughout the community and will coordinate referrals/warm hand-offs to behavioral health agencies within the county. WCDAO will also establish a new program to connect individuals who interact with first responder agencies, including EMS, fire departments, and law enforcement, with evidence-based treatment resources for substance abuse and mental health. This program will also provide training to first responders on addiction, mental health, and trauma-informed care. A formal law enforcement diversion program will also be created to connect individuals with treatment.Project Profile
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 entire county of Lancaster is 98,012 residents. The proposed project will provide resources for training of every law enforcement officer in the county on LEAD (Law Enforcement Assisted Diversion); promote visible prescription drug takeback strategies; and assist with training, handling, and distribution of naloxone. Priority considerations include the presence of a Qualified Opportunity Zone, poverty, and rural challenges. This application is for Category 1c grant funding.
The purpose of this program is to design and implement a collaborative intervention strategy that provides (pre-booking or post-booking) treatment alternative-to-incarceration programs serving individuals at high risk for overdose or substance abuse utilizing evidence-based recovery support services (transitional/recovery housing and peer support) and medication-assisted treatment (MAT). To meet these objectives, the proposed initiative will provide: 1) assessment-based individualized treatment plans, 2) MAT (Medication Assisted Treatment), 3) transitional housing at the OARS Center, 4) cognitive behavioral therapy, and 5) peer support services. Services will be delivered in the Oconee Addiction Recovery & Solutions Center located adjacent to the Oconee Law Enforcement Center that, as a communitywide enterprise, was recently renovated for this purpose. OARS will coordinate with the Oconee County Sheriff’s Office, the Oconee County Detention Center, the Oconee County Drug Court, the 10th Judicial Circuit Solicitor’s Office, and the Center for Family Medicine to deliver the proposed initiative through: 1) the development of a comprehensive, locally driven evidence-based response to opioids, stimulants, and other substances with expanded access to supervision, treatment, and recovery support services; 2) supporting law enforcement and other first responder diversion programs for nonviolent drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders; 3) needs assessment tools to identify and prioritize services for jail offenders; 4) the use of evidenced-based treatment practices; and 5) rigorous program evaluation by Clemson University providing feedback and improvement opportunities.
Minnehaha County applied under Category 1b for grant funding in the amount of $900,000 under the reporting umbrella of the Minnehaha County Sheriff’s Office. This project serves the population of Minnehaha County, which includes a population of 186,749 residents. The purpose of the project is to reduce reliance of the criminal justice system to deal with individuals with substance abuse disorders. The project includes partnerships between Minnehaha County (Sheriff’s Office, SAO, Human Services), the Sioux Falls Police Department, Avera Hospital, Urban Indian Health, and the University of South Dakota. The program-specific priority area the applicant will address is the lack of accessibility to treatment providers. The OJP policy priority area the applicant will address is to enhance public safety in four Qualified Opportunity Zones. The applicant will partner with researchers in the Department of Family Medicine at the University of South Dakota to submit performance measurement and related assessments (including a gap assessment) to make data-informed decisions. These deliverables will also include assessments of the peer navigator and associated program. Final reports will be produced that summarize community crime changes and analysis of benefits to Qualified Opportunity Zones.
The Gallatin Police Department (Sumner County, Tennessee, population 191,283) — in partnership with the Sumner County Sheriff’s Office, local treatment provider Volunteer Behavioral Health, local courts, and scientific consultants — requests $892,085 from the Bureau of Justice Assistance FY 2020 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (Category 1b: Competition ID BJA-2020-17024) to implement a law enforcement-led substance abuse response to address the county’s increasing substance abuse problem. The proposed community-based strategy to address substance abuse and overdose risk will be implemented through enhancing connections to treatment; delivering evidence-based recovery services including needs assessment, individualized treatment plans, case management, medicated assisted treatment (MAT); providing a police-led awareness and prevention program to the county’s K-12 population, as well as a provision of Narcan to officer first responders. OJP priorities addressed include serving a designated Qualified Opportunity Zone, high-poverty areas, evidence-based services delivery, and program evaluation.
The Tennessee Department of Mental Health and Substance Abuse Services is applying for category 2 in the amount of $6,000,000. This project will increase local community’s capacity to respond to the presence of Substance Use Disorders (SUDs) among justice involved individuals and reduce the impact of SUDs among justice involved individuals. This project will include partnerships with the Tennessee Department of Health to support the expansion of Medication Assisted Treatment (MAT) in COSSAP jail sites and the Tennessee Bureau of Investigation to support Drug Endangered Children Task Forces, Field Based Drug Testing, and overdose data mapping. This project serves to support ten new implementation project sites; 1) Blount, 2) Roane, 3) Anderson, 4) Bradley, 5) Dickson, 6) Cheatham, 7) Roane, 8) Tipton, 9) Grundy and 10) Montgomery counties. Priority Considerations: Qualified Opportunity Zones: All 10 sites targeted for this COSSAP project have Qualified Opportunity Zones in their county: See Attachment 6. High-Poverty Areas or Persistent-Poverty Counties: Two of the targeted counties: Grundy and Cocke are rated by the TN Dept of Economic and Community Development as “Distressed”, while the other eight (8) counties are rated as “Transitional”. Poverty rates for all targeted counties are above the national average (12.3%) with Grundy (28.5%), Cocke (25.0%) and Bradley (18.0%) all exceeding the Statewide poverty rate of 16.7%. Address Specific Challenges That Rural Communities Face: Six of the ten sites selected have more than (50%) of their population residing in rural areas, which Grundy County having (100%) of its population residing in a rural area.
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.Project Profile
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Sullivan County Overdose Response Team (SCORT) in Sullivan County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims as well as administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Sullivan County District Attorney’s Office through the Sullivan County Family Justice Center. The SCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Hamilton County Police and Community Overdose Response Team (PCORT) in Hamilton County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims, as well as providing administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Hamilton County District Attorney’s Office through the Hamilton County Family Justice Center. The PCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
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.
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.
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 Whatcom County Prosecuting Attorney’s Office (PAO) proposes to implement a Law Enforcement Assisted Diversion (LEAD) program in Whatcom County. Grant funds will be used to hire a Project Coordinator through the Whatcom County PAO and three case managers through a subcontract to Sea Mar Community Health Center. Funds will also be used to support transitional housing. Project partners include the Whatcom County Public Defender’s Office, the Whatcom County Sheriff’s Office, the Whatcom County Health Department, the City of Bellingham Police Department, the City of Bellingham City Attorney’s Office and Sea Mar Community Health Center.Project Profile
The City of Madison Police Department proposes to enhance its pre-arrest diversion program with additional pathways to treatment that include self-referral (Safe Stations), active outreach, naloxone plus (Quick Response Team), and officer prevention and intervention. Grant funds will be used to hire an addiction resource team comprised of an addiction resource officer, community paramedic, and certified peer specialist, as well as an assessment clinician for referred clients, program evaluator, and project coordinator. Additional funds will be used to purchase naloxone for community distribution. The applicant will use overdose detection mapping application program to inform its project activities. The project services residents of Madison and Dane County. Project partners include Public Health Madison and Dane County, Dane County Department of Human Services, Madison Fire Department, and the University of Wisconsin Population Health Institute (UW PHI). The project will engage Janae Goodrich of the UW PHI as the research partner.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 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.
Milwaukee County, with an estimated population of 945,726, through the Milwaukee County Medical Examiner’s Office and in collaboration with the Milwaukee Community Justice Council, the Medical College of Wisconsin, and a variety of public health and public safety partners, sought $1,200,000 in Subcategory 1a grant funding to create a Milwaukee Overdose Public Health and Safety Team (OD-PHAST). This project would expand and further coordinate current efforts to address overdoses, as well as overall substance misuse issues across the county. The OD-PHAST project aims to: (1) expand the delivery and analysis of near real-time data between multiple public health and public safety partners; (2) utilize both aggregate data and insights from case reviews to develop strategies and recommendations for changes to reduce the likelihood of future overdose incidents; (3) increase capacity to deliver timely toxicology findings to public health and safety partners; (4) enrich understanding of fatal overdose risk factors through expanded next-of-kin interviews; and (5) connect families impacted by overdose, particularly children, to services to mitigate the impact of the trauma experienced. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.
The Milwaukee County Behavioral Health Division will use grant funds to implement medication-assisted treatment (MAT) for sentenced and sanctioned offenders in custody at the Milwaukee County House of Correction and support their transition to community-based services once released from custody. Dr. Tina Freiburger from the University of Wisconsin-Milwaukee will conduct both a process and outcome evaluation.Project Profile
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.Project Profile
The City of Charleston will use funding to hire a full-time coordinator and peer recovery coaches and support joint funding of a data analyst with the West Virginia Drug Intervention Institute (WV DII) at the University of Charleston to expand data analysis. Project partners include Thomas Hospital and WV DII. The City of Charleston has engaged WW DII at the University of Charleston as its research and evaluation partner.Project Profile
The City of Huntington, West Virginia, will implement a community Quick Response Team (QRT) that will include medical care providers, law enforcement, and recovery and treatment providers, along with research partners. This multidisciplinary team will strive toward a significant reduction in the number of overdoses, with an emphasis on the recurrent cases. Federal funds will be used to assess project participants’ needs and assess their capabilities and preferences to determine appropriate plans for intervention, which includes, but is not limited to, provision of access to recovery and treatment services. Community capacity and cohesion will be fostered by engaging and educating those communities that have been disproportionately affected by the crisis in substance abuse, mental health, treatment, and recovery service awareness. The overall target through the collaborative efforts of the QRT is to decrease the number of overdoses by at least 20 percent annually and the number of recurrent overdoses by 40 percent annually. The Marshall University Department of Public Health will serve as an action research partner.
The West Virginia Division of Justice and Community Services (DCJS) proposes three initiatives: • Expand and improve the state’s Handle with Care (HWC) initiative. The HWC initiative supports children exposed to trauma and violence through improved communication and collaboration between law enforcement and schools/child care agencies and mental health providers, and connects families, schools, and communities to mental health services. • Expand and enhance the West Virginia law enforcement assisted diversion program, which diverts those suspected of low-level drug and prostitution offenses away from jail and prosecution into case management, legal coordination, and other supportive services. This aspect of the proposed project will focus heavily on the counties of Braxton, Calhoun, Clay, Gilmer, Webster, and Wirt, which currently lack diversion programs. • Enhance and expand telehealth services for those in underserved and geographically isolated communities. Similar to the diversion aspect, the telehealth aspect of the proposed project would expand services to Braxton, Calhoun, Clay, Gilmer, Webster, and Wirt Counties. These services will include psychiatric evaluations with treatment plan development, individual and group counseling, cognitive-behavioral therapy, medication-assisted treatment (including buprenorphine and naltrexone), and peer recovery support services. DJCS has partnered with the West Virginia Office of Research and Strategic Planning, West Virginia Department of Health and Human Resources Bureau of Behavioral Health, and the West Virginia Office of Drug Control Policy in the implementation, monitoring, oversight, and sustainment of the proposed project.Project Profile
The Cheyenne Regional Medical Center proposes a pre-arrest law enforcement assisted diversion program (LEAD) program. The project will include a part-time coordinator and a full-time case manager who will hold primary responsibility for planning and implementation of LEAD and client case management. Project partners include Laramie County, Cheyenne Police Department, Laramie County Sheriff’s Office, Cheyenne Municipal Court, and treatment providers.Project Profile