Grantee Projects

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Bristol Bay Native Association

Alaska

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.

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Native Village of Port Heiden

Alaska

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.

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Executive Office of the Governor of Delaware

Delaware

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.

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New Castle County

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.

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Florida Office of the State Courts Administrator

Florida

The Florida Office of the State Courts Administrator proposes that five established family dependency drug courts increase the number of families they serve and it proposes to institute/enhance peer-support programs; incorporate medication-assisted treatment; establish substance use disorder prevention programs for the children whose parents are participants in family dependency drug court; execute evidence-based, parent-child relationship-strengthening programs; strengthen peer-to-peer collaboration among sites with an annual all-sites meeting and cross-site visits; and increase training and technical assistance regarding substance use disorder and opioid use disorder. This project serves family dependency drug courts in Broward, Palm Beach, Orange, Marion, and Citrus counties. Dr. Barbara Andraka-Christou and her team from the University of Central Florida will serve as the evaluator for this project.

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Cobb County Board of Commissioners

Georgia

The Cobb District Attorney’s Office will create an Opioid Fatality Review Project and provide wraparound services to families that have lost a loved one to an overdose; establish a case manager to provide wraparound services to opioid offenders who do not qualify for one of Cobb’s existing Accountability Courts; and establish an investigator to initiate deep-dive investigations into opioid dealers and distributors. Applied Research Services, Inc. will serve as the evaluator for the proposed project.

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Criminal Justice Coordinating Council

Georgia

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.

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Floyd County Fiscal Court

Kentucky

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.

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Kentucky Justice and Public Safety Cabinet

Kentucky

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.

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Boston Police Department

Massachusetts

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.

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City of Holyoke

Massachusetts

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.

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City of Lowell

Massachusetts

The Lowell Police Department is proposing to enhance and expand the Community Opioid-Outreach Program team (Lowell Police, Fire, Health, Trinity EMS, Lowell House) by: adding a youth services coordinator to focus on the needs of children affected by the opioid epidemic, two outreach specialists to expand service to the homeless community by serving as a liaison between agencies to improve communication and connect their various resources, and conduct pro-active outreach to any individuals with substance use disorder before an overdose. Grant funds will support a coordinator, crime analyst, full-time clinical recovery specialist and youth services coordinator, outreach recovery specialist and research team. University of Massachusetts Lowell will serve as the research team comprised of researchers from Center for Community Research & Engagement, School of Criminology and Justice Studies, and Community Health and Sustainability.

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East Bridgewater Police Department

Massachusetts

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).

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Franklin County Sheriff's Department

Massachusetts

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.

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Middle District Attorney's Office

Massachusetts

The Worcester County Regional Outreach project at the Middle District Attorney’s Office (MDAO) enhances county-wide response to substance use, misuse, and abuse for non-fatal overdoses and children affected by opioids. This program implements a post-overdose follow-up strategy using the Critical Incident Management System (CIMS) to track fatal and non-fatal overdose incidents. CIMS allows overdoses to be tracked in real-time and alerts the follow-up team of the need for a home visit. Police and clinicians or recovery coaches make home visits within 24-48 hours of a non-fatal overdose and provide the survivor and their family with resources and referrals for service. Services are also offered for any children involved with the incident or individual. The Worcester County Regional Outreach project has the following goals: 1) To reduce the number of unintentional overdose deaths in Worcester County; 2) To increase the number of individuals receiving treatment and recovery support services in Worcester County; 3) To improve outcomes for children affected by substance abuse; and 4) To build a sustainable model for long term substance abuse and overdose prevention.

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Cass County, Inc.

Michigan

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.

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Michigan Department of Health and Human Services

Michigan

The Michigan Department of Health and Human Services (MDHHS) will form a multidisciplinary team (MDT) of personnel from various community partners in an effort to work collaboratively and share data related to opioid abuse. Five Michigan counties will receive contracted substance abuse services to use during Child Protective Services (CPS) investigations, CPS open cases, and foster care cases. These services will be provided to rural counties that currently do not have access to the resources. MDHHS will provide at least ten “Connection between Trauma, Substance Abuse, and Mental Health” training sessions conducted by Dr. Stephanie Covington and her staff regarding the link between trauma and substance use. This statewide training will be available for all child welfare staff members. Finally, an online training will be developed to ensure that mandated reporters across Michigan have a robust understanding of their reporting requirements. Certification for the training will be provided. The University of Michigan will act as the action researcher to determine whether any changes to policy and child welfare practices would be beneficial.

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St. Joseph County

Michigan

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.

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City of Duluth

Minnesota

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.

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City of Duluth

Minnesota

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).

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City of Jacksonville

North Carolina

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.

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Lenoir County

North Carolina

The County of Lenoir applied for Category 1b grant funding for the amount of $288,713. The purpose of the project is to improve capacity of the district’s Family Accountability and Recovery Court (FARC) to serve families involved in the family court system due to substance dependence. Project objectives include providing more seamless and comprehensive treatment, as well as recovery services to parents with substance use disorders through increased staff capacity, enhanced training and professional development, and expanding treatment and complementary services. The project also aims at addressing systemic barriers faced by parents with substance use disorders through family transitional housing and expanded transportation assistance, as well as improving FARC performance through evaluation and performance management. This project serves North Carolina’s 8th Judicial District (Lenoir, Wayne, and Green counties). The total population of the district is 201,483. The project includes partnerships between Lenoir County, the 8th Judicial District FARC program, Hope Restorations Inc., Kinston Community Health Clinic, and the National Center for State Courts. Priority considerations addressed in this application include rural challenges, high and persistent poverty, and improved safety in Qualified Opportunity Zones.

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City of Manchester

New Hampshire

The Manchester Police Department will enhance the existing Adverse Childhood Experiences Response Team Enhancement (ACERT) Project. The ACERT response team includes a Manchester police officer to provide law enforcement, security, and safety; a crisis services advocate to provide support and explain available victim services; and a community health worker to prevent retraumatization. Plymouth State University will serve as the research partner for the proposed project. Training in trauma-informed services will also be provided to first responders. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).

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Bernalillo County

New Mexico

Bernalillo County in New Mexico will use grant funds to expand access to treatment and recovery support services across behavioral health, primary care, criminal justice, and emergency management services. Grant funds will be used to hire a full-time coordinator and two case managers. The county and partners will engage in comprehensive planning; create a mobile harm reduction center staffed by a nurse and the two case managers; increase medication-assisted treatment (MAT) for off reservation urban Indians; provide transitional housing for underserved youth and their families; and provide MAT to incarcerated youth. The University of New Mexico Institute for Social Research will serve as the research partner for the proposed project.

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City of Santa Fe

New Mexico

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.

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Butler County Mental Health and Addiction Recovery Services Board

Ohio

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).

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City of Columbus, Department of Public Safety

Ohio

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.

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City of Columbus–Public Safety, Division of Fire

Ohio

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.

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Franklin County

Ohio

The Franklin County Pathways to Healthy Living Program will offer services to individuals booked into the Franklin County Correctional Center and in active withdrawal to include screening, cognitive behavioral treatment, medication-assisted treatment (MAT), and linkage to peer support. Participants will be linked with a team pre- and post-release to ensure continuity of care. Funding will support implementation of You’re Extra Special (YES) for children aged 7 to 14 with a parent diagnosed with addiction.

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Hocking County

Ohio

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.

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Hocking County

Ohio

The Hocking County Prosecutor’s Office, in collaboration with the Hocking County Sheriff’s Office, local treatment providers, and the Hocking County Health Department, has expanded an administrator role for the Hocking Overdose Partnership Endeavor (HOPE). HOPE is a coordinated, multi-disciplinary intervention and risk-reduction response team that is dedicated to connecting individuals who are at risk for overdose and/or survivors of a non-fatal overdose and their families with substance abuse and behavioral health treatment providers or peer recovery supports. HOPE consists of law enforcement, other first responders, treatment providers, child welfare providers, public health providers, and the prosecutor’s office. The applicant agreed to make data available through Overdose Detection Mapping Application Program (ODMAP).

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Lucas County

Ohio

The Lucas County Sheriff’s Office Community Advocates Outreach Project (CAOP), a division of the Drug Abuse Response Team (DART), applied under Category 1B for three-year total grant funding in the amount of $231,232 to serve 441,815 residents of Lucas County, Ohio. Federal funding will assist program expansion, which will reduce the demand of opioids, reduce the supply of opioids, and promote harm-reduction. The project will achieve these goals through (1) development, promotion, and implementation of a three-year mixed-media drug awareness campaign; and (2) the evaluation of the CAOP educational component of DART. The project includes partnerships with Arrowhead Behavioral Health, Boys and Girls Club of Toledo, Brightside Academy, Glass City Academy, Maumee Indoor Theater, the Mental Health and Recovery Services Board of Lucas County, St. Francis De Sales School, Toledo Public Schools, and UMADAOP Lucas County. Priority consideration addressed in this application is for a high-poverty area.

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Warren County

Ohio

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.

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Rhode Island State Police

Rhode Island

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.

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Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

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.

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Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

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.

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Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

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.

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Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

The Tennessee Department of Mental Health and Substance Abuse Services will support the expansion of behavioral telehealth care services in nine counties in Tennessee, seven of which are designated as rural-based, according to the Economic Research Service Rural-Urban Commuting Areas definition. Each of the participating counties has a poverty rate above the statewide average.

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Lac Courte Oreilles Band of Lake Superior Chippewa Indians

Wisconsin

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.

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Menominee Indian Tribe of Wisconsin

Wisconsin

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.

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Milwaukee County

Wisconsin

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.

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West Virginia Division of Administrative Services, Justice and Community Services

West Virginia

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.

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