Jefferson County Commission applied for Category 1a urban area funding in the amount of $1,189,215. The Jefferson County Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will extend peer recovery services to include expanded pretrial supervision, as well as provide evidence-based treatment, including medication-assisted treatment (MAT), to individuals at high risk for overdose. This project serves a population of more than 500,000 in Jefferson County, Alabama. The project includes partnerships between the University of Alabama Department of Psychiatry — Substance Abuse Division, Jefferson County Sheriff's Office, and a local evaluator. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.
The Arkansas Department of Finance and Administration is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Arkansas COSSAP Project will address the opioid epidemic strategically and continue providing support to areas that have been disproportionally impacted by the abuse of illicit opioids, stimulants, and other substances, as indicated by a high rate of treatment admissions for substances other than alcohol; high rates of overdose-related deaths; and lack of accessibility to treatment and recovery services. The primary focuses of the proposed projects are comprehensive, real-time, regional information collection, analysis, and dissemination; the development of peer recovery services and treatment alternatives to incarceration; and continued Comprehensive Opioid Abuse Site-based Program (COAP) overdose investigations involving peer recovery services and the implementation of strategies identified in the Comprehensive Opioid Abuse Strategic Plan. This project serves specific counties where high rates of opioid deaths have been identified in COAP Category 2; however, the specific subrecipients for the proposed projects have not been selected. The project includes partnerships between the Department of Finance and Administration Office of Intergovernmental Services (DFA-IGS), Department Human Services, Office of State Drug Director, and the Single State Authority, in addition to a new partnership between DFA-IGS and the Arkansas Coroners’ Association. Priority considerations addressed in this application include providing services to rural communities and the fact that the individuals (populations) intended to benefit from the project reside in high-poverty and/or persistent-poverty counties.
The Arkansas Department of Finance and Administration will: • Support an overdose crime scene team consisting of a criminal investigator and a peer recovery specialist to assist law enforcement task forces/agencies in a minimum of six geographically diverse sites (counties, regions, or localities) within the state. • Increase access and enrollment to treatment, increase education and awareness, and evaluate the grant strategies identified in 25 localities within the state to address offenders who may be opioid abusers. The sites to receive subawards will be selected through a competitive process. Subawardees will be required to use overdoes detection mapping application program. An independent evaluator will be selected after the grant is awarded.
The 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.
Boulder County Community Justice Services will work with the project partners to develop diversion and policy-related programming across intercept points providing treatment and support for offenders with medium to high criminogenic risk who are facing opioid-related substance use disorder. We specifically seek to identify those with treatment needs who are residing in jail, or those reentering the community, with a focus across all interventions on those who are high system utilizers. The OMNI Institute will serve as the research partner for the proposed project.
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 Specialized Case Management program will provide a non-arrest, community partner pathway to connect addicted individuals to intensive case management and harm-reduction resources using the evidence- based TASC Specialized Case management and Let Everyone Advance with Dignity (LEAD) model. The City of Alamosa is creating a system of care that will allow individuals to receive appropriate levels of service and treatment to address root challenges rather than utilizing a criminal justice system clearly not equipped to address substance use disorder effectively. The Specialized Case Management program will provide a third pathway into intensive case management, service coordination, and connection to harm- reduction resources. This project serves approximately 50,000 residents in the 12th Judicial District. The project includes partnerships between the City of Alamosa, Center for Restorative Programs, and the 12th Judicial District Office of the District Attorney. Priority considerations addressed in this application include the disproportionate impact of opioids and other substances on the region, the specific challenges faced by rural communities, and the high poverty area served by the project.
The Colorado Department of Public Health and Environment (CDPHE) applied for Category 2 statewide area grant funding in the amount of $6,000,000. The Colorado Opioid, Stimulant, and Substance Abuse Project will support comprehensive, collaborative initiatives in selected areas through a competitive request for applications from local public health, law enforcement, and substance use treatment providers serving residents in seven rural counties to conduct one or more of the BJA allowable uses of the funding to meet the specific local needs. Deliverables of the project include the selection and provision of at least six subawards within six months of the grant award, at least six contracts and scopes of work, a BJA-required implementation manual, an annual summary of the site project, project accomplishments from each site (sub-award), coordinated cross-site training and peer-to-peer learning, quarterly process data, annual evaluation data, and a written evaluation report at the end of the grant period. This project serves seven rural counties: Bent, Costilla, Crowley, Huerfano, Otero, Prowers, and Saguache. The project includes partnerships between the Prevention Services Division of CDPHE and the Office of Behavioral Health of the Colorado Department of Human Services, as well as local public health, law enforcement, and substance use treatment partners in the seven counties. Priority considerations addressed in this application include rural and high-poverty areas containing economic opportunity zones. Partner agencies and activities will be specified after a competitive Request for Applications is released in February 2021, the applications are reviewed, and awards are made.
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 Comprehensive Opioid Abuse Site-based Program (COAP) was developed as part of the Comprehensive Addiction and Recovery Act (CARA) legislation. COAPA purpose is to provide financial and technical assistance to states, units of local government, and Indian tribal governments to plan, develop, and implement comprehensive efforts to identify, respond to, treat, and support those impacted by the opioid epidemic. The Harold Rogers Prescription Drug Monitoring Program (PDMP) has been incorporated into the FY 2019 COAP solicitation. The purpose of the Harold Rogers PDMP is to improve collaboration and strategic decision making among regulatory and law enforcement agencies and public health entities to address prescription drug and opioid abuse, save lives, and reduce crime. COAP aims to reduce opioid abuse and the number of overdose fatalities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives. The program also supports the implementation, enhancement, and proactive use of PDMPs to support clinical decision making and prevent the abuse and diversion of controlled substances. Grantees are prohibited from using federal funds to support activities that violate the Controlled Substances Act. The objective of Category 1 is to encourage and support the development of comprehensive, locally driven responses to the opioid epidemic that expand access to supervision, treatment, and recovery support services across the criminal justice system; support law enforcement and other first responder diversion programs for non-violent drug offenders; promote education and prevention activities; and address the needs of children impacted by the opioid epidemic. All projects are expected to involve multiple agencies and partners. The Miami-Dade Corrections and Rehabilitation Department proposes to expand medication-assisted treatment (MAT) services in the county jail, provide reentry services and utilize residential treatment beds and emergency housing. Grant funds will be used to hire personnel to deliver MAT and reentry services, purchase residential treatment beds and emergency housing, and conduct a Sequential Intercept Mapping workshop. Project partners include Jackson Health System, City of Miami Homeless Assistance Program, Miami-Dade County Community Action and Human Services Department, and South Florida Behavioral Health Network, Inc. The applicant will engage the Behavioral Science Research Institute as their research partner.
In Palm Beach County, COSSAP funding will be used to support a care coordinator/housing specialist assisting Clients in finding a recovery housing placement using the Recovery Housing Voucher. Recovery support services are provided by engagement with a peer recovery support specialist and using the enhancement funding through the Recovery Support Services Funds. This intervention program will prioritize and expedite recovery support services to individuals at high risk for overdose. The Office of Behavioral Health and Substance Use Disorders (OBHSUD) seeks to fund a comprehensive person-centered, recovery-oriented approach with the goal of ensuring housing stability to support persons involved with the criminal justice system who have a substance use disorder. This demonstration program will focus on achieving housing stability given its key predictive value in achieving long-term recovery outcomes. The successful applicant will participate and work closely with the County’s strategic government and community partners as well as its research partner, Florida Atlantic University (FAU) to define and measure housing stability standards, and other recovery support interventions in the recovery residence environment in order to determine their impact on long-term recovery outcomes. The program will utilize the Sequential Intercept Model (SIM), developed by the National GAINS Center. Using the SIM as a conceptual framework, the proposed project will target individuals at Intercept 3: Specialty Courts and Jail and Intercept 4: Re-entry.
The Screven County Sheriff's Office applied for Category 1c tribal/rural grant funding in the amount of $587,825. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) employ needs assessment tools to identify and prioritize services for jail offenders, (2) expand diversion programs for drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders, (3) deliver an evidenced-based prevention program, and (4) offer rigorous program evaluation providing feedback and improvement opportunities. This project serves Screven County, Georgia, with a population of 14,300. The project includes partnerships between the Community Service Board of Middle Georgia, Ogeechee Division; Drug Court for the Ogeechee Judicial Circuit; and scientific partners. Priority considerations addressed in this application include a 100 percent rural county, high-poverty area, and Qualified Opportunity Zone.
The Guam Behavioral Health and Wellness Center (GBHWC) applied for Category 1b suburban area grant funding in the amount of $900,000. The Guam Family Recovery Program will provide swift American Society of Addiction Medicine assessments and placement when deemed appropriate. The program will also offer peer support services to identified clients and decrease the time from arrest to access possible treatment for clients suffering from the ills of substance use. A total of 450 assessments will be performed throughout the grant period. This project serves the community of Guam. The project includes partnerships between GBHWC, Department of Corrections, Superior Court of Guam, TOGHE, OASIS, and the Salvation Army Lighthouse Recovery Center.
The Boone County Health Department will use grant funds to integrate behavioral health services into the jail’s detainee health services, including introducing medication-assisted treatment and initiate a Recovery Navigator program to provide comprehensive case management to detainees and opioid-abusing individuals coming into contact with law enforcement and first responders. The grant funds will support a full-time navigator and project coordinator. The Boone County Task Force will provide direct support to include developing a screening and referral process, identify and implement evidence-based services; develop sustainability and implementation plans, and an evaluation plan to track impacts and outcomes.
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 DuPage County Health Department (DCHD) will deliver medication-assisted treatment (MAT) at the DuPage County Jail, implement a data management team to unify disparate data sources related to opioid use in the county; and implement a cross-sector Overdose Fatality Review Team based on the RxStat model. The Illinois Criminal Justice Information Authority will serve as the research partner for this project.Project Profile
The Indiana County Leaders Collaboration for Change (ICLCC) will establish and/or build upon existing collaborative relationships between first responders, the criminal justice system, child welfare and foster care, behavioral health, primary care and addiction service providers to identify, develop (or) enhance, and implement specific countywide programs designed to reduce the impact of opioids, stimulants, and other substances on individuals and communities. The counties will achieve this by developing (or) enhancing and implementing one or more of the following within their county: Law Enforcement Assisted Diversion (LEAD) model programs (new to Indiana), prebooking or postbooking treatment alternative-to-incarceration programs, education and prevention programs to connect law enforcement in schools, embed social services with law enforcement to rapidly respond to drug overdoses where children are impacted, and expand access to evidence-based treatment and recovery support services across the criminal justice system. This project serves individuals across Knox, Wayne, Fayette, Floyd, Clark, Allen, and Madison counties. The project includes partnerships between the Division of Mental Health and Addiction and seven county coalitions. Priority considerations addressed in this application include rural, high-poverty, and economically distressed regions.
The 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.
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.
Louisville Jefferson County Metro Government is applying for a Category 1a urban area grant in the amount of $1,200,000. The MAT Expansion Project, known as IMPACT—Innovative Medication Program for Addiction Care and Treatment, aims to increase access to medications for Opioid Use Disorder in the jail. The project will expand in-custody access to MAT to reduce overdose deaths, reduce criminal behavior, and improve treatment retention and treatment outcomes for the population with moderate to severe opioid use disorder (OUD). Goals of the project include: increase access to MAT to incarcerated individuals already enrolled in a community opioid treatment program or office-based opioid treatment program prior to arrest, increase access to MAT by initiating two FDA-approved medications (methadone and buprenorphine) for OUD, improve treatment retention by providing in-custody behavioral therapies for substance use disorder and referral and linkage to care in the community upon release, and developing protocols to control medication diversion and offer ongoing staff training to address safety and security and the stigma associated with MAT as a treatment modality. This project serves the Louisville Metro City/County with a combined population estimated of 771,517. The project includes partnerships between Wellpath, and the MORE Center.
The Louisiana Department of Health, Office of Behavioral Health will support access to, and engagement in, treatment and recovery support services for offenders with opioid abuse in Orleans and East Baton Rouge Parishes jails, as well as increased use of diversion in Orleans and Jefferson parishes, This will be accomplished by providing support for peer support specialists and treatment staff members at the Day Reporting Center in New Orleans, which serves both Orleans and Jefferson Parishes.
The Louisiana Department of Public Safety and Corrections proposes to provide a comprehensive plan to develop and implement a medically managed opiate withdrawal program for offenders with opiate use disorders entering Bayou Dorcheat Correctional Center (BDCC). The program will provide assessment and medication-assisted therapy (MAT) with buprenorphine; provide pre- and post-release MAT in the form of oral naltrexone and/or the extended-release naltrexone injection for opioid use disorder (OUD) offenders; provide pre-and post-release intensive substance abuse treatment, employing a comprehensive case plan and discharge plan; and provide pre- and post-release peer recovery support services. Partners include: Probation and Parole, Louisiana Department of Health’s Office of Behavioral Health, Northwest Louisiana Human Service District, and Ascent Powered by Sober Grid.
The Orleans Parish will enhance the Orleans Re-Entry Court by screening offenders for opioid addictions at sentencing; referring offenders with opioid addictions to receive medication-assisted treatment; and offering offenders job training services, education, and cognitive behavioral interventions while incarcerated and upon release. Loyola University New Orleans will serve as the research partner.
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.
The Commonwealth of Massachusetts, dba Middlesex Sheriff’s Office, applied for a Category 1a urban area grant in the amount of $1,152,729. The Involving Families in Treatment of Inmates with Opioid Use Disorder (OUD) Project will reduce opioid overdose deaths and improve treatment outcomes for inmates with opioid use disorder by providing naloxone to family members and involving them in treatment. Through an enhancement of the Medication-Assisted Treatment and Directed Opioid Recovery (MATADOR) Program — which provides naltrexone, buprenorphine, methadone, and case management services — the proposed project activities include: (1) development and implementation of naloxone trainings and naloxone distribution for family members of inmates with OUD; (2) provision of a comprehensive family services program for inmates with substance use disorders, including outreach to engage families in the project, educational programs for families on substance use disorder, family counseling, and support groups, and (3) an evaluation of the project’s impact in improving treatment outcomes and reducing the risk of overdose deaths. This project serves Middlesex County, located in northeastern Massachusetts. Middlesex County, the most populous county in New England, has 1.6 million residents. The project includes partnership with Brandeis University. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and high rates of overdose deaths.
The Commonwealth of Massachusetts Sheriff’s Department Hampden applied for a Category 1b suburban area grant in the amount of $900,000. Hampden County Sheriff’s Department’s All Inclusive Support Service Program will reduce opioid-related overdoses and related fatalities. The program will take a multipronged approach to (1) enhance a database in Hampden County that will allow for the collection, analysis, and dissemination of comprehensive, real-time overdose information, and (2) implement a law enforcement, first responder-driven multidisciplinary overdose prevention, response, and diversion referral model known as the Rapid Response and Connection Program. This project serves Hampden County, Massachusetts, which has a population of 470,406. The project includes partnerships between the Hampden County Sheriff’s Department, Office of the District Attorney, Baystate Medical Center, Trinity Health Mercy Medical Center, local law enforcement entities, and other established community partners. Priority considerations addressed in project include the disproportionate impact from substance use on a rural, high-poverty census tract and public safety impact in Qualified Opportunity Zones.
The Essex Medicated Assisted Treatment Recovery Project (EMATRP) will be expanding and enhancing its current MAT program and support services pre- and post- release through these initiatives: (1) enhancing the current MAT program with care continuum coordinators, (2) providing pre-release harm-reduction education for all MAT participants to include naloxone upon release for 3,000 inmates, and (3) partnering with Spectrum for clinical stabilization services beds to provide participants with transitional housing and peer recovery for up 825 inmates. This project serves Essex County in Massachusetts with a population of 800,017. The project includes partnerships between Wellpath. Priority considerations addressed in this application include high-poverty area and Qualified Opportunity Zone.
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.
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 Grand Traverse Band of Ottawa and Chippewa Indians (GTB) applied for Category 1c tribal/rural area grant funding in the amount of $600,000. The GTB COSSAP Project will address the current substance use issues identified by Grand Traverse Band’s Behavioral Health intakes, with statistics confirming the continued need for substance use services and recovery support for adolescents and adult federally recognized Native Americans who are experiencing depression, trauma, suicide ideation, and co-occurring disorders. This project serves 5,100 Native Americans in the GTB six-county service area located in lower northwest Michigan (Antrim, Benzie, Charlevoix, Grand Traverse, Leelanau, and Manistee counties). The project includes partnerships between GTB Public Safety and the GTB Tribal Court departments. Priority considerations addressed in this application include addressing specific challenges that rural communities face.
Ottawa County Community Mental Health applied for Category 1b suburban area grant funding in the amount of $900,000. The Coordinated Substance Use Disorder treatment for Jail and Reentry Populations Project will (1) implement post-booking substance use clinical assessments for all eligible inmates in Ottawa County Jail, (2) implement individual and group-based substance use treatment programming for inmates identified as having a substance use disorder, and (3) implement a coordinated community reentry strategy for post-sentence release from jail that promotes access to social services and strengthens probation supervision. This project serves Ottawa County, Michigan. Priority considerations addressed in this application include Qualified Opportunity Zones, as well as rural and high-poverty areas.
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 County of St. Louis applied for Category 1b suburban area grant funding in the amount of $897,607. The St. Louis County FY 2020 COSSAP Initiative will expand access to evidence- based treatment (including medication-assisted treatment and recovery services in jail), expand peer recovery support services and access to treatment for rural residents, and provide coordination to support comprehensive responses to substance abuse. This project serves St. Louis County with a population of approximately 200,431. The project includes partnerships between the St. Louis County Jail, Recovery Alliance Duluth, Human Development Center, and Duluth Family Medicine Clinic. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing communities that are primarily rural and/or localities facing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.
The 29th Judicial Circuit Court applied for Category 1b suburban area grant funding in the amount of $887,194. The Jasper County Treatment Program (JCTP) will provide a postbooking connection to clinical treatment indicated by evidence-based needs for all offenders per screening for substance abuse, mental illness, criminogenic risk, and connection to enhanced treatment for family-based offenders. The program will also provide court-ordered referrals into the JCTP and referral into other offender programming as indicated for nonfamily substance abuse offenders, as well as develop individualized treatment plans for family-based substance abuse offenders. Also, the program will provide case management of JCTP participants targeting substance abuse and co-occurring disorders and communicate community treatment program participation requirements (i.e., probation conditions, such as mandatory counseling session participation, MAT plan compliance, drug testing, and court reporting). This project serves Jasper County (population 120,217). Priority considerations addressed in this application include eight high-poverty areas and a Qualified Opportunity Zone.
The County of Lewis and Clark applied to Category 1c grant funding and will be recommended to receive $513,850. It proposes to implement the Medication-Assisted Treatment (MAT) Bridges Project, which will support the delivery of treatment in the detention center for individuals with opioid use disorder. MAT medications, in combination with counseling and behavioral therapies, provide an evidence-based, holistic patient approach to the treatment of opioid dependency. The county is requesting funding for MAT medications and medically necessary lab work, as well as to support staff to implement the MAT Bridges program in the detention center. The MAT Bridges program is projected to increase retention in treatment for individuals upon release into the community and decrease recidivism rates for MAT Bridges participants. This project serves an estimated population of 69,432, including both rural and urban communities in the county. The project includes partnerships between the county’s Criminal Justice Services Department, the County of Lewis and Clark Sheriff's Office and detention center, and two local federally qualified health centers. Priority considerations addressed in this application include a rural area.
The Montana Board of Crime Control will develop a comprehensive plan that identifies policies and practices to assist local communities and providers in engaging and retaining offenders with opioid use disorder in treatment and recovery services and to increase the use of diversion in Montana. After the plan is completed, grant funds will be used to support the development of local, sustainable diversion programs and projects that link offenders to treatment and recovery services in priority communities. The primary partner for this project is the Addictive and Mental Disorders Division of the Montana Department of Public Health and Human Services (DPHHS).
Buncombe County Department of Health and Human Services (DHHS) proposes to connect individuals at risk of overdose with substance use treatment and peer support; provide transitional or recovery housing for individuals with opioid use disorder (OUD) leaving the jails or the emergency department; develop programs to address the opioid epidemic in rural areas; develop and implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the pretrial and post-trial populations leaving jails; and support the timely collection and integration of data to provide an understanding of drug trends, support program evaluation, inform clinical decision-making, identify at-risk individuals or populations, and support investigations. Buncombe County DHHS, the Sheriff’s Office, and Emergency Medical Services will implement the Overdose Detection Mapping Application Program (ODMAP).Project Profile
The County of Catawba applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to expand the current Law Enforcement Assisted Diversion (LEAD) program by offering additional financial support for Officer training and engagement in order to grow the referral pool. Second, funds will be used to further develop an existing jail services program to include a more robust pretrial diversion program. Finally, funds will be used to implement a new transitional, reentry housing program to be utilized by both LEAD and jail services. This project serves Catawba County, North Carolina, with a population of 150,000 people. The project includes partnerships between the Cognitive Connection and Rebound Treatment Center. Catawba Valley Behavioral Health has existing relationships with the local sheriff’s department, five local police departments and the Districts Attorney’s Office through the LEAD program. Priority considerations addressed in this application include high rates of overdose and overdose death.
The Rutherford County Sheriff’s Office will provide medication-assisted treatment, cognitive behavioral therapy for incarcerated individuals, and enhanced reentry services to include peer support and community-based opioid use disorder (OUD) outpatient treatment through its federally qualified health center, Blue Ridge Community Health Services. The Sheriff’s Office has partnered with the Rutherford County Department of Social Services to provide the screening, assessment, and therapeutic services during incarceration and will provide Safe Harbor Program follow-up services to individuals with OUD and affected children.
The Eastern Band of Cherokee Indians’ Integrated Opioid Abuse Program will develop a task force composed of tribal decision makers who will create policies and keep agencies accountable to indicators of success. A multidisciplinary team will provide direct services to high-frequency drug users and their families. These two teams will work together to develop a plan to create a secured mental health/opioid abuse treatment center and secure transportation for participants becoming certified peer recovery support specialists.
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.
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 Camden County Department of Corrections (CCDOC) applied for Category 1a grant funding in the amount of $1,200,000. The Comprehensive Substance Use and Recovery Support Program for Incarcerated Individuals in the Camden County Correctional Facility (CCCF) will expand the department’s capacity to identify, respond to, treat, and support individuals incarcerated in the CCCF with a history of substance use, specifically individuals with a non- opioid use disorder. Through the use of substance use and recovery support services for individuals both pre- and post-release, this project serves Camden County, New Jersey, which has a population of approximately 513,000 across 37 municipalities. The project includes partnerships between Camden County Department of Health and Human Services Office of Mental Health and Addictions, CFG Health Network, and CCDOC’s contracted medical and mental health provider, as well as partnerships with Project HOPE, the Center for Family Services, Volunteers of America, Genesis Counseling Centers, and the New Jersey Division of Mental Health and Addiction Services. These agencies will support CCDOC reentry efforts, providing vital support to individuals such as housing, MOUD, SU, and mental health counseling, employment, and job-readiness training. Priority considerations addressed in this application include a high-poverty area and Qualified Opportunity Zone. There are six objectives of the proposed program. Objective 1 includes the implementation of a substance use screening tool and assessment during the booking and classification phase to effectively identify individuals incarcerated with a substance use disorder. Objective 2 provides substance use counseling and support services for individuals (both in person and via telehealth) while incarcerated in CCCF. Objective 3 provides integrated care coordination for individuals during a period of incarceration to promote and foster health equity of the justice-involved population. Objective 4 provides peer recovery support services to individuals transitioning home following release from the CCCF through the development of Peer Support Teams. Objective 5 provides recovery support housing to individuals that have engaged in substance use and/or receiving MOUD and are housing insecure at the time of release from CCCF. Lastly, Objective 6 is focused on establishing a Reentry Release Center to include a team of CDACs to continue the coordination of services upon release from CCCF.
The County of Monmouth, under the auspices of the Monmouth County Sheriff's Office Corrections Division, known as the Monmouth County Correctional institution (MCCI), will expand an existing in-custody medication-assisted treatment (MAT) program and provide cognitive behavioral treatment.
Bernalillo County in New Mexico will use grant funds to expand access to treatment and recovery support services across behavioral health, primary care, criminal justice, and emergency management services. Grant funds will be used to hire a full-time coordinator and two case managers. The county and partners will engage in comprehensive planning; create a mobile harm reduction center staffed by a nurse and the two case managers; increase medication-assisted treatment (MAT) for off reservation urban Indians; provide transitional housing for underserved youth and their families; and provide MAT to incarcerated youth. The University of New Mexico Institute for Social Research will serve as the research partner for the proposed project.
The Dona Ana County Health and Human Services Department will implement a law enforcement assisted diversion program and other activities aimed at reducing opioid use and mitigating the impact on individuals and communities. The project includes a coordinator and case manager as well as services from the National Alliance on Mental Illnesses for peer support and the Las Cruces Police Department for officer training and implementation costs. Naloxone will also be purchased, funds will be used for transitional housing, and trauma-informed training. New Mexico State University will serve as the research partner for the proposed project.Project Profile
Sierra County in New Mexico will develop a crisis intervention team to assist law enforcement officers in developing a law enforcement diversion program, provide jail-based opioid and behavioral health services, provide skill-building and treatment, assist incarcerated individuals transitioning to community-based services once released from custody, add community behavior health treatment planning and services, and conduct opioid education programs in schools. This project will engage Ann Hays Egan of New Ventures Consulting as the research partner for this project.
The 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.
Erie County will develop the Drug Overdose Response Team (DORT). DORT will be available 24/7 to respond on scene to calls about drug overdoses whenever first responders are involved, provide short-term case management, and conduct intensive follow up. DORT will serve the geographic area of Erie County with a population just under 75,000. This project includes partnerships with the Erie County Sheriff’s Office and Erie County Prosecutor’s Office.
The Franklin County Pathways to Healthy Living Program will offer services to individuals booked into the Franklin County Correctional Center wtih a history of substance use to include screening, cognitive behavioral treatment, medication-assisted treatment (MAT), and linkage to peer support. Participants will be linked with a team pre- and post-release to ensure continuity of care. Funding will support implementation of the RREACT Buddies program, a mentorship program for youth ages 10-16 who have been impacted by the addiction crisis. Youth are paired with first responder mentor to build healthy prosocial relationships and connect with community resources. Additional components of the project include funding for a Peer Supporter in the Franklin County Municipal Court "h.a.r.t." Specialty Docket " for those with an opioid use history, and staffing support for a local comprehensive harm reduction center.
Franklin County, Ohio, applied for grant funding under Category 1A in the amount of $1,200,000. This project will serve individuals incarcerated at the Franklin County Jail and screened as at-risk for substance use dependency and drug-related overdose. The purpose of the project is to (a) reduce drug-related overdoses and deaths, (b) increase peer support and treatment referral and linkage, (c) increase access to medication-assisted treatment pre- and post-release, and (d) decrease recidivism. The Fast Track to Treatment initiative includes partnerships with the Franklin County Sheriff’s Office, Franklin County Municipal Court, Southeast Inc., Alvis180, and PrimaryOne Health. Priority considerations addressed in this application include a program model that focuses services in a county with a demonstrated disproportionate number of drug overdose deaths (43.3 overdoses per 100,000 as compared to the U.S. rate of 20.7 overdose deaths per 100,000) and program implementation intended to improve public safety by targeting services in federally designated Qualified Opportunity Zones. Dr. Gretchen Clark-Hammond, CEO of Mighty Crow, shall serve as program evaluator for the proposed project.
Franklin County Municipal Court applied under Category 1A for grant funding in the amount of $903,289 to support and enhance its MAT, Assessment, Referral, Care and Hope (MARCH) project. This project serves Franklin County and the areas surrounding Columbus, Ohio, with an estimated population of 922,223. The purpose of the project is to continue to fund, expand, and enhance the court’s MAT program — an innovative and effective collaborative effort among Franklin County and City of Columbus justice and government stakeholders. Grant funds would continue to support the positions of MAT project manager and one community case manager through 2023. Enhancements would add an additional community case manager and a contracted peer support specialist to significantly increase the capacity of the program, opening more days to in-custody referrals and facilitating the offering of a full-time behavioral health walk-in clinic. The project includes partnerships between Franklin County Municipal Court, Columbus City Attorney, Office of Justice Policy and Programs, Franklin County Sheriff’s Office, Franklin County ADAMH Board, and a variety of community behavioral health providers. The MARCH program will enhance public safety in Qualified Opportunity Zones.
The Franklin County Municipal Court will enhance and evaluate the MAT + Link opioid intervention. Through MAT + Link, offenders struggling with opioid addiction have access to medication-assisted treatment (MAT) in jail or immediately upon release through court-based services. There will be a MAT + Link project manager, and a full-time case manager will serve as coordinator. Pretrial and Probation Services will partner with an external evaluator to track the impact of MAT + Link on treatment adherence and recidivism.
The Ohio Department of Rehabilitation and Correction will partner with the Ohio Department of Mental Health and Addiction Services under the Bureau of Correctional Recovery Services to develop virtual reality products aimed at enhancing treatment services for people with opioid abuse and others with opioid involvement. The pilot sites include two prisons: Dayton Correctional Institution and Warren Correctional Institution. In addition to the two prison sites, two community-supervision offices, both in isolated rural areas with limited access to treatment, have been selected as pilot community sites: Pike County Adult Parole Authority and Scioto County Adult Parole Authority. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
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.
Clackamas County Community Corrections will improve the data infrastructure and develop diversion strategies that target incarcerated individuals eligible for early release into treatment, individuals on probation and reentering the community who meet the criteria for medication-assisted treatment (MAT), and supportive housing for justice-involved females to reunify with their children while receiving treatment or for those who are pregnant. BetaGov/Litmus at New York University (NYU) will serve as the evaluator for the proposed project.
Lane County Sheriff’s Office applied for grant funding in the amount of $900,000 under Category 1B. The project serves Lane County, Oregon, which has a population of 382,067. The purpose of the Lane County Jail Substance Use Intervention and Transition Program is to stand up a comprehensive in-jail medication assisted treatment (MAT) program with community transition through peer support and transitional housing. The in-jail program will be paired with peer support, which will facilitate a transfer to the program’s primary partner, Lane County Health and Human Services, MLK Community Health Clinic. The clinic houses the county’s MAT program and behavioral support unit. The program will also offer transitional housing support to encourage MAT engagement with community providers. The program will use multiple housing providers in order to best meet the needs of participants (for example, veterans and those with co-occurring disorders and higher or lower service needs,). Priority considerations addressed in this application include high rates of overdose deaths and a lack of accessibility to treatment providers and facilities. Additionally, the proposal will provide enhancements to public safety in economically distressed communities (Qualified Opportunity Zones).
The Multnomah County Health Department will use grant funds to embed an opioid use disorder (OUD) corrections counselor and peer recovery mentors in booking for Multnomah County. The individuals in these positions will identify persons in need of OUD treatment and assist them in successfully engaging with recovery programs that offer medication-assisted therapy (MAT). A full-time coordinator will be employed to engage partners in a planning process to further identify gaps and refine project strategies, as well as ongoing coordination of opioid overdose strategies for populations with OUD. A focus of the grant activities is to screen and identify offenders for OUD and provide navigation services and peer recovery support to connect them to treatment, including MAT, and other critical resources. Dr. David Dowler of Program Design and Evaluation Services will serve as the research partner for the proposed project.Project Profile
The Delaware County Department of Human Services, Division of Drug and Alcohol, applied under Category 1A for Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program grant funding in the amount of $1,200,000. This project will serve the county of Delaware, Pennsylvania, the fifth most populous county in the Commonwealth of Pennsylvania with 562,960 residents. The purpose of the project is to expand evidence-based treatment, specifically medication-assisted treatment, and recovery support services, focusing on peer recovery support, within Delaware County’s criminal justice system. The objective of the project is to expand access to buprenorphine treatment in the Delaware County prison, George W. Hill Correctional Facility, to ensure that individuals are supported in their recovery while incarcerated and engaged in recovery support services upon release, linking returning citizens to transportation, recovery meetings, employment opportunities, or higher levels of care. The project includes partnerships between Delaware County’s Single County Authority, George W. Hill Correctional Facility, the GEO Group, Delaware County Council, Delaware County Office of the District Attorney, and Prospect Crozer Community Campus.
The York/Adams Drug and Alcohol Commission proposes to establish a new program to connect persons leaving prison with the appropriate evidence-based treatment and support services, which may include medication-assisted treatment; connect individuals who are on work-release with treatment and nontreatment services; and establish an integrated data system containing all law enforcement naloxone utilizations, emergency medical services naloxone utilizations, and hospital emergency department admissions and encourage prescription drug monitoring program usage.
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 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.
Cocke County Government, located in the rural Appalachian Mountain region of eastern Tennessee, applied for grant funding under Subcategory 1b in the amount of $899,488. This project serves Tennessee's 4th Judicial District, which includes Cocke, Sevier, Jefferson, and Grainger counties and has a total combined population of 212,069. The purpose of the proposed Tennessee Recovery Oriented Compliance Strategy (TN-ROCS) Enhancement and Evaluation project is (1) to increase the capacity of this innovative court-based intervention program to link individuals across the district at high risk of overdose to appropriate, evidence-based behavioral health treatment and recovery support services; and (2) to independently validate the TN-ROCS model, such that key findings related to program quality and implementation fidelity can inform current and future data-driven expansion efforts. This project includes partnerships between Cocke County, 4th Judicial District Circuit Court Judge Duane Slone, Dr. Stephen Loyd, Dr. Jennifer Anderson, American Institutes for Research, and Rulo Strategies. All four priority considerations are addressed in this application. Cocke County is a geographically isolated rural area that is plagued by persistently high rates of poverty, substance use, and overdose fatality. Additionally, one census tract within Cocke County (9207.00) has been designated as a Qualified Opportunity Zone.
Sevier County will enhance the Sevier County Offender Recovery Program (SCORP), a comprehensive, collaborative effort to identify and refer individuals to treatment and recovery following incarceration. Interventions begin during incarceration; however, the majority of services are provided immediately at release during the probationary period. Funds will be used to hire a peer mentor coordinator, a women’s service liaison, and a probation/life skills coach for incarcerated women enrolled in the program and expand the substance abuse prevention education program to include the families of SCORP participants.Project Profile
The Tennessee Department of Mental Health and Substance Abuse Services is applying for category 2 in the amount of $6,000,000. This project will increase local community’s capacity to respond to the presence of Substance Use Disorders (SUDs) among justice involved individuals and reduce the impact of SUDs among justice involved individuals. This project will include partnerships with the Tennessee Department of Health to support the expansion of Medication Assisted Treatment (MAT) in COSSAP jail sites and the Tennessee Bureau of Investigation to support Drug Endangered Children Task Forces, Field Based Drug Testing, and overdose data mapping. This project serves to support ten new implementation project sites; 1) Blount, 2) Roane, 3) Anderson, 4) Bradley, 5) Dickson, 6) Cheatham, 7) Roane, 8) Tipton, 9) Grundy and 10) Montgomery counties. Priority Considerations: Qualified Opportunity Zones: All 10 sites targeted for this COSSAP project have Qualified Opportunity Zones in their county: See Attachment 6. High-Poverty Areas or Persistent-Poverty Counties: Two of the targeted counties: Grundy and Cocke are rated by the TN Dept of Economic and Community Development as “Distressed”, while the other eight (8) counties are rated as “Transitional”. Poverty rates for all targeted counties are above the national average (12.3%) with Grundy (28.5%), Cocke (25.0%) and Bradley (18.0%) all exceeding the Statewide poverty rate of 16.7%. Address Specific Challenges That Rural Communities Face: Six of the ten sites selected have more than (50%) of their population residing in rural areas, which Grundy County having (100%) of its population residing in a rural area.
The Tennessee Department of Mental Health and Substance Abuse will: • Support six new implementation project sites (Davidson, Montgomery, Sumner, Putnam, Wilson, and Washington counties) as well as five enhancement project sites for counties that are currently COAP funded (Sullivan, Hamilton, Knox, Jefferson, and Coffee Counties). Sullivan and Hamilton Counties will (1) embed behavioral health clinicians with law enforcement; (2) provide employment readiness and connection to employment services both pre- and post-incarceration; and/or (3) deliver evidence-based cognitive behavioral therapy courses. • Enhance six regional drug-endangered children response teams in Dickson, Cheatham, Lawrence, Franklin, Jefferson, and Scott Counties. Response teams will use a collaborative approach in meeting the needs of children affected by drug overdose events as well as their parents. The Tennessee Bureau of Investigation will also implement a statewide prevention strategy by creating a virtual reality game with education content for students to engage with at school events. • Integrate three certified peer recovery support specialist (CPRS) positions in probation and parole offices across the state, one in each of the three Grand Divisions of Tennessee. • Provide recovery support services, including recovery housing, as part of a comprehensive response. Dr. Carolyn Marie Audet and Lauren Allard will serve as the research partners for this project.
The Harris County Community Supervision and Corrections Department will develop protocols for diverting appropriate individuals to treatment assessments and community-based care; develop protocols for smoothing the transition between in-custody medication-assisted treatment (MAT] to community supervision and continued treatment for those exiting to probation; and link opioid-abusing individuals with recovery coaches to support recovery efforts, reduce barriers, and improve community engagement.
Chesterfield County Sheriff’s Office is applying for grant funding in the amount of $1,192,430. This project serves the metro Richmond area with a population of over 500,000 and is submitted under Subcategory 1a. The purpose of the project is to provide specialized pretrial supervision to individuals at high risk for overdose and expand reentry planning and medication-assisted treatment to inmates. The project includes partnerships between the Chesterfield County Sheriff’s Office, Chesterfield Community Corrections Services, Chesterfield Mental Health Supportive Services, other local agencies and a local evaluator. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.
The Page County Sheriff’s Office proposes to develop the Page County Cognitive Mental Health and Substance Abuse Treatment Project that will provide cognitive behavioral treatment for individuals who are involved with the justice system as a result of their opioid use. The project includes a coordinator to manage the operations of a day reporting center where individuals can receive individual or group sessions in person or via teleconferencing. The project will fund equipment for the telehealth component and will serve the county of Page and the towns of Rileyville, Luray, Stanley, and Shenandoah. Project partners include Page County Sheriff’s Office, Page County Jail, Luray Police Department, Stanley Police Department, and the Shenandoah Police Department.
The Kittitas County COSSAP Project will develop and implement an evidence-based medication-assisted treatment in jail to address individuals who are incarcerated and suffer from an opioid use disorder.
In the Comprehensive Opioid Abuse Site-Based Program application, the Makah Tribe is proposing to utilize funding under Category 1: Local or Tribal Applicants, Subcategory 1c. The applicant intends to utilize funds from this application to continue funding the two FTE positions from the previous application: the COSSAP case manager and one coordinator, who will implement the LEAD program, develop MAT protocols, and help further expand the Sisuk Houses. There are no priority considerations for this application.
The Puyallup Reservation applied under Category 1C for grant funding in the amount of $600,000. The area is highly urbanized as the cities of Tacoma, Fife, Puyallup, Federal Way, and Milton overlap and abut with the Tribe’s Reservation. Pierce County has a population of 876,764. Community Family Services, a department within Puyallup Tribal government administration, connects clients to individualized treatment depending on what stage of recovery a person is in, and services include case management and connection to cultural services. The Puyallup Tribe proposes using grant funding to improve client outcomes by providing inpatient treatment at a culturally appropriate, dual-diagnosis facility, as well as mental health assessments for individuals with mental health concerns and enhanced reentry services for individuals in treatment or incarcerated. The proposed project will positively impact families impacted by opioid, stimulant, and other substance abuse disorders, and improve the quality of life within the Puyallup Tribal community as a whole. The only priority consideration addressed in this application is for a Qualified Opportunity Zone.
The Puyallup Tribe of Indians, a federally recognized tribe in western Washington State, will implement the Community Reentry Services Project. Members reentering the community from inpatient treatment or a correction facility will receive treatment, case management, peer-to-peer mentorship, and vouchers for housing and transportation.
Seattle and King County Public Health is proposing to provide enhanced care coordination services focusing on treatment decision-making within the correctional setting and the linkage and retention of formerly incarcerated individuals into community-based opioid use disorder treatment programs. Transition support services for individuals who receive Medicated Assisted Treatment will be provided as well as increased identification of individuals with OUD, enhanced release planning from jail, and linage to a community provider for up to five visits following release from jail. Grant funds requested will provide: a half-time coordinator, two full-time substance use disorder specialists, a health program assistant and a lead evaluator, Dr. Hood, Seattle King County Public Health.Project Profile
Seattle and King County (PH) requested funding in the amount of $1,200,000 over a 36-month period for the King County Jail Buprenorphine Inductions (KCJBI) project. This project serves King County, with a population of approximately 2.25 million. With the requested funding, KCJBI will initiate incarcerated individuals with opioid use disorder onto medication-assisted treatment with buprenorphine. To expand the MAT program, the KCJBI project will initiate individuals onto MAT during incarceration. This will be accomplished by utilizing requested funds to increase nursing and corrections officer staffing needed to execute the project. At release, individuals will be connected to a MAT provider in the community for ongoing treatment; of note, King County received DOJ COAP funding in 2019 to hire two substance use disorder specialists and one program assistant to assist in the delivery of this service. This project includes partnerships between PH, King County Department of Adult and Juvenile Detention, and community MAT providers. Priority considerations for this award include serving an area that has been disproportionately impacted by the use of illicit substances, a high-poverty area, and Qualified Opportunity Zones.
The Seattle Police Department, in partnership with the Washington State Department of Corrections, King County Prosecuting Attorney’s Office, and the Public Defenders Association, will enhance in-custody access to services, mentoring, and peer support; expand reentry access to services (including stable housing and opioid abuse-related treatment), mentoring, and peer support; and provide options for diversion to treatment for persons on community supervision instead of return to custody. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
The Juneau County Sheriff’s Office proposes a jail-based substance use disorder program in collaboration with the Juneau County Department of Human Services. It will include a coordinator to provide expanded case management services to include screening and assessment; a full-time jail-based therapist to develop treatment plans and provide individual and group therapy, and referral to a community-based MAT program. The Sheriff’s Office intends to contract with a local program evaluator to conduct yearly evaluations to assess the overall implementation and the effectiveness of the program in achieving its stated goals and objectives.
The Lac Courte Oreilles Band of Lake Superior Indians (a federally recognized Indian Tribe) applied under Category 1c for grant funding in the amount of $589,959. This project will serve the Ojibwe Indian membership of the Lac Courte Oreilles Tribe (LCO) of rural northern Wisconsin. The population of the Tribe is 7,796, with thousands more familial descendants. The purpose of the project is to provide evidence-based opioid treatment that supports services to tribal individuals in need of transitional or recovery housing with a Bimaadiziwin tribal culture-based peer recovery support services, including medication-assisted treatment and recovery. The project will improve collaboration and partnerships between tribal and community-serving agencies in support of an EBT “wraparound” system of comprehensive Anishinaabe culture-based mental health treatment and recovery that uses the ASAM Criteria to determine the most appropriate level of treatment and care. This project includes important partnerships between the LCO Residential Treatment Center and tribal and county human services agencies, such as: LCO Comprehensive Community Services, LCO Tribal Court, LCO Bizhiki Wellness Center, Social Services Department, Vocational Rehabilitation Program, and the Minimaajisewin Home Program. OJP policy priority areas for Category 1 that are addressed by this project application from the Lac Courte Oreilles Tribe applicant are: applications that address specific challenges that rural communities face, individuals who reside in high-poverty areas (the reservation), and individuals who offer enhancements to public safety in economically distressed communities.
The Milwaukee 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 Winnebago County District Attorney will improve data infrastructure and develop diversion strategies for people with opioid use disorders using evidence-based components. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
The Wisconsin Department of Justice (DOJ) will support the implementation of local law enforcement assisted diversion (LEAD) and medication-assisted treatment (MAT) programs in jails. Five pre-booking diversion sites using the LEAD model will be selected to provide diversion to treatment at the pre-arrest or post-arrest stages. Nine jail-based sites will be selected to provide non-narcotic, non-addictive injectable MAT to an inmate in the days immediately preceding re-entry to the community. The MAT program will include community-based care coordination for inmates exiting the county or tribal jail and rely on evidence-based, trauma-informed practices for substance use disorder treatment. This project will engage the Wisconsin DOJ's Bureau of Justice Information and Analysis as the research partner for this project.