The State of Alaska Tribal Diversion Project will support multiagency efforts in planning and implementing partnerships with tribes to establish effective law enforcement diversion programs for offenders, including those who abuse illicit or prescription opioids. This funding will support project implementation, enhancement, and management and address the opioid and drug epidemic in tribal communities. The deliverables will include implemented diversion agreements, along with subgrants to Alaska Tribes to directly support their efforts. Funding will also be used to support planning and collaboration among the Department of Law, the Department of Public Safety, the Department of Health and Social Services Division of Juvenile Justice, and Alaska Tribes.
The Bristol Bay Native Association will use grant funds to respond to identified gaps by facilitating the development of an outreach/quick response team to support those impacted by the opioid epidemic throughout the recovery process. The outreach/quick response team will divert survivors of overdoses to substance abuse treatment. If children are present at the time of an overdose, the team will guide the families to resources. This project will provide community-wide education and prevention activities that help build coping skills and introduce healthy alternative activities, including culturally appropriate therapeutic art therapy. The project will incorporate overdose dectection mapping application program.
Central Council Tlingit and Haida Indian Tribes of Alaska applied for a Category 1c tribal/rural area grant in the amount of $599,673. The Comprehensive Tribal Action Plan for Opioid, Stimulants, and Substance Abuse Prevention in the Tlingit and Haida Communities will increase access to supportive services for substance use, decrease hospitalizations and overdose rates, and increase public safety using a local and culturally driven approach. A tribal action plan will be produced to map a strategic plan for specific, positive change in each tribal community to address alcohol and substance misuse. This project serves Juneau, Alaska, and additional villages in southeast Alaska. The project includes partnerships between the Southeast Alaska Regional Health Consortium, Village Public Safety Officer Program, Tribal Court, Alaska Department of Corrections, Juneau Alliance for Mental Health Inc., Tribal Council members, and village leaders. Priority considerations addressed in this application include opportunity zones, as well as rural and high-poverty priorities.
The Meshik Soul Healing Project will provide screening for substance abuse and referrals to treatment and will incorporate a cultural camp in the Native Village of Port Heiden and provide for appropriate services within the context of the Aleut, Alaska, Native/American Indian culture. The project will serve the villages of Perryville, Pilot Point, Port Heiden, and Ugashik. The villages have tribal councils, which function as tribal governments and are rural communities.
Alabama’s Department of Mental Health, in partnership with the Alabama Bureau of Justice Assistance, a division of the Alabama Department of Economic and Community Affairs, will pilot an evidence-based model or models of diversion from incarceration for opioid-addicted individuals interacting with the criminal justice system and to study the impact/outcomes of such interventions, spreading successful intervention statewide at the completion of the project period, to reduce incarceration, recidivism, morbidity, and mortality for adults with opioid use disorders (OUDs) who are cycling through the criminal justice system.
Alabama’s Department of Mental Health, in partnership with the Alabama Bureau of Justice Assistance, a division of the Alabama Department of Economic and Community Affairs, proposes to conduct a statewide comprehensive needs assessment and plan for the design and implementation of criminal justice diversion and treatment services in select counties in Alabama. The proposed project is called ROAD to Recovery (Reducing Opioid Addiction through Diversion).
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 proposes to develop a statewide comprehensive opioid abuse plan that will include goals, objectives, and strategies addressing opioid abuse and misuse. The goals are to develop resources, recommend evidence-based practices, and create online tools that will aid Arkansas communities in reducing opioid abuse/misuse and related deaths and assist offenders with a history of opioid abuse. To meet the proposed objectives, the planning process will be facilitated by the planning consultant and consist of collaboration and partnerships from across state agencies and local entities. The required collaborative partner for this project is the Department of Human Services/State Drug Director, the state agency responsible for alcohol and substance abuse services. Other partnering agencies include the Department of Human Services/Office of the State Drug Director; representatives from the High Intensity Drug Trafficking Area Program (HIDTA); the Administrative Office of the Courts; Arkansas Community Correction (ACC), Probation and Parole; Department of Human Services, Child Welfare; Governor’s Office–Senior Advisor for Child Welfare; Arkansas Sheriff’s Association; Arkansas Chief’s Association; Drug Enforcement Administration (DEA); Arkansas Foundation for Medical Care (AFMC); Arkansas Municipal League (an association of city/county governments); the City of El Dorado; and the City of Marianna. After the plan is finalized and approved, the state will move towards the implementation phase. The state anticipates providing up to 25 subawards to localities/communities. Representatives from these localities/communities will be trained, utilize developed resources, implement strategies identified in the comprehensive plan, and become designated opioid task forces.
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.Project Profile
The Hoopa Valley Tribe will deliver customized interventions through the criminal justice system of Humboldt County and the Hoopa Valley Tribal Court. Among this project's deliverables are a full community needs assessment, an opioid diversion work plan, the implementation of data tracking systems across multiple domains, and broadened awareness of best practices for both county and tribal partners. The proposed project will be one of the first cross-jurisdictional diversion programs in Indian Country specifically designed to meet the opioid epidemic.
The Orange County Health Care Agency applied for a Category 1a rural area grant in the amount of $1,200,000. The Orange County Health Care Agency’s Closing the Gaps by Expanding Access for Reentry Clients program will provide (1) a transfer for those leaving Orange County Central Jail to a peer support recovery specialist for transportation and immediate connection to a case coordinator at one of four MAT and substance use disorder (SUD) treatment county clinics, (2) MAT and SUD treatment services by psychiatrists at the four county clinics, and (3) training by addiction specialist(s) for mental health workers and physicians in the county clinics on SUD and best-practices for working with MAT clients. This project serves Orange County, California, with approximately 3.2 million residents. The project includes partnerships between Correctional Health Services (CHS) and is supported by the Orange County Sheriff’s Department. Priority considerations addressed in this application include high rates of overdose deaths and a need to increase accessibility to treatment providers in the City of Santa Ana with areas of 25 percent poverty.
The University of California, Davis (UC Davis) will work with the California Department of Justice and other partners to perform a rigorous evaluation of California’s new law mandating use of its prescription drug monitoring program. The evaluation will focus on effects of mandated PDMP use on prescribing patterns and health outcomes, including potential unintended consequences. UC Davis will work with the Northern California High Intensity Drug Trafficking Area (HIDTA) to establish a foundational relationship between public health and law enforcement agencies. In particular, UC Davis will focus on exploring new data sources from law enforcement agencies to share with public health agencies about opioid supply and overdose. The goal is to develop protocols to predict opioid overdose and share information about supply disruptions with emergency departments, first responders, and other key agencies. UC Davis will also explore protocols for communicating directly with local emergency services directors.
The Ventura County Health Care Agency–Ventura County Behavioral Health Department, the Ventura County Sheriff’s Office, the Ventura County Public Health Department, the Ventura County Emergency Medical Services Agency, and the Ventura County Ambulatory Care Department will convene the County Opioid Abuse Suppression Taskforce (COAST) to improve the quality, consistency, sharing, and integration of local and state prescription drug monitoring program (PDMP) data to monitor community-level conditions/outcomes and target/coordinate resources to increase impact in response to the opioid abuse epidemic. Funds will also be used to complete, document, and disseminate an evaluation of state and local prescriber trends by scope of practice and to deploy the ESRI ArcGIS Opioid Epidemic Solution. EVALCORP Research and Consulting will serve as the research partner for the proposed project.
Yurok Tribal Health and Human Services applied for a Category 1c tribal/rural area grant in the amount of $600,000. The Regional Expectations Accede to Coordination for Healing: Opioids Undercut by Treatment (REACH OUT) program will provide pre-court and court-connected culturally responsive programs that prioritize and expedite early assessment, treatment, recovery, and other supportive services to address communities impacted by opioids, stimulants, and other substances. The program will use the following strategies: (1) tribal healing to wellness approaches; (2) peer recovery; (3) team staffing and court hearings; (4) hot spot analysis (measuring increases in MAT and other drug treatment services); and (5) community education about culturally attuned services that meet the needs of the whole individual, family, and community. This project serves rural territories in Del Norte (1,139 tribal members and 27,828 total population), Humboldt (2,024 tribal members and 136,800 total population), and Trinity (45 tribal members) counties in northwestern California. The project includes partnerships between two tribal courts, two state courts, and their justice partners’ tribal and county law enforcement, attorneys, medical clinics, hospitals, and social services. Priority considerations addressed in this application include rural, high-poverty communities facing real challenges, such as lack of public transportation, limited availability of alcohol and other drug treatment, and other support services.
The Yurok Tribal Court’s long-term goal is to develop, implement, and enhance diversion programs to address the escalating opioid epidemic within the Yurok community. The Yurok Tribe will be implementing the Yurok Opioid Diversion to Healing (YODH) Program. YODH will complete a Yurok Tribal Action Plan and community assessment, implement a community education and outreach program and workplace opioid awareness program, develop and implement a screening process in collaboration with the Humboldt and Del Norte Sheriffs’ Offices and the Superior Courts, and establish a formalized diversion process.
Boulder County Community Justice Services will work with the project partners to develop diversion and policy-related programming across intercept points as alternatives to traditional prosecution for offenders with low criminogenic risk who are facing opioid-related charges, 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 Delaware Criminal Justice Council, in partnership with the Division of Substance Abuse and Mental Health, will implement the Delaware Smart Criminal Justice and Treatment Change Team to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will implement programs to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will be used to implement comprehensive policies and practices identified in the planning phase and outlined in the coordinated state criminal justice and treatment plan. Subgrants will be awarded that assist and provide financial support to units of local government and community services agencies to implement strategies that support treatment and recovery service engagement; increase the use of diversion and alternatives to incarceration; and reduce the incidence of overdose death. The geographic area is the entire state of Delaware.
The Miami Police Department will implement a diversion program that follows the law enforcement-assisted diversion (LEAD) model. Officers who encounter a subject will have the authority to offer a 12-month treatment program as an alternative to arrest and incarceration. If a person agrees to participate, he or she must sign a legally binding treatment agreement. The Behavioral Science Research Institute will serve as the project’s research partner.
The City of Tampa will implement a Law Enforcement Assisted Diversion program. Grant funds will be used to hire a Project Coordinator and a Case Manager/Peer Support Specialist, conduct training and outreach, and partner with the University of South Florida to conduct evaluation activities. Training and outreach activities will focus on education around stigma and the science of addiction. Law enforcement and community members will be trained. The applicant proposes to incorporate overdose detection mapping application program into the project. The University of South Florida will serve as the research partner.Project Profile
The Palm Beach County Comprehensive Opioid Abuse Program will reduce the number of overdose fatalities and mitigate the impacts on crime victims by supporting a comprehensive, collaborative, county-wide initiative to the opioid epidemic, with a special emphasis on assisting with the provision of transitional/recovery housing options for targeted individuals with a substance use disorder in order to support their recovery process and success in diversion referral programming. Palm Beach County will offer medication-assisted treatment (MAT) in jail along with additional treatment services, including peer support. A reentry specialist will assist with coordinating services when the individual leaves jail. This project will engage Florida Atlantic University as a research partner.Project Profile
Pinellas County is developing a Strategic Information Partnership (SIP) to (1) support real-time/timely data collection from key stakeholders to better articulate the current state of the problem; (2) improve communication for targeted outreach, enforcement, and education; (3) support cross-system planning and data evaluation to better inform policymakers on targeted interventions; and (4) leverage scarce resources and avoid duplication of efforts.
The Pinellas County CARE Team Expansion will enhance current overdose response by increasing connections and engagements in community substance use treatment services, providing peer support to overdose survivors and families, conducting overdose fatality reviews to identify trends and potential gaps in the system of care, and increasing first responder and community access to naloxone. This project serves Pinellas County, Florida, with an estimated population of 970,532. The project includes partnerships between Pinellas County Human Services and Pinellas County Safety and Emergency Services.
The Savannah Police Department proposes to establish a pre-arrest diversion and behavioral response initiative by providing enhanced crisis intervention team training and offering substance abuse recovery treatment and behavioral health treatment. The applicant will provide data through Overdose Detection Mapping Application Program (ODMAP). David A. Bell, PhD, LLC, an independent evaluator, will serve as the evaluator for the proposed project.
The County of Fulton applied for Category 1a urban grant funding in the amount of $1,200,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Program will expand Fulton County’s comprehensive efforts to identify, respond to, treat, and support those impacted by substance use disorders and reduce impact on the criminal justice system. The Fulton County Department of Behavioral Health and Developmental Disabilities (DBHDD) and its partners will expand pre-arrest diversion, case management, and training for law enforcement personnel to the city of Atlanta and two other jurisdictions using the Law Enforcement Assisted Diversion model; provide recovery support services including transitional or recovery housing through Fulton DBHDD and its local partners; and offer evidence-based treatment including medication-assisted treatment through partner Grady Hospital. This project serves the city of Atlanta (population 498,044). The project includes partnerships between the Atlanta Fulton Pre-Arrest Diversion Initiative, Grady Hospital, Mary Hall Freedom House, Atlanta Recovery Center, Trinity Community Ministries, Sober Living of America, There’s Another Option, Highsmith Collins, Atlanta Police Department, and the Fulton County Offices of the District Attorney, Public Defender, and Solicitor General. Priority considerations addressed in this application include Qualified Opportunity Zones, high-poverty areas, and a lack of accessibility to treatment providers, facilities, and emergency medical services. Dr. Kevin Baldwin from Applied Research Services serves as the lead evaluator for the proposed project.
The Georgia Bureau of Investigation (GBI) will use the grant funds to update its in-house case management system, Justice Information Management Network (JIMNet). The goal is to increase technology to identify and impact crime trends in Georgia.
The Georgia Criminal Justice Coordinating Council applied for Category 2 statewide area grant funding in the amount of $2,289,701. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) establish a multi-locality naloxone initiative to include continued training for law enforcement personnel and provide funding to assist with the replenishment of the opioid reversal drug; (2) establish and implement a pre-arrest/post-booking diversion program for youth and adults who have a moderate to high risk of substance abuse within Athens-Clarke County; (3) provide K-12 youth in Athens-Clarke County with increased access to education and treatment; and (4) provide a comprehensive, real-time, information collection database for the City of Savannah to expand the pre-arrest diversion program, which is funded through the FY 2018 Comprehensive Opioid Abuse Site Program (COAP). This project serves serve 23 of Georgia’s 159 counties. The project includes partnerships between Athens-Clarke County Unified Government and City of Savannah.
The Screven County Sheriff's Office applied for Category 1c tribal/rural grant funding in the amount of $587,825. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) employ needs assessment tools to identify and prioritize services for jail offenders, (2) expand diversion programs for drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders, (3) deliver an evidenced-based prevention program, and (4) offer rigorous program evaluation providing feedback and improvement opportunities. This project serves Screven County, Georgia, with a population of 14,300. The project includes partnerships between the Community Service Board of Middle Georgia, Ogeechee Division; Drug Court for the Ogeechee Judicial Circuit; and scientific partners. Priority considerations addressed in this application include a 100 percent rural county, high-poverty area, and Qualified Opportunity Zone.
Clinton, Iowa, will increase community collaboration with a multidisciplinary team to address high-frequency utilizers of multiple systems. To tackle this community epidemic, the multidisciplinary team engaged in this project has determined to formulate and implement a Drug Abuse Response Team (DART) composed of Clinton police officers and Clinton Fire Department EMS, as well as specially trained Area Substance Abuse Council members, who will work in partnership with other community agencies such as Mercy and Bridgeview to identify, educate, assist, and provide resources to at-risk individuals. In addition, a medication-assisted treatment (MAT) program will be implemented that will partner to provide peer recovery support services, cognitive behavioral therapy, and case management. Dr. Barbara St. Marie of the University of Iowa College of Nursing will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
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.
Through this funding, Cook County Health will convene the Cook County Community Recovery Learning and Action Network to (1) address recovery housing capacity, including harm-reduction models of recovery housing and coordination for persons experiencing chronic homelessness; (2) begin development of a real-time, regional recovery housing information system, including collection, analysis, and dissemination across partners, and (3) implement and evaluate an intervention to promote referral for medications for addiction treatment, recovery support, and recovery housing for individuals with substance use disorders, with a special focus on individuals under supervision of the Cook County Adult Probation Department. This project serves Cook County, Illinois, which has 5.2 million residents. The project includes partnerships with transitional and recovery housing providers, substance use treatment providers, criminal justice partners, state agencies, community-based partners, and public health organizations. Priority considerations addressed in this application include high-poverty areas, and this project will offer enhancements to public safety in economically distressed communities (Qualified Opportunity Zones).
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 Illinois Department of Public Health (IDPH) intends to use the grant funds to bring together multidisciplinary partners in a workgroup, which will then build a centralized repository of cross-sector data, provide enhanced data analyses with data dashboard outputs based on stakeholder needs, and evaluate best practices for data dissemination into the communities. This project will leverage key data sets to create a holistic view of the Illinois environment to facilitate targeted interventions and will identify best practices for information sharing. The workgroup will report data and seek input from the Illinois Opioid Crisis Response Advisory Council, which is led by the Illinois Department of Human Services. The opioid-related data available for this project include IDPH data on overdose deaths, hospitalizations, emergency department visits, emergency transport naloxone administration, neonatal abstinence syndrome, and viral hepatitis statewide case reporting data.
Lake County Health Department and Community Health Center will expand the A Way Out program, which was launched in 2016. The program will add a crisis counselor to provide linkages to treatment, a navigator to provide case management and recovery support for participants, and a project coordinator. The research partners will be Dr. David Kosson, Dr. Kimberly Elliot, and Peter Corcoran from the Rosalind Franklin University of Medicine and Science. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The County of Lake, doing business as Lake County Health Department and Community Health Center, applied for a Category 1a urban area grant in the amount of $1,100,024. The Lake County A Way Out 2.0 Program will focus on increasing access to treatment, increasing treatment success rates, reducing overdoses, and providing community outreach. This project will aim to have 90 percent of consumers with opioid use admitted to a treatment provider within 24 hours of initial contact and 70 percent of consumers successfully complete their first treatment episode. Also, 90 percent of consumers will receive information regarding MAT and naloxone and given an appropriate referral. Finally, 90 percent of consumers will meet with their peer recovery support specialist weekly, and one community outreach session will be conducted by the project coordinator per month. This project serves Lake County, Illinois, with a population of 703,462. The project includes partnerships between Rosalind Franklin University of Medicine and Sciences. Priority considerations addressed in this application include a high rate of primary treatment episodes for heroin and other opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities.
The Hamilton County, Indiana, Council on Alcohol and Other Drugs will implement an initiative known as the Community Opioid Prevention Effort (COPE). COPE will follow the Quick Response Team (QRT) diversion model, which will provide immediate intervention at on-scene overdoses, conduct visits to survivors of nonfatal overdoses, and provide recovery support and other community resources to individuals and their families. Treatment providers and recovery coaches will develop and implement strategies to identify and provide treatment and recovery support services. COPE will also encourage cross-system planning and collaboration among community officials, law enforcement, pre-trial services, the courts, probation, health-care providers, public health providers, emergency medical services, and substance abuse treatment providers.
The Kenton County Detention Center will reduce the prevalence of opioid abuse in Covington, Kentucky. In 2015, northern Kentucky lost nearly five times more residents to drug overdoses than to car accidents. This project proposes to address the issue by implementing the Kentucky Overdose Prevention and Education Project (KOPE), which has three main goals: to conduct an analysis of the severity of the opioid crisis; develop a multidisciplinary approach to address the needs of overdose survivors; and incentivize, propagate, and support pre-arrest diversion and naloxone distribution programs in the targeted region. This proposal will support naloxone distribution programs in the region. The Kenton County Detention Center will collaborate with local police departments and health-care and rehabilitation providers. Northern Kentucky University will serve as an action research partner.
The proposed project, Kentucky Comprehensive Advocacy and Resource Efforts (K-CARE), will help to ensure that individuals negatively impacted by opioids are provided with support in the form of a community resource coordinator (CRC). K-CARE will hire one CRC to serve at each of the 16 Kentucky State Police (KSP) posts and a program administrator who will be located at KSP Headquarters. The program administrator will monitor the program, serve as a resource for CRCs throughout the state, and report outcome information. Each CRC will collaborate with law enforcement officers at their assigned posts to identify individuals in need of services. K-CARE CRCs will participate in the KSP Angel Initiative, a statewide program that allows a person experiencing substance abuse to voluntarily present him or herself at any KSP post to request help. K-CARE CRCs will serve as a vital referral source for the constellation of needs that are likely to present, including linking victims with available services for interpersonal violence such as domestic violence shelters, child advocacy centers, and protective services. Likewise, K-CARE CRCs will help individuals in need to secure access to necessary health care services, transportation, employment assistance, job training, vocational rehabilitation programs, and independent/transitional housing options in their communities. KSP utilizes overdose detection mapping application program as well as an electronic reporting form within the state’s law enforcement operations system that tracks Naloxone administrations by law enforcement personnel throughout the state. Currently, there are efforts being made to link the systems so information will be fed electronically into the ODMAP system. The Kentucky Criminal Justice Statistical Analysis Center will serve as the research partner on this project.Project Profile
The Purchase District Health Department applied for Category 1b suburban area grant funding in the amount of $900,000. The Purchase District Health Department program will implement a coordinated response to illicit opioids, psychostimulants, and counterfeit prescription drugs in Purchase. Four types of activities will be implemented: (1) provide naloxone for law enforcement and other first responders; (2) establish law enforcement and other first responder diversion programs; (3) conduct comprehensive, real-time, regional information collection, analysis, and dissemination; and (4) provide recovery support services, including recovery housing and peer recovery support services. This project serves eight counties totaling 196,563 people in western Kentucky. The project includes partnerships between law enforcement, first responders, and public health agencies who are active members of the Purchase Area Health Connections Opioid Task Force.
The City of New Orleans Health Department proposes to use funds to continue a 2017 COAP-funded post-overdose response, Opioid Survival Connection, and conduct community outreach and education. Outreach and education activities include bystander response training and naloxone distribution to EMS and community members. Grant funds will be used to hire two project coordinators and purchase naloxone, training supplies, and a vehicle. Overdose detection mapping application program will also be implemented. Project partners include University Medical Center Emergency Department, New Orleans EMS, New Orleans Public Library, New Orleans Opioid Task Force, US Drug Enforcement Agency Field Office, Mayor’s Office of Community Engagement, Xavier University College of Pharmacy, and community providers.Project Profile
The Louisiana Office of Behavioral Health is partnering with the Louisiana Commission on Law Enforcement and Administration of Criminal Justice to expand the Louisiana Opioid Surveillance System to include nonhealth data sources, which will be built by third-party contractor GCR, Inc. The goals are to enhance surveillance of the opioid abuse continuum from pre- and post-legislative impacts and relationships between parolees, etc., to support data-driven methods for cross-system planning and collaboration, and to engage a stakeholder group to develop best practices for data sharing efforts. A multidisciplinary action group will be formed to develop targeted interventions in select areas. Brandeis University will assist in the evaluation of longitudinal data related to the PMP.
The Holyoke Police Department will use funds primarily for salaries that support a project coordinator, a narcotics intervention officer, a recovery coach, and a mental health supervisor. Through the Project Recovery and Engagement of Addicts and Chronic users of Heroin (REACH) Project, the Holyoke Police Department will address the significant opiate drug problem in Holyoke, Massachusetts. Project goals are to decrease the number of overdose victims, decrease the number of narcotics crimes, and increase the support systems for people addicted to opioids in Holyoke.
The Holyoke Police Department will implement Project Heroin Addiction Recovery Team Support (HARTS), designed to address the significant opiate drug problem in Holyoke, Massachusetts. The Holyoke Police Department will partner with the recovery coach to meet with all survivors of an opioid overdose, either in the community or at the emergency department. The University of Massachusetts, Amherst, will serve as the evaluator for the proposed project.
The City of Holyoke Police Department (HPD) applied for Category 1c rural/tribal area grant funding in the amount of $597,650. Project ERASE (Expansion of Recovery from Addiction to Substances Efforts) will implement a multicomponent intervention program designed to (1) support individuals with opioid, stimulant, and other illicit substance issues with interventions to reduce addictions and associated mental health needs, (2) reduce overdoses and overdose deaths through prevention and intervention strategies, and (3) reduce substance-related crime in Holyoke. This project serves Behavioral Health Network and Gandara, the Holyoke Police Department, Hampden County Sheriff, Holyoke Probation, and research partners. The project includes partnerships between the House of Corrections to provide detox treatment options and develop a law enforcement liaison between HPD, the courts, and probation personnel. Priority considerations addressed in this application include a high-poverty area and enhanced public safety in Qualified Opportunity Zones.
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.Project Profile
The City of Northampton applied for Category 1a urban area grant funding in the amount of $1,194,203. The City of Northampton Public Health/Public Safety Post-Overdose Outreach Program will reduce opioid overdose deaths and enhance public safety through the development, implementation, and expansion of interventions focused on the following allowable uses: law enforcement and other first responder diversion programs; comprehensive, real-time, regional information collection, analysis, and dissemination; and naloxone for law enforcement and other first responders. The first aim of this project is to expand DART — a countywide, nationally recognized public safety/public health post-overdose, high-risk substance use disorder, and family, community, and bereavement support program. This project serves a population of 28,726 in Northampton, Massachusetts. The project includes partnerships between South County Action EMS and Northampton Recovery Center. Priority considerations addressed in this application include Qualified Opportunity Zones.
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.
Plymouth County Outreach (PCO), a police and treatment outreach approach to high-risk individuals, will continue to develop its countywide, multifaceted approach involving law enforcement, hospital, recovery, and local treatment partnerships that conduct post-overdose home follow-up visits to overdose survivors who are not initially admitted to a hospital or treatment services. The local research partner, Kelley Research Associates, created a unique, real-time overdose tracking system that supports the daily overdose response program. The East Bridgewater Police Department will make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Franklin County Sheriff’s Department applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Community Opportunity, Network, Navigation, Exploration, and Connection Team (CONNECT) will provide real-time assistance to individuals who survived, witnessed, or are at risk of an opioid overdose (e.g., family, family drug court participants, children, and community members). Team members will make in-person follow-up visits within 72 hours to individuals who survived or witnessed an opioid overdose, including affected children, to assess health, behavioral, and social needs. In addition, team members will connect individuals to community-based behavioral health, treatment, and recovery support services, while ensuring that opioid overdose survivors and witnesses navigate care across the criminal justice, human services, and educational systems. The program will expand Naloxone availability and appropriate use by first responders and law enforcement personnel, focusing on Naloxone deserts, and establish a system that offers real-time data collection, analysis, and dissemination of key data points to reduce opioid-related deaths. This project serves 87,130 residents in 30 communities spanning two rural counties in Western Massachusetts. The project includes partnerships between research scientists Pamela Kelley and Dr. Sean Varano and other community stakeholders representing law enforcement, the peer recovery community, harm reduction, courts, housing, and other basic human needs sectors.
The Trial Court of Massachusetts, on behalf of six states (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont), will establish a New England Regional Judicial Opioid Initiative (RJOI). This project will support comprehensive cross-system planning and collaboration among officials who work in multiple justice and justice related settings while staying focused on the judiciary and judiciary stakeholders (e.g. law enforcement, pre-trial services, the courts, probation and parole, child welfare, reentry, prescription drug monitoring programs (PDMPs), and emergency medical services, as well as health-care providers, public health partners, and agencies that provide substance use disorder treatment and recovery support services). The New England RJOI will also develop and enhance public safety, behavioral health, and public health information-sharing partnerships that leverage key public health and public safety data sets and implement interventions based on this information. The project will have a researcher and is presently completing contract negotiations for these services.
The Town of East Bridgewater applied for Category 1a urban area grant funding in the amount of $1,200,000. Plymouth County Outreach (PCO) will enhance the current PCO model in three ways: (1) creating a reentry support system for those returning from the Plymouth County House of Corrections with identified substance use disorders; (2) developing hotspot-targeted outreach to areas experiencing disproportionately high overdose rates; (3) expanding the harm-reduction toolkit distributed during post-overdose home visits to include items related to opioids and stimulants, including naloxone. This project serves Plymouth County, which has a population of 521,202. The project includes partnerships between 27 municipal police departments in Plymouth County, as well as the Bridgewater State University Police Department, Plymouth County District Attorney and Sheriff’s offices, as well as all local hospitals and treatment facilities. Priority considerations addressed in this application include a high rate of overdose deaths in a persistent poverty area.
Maryland’s “Regrounding Our Response: A Coordinated Public Safety and Public Health Approach to the Opioid Epidemic” initiative will establish six new law enforcement assisted diversion (LEAD) sites (St. Mary’s County, Columbia in Howard County, Westminster in Carroll County, Annapolis City in Anne Arundel County, Hagerstown in Washington County, and Cumberland in Allegany County), support three existing LEAD sites (Belair in Harford County, Wicomico County, and Baltimore City), and support detention-based interventions in partnership with the Office of the Public Defender in five of the nine sites. The objectives include: (1) reduce recidivism in LEAD participants; (2) reduce calls for service for drug-related activity in the target areas; (3) reduce criminal justice costs incurred by LEAD participants; and (4) improve police understanding of and response to issues related to addiction and mental health disorders. The Maryland Statistical Analysis Center will support the research, performance management, and evaluation of all the selected sites.Project Profile
St. Mary’s County Health Department in Maryland will work with other community agencies to expand the data that are used to support the Opioid Intervention Team. The utilization of Overdose Detection Mapping Application Program (ODMAP), Prescription Drug Monitoring Program (PDMP), and first responder data will be increased. In addition, the agency will increase the multidisciplinary engagements with community organizations and neighboring jurisdictions and increase recovery support services and educational opportunities for prescribers and patients.
The Detroit Police Department’s Opioid Abuse Diversion Program will create and implement a law enforcement-led pre- and post-arrest diversion in Detroit using the Law Enforcement Assisted Diversion (LEAD) model. The School of Criminal Justice at Michigan State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The Duluth Police Department’s Lake Superior Drug and Violent Crime Task Force (LSDVCTF) will purchase naloxone kits for police officers and first-responder members of the task force. A project coordinator will follow up on all overdose calls within the LSDVCTF area of operation and make face-to-face contact with overdose victims and their family members to provide referrals. The University of Minnesota, Duluth, will serve as the research partner on the proposed project. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The City of Duluth applied for Category 1b suburban area grant funding in the amount of $899,055. The City of Duluth FY 2020 COSSAP Lake Superior Diversion and Substance Use Response Team Project will improve community outreach to overdose events by expanding outreach efforts to those with amphetamine-related substance use disorders and those who experience amphetamine-related overdoses. The program will reduce barriers between outreach contact and treatment, and maintain or expand current opioid response functions. This project serves St. Louis, Carlton, and Lake counties in Minnesota, as well as the city of Superior in Wisconsin. This region has a population of approximately 289,727 people. The project includes partnerships between St. Louis County Public Health and Human Services, St. Louis County Drug Court, and the Center for Alcohol and Drug Treatment. Priority considerations addressed in this application include Qualified Opportunity Zones.
The Minneapolis Health Department will partner with the Hennepin Health, Hennepin County Medical Center, Minneapolis Police Department, Minneapolis Fire Department, Emergency Medical Services, and Serve Minnesota to implement both hospital-based and community-based services to connect individuals at risk for overdose and/or survivors of a nonfatal overdose and their families with substance abuse and behavioral health treatment providers and recovery support. The Minneapolis Health Department Research and Evaluation Team will serve as the research partner for the proposed project.Project Profile
The City of St. Paul applied for Category 1b suburban area grant funding in the amount of $412,125. The Recovery Access Program (RAP) will include embedded social workers provided by People Incorporated to respond to drug overdoses where children are affected. A police officer will be assigned to RAP to assist the proposed investigator with the Naloxone Plus Model and Drug Surveillance Program. The St. Paul Police Department (SPPD) proposes to use these funds to include an investigator to act as a liaison between the police, treatment facilities, and community resources, as well as to serve as an advocate for drug courts or other measures in place of incarceration when appropriate. Funds will also be used to hire an internal SPPD data analyst to collect and manage program performance and evaluation data for the purposes of program improvement and program sustainability beyond grant funding. This project serves the city of St. Paul’s population of about 310,000 individuals. The project includes partnerships with the University of Wisconsin-Madison Population Health Institute. Priority considerations addressed in this application include Qualified Opportunity zones and high-poverty area.
Itasca County in Minnesota proposes to embed substance abuse clinicians in local law enforcement agencies to improve their responses to individuals in need of support and treatment; establish an interagency taskforce; and provide specialized training to first responders. First Call for Help of Itasca county will hire a half-time coordinator and 2.5 full-time recovery support specialists (embedded in law enforcement) to expand recovery services. Also, overdose detection mapping application program (ODMAP) will be incorporated.Project Profile
The Minnesota Department of Public Safety (DPS) will support the “Timely Treatment, Strengthened Service, and Effective Evaluation for Overdose Prevention: Linkage to Care Across Minnesota” project to achieve the following objectives in eight sites: • Reduce opioid misuse and opioid overdose death by supporting local efforts to implement effective opioid overdose prevention projects. • Support local efforts to implement treatment and recovery support linkage activities serving individuals vulnerable for drug overdose. • Support implementation of local multidisciplinary intervention models to bring together stakeholders with different perspectives and different information to identify drug overdose prevention strategies. • Enhance access to naloxone among people who use drugs to decrease overdose deaths. • Enhance successful local multidisciplinary overdose prevention activities to decrease overdose deaths. • Evaluate the extent to which additional funding to eight opioid overdose prevention projects, referred to as “Tackling Opioid Use With Networks (TOWN)”, impact the incidence of overdose in communities. • Create a TOWN Manual in collaboration with the communities to support the expansion and sustainability of the TOWN model. The eight sites will implement three evidence-based activities: (1) peer recovery specialists in emergency departments; (2) treatment linkage by emergency medical services; and (3) overdose fatality review teams. The project will also enhance six Minnesota Department of Public Safety-funded syringe services programs by providing each site with naloxone to distribute to participants who use opioids. Dr. Catherine Diamond from the Minnesota Department of Health will lead the project evaluation.Project Profile
The Minnesota Bureau of Criminal Apprehension will create a drug monitoring initiative within the Minnesota Fusion Center. Key partners include local, state, federal, and tribal public safety and public health agencies, including the Minnesota Prescription Monitoring Program (MNPMP), Minnesota Department of Health, Department of Human Services, and Minnesota Poison Control.
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 Opioid Community of Practice (OCP) began in October 2017 and is coordinated by St. Louis County Department of Public Health. The OCP is a multijurisdictional learning collaborative composed of public health entities and action researchers that provides a designated space for strategic planning, knowledge sharing, protocol evaluation, peer review, and innovation. OCP members are engaged in a continuous process of learning to identify barriers, highlight successful interventions, and identify new opportunities for potential collaboration. Participation of local public health agencies ripples from anchoring jurisdictions from St. Louis County, St. Louis City, St. Charles County, Kansas City, Jackson County, Clay County, Columbia–Boone County, and Springfield–Greene County. The group aims to improve outreach on OCP initiatives to the growing number of jurisdictions (currently 72) participating in the St. Louis County Prescription Drug Monitoring Program (PDMP) and beyond. The group also includes researchers from the Missouri Institute of Mental Health at the University of Missouri–St. Louis and leaders from local law enforcement, the Missouri Hospital Association, United Way of Greater St. Louis, the Behavioral Health Network of Greater St. Louis, and the Missouri Department of Health and Senior Services. The goals and objectives for this project are: (1) collaborate to improve data identification, collection, and utilization of opioid data; (2) prioritize and enhance community-based interventions and system-level strategies using improved opioid data and collective action that address social determinants of health; and (3) leverage action researchers, local public health entities, and regional data collaborative groups to evaluate the collective impact of the learning community and the impact of resulting interventions on reducing opioid misuse. St. Charles County, Kansas City, Jackson County, Clay County, Columbia–Boone County, and Springfield–Greene County. The group aims to improve outreach on OCP initiatives to the growing number of jurisdictions (currently 72) participating in the St. Louis County Prescription Drug Monitoring Program (PDMP) and beyond. The group also includes researchers from the Missouri Institute of Mental Health at the University of Missouri–St. Louis and leaders from local law enforcement, the Missouri Hospital Association, United Way of Greater St. Louis, the Behavioral Health Network of Greater St. Louis, and the Missouri Department of Health and Senior Services. The goals and objectives for this project are: (1) collaborate to improve data identification, collection, and utilization of opioid data; (2) prioritize and enhance community-based interventions and system-level strategies using improved opioid data and collective action that address social determinants of health; and (3) leverage action researchers, local public health entities, and regional data collaborative groups to evaluate the collective impact of the learning community and the impact of resulting interventions on reducing opioid misuse.
The Lamar County Board of Supervisors applied for Category 1c rural/tribal area grant funding in the amount of $599,981. The Lamar County LEAD Program will develop a trauma-informed, comprehensive, community-based response to divert individuals experiencing opioid or stimulant misuse/abuse from the criminal justice system to treatment. The objectives are to (1) divert 100 individuals with SUD from the criminal justice system to treatment and case management service providers, and (2) provide harm-reduction case management services to 150 individuals with SUD. A total of 250 individuals will be served over the project period. This project serves Lamar County, Mississippi, which has a population of 63,300. The project includes partnerships between Pine Belt Mental Healthcare Resources’ Grant and Research Department. Priority considerations addressed in this application include the lack of accessibility to treatment providers and facilities and emergency medical services, and rural challenges.
The City of Billings applied for Category 1b grant funding in the amount of $900,000. The Billings Peer Support Diversion Program (Billings PSDP) will develop a peer support-driven prebooking diversion program that provides support for individuals at high risk of overdose or chronic substance abuse. The program will use trained and certified peer support specialists, working independently and embedded with law enforcement to engage in street outreach with the chronically homeless through mobile behavioral health crisis response. The primary objective of the project is to use evidence-based strategies to divert high-risk individuals from incarceration into treatment and social support services. The project will also overcome local barriers related to length of treatment for methamphetamine recovery and limited recovery housing options in the community. This project serves individuals who have been arrested and chronically homeless individuals with opioid or stimulant use disorders in all of Yellowstone County, with a focus on downtown Billings, where this population is concentrated. The project includes partnerships among the City of Billings, Billings Police Department, Downtown Billings Association, and Rimrock, Montana’s largest mental health and substance abuse treatment provider. Priority considerations addressed in this application include a Qualified Opportunity Zone.
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 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 Henderson County Health Department, through the County of Henderson, applied for Category 1b grant funding in the amount of $900,000. The funds will be used to expand access to recovery support services. The program seeks to provide peer-delivered services with a focus on rehabilitation and recovery, utilizing North Carolina certified peer support specialists and care coordinators. Services provided by the certified peers include psychosocial rehabilitation, habilitation, family support and training, short-term crisis intervention, and empowerment. This project serves a suburban area or medium-sized county with a population between 100,000 and 500,000. The project includes partnerships between Henderson County’s Behavioral Health Summit, Free Clinix, and Hope RX.
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.
Mecklenburg County Criminal Justice Services will implement the Mecklenburg Opioid Systemic Response Plan, a diversionary program aimed at offenders who are opioid abusers in the community. The project will initially focus on information gathering to create a comprehensive cross-system response plan to the opioid crisis. This information will help apply the Sequential Intercept Model to Mecklenburg County. Mecklenburg County Criminal Justice Services will then enhance services at intercept point 3 (jail/courts) and point 5 (community corrections), respectively, for the target population. The University of North Carolina–Charlotte’s School of Social Work will serve as the project’s research partner.
Surry County Government applied for Category 1c grant funding in the amount of $595,568. The project will establish an accessible continuum of care to reduce the impact of substance use on the community. Currently, two essential components are lacking in the community: (1) data analysis to link needs, treatment, and services; apprise cost effectiveness; and track impact outcomes countywide; and (2) transportation assistance for people needing treatment. This proposal outlines a plan to implement these two critical elements. This project serves Surry County, North Carolina, which has a population of 73,232. The project includes partnerships between preventive, treatment, recovery, social, and justice service agencies in the county. Priority considerations addressed in this application include: rural, Qualified Opportunity Zones, a high rate of treatment admissions, high rates of overdose and overdose death, and a high rate of drug-related crime.
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).
The County of Bergen applied for a Category 1a urban area grant in the amount of $1,200,000. The BCPO-COSSAP Project will establish a comprehensive, evidence-based response to the opioid crisis. This response will be composed of multiple teams and initiatives, including the Heroin Addiction Recovery Team (HART), Fair Lawn Initiative (FLI), and a county-level Overdose Fatality Review Team. These teams will work independently and share data to best coordinate response needs for opioid and addiction needs across Bergen County. This project serves Bergen County, which is home to 948,046 residents. The project includes partnerships between the Bergen County Police Chiefs Association; Bergen County police departments; Newark Community Solutions, Center for Court Innovation; Center for Alcohol and Drug Resources, a division of Children’s Aid and Family Services; Bergen County Health Department and Division of Alcohol and Drug Dependency; and New Bridge Medical Center. Priority considerations addressed in this application include Bergen County’s 12 Qualified Opportunity Zones.
The 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 Newark Police Division will use grant funds to support a pre-arraignment diversion program in partnership with the Essex County Prosecutor’s Office and Newark Community Solutions. Police officers will be trained to identify signs and symptoms of opioid abuse and dependency and will flag individuals arrested on eligible charges. The Essex County Prosecutor’s Office will determine eligibility and Newark Community Solutions will support participants. Newark Community Solutions will hire a full-time coordinator, full-time case manager, and part-time case manager. The Center for Court Innovation will provide analytic and training support and Rutgers University will serve as the research partner.Project Profile
The City of Paterson, New Jersey, applied for Category 1b grant funding in the amount of $900,000. The Paterson Coalition for Opioid Assessment and Response (Pat-COAR) will support for a peer recovery support specialist to perform proactive outreach on a group and personalized basis with residents in “hot spot” areas, as identified based on the collective data and research of Pat-COAR. The program will also support an Overdose Fatality Review Team to better analyze and understand overdose cases and trends, allowing Pat-COAR to identify any gaps in services or policies that would potentially minimize its high rate of overdoses. Also, the program provides to hire staff needed to build the capacity and sustainability of Pat-COAR over time, as well as support the proposed activities. This project serves the city of Paterson, which has a population of 145,800 residents. The project includes partnerships between law enforcement entities from the local (Paterson Police Department), county (Passaic County Prosecutor’s Office), and interstate/federal (New York/New Jersey High Intensity Drug Trafficking Area) levels; addiction and health professionals from local (Paterson Department of Health and Human Services/Division of Health), county (Passaic County Department of Health and Human Services/Division of Mental Health and Addiction Services), and regional (St. Joseph’s University Medical Center) levels; community-based partners who work hands-on to develop policy (Health Coalition of Passaic County) and programs (Eva’s Village) to support the region’s substance-using residents; and traditional Narcan distributors (Paterson Fire Department and Paterson Emergency Medical Services). Priority considerations addressed in this application include the needs of high-poverty areas; supporting law enforcement in Qualified Opportunity Zones; and addressing areas with a high rate of primary treatment admissions for heroin/opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers.
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.Project Profile
The City of Santa Fe, New Mexico, through the Santa Fe Fire Department (SFFD), has implemented the Santa Fe Opioid Outreach Project (SFOO) to address increasing opioid overdose rates in the region. The project aims to increase the quality and prevalence of prevention and treatment services and to reduce opioid incidence and fatalities through outreach and response programs; intensive follow-up and case management with overdose survivors and their families to link them with support services and treatment; dissemination of naloxone kits, harm-reduction training, and prevention education; more efficient use of data to identify potential opioid misuse; and increased collaboration across multidisciplinary sectors in the community. The SFOO coordinator and the project paramedic utilize patient care records systems and first responder data to respond to overdoses and to any individual identified as being at risk for opiate overdose; establish personal contact with overdose survivors and their families; and provide resources for a successful intervention. Upon program launch, the New Mexico Department of Health contacted SFOO requesting assistance in opiate outreach to individuals identified through a mandatory reporting requirement of the local emergency room as well as syndromic surveillance. Although the emergency room has struggled with timely and accurate reporting, this partnership allowed SFOO staff members to access more contact information and, we believe, has helped increase SFOO's percentage of successful outreach attempts. Because of the early success of the SFOO project, the Santa Fe County Fire Department (SFCFD) has created a complementary program and has assigned a SFCFD EMT. The department is in the process of contracting a social worker to be co-housed with SFOO staff members to extend SFOO’s reach into Santa Fe County. The City of Santa Fe Police Department has been operating a Law Enforcement Assisted Diversion program (second in the nation), and SFFD was asked to take over the case management aspect of the LEAD program. It is projected that this will take place in July 2019. Recently, the Santa Fe County Sheriff’s Office (SFCSO) has expressed interest in providing LEAD referrals to SFFD as well. What started as a single agency project is, with the capacity made possible by DOJ BJA COAP funding, becoming a Regionalized Public Safety Opiate Outreach program.
The Dutchess County Department of Behavioral and Community Health will lead an effort to prevent overdose fatalities through timely, comprehensive information sharing within a communitywide collaborative that includes public safety, public and behavioral health, and other vested partners. This will strengthen community capacity to respond to acute overdose-related risks and build a sense of shared efficacy and resiliency in the face of an ongoing, ever-evolving epidemic. These goals will be achieved by applying objective methodology in three areas: (1) transformation of an existing underdeveloped task force into a streamlined, well-equipped, data-driven, opioid response collaborative, (2) enhanced overdose surveillance relating to populations at risk as well as emergent, high-risk substances, and (3) comprehensive capacity building initiatives aimed at integrating harm-reduction principles into existing service delivery models and identifying and addressing disparities in access to behavioral health services.
The County of Erie applied for Category 1a urban area grant funding in the amount of $1,200,000. The Erie County New York Comprehensive Quick Response Program to Overdose will enhance the county’s Law Enforcement Diversion Programs using the Quick Response Program to Overdose (QRP model). The model will blend various strategies to work in a comprehensive manner, including expanding naloxone distribution/deployment by law enforcement, police remotely referring overdose survivors from the field to MAT in emergency departments (using the Buffalo MATTERS telemedicine appointment capability), and leveraging the HIDTA ODMAP app to link survivors to the public health peer teams for follow-up and navigation to long-term treatment agencies. The Erie County Comprehensive Quick Response Program to Overdose will provide a seamless flow after an opioid overdose rescue by police. ODMAP will initiate a follow-up through the public health peer response team, who will reach out to the survivor to offer support at each stage of the process and track their engagement with treatment. This project serves Erie County, with a population of 925,702. The project includes partnerships between public health, law enforcement, emergency medicine services, high- intensity drug trafficking areas (ODMAP program), county mental health, family advocates, and the SUNY at Buffalo research evaluation partner. Priority considerations addressed in this application include targeting high-poverty areas and designated Qualified Opportunity Zones in economically distressed areas of Erie County.
Erie County, New York, will establish an opioid mortality review board to inform future public health practice and policy related to primary and secondary prevention of opioid addiction and mortality through action research that operationalizes insight gained from mortality reviews.
In response to the 303 percent increase in synthetic opioid-related deaths from 2014 to 2015, the Erie County Department of Health will increase community access to naloxone and link overdose survivors to treatment. The project aims to more effectively link individuals across the sequential intercept model to care. In cases in which individuals cannot be connected directly to care, they can be linked to local organizations for support. Funds will also be used to create an ongoing systematic geospatial analysis of law enforcement and emergency medical services (EMS) calls for service and the product that caused each overdose. To take advantage of other information systems, the program will leverage data from I-STOP, the state’s prescription drug monitoring program. The program will be led by a multidisciplinary team with representatives from consumer peer groups, EMS, and behavioral health. Researchers from the University of Buffalo will serve as the research partner for the proposed project.
The City of Ithaca applied for Category 1b suburban area grant funding in the amount of $900,000. The Ithaca LEAD Program (ILP) will reduce repeated arrests and incarceration for people whose unlawful conduct stems from unmet behavioral health needs in the city of Ithaca and adjacent towns in Tompkins County, New York. ILP will reduce racial disparities in criminal justice involvement for the region’s African-American population, reduce unnecessary arrests and prosecutions imposed on the justice system, improve officer efficiency, maximize the value of the city’s community-based service array, and improve outcomes for this complex population. In the era of COVID-19, these changes are especially critical. Across the nation, officers are confronting new challenges in interacting with people on the street; jails are striving to reduce incarceration so as to mitigate COVID-19 risks; and judges, attorneys, and court staff are seeking to reduce congestion in courtrooms. This project serves the city of Ithaca, New York. The project includes partnerships with Tompkins County District Attorney and Legislature, Community Leadership Team DCI, Ithaca Police Department, Tompkins County Sheriff, REACH Medical, Greater Ithaca Activities Center, and the LEAD National Support Bureau. Priority considerations addressed in this application include Qualified Opportunity Zones, as well as challenges faced by rural communities and high-poverty areas.
Ulster County is applying for Category 1b suburban area grant funding in the amount of $900,000. The High-Risk Mitigation Team (HRMT) will increase ORACLE’s capacity to respond to overdose scenes by providing crisis intervention training (CIT) to officers throughout Ulster County. The project will develop the HRMT to work directly with ORACLE, providing certified peer advocate services (CRPA) and intensive case management within the city of Kingston, New York. The project will also develop an initial alert system for first responders in Kingston to alert the ORACLE team of overdose when it happens. This project serves Ulster County, a community of approximately 177,573 people. The project includes partnerships between the Ulster County Department of Health and Mental Health, Ulster County Sheriff’s Office, and ORACLE team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and a high rate of overdose deaths.
The Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County will use grant funds to support a Data Subcommittee of the Heroin and Opioid Task Force (HOTF). The Data Subcommittee will develop an action plan and a blueprint for an integrated data sharing platform to be implemented by the HOTF. Begun Center of Case Western Reserve University will serve as the research partner for the proposed project.
Butler County will expand the existing pilot Quick Response Team (QRT) to the more rural areas of the county, establish victim services by hiring a care coordinator, expand school-based groups for children of opiate abusers, and establish law enforcement and court-based diversion options for nonviolent opioid abusers. Miami University of Ohio will serve as the local research partner. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
Butler County of Ohio applied for Category 1B grant funding in the amount of $900,000. The Butler County COSSAP project aims to reduce the impact of opioids, stimulants, and other substances on individuals within its communities, through reducing the number of overdose fatalities, as well as mitigating the impacts of on crime victims by supporting comprehensive, collaborative initiatives. This project serves Butler County, home to a population of 382,000. The project includes a partnership with Miami University’s Center for School-based Mental Health Programs. Priority considerations addressed in this application include rural challenges in a high-poverty area and Qualified Opportunity Zone.
The City of Columbus Department of Public Safety applied for grant funding in the amount of $1200,000 under Category 1A. This project serves the 1,316,756 residents of the city of Columbus and Franklin County, Ohio. The Rapid Response Emergency Addiction Crisis Team (RREACT) EMS Outreach Unit is a unit within the Division of Fire’s Training and Emergency Medical Services Bureau and is supported by the Division of Police’s Crisis Response Team. RREACT EMS outreach members include firefighters/paramedics, Crisis Intervention Team (CIT) certified peace officers, a substance use case manager, a registered SUD nurse, a family case manager, and trauma specialist. This multidisciplinary outreach team goes directly into communities to connect with opioid users who survive overdose, but then refuse EMS transport to the emergency room. The goal of the outreach unit is to proactively create connections and build relationships with opioid users. RREACT follows up with addicted individuals in the community within 48 hours of nonfatal overdose; checks in on their immediate health and wellness; provides resource information, and creates opportunities for users to link with harm-reduction supplies, treatment programs, and social service supports. RREACT actively partners with local treatment providers, public health departments, justice agencies, and Franklin County’s Family and Children First Council to achieve desired project outcomes. Gretchen Hammond with Mighty Crow, Inc. serves as the evaluator for the proposed project. The applicant is eligible for COSSAP priority consideration based on overdose rates in Franklin County and the City of Columbus and the project’s impact on increased public safety in Qualified Opportunity Zones.
Dayton, Ohio, will enhance the Get Recovery Options Working (GROW) program. GROW is a coordinated multidisciplinary response team that includes the Dayton Police Department, Dayton Fire Department, and peer recovery specialists. Dr. Mary Huber from Wright State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The objective of the initiative is to enhance public safety, behavioral health, and public health by leveraging existing data sets to inform implementation of highly focused opioid interventions. Columbus Public Health will hire a HIDTA/ODMAP data integration project manager and contract with an IT vendor to develop and implement application program interfaces to export real-time, first responder overdose data from the local records management system to ODMAP. The project team will then train local police and fire departments on how to access and analyze countywide HIDTA data. Columbus Public Health will also hire a substance use disorder epidemiologist to combine local public health and social determinant data with HIDTA public safety data. This data set will serve as the foundation for a countywide interactive overdose data tool. Mighty Crow, Inc. will serve as the evaluator for the data integration project.
Public health – Dayton and Montgomery County will work with county partners and Ascend Innovations to create a more robust multidisciplinary approach to data sharing by incorporating law enforcement data, coroner’s office data, mortality data, crime lab data, criminal justice data, treatment data, hospital emergency department and inpatient encounter data, and naloxone administration data. The data will be used by the county’s Community Overdose Action Team and the Poisoning Death Review Committee to create a comprehensive view of the addicted population in Montgomery County, Ohio, and to assist in developing specific plans for prevention and intervention strategies. Ascend Innovations will also serve as the evaluator on the proposed project.
Fairfield County, Ohio, will implement the Fairfield County Overdose Response Team (FORT). Strategies include deploying an Overdose Response Team to perform follow-up visits with persons who have had a nonfatal overdose; providing expedited access to treatment, including medication-assisted treatment (MAT), to persons who have had a nonfatal overdose; performing overdose fatality case reviews; connecting people who identify as having a substance use disorder with available treatment and recovery options outside of the criminal justice system; and tracking every overdose in real-time using the Overdose Detection Mapping Application Program (ODMAP). Miami University in Oxford, Ohio, will serve as the research partner for the proposed project.
Between 2003 and 2015, Franklin County experienced a 343 percent increase in residents dying from drug-related overdoses. To combat what the DEA has referred to as “Ground Zero” of the opiate and carfentanil crisis, the government of Franklin County, Ohio, will implement the Diversion Alternative–Project Opioid (DA–PO) program, a comprehensive and multifaceted approach to reducing the impact of the opioid crisis. Expanding treatment and support services and reducing the number of overdoses and fatalities are the project’s main goals. In addition, the DA–PO program calls for planning and implementation of a Community Mayor's Drug Court, the launch of a robust harm-reduction campaign that will include hosting town hall meetings, distributing naloxone kits to families of overdose survivors, and distributing fentanyl test strips to those in active addiction. Mighty Crow Media will partner with Franklin County as the project’s researcher.
The Hancock County Alcohol, Drug Addiction, and Mental Health Services Board will expand upon the county’s current Quick Response Team efforts by developing a law enforcement assisted diversion program, coordinating local efforts with the ohio high intensity drug trafficking areas, and conducting an evaluation. The applicant will explore the use of overdose dectection mapping application program. Brandeis University will serve as the research partner for the proposed project.Project Profile
The Hocking County Prosecutor’s Office, in collaboration with the Hocking County Sheriff’s Office, local treatment providers, and the Hocking County Health Department, 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).
The Hocking County Sheriff’s Office will hire two Crisis Intervention Team trained substance abuse and mental health deputies to be stationed at the Hocking Valley Community Hospital. These officers will be available in the emergency room to triage individuals who arrive in a substance use-related crisis, as well as respond to crisis calls in the community. Referrals will be made by the officers to community treatment providers. Grant funds will be used to hire these officers as well as a project coordinator. The applicant also plans to implement overdose detection mapping application program. Project partners include the Hocking Valley Community Hospital, Hocking County Juvenile/Probate Court, Hocking County Prosecutor’s Office, and the Alcohol,Drug Addiction, and Mental Health Services Board.
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.
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.
The Ohio Office of Criminal Justice Services (OCJS) applied under Category 2 on behalf of the State of Ohio for grant funding in the amount of $6,000,000 for the First Responder Diversion Programs in Ohio project. Through this grant, first responder diversion (FRD) programs will be created and/or expanded in rural and urban areas across Ohio. The project serves Cuyahoga, Fairfield, Franklin, Hamilton, Lawrence, Lorain, and Mansfield counties. Federally designated Qualified Opportunity Zones and high-poverty areas were a consideration in identifying several of the pilot sites. The project partners include OCJS, Cordata, Talbert House, the University of Cincinnati, and drug task forces in participating FRD sites.
Ross County Health District applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Ross County Peer Recovery Service Center will expand access to treatment and recovery support services for individuals at high risk of overdose involving opioids, stimulants, and other substances through a new program of countywide coordination of recovery support services. System coordination will occur early in the individual’s involvement with the criminal justice system, identifying key recovery sites for navigation and service connection. The project will employ a dedicated peer recovery services coordinator who works out of the Ross County Community Action Commission (RCCAC) through a newly developed service line: a countywide Peer Recovery Service Center (PRS Center). In addition, dedicated recovery housing capacity will be a part of the recovery support system, as will an enhanced network of peer recovery supporters. The Ross County Peer Recovery Service Center will enhance the applicant’s current integrated service delivery system that promotes public health, sustained recovery, and safety for the community. This project serves Ross County, with a population of 76,666. The project includes partnerships between the RCCAC, Ross County Sheriff’s Office and Ross County Jail, Ross County Probation, Post Overdose and Response Team, Ross County Common Pleas Court, Ohio University-Chillicothe, the Ross County Recovery and Outreach Center. Priority considerations addressed in this application include documentation of rural challenges.
The Supreme Court of Ohio has been awarded funding for the eight-state regional project, to create the Appalachia/Midwest Regional Judicial Opioid Initiative (RJOI), which includes Illinois, Indiana, Kentucky, Michigan, North Carolina, Ohio, Tennessee, and West Virginia. This initiative facilitates the improvement of PDMP exchanges across state lines, establishes regional best practices, and coordinates and standardizes procedures that provide a more targeted, unified regional response to the opioid epidemic. The RJOI effort is led by the Leadership Committee (composed of each state’s Supreme Court chief justice and the state court administrator), which relies on the National Center for State Courts for aid and coordination. Indiana University’s Public Policy Institute is the action researcher for the project.
Clackamas County applied for grant funding in the amount of $900,000 under Category 1B for the Law Enforcement Assisted Diversion (LEAD) Plus project. This project serves the 424,747 residents of Clackamas County, which consists of urban, suburban, and rural areas spanning 1,879 square miles (larger than the state of Rhode Island). The primary goals of LEAD Plus are to continue and enhance the implementation of the LEAD program and add a new layer of coordination that connects the many opioid and substance abuse efforts in the county into a truly comprehensive and integrated approach. Key partners included in this project include the Clackamas County District Attorney’s Office, Clackamas County Sheriff’s Office, Milwaukie Police Department, the Indigent Defense Corporation, homeless/houseless service providers, and substance abuse treatment providers. There are no priority considerations with this project.
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 Montgomery County Department of Public Safety (MCDPS) will develop and enhance public safety, behavioral health, and public health information sharing partnerships that leverage key public health and public safety data sets (e.g., de-identified prescription drug monitoring program [PDMP] data, naloxone administrations, emergency medical services [EMS] run data, fatal and nonfatal overdose data, 9-1-1 dispatch information) by implementing the Emergency Medical Overdose Surveillance System (EMODSS) Project. The EMODSS Project will be established as a permanent initiative under MCDPS, Division of Homeland Security, Intelligence Fusion Center. The EMODSS Project will be used to supplement Overdose Detection Mapping Application Program (ODMAP) data with a goal of creating an automatic feed from EMODSS to ODMAP. The information acquired through EMODSS will enhance the Liberty High Intensity Drug Trafficking Areas (HIDTA) regional situational awareness picture.
The Pennsylvania Department of Health will develop and implement a systematic, sustainable Web-based solution to obtain timely and accurate statewide drug overdose death report data from Pennsylvania county coroners and medical examiners. Overdose death data collected and analyzed through this solution will be used to support statewide, county, and local-level drug death information sharing for public safety, behavioral health, and public health prevention, as well as rescue and treatment initiatives. This data will also be incorporated into Pennsylvania’s Opioid Data Dashboard.
The Municipality of Bayamon in Puerto Rico applied under Category 1B for grant funding in the amount of $890,070 for the purpose of implementing a Bayamon Whole-of-Community Opioid Overdose and Crime Reduction Initiative. This project serves the Bayamon population of approximately 207,960. Its primary deliverables include planning documents for information sharing, naloxone deployment and training, public safety and K-12 schools education and early threat detection, Safe Community response initiatives, and treatment outreach improvements to support high-impact overdose victims such as homeless individuals, veterans, and youths. For priority considerations, the applicant meets the criteria for an above 20 percent high-poverty area, as U.S. Census data indicates Bayamon's poverty rate is 37.4 percent. In addition, Bayamon has documented in Qualified Opportunity Zone reports 60 Census track areas with 58 that are designated as low-income communities.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to those who are at risk of overdosing and encouraging them to be assessed and treated. The project will support the HOPE Initiative by enhancing the ongoing efforts of state and local government to address the opioid overdose epidemic, including gathering real-time law enforcement data on opioid overdoses to identify individuals with opioid use disorder. In addition, the project will support a program involving law enforcement and case management to provide outreach to individuals with opioid use disorder. Outreach efforts will include victims and child welfare services. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
Lancaster County, South Carolina, will implement a pre-arrest diversion program based on the Law Enforcement Assisted Diversion (LEAD) model. A research partner will be selected at the time of the award. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The entire county of Lancaster is 98,012 residents. The proposed project will provide resources for training of every law enforcement officer in the county on LEAD (Law Enforcement Assisted Diversion); promote visible prescription drug takeback strategies; and assist with training, handling, and distribution of naloxone. Priority considerations include the presence of a Qualified Opportunity Zone, poverty, and rural challenges. This application is for Category 1c grant funding.
The Gallatin Police Department (Sumner County, Tennessee, population 191,283) — in partnership with the Sumner County Sheriff’s Office, local treatment provider Volunteer Behavioral Health, local courts, and scientific consultants — requests $892,085 from the Bureau of Justice Assistance FY 2020 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (Category 1b: Competition ID BJA-2020-17024) to implement a law enforcement-led substance abuse response to address the county’s increasing substance abuse problem. The proposed community-based strategy to address substance abuse and overdose risk will be implemented through enhancing connections to treatment; delivering evidence-based recovery services including needs assessment, individualized treatment plans, case management, medicated assisted treatment (MAT); providing a police-led awareness and prevention program to the county’s K-12 population, as well as a provision of Narcan to officer first responders. OJP priorities addressed include serving a designated Qualified Opportunity Zone, high-poverty areas, evidence-based services delivery, and program evaluation.
The Metro Public Health Department proposes to implement the Opioid Overdose Reduction Program which will implement a robust overdose monitoring and data reporting system, to drive the strategic planning of the Overdose Reduction Workgroup, a multi-disciplinary team of over 26 agencies and organizations. The program will conduct an analysis of the severity of the opioid crisis in Nashville and provide much needed data to community stakeholders. Additionally, they will implement an Overdose Fatality Review Team to further investigate overdose causes, trends and opportunities for earlier intervention. Grant funding is requested for: a full-time comprehensive opioid abust program coordinator and full-time epidemiologist, .35 FTE opioid response coordinator will carry out project requirements.Project Profile
The Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) will establish the Tennessee Comprehensive Opioid Response Strategies program, in collaboration with the Tennessee Department of Finance of Administration, Office of Criminal Justice Programs (OCJP). Funding will be used for the update of a statewide plan, the Prescription for Success Plan. A new statewide opioid response plan has been implemented during 2018 and is now the guideline for implementation strategies under the project. Local communities are being selected to participate in Sequential Intercept Mapping planning workshops. The action plans developed in these workshops will be supported by implementation funding through the grant. State planning resources will be integrated into local planning workshops.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Sullivan County Overdose Response Team (SCORT) in Sullivan County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims as well as administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Sullivan County District Attorney’s Office through the Sullivan County Family Justice Center. The SCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Hamilton County Police and Community Overdose Response Team (PCORT) in Hamilton County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims, as well as providing administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Hamilton County District Attorney’s Office through the Hamilton County Family Justice Center. The PCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
Bexar County Commissioners Court will create a strategic plan, develop a dashboard of all data related to opioid use and abuse, and fund evidence-based outpatient and residential treatment. The University of Texas at San Antonio will serve as the evaluator for the proposed project.
Houston, Texas, will create the Houston Comprehensive Opioid Abuse Program (COAP). The proposed Houston COAP program represents a partnership among the Houston Police Department, the Houston Recovery Center, and the Houston Fire Emergency Medical Service. The University of Texas Health Science Center will serve as the proposed research partner. The program supports a peer recovery specialist, who is also part of this outreach team. The shared goal is to get opioid-addicted users into medication-assisted treatment and long-term care and recovery. The Houston Police Department is also using funds to reduce the overall supply of opioids in the region through comprehensive investigations of both fatal and nonfatal overdoses of victims in the area.
The Houston Health Department (HHD) will partner with Houston Emergency Medical Services (EMS), Houston Forensic Sciences Center, and the Houston Police Department (HPD) to implement the Drug Overdose and Misuse Alert System (DOMAS) project to fill the current gap in access to real-time data to address opiate overdose and misuse in Houston. The objectives are: (1) Implement overdose detection mapping application program using EMS data for real-time alerts and mapping for overdoses with notifications to law enforcement, public health, health care providers and the public. (2) Provide situational awareness of prescribing patterns for opioids/other drugs and actual overdose sites at the zip code level by analysis of Texas Prescription Drug Monitoring Program data. (3) Enhance awareness of street drugs among stakeholders through cooperation with the Houston Forensic Science Center, to provide timely local analysis of seized drugs, especially opioids.Project Profile
Arlington County Department of Human Services’ Behavioral Health Division (BHD) applied for grant funding under Category 1B in the amount of $899,815 over three years. This project will serve Arlington County (population 235,000) and is particularly focused on response in high-poverty regions of the county where opioid use and opioid overdoses remain prevalent. The project also works across traditional jurisdictional boundaries to provide wraparound services for individuals identified as high risk or otherwise involved in the Arlington criminal justice system. The purpose of this project is to improve access to and treatment in the detoxification program; provide early intervention to people arrested on substance use-related charges and identify alternatives to incarceration; improve recovery options by adding a reentry program to an established residential program; maintain collaboration between the police and BHD to address opioid overdoses and activity hotspots; assess and provide interventions for children and families impacted by substance use; and evaluate the use of evidence-based treatment and outcomes. The proposed addition of 1.0 FTE therapist and 1.0 FTE case manager will allow BHD to enhance services along the Sequential Intercept Model. The therapist will be focused on establishment, implementation, and evaluation of evidence-based programming in a variety of treatment settings and will be the clinical lead for the creation of diversion service plans and “Plans of Safe Care” for substance-exposed infants. The case manager will serve as the lead clinical staff for co-response with police and fire services to the community, and will provide community outreach, education, and naloxone distribution. Both positions will expand the reach of MAT programming in the county and will address gaps identified through comprehensive community assessment. A key feature of the proposal is a collaboration with an academic partner, Dr. Taxman from George Mason University, to evaluate performance, including outcomes and outputs, along with the development of fidelity assessments to measure evidence-based practice adoption. The project expands upon existing partnership with the police and fire departments, Child Protective Services, the offices of the sheriff, the public defender, and the Commonwealth’s attorney.
The Department of Criminal Justice Services (DCJS) and the Department of Behavioral Health and Developmental Services (DBHDS) will develop a statewide plan that focuses on cross-system collaboration of criminal justice and behavioral health to engage justice-involved individuals in substance-use treatment and recovery. The plan will identify evidence-based programs and practices to assist localities in engaging and retaining justice-involved individuals with opioid use disorders (OUD) in treatment and recovery services. The plan will also contain strategies to improve statewide coordination and collaboration and increase the use of alternatives to incarceration. Virginia will identify and target high-need localities and jurisdictions across the state to receive funding for services and support. The initiative will be evaluated to determine its impact and identify model programs that can be replicated throughout the state.
The Confederated Tribes of the Chehalis Reservation applied for Category 1c grant funding in the amount of $339,519, and proposes a Chehalis Comprehensive Opioid, Stimulant, Substance Abuse Site-based Program to be run by Tsapowum, the Chehalis Tribal Behavioral members of the Chehalis Reservation, which has a population of 922. The Chehalis COSSAP proposes to increase the Chehalis tribal response to opioids in the tribal community by providing a comprehensive MAT program by distributing Narcan to tribal first responders, including Chehalis Tribal Police Officers, staff at the Chehalis Tribal Wellness Center, and staff of Tsapowum. These specially chosen departments are first responders to overdose, as well as members of the Chehalis Tribal Opioid Task Force. These departments support the Chehalis COSSAP goal of reducing overdoses by half and overdose deaths to zero by 2023. Priority considerations addressed in this application include rural and high poverty areas.
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 City of Madison Police Department proposes to enhance its pre-arrest diversion program with additional pathways to treatment that include self-referral (Safe Stations), active outreach, naloxone plus (Quick Response Team), and officer prevention and intervention. Grant funds will be used to hire an addiction resource team comprised of an addiction resource officer, community paramedic, and certified peer specialist, as well as an assessment clinician for referred clients, program evaluator, and project coordinator. Additional funds will be used to purchase naloxone for community distribution. The applicant will use overdose detection mapping application program to inform its project activities. The project services residents of Madison and Dane County. Project partners include Public Health Madison and Dane County, Dane County Department of Human Services, Madison Fire Department, and the University of Wisconsin Population Health Institute (UW PHI). The project will engage Janae Goodrich of the UW PHI as the research partner.Project Profile
The Lac Courte Oreilles Band of Lake Superior Indians (a federally recognized Indian Tribe) applied under Category 1c for grant funding in the amount of $589,959. This project will serve the Ojibwe Indian membership of the Lac Courte Oreilles Tribe (LCO) of rural northern Wisconsin. The population of the Tribe is 7,796, with thousands more familial descendants. The purpose of the project is to provide evidence-based opioid treatment that supports services to tribal individuals in need of transitional or recovery housing with a Bimaadiziwin tribal culture-based peer recovery support services, including medication-assisted treatment and recovery. The project will improve collaboration and partnerships between tribal and community-serving agencies in support of an EBT “wraparound” system of comprehensive Anishinaabe culture-based mental health treatment and recovery that uses the ASAM Criteria to determine the most appropriate level of treatment and care. This project includes important partnerships between the LCO Residential Treatment Center and tribal and county human services agencies, such as: LCO Comprehensive Community Services, LCO Tribal Court, LCO Bizhiki Wellness Center, Social Services Department, Vocational Rehabilitation Program, and the Minimaajisewin Home Program. OJP policy priority areas for Category 1 that are addressed by this project application from the Lac Courte Oreilles Tribe applicant are: applications that address specific challenges that rural communities face, individuals who reside in high-poverty areas (the reservation), and individuals who offer enhancements to public safety in economically distressed communities.
The Menominee Indian Tribe of Wisconsin will mitigate the impact of opioid abuse on crime victims within the Menominee tribal jurisdiction by hiring two full-time crisis response case managers at Tribal Social Services to work with first responders, the Clinic of Behavioral Health, and the Child Protection Team when children are present at the scene of an overdose or are impacted by familial substance abuse. The grant funds will also be used to support a program coordinator who will assist in implementing the program, a clinical therapist, and a family preservation worker.
The Menominee Indian Tribe of Wisconsin will develop a Police Assisted Addiction and Recovery Initiative (PAARI) model of law enforcement diversion to reduce opioid abuse and the number of overdose fatalities. Grant funds will be used to support a program coordinator, who will assist in implementing the program; a clinical therapist; and three peer support specialists. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
Milwaukee County, with an estimated population of 945,726, through the Milwaukee County Medical Examiner’s Office and in collaboration with the Milwaukee Community Justice Council, the Medical College of Wisconsin, and a variety of public health and public safety partners, sought $1,200,000 in Subcategory 1a grant funding to create a Milwaukee Overdose Public Health and Safety Team (OD-PHAST). This project would expand and further coordinate current efforts to address overdoses, as well as overall substance misuse issues across the county. The OD-PHAST project aims to: (1) expand the delivery and analysis of near real-time data between multiple public health and public safety partners; (2) utilize both aggregate data and insights from case reviews to develop strategies and recommendations for changes to reduce the likelihood of future overdose incidents; (3) increase capacity to deliver timely toxicology findings to public health and safety partners; (4) enrich understanding of fatal overdose risk factors through expanded next-of-kin interviews; and (5) connect families impacted by overdose, particularly children, to services to mitigate the impact of the trauma experienced. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.
The Milwaukee County Behavioral Health Division will use grant funds to implement medication-assisted treatment (MAT) for sentenced and sanctioned offenders in custody at the Milwaukee County House of Correction and support their transition to community-based services once released from custody. Dr. Tina Freiburger from the University of Wisconsin-Milwaukee will conduct both a process and outcome evaluation.Project Profile
The Wisconsin Department of Justice (DOJ) will support the implementation of local law enforcement assisted diversion (LEAD) and medication-assisted treatment (MAT) programs in jails. Five pre-booking diversion sites using the LEAD model will be selected to provide diversion to treatment at the pre-arrest or post-arrest stages. Nine jail-based sites will be selected to provide non-narcotic, non-addictive injectable MAT to an inmate in the days immediately preceding re-entry to the community. The MAT program will include community-based care coordination for inmates exiting the county or tribal jail and rely on evidence-based, trauma-informed practices for substance use disorder treatment. This project will engage the Wisconsin DOJ's Bureau of Justice Information and Analysis as the research partner for this project.Project Profile
The Wisconsin Department of Justice, in partnership with the Wisconsin Department of Health Services, will develop a comprehensive state plan that will assist the state and localities in engaging and retaining individuals in the justice system in diversion, treatment, and recovery services. This plan will identify training and technical assistance programs for localities aimed at improving treatment engagement and client outcomes; supporting the tracking, compiling, coordinating, and dissemination of statewide and local data; and expanding the collaborative efforts between state and local agencies. Funding is also provided to implement the plan once it is approved.
The West Virginia Department of Health and Human Resources proposes a partnership among the West Virginia Office of Emergency Medical Services (EMS); the West Virginia Poison Control Center; medical examiners; the West Virginia Office of Maternal, Child and Family Health; and EMS, fire, and law enforcement personnel. The project will develop and enhance information sharing partnerships by linking data and distributing performance measure reports with respect to prehospital naloxone administration as well as fatal and nonfatal overdoses. The University of North Carolina–Chapel Hill Department of Emergency Medicine EMS Performance Improvement Center will serve as the research partner for the proposed project. A Web service will be developed that delivers data to the Overdose Detection Mapping Application Program (ODMAP).