The Office of the District Attorney in Alabama’s 22nd Judicial Circuit will concentrate on response and prevention. Response will include the formation of the opiate abuse prevention task force, which will be responsible for providing expedited responses for all opiate overdoses as well as for violent crimes involving opiates. The office will provide training for all local first responders on proper crime scene management and preservation as well as treating overdose victims and witnesses. Overdose response kits will be distributed to all police and fire departments in the county. Advertising campaigns will encourage those present during an overdose to call 9-1-1 without fear of arrest, provided they are not directly responsible for the overdose. The task force will host meetings with local doctors and pharmacists to develop and promote safe prescribing protocols. In the event that patients are found to be abusing prescriptions, the office will take the proper procedures to hold them accountable and to promote treatment through rehabilitation. The office will take all available steps to prosecute any doctors found to be illegally or unnecessarily prescribing opiates. Prevention efforts will be directed at high school students through part-time work-study peer helpers, who will be hired to maintain communication with students to warn them about the dangers of opioid use. The office will also partner with Operation Save Teens, a program that shows area teenagers the dangers of opiate abuse.
The Jefferson County Board of Health will create the Recovery Resource Center Peer Navigation Initiative (RPC-PNI). The project's overarching goal is a 30 percent reduction in opioid overdose deaths in Jefferson County. In 2014, Jefferson County reported a 140 percent spike in heroin deaths, and from 2013 to 2016, it underwent a 340 percent increase in fentanyl deaths. The program will provide a peer navigator to connect 600 individuals to treatment services immediately after a nonfatal overdose or to identify a need for treatment services absent an overdose. RPC-PNI will also convene a multidisciplinary oversight team to develop effective strategies and provide overdose prevention education to 750 individuals in the community. The University of Alabama at Birmingham (UAB) Department of Emergency Medicine will serve as the project’s research partner.
The Jefferson County Commission will implement the Jefferson County Forensic Care Management Team, which will be colocated at the Jefferson County Jail. The project will expand the availability of peer recovery support services, both pre- and post-release. The University of Alabama at Birmingham Department of Psychiatry will serve as the research partner for this project.
The Institute of Business Analytics (IBA) is the research hub for the Culverhouse College of Business at the University of Alabama. IBA will develop the Unified Nexus for Leveraging Opioid Crime Knowledge (UNLOCK) system, which will provide decision makers with the information they need to allocate resources and policies in a timely manner. The UNLOCK system will serve as a data communications pipeline whereby information from the Alabama Department of Forensic Sciences, Medicaid, and other future partners can flow back up the chain to decision makers in a de-identified manner. The data will consist of summarized toxicology information, evidence test results, and coroner death report information and other georeferenced data that will assist decision makers. The UNLOCK system will be deployed to field officers, law enforcement administrators, prosecutors, community affiliates, public health providers, and researchers to provide them with complete analytics capability.
The LEAD Hollywood pilot program is a community-based pre-booking diversion program that aims to reduce the number of people who use opioids reentering the criminal justice system, reduce deaths from opioid overdose, and improve the health and safety of communities and individuals in Hollywood impacted by opioid use. This will be accomplished by identifying 100 homeless individuals with histories of criminal justice system involvement and opioid use and providing them with harm-reduction services in lieu of arrest and prosecution for low-level drug and prostitution-related offenses. LEAD Hollywood will serve the neighborhood of Hollywood in Los Angeles, California.
The 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.
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.
The Longmont Department of Public Safety, located in Boulder County, Colorado, will expand its Crisis Outreach Response and Engagement (CORE) program. Grant funds will be used to support a paramedic, two peer case managers, a project coordinator, and treatment for individuals who are struggling with substance use or co-occurring disorders. The University of Colorado, Boulder, will serve as the research partner on the proposed project.
The Colorado Department of Public Health and Environment (CDPHE) will expand Colorado’s existing innovative, multidisciplinary approach to reduce opioid abuse and overdose by linking prescription drug monitoring program (PDMP) data to key public health and public safety data sets to create a de-identified analytic data file that can be used to identify hot spots throughout the state. Specifically, CDPHE and its partners will achieve the following goals during the three-year project period: (1) enhance public safety/behavioral health/public health treatment partnerships to leverage key data sets to better understand Colorado’s opioid epidemic; (2) increase data-driven responses to Colorado’s opioid epidemic; and (3) assess the impact of the implementation of Colorado Senate Bill 18-022 on PDMP utilization and patient outcomes. The University of Colorado School of Medicine will serve as the evaluator for the proposed project.
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.
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.
Florida faces a pharmaceutical and nonpharmaceutical opioid epidemic that requires a strong multidisciplinary approach with effective collaboration and intelligence sharing between public safety and public health. The Florida drug-Related Outcomes and Surveillance Tracking System (FROST) is a valuable resource for providing timely analysis, visualization, and reporting of pharmacoepidemiologic data. This project at the University of Florida aims to: (1) expand the FROST system and its technology to (a) enhance public safety and public health collaboration and strategic decision making in Florida and (b) increase uptake of county-level prescribing indicators generated by the Prescription Behavioral Surveillance System (PBSS) for Florida and California; (2) evaluate synthetic opioid-related deaths by establishing a fatality review team in the Sarasota Medical Examiner's Office region; and (3) evaluate the impact of national prescribing guidelines on high-risk prescribing associated with negative public health and safety outcomes in two large states, Florida and California.
The Cobb District Attorney’s Office will create an Opioid Fatality Review Project and provide wraparound services to families that have lost a loved one to an overdose; establish a case manager to provide wraparound services to opioid offenders who do not qualify for one of Cobb’s existing Accountability Courts; and establish an investigator to initiate deep-dive investigations into opioid dealers and distributors. Applied Research Services, Inc. will serve as the evaluator for the proposed project.
The Savannah Police Department proposes to establish a pre-arrest diversion and behavioral response initiative by providing enhanced crisis intervention team training and offering substance abuse recovery treatment and behavioral health treatment. The applicant will provide data through Overdose Detection Mapping Application Program (ODMAP). David A. Bell, PhD, LLC, an independent evaluator, will serve as the evaluator for the proposed project.
Clinton, Iowa, will increase community collaboration with a multidisciplinary team to address high-frequency utilizers of multiple systems. To tackle this community epidemic, the multidisciplinary team engaged in this project has determined to formulate and implement a Drug Abuse Response Team (DART) composed of Clinton police officers and Clinton Fire Department EMS, as well as specially trained Area Substance Abuse Council members, who will work in partnership with other community agencies such as Mercy and Bridgeview to identify, educate, assist, and provide resources to at-risk individuals. In addition, a medication-assisted treatment (MAT) program will be implemented that will partner to provide peer recovery support services, cognitive behavioral therapy, and case management. Dr. Barbara St. Marie of the University of Iowa College of Nursing will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The Iowa Governor’s Office of Drug Control Policy will facilitate the collation and dissemination of data from multiple sectors into a statewide opioid dashboard, the Iowa Opioid Data Exchange (IODE). The Division of Intelligence and Fusion Center will be the lead implementation agency for this project. Key partners include state agencies and other organizations with primary responsibility for administration of data, which are central to the success of this project. These partners include the Governor’s Office of Drug Control Policy, Department of Public Health, Iowa Board of Pharmacy (Prescription Drug Monitoring Program [PDMP]), Iowa Office of State Medical Examiner, Division of Intelligence/State Fusion Center (in coordination with the Midwest High Intensity Drug Trafficking Areas [HIDTA]), State Crime Laboratory, Iowa Emergency Medical Services Bureau, Iowa Poison Control Center, and Iowa Division of Criminal and Juvenile Justice Planning. The multidisciplinary dashboard will provide a holistic and timely opioid-related surveillance report from a variety of public health and public safety data sets. IODE aims to improve the connectivity, cohesiveness, timeliness, and overall effectiveness of opioid-related surveillance data collection, analysis, and sharing to enhance the health and public safety response in rural communities and larger cities across Iowa.
The Idaho Department of Health and Welfare (IDHW) will build a sustainable data infrastructure to ensure timely collection, analysis, and dissemination of opioid data. In addition, an action researcher will establish a suspected drug-induced death mortality review team. The data will be shared with Idaho’s strategic planning workgroup and other stakeholders. To address vulnerable populations, IDHW will work with the Idaho Office of Drug Policy to distribute naloxone in communities across Idaho. To educate prescribers in rural Idaho on substance abuse treatment and safe prescribing, IDHW will work with the University of Idaho to extend its Project ECHO program, an evidence-based, technology-enabled collaborative learning model that builds a clinician’s knowledge and ability to treat complex conditions. To evaluate Idaho’s efforts in educating prescribers on safe prescribing and prescription drug monitoring program (PDMP) utilization, IDHW will contract with a third-party evaluator.
Cook County Health and Hospital System (CCHHS) and the Office of the Chief Judge (OCJ) are expanding their efforts to reduce the prevalence of opioid addiction in the Adult Probation Department (APD) in Cook County through Category 3. The goal of the proposed project, Universal Opioid Screening in Adult Probation to Reduce Usage and Overdose, is to engage activities around opioid addiction and facilitate training for probation officers and staff members; interagency partnerships for screening, assessment, and coordination of care of opioid use by probationers; and program evaluation.
The DeKalb County Opioid Dependency Diversion Program (ODDP) will increase immediate access to medication-assisted treatment (MAT) services. The team, overseen by a full-time ODDP coordinator, will develop services that will include identifying persons with opioid abuse, providing MAT and recovery support services as part of a diversion program in an attempt to divert from harsher sentences, accessing MAT services for persons who have been charged but are awaiting trial, and assisting clients with some type of community supervision to access MAT. BetaGov/Litmus at New York University will serve as the evaluator for the proposed project.
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 Health and Hospital Corporation of Marion County will tackle opioid misuse in Indianapolis, Indiana, by increasing community access to naloxone and connecting high-risk, opioid-misusing patients to undergo treatment for substance misuse. The project, dubbed Project POINT (Planned Outreach, Intervention, Naloxone, and Treatment), is a comprehensive response to Indiana’s opioid crisis. The project is operated by the Health and Hospital Corporation of Marion County, with close collaboration from the Indianapolis Metropolitan Police Department (IMPD) and the City of Indianapolis Office of Public Health and Safety. An additional project goal is to work with the Center for Criminal Justice Research to integrate data among local law enforcement, public safety, treatment, and public health agencies. The Indiana University Center for Criminal Justice Research will serve as the action research partner.
The Marion County Public Health Department will expand the Indianapolis Harm Reduction Team (IHART) Program to employ two full-time peer support specialists, who will facilitate access to treatment, health-care resources, and community-based services. IHART will hire a full-time project coordinator to oversee the operation and serve as a liaison with the criminal justice and public health systems, mental health and substance abuse treatment providers, and other government and community-based entities. Indiana University will serve as the research partner for the proposed project.
The Indiana Division of Mental Health and Addiction, in partnership with the Indiana Criminal Justice Institute (ICJI), Choices Coordinated Care Solutions (Choices), Centerstone, Relias Analytics, and the Indiana University Center for Collaborative Systems Change, seeks to address the treatment needs of justice-involved individuals of southern Indiana in seven rural counties. The project will use mobile technology hardware, software, internet connectivity, and Web-based services, along with other available resources, to assess participants in drug courts as well as individuals with opioid use disorder (OUD) to gain access to services and provide treatment when necessary as a diversion from charges.
The Indiana State Department of Health (ISDH) will increase the timeliness and robustness of fatal drug overdose reporting. This will be accomplished by funding comprehensive toxicology testing for suspected cases of drug overdose deaths across Indiana. ISDH will also obtain more comprehensive demographic data of persons who have suffered fatal drug overdoses. By providing mini-grants to overcome barriers associated with using ISDH’s coroner case management system, coroners will be encouraged to utilize this system and thus provide more comprehensive demographic data on fatal overdoses. ISDH will link toxicology results with existing demographic information regarding the deceased persons and disperse aggregated data to the opioid data working group. ISDH will also develop an innovative pilot project that will involve the enhanced toxicology testing of leftover clinical samples (blood and/or urine) from patients who are treated in a hospital following a suspected drug overdose event. Such testing will provide more robust public health information including situational awareness of illicit and licit drug use that results in drug overdose events. It will also allow local and state officials to track drugs circulating in Indiana as well as identify novel substances in its communities. Finally, ISDH will utilize the data collected by the toxicology testing from both fatal and nonfatal drug overdoses to inform targeted interventions. Indiana University–Purdue University will serve as the researcher for the proposed project.
The Kenton County Detention Center will reduce the prevalence of opioid abuse in Covington, Kentucky. In 2015, northern Kentucky lost nearly five times more residents to drug overdoses than to car accidents. This project proposes to address the issue by implementing the Kentucky Overdose Prevention and Education Project (KOPE), which has three main goals: to conduct an analysis of the severity of the opioid crisis; develop a multidisciplinary approach to address the needs of overdose survivors; and incentivize, propagate, and support pre-arrest diversion and naloxone distribution programs in the targeted region. This proposal will support naloxone distribution programs in the region. The Kenton County Detention Center will collaborate with local police departments and health-care and rehabilitation providers. Northern Kentucky University will serve as an action research partner.
The Lexington–Fayette Urban County Government will create the Lexington Overdose Outreach Project (LOOP). LOOP will consist of a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. The Kentucky Injury Prevention and Research Center at the University of Kentucky will serve as the research partner for the proposed project.
The Louisville Jefferson County Metro Government will implement the Louisville Metro Law Enforcement Assisted Diversion (LEAD) Pilot. Project goals include reducing recidivism, improving public safety, and ensuring the health of offenders who consume opioids. Police officers will exercise discretionary authority to divert 50 individuals with opioid-related substance abuse disorders from police beats in the Russell and Portland neighborhoods into a community-based harm-reduction intervention. An interdisciplinary advisory council will provide administrative oversight for the project. A research team from the University of Louisville–Commonwealth Institute of Kentucky will evaluate project progress, specifically examining neighborhood-level arrests and individual substance use treatment utilization.
The Kentucky Injury Prevention and Research Center (KIPRC), bona fide agent for the Kentucky Department for Public Health, intends to implement a project that will strengthen interagency as well as researcher-practitioner collaborations, expand data sharing, and improve decision making of regulatory and law enforcement agencies and public health officials in their efforts to reduce prescription drug misuse and diversion as well as illicit drug use. The goals of the project are to evaluate the impact of Kentucky Law SB32, which required the inclusion of drug conviction data in Kentucky All Schedule Prescription Electronic Reporting (KASPER); develop and provide education for prescribers and dispensers on the content of conviction data within KASPER patient reports; evaluate changes in gabapentin prescribing and diversion since gabapentin became a Schedule V controlled substance in Kentucky in 2017; analyze existing and new data sets for identification of drug abuse; and hold quarterly action team meetings to review recent data. The project's research component will be performed by action researchers from KIPRC, the Institute for Pharmaceutical Outcomes and Policy (IPOP), and the Center on Drug and Alcohol Research (CDAR), University of Kentucky.
The University of Kentucky Research Foundation, on behalf of the Kentucky Injury Prevention and Research Center (KIPRC), a bona fide agent for the Kentucky Department for Public Health (DPH), will (1) develop an algorithm-based mechanism to identify high-volume, high-risk opioid prescribing specialty groups within a health-care system to provide actionable information to health-care leadership to initiate targeted education; (2) develop an algorithm to identify inpatients whose specific principal diagnoses increase the likelihood that they will receive opioid prescriptions upon discharge and during follow-up care; and (3) develop diagnosis-specific patient education materials to facilitate a health-care system intervention for inpatients with these diagnoses. The results will be disseminated by developing reports, peer-reviewed manuscripts, and a repository of developed and tested patient- and prescriber-oriented educational materials to facilitate replication in other health-care systems and settings.
The City of New Orleans Health Department will implement the New Orleans Opioid Survival Connection to connect 200 overdose survivors per year to treatment services to reduce the prevalence of opioid misuse in New Orleans. Accidental opioid-related deaths in New Orleans increased dramatically from 2015 to 2016, and Louisiana currently ranks 49th out of 50 states in United Health Care Foundation’s report on state opioid response. The program will work to reduce the negative effects of opioid misuse in the city by implementing an interdisciplinary approach to the problem. The project proposes to immediately provide interventions to overdose survivors in the city's most active emergency departments, connect patients to services, and rigorously follow their cases to ensure a warm handoff to treatment centers. The project also calls for an ongoing research and monitoring program to evaluate program effectiveness. The City of New Orleans Health Department will partner with a local emergency department as well as the Louisiana Public Health Institute as the project’s action researcher.
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 Orleans Parish will enhance the Orleans Re-Entry Court by screening offenders for opioid addictions at sentencing; referring offenders with opioid addictions to receive medication-assisted treatment; and offering offenders job training services, education, and cognitive behavioral interventions while incarcerated and upon release. Loyola University New Orleans will serve as the research partner.
The Boston Police Department (BPD), in partnership with the Boston Public Health Commission, will expand and enhance a community-based, first-responder, post-overdose follow-up program in the city of Boston. Multidisciplinary teams consisting of at least one BPD member and one public health advocate will conduct home-based outreach intervention with at least 100 individuals per quarter who have recently experienced nonfatal opioid overdoses to provide access to naloxone and recovery support services. These individuals will receive prioritized access to detoxification and treatment services, as well as access to medication-assisted treatment. Dr. J. Richard Woy of JRW Associates will serve as research partner.
The Holyoke Police Department will implement Project Heroin Addiction Recovery Team Support (HARTS), designed to address the significant opiate drug problem in Holyoke, Massachusetts. The Holyoke Police Department will partner with the recovery coach to meet with all survivors of an opioid overdose, either in the community or at the emergency department. The University of Massachusetts, Amherst, will serve as the evaluator for the proposed project.
Plymouth County Outreach (PCO), a police and treatment outreach approach to high-risk individuals, will continue to develop its countywide, multifaceted approach involving law enforcement, hospital, recovery, and local treatment partnerships that conduct post-overdose home follow-up visits to overdose survivors who are not initially admitted to a hospital or treatment services. The local research partner, Kelley Research Associates, created a unique, real-time overdose tracking system that supports the daily overdose response program. The East Bridgewater Police Department will make data available through the Overdose Detection Mapping Application Program (ODMAP).
The 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 Massachusetts Department of Public Health will enhance its Prescription Monitoring Program (PMP) to accomplish three goals: (1) develop enhancements to the online Massachusetts Prescription Awareness Tool (MassPAT); (2) improve the quality of prescription information by flagging non- or intermittently reporting pharmacies and by reaching out to pharmacies that have high error submission rates; and (3) analyze and report out on trends in stimulant prescribing. The Department of Public Health will accomplish these goals by evaluating and/or reporting the impact of MassPAT enhancements funded by COAP funding, monitoring the frequency of pharmacies not reporting to the Massachusetts PMP and evaluating the efficacy of pharmacy outreach to correct error submissions, and reporting out on trends on stimulant prescribing.
COAP supports the Middle District Attorney’s Office in implementing the Worcester County Drug Diversion Initiative. Clinicians from AdCare Hospital assist law enforcement and prosecutors in identifying and screening individuals who may be appropriate for diversion to substance abuse treatment programs. This program is currently operating out of two locations – Leominster and Gardner/Winchendon District Courts— and it will soon be integrated into five district courts throughout Worcester County. Fitchburg State University will serve as the research partner for the proposed project.
The Maryland Department of Health will develop a multidisciplinary data-governing framework and will partner with the Chesapeake Regional Information System for our Patients (CRISP) for data linking and for the establishment of a data warehouse. The data-governing framework will inform the design of a data warehouse to more efficiently utilize state resources while enabling secure access to drug-involved data. The data-governing framework and warehouse infrastructure will work in concert to produce key, data-driven, actionable recommendations guiding the state’s opioid response and enhance public safety, public health, and behavioral health partnerships and program evaluations.
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 Michigan Department of Health and Human Services (MDHHS) will form a multidisciplinary team (MDT) of personnel from various community partners in an effort to work collaboratively and share data related to opioid abuse. Five Michigan counties will receive contracted substance abuse services to use during Child Protective Services (CPS) investigations, CPS open cases, and foster care cases. These services will be provided to rural counties that currently do not have access to the resources. MDHHS will provide at least ten “Connection between Trauma, Substance Abuse, and Mental Health” training sessions conducted by Dr. Stephanie Covington and her staff regarding the link between trauma and substance use. This statewide training will be available for all child welfare staff members. Finally, an online training will be developed to ensure that mandated reporters across Michigan have a robust understanding of their reporting requirements. Certification for the training will be provided. The University of Michigan will act as the action researcher to determine whether any changes to policy and child welfare practices would be beneficial.
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 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.
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.
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 goal is to use grant funds to establish a data-sharing platform and agreements among all stakeholders to exchange critical pieces of information (or data elements) to conduct real-time data analysis. The process would entail using victim information contained in existing data sets to develop a notification system to alert stakeholders in real time when a high-frequency overdose victim becomes “active” in one of the data sets. The activation would also trigger a response by health care partners to provide the appropriate intervention and treatment options. This notification system would be leveraged through artificial intelligence (AI) and machine learning techniques.
Camden County, New Jersey, plans to implement the Camden County Opioid Abuse Diversion Program (CCOAD) to improve treatment and support services for individuals with a history of opioid abuse diagnosis. These interventions will specifically target the pre-trial and reentry intercepts of the Sequential Intercept Model. The initial phase of CCOAD entailed conducting a comprehensive assessment of individuals incarcerated in the Camden County Correctional Facility (CCCF) to document the extent of the opioid crisis in the Camden County jail, subsequently setting up wraparound services at the pre-trial and reentry intercepts. The second phase of the program entails the integration of specialized care managers to work intensely with individuals with an opioid abuse diagnosis upon their release to help them navigate treatment options and resources as well as advocacy specific to housing, employment, legal challenges, and access to social services. In addition, CCOAD will include a comprehensive ongoing analysis on the effectiveness of strategies used by the program. The Walter Rand Institute of Public Affairs at Rutgers University will serve as the project’s research partner.
The Morris County Sheriff’s Office will use funds to maintain and expand its Hope One Mobile Outreach vehicle program, which is deployed twice a week to areas experiencing a high volume of opiate overdoses. This expansion will include the launch of a Police Assisted Addiction and Recovery Initiative (PAARI), utlizing municipal and county law enforcement with the assistance of community partners. The research partner, Epiphany Community Services, will be provided with the data to track client progress and report progress so that any necessary program adjustments can be made.
The New Jersey Department of Law and Public Safety (DLPS) will collaborate with state agencies to develop a computerized, data-sharing dashboard, known as the Integrated Drug Awareness Dashboard (IDAD). The IDAD will leverage data sets specific to each agency, such as the New Jersey State Police and the Division of Consumer Affairs, and include identified and de-identified arrest and drug seizure data and Prescription Drug Monitoring Program (PDMP) data in one centralized platform. The goal is to synthesize multiagency information to create specialized and user-specific reports that will improve the sharing of opioid information across state agencies. The dashboard will create a holistic picture of the opioid environment, help develop targeted interventions, develop analytic opioid hot spots, and push notifications. Montclair State University will serve as the action research partner.
In response to increasing rates of opioid overdose across New Mexico, the City of Albuquerque will implement the Albuquerque Peer to Peer program, which seeks to more effectively connect survivors with substance abuse treatment immediately after an overdose incident. Between January 2015 and June 2016, the City of Albuquerque Fire Department responded to nearly 600 opiate overdoses. Peer engagement specialists will ensure a streamlined connection between survivors and those at risk of overdose presenting in the emergency department for treatment. To complement this comprehensive and sustainable approach to treatment, the University of New Mexico’s Institute for Social Research will work to evaluate the impact of the program on the city’s population. The peer engagement specialists will work closely with the Albuquerque Police Department and a handful of community-based treatment providers to reduce the incidence of opioid overdoses in Albuquerque.
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.
Rio Arriba County Health and Human Services Department, the Rio Arriba County Sheriff’s Office, and the Española Police Department will implement pre-arrest diversion for low-level, nonviolent offenders using the Law Enforcement-Assisted Diversion (LEAD) model. The University of New Mexico Health Sciences Center has committed to work with Northern New Mexico College to serve as the research partner for the proposed project.
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.
The Erie County Probation Department will implement the Probation Opioid Response Initiative. The focus of this effort will be to expand services to offenders diverted to probation. The program will institute the use of a validated risk assessment tool to identify probationers who are at risk for opiate/opioid overdose and place them on specialized caseloads. Two peer navigators will be assigned to work alongside probation officers. Naloxone will be distributed to probationers on the opioid caseload at assignment and to probationers who overdose within 24–48 hours after notification. Hilbert College will serve as the research partner for the proposed project.
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 Bronx District Attorney, in partnership with the Bronx Criminal Court and the Center for Court Innovation/Bronx Community Solutions, will address the crisis in opioid deaths and overdose by enhancing the Overdose Avoidance Recovery (OAR) Program. This enhanced OAR Program will be expanded into two additional courtrooms. BetaGov/Litmus at NYU will serve as the evaluator for the proposed project.
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).
The Columbus Department of Public Safety’s Rapid Response Emergency Addiction and Crisis Team (RREACT) will hire a project manager, fund a case manager, and fund staff members at the Franklin County Family and Children First Council to provide wraparound service coordination and trauma counseling for children and families impacted by overdose. Grant funds will be used to establish standard protocols for case management for overdose survivors who do not immediately choose to enter treatment; incorporate connection to kinship supports and trauma counseling for children and family members impacted by overdose; implement standards case management protocols; and measure the impact of community-based RREACT services on repeat overdose, entry into treatment, and future engagement with the justice system. The Columbus Division of Fire (which operates the RREACT Program) will partner with an external researcher for project evaluation.
Dayton, Ohio, will enhance the Get Recovery Options Working (GROW) program. GROW is a coordinated multidisciplinary response team that includes the Dayton Police Department, Dayton Fire Department, and peer recovery specialists. Dr. Mary Huber from Wright State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The 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 Franklin County Municipal Court will enhance and evaluate the MAT + Link opioid intervention. Through MAT + Link, offenders struggling with opioid addiction have access to medication-assisted treatment (MAT) in jail or immediately upon release through court-based services. There will be a MAT + Link project manager, and a full-time case manager will serve as coordinator. Pretrial and Probation Services will partner with an external evaluator to track the impact of MAT + Link on treatment adherence and recidivism.
The Hamilton County Heroin Coalition (HCHC)—a multidisciplinary team composed of public health officials, law enforcement, first responders, hospitals, elected officials, prevention experts, and others—seeks federal funds to respond to the opioid crisis in Cincinnati, Ohio. Between August and October 2016, Hamilton County saw a surge in overdoses, with 1,461 emergency room overdose visits and 1,685 calls to 9-1-1 due to overdoses. In response, the team hired an HCHC coordinator and a researcher to manage the group’s response to opioid misuse. This project is the expansion of the Quick Response Team model implemented across the county and provides an evaluation to determine the QRT model’s effectiveness. The University of Cincinnati’s Institute of Crime Sciences will serve as the project’s research partner.
The Hamilton County Heroin Coalition (HCHC) will implement a pilot pre-arrest diversion program, using the Law Enforcement Assisted Diversion (LEAD) model, in the City of Cincinnati, for individuals who commit low-level, nonviolent offenses. HCHC will divert these individuals to community-based substance abuse and behavior health services. The University of Cincinnati’s School of Criminal Justice will serve as the research partner on the proposed project.
The 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.
The Warren County, Ohio, Commissioners Office, in partnership with the Department of Children Services, Warren County Sheriff’s Office, Mental Health and Recovery Services of Warren and Clinton County, and the Addiction Policy Forum, propose to pilot the Child Assessment and Response Evaluation program, a 24/7 rapid response intervention program for children who are present at the scene of an overdose of a parent or loved one. The Urban Institute will serve as the research partner for the proposed project.
The Muscogee (Creek) Nation (MCN), the fourth-largest federally recognized tribe in the United States, is proposing the MCN COAP and Treatment Project. Project MCN will pursue three goals. First, MCN will develop an internal referral process to identify tribal citizens suffering from opioid abuse who need additional services and support or citizens at higher risk as a result of exposure. Second, MCN will create an internal database of patient health information to inform and evaluate patient needs for treatment and prevention opportunities. Third, MCN will increase the number of providers certified and licensed for medication-assisted treatment and new telebehavioral health options at a primary care facility. Use of these expanded options will be driven by data analysis and recommendations from a research partner.
Clackamas County Community Corrections will improve the data infrastructure and develop diversion strategies that target incarcerated individuals eligible for early release into treatment, individuals on probation and reentering the community who meet the criteria for medication-assisted treatment (MAT), and supportive housing for justice-involved females to reunify with their children while receiving treatment or for those who are pregnant. BetaGov/Litmus at New York University (NYU) will serve as the evaluator for the proposed project.
Marion County will expand its pilot diversion program in Salem, Oregon. This project will be based on the Law Enforcement-Assisted Diversion (LEAD) model.
Marion County will expand its Law Enforcement-Assisted Diversion (LEAD) initiative in targeted neighborhoods in Salem, Oregon. The Oregon Criminal Justice Commission will serve as the research partner for the proposed project.
In Beaver County, Pennsylvania, accidental overdose deaths increased by 240 percent from 2014 to 2016, and more than 600 naloxone reversals were reported in 2016. Beaver County is also the first county in the region to report an overdose death from carfentanil, an analog of the synthetic opioid analgesic fentanyl, 10,000 times more potent than morphine. In response, Beaver County will implement a program to analyze the underlying causes of opioid misuse and to create a data exchange system for use by the Criminal Justice Advisory Board, the Sequential Intercept Model Committee, and the Drug Coalition to influence policy. Additional goals include evaluating outreach, prevention, and treatment efforts and to work to expand prescription drug monitoring. Townsend Associates LLC will serve as the project’s research partner.
The Pennsylvania Commission on Crime and Delinquency (PCCD) will fund projects for counties that work with the Technical Assistance Center at the University of Pittsburgh School of Pharmacy’s Program Evaluation and Research Unit to implement evidence-based programs to reduce overdose deaths.
The Pennsylvania Department of Corrections will focus on persons reentering the community from Pennsylvania Department of Corrections facilities who are high-frequency utilizers of services across systems (e.g., justice, health care, social services). Project efforts will focus on improving data sharing across relevant entities in the Commonwealth, with formation of a stakeholder team to advise on naloxone distribution, data sharing systems, and administrative protocols. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
The Pennsylvania State Police will use funds to implement Project TRIAD, which will synchronize innovative, technology-driven enforcement strategies, leveraging information received through community input. Project TRIAD is named for its three component parts: Component 1–Targeted Enforcement; Component 2–Problem Oriented Policing through Community Partnerships; and Component 3–Public Outreach. In addition, a research component will be funded to assess impact.
The Southeastern Pennsylvania Transportation Authority (SEPTA) will implement a Police Rapid Response Pilot Program. The Rapid Response Team will be the lead responding unit to overdose calls in the Kensington Transit Corridor. SEPTA officers will provide naloxone to overdose patients, social services information, and transportation to a treatment facility for individuals who wish to be seen by medical professionals. Dr. Jerry Ratcliffe from Temple University will serve as the research partner for the proposed project, and Philadelphia-based nonprofit Angels in Motion will provide linkages to social support services.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to individuals at risk of overdosing and encouraging them to be assessed and treated. The project will support the technology, professional expertise, and partnerships needed to gather comprehensive data, perform outreach visits, execute research, and contribute to the administration of the HOPE Initiative. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to those who are at risk of overdosing and encouraging them to be assessed and treated. The project will support the HOPE Initiative by enhancing the ongoing efforts of state and local government to address the opioid overdose epidemic, including gathering real-time law enforcement data on opioid overdoses to identify individuals with opioid use disorder. In addition, the project will support a program involving law enforcement and case management to provide outreach to individuals with opioid use disorder. Outreach efforts will include victims and child welfare services. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
Lancaster County, South Carolina, will implement a pre-arrest diversion program based on the Law Enforcement Assisted Diversion (LEAD) model. A research partner will be selected at the time of the award. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The South Carolina Department of Alcohol and Other Drug Abuse Services will assist in developing a medication-assisted treatment (MAT) project in York County, in partnership with the Sixteenth Judicial Circuit Solicitor’s Office, the York County Sheriff’s Office, and treatment partners. Winthrop University will serve as the evaluator for the proposed project.
The Shelby County Division of Community Services will use addiction peer recovery specialists to link individuals with substance abuse to treatment and case management services, bridge the gap between victims and resources, and be on call 24/7/365 with law enforcement, emergency medical services, and local emergency rooms working to identify patients and encourage them into treatment. The University of Memphis will serve as the research partner for this project.
The Tennessee Department of Mental Health and Substance Abuse Services will support the expansion of behavioral telehealth care services in nine counties in Tennessee, seven of which are designated as rural-based, according to the Economic Research Service Rural-Urban Commuting Areas definition. Each of the participating counties has a poverty rate above the statewide average.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Hamilton County Police and Community Overdose Response Team (PCORT) in Hamilton County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims, as well as providing administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Hamilton County District Attorney’s Office through the Hamilton County Family Justice Center. The PCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
The Tennessee Department of Mental Health and Substance Abuse Services will develop the Sullivan County Overdose Response Team (SCORT) in Sullivan County. Grant funds will be used to support a coordinator and peer navigator(s), and a case manager will provide support services to both individuals who have overdosed and victims as well as administrative grant support. The case manager will also coordinate with the Tennessee Alliance for Drug Endangered Children (TADEC) and the Sullivan County District Attorney’s Office through the Sullivan County Family Justice Center. The SCORT coordinator will be responsible for exporting and uploading all relevant data into the Overdose Detection Mapping Application Program (ODMAP) data collection tool. An independent evaluator will serve as the project evaluator.
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 Harris County Community Supervision and Corrections Department will develop protocols for diverting appropriate individuals to treatment assessments and community-based care; develop protocols for smoothing the transition between in-custody medication-assisted treatment (MAT] to community supervision and continued treatment for those exiting to probation; and link opioid-abusing individuals with recovery coaches to support recovery efforts, reduce barriers, and improve community engagement.
Fairfax County will develop a Secure Integrated Data approach with engagement by representatives of the Fairfax County health and human services community; public safety, education, legal, and technology representatives of the organizations involved; state prescription drug monitoring program (PDMP) representatives; and service providers to adopt and promote the information sharing efforts. The team will develop data governance structures to support the policy for data sharing and then develop a data sharing model by using global information sharing standards to share data across various systems. George Mason University will serve as the research partner for the proposed project. IJIS Institute will provide technical support for the development of a data governance structure.
The State of Vermont Department of Health Division of Alcohol and Drug Abuse Programs will identify community-level data sets pertaining to opioid use/misuse and associated physical, mental, environmental, and social health consequences and develop a data platform for community groups to access and manipulate data to identify pertinent local areas of concern. Vermont is recruiting a research partner for the proposed project.
The North Mason Regional Fire Authority in Mason County, Washington, will partner with Peninsula Community Health Services to establish a Quick Response Team (QRT). A research partner will be selected at the time of the award.
The 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 Kenosha County Opioid Overdose Reduction Project was created in response to the high nonfatal overdose and opioid-related death rates in the community. The project utilizes state-certified peer support specialists to link overdose survivors and their families with treatment and support services. Local hospitals and the EMS community are partners in the effort to establish contact shortly after the initial overdose. The Kenosha County Opioid Overdose Task Force was formed in 2017 to promote awareness and education regarding opioid-related substance use disorders, overdose prevention, and harm reduction and to facilitate partnerships among member agencies - including EMS, hospitals, treatment providers, the recovery community, county government, the district attorney's office, probation and parole, the health department, the medical examiner's office, and law enforcement.
The Milwaukee Prostitution and Opioid Diversion Project (MPOD) within the Milwaukee County Housing Division will establish a public health and justice partnership to address the unique needs of women in street prostitution and sex trafficking who abuse illicit or prescription opioids (and other drugs) and frequently come into contact with the justice system for prostitution or drug-related arrests or as victims of sex trafficking. MPOD will enhance service capacity in the current Sisters Diversion Project, a municipal pre-arrest prostitution diversion program, building on the pre-existing partnership among the Milwaukee Police Department, the Milwaukee County Behavioral Health Division, the Milwaukee County District Attorney’s Office, local treatment agencies, and the Medical College of Wisconsin; and enhance coordination and services for women in Milwaukee County’s Early Interventions Program (specifically, its pretrial diversion program). MPOD will engage the Medical College of Wisconsin as the research partner for this project.
The Waukesha County Criminal Justice Collaborating Council will work with the District Attorney’s Office to develop a pre-charge diversion program for low-risk offenders who abuse illicit or prescription opioids and expand the use of deferred prosecution agreements for moderate-risk offenders who abuse illicit or prescription opioids. The University of Wisconsin–Milwaukee will serve as the evaluator for the proposed project.
The West Allis Health Department will implement the Cardiff Model, an enhanced violence surveillance system and intervention that involves information sharing and violence prevention among law enforcement, public health, and the medical field. The model requires (1) the collection, linking, and mapping of interpersonal violence information from emergency departments, police departments, and other relevant areas (e.g., emergency medical services [EMS]); and (2) the convening of a multidisciplinary stakeholder consortium to discuss and utilize timely information to implement data-informed violence-prevention activities. The Cardiff Model has not been evaluated regarding its impact in the United States and requires evaluation in the proposed health-care, population, and environmental contexts. Further, by incorporating and discussing opioid-related data sets (e.g., the Overdose Detection Mapping Application Program [ODMAP], the Prescription Drug Monitoring Program [PDMP]) alongside violence data sets, this model may have utility for addressing the intersection of violence and opioid misuse. The Medical College of Wisconsin and its Comprehensive Injury Center will serve as the research partner for the proposed project.
The Winnebago County District Attorney will improve data infrastructure and develop diversion strategies for people with opioid use disorders using evidence-based components. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
Aiming to reduce drug overdose rates in Martinsburg, West Virginia, the Berkeley County Council will implement the Berkeley County Volunteer Support Network. In 2014, Berkeley County had approximately 71 percent as many fatal overdoses per 100,000 people as Baltimore. To remedy the issue, the project strives to expand direct services to overdose survivors and improve the city’s ability to connect individuals to treatment services. Funds will also be utilized to conduct an analysis of the project’s effectiveness. The project will collaborate with the Berkeley County Health Department, the Berkeley County Day Report Center, the West Virginia State Police, the Martinsburg Police Department, and West Virginia University Medicine.
The City of Huntington, West Virginia, will implement a community Quick Response Team (QRT) that will include medical care providers, law enforcement, and recovery and treatment providers, along with research partners. This multidisciplinary team will strive toward a significant reduction in the number of overdoses, with an emphasis on the recurrent cases. Federal funds will be used to assess project participants’ needs and assess their capabilities and preferences to determine appropriate plans for intervention, which includes, but is not limited to, provision of access to recovery and treatment services. Community capacity and cohesion will be fostered by engaging and educating those communities that have been disproportionately affected by the crisis in substance abuse, mental health, treatment, and recovery service awareness. The overall target through the collaborative efforts of the QRT is to decrease the number of overdoses by at least 20 percent annually and the number of recurrent overdoses by 40 percent annually. The Marshall University Department of Public Health will serve as an action research partner.
The Logan County Commission, in partnership with the Southwestern Regional Day Report Center in Logan, West Virginia, will implement the Fresh Start program, which will facilitate access to treatment services to overdose survivors. West Virginia has the highest drug overdose death rate in the nation. Overdoses attributed to prescription drug overdoses are especially prevalent in the southernmost counties of West Virginia, including Logan County. At the center of the program will be agricultural and artisan programming, which aims to reconnect clients with their communities. The program will offer community mentoring, interagency teamwork, life-based skills development sessions, craftsmanship, artisanship, and credit attainment through the local community college. Another key component of the program is the creation of the Logan County Health Department Satellite site, to provide increased access to basic health-care services. Marshall University will serve as the project’s research partner.
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).
The West Virginia Division of Justice and Community Services (DJCS) will address the opioid crisis in West Virginia by increasing the number of technology-assisted treatment services for individuals involved with the justice system because of an opioid use disorder in rural areas. The program plans to provide mental health services, addiction recovery services, and alternative sanctions or diversions. These services will be implemented through existing community corrections programs and future partnerships to provide risk and need assessments, group counseling, and individual counseling. The project will purchase and install the necessary hardware and software in 12 community corrections programs. The Office of Research and Strategic Planning, a unit within the DJCS, will provide for the research needs of the project.