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.
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.
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 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 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.
The Guam Behavioral Health and Wellness Center (GBHWC) applied for Category 1b suburban area grant funding in the amount of $900,000. The Guam Family Recovery Program will provide swift American Society of Addiction Medicine assessments and placement when deemed appropriate. The program will also offer peer support services to identified clients and decrease the time from arrest to access possible treatment for clients suffering from the ills of substance use. A total of 450 assessments will be performed throughout the grant period. This project serves the community of Guam. The project includes partnerships between GBHWC, Department of Corrections, Superior Court of Guam, TOGHE, OASIS, and the Salvation Army Lighthouse Recovery Center.
Boone County applied for Category 1c rural/tribal area grant funding in the amount of $599,000. The Boone County Support Outreach Recovery Team will to fill the identified need for a community law enforcement officer to work with the individuals who have been arrested and fill the identified need for an addiction counselor to work with the county’s jailed population. The second purpose of this program is to fill the identified need for an addiction counselor who will work as a recovery coach with Boone County’s jailed population. This individual will deliver services such as moral reconation therapy and substance abuse counseling. This project serves Boone County, Illinois (population 53,606). The project includes partnerships between the Boone County Health Department, the multidisciplinary team, the Rosecrance, and the Belvidere Police Department.
The 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).
Tippecanoe County will establish a pre-trial assessment model that will ensure that all individuals incarcerated in the Tippecanoe County Jail have a professional addictions and mental health assessment performed within 48 hours of initial intake, provide programming within the Tippecanoe County Jail, and provide intensive case management services to targeted individuals released from the Tippecanoe County Jail.
Floyd County Fiscal Court applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Floyd County Family Services Program will (1) increase access to evidence-based treatment and recovery support services for 150 adults and/or families involved with the criminal justice system, (2) improve the health and recovery of 150 adults and/or families impacted by substance use disorders or co-occurring mental illness and substance abuse (including opioid use disorders), (3) reduce the number of overdose fatalities, and (4) improve the safety of children affected by parental drug overdose. This will be accomplished by addressing four allowable uses of funds, including (1) embedding social services (therapist) with law enforcement to rapidly respond to drug overdoses where children are affected; 2) provide naloxone for law enforcement to address opioid overdoses; 3) provide evidence-based treatment, recovery and peer recovery support services for the targeted population; and 4) coordinate with courts to prioritize and expedite treatment and recovery services to individuals at high risk for overdose and family issues stemming from SUD. This project serves Floyd County, Kentucky, with a population of 36,926. The project includes partnerships between the Mountain Comprehensive Care Center as the region’s Community Mental Health Center, Healthcare for the Homeless provider and Rape Crisis Center, Floyd County Family Court, Floyd County District Court, Floyd County Sherriff’s Office, Kentucky State Police, Appalachian Research and Defense Fund of Kentucky, Big Sandy Health Care, and Big Sandy Area Community Action Agency. Priority considerations addressed in this application include a rural community that faces a persistent-poverty and has a Qualified Opportunity Zone and areas with high rates of overdose.
Lexington-Fayette Urban County Government applied for Category 1b suburban area grant funding in the amount of $511,078. The Lexington Overdose Outreach Project-2 (LOOP-2) has five specific aims. The first aim of LOOP-2 is to continue and expand a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. Second, LOOP-2 will provide outreach to individual survivors of drug overdose identified by emergency response by the Lexington Division of Fire and Emergency Medical Services to connect them either with treatment and recovery services or harm-reduction services, including naloxone. The third aim is through the addition of a case manager to the project for continued follow-up with individuals who elect not to seek treatment services when met by the response team. The fourth aim is to bolster the pre-arrest diversion program at Lexington Police Department (LPD) where all police officers will be trained to assist individuals with whom they come in contact by providing connections to treatment and recovery services or harm-reduction services. This project serves Lexington-Fayette County. The project includes partnerships between NewVista, Hope Center and Chrysalis House, Voices of Hope, Isaiah House, and Kentucky Office of Drug Control Policy. Priority considerations addressed in this application include an area disproportionately affected by the abuse of illicit opioids and prescription drugs with high rates of primary treatment admissions for heroin and high rates of overdose deaths from heroin and other opioids.
The 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 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.
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).
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 County of Cumberland applied for Category 1b suburban area grant funding in the amount of $899,824. The Bridges for ME: Person-Centered Recovery and Reentry Project will focus on the development of an advisory council with at least five community partners and memorandums of understanding with five diverse treatment providers and annual screenings of 1,200 people for SUD/OUD conditions, while offering of 600 people resource referrals and naloxone. The project will also provide an annual provision of group support and reintegration planning to 200 people in jail, as well as intensive reentry services for 150 individuals receiving community service, including MAT and peer navigator services for 60 days. This project serves Cumberland County, population 281,674. The project includes partnerships between Cumberland County Jail, Maine Pretrial Services, Co-occurring Collaborative Serving Maine, Amistad, SMART, Maine Department of Corrections Probation, Portland Police Department, MAT providers Catholic Charities Maine, Spurwink Adult Behavioral Health Services, Maine Behavioral Healthcare IMAT, Northern Light Portland Internal Medicine, and Discovery House. Priority considerations addressed in this application include Cumberland County as a region disproportionately impacted by substance abuse.
Cass County, Inc. applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Cass County COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The program will also create co-responder crisis intervention teams of trained law enforcement officers and behavioral health practitioners to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services, as well as provide overdose education and prevention activities, and address the needs of children impacted by substance abuse. The project includes partnerships between 43rd Circuit Court judges, Woodlands Behavioral Healthcare Network, Office of the Sheriff, Office of the Prosecutor, Community Corrections, defense attorney, program coordinator, and the program evaluator. Priority considerations addressed in this application include the challenges that rural communities face and Qualified Opportunity Zone.
The Grand Traverse Band of Ottawa and Chippewa Indians (GTB) applied for Category 1c tribal/rural area grant funding in the amount of $600,000. The GTB COSSAP Project will address the current substance use issues identified by Grand Traverse Band’s Behavioral Health intakes, with statistics confirming the continued need for substance use services and recovery support for adolescents and adult federally recognized Native Americans who are experiencing depression, trauma, suicide ideation, and co-occurring disorders. This project serves 5,100 Native Americans in the GTB six-county service area located in lower northwest Michigan (Antrim, Benzie, Charlevoix, Grand Traverse, Leelanau, and Manistee counties). The project includes partnerships between GTB Public Safety and the GTB Tribal Court departments. Priority considerations addressed in this application include addressing specific challenges that rural communities face.
The County of St. Joseph applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The County of St. Joseph COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The project will also create Law Enforcement Assisted Diversion (LEAD) to enhance co-responder crisis intervention teams to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services; provide overdose education and prevention activities; and address the needs of children impacted by substance abuse. This project serves St. Joseph County, Michigan, with a population of 60,964. The project includes partnerships between the 45th Circuit Court of Michigan, sheriff, Community Mental Health and Substance Abuse Services, defense attorney, Office of the Prosecutor, Community Corrections, program evaluator, and program coordinator. Priority considerations addressed in this application include the specific challenges that rural communities face and a Qualified Opportunity Zone.
The 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 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 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.
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 Mexico Human Services Department applied for Category 2 statewide area grant funding in the amount of $6,000,000. The implementation and enhancement of Law Enforcement Assisted Diversion (LEAD) programs in New Mexico will reduce criminal behavior, decrease criminal justice and emergency health service utilization, and improve public safety by supporting the development of LEAD in tribal and nontribal jurisdictions. The project aims to reduce drug overdose and improve the quality of life for people with a substance use disorder while supporting a coordinated collaborative response to behavioral health among criminal justice, social service, and public health systems. This project serves approximately 900,000 residents in New Mexico. The project includes partnerships between Bernalillo County, Santa Fe County, Taos County, Lea County, San Juan County and San Miguel County. Priority considerations addressed in this application include the high rate of individuals in New Mexico jails and prisons estimated to have an untreated substance use disorder and the high rates of racial disparity in corrections.
The Pueblo of Pojoaque will create the Pueblo of Pojoaque Opioid Prevention and Intervention Project, a court-based, pre-prosecution diversion program. A project coordinator and an outreach worker/case manager will be hired. The State of New Mexico Sentencing Commission will serve as the evaluation partner for the proposed project.
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.
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.
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.
Franklin County, Ohio, applied for grant funding under Category 1A in the amount of $1,200,000. This project will serve individuals incarcerated at the Franklin County Jail and screened as at-risk for substance use dependency and drug-related overdose. The purpose of the project is to (a) reduce drug-related overdoses and deaths, (b) increase peer support and treatment referral and linkage, (c) increase access to medication-assisted treatment pre- and post-release, and (d) decrease recidivism. The Fast Track to Treatment initiative includes partnerships with the Franklin County Sheriff’s Office, Franklin County Municipal Court, Southeast Inc., Alvis180, and ADAMH. Priority considerations addressed in this application include a program model that focuses services in a county with a demonstrated disproportionate number of drug overdose deaths (43.3 overdoses per 100,000 as compared to the U.S. rate of 20.7 overdose deaths per 100,000) and program implementation intended to improve public safety by targeting services in federally designated Qualified Opportunity Zones. Dr. Gretchen Clark-Hammond, CEO of Mighty Crow, shall serve as program evaluator for the proposed project.
Franklin County Municipal Court applied under Category 1A for grant funding in the amount of $903,289 to support and enhance its MAT, Assessment, Referral, Care and Hope (MARCH) project. This project serves Franklin County and the areas surrounding Columbus, Ohio, with an estimated population of 922,223. The purpose of the project is to continue to fund, expand, and enhance the court’s MAT program — an innovative and effective collaborative effort among Franklin County and City of Columbus justice and government stakeholders. Grant funds would continue to support the positions of MAT project manager and one community case manager through 2023. Enhancements would add an additional community case manager and a contracted peer support specialist to significantly increase the capacity of the program, opening more days to in-custody referrals and facilitating the offering of a full-time behavioral health walk-in clinic. The project includes partnerships between Franklin County Municipal Court, Columbus City Attorney, Office of Justice Policy and Programs, Franklin County Sheriff’s Office, Franklin County ADAMH Board, and a variety of community behavioral health providers. The MARCH program will enhance public safety in Qualified Opportunity Zones.
The Delaware County Department of Human Services, Division of Drug and Alcohol, applied under Category 1A for Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program grant funding in the amount of $1,200,000. This project will serve the county of Delaware, Pennsylvania, the fifth most populous county in the Commonwealth of Pennsylvania with 562,960 residents. The purpose of the project is to expand evidence-based treatment, specifically medication-assisted treatment, and recovery support services, focusing on peer recovery support, within Delaware County’s criminal justice system. The objective of the project is to expand access to buprenorphine treatment in the Delaware County prison, George W. Hill Correctional Facility, to ensure that individuals are supported in their recovery while incarcerated and engaged in recovery support services upon release, linking returning citizens to transportation, recovery meetings, employment opportunities, or higher levels of care. The project includes partnerships between Delaware County’s Single County Authority, George W. Hill Correctional Facility, the GEO Group, Delaware County Council, Delaware County Office of the District Attorney, and Prospect Crozer Community Campus.
The 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 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.
The purpose of this program is to design and implement a collaborative intervention strategy that provides (pre-booking or post-booking) treatment alternative-to-incarceration programs serving individuals at high risk for overdose or substance abuse utilizing evidence-based recovery support services (transitional/recovery housing and peer support) and medication-assisted treatment (MAT). To meet these objectives, the proposed initiative will provide: 1) assessment-based individualized treatment plans, 2) MAT (Medication Assisted Treatment), 3) transitional housing at the OARS Center, 4) cognitive behavioral therapy, and 5) peer support services. Services will be delivered in the Oconee Addiction Recovery & Solutions Center located adjacent to the Oconee Law Enforcement Center that, as a communitywide enterprise, was recently renovated for this purpose. OARS will coordinate with the Oconee County Sheriff’s Office, the Oconee County Detention Center, the Oconee County Drug Court, the 10th Judicial Circuit Solicitor’s Office, and the Center for Family Medicine to deliver the proposed initiative through: 1) the development of a comprehensive, locally driven evidence-based response to opioids, stimulants, and other substances with expanded access to supervision, treatment, and recovery support services; 2) supporting law enforcement and other first responder diversion programs for nonviolent drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders; 3) needs assessment tools to identify and prioritize services for jail offenders; 4) the use of evidenced-based treatment practices; and 5) rigorous program evaluation by Clemson University providing feedback and improvement opportunities.
The Gallatin Police Department (Sumner County, Tennessee, population 191,283) — in partnership with the Sumner County Sheriff’s Office, local treatment provider Volunteer Behavioral Health, local courts, and scientific consultants — requests $892,085 from the Bureau of Justice Assistance FY 2020 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (Category 1b: Competition ID BJA-2020-17024) to implement a law enforcement-led substance abuse response to address the county’s increasing substance abuse problem. The proposed community-based strategy to address substance abuse and overdose risk will be implemented through enhancing connections to treatment; delivering evidence-based recovery services including needs assessment, individualized treatment plans, case management, medicated assisted treatment (MAT); providing a police-led awareness and prevention program to the county’s K-12 population, as well as a provision of Narcan to officer first responders. OJP priorities addressed include serving a designated Qualified Opportunity Zone, high-poverty areas, evidence-based services delivery, and program evaluation.
Cocke County Government, located in the rural Appalachian Mountain region of eastern Tennessee, applied for grant funding under Subcategory 1b in the amount of $899,488. This project serves Tennessee's 4th Judicial District, which includes Cocke, Sevier, Jefferson, and Grainger counties and has a total combined population of 212,069. The purpose of the proposed Tennessee Recovery Oriented Compliance Strategy (TN-ROCS) Enhancement and Evaluation project is (1) to increase the capacity of this innovative court-based intervention program to link individuals across the district at high risk of overdose to appropriate, evidence-based behavioral health treatment and recovery support services; and (2) to independently validate the TN-ROCS model, such that key findings related to program quality and implementation fidelity can inform current and future data-driven expansion efforts. This project includes partnerships between Cocke County, 4th Judicial District Circuit Court Judge Duane Slone, Dr. Stephen Loyd, Dr. Jennifer Anderson, American Institutes for Research, and Rulo Strategies. All four priority considerations are addressed in this application. Cocke County is a geographically isolated rural area that is plagued by persistently high rates of poverty, substance use, and overdose fatality. Additionally, one census tract within Cocke County (9207.00) has been designated as a Qualified Opportunity Zone.
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 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.
Seattle and King County (PH) requested funding in the amount of $1,200,000 over a 36-month period for the King County Jail Buprenorphine Inductions (KCJBI) project. This project serves King County, with a population of approximately 2.25 million. With the requested funding, KCJBI will initiate incarcerated individuals with opioid use disorder onto medication-assisted treatment with buprenorphine. To expand the MAT program, the KCJBI project will initiate individuals onto MAT during incarceration. This will be accomplished by utilizing requested funds to increase nursing and corrections officer staffing needed to execute the project. At release, individuals will be connected to a MAT provider in the community for ongoing treatment; of note, King County received DOJ COAP funding in 2019 to hire two substance use disorder specialists and one program assistant to assist in the delivery of this service. This project includes partnerships between PH, King County Department of Adult and Juvenile Detention, and community MAT providers. Priority considerations for this award include serving an area that has been disproportionately impacted by the use of illicit substances, a high-poverty area, and Qualified Opportunity Zones.
The 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.