Grantee Projects

AL

Alabama had the highest prescription opioid rate in the nation at 80.4 prescriptions per 100 people. Covington County is currently ranked 16th in the state of Alabama for opioid prescriptions, with an estimated 85.3 prescriptions per 100 people, translating to a rate almost two times higher than the national average of 43.3 prescriptions per 100 people. There have been no less than 20 overdoses that resulted in death in 2021 and administered at least 80 doses of naloxone. For this project, the 22nd Judicial Circuit District Attorney’s Office in Alabama will expand its diversion program through law enforcement and first responder deflection program, offering treatment and assistance to those that needed it prior to arrest. Their goal will be to reach previously underserved populations without the burden of the arrest. Prevention will be directed at high school students through part-time work-study peer helpers. These students will be hired to maintain communication with students to continue to warn them about the dangers of opioid and drug use. The response will include overdose response kits that will be distributed to all police and fire departments in the county. Advertising campaigns will encourage those present during an overdose to call 911 without fear of arrest, provided they aren’t directly responsible for the overdose. Since options of treatment locally are scarce, a Substance Abuse Counselor will be hired as part of the project to improve local outcomes in treatment through those diverted through the implementation of the new programs and provide family counseling to children and youth impacted by their parent’s substance abuse. A new Community Resource Specialist will assist individuals with finding and securing employment, navigating outside treatment options, securing sober housing, and helping them to overcome any other barriers that may prevent them from long-term recovery. They will also assist the District Attorney in holding a symposium on the warning signs and dangers of opioid addiction, treatment options, and what to do in case of an overdose.

22nd Judicial Circuit District Attorney's Office

Alabama

Alabama had the highest prescription opioid rate in the nation at 80.4 prescriptions per 100 people. Covington County is currently ranked 16th in the state of Alabama for opioid prescriptions, with an estimated 85.3 prescriptions per 100 people, translating to a rate almost two times higher than the national average of 43.3 prescriptions per 100 people. There have been no less than 20 overdoses that resulted in death in 2021 and administered at least 80 doses of naloxone. For this project, the 22nd Judicial Circuit District Attorney’s Office in Alabama will expand its diversion program through law enforcement and first responder deflection program, offering treatment and assistance to those that needed it prior to arrest. Their goal will be to reach previously underserved populations without the burden of the arrest. Prevention will be directed at high school students through part-time work-study peer helpers. These students will be hired to maintain communication with students to continue to warn them about the dangers of opioid and drug use. The response will include overdose response kits that will be distributed to all police and fire departments in the county. Advertising campaigns will encourage those present during an overdose to call 911 without fear of arrest, provided they aren’t directly responsible for the overdose. Since options of treatment locally are scarce, a Substance Abuse Counselor will be hired as part of the project to improve local outcomes in treatment through those diverted through the implementation of the new programs and provide family counseling to children and youth impacted by their parent’s substance abuse. A new Community Resource Specialist will assist individuals with finding and securing employment, navigating outside treatment options, securing sober housing, and helping them to overcome any other barriers that may prevent them from long-term recovery. They will also assist the District Attorney in holding a symposium on the warning signs and dangers of opioid addiction, treatment options, and what to do in case of an overdose.

AL

The Alabama Department of Mental Health is applying for a Category 2 award in the amount of $6,000,000. Project Possibilities: A Collaborative Alabama Criminal Justice Project will develop, implement, and expand a combination of law enforcement diversion programs; comprehensive and real-time data collection, analysis, and dissemination; and medication-assisted treatment and peer support recovery support services into existing systems of service in the state of Alabama across Calhoun, Dekalb, Etowah, Jefferson, Madison, Mobile, Montgomery, and Walker counties, serving an approximate population of 2,015,797. The project will serve utilizers identified within and across the criminal justice system including those in need of diversion from and preventing the return to the criminal justice system. Goals are to expand and implement diversion programs/services that provide treatment and recovery support to divert and prevent the return of opioid, stimulant, and other substance abusing/addicted individuals from/to the criminal justice system; extend the state data collection (Central Data Repository or CDR) of substance use information to include non-opioid substances; expand current partnerships to enhance data-sharing and accessibility, analysis, and dissemination of real time data; expand resources to rural areas, thus bridging the gap of care from urban and suburban areas to rural areas, including developing and implementing innovative and evidence-based models of MAT services for individuals interacting with the criminal justice system; and monitor the impact/outcomes of interventions, spreading successful intervention statewide at the completion of the project period to reduce incarceration, recidivism, morbidity, and mortality for adults with a substance use disorder who are cycling through the criminal justice system. The project includes partnerships between the University of Alabama's VitAL program, the Alabama Bureau of Pardons and Paroles, the Recovery Organization of Support Specialist, and People Engaged in Recovery. Priority considerations addressed in this application include serving high poverty areas throughout the state, and the proposed activities will address Office of Justice Programs priority considerations including promoting civil rights, increasing access to justice, and building trust between law enforcement and the community.

Alabama Department of Mental Health

Alabama

The Alabama Department of Mental Health is applying for a Category 2 award in the amount of $6,000,000. Project Possibilities: A Collaborative Alabama Criminal Justice Project will develop, implement, and expand a combination of law enforcement diversion programs; comprehensive and real-time data collection, analysis, and dissemination; and medication-assisted treatment and peer support recovery support services into existing systems of service in the state of Alabama across Calhoun, Dekalb, Etowah, Jefferson, Madison, Mobile, Montgomery, and Walker counties, serving an approximate population of 2,015,797. The project will serve utilizers identified within and across the criminal justice system including those in need of diversion from and preventing the return to the criminal justice system. Goals are to expand and implement diversion programs/services that provide treatment and recovery support to divert and prevent the return of opioid, stimulant, and other substance abusing/addicted individuals from/to the criminal justice system; extend the state data collection (Central Data Repository or CDR) of substance use information to include non-opioid substances; expand current partnerships to enhance data-sharing and accessibility, analysis, and dissemination of real time data; expand resources to rural areas, thus bridging the gap of care from urban and suburban areas to rural areas, including developing and implementing innovative and evidence-based models of MAT services for individuals interacting with the criminal justice system; and monitor the impact/outcomes of interventions, spreading successful intervention statewide at the completion of the project period to reduce incarceration, recidivism, morbidity, and mortality for adults with a substance use disorder who are cycling through the criminal justice system. The project includes partnerships between the University of Alabama's VitAL program, the Alabama Bureau of Pardons and Paroles, the Recovery Organization of Support Specialist, and People Engaged in Recovery. Priority considerations addressed in this application include serving high poverty areas throughout the state, and the proposed activities will address Office of Justice Programs priority considerations including promoting civil rights, increasing access to justice, and building trust between law enforcement and the community.

CA

The Alameda County Probation Department (ACPD) is applying for a Category 1a urban area grant in the amount of $1,195,323. Alameda County’s Residential Multi-Service Opportunity Center will expand access to responsive community alternatives to incarceration, as well as the county’s capacity to provide evidence-based mental health and substance use treatment services, built through a collaborative system of care that reduce the impact of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities. This project serves Alameda County, a large, urban county with a population of 1.67 million. The project includes partnerships between ACPD and a qualified contracted service provider. Priority considerations addressed in this application include high-poverty area and a persistent poverty county, as well as enhanced public safety in federally designated Qualified Opportunity Zones.

Alameda County Probation Department

California

The Alameda County Probation Department (ACPD) is applying for a Category 1a urban area grant in the amount of $1,195,323. Alameda County’s Residential Multi-Service Opportunity Center will expand access to responsive community alternatives to incarceration, as well as the county’s capacity to provide evidence-based mental health and substance use treatment services, built through a collaborative system of care that reduce the impact of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities. This project serves Alameda County, a large, urban county with a population of 1.67 million. The project includes partnerships between ACPD and a qualified contracted service provider. Priority considerations addressed in this application include high-poverty area and a persistent poverty county, as well as enhanced public safety in federally designated Qualified Opportunity Zones.

NY

The Albany County, New York, project focuses on evaluating, supporting, and expanding the Albany Law Enforcement Assisted Diversion (LEAD) program. The program will support law enforcement deflection and diversion, an embedded clinician at the Albany County Department of Mental Health, and a field-initiated project bringing together justice and a behavioral health practitioner. The clinician will serve LEAD clients at intercepts identified using the Sequential Intercept Model (SIM), which bridges longstanding gaps in such services. A robust program of external evaluation would be provided through a partnership with the University at Albany’s School of Public Health, paired with enhanced data analysis and reporting across the initiative. Such evaluation will identify barriers to program implementation; assess program acceptability and benefits from the community perspective; and assess whether the program leads to desired outcomes. The findings are expected to contribute significantly to existing literature on engagement among individuals with substance use disorders who are justice-involved and individuals who are unlikely to participate in office-based clinical services. The project includes the adoption of LEAD in two or more municipalities and the addition of social contact referrals, which will serve as a second pathway into LEAD to go beyond pre-arrest diversions that have been in place in the City of Albany since 2016. With this change and expansion to additional jurisdictions, the program will serve approximately 75 additional clients. Among other benefits, this expansion is expected to advance racial equity by facilitating an increased emphasis on referrals of black individuals, who historically have represented 60 percent or more of arrests in Albany but only 38 percent of all diversions. Case management is provided by Catholic Charities Care Management Services, which has been serving Albany LEAD clients since 2016 and engages in a range of harm reduction-based programs on behalf of New York State and other funders.

Albany County

New York

The Albany County, New York, project focuses on evaluating, supporting, and expanding the Albany Law Enforcement Assisted Diversion (LEAD) program. The program will support law enforcement deflection and diversion, an embedded clinician at the Albany County Department of Mental Health, and a field-initiated project bringing together justice and a behavioral health practitioner. The clinician will serve LEAD clients at intercepts identified using the Sequential Intercept Model (SIM), which bridges longstanding gaps in such services. A robust program of external evaluation would be provided through a partnership with the University at Albany’s School of Public Health, paired with enhanced data analysis and reporting across the initiative. Such evaluation will identify barriers to program implementation; assess program acceptability and benefits from the community perspective; and assess whether the program leads to desired outcomes. The findings are expected to contribute significantly to existing literature on engagement among individuals with substance use disorders who are justice-involved and individuals who are unlikely to participate in office-based clinical services. The project includes the adoption of LEAD in two or more municipalities and the addition of social contact referrals, which will serve as a second pathway into LEAD to go beyond pre-arrest diversions that have been in place in the City of Albany since 2016. With this change and expansion to additional jurisdictions, the program will serve approximately 75 additional clients. Among other benefits, this expansion is expected to advance racial equity by facilitating an increased emphasis on referrals of black individuals, who historically have represented 60 percent or more of arrests in Albany but only 38 percent of all diversions. Case management is provided by Catholic Charities Care Management Services, which has been serving Albany LEAD clients since 2016 and engages in a range of harm reduction-based programs on behalf of New York State and other funders.

CO

The Arapahoe County Sheriff's Office services an area with a population of over 500,000. The project will allow the Arapahoe County Sheriff's Office to expand evidence-based substance use treatment and peer recovery support services to individuals in custody and provide critical reentry needs such as transitional housing and peer recovery support services. These services are essential to supporting treatment engagement. The project addresses COSSUP's allowable use of implementing evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs and recovery support services for pre-trial and post-trial populations leaving jail. Deliverables include providing discharge planning for 750 detention center residents over the life of the grant, providing transitional housing for 262 indigent detention residents transitioning from the detention facility to the community over the life of the grant, and providing virtual peer recovery support services to up to 503 individuals as they transition from the detention facility to the community.

Arapahoe County Colorado

Colorado

The Arapahoe County Sheriff's Office services an area with a population of over 500,000. The project will allow the Arapahoe County Sheriff's Office to expand evidence-based substance use treatment and peer recovery support services to individuals in custody and provide critical reentry needs such as transitional housing and peer recovery support services. These services are essential to supporting treatment engagement. The project addresses COSSUP's allowable use of implementing evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs and recovery support services for pre-trial and post-trial populations leaving jail. Deliverables include providing discharge planning for 750 detention center residents over the life of the grant, providing transitional housing for 262 indigent detention residents transitioning from the detention facility to the community over the life of the grant, and providing virtual peer recovery support services to up to 503 individuals as they transition from the detention facility to the community.

AZ

The Arizona Criminal Justice Commission (ACJC) is applying for Category 2 in the amount of $6,000,000. The Arizona Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will advance Arizona’s goal of reducing overdose deaths by providing services to people involved in Arizona’s local justice system. The ACJC will make a total of nine competitive sub-awards to local sites to implement law enforcement diversion programs or virtual peer recovery services. The ACJC will work collaboratively with the nine sites to serve the unique needs of each community, while leveraging the states resources, training experience, and expertise to implement impactful, evidence-based strategies. The ACJC will also build the capacity of the local justice system, including jails and local law enforcement agencies, to implement these programs through robust training and technical assistance, including peer-to-peer learning and cross-site coordination. The project serves the entire state of Arizona, which has a population of 7,421,401. The project includes partnerships with the Arizona Health Care Cost Containment System (the state agency for substance misuse services), the Tucson Police Department, Heritage Health Solutions, and the Arizona Sheriffs Association. Priority considerations addressed in this application include making sub-awards to communities with a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; a lack of accessibility to treatment providers, facilities, and emergency medical services; and providing services to a high poverty area. Applicants will also be asked to demonstrate how their sub-award will further OJP’s priority of building trust between law enforcement and the community.

Arizona Criminal Justice Commission

Arizona

The Arizona Criminal Justice Commission (ACJC) is applying for Category 2 in the amount of $6,000,000. The Arizona Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will advance Arizona’s goal of reducing overdose deaths by providing services to people involved in Arizona’s local justice system. The ACJC will make a total of nine competitive sub-awards to local sites to implement law enforcement diversion programs or virtual peer recovery services. The ACJC will work collaboratively with the nine sites to serve the unique needs of each community, while leveraging the states resources, training experience, and expertise to implement impactful, evidence-based strategies. The ACJC will also build the capacity of the local justice system, including jails and local law enforcement agencies, to implement these programs through robust training and technical assistance, including peer-to-peer learning and cross-site coordination. The project serves the entire state of Arizona, which has a population of 7,421,401. The project includes partnerships with the Arizona Health Care Cost Containment System (the state agency for substance misuse services), the Tucson Police Department, Heritage Health Solutions, and the Arizona Sheriffs Association. Priority considerations addressed in this application include making sub-awards to communities with a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; a lack of accessibility to treatment providers, facilities, and emergency medical services; and providing services to a high poverty area. Applicants will also be asked to demonstrate how their sub-award will further OJP’s priority of building trust between law enforcement and the community.

NJ

Atlantic City is applying for Category 1 funding in the amount of $600,000. The Atlantic City COSSAP program will focus on promoting public safety and supporting access to recovery services, strengthening data collection and sharing, aligning and maximizing resources, and preventing substance use. It will implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery engagement through recommendations made by the city’s overdose fatality review team, bringing together stakeholders with different perspectives and different data sets to improve public health and clinical practices. Strategies include enhanced outreach to overdose survivors and their families and enhanced targeting of high-frequency cases. Goals of the project include reducing the impact of opioids, stimulants, and other substances on individuals and communities, reducing the number of overdose fatalities, and mitigating the impacts on crime victims by supporting comprehensive, collaborative initiatives, in part by enhancing the proactive use of prescription drug monitoring programs to support clinical decision making and preventing the misuse and diversion of controlled substances. The project serves Atlantic City, which has a population of 37,999. The project includes partnerships with the city’s Director of Public Health, the Jewish Family Services Department, Southern Jersey Family Medical Center, AtlantiCare Regional Medical Center Behavioral Health, the Atlantic City Police Department, the Atlantic City Municipal Court, and emergency medical services. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Atlantic City (Inc)

New Jersey

Atlantic City is applying for Category 1 funding in the amount of $600,000. The Atlantic City COSSAP program will focus on promoting public safety and supporting access to recovery services, strengthening data collection and sharing, aligning and maximizing resources, and preventing substance use. It will implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery engagement through recommendations made by the city’s overdose fatality review team, bringing together stakeholders with different perspectives and different data sets to improve public health and clinical practices. Strategies include enhanced outreach to overdose survivors and their families and enhanced targeting of high-frequency cases. Goals of the project include reducing the impact of opioids, stimulants, and other substances on individuals and communities, reducing the number of overdose fatalities, and mitigating the impacts on crime victims by supporting comprehensive, collaborative initiatives, in part by enhancing the proactive use of prescription drug monitoring programs to support clinical decision making and preventing the misuse and diversion of controlled substances. The project serves Atlantic City, which has a population of 37,999. The project includes partnerships with the city’s Director of Public Health, the Jewish Family Services Department, Southern Jersey Family Medical Center, AtlantiCare Regional Medical Center Behavioral Health, the Atlantic City Police Department, the Atlantic City Municipal Court, and emergency medical services. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

VA

The Commonwealth's Attorney's Office for the County of Augusta, Virginia, proposes to implement a peer services expansion to its Pathways Program. The project will expand its currently existing Pathways Program to serve the expanding number of justice involved persons with Substance Use Disorder in Augusta County. Project activities include establishment of peer counseling and peer recovery support services both within the Pathways Program and within partnering agencies at intercepts 0 and 1 in the Sequential Intercept Model. Within Pathways, peer counseling and peer recovery support will focus on enhancing client retention, engagement, and quality of outcomes by providing evidence-based peer services. Peers placed within partnering agencies will render on-demand peer services to ordinary agency clients who present as needing services. They will also collaborate with similarly placed peers in other agencies and within Pathways. Expected outcomes include the development of a fully capable peer recovery and peer support organization capable of deploying peers both internally and externally to respond to crisis situations and participant needs in a flexible and efficient manner. Within Pathways, it is expected that client engagement rate, retention rate, and quality of outcomes will improve over their current levels. Within partnering agencies, it is expected that peers will enhance agency outcomes by enabling cross-agency cooperation and more effective engagement with their clients. This project serves Augusta County, a small, semi-rural county with the population of 77, 487. Its direct beneficiaries are those who are experiencing substance use disorder or are in cooccurring mental health and substance use crisis. However, the entire population of Augusta County will indirectly benefit through the increased efficiency and quality of outcomes within the criminal justice and public health agencies involved. The project includes partnerships between Augusta County Sherriff's Department, Blue Ridge Court Services, Valley Community Services Board, Blue Ridge Criminal Justice Board.

Augusta County Board of Supervisors

Virginia

The Commonwealth's Attorney's Office for the County of Augusta, Virginia, proposes to implement a peer services expansion to its Pathways Program. The project will expand its currently existing Pathways Program to serve the expanding number of justice involved persons with Substance Use Disorder in Augusta County. Project activities include establishment of peer counseling and peer recovery support services both within the Pathways Program and within partnering agencies at intercepts 0 and 1 in the Sequential Intercept Model. Within Pathways, peer counseling and peer recovery support will focus on enhancing client retention, engagement, and quality of outcomes by providing evidence-based peer services. Peers placed within partnering agencies will render on-demand peer services to ordinary agency clients who present as needing services. They will also collaborate with similarly placed peers in other agencies and within Pathways. Expected outcomes include the development of a fully capable peer recovery and peer support organization capable of deploying peers both internally and externally to respond to crisis situations and participant needs in a flexible and efficient manner. Within Pathways, it is expected that client engagement rate, retention rate, and quality of outcomes will improve over their current levels. Within partnering agencies, it is expected that peers will enhance agency outcomes by enabling cross-agency cooperation and more effective engagement with their clients. This project serves Augusta County, a small, semi-rural county with the population of 77, 487. Its direct beneficiaries are those who are experiencing substance use disorder or are in cooccurring mental health and substance use crisis. However, the entire population of Augusta County will indirectly benefit through the increased efficiency and quality of outcomes within the criminal justice and public health agencies involved. The project includes partnerships between Augusta County Sherriff's Department, Blue Ridge Court Services, Valley Community Services Board, Blue Ridge Criminal Justice Board.

WI

The Bad River Band of Lake Superior Tribe of Chippewa Indians project will use 100 percent of the grant award to address evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services. Primary activities of this grant will support grant objectives to: (1) hire three staff members to assist with development and implementation of comprehensive community services (CCS) in Bad River, as well as provide treatment; (2) create a CCS Advisory Team that will serve as a permanent, multidisciplinary body that will increase cooperation and collaboration to address the issues that arise due to the impacts of illicit opioids, stimulants, and other drugs; (3) create a CCS Team made up of professionals and service providers who will support treatment and recovery related to opioid stimulant, and other substance abuse in a number of different ways; (4) develop a CCS Plan as a living, guiding document for CCS in Bad River; and (4) implement CCS in Bad River. The intended outcomes for this project are to enroll 100 percent of people seeking alcohol and other drug use treatment services through CCS, and to provide greater access and opportunity for treatment and recovery support services to our tribal population located on the Bad River Indian Reservation in Ashland County, Wisconsin.

Bad River Band of Lake Superior Tribe of Chippewa Indians

Wisconsin

The Bad River Band of Lake Superior Tribe of Chippewa Indians project will use 100 percent of the grant award to address evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services. Primary activities of this grant will support grant objectives to: (1) hire three staff members to assist with development and implementation of comprehensive community services (CCS) in Bad River, as well as provide treatment; (2) create a CCS Advisory Team that will serve as a permanent, multidisciplinary body that will increase cooperation and collaboration to address the issues that arise due to the impacts of illicit opioids, stimulants, and other drugs; (3) create a CCS Team made up of professionals and service providers who will support treatment and recovery related to opioid stimulant, and other substance abuse in a number of different ways; (4) develop a CCS Plan as a living, guiding document for CCS in Bad River; and (4) implement CCS in Bad River. The intended outcomes for this project are to enroll 100 percent of people seeking alcohol and other drug use treatment services through CCS, and to provide greater access and opportunity for treatment and recovery support services to our tribal population located on the Bad River Indian Reservation in Ashland County, Wisconsin.

MD

The Diversionary Employment: Supported Employment and Peer Recovery Navigation in Baltimore City program will provide residents with substance use disorder (SUD) and justice system involvement with services specifically designed to address their compounded barriers to employment and retention. The program would add a peer recovery specialist (PRS) to the Mayor's Office of Employment Development's existing career center services and establish an in-house, intensive supported employment program, with a growing evidence base, tailored for this population. MOED manages two American Job Centers, along with a network of community job hubs, that co-locate dozens of human services in addition to providing career development and employment navigation support. Embedding a trained peer recovery specialist with their own lived recovery experience in this system will provide guidance to residents with SUD trying to navigate services and support to MOED staff in other service areas whose clients have substance use disorders. The PRS will strengthen existing relationships with recovery centers and work with re-entry programs to mitigate and prevent SUD-affected individuals’ ongoing involvement with the justice system. Supported employment is an evidence-based employment intervention for adults with behavioral health disorders that has demonstrated promise as a model for individuals in recovery. The program recognizes employment as a stabilizing force for this population and provides targeted job development and intensive, ongoing employment retention support along with integrated mental health services. MOED will implement this program in partnership with specialists who will provide supportive employment training, ongoing consultations with staff service providers, and periodic fidelity reviews. The program will be evaluated by a research team with expertise in the supported employment model, the justice system, and substance use disorder. The beneficiaries of the program will be Baltimore City residents with substance use disorder, primarily at Intercept levels 3-5, via referral from MOED’s internal re-entry programs, external re-entry partnerships, court diversion programs, and co-located partners at parole and probation. Individuals at Intercept level 0 will also have access to these services if they are at high risk for justice involvement. Peer recovery navigation services, both supportive and employment-focused, will be provided to 180 individuals. Additionally, the supported employment program will enroll 120 participants for career development services, conducted in concert with participants’ treatment teams, and 66 of those enrolled will obtain and maintain employment that supports their recovery goals.

Baltimore, City of

Maryland

The Diversionary Employment: Supported Employment and Peer Recovery Navigation in Baltimore City program will provide residents with substance use disorder (SUD) and justice system involvement with services specifically designed to address their compounded barriers to employment and retention. The program would add a peer recovery specialist (PRS) to the Mayor's Office of Employment Development's existing career center services and establish an in-house, intensive supported employment program, with a growing evidence base, tailored for this population. MOED manages two American Job Centers, along with a network of community job hubs, that co-locate dozens of human services in addition to providing career development and employment navigation support. Embedding a trained peer recovery specialist with their own lived recovery experience in this system will provide guidance to residents with SUD trying to navigate services and support to MOED staff in other service areas whose clients have substance use disorders. The PRS will strengthen existing relationships with recovery centers and work with re-entry programs to mitigate and prevent SUD-affected individuals’ ongoing involvement with the justice system. Supported employment is an evidence-based employment intervention for adults with behavioral health disorders that has demonstrated promise as a model for individuals in recovery. The program recognizes employment as a stabilizing force for this population and provides targeted job development and intensive, ongoing employment retention support along with integrated mental health services. MOED will implement this program in partnership with specialists who will provide supportive employment training, ongoing consultations with staff service providers, and periodic fidelity reviews. The program will be evaluated by a research team with expertise in the supported employment model, the justice system, and substance use disorder. The beneficiaries of the program will be Baltimore City residents with substance use disorder, primarily at Intercept levels 3-5, via referral from MOED’s internal re-entry programs, external re-entry partnerships, court diversion programs, and co-located partners at parole and probation. Individuals at Intercept level 0 will also have access to these services if they are at high risk for justice involvement. Peer recovery navigation services, both supportive and employment-focused, will be provided to 180 individuals. Additionally, the supported employment program will enroll 120 participants for career development services, conducted in concert with participants’ treatment teams, and 66 of those enrolled will obtain and maintain employment that supports their recovery goals.

WV

The Berkeley County Council, Berkeley County, West Virginia, project continues the Juvenile Opioid Treatment, Intervention and Prevention Program (JOTIPP) in order to expand the opportunity for Berkeley County to support the most vulnerable in the community to the opioid crisis-the children. Continuing the partnership with Berkeley County Schools, the program, hosted by the Berkeley County Recovery Resource Center and the Berkeley County Day Report Center, will: 1) Expand Peer Recovery services to address intervention and treatment needs primarily for students and secondarily, their family members; 2) Expand and strengthen education and prevention activities through small group settings in the 5 high schools, continuing to instill and reinforce resilience and reducing stigma; and 3) Provide funds to CATALIST, an initiative of the Berkeley County Day Report Center whose goal is to provide mental health and wellbeing of at-risk youth and their families. The continuing long-term goal is to curtail opioid use, supporting all citizens to lead productive, health lives. Sixteen percent of Berkeley County's population is school-aged children; by having the ability to provide streamlined services to a large portion of the county at one time allows for an elevated comprehensive, systematic approach to the opioid crisis. The JOTIPP program allows for a reach beyond the student population and connect families to community resources to support those in recovery or seeking recovery from substance use disorder (SUD) reducing opioid use and the number of overdoses. Ensuring programmatic success through comprehensive data analysis is a priority of this program. Therefore, partnership with a research company will guarantee efficiency, effectiveness and impact across both the juvenile programs and adult programs. The project serves Berkeley County, West Virginia with a population of 126,069 and will include partnerships with Berkeley County Schools and Berkeley County Sheriff. A research partner will be selected post-award. This application includes program evaluation which is identified as a priority consideration (13.3% of the budget).

Berkely County Commission

West Virginia

The Berkeley County Council, Berkeley County, West Virginia, project continues the Juvenile Opioid Treatment, Intervention and Prevention Program (JOTIPP) in order to expand the opportunity for Berkeley County to support the most vulnerable in the community to the opioid crisis-the children. Continuing the partnership with Berkeley County Schools, the program, hosted by the Berkeley County Recovery Resource Center and the Berkeley County Day Report Center, will: 1) Expand Peer Recovery services to address intervention and treatment needs primarily for students and secondarily, their family members; 2) Expand and strengthen education and prevention activities through small group settings in the 5 high schools, continuing to instill and reinforce resilience and reducing stigma; and 3) Provide funds to CATALIST, an initiative of the Berkeley County Day Report Center whose goal is to provide mental health and wellbeing of at-risk youth and their families. The continuing long-term goal is to curtail opioid use, supporting all citizens to lead productive, health lives. Sixteen percent of Berkeley County's population is school-aged children; by having the ability to provide streamlined services to a large portion of the county at one time allows for an elevated comprehensive, systematic approach to the opioid crisis. The JOTIPP program allows for a reach beyond the student population and connect families to community resources to support those in recovery or seeking recovery from substance use disorder (SUD) reducing opioid use and the number of overdoses. Ensuring programmatic success through comprehensive data analysis is a priority of this program. Therefore, partnership with a research company will guarantee efficiency, effectiveness and impact across both the juvenile programs and adult programs. The project serves Berkeley County, West Virginia with a population of 126,069 and will include partnerships with Berkeley County Schools and Berkeley County Sheriff. A research partner will be selected post-award. This application includes program evaluation which is identified as a priority consideration (13.3% of the budget).

MA

The Berkshire County, Massachusetts, project will establish and expand replicable community-centered, field-based interventions to address the full Opioid Use Disorder (OUD) Lifecycle of prevention, harm reduction, treatment and recovery in each of the three regions of Berkshire County. The purpose is to expand access to harm reduction, evidence-based treatment and recovery support services to underserved populations that will advance equity and enhance the research base to be replicable in similar rural areas that face long-standing disparities in access to affordable care. Project activities include 1) extend and expand the Berkshire Post Overdose Program to provide regionally specific medical and behavioral health-centered field outreach to individuals who recently experienced an overdose or are otherwise identified at higher risk for overdose; 2) outreach to and engagement with disadvantaged communities disproportionately affected by substances; 3) supplement existing capacities to address the OUD prevention, harm reduction, treatment and recovery landscape of the area; 4) extend and expand public communications strategies to directly support these efforts while reducing stigma; and 5) provide training to increase the toolkits and supports for first responders, practitioners, providers, families and social networks to reduce the number of community members intercepted by law enforcement and the courts. Expected outcomes include a reduction in fatal overdoses, a decrease in recidivism and intercepts by law enforcement, development of detailed process guides and toolkits that are replicable in similar areas, regular program assessments, and sustainable implementation of community-centered interventions that will empower the communities of Berkshire County to reimagine their futures free from the harms stemming from substance misuse and the related stigma. Subrecipient activities include field medical services, linkage to behavioral health resources, communications strategies to support these services, skill building training for professionals and social networks interacting with those struggling with substance use and contributing to the local and national knowledge base to replicate these activities in other rural areas experiencing similar disparities in the cost of care. The bulk of the funding (46%) will be directed towards field-initiated projects that bring together justice, behavioral health, and public health practitioners. Additional allowable expenses (14%) include embedding peers and experienced community members at intercepts 0 and 1 of the Sequential Intercept Model. Allowable uses also include harm reduction activities and linkage to evidence-based treatment and recovery for those at higher risk of overdose, arrest and/or recidivism; naloxone for law enforcement and first responders; and real-time data collection (2.5%). Less grant funding is needed for these activities as naloxone is provided at no cost, and real-time data collection is provided in-kind from the Northampton Department of Health and Human Services. Remaining project funds cover staff time and resources to implement these strategies (35.6%) and related trainings for first responders, professionals in the field, and families and social networks of those struggling with substance use (2%).

Berkshire Regional Planning Commission

Massachusetts

The Berkshire County, Massachusetts, project will establish and expand replicable community-centered, field-based interventions to address the full Opioid Use Disorder (OUD) Lifecycle of prevention, harm reduction, treatment and recovery in each of the three regions of Berkshire County. The purpose is to expand access to harm reduction, evidence-based treatment and recovery support services to underserved populations that will advance equity and enhance the research base to be replicable in similar rural areas that face long-standing disparities in access to affordable care. Project activities include 1) extend and expand the Berkshire Post Overdose Program to provide regionally specific medical and behavioral health-centered field outreach to individuals who recently experienced an overdose or are otherwise identified at higher risk for overdose; 2) outreach to and engagement with disadvantaged communities disproportionately affected by substances; 3) supplement existing capacities to address the OUD prevention, harm reduction, treatment and recovery landscape of the area; 4) extend and expand public communications strategies to directly support these efforts while reducing stigma; and 5) provide training to increase the toolkits and supports for first responders, practitioners, providers, families and social networks to reduce the number of community members intercepted by law enforcement and the courts. Expected outcomes include a reduction in fatal overdoses, a decrease in recidivism and intercepts by law enforcement, development of detailed process guides and toolkits that are replicable in similar areas, regular program assessments, and sustainable implementation of community-centered interventions that will empower the communities of Berkshire County to reimagine their futures free from the harms stemming from substance misuse and the related stigma. Subrecipient activities include field medical services, linkage to behavioral health resources, communications strategies to support these services, skill building training for professionals and social networks interacting with those struggling with substance use and contributing to the local and national knowledge base to replicate these activities in other rural areas experiencing similar disparities in the cost of care. The bulk of the funding (46%) will be directed towards field-initiated projects that bring together justice, behavioral health, and public health practitioners. Additional allowable expenses (14%) include embedding peers and experienced community members at intercepts 0 and 1 of the Sequential Intercept Model. Allowable uses also include harm reduction activities and linkage to evidence-based treatment and recovery for those at higher risk of overdose, arrest and/or recidivism; naloxone for law enforcement and first responders; and real-time data collection (2.5%). Less grant funding is needed for these activities as naloxone is provided at no cost, and real-time data collection is provided in-kind from the Northampton Department of Health and Human Services. Remaining project funds cover staff time and resources to implement these strategies (35.6%) and related trainings for first responders, professionals in the field, and families and social networks of those struggling with substance use (2%).

NM

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

Bernalillo County

New Mexico

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

IL

The Boone County, Illinois, Health Department (BCHD) Community Outreach Advocacy and Recovery (COAR) is a community level program that coordinates interventions to provide behavioral health services in the jail and the community. The COAR program created medication-assisted treatment (MAT) in the local jail and implemented a Navigator model to provide case management services to individuals flowing through the criminal justice intercepts identified in Boone County’s Sequential Intercept Model. The COAR program is requesting funding to build upon current programming. This program proposes the following allowable activities: (1) Evidence Based Substance Use Disorder Treatment, such as medication-assisted treatment; (2) Embedding persons with lived experience at any intercept of the Sequential Intercept Model; and (3) Real-time and enhanced data collection. The COAR program will enhance its current MAT program by adding a second medication option, Buprenorphine, and implement re-entry coordination planning using a quality improvement, weekly Coordination Call with local and jail providers. The Navigator position, who has lived experience, will be enhanced by completing the process to become a Certified Peer Recovery Specialist (CPRS) and will lead the Coordination Calls in the jail and increase peer recovery mentors in the community. This position will also support the criminal justice system through a transition of bond reform. A COAR Strategist will be hired to follow the recommendations of the JusticeCounts project and provide upkeep to the data dashboard, as well as coordinate with partners to gather health equity data. The MAT Jail program (including staff, EHR, transportation and medications) is 22 percent of the budget, the Navigator position (including supervision and mileage) accounts for 41 percent of the budget, and the COAR Strategist salary accounts for 19 percent of the budget.

Boone County

Illinois

The Boone County, Illinois, Health Department (BCHD) Community Outreach Advocacy and Recovery (COAR) is a community level program that coordinates interventions to provide behavioral health services in the jail and the community. The COAR program created medication-assisted treatment (MAT) in the local jail and implemented a Navigator model to provide case management services to individuals flowing through the criminal justice intercepts identified in Boone County’s Sequential Intercept Model. The COAR program is requesting funding to build upon current programming. This program proposes the following allowable activities: (1) Evidence Based Substance Use Disorder Treatment, such as medication-assisted treatment; (2) Embedding persons with lived experience at any intercept of the Sequential Intercept Model; and (3) Real-time and enhanced data collection. The COAR program will enhance its current MAT program by adding a second medication option, Buprenorphine, and implement re-entry coordination planning using a quality improvement, weekly Coordination Call with local and jail providers. The Navigator position, who has lived experience, will be enhanced by completing the process to become a Certified Peer Recovery Specialist (CPRS) and will lead the Coordination Calls in the jail and increase peer recovery mentors in the community. This position will also support the criminal justice system through a transition of bond reform. A COAR Strategist will be hired to follow the recommendations of the JusticeCounts project and provide upkeep to the data dashboard, as well as coordinate with partners to gather health equity data. The MAT Jail program (including staff, EHR, transportation and medications) is 22 percent of the budget, the Navigator position (including supervision and mileage) accounts for 41 percent of the budget, and the COAR Strategist salary accounts for 19 percent of the budget.

CO

The Boulder County Community Services Department is applying for Category 1 funding in the amount of $899,902. Project Recovery will implement evidenced-based treatment and recovery services, recovery housing, peer recovery support services, pre- and post-booking treatment alternatives to incarceration, and medication-assisted treatment (MAT). The project will provide services within a recovery home environment in a collaboration between the Boulder County Jail and Tribe Recovery Homes, a provider of home-based recovery and peer support services, and will feature collaborations with community service providers, including the county’s homeless system and housing authorities, workforce, and physical health service providers. Deliverables include establishment of three recovery homes; service provision to 207 clients over three years; development of referral procedures to identify justice system-involved participants with substance use disorders, with a special focus on individuals experiencing homelessness; and implementation of evidence-based therapeutic programs, peer recovery, and MAT services. The goals of the project are to end the cycle of incarceration, support the recovery and reentry process, reduce incidences of crime and recidivism, and create a safer community. The project serves Boulder County, with a population of 326,196. The project includes partnerships with the Boulder County Jail, Tribe Recovery Homes Inc., the Colorado Mental Wellness Network, Homeless Solutions for Boulder County, and the Boulder Community Health and Colorado Community Health Alliance. The project will engage the OMNI Institute as a research partner. Priority considerations addressed in this application include supporting civil rights by limiting arrests due to substance use disorder and providing treatment and decreasing disproportionate minority confinement; protecting the public from crime and evolving threats by stopping the cycle of homelessness, substance use and incarceration, and the societal costs of substance misuse related to interdiction, law enforcement, prosecution, incarceration, and probation; and building trust between law enforcement and the community by providing alternatives to incarceration that demonstrate law enforcement’s commitment to appropriate care.

Boulder County

Colorado

The Boulder County Community Services Department is applying for Category 1 funding in the amount of $899,902. Project Recovery will implement evidenced-based treatment and recovery services, recovery housing, peer recovery support services, pre- and post-booking treatment alternatives to incarceration, and medication-assisted treatment (MAT). The project will provide services within a recovery home environment in a collaboration between the Boulder County Jail and Tribe Recovery Homes, a provider of home-based recovery and peer support services, and will feature collaborations with community service providers, including the county’s homeless system and housing authorities, workforce, and physical health service providers. Deliverables include establishment of three recovery homes; service provision to 207 clients over three years; development of referral procedures to identify justice system-involved participants with substance use disorders, with a special focus on individuals experiencing homelessness; and implementation of evidence-based therapeutic programs, peer recovery, and MAT services. The goals of the project are to end the cycle of incarceration, support the recovery and reentry process, reduce incidences of crime and recidivism, and create a safer community. The project serves Boulder County, with a population of 326,196. The project includes partnerships with the Boulder County Jail, Tribe Recovery Homes Inc., the Colorado Mental Wellness Network, Homeless Solutions for Boulder County, and the Boulder Community Health and Colorado Community Health Alliance. The project will engage the OMNI Institute as a research partner. Priority considerations addressed in this application include supporting civil rights by limiting arrests due to substance use disorder and providing treatment and decreasing disproportionate minority confinement; protecting the public from crime and evolving threats by stopping the cycle of homelessness, substance use and incarceration, and the societal costs of substance misuse related to interdiction, law enforcement, prosecution, incarceration, and probation; and building trust between law enforcement and the community by providing alternatives to incarceration that demonstrate law enforcement’s commitment to appropriate care.

PA

Bucks County, Pennsylvania, through its Division of Human Services (including the Bucks County Behavioral Health/Developmental Program and the Children and Youth Social Services Agency, along with the Bucks County Drug and Alcohol Commission), is partnering with the courts, law enforcement, and the IJIS Institute, on this project. Bucks County will develop Project Connect, an intensive, home-based program designed for parents experiencing challenges related to substance use disorder (SUD), mental health problems, and parenting. It is strength-based and trauma-informed and its implementation approach is developed using standardized implementation strategies. This service will decrease recidivism, prevent relapse, and maintain families and/or reunite families in a safe and permanent manner. The project centers on the impact of SUD on child welfare, the child welfare court system, the law enforcement community, and the foster care system, which is providing services to parents with SUD, including parents leaving incarceration or preventing incarceration, and/or parents after receiving non-community-based, residential drug and alcohol treatment, with children in foster care or relative care. This proposal will enable Bucks County to contract with by Children’s Friend, Inc., the Rhode Island agency that created Project Connect, to provide training to the Bucks County staff and a provider. As part of the training package, implementation assistance is included in the form of technical support. The formal support varies depending on the needs of the provider and the community. The goals of this project include: (1) decreased substance use; (2) reduced probability of relapse/reoccurrence; (3) lower rates of re-incarceration; and (4) improved family functioning and safety.

Bucks County

Pennsylvania

Bucks County, Pennsylvania, through its Division of Human Services (including the Bucks County Behavioral Health/Developmental Program and the Children and Youth Social Services Agency, along with the Bucks County Drug and Alcohol Commission), is partnering with the courts, law enforcement, and the IJIS Institute, on this project. Bucks County will develop Project Connect, an intensive, home-based program designed for parents experiencing challenges related to substance use disorder (SUD), mental health problems, and parenting. It is strength-based and trauma-informed and its implementation approach is developed using standardized implementation strategies. This service will decrease recidivism, prevent relapse, and maintain families and/or reunite families in a safe and permanent manner. The project centers on the impact of SUD on child welfare, the child welfare court system, the law enforcement community, and the foster care system, which is providing services to parents with SUD, including parents leaving incarceration or preventing incarceration, and/or parents after receiving non-community-based, residential drug and alcohol treatment, with children in foster care or relative care. This proposal will enable Bucks County to contract with by Children’s Friend, Inc., the Rhode Island agency that created Project Connect, to provide training to the Bucks County staff and a provider. As part of the training package, implementation assistance is included in the form of technical support. The formal support varies depending on the needs of the provider and the community. The goals of this project include: (1) decreased substance use; (2) reduced probability of relapse/reoccurrence; (3) lower rates of re-incarceration; and (4) improved family functioning and safety.

NJ

Burlington County is applying for Category 1 funding in the amount of $900,000. The Burlington County COSSAP Program will expand law enforcement and other first responder deflection and diversion programs; embed social services within law enforcement in order to rapidly respond to drug overdoses where children are impacted; incorporate comprehensive, real-time, regional information collection, analysis, and dissemination; include naloxone training and distribution; and utilize evidence-based treatment, including medication-assisted treatment (MAT), as well as recovery support services including transitional or recovery housing and peer recovery support services. The project will support the 24/7 Operations program, a naloxone plus/Quick Response Team model that delivers services to people who use drugs through a “warm hand-off” from police to trained peer recovery specialists, expanding this service to reach the Burlington County Jail population; expansion of the Straight to Treatment program, a self-referral pathway in which people facing addiction can walk into police stations at designated times and get assessed, referred, and transported to treatment; and expansion of Hope One, a mobile access unit that offers critical support for persons and their families struggling with addiction, with the goals of preventing drug overdoses and deaths and providing linkages to treatment and recovery support services, in collaboration with the county sheriff’s office, the Department of Human Services, Volunteers of America, the New Jersey Transit Police, and community organizations. It will also support law enforcement-initiated training for motel/hotel owners on the distribution of Narcan, as well as the distribution of Narcan doses to replenish county and local law enforcement supplies, as needed. The county will also develop improved systems for collecting and analyzing data to improve internal operations and decision making while contributing to the state and national body of best practices on responding to the opioid crisis. The project serves Burlington County, which has a population of 446,596. The project includes partnerships with the county’s Department of Corrections, the Sheriff’s Department, the Department of Human Services, the County Prosecutor, and several treatment providers. The project will engage the Senator Walter Rand Institute for Public Affairs at Rutgers University as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Burlington County

New Jersey

Burlington County is applying for Category 1 funding in the amount of $900,000. The Burlington County COSSAP Program will expand law enforcement and other first responder deflection and diversion programs; embed social services within law enforcement in order to rapidly respond to drug overdoses where children are impacted; incorporate comprehensive, real-time, regional information collection, analysis, and dissemination; include naloxone training and distribution; and utilize evidence-based treatment, including medication-assisted treatment (MAT), as well as recovery support services including transitional or recovery housing and peer recovery support services. The project will support the 24/7 Operations program, a naloxone plus/Quick Response Team model that delivers services to people who use drugs through a “warm hand-off” from police to trained peer recovery specialists, expanding this service to reach the Burlington County Jail population; expansion of the Straight to Treatment program, a self-referral pathway in which people facing addiction can walk into police stations at designated times and get assessed, referred, and transported to treatment; and expansion of Hope One, a mobile access unit that offers critical support for persons and their families struggling with addiction, with the goals of preventing drug overdoses and deaths and providing linkages to treatment and recovery support services, in collaboration with the county sheriff’s office, the Department of Human Services, Volunteers of America, the New Jersey Transit Police, and community organizations. It will also support law enforcement-initiated training for motel/hotel owners on the distribution of Narcan, as well as the distribution of Narcan doses to replenish county and local law enforcement supplies, as needed. The county will also develop improved systems for collecting and analyzing data to improve internal operations and decision making while contributing to the state and national body of best practices on responding to the opioid crisis. The project serves Burlington County, which has a population of 446,596. The project includes partnerships with the county’s Department of Corrections, the Sheriff’s Department, the Department of Human Services, the County Prosecutor, and several treatment providers. The project will engage the Senator Walter Rand Institute for Public Affairs at Rutgers University as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

OH

Butler County Ohio is in southwest Ohio comprised of suburban and rural communities. The Butler County COSSUP Project aims to increase access to treatment and recovery supports services for residents of Butler County through engagement, data collection, and recovery support enhancement. The project has 4 key objectives: 1) Expand use and data collection for the county-wide data dashboard, including cross-sector analysis and integration of data from other sources, to inform strategies and policies. 2) Assess the needs of under-served populations across Butler County and increase engagement in services amongst those groups. 3) Decrease the number of individuals who are incarcerated to improve post substance use/overdose outcomes. 4) Improve comprehensive care to residents of Butler County impacted by substance use. The Butler County Prevention Coalition and Addiction Task Force (BCPCATF) will serve as the multi-disciplinary coordinating body for the project. The BCPCATF will work in conjunction with partners to implement strategic activities to address these objectives. The BCPCATF will work with community sectors to ensure proper data sharing and allow for a cross-system analysis to inform strategies and decision making. Miami University will coordinate with the BCPCATF to convene listening sessions with under-served populations in Butler County to assess the needs of these groups and strategize solutions for increase engagement in services. Additionally, the Butler County COSSUP Project will implement peer recovery support services through the COSSUP Connections program to increase engagement with treatment and recovery support services. The Butler County COSSUP Project will work with community partners through the coordination of the BCPCATF. Through strategic planning and specific workgroups, the project will focus on county-wide data analysis, engaging and assessing the needs of under-served populations, increasing access to treatment and resources for individuals, and providing comprehensive care through the implementation of peer recovery support services in specific needs areas. Partner organizations include subrecipients Miami University, Community Behavioral Health, and the Butler County General Health District,

Butler County Mental Health and Addiction Recovery Services Board

Ohio

Butler County Ohio is in southwest Ohio comprised of suburban and rural communities. The Butler County COSSUP Project aims to increase access to treatment and recovery supports services for residents of Butler County through engagement, data collection, and recovery support enhancement. The project has 4 key objectives: 1) Expand use and data collection for the county-wide data dashboard, including cross-sector analysis and integration of data from other sources, to inform strategies and policies. 2) Assess the needs of under-served populations across Butler County and increase engagement in services amongst those groups. 3) Decrease the number of individuals who are incarcerated to improve post substance use/overdose outcomes. 4) Improve comprehensive care to residents of Butler County impacted by substance use. The Butler County Prevention Coalition and Addiction Task Force (BCPCATF) will serve as the multi-disciplinary coordinating body for the project. The BCPCATF will work in conjunction with partners to implement strategic activities to address these objectives. The BCPCATF will work with community sectors to ensure proper data sharing and allow for a cross-system analysis to inform strategies and decision making. Miami University will coordinate with the BCPCATF to convene listening sessions with under-served populations in Butler County to assess the needs of these groups and strategize solutions for increase engagement in services. Additionally, the Butler County COSSUP Project will implement peer recovery support services through the COSSUP Connections program to increase engagement with treatment and recovery support services. The Butler County COSSUP Project will work with community partners through the coordination of the BCPCATF. Through strategic planning and specific workgroups, the project will focus on county-wide data analysis, engaging and assessing the needs of under-served populations, increasing access to treatment and resources for individuals, and providing comprehensive care through the implementation of peer recovery support services in specific needs areas. Partner organizations include subrecipients Miami University, Community Behavioral Health, and the Butler County General Health District,

WV

Cabell County is applying for Category 1 funding in the amount of $1,130,000. The project will enable the expansion of the Huntington Quick Response Team (QRT) by building on existing cross-system planning and collaboration among law enforcement agencies, emergency medical services, fire departments, health care providers, public health agencies, the faith community, and agencies that provide substance misuse treatment and recovery support services. The QRT team connects overdosed individuals to a treatment facility within 72 hours of an overdose event and provides training on naloxone administration; it also focuses on community engagement and building readiness. The team will create operational protocols to guide its activities. The project will also create a follow-up response team that will provide active outreach to individuals who have previously interacted with the QRT to evaluate their current treatment and/or recovery progress and will offer access to services by which they can acquire skills required to join the workforce. The goals of the project are to reduce the number of overdoses in Cabell County and to reduce the number of frequent visitors with substance use disorders to Cabell County’s health care system. The project serves Cabell County, with a population of approximately 100,000. The project will include partnerships with the Huntington Police Department, the Cabell Huntington Health Department, Cabell County Emergency Medical Services, treatment providers from Prestera Center, and the faith community. The project will engage Dr. Nandini Manne from the Department of Public Health at Marshall University as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Cabell County

West Virginia

Cabell County is applying for Category 1 funding in the amount of $1,130,000. The project will enable the expansion of the Huntington Quick Response Team (QRT) by building on existing cross-system planning and collaboration among law enforcement agencies, emergency medical services, fire departments, health care providers, public health agencies, the faith community, and agencies that provide substance misuse treatment and recovery support services. The QRT team connects overdosed individuals to a treatment facility within 72 hours of an overdose event and provides training on naloxone administration; it also focuses on community engagement and building readiness. The team will create operational protocols to guide its activities. The project will also create a follow-up response team that will provide active outreach to individuals who have previously interacted with the QRT to evaluate their current treatment and/or recovery progress and will offer access to services by which they can acquire skills required to join the workforce. The goals of the project are to reduce the number of overdoses in Cabell County and to reduce the number of frequent visitors with substance use disorders to Cabell County’s health care system. The project serves Cabell County, with a population of approximately 100,000. The project will include partnerships with the Huntington Police Department, the Cabell Huntington Health Department, Cabell County Emergency Medical Services, treatment providers from Prestera Center, and the faith community. The project will engage Dr. Nandini Manne from the Department of Public Health at Marshall University as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

NJ

The Camden County Department of Corrections (CCDOC) applied for Category 1a grant funding in the amount of $1,200,000. The Comprehensive Substance Use and Recovery Support Program for Incarcerated Individuals in the Camden County Correctional Facility (CCCF) will expand the department’s capacity to identify, respond to, treat, and support individuals incarcerated in the CCCF with a history of substance use, specifically individuals with a non- opioid use disorder. Through the use of substance use and recovery support services for individuals both pre- and post-release, this project serves Camden County, New Jersey, which has a population of approximately 513,000 across 37 municipalities. The project includes partnerships between Camden County Department of Health and Human Services Office of Mental Health and Addictions, CFG Health Network, and CCDOC’s contracted medical and mental health provider, as well as partnerships with Project HOPE, the Center for Family Services, Volunteers of America, Genesis Counseling Centers, and the New Jersey Division of Mental Health and Addiction Services. These agencies will support CCDOC reentry efforts, providing vital support to individuals such as housing, MOUD, SU, and mental health counseling, employment, and job-readiness training. Priority considerations addressed in this application include a high-poverty area and Qualified Opportunity Zone. There are six objectives of the proposed program. Objective 1 includes the implementation of a substance use screening tool and assessment during the booking and classification phase to effectively identify individuals incarcerated with a substance use disorder. Objective 2 provides substance use counseling and support services for individuals (both in person and via telehealth) while incarcerated in CCCF. Objective 3 provides integrated care coordination for individuals during a period of incarceration to promote and foster health equity of the justice-involved population. Objective 4 provides peer recovery support services to individuals transitioning home following release from the CCCF through the development of Peer Support Teams. Objective 5 provides recovery support housing to individuals that have engaged in substance use and/or receiving MOUD and are housing insecure at the time of release from CCCF. Lastly, Objective 6 is focused on establishing a Reentry Release Center to include a team of CDACs to continue the coordination of services upon release from CCCF.

Camden County

New Jersey

The Camden County Department of Corrections (CCDOC) applied for Category 1a grant funding in the amount of $1,200,000. The Comprehensive Substance Use and Recovery Support Program for Incarcerated Individuals in the Camden County Correctional Facility (CCCF) will expand the department’s capacity to identify, respond to, treat, and support individuals incarcerated in the CCCF with a history of substance use, specifically individuals with a non- opioid use disorder. Through the use of substance use and recovery support services for individuals both pre- and post-release, this project serves Camden County, New Jersey, which has a population of approximately 513,000 across 37 municipalities. The project includes partnerships between Camden County Department of Health and Human Services Office of Mental Health and Addictions, CFG Health Network, and CCDOC’s contracted medical and mental health provider, as well as partnerships with Project HOPE, the Center for Family Services, Volunteers of America, Genesis Counseling Centers, and the New Jersey Division of Mental Health and Addiction Services. These agencies will support CCDOC reentry efforts, providing vital support to individuals such as housing, MOUD, SU, and mental health counseling, employment, and job-readiness training. Priority considerations addressed in this application include a high-poverty area and Qualified Opportunity Zone. There are six objectives of the proposed program. Objective 1 includes the implementation of a substance use screening tool and assessment during the booking and classification phase to effectively identify individuals incarcerated with a substance use disorder. Objective 2 provides substance use counseling and support services for individuals (both in person and via telehealth) while incarcerated in CCCF. Objective 3 provides integrated care coordination for individuals during a period of incarceration to promote and foster health equity of the justice-involved population. Objective 4 provides peer recovery support services to individuals transitioning home following release from the CCCF through the development of Peer Support Teams. Objective 5 provides recovery support housing to individuals that have engaged in substance use and/or receiving MOUD and are housing insecure at the time of release from CCCF. Lastly, Objective 6 is focused on establishing a Reentry Release Center to include a team of CDACs to continue the coordination of services upon release from CCCF.

MI

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.

Cass County, Inc.

Michigan

Cass County, Inc. applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The Cass County COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The program will also create co-responder crisis intervention teams of trained law enforcement officers and behavioral health practitioners to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services, as well as provide overdose education and prevention activities, and address the needs of children impacted by substance abuse. The project includes partnerships between 43rd Circuit Court judges, Woodlands Behavioral Healthcare Network, Office of the Sheriff, Office of the Prosecutor, Community Corrections, defense attorney, program coordinator, and the program evaluator. Priority considerations addressed in this application include the challenges that rural communities face and Qualified Opportunity Zone.

NY

The Comprehensive Substance Use Diversion Program strives to reduce overdose fatalities in Cayuga County, New York, by embedding recovery peer support and other targeted services at specific points of contact for individuals with substance use disorder and diverting them from justice-involvement toward treatment and recovery. Local surveillance data shows that fatal overdoses overwhelmingly involve opioids and psychostimulants and increasingly impact women. This program puts a priority on providing services for women and people of color who have been historically underserved and will address specific challenges for people in crisis, people entering the legal and/or child welfare system, and people who have been released from treatment and/or incarceration. The diversion program will use the Sequential Intercept Model to expand or complement existing services in each of the intercepts and other points of contact. The program intends to fill six identified gaps: (1) naloxone education and distribution to rural law enforcement/first responders to enhance public safety and response during overdose emergencies; (2) embedded peer support and advocacy in child welfare departments (before justice involvement) to increase positive relationships, treatment retention, family unifications; (3) 911 diversion of people in crisis to mental health professionals to provide immediate care and stabilization and diversion from law enforcement and emergency room; (4) rapid linkage to MOUD and enhanced programming for Intervention Court participants and outreach to increase referrals to Intervention Court, prioritize treatment over incarceration, improve health and social outcomes; (5) enhanced post-incarceration/post-treatment peer support to ensure continued recovery support, promote treatment retention, provide support for securing job training and housing options; (6) embedded peer support and advocacy in child welfare departments (after justice involvement) to promote positive relationships, treatment retention, family unifications. The program will implement the following activities/allowable uses: (1) naloxone for law enforcement and first responders (12 percent); (2) embedding peer support in different settings (39 percent); (3) law enforcement/first responder diversion programs (2 percent); (4) court programming to prioritize and expedite treatment and recovery services for individuals at high risk of overdose (13 percent); (5) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs (0 percent); (6) recovery housing with peer support (5 percent); and (7) pursue comprehensive, real-time, regional information collection, analysis, and dissemination via the development of a publicly-accessible overdose data dashboard (8 percent).

Cayuga County

New York

The Comprehensive Substance Use Diversion Program strives to reduce overdose fatalities in Cayuga County, New York, by embedding recovery peer support and other targeted services at specific points of contact for individuals with substance use disorder and diverting them from justice-involvement toward treatment and recovery. Local surveillance data shows that fatal overdoses overwhelmingly involve opioids and psychostimulants and increasingly impact women. This program puts a priority on providing services for women and people of color who have been historically underserved and will address specific challenges for people in crisis, people entering the legal and/or child welfare system, and people who have been released from treatment and/or incarceration. The diversion program will use the Sequential Intercept Model to expand or complement existing services in each of the intercepts and other points of contact. The program intends to fill six identified gaps: (1) naloxone education and distribution to rural law enforcement/first responders to enhance public safety and response during overdose emergencies; (2) embedded peer support and advocacy in child welfare departments (before justice involvement) to increase positive relationships, treatment retention, family unifications; (3) 911 diversion of people in crisis to mental health professionals to provide immediate care and stabilization and diversion from law enforcement and emergency room; (4) rapid linkage to MOUD and enhanced programming for Intervention Court participants and outreach to increase referrals to Intervention Court, prioritize treatment over incarceration, improve health and social outcomes; (5) enhanced post-incarceration/post-treatment peer support to ensure continued recovery support, promote treatment retention, provide support for securing job training and housing options; (6) embedded peer support and advocacy in child welfare departments (after justice involvement) to promote positive relationships, treatment retention, family unifications. The program will implement the following activities/allowable uses: (1) naloxone for law enforcement and first responders (12 percent); (2) embedding peer support in different settings (39 percent); (3) law enforcement/first responder diversion programs (2 percent); (4) court programming to prioritize and expedite treatment and recovery services for individuals at high risk of overdose (13 percent); (5) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs (0 percent); (6) recovery housing with peer support (5 percent); and (7) pursue comprehensive, real-time, regional information collection, analysis, and dissemination via the development of a publicly-accessible overdose data dashboard (8 percent).

MD

The Cecil County Department of Community Services (DCS) is applying for Category 1 funding in the amount of $762,064. The project will enable the expansion of the Cecil County Prevention and Overdose Response and Trauma Support Services initiative (PORTSS), a first responder-led project. The PORTSS team, comprising a coordinator from the Department of Emergency Services, a peer recovery specialist from the Cecil County Health Department, and a case manager from DCS, will help bridge an identified communication gap between responding agencies and service providers and ensure outreach to victims and families. With the addition of the DCS case manager (a social worker), the team will assess needs, coordinate referrals, assist families, and follow up on family engagement. Services to families will include a warm handoff to substance use disorder treatment, trauma therapy for children and their caregivers, revitalization of Cecil’s Handle with Care program, referrals for behavioral/mental health services for children, assistance with accessing community resources (food, housing, utility assistance, etc.), educational assistance, and regular follow-up. The PORTSS team will utilize real-time data from Cecil County’s heroin coordinator, located in the Cecil County Sheriff’s Office (CCSO) and 9-1-1 call logs, enabling it to receive real-time notification of overdose “hot spots.” The PORTSS team will also provide regular training to first responders on adverse childhood experiences, trauma, and ethics. The project serves Cecil County, a largely rural jurisdiction with a population of nearly 103,000. The project includes partnerships with the Cecil County Sheriff’s Office, public schools in the county, the Cecil County Department of Social Services, Voices of Hope, Inc. (a recovery partner), and Bodhi Counseling and Upper Bay Counseling and Support Services, behavioral health providers. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Cecil County

Maryland

The Cecil County Department of Community Services (DCS) is applying for Category 1 funding in the amount of $762,064. The project will enable the expansion of the Cecil County Prevention and Overdose Response and Trauma Support Services initiative (PORTSS), a first responder-led project. The PORTSS team, comprising a coordinator from the Department of Emergency Services, a peer recovery specialist from the Cecil County Health Department, and a case manager from DCS, will help bridge an identified communication gap between responding agencies and service providers and ensure outreach to victims and families. With the addition of the DCS case manager (a social worker), the team will assess needs, coordinate referrals, assist families, and follow up on family engagement. Services to families will include a warm handoff to substance use disorder treatment, trauma therapy for children and their caregivers, revitalization of Cecil’s Handle with Care program, referrals for behavioral/mental health services for children, assistance with accessing community resources (food, housing, utility assistance, etc.), educational assistance, and regular follow-up. The PORTSS team will utilize real-time data from Cecil County’s heroin coordinator, located in the Cecil County Sheriff’s Office (CCSO) and 9-1-1 call logs, enabling it to receive real-time notification of overdose “hot spots.” The PORTSS team will also provide regular training to first responders on adverse childhood experiences, trauma, and ethics. The project serves Cecil County, a largely rural jurisdiction with a population of nearly 103,000. The project includes partnerships with the Cecil County Sheriff’s Office, public schools in the county, the Cecil County Department of Social Services, Voices of Hope, Inc. (a recovery partner), and Bodhi Counseling and Upper Bay Counseling and Support Services, behavioral health providers. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

MD

Cecil County, Maryland, will enhance the community's response to the opioid crisis by offering a public safety-led multidisciplinary team response to serve victims of overdose, their children and family members, and our professional partners. The initiative is entitled the Prevention and Overdose Response and Trauma Services Supports program (PORTSS). Cecil County has previously received COSSAP grant funds and this project will augment and supplement the activities of that grant, while assiduously maintaining separation of financial and programmatic measures. In January 2022, Cecil County officially launched the PORTSS team. The team offers services to overdose victims and family members as Cecil implements a two-generation strategy to reduce substance use disorder and consequent childhood trauma. Services include a warm handoff to treatment, trauma therapy for children and their caregivers, and assistance with accessing community resources. Additionally, the team is continuously collecting, reviewing and sharing data, providing direct therapeutic services to first responders, training and supporting public safety, school staff and other professionals, promoting community awareness, and sharing all available resources to meet the needs of this population. With additional funding, Cecil County intends to continue current efforts and provide new services, including transportation for clients in recovery houses, an annual Trunk-or-Treat/Drug Take-Back event, youth diversion and tobacco, drug, and alcohol education, youth social and emotional learning, a Local Outreach to Survivors of Suicide (LOSS) program, continuing education for local mental health professionals, and a central data sharing system. The nature of the work supported by the PORTSS initiative requires ongoing, uninterrupted service to provide continuous trauma therapy, overdose response, prevention efforts, education, and data management. To avoid the inevitable delays that occur at the start of a new grant cycle, Cecil County is proactively applying for funding mid-cycle, attempting to insure an uninterrupted flow of services.

Cecil County, Maryland

Maryland

Cecil County, Maryland, will enhance the community's response to the opioid crisis by offering a public safety-led multidisciplinary team response to serve victims of overdose, their children and family members, and our professional partners. The initiative is entitled the Prevention and Overdose Response and Trauma Services Supports program (PORTSS). Cecil County has previously received COSSAP grant funds and this project will augment and supplement the activities of that grant, while assiduously maintaining separation of financial and programmatic measures. In January 2022, Cecil County officially launched the PORTSS team. The team offers services to overdose victims and family members as Cecil implements a two-generation strategy to reduce substance use disorder and consequent childhood trauma. Services include a warm handoff to treatment, trauma therapy for children and their caregivers, and assistance with accessing community resources. Additionally, the team is continuously collecting, reviewing and sharing data, providing direct therapeutic services to first responders, training and supporting public safety, school staff and other professionals, promoting community awareness, and sharing all available resources to meet the needs of this population. With additional funding, Cecil County intends to continue current efforts and provide new services, including transportation for clients in recovery houses, an annual Trunk-or-Treat/Drug Take-Back event, youth diversion and tobacco, drug, and alcohol education, youth social and emotional learning, a Local Outreach to Survivors of Suicide (LOSS) program, continuing education for local mental health professionals, and a central data sharing system. The nature of the work supported by the PORTSS initiative requires ongoing, uninterrupted service to provide continuous trauma therapy, overdose response, prevention efforts, education, and data management. To avoid the inevitable delays that occur at the start of a new grant cycle, Cecil County is proactively applying for funding mid-cycle, attempting to insure an uninterrupted flow of services.

NY

The Chautauqua County Sheriff’s Department is applying for Category 1 funding in the amount of $899,910. The Chautauqua Comprehensive Addiction Response and Evaluation System (Chautauqua CARES) is a county-wide, multi-sector network of law enforcement, behavioral health, and other community agencies collaborating to increase the accessibility, timeliness, and effectiveness of support for individuals with substance use disorders and their families. Chautauqua CARES will work to more fully incorporate law enforcement and behavioral health care roles in helping individuals and families struggling with addiction. The project will include development of a law enforcement diversion program for nonviolent drug offenders and support an expanded treatment program within the county jail. Chautauqua CARES will serve to coordinate and oversee standardized training, ordering of supplies, and evaluation of naloxone administration by first responders throughout the county and will further expand and raise the profile of drug take-back activities in the county. Chautauqua CARES will support law enforcement’s involvement in prevention efforts through coordinated school-based and other outreach activities. Goals for the program include increasing the number of county residents receiving services for substance use disorder and reducing the numbers of fatal overdoses in the county. The program will be overseen by the Chautauqua County Sheriff’s Department. The project serves Chautauqua County, which has a population of 126,903. The project includes partnerships with the Unified Court System Eighth Judicial District, the Chautauqua County District Attorney’s Office, the Chautauqua County Public Defender’s Office, the Chautauqua County Office of Probation, the Jamestown Police Department, the Chautauqua County Department of Mental Hygiene, the Chautauqua Substance Abuse Response Partnership, the Chautauqua County Department of Health and Human Services, Prevention Works, and HOPE Chautauqua. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Chautauqua County

New York

The Chautauqua County Sheriff’s Department is applying for Category 1 funding in the amount of $899,910. The Chautauqua Comprehensive Addiction Response and Evaluation System (Chautauqua CARES) is a county-wide, multi-sector network of law enforcement, behavioral health, and other community agencies collaborating to increase the accessibility, timeliness, and effectiveness of support for individuals with substance use disorders and their families. Chautauqua CARES will work to more fully incorporate law enforcement and behavioral health care roles in helping individuals and families struggling with addiction. The project will include development of a law enforcement diversion program for nonviolent drug offenders and support an expanded treatment program within the county jail. Chautauqua CARES will serve to coordinate and oversee standardized training, ordering of supplies, and evaluation of naloxone administration by first responders throughout the county and will further expand and raise the profile of drug take-back activities in the county. Chautauqua CARES will support law enforcement’s involvement in prevention efforts through coordinated school-based and other outreach activities. Goals for the program include increasing the number of county residents receiving services for substance use disorder and reducing the numbers of fatal overdoses in the county. The program will be overseen by the Chautauqua County Sheriff’s Department. The project serves Chautauqua County, which has a population of 126,903. The project includes partnerships with the Unified Court System Eighth Judicial District, the Chautauqua County District Attorney’s Office, the Chautauqua County Public Defender’s Office, the Chautauqua County Office of Probation, the Jamestown Police Department, the Chautauqua County Department of Mental Hygiene, the Chautauqua Substance Abuse Response Partnership, the Chautauqua County Department of Health and Human Services, Prevention Works, and HOPE Chautauqua. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

SC

The Chester County Sheriff’s Office is applying for Category 1 funding in the amount of $599,193. The Chester County COSSAP Program will implement a Law Enforcement Assisted Diversion (LEAD) program for the county, for which each of the county’s 35 law enforcement officers will receive training from the LEAD National Support Bureau and for which a case manager will be hired by a treatment service provider. It will also expand evidence-based treatment services into two venues, for which a treatment specialist will be housed in the county detention facility to provide counseling along with medication-assisted treatment (MAT); provide training for all law enforcement officers on the administration of Narcan, an inventory of which will be secured for use by officers in the field; and install three new drug disposal boxes in areas in the county with the highest density of populations at greatest risk of prescription painkiller overdose. The goal of the project is to ensure victim protection and public safety while promoting civil rights and social justice. It is anticipated that the project will serve 50 low-level, non-violent offenders. The project serves Chester County, which has an estimated population of 32,184. The project includes partnerships between the sheriff’s office and the county solicitor’s office, the Hazel Pittman Center (a local public substance misuse treatment agency), the Empowering Communities for Health Outcomes (ECHO) Coalition, the Chester County Detention Center, and local emergency medical services and fire departments. The project will engage two researchers with the Pacific Institute for Research & Evaluation and Southeast Center for Strategic Community Development as evaluation partners. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Chester County

South Carolina

The Chester County Sheriff’s Office is applying for Category 1 funding in the amount of $599,193. The Chester County COSSAP Program will implement a Law Enforcement Assisted Diversion (LEAD) program for the county, for which each of the county’s 35 law enforcement officers will receive training from the LEAD National Support Bureau and for which a case manager will be hired by a treatment service provider. It will also expand evidence-based treatment services into two venues, for which a treatment specialist will be housed in the county detention facility to provide counseling along with medication-assisted treatment (MAT); provide training for all law enforcement officers on the administration of Narcan, an inventory of which will be secured for use by officers in the field; and install three new drug disposal boxes in areas in the county with the highest density of populations at greatest risk of prescription painkiller overdose. The goal of the project is to ensure victim protection and public safety while promoting civil rights and social justice. It is anticipated that the project will serve 50 low-level, non-violent offenders. The project serves Chester County, which has an estimated population of 32,184. The project includes partnerships between the sheriff’s office and the county solicitor’s office, the Hazel Pittman Center (a local public substance misuse treatment agency), the Empowering Communities for Health Outcomes (ECHO) Coalition, the Chester County Detention Center, and local emergency medical services and fire departments. The project will engage two researchers with the Pacific Institute for Research & Evaluation and Southeast Center for Strategic Community Development as evaluation partners. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

FL

Citrus County is applying for a Category 1 award in the amount of $387,581. The Citrus County Sheriff's Office Substance Abuse Social Worker Program will embed social services with law enforcement in order to rapidly respond to drug overdoses where children are impacted. Additionally, the Citrus County Sheriff’s Office intends to provide prevention, response, and diversion from the criminal justice system to individuals who are affected by substance misuse. The Sheriff’s Office will employ two substance misuse social workers to fulfill these goals. The substance misuse social workers will review and follow up on all reports of nonfatal overdoses, including contacting individuals who have experienced an overdose and connecting them with community-based resources. The substance misuse social worker will collaborate with child protective investigators with the Department of Children and Families (DCF), as well as case managers with Youth Family Alternatives (YFA). The social worker will communicate successes in treatment and assist in potential reunification of children and will also collaboratively work with DCF and YFA to connect children with early intervention therapy resources to reduce the likelihood of adverse childhood experiences affecting them. The Sheriff’s Office will also create and introduce a Marchman Act Assessment tool to be used in all non-fatal overdose cases. This project serves Citrus County, Florida, which has an approximate population of 149,657 residents. Partnerships include strong relationships with community partners, DCF, and YFA.

Citrus County

Florida

Citrus County is applying for a Category 1 award in the amount of $387,581. The Citrus County Sheriff's Office Substance Abuse Social Worker Program will embed social services with law enforcement in order to rapidly respond to drug overdoses where children are impacted. Additionally, the Citrus County Sheriff’s Office intends to provide prevention, response, and diversion from the criminal justice system to individuals who are affected by substance misuse. The Sheriff’s Office will employ two substance misuse social workers to fulfill these goals. The substance misuse social workers will review and follow up on all reports of nonfatal overdoses, including contacting individuals who have experienced an overdose and connecting them with community-based resources. The substance misuse social worker will collaborate with child protective investigators with the Department of Children and Families (DCF), as well as case managers with Youth Family Alternatives (YFA). The social worker will communicate successes in treatment and assist in potential reunification of children and will also collaboratively work with DCF and YFA to connect children with early intervention therapy resources to reduce the likelihood of adverse childhood experiences affecting them. The Sheriff’s Office will also create and introduce a Marchman Act Assessment tool to be used in all non-fatal overdose cases. This project serves Citrus County, Florida, which has an approximate population of 149,657 residents. Partnerships include strong relationships with community partners, DCF, and YFA.

NM

The City of Albuquerque applied for Category 1a urban area grant funding in the amount of $1,126,454. The Gateway to Recovery project will aid in the recovery of homeless individuals experiencing substance use disorder (SUD) while they are engaged in services at city-funded emergency homeless shelters through linkages to transitional or recovery housing and peer recovery support services. The solution complements existing strategies to help residents obtain long-term housing. This project serves the city of Albuquerque, with a population estimated at 915,927. The project includes partnerships between Youth Development, Inc and Heading Home. Priority considerations addressed in this application include high rates of overdose deaths of individuals who are intended to benefit from the requested grant residing in high-poverty areas.

City of Albuquerque

New Mexico

The City of Albuquerque applied for Category 1a urban area grant funding in the amount of $1,126,454. The Gateway to Recovery project will aid in the recovery of homeless individuals experiencing substance use disorder (SUD) while they are engaged in services at city-funded emergency homeless shelters through linkages to transitional or recovery housing and peer recovery support services. The solution complements existing strategies to help residents obtain long-term housing. This project serves the city of Albuquerque, with a population estimated at 915,927. The project includes partnerships between Youth Development, Inc and Heading Home. Priority considerations addressed in this application include high rates of overdose deaths of individuals who are intended to benefit from the requested grant residing in high-poverty areas.

MT

The City of Billings applied for Category 1b grant funding in the amount of $900,000. The Billings Peer Support Diversion Program (Billings PSDP) will develop a peer support-driven prebooking diversion program that provides support for individuals at high risk of overdose or chronic substance abuse. The program will use trained and certified peer support specialists, working independently and embedded with law enforcement to engage in street outreach with the chronically homeless through mobile behavioral health crisis response. The primary objective of the project is to use evidence-based strategies to divert high-risk individuals from incarceration into treatment and social support services. The project will also overcome local barriers related to length of treatment for methamphetamine recovery and limited recovery housing options in the community. This project serves individuals who have been arrested and chronically homeless individuals with opioid or stimulant use disorders in all of Yellowstone County, with a focus on downtown Billings, where this population is concentrated. The project includes partnerships among the City of Billings, Billings Police Department, Downtown Billings Association, and Rimrock, Montana’s largest mental health and substance abuse treatment provider. Priority considerations addressed in this application include a Qualified Opportunity Zone.

City of Billings

Montana

The City of Billings applied for Category 1b grant funding in the amount of $900,000. The Billings Peer Support Diversion Program (Billings PSDP) will develop a peer support-driven prebooking diversion program that provides support for individuals at high risk of overdose or chronic substance abuse. The program will use trained and certified peer support specialists, working independently and embedded with law enforcement to engage in street outreach with the chronically homeless through mobile behavioral health crisis response. The primary objective of the project is to use evidence-based strategies to divert high-risk individuals from incarceration into treatment and social support services. The project will also overcome local barriers related to length of treatment for methamphetamine recovery and limited recovery housing options in the community. This project serves individuals who have been arrested and chronically homeless individuals with opioid or stimulant use disorders in all of Yellowstone County, with a focus on downtown Billings, where this population is concentrated. The project includes partnerships among the City of Billings, Billings Police Department, Downtown Billings Association, and Rimrock, Montana’s largest mental health and substance abuse treatment provider. Priority considerations addressed in this application include a Qualified Opportunity Zone.

ND

The City of Bismarck is applying for Category 1 funding in the amount of $900,000. Supporting First Responders Through Behavioral Health Interventions, Medication Assisted Treatment, and Connections to Care in the Emergency Department, a multidisciplinary overdose prevention, response, and referral model led by first responders, will serve as a bridge to intervene with overdose victims to transition them to medication-assisted treatment (MAT) and substance use disorder (SUD) treatment. Bismarck Police Department will partner with Heartview Foundation, a licensed addiction treatment provider, and Sanford Health Emergency Department to increase utilization of MAT for individuals with opioid use disorder; utilize recovery support services in the Sanford Emergency Department (ED) to develop a bridge between emergency room, law enforcement/first responders, and individuals needing treatment; and increase the availability of naloxone. The project will also increase communication efforts to reduce stigma surrounding SUDs, opioid use disorders (OUDs), and MAT. Deliverables include interventions with 90 individuals who have experienced an opioid overdose, as well as an additional 80 patients referred from the Opioid Overdose Bridge. Sanford Health ED will train ten medical professionals and twelve support staff members on SUD, MAT, and procedures for the Opioid Overdose Bridge. The project serves the Bismarck-Mandan Metropolitan Area in North Dakota, with an estimated population of 126,990. The project includes partnerships with the Bismarck, Mandan, and Lincoln Police Departments, the Burleigh and Morton County Sheriff’s Departments, Bismarck-Burleigh Public Health, Custer Health, Sanford Health Emergency Department, Ministry on the Margins, and Heartview Foundation. The project will engage Dr. Erin Winstanley, Vice Chair of Research, Department of Behavioral Medicine & Psychiatry at West Virginia University School of Medicine, as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

City of Bismarck

North Dakota

The City of Bismarck is applying for Category 1 funding in the amount of $900,000. Supporting First Responders Through Behavioral Health Interventions, Medication Assisted Treatment, and Connections to Care in the Emergency Department, a multidisciplinary overdose prevention, response, and referral model led by first responders, will serve as a bridge to intervene with overdose victims to transition them to medication-assisted treatment (MAT) and substance use disorder (SUD) treatment. Bismarck Police Department will partner with Heartview Foundation, a licensed addiction treatment provider, and Sanford Health Emergency Department to increase utilization of MAT for individuals with opioid use disorder; utilize recovery support services in the Sanford Emergency Department (ED) to develop a bridge between emergency room, law enforcement/first responders, and individuals needing treatment; and increase the availability of naloxone. The project will also increase communication efforts to reduce stigma surrounding SUDs, opioid use disorders (OUDs), and MAT. Deliverables include interventions with 90 individuals who have experienced an opioid overdose, as well as an additional 80 patients referred from the Opioid Overdose Bridge. Sanford Health ED will train ten medical professionals and twelve support staff members on SUD, MAT, and procedures for the Opioid Overdose Bridge. The project serves the Bismarck-Mandan Metropolitan Area in North Dakota, with an estimated population of 126,990. The project includes partnerships with the Bismarck, Mandan, and Lincoln Police Departments, the Burleigh and Morton County Sheriff’s Departments, Bismarck-Burleigh Public Health, Custer Health, Sanford Health Emergency Department, Ministry on the Margins, and Heartview Foundation. The project will engage Dr. Erin Winstanley, Vice Chair of Research, Department of Behavioral Medicine & Psychiatry at West Virginia University School of Medicine, as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

MA

The Boston Police Department's project aims to 1) increase coordination and collaboration across the Boston Police Department, Suffolk County District Attorney's Office, and North Suffolk Community Services, Inc., in addressing opioid epidemic in a highneeds area of Boston known as Mass and Cass (at the intersection of Melnea Cass Boulevard and Massachusetts Avenue); 2) strengthen the Services Over Sentences (SOS) Program so that it can better serve high-risk, high-need individuals who have been arrested in the area; 3) support Boston Police Department's Street Outreach Unit and City-Wide Bicycle Unit to provide increased outreach and diversion from arrest, as appropriate, to individuals experiencing mental illness and/or substance use disorders in the Mass and Cass area; and 4) conduct process and program evaluations so that the process by which these partnerships are formalized can be better understood and replicated, and to assess the effectiveness of the program in getting high-risk, high-need individuals into treatment and recovery. Project activities include establishing an interagency MOU; hiring two dedicated North Suffolk recovery coaches; hiring a full-time SOS Coordinator through the Suffolk County District Attorney's Office; supporting the Street Outreach Unit and City-Wide Bicycle Unit in their efforts to provide pre-arrest diversion; and partnering with Dr. Melissa Morabito to conduct the evaluations. These are allowable activities, falling under the umbrella of post-booking treatment alternative-to-incarceration programs and law enforcement diversion programs. Expected outcomes include strengthened collaboration across the Boston Police Department, Suffolk County District Attorney's Office and North Suffolk; increased SOS participation and service provision to eligible individuals; reduced criminal sentences for individuals who participate in the SOS Program; decreased recidivism among individuals who participate in the SOS Program; and increased number of individuals diverted from arrest to diversion. Substance-using individuals in the Mass and Cass area who have been recently or previously arrested for a crime (including individuals with outstanding warrants), but have not yet been prosecuted or sentenced, are the intended beneficiaries of the project. Subrecipient activities include the provision of recovery coach services (the cornerstone of the SOS Program) through North Suffolk, high-level project coordination through the Suffolk County District Attorney's Office, and evaluations to be performed by Dr. Morabito.

City of Boston

Massachusetts

The Boston Police Department's project aims to 1) increase coordination and collaboration across the Boston Police Department, Suffolk County District Attorney's Office, and North Suffolk Community Services, Inc., in addressing opioid epidemic in a highneeds area of Boston known as Mass and Cass (at the intersection of Melnea Cass Boulevard and Massachusetts Avenue); 2) strengthen the Services Over Sentences (SOS) Program so that it can better serve high-risk, high-need individuals who have been arrested in the area; 3) support Boston Police Department's Street Outreach Unit and City-Wide Bicycle Unit to provide increased outreach and diversion from arrest, as appropriate, to individuals experiencing mental illness and/or substance use disorders in the Mass and Cass area; and 4) conduct process and program evaluations so that the process by which these partnerships are formalized can be better understood and replicated, and to assess the effectiveness of the program in getting high-risk, high-need individuals into treatment and recovery. Project activities include establishing an interagency MOU; hiring two dedicated North Suffolk recovery coaches; hiring a full-time SOS Coordinator through the Suffolk County District Attorney's Office; supporting the Street Outreach Unit and City-Wide Bicycle Unit in their efforts to provide pre-arrest diversion; and partnering with Dr. Melissa Morabito to conduct the evaluations. These are allowable activities, falling under the umbrella of post-booking treatment alternative-to-incarceration programs and law enforcement diversion programs. Expected outcomes include strengthened collaboration across the Boston Police Department, Suffolk County District Attorney's Office and North Suffolk; increased SOS participation and service provision to eligible individuals; reduced criminal sentences for individuals who participate in the SOS Program; decreased recidivism among individuals who participate in the SOS Program; and increased number of individuals diverted from arrest to diversion. Substance-using individuals in the Mass and Cass area who have been recently or previously arrested for a crime (including individuals with outstanding warrants), but have not yet been prosecuted or sentenced, are the intended beneficiaries of the project. Subrecipient activities include the provision of recovery coach services (the cornerstone of the SOS Program) through North Suffolk, high-level project coordination through the Suffolk County District Attorney's Office, and evaluations to be performed by Dr. Morabito.

IA

The City of Clinton is applying for Category 1c rural/tribal area grant funding in the amount of $600,000. Clinton’s Opioid and Stimulant Partnership will address stimulant use and provide a broader reach of services to those in need to provide viable resources within the community through the use of an expanded multidisciplinary team that focuses efforts toward community systems working in collaborative efforts to identify, educate, treat, and prevent further instances of substance use addiction, and fatalities within our community. A Drug Abuse Response Team will follow up with overdose victims while connecting them with interventions or treatment options. The program will also update opioid community assessment, expand and enhance a MAT program, as well as partner with community agencies for recovery support services that include peer support/case management and healthcare treatment. This project serves Clinton, Iowa, and its 25,637 residents. The project includes partnerships the City of Clinton Administration, Clinton Police Department, Clinton Fire Department, MercyOne Clinton Medical Center, Clinton Substance Abuse Council, Area Substance Abuse Council, Life Connections, and Bridgeview Mental Health Center. Priority considerations addressed in this application include the disproportional impact on the community by the abuse of illicit opioids, stimulants, or other substances; specific challenges rural communities face; and enhancing public safety in Qualified Opportunity Zones.

City of Clinton

Iowa

The City of Clinton is applying for Category 1c rural/tribal area grant funding in the amount of $600,000. Clinton’s Opioid and Stimulant Partnership will address stimulant use and provide a broader reach of services to those in need to provide viable resources within the community through the use of an expanded multidisciplinary team that focuses efforts toward community systems working in collaborative efforts to identify, educate, treat, and prevent further instances of substance use addiction, and fatalities within our community. A Drug Abuse Response Team will follow up with overdose victims while connecting them with interventions or treatment options. The program will also update opioid community assessment, expand and enhance a MAT program, as well as partner with community agencies for recovery support services that include peer support/case management and healthcare treatment. This project serves Clinton, Iowa, and its 25,637 residents. The project includes partnerships the City of Clinton Administration, Clinton Police Department, Clinton Fire Department, MercyOne Clinton Medical Center, Clinton Substance Abuse Council, Area Substance Abuse Council, Life Connections, and Bridgeview Mental Health Center. Priority considerations addressed in this application include the disproportional impact on the community by the abuse of illicit opioids, stimulants, or other substances; specific challenges rural communities face; and enhancing public safety in Qualified Opportunity Zones.

OH

The City of Columbus Department of Public Safety project implements The Rapid Response Emergency Addiction Crisis Team (RREACT) program. The purpose is to expand comprehensive, multi-disciplinary first responder led outreach with the goal of stabilizing the household and reducing barriers and increasing access to drug and/or behavioral treatment for the individuals with substance use disorder. RREACT program activities include connecting overdose survivors with evidence-based harm reduction services and licensed treatment programs; addressing healthcare disparities and increase access to overdose prevention, treatment, and recovery resources for minority groups; connecting families with trauma specialists to rapidly respond to the needs of children impacted by drug overdose; implementing drug take-back campaigns in partnership with the DEA and local community organizations; expanding access to peer recovery and case management services for individuals with substance use disorder and justice involvement and their families; developing and implementing harm reduction and drug prevention campaigns for K-12 students within the vulnerable communities. Expected outcomes include: the development of culturally appropriate protocol for SUD/OUD EMS outreach protocols, harm reduction and case management protocols and drug prevention campaigns for at-risk youth; increased provision of evidence-based treatment for individuals with substance use disorder; decreased rate of opioid misuse and drug overdose death rate, including prescription and illicit opioid overdose death rates; increased access to critical child and kinship supports for kids and other caregivers in the home impacted by opioid use. RREACT program will serve individuals who experienced a non-fatal overdose and their households residing in Franklin County in the city of Columbus. RREACT actively partners with local treatment providers, public health departments, justice agencies and Franklin County's Family and Children First Council to achieve desired project outcomes. Mighty Crow, Inc. serves as the evaluator for the project.

City of Columbus

Ohio

The City of Columbus Department of Public Safety project implements The Rapid Response Emergency Addiction Crisis Team (RREACT) program. The purpose is to expand comprehensive, multi-disciplinary first responder led outreach with the goal of stabilizing the household and reducing barriers and increasing access to drug and/or behavioral treatment for the individuals with substance use disorder. RREACT program activities include connecting overdose survivors with evidence-based harm reduction services and licensed treatment programs; addressing healthcare disparities and increase access to overdose prevention, treatment, and recovery resources for minority groups; connecting families with trauma specialists to rapidly respond to the needs of children impacted by drug overdose; implementing drug take-back campaigns in partnership with the DEA and local community organizations; expanding access to peer recovery and case management services for individuals with substance use disorder and justice involvement and their families; developing and implementing harm reduction and drug prevention campaigns for K-12 students within the vulnerable communities. Expected outcomes include: the development of culturally appropriate protocol for SUD/OUD EMS outreach protocols, harm reduction and case management protocols and drug prevention campaigns for at-risk youth; increased provision of evidence-based treatment for individuals with substance use disorder; decreased rate of opioid misuse and drug overdose death rate, including prescription and illicit opioid overdose death rates; increased access to critical child and kinship supports for kids and other caregivers in the home impacted by opioid use. RREACT program will serve individuals who experienced a non-fatal overdose and their households residing in Franklin County in the city of Columbus. RREACT actively partners with local treatment providers, public health departments, justice agencies and Franklin County's Family and Children First Council to achieve desired project outcomes. Mighty Crow, Inc. serves as the evaluator for the project.

MI

Over the past decade, more than 2,000 Detroiters have been lost to fatal drug overdose, and over 7,000 Detroiter's have experienced an opioid-involved emergency since the onset of the COVID-19 pandemic. Illicit drug poisonings cost an estimated $193 billion annually in the United States and nearly $1 billion annually in Detroit alone; this includes costs in healthcare, treatment programs, traffic crashes, foster care, and criminal justice economic burdens. The actual cost to the community can be assumed to be higher when accounting for indirect costs (e.g. lost wages, reduced productivity, and child drug endangerment), and the intangible societal costs of the drug crisis, such as grief, fear, and social scarring, are immeasurable. The pandemic also exacerbated housing inequities particularly among precariously housed and homeless Black and Brown young adults under the age of 34. The Detroit HOME (Housing, Overdose prevention, Managed care, and Empowerment) Project will galvanize the resources of the City of Detroit Housing and Revitalization Department, 36th District Court Specialty Court, Changing Lives And Staying Sober, and a network of public health, recovery support, and treatment providers, to combat the drug and housing crisis in Detroit. The aim of the project is to prevent fatal drug poisonings, ensure pathways to permanent housing, and nurture holistic wellness opportunities to sustain recovery among Specialty Court participants. The Detroit HOME Project seeks to engage 500 participants and stakeholders in direct wraparound care, training, education, and strategy development as part of its mission to advance behavioral health equity and diversion to care strategies.

City of Detroit

Michigan

Over the past decade, more than 2,000 Detroiters have been lost to fatal drug overdose, and over 7,000 Detroiter's have experienced an opioid-involved emergency since the onset of the COVID-19 pandemic. Illicit drug poisonings cost an estimated $193 billion annually in the United States and nearly $1 billion annually in Detroit alone; this includes costs in healthcare, treatment programs, traffic crashes, foster care, and criminal justice economic burdens. The actual cost to the community can be assumed to be higher when accounting for indirect costs (e.g. lost wages, reduced productivity, and child drug endangerment), and the intangible societal costs of the drug crisis, such as grief, fear, and social scarring, are immeasurable. The pandemic also exacerbated housing inequities particularly among precariously housed and homeless Black and Brown young adults under the age of 34. The Detroit HOME (Housing, Overdose prevention, Managed care, and Empowerment) Project will galvanize the resources of the City of Detroit Housing and Revitalization Department, 36th District Court Specialty Court, Changing Lives And Staying Sober, and a network of public health, recovery support, and treatment providers, to combat the drug and housing crisis in Detroit. The aim of the project is to prevent fatal drug poisonings, ensure pathways to permanent housing, and nurture holistic wellness opportunities to sustain recovery among Specialty Court participants. The Detroit HOME Project seeks to engage 500 participants and stakeholders in direct wraparound care, training, education, and strategy development as part of its mission to advance behavioral health equity and diversion to care strategies.

MN

The City of Duluth is applying for a Category 1 award in the amount of $899,982. The Substance Use Response Team of the City of Duluth Police Department’s Lake Superior Drug and Violent Crime Task Force (LSDVCTF) proposes a program model that would expand upon the services it currently provides, allow for the program to assist more individuals regardless of drug of choice, and shorten times between overdose events and contact from the team, thereby allowing for quicker access to treatment. This project serves the entire LSDVCTF region, which includes St. Louis, Carlton, and Lake Counties in Minnesota, as well as the city of Superior in Wisconsin. This entire region has a total population of 288,732. The project includes partnerships between St. Louis County Public Health and Human Services, St. Louis County Drug Court, the Center for Alcohol and Drug Treatment, and SOAR Career Solutions. This project will engage Dr. Jeff Maahs from the University of Minnesota Duluth as the research partner for this project. Priority considerations addressed in this application include services and referrals in designated Qualified Opportunity Zones.

City of Duluth

Minnesota

The City of Duluth is applying for a Category 1 award in the amount of $899,982. The Substance Use Response Team of the City of Duluth Police Department’s Lake Superior Drug and Violent Crime Task Force (LSDVCTF) proposes a program model that would expand upon the services it currently provides, allow for the program to assist more individuals regardless of drug of choice, and shorten times between overdose events and contact from the team, thereby allowing for quicker access to treatment. This project serves the entire LSDVCTF region, which includes St. Louis, Carlton, and Lake Counties in Minnesota, as well as the city of Superior in Wisconsin. This entire region has a total population of 288,732. The project includes partnerships between St. Louis County Public Health and Human Services, St. Louis County Drug Court, the Center for Alcohol and Drug Treatment, and SOAR Career Solutions. This project will engage Dr. Jeff Maahs from the University of Minnesota Duluth as the research partner for this project. Priority considerations addressed in this application include services and referrals in designated Qualified Opportunity Zones.

PA

The City of Erie is applying for a Category 1 award in the amount of $459,576. The Probation Transition Response Project will strengthen methods that local law enforcement can use to develop and expand comprehensive, locally driven responses to opioids, stimulants, and other substances of misuse and address an identified gap in services and/or invention activity for probationers with opioid use risks. The gap analysis is derived from data collected over the last two years while implementing other strategies for high-risk substance use disorder (SUD) probationers. The Erie Police Department (EPD) will create a COSSAP Diversion and Investigation Unit that will help identify at-risk individuals or low-level offenders for diversion and referral programs. The goal is to help these individuals enter into support programs, be connected with resources, and avoid the possibility of negative outcomes such as incarceration or escalation of involvement in illicit substance use. EPD will also form a Survivor Follow-Up Team of two officers who will focus on individuals who have survived an opioid or illicit drug overdose. These interactions can accomplish several goals, including building trust with law enforcement, conveying the very serious nature of illicit drugs, and reinforcing that supports are available. The project's strategy will expand current law enforcement mentorship programs with Erie Public School students. The Erie Police Athletic League (PAL) has demonstrated the value and impact of the cop-kid relationship in the city after relaunching in 2015. Through this COSSAP site-based initiative, Erie PAL will further expand positive activities with officers and youth. All of these new law enforcement endeavors will leverage and complement existing resources for Erie residents impacted by opioids and substance misuse. This project serves the jurisdiction within the City of Erie boundaries, with an estimated population of 95,508, but it should be noted that the population protected by the Erie Police Department within the jurisdiction goes beyond the residents living within the city. The project includes partnerships between the Erie Police Department, Mercyhurst University Civic Institute, and the many agencies, providers, and resources available in the City of Erie for individuals and their families. Priority considerations addressed in this application include that the project will benefit individuals residing in high-poverty areas or persistent-poverty counties.

City of Erie

Pennsylvania

The City of Erie is applying for a Category 1 award in the amount of $459,576. The Probation Transition Response Project will strengthen methods that local law enforcement can use to develop and expand comprehensive, locally driven responses to opioids, stimulants, and other substances of misuse and address an identified gap in services and/or invention activity for probationers with opioid use risks. The gap analysis is derived from data collected over the last two years while implementing other strategies for high-risk substance use disorder (SUD) probationers. The Erie Police Department (EPD) will create a COSSAP Diversion and Investigation Unit that will help identify at-risk individuals or low-level offenders for diversion and referral programs. The goal is to help these individuals enter into support programs, be connected with resources, and avoid the possibility of negative outcomes such as incarceration or escalation of involvement in illicit substance use. EPD will also form a Survivor Follow-Up Team of two officers who will focus on individuals who have survived an opioid or illicit drug overdose. These interactions can accomplish several goals, including building trust with law enforcement, conveying the very serious nature of illicit drugs, and reinforcing that supports are available. The project's strategy will expand current law enforcement mentorship programs with Erie Public School students. The Erie Police Athletic League (PAL) has demonstrated the value and impact of the cop-kid relationship in the city after relaunching in 2015. Through this COSSAP site-based initiative, Erie PAL will further expand positive activities with officers and youth. All of these new law enforcement endeavors will leverage and complement existing resources for Erie residents impacted by opioids and substance misuse. This project serves the jurisdiction within the City of Erie boundaries, with an estimated population of 95,508, but it should be noted that the population protected by the Erie Police Department within the jurisdiction goes beyond the residents living within the city. The project includes partnerships between the Erie Police Department, Mercyhurst University Civic Institute, and the many agencies, providers, and resources available in the City of Erie for individuals and their families. Priority considerations addressed in this application include that the project will benefit individuals residing in high-poverty areas or persistent-poverty counties.

MA

The Fitchburg Police Department is applying for Category 1 funding in the amount of $504,063. The Fitchburg Outreach Initiative, a multidisciplinary program established in partnership with Community Health Link of Worcester, will incorporate referrals, prevention, response, case management, and education. This program is based on successful law enforcement diversion programs such as LEAD and PAARI. The Fitchburg Outreach Initiative will hire a full-time substance misuse clinician to be embedded within the police department to respond to opioid overdoses, substance use disorders, and co-occurring disorders in the City of Fitchburg. The clinician will provide follow-up and post encounter outreach to overdose survivors and their families. Additionally, the program will divert low-level offenders experiencing substance use disorders away from the criminal justice system and into treatment when it is safe and appropriate to do so. The Fitchburg Outreach Initiative will also launch an educational campaign highlighting prevention and resources available to families and survivors. The project serves the City of Fitchburg, which has a population of 40,882 residents. The project includes a partnership with Community Health Connections, a multi-faceted social and behavioral service agency that provides detox services, inpatient clinics, outpatient clinics, 24/7 urgent care for substance use disorders, a homeless shelter, mental health services, recovery services for youth, and family support services. Additional partnerships have since been created with GAAMHA which is an organization that provides a wide range of services including recovery support. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.

City of Fitchburg

Massachusetts

The Fitchburg Police Department is applying for Category 1 funding in the amount of $504,063. The Fitchburg Outreach Initiative, a multidisciplinary program established in partnership with Community Health Link of Worcester, will incorporate referrals, prevention, response, case management, and education. This program is based on successful law enforcement diversion programs such as LEAD and PAARI. The Fitchburg Outreach Initiative will hire a full-time substance misuse clinician to be embedded within the police department to respond to opioid overdoses, substance use disorders, and co-occurring disorders in the City of Fitchburg. The clinician will provide follow-up and post encounter outreach to overdose survivors and their families. Additionally, the program will divert low-level offenders experiencing substance use disorders away from the criminal justice system and into treatment when it is safe and appropriate to do so. The Fitchburg Outreach Initiative will also launch an educational campaign highlighting prevention and resources available to families and survivors. The project serves the City of Fitchburg, which has a population of 40,882 residents. The project includes a partnership with Community Health Connections, a multi-faceted social and behavioral service agency that provides detox services, inpatient clinics, outpatient clinics, 24/7 urgent care for substance use disorders, a homeless shelter, mental health services, recovery services for youth, and family support services. Additional partnerships have since been created with GAAMHA which is an organization that provides a wide range of services including recovery support. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.

VA

The City of Harrisonburg is applying for a Category 1 award in the amount of $600,000. The Harrisonburg Fire Department-Community Paramedic Program will implement a community paramedicine program in the City of Harrisonburg. In the past decade, emergency medical services (EMS) and fire departments have been called upon to create programs that offer care options for high-risk patient populations—such as those with substance use disorder—to reduce the burden these individuals have on community systems. Community paramedicine is a concept of prehospital care designed to use paramedics to help bridge the gap between access to primary care services and the needs of the community. The extension of acute and primary care providers and mental health (including substance use dependence) resources are made available by specially trained paramedics. The goals of this COSSAP-funded program are to increase connectivity to substance use disorder and co-occurring substance and mental health disorder treatment in the community; reduce the strain people with substance use disorders and co-occurring substance and mental health disorders have on the health care system; decrease recidivism rates linked to substance use and mental health disorders; create a roadmap to inform stakeholders and city/county leadership on the appropriate formation of the Marcus Alert System in their community; and begin determining the long-term financial sustainability of such outreach programs. This project serves the County of Rockingham, Virginia (population 81,244). The project includes partnerships between the Harrisonburg Fire Department, the Harrisonburg Police Department, the Middle River Regional Jail, the Rockingham County Sheriff’s Office, Sentara Healthcare, the Harrisonburg Rockingham Community Services Board, the Healthy Community Health Center, the Harrisonburg-Rockingham Crisis Intervention Team, Strength In Peers, the James Madison University School of Nursing, and Cordata Healthcare Innovations. Priority considerations addressed in this application include serving individuals residing in high-poverty areas.

City of Harrisonburg

Virginia

The City of Harrisonburg is applying for a Category 1 award in the amount of $600,000. The Harrisonburg Fire Department-Community Paramedic Program will implement a community paramedicine program in the City of Harrisonburg. In the past decade, emergency medical services (EMS) and fire departments have been called upon to create programs that offer care options for high-risk patient populations—such as those with substance use disorder—to reduce the burden these individuals have on community systems. Community paramedicine is a concept of prehospital care designed to use paramedics to help bridge the gap between access to primary care services and the needs of the community. The extension of acute and primary care providers and mental health (including substance use dependence) resources are made available by specially trained paramedics. The goals of this COSSAP-funded program are to increase connectivity to substance use disorder and co-occurring substance and mental health disorder treatment in the community; reduce the strain people with substance use disorders and co-occurring substance and mental health disorders have on the health care system; decrease recidivism rates linked to substance use and mental health disorders; create a roadmap to inform stakeholders and city/county leadership on the appropriate formation of the Marcus Alert System in their community; and begin determining the long-term financial sustainability of such outreach programs. This project serves the County of Rockingham, Virginia (population 81,244). The project includes partnerships between the Harrisonburg Fire Department, the Harrisonburg Police Department, the Middle River Regional Jail, the Rockingham County Sheriff’s Office, Sentara Healthcare, the Harrisonburg Rockingham Community Services Board, the Healthy Community Health Center, the Harrisonburg-Rockingham Crisis Intervention Team, Strength In Peers, the James Madison University School of Nursing, and Cordata Healthcare Innovations. Priority considerations addressed in this application include serving individuals residing in high-poverty areas.

NV

This initiative is a post-overdose outreach effort engaging overdose survivors and their social networks (e.g., family, friends, and acquaintances) to create positive outcomes. The overarching objective is to implement a strategy that addresses priority needs within the region/local by increasing public safety through a community-based endeavor designed to reduce or eliminate citizen harm and free law enforcement to perform their criminal justice duties effectively. The approach also includes helping individuals in substance use or mental health involved crises avoid unnecessary arrests, unintended injurious force by police officers, and involuntary commitments to the hospital. The plan incorporates engaging stakeholders to develop and create safe and supportive responses. These responses may consist of connecting individuals and their social networks with support services, appropriate health care, education on the disease of addiction, harm reduction services, safety education, parenting education, education on any co-occurring health care needs and training and treatment for those who suffer from a substance use disorder, and services for those coping with death or serious injury. The collaborative will consist of those with a stake in the community's well-being, including treatment professionals, grief counselors, social services, peer support entities, and government community resources. The engagement goal of the initiative is to follow up within 24-72 hours or as requested by the contacting authority. This time frame is crucial for potential behavior change in participants; letting them know care is available, increasing the likelihood for positive outcomes. The principal goals are 1) prevent fatal overdoses by connecting survivors with harm reduction resources, evidence-based treatment for substance use disorder and recovery supports; 2) engage people at high risk for overdose who are not otherwise receiving services or practicing overdose prevention, including optimizing engagement and minimizing criminal-legal consequences for the overdose survivor or others present; and 3) engage and assist those in need of post traumatic services.

City of Henderson

Nevada

This initiative is a post-overdose outreach effort engaging overdose survivors and their social networks (e.g., family, friends, and acquaintances) to create positive outcomes. The overarching objective is to implement a strategy that addresses priority needs within the region/local by increasing public safety through a community-based endeavor designed to reduce or eliminate citizen harm and free law enforcement to perform their criminal justice duties effectively. The approach also includes helping individuals in substance use or mental health involved crises avoid unnecessary arrests, unintended injurious force by police officers, and involuntary commitments to the hospital. The plan incorporates engaging stakeholders to develop and create safe and supportive responses. These responses may consist of connecting individuals and their social networks with support services, appropriate health care, education on the disease of addiction, harm reduction services, safety education, parenting education, education on any co-occurring health care needs and training and treatment for those who suffer from a substance use disorder, and services for those coping with death or serious injury. The collaborative will consist of those with a stake in the community's well-being, including treatment professionals, grief counselors, social services, peer support entities, and government community resources. The engagement goal of the initiative is to follow up within 24-72 hours or as requested by the contacting authority. This time frame is crucial for potential behavior change in participants; letting them know care is available, increasing the likelihood for positive outcomes. The principal goals are 1) prevent fatal overdoses by connecting survivors with harm reduction resources, evidence-based treatment for substance use disorder and recovery supports; 2) engage people at high risk for overdose who are not otherwise receiving services or practicing overdose prevention, including optimizing engagement and minimizing criminal-legal consequences for the overdose survivor or others present; and 3) engage and assist those in need of post traumatic services.

MA

The Holyoke, Massachusetts, Police Department (HPD) proposes to implement the Expansion of Recovery from Addiction to Substances Efforts II (ERASE-II), which is a multi-component and multi-discipline project designed to significantly improve efforts to curb and eliminate the substantial opiate, stimulant, and substance problem in Holyoke with a goal of a fully sustainable addiction response program in the city. Holyoke is a small, postindustrial city of 38,238 people with elevated levels of concentrated poverty, illicit drug use and abuse, drug trafficking and gang activity. ERASE-II is comprised of a multidisciplinary team, which includes partnerships with community-based service providers Center for Human Development (CHD), the Holyoke Police Department (HPD), Gandara (a community-based behavioral health provider), CERTE (our research and evaluation partner), the court, and the Hampden County Sheriff who oversees the Hampden County Correctional Center in the Holyoke jurisdiction. The purpose of ERASE-II is to implement a multi-component intervention program with project activities that include; (1) support individuals with opioid, stimulant, and other illicit substance issues with interventions to reduce addictions and associated mental health needs, (2) to reduce overdoses and overdose deaths through prevention and intervention strategies, (3) to divert individuals with substance use issues, and (4) to reduce substance-related crime in Holyoke. To meet objectives, we will: implement a team comprised of an Intervention Officer, two Recovery Coaches, and an Outreach Coordinator. The team will: (1) intervene in OD calls, (2) identify engage and recruit ERASE-II clients, (3) provide direct supports and peer-to-peer services to clients, (4) refer and connect ERASE-II clients to evidence based programs, including MAT and Detox programs, (5) divert clients from arrest and divert from incarceration, (6) connect homeless clients with substance addiction to short term housing, (7) conduct extensive outreach and community-based support of clients, (8) provide a walk-in support space for individuals with substance use issues in a central location, (9) provide transitional supports to clients returning from incarceration, (10) improve data management and case management capabilities to better support clients, (11) utilize data to investigate harmful criminal practices (e.g., identification and removal of batches of fentanyl laced drugs), and (12) conduct a research evaluation of the project. All activities will target census tracts that meet the requirements for priority considerations under the High Poverty Area and the Enhanced Public Safety in the Qualified Opportunity Zones which are associated with the majority of drug related activities and arrests and calls relating to drug overdoses.

City of Holyoke

Massachusetts

The Holyoke, Massachusetts, Police Department (HPD) proposes to implement the Expansion of Recovery from Addiction to Substances Efforts II (ERASE-II), which is a multi-component and multi-discipline project designed to significantly improve efforts to curb and eliminate the substantial opiate, stimulant, and substance problem in Holyoke with a goal of a fully sustainable addiction response program in the city. Holyoke is a small, postindustrial city of 38,238 people with elevated levels of concentrated poverty, illicit drug use and abuse, drug trafficking and gang activity. ERASE-II is comprised of a multidisciplinary team, which includes partnerships with community-based service providers Center for Human Development (CHD), the Holyoke Police Department (HPD), Gandara (a community-based behavioral health provider), CERTE (our research and evaluation partner), the court, and the Hampden County Sheriff who oversees the Hampden County Correctional Center in the Holyoke jurisdiction. The purpose of ERASE-II is to implement a multi-component intervention program with project activities that include; (1) support individuals with opioid, stimulant, and other illicit substance issues with interventions to reduce addictions and associated mental health needs, (2) to reduce overdoses and overdose deaths through prevention and intervention strategies, (3) to divert individuals with substance use issues, and (4) to reduce substance-related crime in Holyoke. To meet objectives, we will: implement a team comprised of an Intervention Officer, two Recovery Coaches, and an Outreach Coordinator. The team will: (1) intervene in OD calls, (2) identify engage and recruit ERASE-II clients, (3) provide direct supports and peer-to-peer services to clients, (4) refer and connect ERASE-II clients to evidence based programs, including MAT and Detox programs, (5) divert clients from arrest and divert from incarceration, (6) connect homeless clients with substance addiction to short term housing, (7) conduct extensive outreach and community-based support of clients, (8) provide a walk-in support space for individuals with substance use issues in a central location, (9) provide transitional supports to clients returning from incarceration, (10) improve data management and case management capabilities to better support clients, (11) utilize data to investigate harmful criminal practices (e.g., identification and removal of batches of fentanyl laced drugs), and (12) conduct a research evaluation of the project. All activities will target census tracts that meet the requirements for priority considerations under the High Poverty Area and the Enhanced Public Safety in the Qualified Opportunity Zones which are associated with the majority of drug related activities and arrests and calls relating to drug overdoses.

MA

The City of Holyoke Police Department (HPD) applied for Category 1c rural/tribal area grant funding in the amount of $597,650. Project ERASE (Expansion of Recovery from Addiction to Substances Efforts) will implement a multicomponent intervention program designed to (1) support individuals with opioid, stimulant, and other illicit substance issues with interventions to reduce addictions and associated mental health needs, (2) reduce overdoses and overdose deaths through prevention and intervention strategies, and (3) reduce substance-related crime in Holyoke. This project serves Behavioral Health Network and Gandara, the Holyoke Police Department, Hampden County Sheriff, Holyoke Probation, and research partners. The project includes partnerships between the House of Corrections to provide detox treatment options and develop a law enforcement liaison between HPD, the courts, and probation personnel. Priority considerations addressed in this application include a high-poverty area and enhanced public safety in Qualified Opportunity Zones.

City of Holyoke Police Department

Massachusetts

The City of Holyoke Police Department (HPD) applied for Category 1c rural/tribal area grant funding in the amount of $597,650. Project ERASE (Expansion of Recovery from Addiction to Substances Efforts) will implement a multicomponent intervention program designed to (1) support individuals with opioid, stimulant, and other illicit substance issues with interventions to reduce addictions and associated mental health needs, (2) reduce overdoses and overdose deaths through prevention and intervention strategies, and (3) reduce substance-related crime in Holyoke. This project serves Behavioral Health Network and Gandara, the Holyoke Police Department, Hampden County Sheriff, Holyoke Probation, and research partners. The project includes partnerships between the House of Corrections to provide detox treatment options and develop a law enforcement liaison between HPD, the courts, and probation personnel. Priority considerations addressed in this application include a high-poverty area and enhanced public safety in Qualified Opportunity Zones.

TX

The Houston Health Department (HHD) serves the city of Houston with a 2.3 million population. This project includes partnership with Houston Police Department (HPD) and The Center for Recovery and Wellness Resources (CRWR). This project, Collaboration Houston: Addressing Substance Use and Misuse (CHASM), expands upon COSSAP funded surveillance and alert system to inform outreach, education and mobilization. CHASM will implement a locally driven, comprehensive response to address substance use and misuse by: (1) Providing targeted substance use awareness activities in partnership with law enforcement for with K-12 students and curriculum-based education with justice involved individuals, parents/caregivers and older adults. (2) Integrating data from the current opioid surveillance system to improve community awareness, program messaging, and mobilization of stakeholder response. (3) Delivering evidence-based substance use treatment and recovery support services. Houston/Harris County continues to experience a rise in opioid misuse and overdose. In 2020, Harris County was the highest Texas county for the number of accidental poisoning deaths involving opioids. This area continues to experience increased rates of illicit drug use from 6.6 per 100,000 in 2010 to 9.1 in 2020. During this same period, death rates from substance use increased from 9.2 to 17.7, greater than Texas rate. Most drugs being used in Houston, including heroin and opioids, are now being cut with fentanyl further complicating this epidemic in Houston. Deaths involving fentanyl skyrocketed by 341% from 2019-2021. Houston is known as one of the most racially/ethnically diverse large metropolitan areas in the country, with over 145 languages spoken. However, Houston has an overrepresentation of underserved communities of color. In these neighborhoods, populations are of greater risk and require specific interventions, including youth and justice involved individuals. CHASM partners with law enforcement and recovery experts providing specific strategies for these communities and populations that are more likely to be impacted by opioid overdose, stimulants and other substance use. Awareness activities, curriculum-based education and substance use treatment will be augmented with real-time surveillance data. Public access to web-based data will include a warning system to gauge opioid overdoses, deaths and substance use trends in Houston. CHASM promotes public safety and supports access to recovery services. CHASM responds to contextual changes in the opioid epidemic through multi-sector collaboration and strategic, evidence-based interventions for individuals, groups and communities with higher vulnerability.

City of Houston Health Department

Texas

The Houston Health Department (HHD) serves the city of Houston with a 2.3 million population. This project includes partnership with Houston Police Department (HPD) and The Center for Recovery and Wellness Resources (CRWR). This project, Collaboration Houston: Addressing Substance Use and Misuse (CHASM), expands upon COSSAP funded surveillance and alert system to inform outreach, education and mobilization. CHASM will implement a locally driven, comprehensive response to address substance use and misuse by: (1) Providing targeted substance use awareness activities in partnership with law enforcement for with K-12 students and curriculum-based education with justice involved individuals, parents/caregivers and older adults. (2) Integrating data from the current opioid surveillance system to improve community awareness, program messaging, and mobilization of stakeholder response. (3) Delivering evidence-based substance use treatment and recovery support services. Houston/Harris County continues to experience a rise in opioid misuse and overdose. In 2020, Harris County was the highest Texas county for the number of accidental poisoning deaths involving opioids. This area continues to experience increased rates of illicit drug use from 6.6 per 100,000 in 2010 to 9.1 in 2020. During this same period, death rates from substance use increased from 9.2 to 17.7, greater than Texas rate. Most drugs being used in Houston, including heroin and opioids, are now being cut with fentanyl further complicating this epidemic in Houston. Deaths involving fentanyl skyrocketed by 341% from 2019-2021. Houston is known as one of the most racially/ethnically diverse large metropolitan areas in the country, with over 145 languages spoken. However, Houston has an overrepresentation of underserved communities of color. In these neighborhoods, populations are of greater risk and require specific interventions, including youth and justice involved individuals. CHASM partners with law enforcement and recovery experts providing specific strategies for these communities and populations that are more likely to be impacted by opioid overdose, stimulants and other substance use. Awareness activities, curriculum-based education and substance use treatment will be augmented with real-time surveillance data. Public access to web-based data will include a warning system to gauge opioid overdoses, deaths and substance use trends in Houston. CHASM promotes public safety and supports access to recovery services. CHASM responds to contextual changes in the opioid epidemic through multi-sector collaboration and strategic, evidence-based interventions for individuals, groups and communities with higher vulnerability.

NC

The City of Jacksonville continues to utilize COSSAP 2019 funding with a focus on enhancing the services array with Transitional Housing Services assistance and Residential/Rehabilitation Treatment costs. Individuals identified within the COSSAP program who are eligible for transitional housing services or treatment services due to inability to provide these services for themselves will work with the Jacksonville Police Department’s Substance Abuse Counselor to locate and obtain these services through the Program. In addition, Staff will be expanding the initiative to train and provide access to life saving Naloxone in public buildings and transportation across the City and surrounding area.

City of Jacksonville

North Carolina

The City of Jacksonville continues to utilize COSSAP 2019 funding with a focus on enhancing the services array with Transitional Housing Services assistance and Residential/Rehabilitation Treatment costs. Individuals identified within the COSSAP program who are eligible for transitional housing services or treatment services due to inability to provide these services for themselves will work with the Jacksonville Police Department’s Substance Abuse Counselor to locate and obtain these services through the Program. In addition, Staff will be expanding the initiative to train and provide access to life saving Naloxone in public buildings and transportation across the City and surrounding area.

NC

In 2016, Jacksonville, North Carolina, was ranked in the Castlight Health report (The Opioid Crisis in America’s Workforce) as the 12th top city for opioid abuse rate in the US, with 8.2 percent of people in the community who receive and abuse an opioid prescription. The report stated that approximately 16,000 residents struggle with prescription abuse. Current statistics show a significant problem in the county, including a rise in overdose deaths following the COVID-19 pandemic. The Onslow County rate of death from overdose increased by 85 percent from 2019 to 2021. The 2022 COSSAP project will expand on the successes of the 2019 project and continue to partner with stakeholders in developing and executing a comprehensive effort to respond to, treat, and support those impacted by the opioid and substance use crisis. The project’s goal is to decrease overdose deaths in our community by developing resources that provide services to individuals struggling with opioid and substance use disorders and their family members. The project will be comprised of seven components; (1) redevelopment of a Quick Response Team, a focused effort to allow individuals to be diverted from the justice system at the two lowest levels of the Sequential Intercept Model; Intercept 0 Community Services and Intercept 1 Law Enforcement; (2) support implementation of peer navigators within the community paramedic program for overdose victims encountered through emergency medical services to swiftly direct them to services and assist with case management after encounter; (3) a law assisted diversion program to direct low level drug offenders to treatment and prevent them from entering criminal justice system (4) an overdose fatality review team to bring together various stakeholders with different perspectives to review overdose deaths; (5) child psychology services to provide therapy for children with adverse childhood experiences due to exposure to substance use in additional to a substance use counselor to work with the school system providing education and referral services to families experiencing SUD. The project will also include evaluation utilizing experienced social science research evaluators. This project will serve individuals in the City of Jacksonville (pop 72,447) and the County of Onslow, NC (pop 193,893) and includes partners from the governmental, non-profit and service provider business entities. These partners include: Onslow County, Onslow County Department of Social Services, Onslow County Health Department, Onslow County Emergency Services, the Dix Crisis Center, Integrated Family Services, the Onslow County District Attorney’s Office, District and Superior Court Judges, Onslow County Schools, Onslow Memorial Hospital, and the Onslow County Partnership for Children.

City of Jacksonville

North Carolina

In 2016, Jacksonville, North Carolina, was ranked in the Castlight Health report (The Opioid Crisis in America’s Workforce) as the 12th top city for opioid abuse rate in the US, with 8.2 percent of people in the community who receive and abuse an opioid prescription. The report stated that approximately 16,000 residents struggle with prescription abuse. Current statistics show a significant problem in the county, including a rise in overdose deaths following the COVID-19 pandemic. The Onslow County rate of death from overdose increased by 85 percent from 2019 to 2021. The 2022 COSSAP project will expand on the successes of the 2019 project and continue to partner with stakeholders in developing and executing a comprehensive effort to respond to, treat, and support those impacted by the opioid and substance use crisis. The project’s goal is to decrease overdose deaths in our community by developing resources that provide services to individuals struggling with opioid and substance use disorders and their family members. The project will be comprised of seven components; (1) redevelopment of a Quick Response Team, a focused effort to allow individuals to be diverted from the justice system at the two lowest levels of the Sequential Intercept Model; Intercept 0 Community Services and Intercept 1 Law Enforcement; (2) support implementation of peer navigators within the community paramedic program for overdose victims encountered through emergency medical services to swiftly direct them to services and assist with case management after encounter; (3) a law assisted diversion program to direct low level drug offenders to treatment and prevent them from entering criminal justice system (4) an overdose fatality review team to bring together various stakeholders with different perspectives to review overdose deaths; (5) child psychology services to provide therapy for children with adverse childhood experiences due to exposure to substance use in additional to a substance use counselor to work with the school system providing education and referral services to families experiencing SUD. The project will also include evaluation utilizing experienced social science research evaluators. This project will serve individuals in the City of Jacksonville (pop 72,447) and the County of Onslow, NC (pop 193,893) and includes partners from the governmental, non-profit and service provider business entities. These partners include: Onslow County, Onslow County Department of Social Services, Onslow County Health Department, Onslow County Emergency Services, the Dix Crisis Center, Integrated Family Services, the Onslow County District Attorney’s Office, District and Superior Court Judges, Onslow County Schools, Onslow Memorial Hospital, and the Onslow County Partnership for Children.

OK

The City of Jay accepted funding for a Category 1 award in the amount of $600,000. The Delaware County COSSAP program continues to develop comprehensive, locally driven responses to opioids, stimulants, and other substances of misuse by expanding access to treatment and recovery support services. The program employs a recovery services coordinator who supports the existing efforts of law enforcement case managers and the drug court supervisor. Meanwhile, the Project Coordinator seeks out additional strategic partnerships in efforts to reduce stigma and entice treatment seeking behaviors in place of law enforcement involvement. Project also focuses on substance use prevention in the local school districts by increasing community/parent/youth awareness of emerging drug trends. Local and national speakers are utilized for presentations and/or trainings, regarding evidence-based prevention curriculum. A COSSAP Advisory Council has been formed to serve as a formal cross-agency collaboration assembled for strategic planning and communication across the county. The program is working to facilitate comprehensive, real-time, regional information collection, analysis, and dissemination by ensuring that law enforcement agencies throughout the county have an officer trained to utilize ODMAP. This addresses the need for quality data collection, which is currently a challenge to obtain because of a lack of resources within this rural community. Project serves all of Delaware County, Oklahoma, which has a population of 42,433. The project includes partnerships between the Ottawa/Delaware County Drug Court Program, the Delaware County Health Department, the Delaware County Sheriff’s Department, Jay Police Department, Cherokee Nation Behavioral Health Prevention Programs, Delaware County Community Partnerships, Grand MH, Grove Police Department, Community Health Centers of NE Oklahoma and the Northeastern Oklahoma Regional Alliance. This project will engage CARE Consulting Group, led by Principal Investigator Dr. Jeremy Goldbach, as the evaluation partner. Priority considerations addressed in this application include Delaware County being an area with a high rate of primary treatment admissions for heroin, opioids, and stimulants and a lack of accessibility to treatment providers, facilities, and emergency medical services. In addition, Delaware County contains several census tracts that are high-poverty areas.

City of Jay

Oklahoma

The City of Jay accepted funding for a Category 1 award in the amount of $600,000. The Delaware County COSSAP program continues to develop comprehensive, locally driven responses to opioids, stimulants, and other substances of misuse by expanding access to treatment and recovery support services. The program employs a recovery services coordinator who supports the existing efforts of law enforcement case managers and the drug court supervisor. Meanwhile, the Project Coordinator seeks out additional strategic partnerships in efforts to reduce stigma and entice treatment seeking behaviors in place of law enforcement involvement. Project also focuses on substance use prevention in the local school districts by increasing community/parent/youth awareness of emerging drug trends. Local and national speakers are utilized for presentations and/or trainings, regarding evidence-based prevention curriculum. A COSSAP Advisory Council has been formed to serve as a formal cross-agency collaboration assembled for strategic planning and communication across the county. The program is working to facilitate comprehensive, real-time, regional information collection, analysis, and dissemination by ensuring that law enforcement agencies throughout the county have an officer trained to utilize ODMAP. This addresses the need for quality data collection, which is currently a challenge to obtain because of a lack of resources within this rural community. Project serves all of Delaware County, Oklahoma, which has a population of 42,433. The project includes partnerships between the Ottawa/Delaware County Drug Court Program, the Delaware County Health Department, the Delaware County Sheriff’s Department, Jay Police Department, Cherokee Nation Behavioral Health Prevention Programs, Delaware County Community Partnerships, Grand MH, Grove Police Department, Community Health Centers of NE Oklahoma and the Northeastern Oklahoma Regional Alliance. This project will engage CARE Consulting Group, led by Principal Investigator Dr. Jeremy Goldbach, as the evaluation partner. Priority considerations addressed in this application include Delaware County being an area with a high rate of primary treatment admissions for heroin, opioids, and stimulants and a lack of accessibility to treatment providers, facilities, and emergency medical services. In addition, Delaware County contains several census tracts that are high-poverty areas.

WA

The Kirkland City Jail project will implement a holistic, evidence-based, comprehensive opioid, stimulant, and substance use site-based program that would provide lifesaving screening for substance use disorder, on-site medication-assisted treatment (MAT) options, drug-harm diversion support services, and transitional reentry planning for incarcerated individuals struggling with substance use disorder. By partnering with peer and community resources, the Kirkland City Jail's comprehensive opioid, stimulant, and substance use site-based program will (1) establish an in custody care infrastructure designed to provide quality treatment for individuals, (2) reduce the devastating impacts of substance use disorder, such as withdrawal, recidivism, overdose, and death, on individuals, families, and the surrounding community, (3) mitigate the consequences associated with substance use disorder, such as in-custody violence, self-harm, and withdrawal symptoms, (4) improve the quality of life for individuals suffering from a substance use disorder, (5) provide training and education for staff, individuals, families, and the community on substance use disorder and the stigma associated with MAT as a treatment modality. The Kirkland City Jail will partner with a substance use disorder treatment provider for on-site MAT medication management for patients with existing prescriptions, MAT medication, such as methadone, buprenorphine (brand names Suboxone, Subutex, and others), and extended release naltrexone (ER-naltrexone, brand name Vivitrol) induction for qualified individuals without a prescription, in-person or virtual behavioral therapy, drug-harm diversion resources, and comprehensive transitional reentry planning. A Kirkland City Jail comprehensive opioid, stimulant, and substance use site-based program will help bridge the gap between public safety and public health by providing life-saving treatment options for incarcerated individuals with substance use disorders before and after transitioning back into the community. The program will serve surrounding communities with an estimated population of 164,355.

City of Kirkland

Washington

The Kirkland City Jail project will implement a holistic, evidence-based, comprehensive opioid, stimulant, and substance use site-based program that would provide lifesaving screening for substance use disorder, on-site medication-assisted treatment (MAT) options, drug-harm diversion support services, and transitional reentry planning for incarcerated individuals struggling with substance use disorder. By partnering with peer and community resources, the Kirkland City Jail's comprehensive opioid, stimulant, and substance use site-based program will (1) establish an in custody care infrastructure designed to provide quality treatment for individuals, (2) reduce the devastating impacts of substance use disorder, such as withdrawal, recidivism, overdose, and death, on individuals, families, and the surrounding community, (3) mitigate the consequences associated with substance use disorder, such as in-custody violence, self-harm, and withdrawal symptoms, (4) improve the quality of life for individuals suffering from a substance use disorder, (5) provide training and education for staff, individuals, families, and the community on substance use disorder and the stigma associated with MAT as a treatment modality. The Kirkland City Jail will partner with a substance use disorder treatment provider for on-site MAT medication management for patients with existing prescriptions, MAT medication, such as methadone, buprenorphine (brand names Suboxone, Subutex, and others), and extended release naltrexone (ER-naltrexone, brand name Vivitrol) induction for qualified individuals without a prescription, in-person or virtual behavioral therapy, drug-harm diversion resources, and comprehensive transitional reentry planning. A Kirkland City Jail comprehensive opioid, stimulant, and substance use site-based program will help bridge the gap between public safety and public health by providing life-saving treatment options for incarcerated individuals with substance use disorders before and after transitioning back into the community. The program will serve surrounding communities with an estimated population of 164,355.

CA

The Long Beach City Prosecutor’s Office (CPO) is applying for Category 1 funding in the amount of $900,000. The Long Beach CPO Law Enforcement Assisted Diversion (LEAD) program will be implemented throughout the entire Long Beach community with a focus on high poverty area zip codes, targeting justice-involved individuals who meet criteria for pre-filing and pre-booking diversion intercepts. The project will expand supportive services through capacity building and training, access to wraparound case management, LEAD awareness building, and collective dialogue. The Long Beach Deputy City Prosecutor will develop guidelines that the Long Beach Police Department can utilize to determine an individual’s candidacy for diversion, develop training materials to be used for capacity building workshops with the Long Beach Police Department and other city departments, and create materials explaining how communities can implement and support diversion initiatives. The project serves the City of Long Beach, which has a population of 464,073. The project includes partnerships between the CPO and the Long Beach Police Department, the Long Beach Department of Health and Human Services, and community-based organizations providing services related to substance use, mental health, and homelessness. The project will engage NPC Research as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community and will benefit individuals residing in high-poverty areas.

City of Long Beach

California

The Long Beach City Prosecutor’s Office (CPO) is applying for Category 1 funding in the amount of $900,000. The Long Beach CPO Law Enforcement Assisted Diversion (LEAD) program will be implemented throughout the entire Long Beach community with a focus on high poverty area zip codes, targeting justice-involved individuals who meet criteria for pre-filing and pre-booking diversion intercepts. The project will expand supportive services through capacity building and training, access to wraparound case management, LEAD awareness building, and collective dialogue. The Long Beach Deputy City Prosecutor will develop guidelines that the Long Beach Police Department can utilize to determine an individual’s candidacy for diversion, develop training materials to be used for capacity building workshops with the Long Beach Police Department and other city departments, and create materials explaining how communities can implement and support diversion initiatives. The project serves the City of Long Beach, which has a population of 464,073. The project includes partnerships between the CPO and the Long Beach Police Department, the Long Beach Department of Health and Human Services, and community-based organizations providing services related to substance use, mental health, and homelessness. The project will engage NPC Research as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community and will benefit individuals residing in high-poverty areas.

MA

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

City of Lowell

Massachusetts

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

WI

The City of Madison Police Department proposes to enhance its pre-arrest diversion program with additional pathways to treatment that include self-referral, active outreach, naloxone plus (Quick Response Team), and officer prevention and intervention. Grant funds will be used to hire an addiction resource team comprised of an addiction resource officer, community paramedic, and certified peer specialist, as well as an assessment clinician for referred clients, program evaluator, and project coordinator. Additional funds will be used to purchase naloxone for community distribution. The project services residents of Madison and Dane County. Project partners include Public Health Madison and Dane County, Dane County Department of Human Services, Madison Fire Department, and the University of Wisconsin Population Health Institute (UW PHI). The project will engage Janae Goodrich of the UW PHI as the research partner.

City of Madison

Wisconsin

The City of Madison Police Department proposes to enhance its pre-arrest diversion program with additional pathways to treatment that include self-referral, active outreach, naloxone plus (Quick Response Team), and officer prevention and intervention. Grant funds will be used to hire an addiction resource team comprised of an addiction resource officer, community paramedic, and certified peer specialist, as well as an assessment clinician for referred clients, program evaluator, and project coordinator. Additional funds will be used to purchase naloxone for community distribution. The project services residents of Madison and Dane County. Project partners include Public Health Madison and Dane County, Dane County Department of Human Services, Madison Fire Department, and the University of Wisconsin Population Health Institute (UW PHI). The project will engage Janae Goodrich of the UW PHI as the research partner.

WV

The City of Martinsburg, West Virginia, is partnering with the Martinsburg Initiative (TMI), to expand its substance use prevention and police social work program. The purpose of this project is to develop a comprehensive, multidisciplinary,trauma informed approach by building upon the mission of The Martinsburg Initiative: prevent substance use, build strong families, and empower the community. The project will create a position of project coordinator and add two social workers to the police department to cover all shifts. It will add a peer support specialist to the team to help with recovery services and add two school-based social workers to North and South Middle School. Additionally, a Crisis Intervention Team (CIT) will also be created, trained, and implemented to address individuals with substance use and unmet needs leading to substance use. The project will have three components as primary activities covering prevention, intervention, and treatment. In prevention, school social workers will provide prevention education using the evidence-based curriculum Too Good for Drugs and TMI prevention programs, identified individuals and families will be provided Naloxone, and overdose risk screenings and education will be provided. In intervention, law enforcement referrals will be received at Intercept points 0 and 1 of the Sequential Intercept Model for justice involved individuals at risk for substance use or overdose due to unmet behavioral health or socio-economic needs; case management of identified individuals; referrals, screenings, and evidence based interventions of identified at risk students in the middle schools; and connection to proper community resources to address the risk factors of substance use and overdose. In treatment, access to treatment will be expanded due to a coordinated referral system to local treatment centers and connections from the peer support specialist to help navigate the system and recovery services. This project is expected to have numerous expected outcomes to include the creation of CIT, improved response to substance use and mental health calls, reduced overdoses and overdose deaths particularly juveniles, reduced rates of recidivism, reduced stigma, more diversion into treatment, and increased resiliency in children. The service area is Martinsburg and intended beneficiaries include individuals and children struggling with substance use and their families. By addressing substance use as a public health issue, it aims to improve health and wellbeing of all members of the community.

City of Martinsburg

West Virginia

The City of Martinsburg, West Virginia, is partnering with the Martinsburg Initiative (TMI), to expand its substance use prevention and police social work program. The purpose of this project is to develop a comprehensive, multidisciplinary,trauma informed approach by building upon the mission of The Martinsburg Initiative: prevent substance use, build strong families, and empower the community. The project will create a position of project coordinator and add two social workers to the police department to cover all shifts. It will add a peer support specialist to the team to help with recovery services and add two school-based social workers to North and South Middle School. Additionally, a Crisis Intervention Team (CIT) will also be created, trained, and implemented to address individuals with substance use and unmet needs leading to substance use. The project will have three components as primary activities covering prevention, intervention, and treatment. In prevention, school social workers will provide prevention education using the evidence-based curriculum Too Good for Drugs and TMI prevention programs, identified individuals and families will be provided Naloxone, and overdose risk screenings and education will be provided. In intervention, law enforcement referrals will be received at Intercept points 0 and 1 of the Sequential Intercept Model for justice involved individuals at risk for substance use or overdose due to unmet behavioral health or socio-economic needs; case management of identified individuals; referrals, screenings, and evidence based interventions of identified at risk students in the middle schools; and connection to proper community resources to address the risk factors of substance use and overdose. In treatment, access to treatment will be expanded due to a coordinated referral system to local treatment centers and connections from the peer support specialist to help navigate the system and recovery services. This project is expected to have numerous expected outcomes to include the creation of CIT, improved response to substance use and mental health calls, reduced overdoses and overdose deaths particularly juveniles, reduced rates of recidivism, reduced stigma, more diversion into treatment, and increased resiliency in children. The service area is Martinsburg and intended beneficiaries include individuals and children struggling with substance use and their families. By addressing substance use as a public health issue, it aims to improve health and wellbeing of all members of the community.

WI

Milwaukee County is the most populated county in Wisconsin with an estimated population of 946,687 people in 2020, about 16 percent of the state’s total population. Milwaukee is also the most diverse county in Wisconsin accounting for 62 percent of the state’s total black population. It has the greatest overdose burden in the state, leading in both count and rates. For the first time in 2021, the rate of fatal overdoses was higher among the black population in Milwaukee County than white and Hispanic counterparts. The black population in Milwaukee experienced a 51.7 percent increase in fatal overdose rates from 2020 to 2021, compared to only a 4.8 percent rate increase among the white population. The substances involved in fatal overdoses saw distinct shifts, with a 42 percent increase in the number of cocaine and fentanyl related overdoses from 2020-2021, which was disproportionately experienced by the black population. Milwaukee partners have been limited in identifying the cause of these recent changes. Mi

City of Milwaukee

Wisconsin

Milwaukee County is the most populated county in Wisconsin with an estimated population of 946,687 people in 2020, about 16 percent of the state’s total population. Milwaukee is also the most diverse county in Wisconsin accounting for 62 percent of the state’s total black population. It has the greatest overdose burden in the state, leading in both count and rates. For the first time in 2021, the rate of fatal overdoses was higher among the black population in Milwaukee County than white and Hispanic counterparts. The black population in Milwaukee experienced a 51.7 percent increase in fatal overdose rates from 2020 to 2021, compared to only a 4.8 percent rate increase among the white population. The substances involved in fatal overdoses saw distinct shifts, with a 42 percent increase in the number of cocaine and fentanyl related overdoses from 2020-2021, which was disproportionately experienced by the black population. Milwaukee partners have been limited in identifying the cause of these recent changes. Mi

MN

The Minneapolis Health Department (MHD) will work with the University of Minnesota Medical Center (UMMC), Red Lake Nation, and other partners to implement First Step, leveraging existing care systems, incorporating evidence-based treatments, and facilitating partnerships between psychosocial and medical providers to offer effective services to persons with opioid use disorder (OUD). This project expands previous work by adding a Peer Recovery Navigator (PRN) as the initial connection at the emergency department, who will work with the patient until they are discharged and connected with services. The PRN will build rapport and negotiate immediate and short-term goals with the patient. They will provide close follow up with the patient at the community level and help them get established on medication. The goal will be to have the patient engage in medication-assisted treatment through the delivery of a “bupe bundle” in the emergency department as an entry point to recovery, then connect them with support services in the community. The community-based project will be implemented through Red Lake Nation and serve as a referral for UMMC and first responders. An additional point of entry to First Step will be a mobile medical unit which will have the capacity to deliver MAT and serve both as a connection and referral point for the other components. Minneapolis is experiencing a disproportionate impact from opioid-related overdoses compared to the rest of Minnesota. Two communities within Minneapolis are particularly impacted by the opioid crisis, American Indians, and African Americans. The three-year average (2018-2020) mortality rate of opioid overdose among American Indians (215 deaths per 100,000 persons) is almost nine times higher than the city-wide rate (24 deaths per 100,000 persons), and 12 times that of white residents. For the African American community, the average mortality rate, 41 deaths per 100,000 persons, more than doubles that of the white population. One hundred percent of the budget will be used to implement evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction services and recovery support services.

City of Minneapolis

Minnesota

The Minneapolis Health Department (MHD) will work with the University of Minnesota Medical Center (UMMC), Red Lake Nation, and other partners to implement First Step, leveraging existing care systems, incorporating evidence-based treatments, and facilitating partnerships between psychosocial and medical providers to offer effective services to persons with opioid use disorder (OUD). This project expands previous work by adding a Peer Recovery Navigator (PRN) as the initial connection at the emergency department, who will work with the patient until they are discharged and connected with services. The PRN will build rapport and negotiate immediate and short-term goals with the patient. They will provide close follow up with the patient at the community level and help them get established on medication. The goal will be to have the patient engage in medication-assisted treatment through the delivery of a “bupe bundle” in the emergency department as an entry point to recovery, then connect them with support services in the community. The community-based project will be implemented through Red Lake Nation and serve as a referral for UMMC and first responders. An additional point of entry to First Step will be a mobile medical unit which will have the capacity to deliver MAT and serve both as a connection and referral point for the other components. Minneapolis is experiencing a disproportionate impact from opioid-related overdoses compared to the rest of Minnesota. Two communities within Minneapolis are particularly impacted by the opioid crisis, American Indians, and African Americans. The three-year average (2018-2020) mortality rate of opioid overdose among American Indians (215 deaths per 100,000 persons) is almost nine times higher than the city-wide rate (24 deaths per 100,000 persons), and 12 times that of white residents. For the African American community, the average mortality rate, 41 deaths per 100,000 persons, more than doubles that of the white population. One hundred percent of the budget will be used to implement evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction services and recovery support services.

LA

The City of New Orleans Health Department is applying for a Category 1 award in the amount of $900,000. The Law Enforcement Assisted Diversion (LEAD) program will support a team of LEAD direct service staff. This team will include a case management supervisor overseeing a team of case managers and peer support specialists tasked to provide services within the fidelity of the LEAD model. Major tenants of this approach include providing intensive case management services within a person-centered, trauma-informed, and harm-reduction framework. LEAD case management staff members work to address the root causes of behaviors that led participants to encounters with law enforcement. This approach also benefits the New Orleans Police Department by providing a long-term solution that has historically been addressed through the immediate response of an arrest. Goals of the initiative include reducing municipal arrests and re-arrests in the 8th District related to mental illness and substance use through LEAD diversions to case management, potentially expanding LEAD eligible charges to include simple possession of illicit drugs, and developing and implementing an evaluation plan. This project serves the city of New Orleans, which is contiguous with Orleans Parish and has an estimated population of 390,144. The project includes partnerships with the New Orleans Police Department, the National Alliance on Mental Illness New Orleans, the New Orleans City Attorney’s Office, the Mayor’s Office of Criminal Justice Coordination, the Orleans Public Defender’s Office, the Orleans Parish District Attorney’s Office, and the LEAD National Support Bureau. Priority considerations addressed in this application include a jurisdiction with high rates of overdose deaths and a project that will benefit individuals residing in high-poverty areas or persistent-poverty counties, advance the promotion of civil rights, and build trust between law enforcement and the community.

City of New Orleans

Louisiana

The City of New Orleans Health Department is applying for a Category 1 award in the amount of $900,000. The Law Enforcement Assisted Diversion (LEAD) program will support a team of LEAD direct service staff. This team will include a case management supervisor overseeing a team of case managers and peer support specialists tasked to provide services within the fidelity of the LEAD model. Major tenants of this approach include providing intensive case management services within a person-centered, trauma-informed, and harm-reduction framework. LEAD case management staff members work to address the root causes of behaviors that led participants to encounters with law enforcement. This approach also benefits the New Orleans Police Department by providing a long-term solution that has historically been addressed through the immediate response of an arrest. Goals of the initiative include reducing municipal arrests and re-arrests in the 8th District related to mental illness and substance use through LEAD diversions to case management, potentially expanding LEAD eligible charges to include simple possession of illicit drugs, and developing and implementing an evaluation plan. This project serves the city of New Orleans, which is contiguous with Orleans Parish and has an estimated population of 390,144. The project includes partnerships with the New Orleans Police Department, the National Alliance on Mental Illness New Orleans, the New Orleans City Attorney’s Office, the Mayor’s Office of Criminal Justice Coordination, the Orleans Public Defender’s Office, the Orleans Parish District Attorney’s Office, and the LEAD National Support Bureau. Priority considerations addressed in this application include a jurisdiction with high rates of overdose deaths and a project that will benefit individuals residing in high-poverty areas or persistent-poverty counties, advance the promotion of civil rights, and build trust between law enforcement and the community.

LA

Opioid substance use has increased both from prescriptions and illegally manufactured fentanyl. The Orleans Parish, Louisiana, Coroner’s office stated that overdose deaths rose by 35 percent in 2021 and fentanyl was present in 94 percent of those autopsies. People with substance use disorder (SUD), including opioid use disorder (OUD), have been hit especially hard by the COVID-19 pandemic. An independent assessment by the Pew Charitable Trust found that low access to treatment is largely driven by the limited number of providers across Louisiana. These considerations will inform New Orleans Emergency Medical Services’ (NOEMS) approach to this program. NOEMS is responsive to the unique considerations of marginalized groups and this project will include several culturally sensitive measures. The project will span across New Orleans, which is coextensive with Orleans Parish, in collaboration with local non-profit behavioral healthcare facility Odyssey House Louisiana (OHL). NOEMS will provide overdose response, wraparound services, harm reduction activities, education, and prevention services to individuals who experience an overdose, including those who do not consent to transport to an emergency department. NOEMS and OHL will implement this program utilizing three trained outreach coordinators on a rapid response team that will link the citizens to treatment, services, education, overdose prevention strategies, and direct services on scene and provide transportation as needed to treatment. Project activities include: (1) deflection and pre-arrest diversion–NOEMS and OHL will collaborate to ensure that as many needs as possible are met at the scene of an overdose. Anyone who is revived from an overdose and does not wish to be transported to an emergency department will be diverted to a treatment program if they request a referral; (2) real-time data collection–the NOEMS program coordinator will collect real-time data from electronic patient care reports on overdose patients; (3) naloxone–with COSSAP funding, the program will purchase 350 Naloxone kits per year for distribution to every person included in this program. The program utilizes 67 percent of the budget for program staff which includes four team members dedicated to this program. The remainder of the budget is used for program related travel, outside evaluation services, supplies and equipment. This program expects to assist 350 individuals affected by opioid overdoses each year (1,050 total).

City of New Orleans EMS

Louisiana

Opioid substance use has increased both from prescriptions and illegally manufactured fentanyl. The Orleans Parish, Louisiana, Coroner’s office stated that overdose deaths rose by 35 percent in 2021 and fentanyl was present in 94 percent of those autopsies. People with substance use disorder (SUD), including opioid use disorder (OUD), have been hit especially hard by the COVID-19 pandemic. An independent assessment by the Pew Charitable Trust found that low access to treatment is largely driven by the limited number of providers across Louisiana. These considerations will inform New Orleans Emergency Medical Services’ (NOEMS) approach to this program. NOEMS is responsive to the unique considerations of marginalized groups and this project will include several culturally sensitive measures. The project will span across New Orleans, which is coextensive with Orleans Parish, in collaboration with local non-profit behavioral healthcare facility Odyssey House Louisiana (OHL). NOEMS will provide overdose response, wraparound services, harm reduction activities, education, and prevention services to individuals who experience an overdose, including those who do not consent to transport to an emergency department. NOEMS and OHL will implement this program utilizing three trained outreach coordinators on a rapid response team that will link the citizens to treatment, services, education, overdose prevention strategies, and direct services on scene and provide transportation as needed to treatment. Project activities include: (1) deflection and pre-arrest diversion–NOEMS and OHL will collaborate to ensure that as many needs as possible are met at the scene of an overdose. Anyone who is revived from an overdose and does not wish to be transported to an emergency department will be diverted to a treatment program if they request a referral; (2) real-time data collection–the NOEMS program coordinator will collect real-time data from electronic patient care reports on overdose patients; (3) naloxone–with COSSAP funding, the program will purchase 350 Naloxone kits per year for distribution to every person included in this program. The program utilizes 67 percent of the budget for program staff which includes four team members dedicated to this program. The remainder of the budget is used for program related travel, outside evaluation services, supplies and equipment. This program expects to assist 350 individuals affected by opioid overdoses each year (1,050 total).

NY

The New York City Office of the Chief Medical Examiner (OCME) is applying for Category 1 funding in the amount of $1,194,050. The project will enable OCME’s Drug Intelligence and Intervention Group (DIIG) to expand three initiatives: the suspected potential overdose tracking (SPOT) system, which is designed to inform key stakeholders of rapidly evolving overdose trends across New York City; the recently restructured New York City Overdose Fatality Review (OFR), by implementing a data management and evaluation system that incorporates an investigation of the social determinants of health associated with overdose deaths to ensure that OFR recommendations and outcomes are tracked systematically; and an OCME-based service referral program for next of kin of overdose decedents, by conducting a needs assessment and pilot program to better understand and meet the complex needs of next-of-kin. The goals of the project are to share overdose and drug use data and information quickly and effectively, examine the social determinants of health and structural inequalities that lead to high rates of overdose in high poverty areas of the city, and expand grief and trauma support for families of overdose victims, as well as linkages to care for high-risk individuals and social networks. The project serves New York City (population 8.3 million), with a focus on Bronx County, which has a population of 1.4 million. The project includes partnerships with the New York State Department of Health’s Office of Drug User Health Post Overdose Response Team (PORT), New York City’s Correctional Health Services, the New York City Police Department, the New York State Office of Addiction Services and Supports, the New York State Bureau of Narcotics Enforcement, New York City’s Department of Health and Mental Hygiene, and the district attorney offices of Manhattan, Queens, Staten Island, and the Bronx. The project will engage Health Research Inc. (HRI) as an evaluator. Priority considerations addressed in this application include an opportunity to benefit individuals residing in high-poverty areas and areas impacted by high rates of overdose deaths.

City of New York

New York

The New York City Office of the Chief Medical Examiner (OCME) is applying for Category 1 funding in the amount of $1,194,050. The project will enable OCME’s Drug Intelligence and Intervention Group (DIIG) to expand three initiatives: the suspected potential overdose tracking (SPOT) system, which is designed to inform key stakeholders of rapidly evolving overdose trends across New York City; the recently restructured New York City Overdose Fatality Review (OFR), by implementing a data management and evaluation system that incorporates an investigation of the social determinants of health associated with overdose deaths to ensure that OFR recommendations and outcomes are tracked systematically; and an OCME-based service referral program for next of kin of overdose decedents, by conducting a needs assessment and pilot program to better understand and meet the complex needs of next-of-kin. The goals of the project are to share overdose and drug use data and information quickly and effectively, examine the social determinants of health and structural inequalities that lead to high rates of overdose in high poverty areas of the city, and expand grief and trauma support for families of overdose victims, as well as linkages to care for high-risk individuals and social networks. The project serves New York City (population 8.3 million), with a focus on Bronx County, which has a population of 1.4 million. The project includes partnerships with the New York State Department of Health’s Office of Drug User Health Post Overdose Response Team (PORT), New York City’s Correctional Health Services, the New York City Police Department, the New York State Office of Addiction Services and Supports, the New York State Bureau of Narcotics Enforcement, New York City’s Department of Health and Mental Hygiene, and the district attorney offices of Manhattan, Queens, Staten Island, and the Bronx. The project will engage Health Research Inc. (HRI) as an evaluator. Priority considerations addressed in this application include an opportunity to benefit individuals residing in high-poverty areas and areas impacted by high rates of overdose deaths.

MA

The City of Newburyport, Massachusetts, leads the Essex County Outreach (ECO) program. The primary focus of the project is law enforcement and first responder deflection and diversion programming (98 percent of the budget), followed by real-time data collection (two percent of the budget). This project serves the area of Essex County, which has a population of 785,205. ECO is a police-directed post-overdose outreach model and serves to make treatment more accessible for those struggling with substance use disorder (SUD) and their families. The key components of this program are informed by a recent Sequential Intercept Mapping Model (SIM) process that ECO completed, as well as lessons learned from the first four ECO program years. The ECO COSSAP grant prioritizes the following strategies that have emerged as gaps in resources: (1) program coordination/administrative support; (2) funding for police overtime for post-overdose follow-up visits; (3) clinical/child advocacy services; (4) housing and transportation resources to support clients in early stages of recovery; (5) addiction and recovery training for police officers; and (6) expansion of access to harm reduction supplies/kits. This project includes partnerships between the 34 police departments in Essex County, the Essex County Sheriff’s Department, and all local treatment providers and community service providers. ECO is administered by the Newburyport Police Department along with the Essex County Chief’s Association. The research partner for this project will maintain the Critical Incident Management System (CIMS) software which records real-time data on all overdoses that occur in Essex County. CIMS also manages and documents incident follow-up outreach visits to determine the success at connecting individuals with treatment services, shares information across communities using a county-wide incident notification system and provides real-time reporting tools.

City of Newburyport

Massachusetts

The City of Newburyport, Massachusetts, leads the Essex County Outreach (ECO) program. The primary focus of the project is law enforcement and first responder deflection and diversion programming (98 percent of the budget), followed by real-time data collection (two percent of the budget). This project serves the area of Essex County, which has a population of 785,205. ECO is a police-directed post-overdose outreach model and serves to make treatment more accessible for those struggling with substance use disorder (SUD) and their families. The key components of this program are informed by a recent Sequential Intercept Mapping Model (SIM) process that ECO completed, as well as lessons learned from the first four ECO program years. The ECO COSSAP grant prioritizes the following strategies that have emerged as gaps in resources: (1) program coordination/administrative support; (2) funding for police overtime for post-overdose follow-up visits; (3) clinical/child advocacy services; (4) housing and transportation resources to support clients in early stages of recovery; (5) addiction and recovery training for police officers; and (6) expansion of access to harm reduction supplies/kits. This project includes partnerships between the 34 police departments in Essex County, the Essex County Sheriff’s Department, and all local treatment providers and community service providers. ECO is administered by the Newburyport Police Department along with the Essex County Chief’s Association. The research partner for this project will maintain the Critical Incident Management System (CIMS) software which records real-time data on all overdoses that occur in Essex County. CIMS also manages and documents incident follow-up outreach visits to determine the success at connecting individuals with treatment services, shares information across communities using a county-wide incident notification system and provides real-time reporting tools.

MA

Newburyport Police Department (NPD) in Massachusetts, one of the founding departments of the Essex County Outreach Program, proposes to expand the outreach program to encompass all of Essex County. The Essex County Outreach Program is a series of stigma-free entry points to treatment on demand. The program supports nonarrest or early diversion program models that reach people before they enter the criminal justice system. The program supports multiple law enforcement entry points to treatment, including self-referrals to the stations. Cross-sector collaboration and partnerships are key to the program’s success which is supported by clinicians, social workers, recovery coaches, and trained volunteers.

City of Newburyport

Massachusetts

Newburyport Police Department (NPD) in Massachusetts, one of the founding departments of the Essex County Outreach Program, proposes to expand the outreach program to encompass all of Essex County. The Essex County Outreach Program is a series of stigma-free entry points to treatment on demand. The program supports nonarrest or early diversion program models that reach people before they enter the criminal justice system. The program supports multiple law enforcement entry points to treatment, including self-referrals to the stations. Cross-sector collaboration and partnerships are key to the program’s success which is supported by clinicians, social workers, recovery coaches, and trained volunteers.

NV

The project serves the city of North Las Vegas with a population of approximately 216,961. The purpose of the project is to expand recovery support services and discharge planning for individuals leaving a correctional setting and returning to the community. The project addresses the allowable use of providing evidence-based recovery support services (80 percent of the budget) and transitional or recovery housing (10 percent of the budget). The project includes partnerships with Elevation Health Services. This application also includes program evaluation which is identified as a priority consideration (10 percent of the budget).

City of North Las Vegas

Nevada

The project serves the city of North Las Vegas with a population of approximately 216,961. The purpose of the project is to expand recovery support services and discharge planning for individuals leaving a correctional setting and returning to the community. The project addresses the allowable use of providing evidence-based recovery support services (80 percent of the budget) and transitional or recovery housing (10 percent of the budget). The project includes partnerships with Elevation Health Services. This application also includes program evaluation which is identified as a priority consideration (10 percent of the budget).

WA

The City of Olympia, Washington, faces a multifaceted crisis of factors related to homelessness, the opioid epidemic, lack of available mental health services, and challenges within the legal system to provide holistic solutions that address the needs of people engaging in low-level criminal activity. By investing in intentional collaboration between local government, social services providers, and research professionals. The City of Olympia believes these challenges can be addressed in a compassionate, evidenced-based way to help reduce the strain on emergency management and create opportunities for success among people impacted by behavioral health issues and criminal justice involvement. There are two primary activities of the project: training for city-employed first responders, and support for case management, peer support, and mental health services for community members. The training topics outlined in this proposal support the continuing education of crisis workers, firefighters, and paramedics during times of crisis, along with tools and resources to cope with the immense secondary trauma they experience that often leads to high burnout. The expansion of capacity in both hours of operation and caseload of a diversion program operated by Catholic Community Services of Western Washington, and the creation of an adult mental health program within the same agency, will provide meaningful solutions to the long-term needs of the community. By utilizing a coordinated approach, the city seeks to improve direct referral pathways from highly competent and well-resourced first responders to appropriate resources for relationship-based support, creating a compassionate and effective response to a community-wide struggle. Throughout the course of the project, a comprehensive process and outcome evaluation will be conducted by a highly-qualified research team at Washington State University. The project partners anticipate outcomes that include measurable increases in perceived and demonstrated skills for first responders, increased client contacts within the diversion program, the existence and operation of a community-based mental health program providing individual and group therapy, peer services, and psychiatric medication management, and decreased dispatch call volume for behavioral health incidents.

City of Olympia

Washington

The City of Olympia, Washington, faces a multifaceted crisis of factors related to homelessness, the opioid epidemic, lack of available mental health services, and challenges within the legal system to provide holistic solutions that address the needs of people engaging in low-level criminal activity. By investing in intentional collaboration between local government, social services providers, and research professionals. The City of Olympia believes these challenges can be addressed in a compassionate, evidenced-based way to help reduce the strain on emergency management and create opportunities for success among people impacted by behavioral health issues and criminal justice involvement. There are two primary activities of the project: training for city-employed first responders, and support for case management, peer support, and mental health services for community members. The training topics outlined in this proposal support the continuing education of crisis workers, firefighters, and paramedics during times of crisis, along with tools and resources to cope with the immense secondary trauma they experience that often leads to high burnout. The expansion of capacity in both hours of operation and caseload of a diversion program operated by Catholic Community Services of Western Washington, and the creation of an adult mental health program within the same agency, will provide meaningful solutions to the long-term needs of the community. By utilizing a coordinated approach, the city seeks to improve direct referral pathways from highly competent and well-resourced first responders to appropriate resources for relationship-based support, creating a compassionate and effective response to a community-wide struggle. Throughout the course of the project, a comprehensive process and outcome evaluation will be conducted by a highly-qualified research team at Washington State University. The project partners anticipate outcomes that include measurable increases in perceived and demonstrated skills for first responders, increased client contacts within the diversion program, the existence and operation of a community-based mental health program providing individual and group therapy, peer services, and psychiatric medication management, and decreased dispatch call volume for behavioral health incidents.

AK

The Palmer, Alaska, Police Department is leading this project on behalf of the Drug Endangered Children Multidisciplinary Task Force (MDT). The MDT was created to address gaps in the response to drug endangered children and their families living in Alaska’s Matanuska-Susitna Borough, to improve communication among agencies serving these populations, and to create a streamlined approach to providing family-centered, early intervention services to this population, with a goal of reducing both child victimization and repeat interactions between families and MDT member agencies. Grant funds will be used to hire a full-time MDT and drug endangered children (DEC) project coordinator to support MDT member agencies in adhering to newly established protocols, keep agencies on task, and collect, track, and analyze relevant data to determine the MDT’s efficacy in achieving its goals. Activities under this project include (1) real-time data collection and evaluation, which will help the MDT better understand the extent of the issue, the number of families referred to services, and determine the efficacy of the MDT’s efforts and adjust processes as needed; and (2) law enforcement and first responder deflection and diversion, through early identification and referrals of drug endangered children and their families to appropriate services to reduce repeat interactions. Roughly 50 percent of the project’s proposed budget is allocated to these uses, either through direct hires or contracts to hire family advocates to provide services and an evaluator to assist in identifying, collecting, and evaluating relevant data. Priority considerations addressed in this application include advancing racial equity and support for underserved communities (Alaska Native populations). This project serves residents of Alaska’s Matanuska-Susitna Borough and includes a partnership between the Alaska State Troopers, Alaska Youth and Family Network, Chickaloon Village Traditional Council, Knik Tribe, Mat-Su Regional Medical Center, Matanuska Susitna Borough School District, Palmer Police Department, State of Alaska Office of Children’s Services, Southcentral Regional Office, State of Alaska, Attorney General’s Office, Civil Division, State of Alaska Palmer District Attorney’s Office, Set Free Alaska, The Children’s Place (Regional Child Advocacy Center), and Wasilla Police Department.

City of Palmer

Alaska

The Palmer, Alaska, Police Department is leading this project on behalf of the Drug Endangered Children Multidisciplinary Task Force (MDT). The MDT was created to address gaps in the response to drug endangered children and their families living in Alaska’s Matanuska-Susitna Borough, to improve communication among agencies serving these populations, and to create a streamlined approach to providing family-centered, early intervention services to this population, with a goal of reducing both child victimization and repeat interactions between families and MDT member agencies. Grant funds will be used to hire a full-time MDT and drug endangered children (DEC) project coordinator to support MDT member agencies in adhering to newly established protocols, keep agencies on task, and collect, track, and analyze relevant data to determine the MDT’s efficacy in achieving its goals. Activities under this project include (1) real-time data collection and evaluation, which will help the MDT better understand the extent of the issue, the number of families referred to services, and determine the efficacy of the MDT’s efforts and adjust processes as needed; and (2) law enforcement and first responder deflection and diversion, through early identification and referrals of drug endangered children and their families to appropriate services to reduce repeat interactions. Roughly 50 percent of the project’s proposed budget is allocated to these uses, either through direct hires or contracts to hire family advocates to provide services and an evaluator to assist in identifying, collecting, and evaluating relevant data. Priority considerations addressed in this application include advancing racial equity and support for underserved communities (Alaska Native populations). This project serves residents of Alaska’s Matanuska-Susitna Borough and includes a partnership between the Alaska State Troopers, Alaska Youth and Family Network, Chickaloon Village Traditional Council, Knik Tribe, Mat-Su Regional Medical Center, Matanuska Susitna Borough School District, Palmer Police Department, State of Alaska Office of Children’s Services, Southcentral Regional Office, State of Alaska, Attorney General’s Office, Civil Division, State of Alaska Palmer District Attorney’s Office, Set Free Alaska, The Children’s Place (Regional Child Advocacy Center), and Wasilla Police Department.

NJ

This project serves the City of Paterson, New Jersey, which has a resident population of 159,732 residents (US Census 2020). The purpose of the project is to expand the work of the Paterson Coalition for Opioid Assessment and Response (COAR). Based on preliminary and still ongoing data collection, COAR is proposing the following interventions to be carried through September 2025, via a COSSAP award: (1) continuation and expansion of the City’s inaugural Opioid Response Team (ORT) and ORT-trained community partners to perform proactive outreach in overdose “hot spot” areas, as identified based on the collective data and research of COAR; (2) continuation and expansion of the ORT’s Post-Overdose Response-styled approach to target individuals in need of outreach as to assure that anyone who overdoses is met with helpful information about recovery options and ongoing case support by the ORT in a timely fashion; (3) support for the ORT’s collaboration with the local hospital’s emergency department to assure that all individuals seeking treatment are met with a high-skill social worker and peer who, together, have the ability to navigate and build a realistic, attainable, and personalized continuum-of-care to support each client, regardless of how complex their needs may be; and (4) support for staff members 100 percent dedicated to managing and building capacity/sustainability of COAR’s initiatives over time. COAR members and regular stakeholders include: law enforcement entities from the local (Paterson Police Department), county (Passaic County Prosecutor’s Office), and state (NJ State Police/Office of the Attorney General); addiction and health professionals from local (Paterson Department of Health and Human Services/Division of Health), county (Passaic County Department of Health and Human Services/Division of Mental Health and Addiction Services), and regional (St. Joseph’s University Health); community-based partners who work hands-on to develop policy (Health Coalition of Passaic County) and programs to support the region’s substance-using residents; and traditional Narcan distributors (Paterson Fire Department and Paterson Emergency Medical Services).

City of Paterson

New Jersey

This project serves the City of Paterson, New Jersey, which has a resident population of 159,732 residents (US Census 2020). The purpose of the project is to expand the work of the Paterson Coalition for Opioid Assessment and Response (COAR). Based on preliminary and still ongoing data collection, COAR is proposing the following interventions to be carried through September 2025, via a COSSAP award: (1) continuation and expansion of the City’s inaugural Opioid Response Team (ORT) and ORT-trained community partners to perform proactive outreach in overdose “hot spot” areas, as identified based on the collective data and research of COAR; (2) continuation and expansion of the ORT’s Post-Overdose Response-styled approach to target individuals in need of outreach as to assure that anyone who overdoses is met with helpful information about recovery options and ongoing case support by the ORT in a timely fashion; (3) support for the ORT’s collaboration with the local hospital’s emergency department to assure that all individuals seeking treatment are met with a high-skill social worker and peer who, together, have the ability to navigate and build a realistic, attainable, and personalized continuum-of-care to support each client, regardless of how complex their needs may be; and (4) support for staff members 100 percent dedicated to managing and building capacity/sustainability of COAR’s initiatives over time. COAR members and regular stakeholders include: law enforcement entities from the local (Paterson Police Department), county (Passaic County Prosecutor’s Office), and state (NJ State Police/Office of the Attorney General); addiction and health professionals from local (Paterson Department of Health and Human Services/Division of Health), county (Passaic County Department of Health and Human Services/Division of Mental Health and Addiction Services), and regional (St. Joseph’s University Health); community-based partners who work hands-on to develop policy (Health Coalition of Passaic County) and programs to support the region’s substance-using residents; and traditional Narcan distributors (Paterson Fire Department and Paterson Emergency Medical Services).

FL

The City of Port St. Lucie (PSL) is located on the Southeast Coast of Florida with a population of 217,523 spread over an area of about 120 square miles. PSL has grown by 32.2 percent since 2010, at a rate of about 2.9 percent annually and has a population density of 1,843 people per square mile. This growth has brought with it considerable challenges, which includes the proliferation of drug overdoses. For this project, the Port St. Lucie Police Department (PSLPD) received grant funding for an Overdose Intervention Diversion Detective (OIDD) to expand its efforts to establish an enhanced response to opioid abuse within the city over grant period. The need to have a OIDD to focus on these cases is apparent and the traditional law enforcement response has proven inadequate to effectively address this growing concern in our community. This grant would help fund investigation of overdose cases and provide a critical service to the victims and families by connecting them to the community resources in place to address this issue. The number of overdose cases has had a negative impact on the community and made this detective position a vital necessity to response to overdoses. PSLPD recognizes that enforcement alone will not address this crisis, but by working together with various community partners, PSLPD believes it will increase access to and availability of substance treatment and recovery support along with education and outreach to the community. PSLPD will collect data on a continual basis to measure the effectiveness of the program by tracking the most at risk citizens for overdoses through daily review of overdose incidents reported in the records management system and the Overdose Detection Mapping Application Program (ODMAP). PSLPD also employs the lifesaving use naloxone to reverse the effect of an opioid overdose, which is assigned to every sworn officer.

City of Port St. Lucie

Florida

The City of Port St. Lucie (PSL) is located on the Southeast Coast of Florida with a population of 217,523 spread over an area of about 120 square miles. PSL has grown by 32.2 percent since 2010, at a rate of about 2.9 percent annually and has a population density of 1,843 people per square mile. This growth has brought with it considerable challenges, which includes the proliferation of drug overdoses. For this project, the Port St. Lucie Police Department (PSLPD) received grant funding for an Overdose Intervention Diversion Detective (OIDD) to expand its efforts to establish an enhanced response to opioid abuse within the city over grant period. The need to have a OIDD to focus on these cases is apparent and the traditional law enforcement response has proven inadequate to effectively address this growing concern in our community. This grant would help fund investigation of overdose cases and provide a critical service to the victims and families by connecting them to the community resources in place to address this issue. The number of overdose cases has had a negative impact on the community and made this detective position a vital necessity to response to overdoses. PSLPD recognizes that enforcement alone will not address this crisis, but by working together with various community partners, PSLPD believes it will increase access to and availability of substance treatment and recovery support along with education and outreach to the community. PSLPD will collect data on a continual basis to measure the effectiveness of the program by tracking the most at risk citizens for overdoses through daily review of overdose incidents reported in the records management system and the Overdose Detection Mapping Application Program (ODMAP). PSLPD also employs the lifesaving use naloxone to reverse the effect of an opioid overdose, which is assigned to every sworn officer.

AR

The City of Searcy is applying for a Category 1 award in the amount of $600,000. The Searcy Police Department Comprehensive Opioid, Stimulant, and Substance Abuse (COSSA) project will promote a higher level of cooperation and collaboration among the local agencies; improve the effectiveness of law enforcement to combat illicit opioid use, possession, and distribution and to improve interdiction efforts through training that focuses on up-to-date and relevant information about opioid misuse protocols, the importance of sharing information statewide, and collaboration between Drug Task Force members and law enforcement in general; and support and offer assistance to those affected by opioid use and opioid overdose. This collaborative effort will produce more effective investigations, prosecutions, treatment, and recovery involving opioids. This project serves Searcy, the largest city and county seat of White County, Arkansas, which has a population of 23,660. The project includes partnerships between the Searcy Police Department, the White County Sheriff’s Office, the Prairie County Sheriff’s Office, the Lonoke County Sheriff’s Office, the Central Arkansas Drug Task Force, and health and rehabilitation community partners.

City of Searcy

Arkansas

The City of Searcy is applying for a Category 1 award in the amount of $600,000. The Searcy Police Department Comprehensive Opioid, Stimulant, and Substance Abuse (COSSA) project will promote a higher level of cooperation and collaboration among the local agencies; improve the effectiveness of law enforcement to combat illicit opioid use, possession, and distribution and to improve interdiction efforts through training that focuses on up-to-date and relevant information about opioid misuse protocols, the importance of sharing information statewide, and collaboration between Drug Task Force members and law enforcement in general; and support and offer assistance to those affected by opioid use and opioid overdose. This collaborative effort will produce more effective investigations, prosecutions, treatment, and recovery involving opioids. This project serves Searcy, the largest city and county seat of White County, Arkansas, which has a population of 23,660. The project includes partnerships between the Searcy Police Department, the White County Sheriff’s Office, the Prairie County Sheriff’s Office, the Lonoke County Sheriff’s Office, the Central Arkansas Drug Task Force, and health and rehabilitation community partners.

WA

The Seattle, Washington, Police Department is testing a program that provides transitional housing and other services to reentering justice-involved women with substance use disorder (SUD) histories who will be returning to Seattle and adjacent locations within King County after transitioning from prison to the community. Using a case-management approach to address women’s multiple service and treatment needs will improve reintegration and is expected to lead to better outcomes for program participants. Allowable activities include: law enforcement deflection and diversion (15 percent); use of real-time data (20 percent); evidence-based SUD treatment related to opioids, stimulants; other illicit drugs MAT, harm-reduction activities, and recovery-support services (30 percent); and transitional or recovery housing and peer recovery-support services (35 percent). Despite previous and ongoing efforts to address the drug-use epidemic, relatively little has been done to specifically address the needs of justice-involved women with SUD histories who are returning to the communities after a period of incarceration. To target justice-involved women with SUD histories, the project aims to align with and enhance existing efforts by: (1) increasing the knowledge and sensitivity of law-enforcement officers to identify and interact with justice-involved women with SUD histories in the community; (2) establishing methods and measures for improving needs and service assessment of justice-involved women with SUD histories before release to the community and regularly across a 12-month period to capture changes in needs regarding social services and SUD treatment; (3) providing housing for reentering women, working with Washington Department of Corrections on a stable housing location with associated program and education options; and (4) coordinating programming and SUD treatment for reentering women including facilitating connections to MAT and other treatment services in the community. Partnering with the Washington Department of Corrections to provide housing, programming and other services, this project will help to fill the gaps in knowledge about this population’s needs and a team of New York University researchers will evaluate the process and document the outcomes.

City of Seattle

Washington

The Seattle, Washington, Police Department is testing a program that provides transitional housing and other services to reentering justice-involved women with substance use disorder (SUD) histories who will be returning to Seattle and adjacent locations within King County after transitioning from prison to the community. Using a case-management approach to address women’s multiple service and treatment needs will improve reintegration and is expected to lead to better outcomes for program participants. Allowable activities include: law enforcement deflection and diversion (15 percent); use of real-time data (20 percent); evidence-based SUD treatment related to opioids, stimulants; other illicit drugs MAT, harm-reduction activities, and recovery-support services (30 percent); and transitional or recovery housing and peer recovery-support services (35 percent). Despite previous and ongoing efforts to address the drug-use epidemic, relatively little has been done to specifically address the needs of justice-involved women with SUD histories who are returning to the communities after a period of incarceration. To target justice-involved women with SUD histories, the project aims to align with and enhance existing efforts by: (1) increasing the knowledge and sensitivity of law-enforcement officers to identify and interact with justice-involved women with SUD histories in the community; (2) establishing methods and measures for improving needs and service assessment of justice-involved women with SUD histories before release to the community and regularly across a 12-month period to capture changes in needs regarding social services and SUD treatment; (3) providing housing for reentering women, working with Washington Department of Corrections on a stable housing location with associated program and education options; and (4) coordinating programming and SUD treatment for reentering women including facilitating connections to MAT and other treatment services in the community. Partnering with the Washington Department of Corrections to provide housing, programming and other services, this project will help to fill the gaps in knowledge about this population’s needs and a team of New York University researchers will evaluate the process and document the outcomes.

OH

The City of Springfield, Ohio, is the applicant and fiscal agent for the project and the Community Development Department will serve as the administrative lead for the City of Springfield, in partnership with Mental Health Recovery Board and McKinley Hall. Nearly half the county population is concentrated in Springfield’s four federally designated Qualified Opportunity Zones. The Recovery Resource and Community Advocacy Project advances racial equity, supporting underserved and marginalized communities. African Americans comprise 9 percent of the county, but at least 18 percent of Springfield residents–nearly a quarter of whom live in poverty and 15 percent are disabled. The black community is disproportionately impacted by incarceration, high rates of homelessness, and overdose fatality. Clark County’s overdose fatality rate has consistently been one of the highest in Ohio at 61 (per 100,000) and is currently climbing, even as rates decrease in other parts of the state. The project expands medication-friendly recovery housing, culturally responsive peer support, substance use disorder (SUD) treatment inside the jail, and increases re-entry access to medically-assisted treatment (MAT) and naloxone. The project includes gender-responsive treatment for women in jail, the first recovery housing for women, access to MAT. The project will also educate and advocate among community and justice agencies for the legal right to continue MOUDs in custody and to bring methadone into the jail for pregnant women. Advocacy and empowerment training is also one of the service deliverables for project participants, with Legal Action Center’s Know Your Rights-MAT presentations, harm reduction, ending race and gender-based health disparities, women’s empowerment training, and MAT anti-stigma outreach and education. Almost 30 percent of funds will support recovery housing, while more than 60 percent will allow local project partner McKinley Hall to increase the evidenced-based treatment services they currently deliver inside the jail, embedding peers, clinicians, and harm reduction services, and to provide care coordination and MAT upon re-entry.

City of Springfield

Ohio

The City of Springfield, Ohio, is the applicant and fiscal agent for the project and the Community Development Department will serve as the administrative lead for the City of Springfield, in partnership with Mental Health Recovery Board and McKinley Hall. Nearly half the county population is concentrated in Springfield’s four federally designated Qualified Opportunity Zones. The Recovery Resource and Community Advocacy Project advances racial equity, supporting underserved and marginalized communities. African Americans comprise 9 percent of the county, but at least 18 percent of Springfield residents–nearly a quarter of whom live in poverty and 15 percent are disabled. The black community is disproportionately impacted by incarceration, high rates of homelessness, and overdose fatality. Clark County’s overdose fatality rate has consistently been one of the highest in Ohio at 61 (per 100,000) and is currently climbing, even as rates decrease in other parts of the state. The project expands medication-friendly recovery housing, culturally responsive peer support, substance use disorder (SUD) treatment inside the jail, and increases re-entry access to medically-assisted treatment (MAT) and naloxone. The project includes gender-responsive treatment for women in jail, the first recovery housing for women, access to MAT. The project will also educate and advocate among community and justice agencies for the legal right to continue MOUDs in custody and to bring methadone into the jail for pregnant women. Advocacy and empowerment training is also one of the service deliverables for project participants, with Legal Action Center’s Know Your Rights-MAT presentations, harm reduction, ending race and gender-based health disparities, women’s empowerment training, and MAT anti-stigma outreach and education. Almost 30 percent of funds will support recovery housing, while more than 60 percent will allow local project partner McKinley Hall to increase the evidenced-based treatment services they currently deliver inside the jail, embedding peers, clinicians, and harm reduction services, and to provide care coordination and MAT upon re-entry.

WI

The City of West Allis Fire Department (WAFD) is applying for Category 1 funding in the amount of $900,000. The Mobile Integrated Health MAT Access Advocate Program (MAAP) will expand the range and capability of the West Allis Fire Department’s Mobile Integrated Health (MIH) team to facilitate MIH and medication-assisted treatment (MAT) services to every Milwaukee County municipality, as well as support the development of training materials to allow for application of sustainable MIH practices across the entire county. WAFD’s MIH team pairs a community paramedic and a certified peer recovery support specialist who provide targeted outreach and facilitate new enrollments or reengagements to MAT services, reaching the opioid use disorder (OUD) population via either real-time, 24/7 response to overdose emergencies or visitation to patients referred to the program from local and regional partners. MAAP will connect with each participating municipality’s local framework to establish a referral process and connect the local effort to broader regional efforts. A local hospital will provide MAT (including buprenorphine induction), mental health screening with counseling, and warm handoffs to primary care and community MAT clinics. MAPP will educate police, fire, and health departments in all Milwaukee County suburbs on how they can adopt the West Allis OUD outreach practices. MAAP will also work with county stakeholders to ensure children impacted by substance misuse receive required services. The project serves Milwaukee County, which comprises 19 municipalities and has a population of 945,726. The project includes partnerships with the Medical College of Wisconsin, the Milwaukee County Assistant District Attorney, the Milwaukee County House of Corrections, the Milwaukee County Opioid Fatality Review team, the Milwaukee County Medical Examiner’s Office, the Milwaukee Fire Department Opioid Response Initiative, the Wisconsin Department of Health Service, and the Milwaukee County Office of Emergency Management. The project will engage Dr. Jennifer Hernandez-Meier of the Departments of Emergency Medicine and Psychiatry at the Medical College of Wisconsin as the primary research and evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities.

City of West Allis

Wisconsin

The City of West Allis Fire Department (WAFD) is applying for Category 1 funding in the amount of $900,000. The Mobile Integrated Health MAT Access Advocate Program (MAAP) will expand the range and capability of the West Allis Fire Department’s Mobile Integrated Health (MIH) team to facilitate MIH and medication-assisted treatment (MAT) services to every Milwaukee County municipality, as well as support the development of training materials to allow for application of sustainable MIH practices across the entire county. WAFD’s MIH team pairs a community paramedic and a certified peer recovery support specialist who provide targeted outreach and facilitate new enrollments or reengagements to MAT services, reaching the opioid use disorder (OUD) population via either real-time, 24/7 response to overdose emergencies or visitation to patients referred to the program from local and regional partners. MAAP will connect with each participating municipality’s local framework to establish a referral process and connect the local effort to broader regional efforts. A local hospital will provide MAT (including buprenorphine induction), mental health screening with counseling, and warm handoffs to primary care and community MAT clinics. MAPP will educate police, fire, and health departments in all Milwaukee County suburbs on how they can adopt the West Allis OUD outreach practices. MAAP will also work with county stakeholders to ensure children impacted by substance misuse receive required services. The project serves Milwaukee County, which comprises 19 municipalities and has a population of 945,726. The project includes partnerships with the Medical College of Wisconsin, the Milwaukee County Assistant District Attorney, the Milwaukee County House of Corrections, the Milwaukee County Opioid Fatality Review team, the Milwaukee County Medical Examiner’s Office, the Milwaukee Fire Department Opioid Response Initiative, the Wisconsin Department of Health Service, and the Milwaukee County Office of Emergency Management. The project will engage Dr. Jennifer Hernandez-Meier of the Departments of Emergency Medicine and Psychiatry at the Medical College of Wisconsin as the primary research and evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities.

OR

Clackamas County applied for grant funding in the amount of $900,000 under Category 1B for the Law Enforcement Assisted Diversion (LEAD) Plus project. This project serves the 424,747 residents of Clackamas County, which consists of urban, suburban, and rural areas spanning 1,879 square miles (larger than the state of Rhode Island). The goals of LEAD Plus were to continue and enhance Clackamas County’s LEAD program and to support aligned system work. Clackamas County has achieved the first of these goals by securing sustainable funding for LEAD. The LEAD program in Clackamas County offers support for individuals experiencing unmet needs associated with homelessness, mental health, and substance use. Through outreach, intensive case management, and system navigation, it aims to reduce involvement in the criminal justice system. LEAD is now administered by a different division within Clackamas County, operating without grant funding. The Children, Family, & Community Connections Division is continuing to implement LEAD Plus through efforts to coordinate substance use and overdose prevention initiatives in the county, increase the capacity of the local public safety system to address systemic issues that will reduce disparities, and implement efficient strategies for data collection. Key partners included in this project include the Clackamas County District Attorney’s Office, Clackamas County Sheriff’s Office, Milwaukie Police Department, Clackamas County’s Health, Housing and Human Services Department, and local behavioral health, housing, and substance use prevention and treatment professionals.

Clackamas County, Health Housing and Human Services

Oregon

Clackamas County applied for grant funding in the amount of $900,000 under Category 1B for the Law Enforcement Assisted Diversion (LEAD) Plus project. This project serves the 424,747 residents of Clackamas County, which consists of urban, suburban, and rural areas spanning 1,879 square miles (larger than the state of Rhode Island). The goals of LEAD Plus were to continue and enhance Clackamas County’s LEAD program and to support aligned system work. Clackamas County has achieved the first of these goals by securing sustainable funding for LEAD. The LEAD program in Clackamas County offers support for individuals experiencing unmet needs associated with homelessness, mental health, and substance use. Through outreach, intensive case management, and system navigation, it aims to reduce involvement in the criminal justice system. LEAD is now administered by a different division within Clackamas County, operating without grant funding. The Children, Family, & Community Connections Division is continuing to implement LEAD Plus through efforts to coordinate substance use and overdose prevention initiatives in the county, increase the capacity of the local public safety system to address systemic issues that will reduce disparities, and implement efficient strategies for data collection. Key partners included in this project include the Clackamas County District Attorney’s Office, Clackamas County Sheriff’s Office, Milwaukie Police Department, Clackamas County’s Health, Housing and Human Services Department, and local behavioral health, housing, and substance use prevention and treatment professionals.

OH

The Clermont County Mental Health and Recovery Board (CCMHB) is applying for Category 1 funding in the amount of $858,171. The project will enable the expansion of existing Quick Response Teams (QRTs) in Clermont County. The CCMHRB will expand two of the three QRTs, with a focus on improving outreach and treatment connection rates; increase QRT outreach provided by the Clermont County Sheriff Office's (CCSO) QRT; enhance the QRTs to include a mental health professional to address mental health concerns encountered on QRT outreach attempts; and hire a coordinator to implement a "Handle with Care" program to provide support to children who encounter an overdose and/or have had their parents involved in recent drug charges. The goal of the project is to reduce overdoses and provide connection to treatment and support services for individuals with an opioid misuse disorder and/or a stimulant misuse disorder and their families/loved ones. It is estimated that 300 Clermont County residents will be served by the project annually, including youth and adults. The project serves Clermont County, a largely rural county with a population of 208,234. The project includes partnerships with the CCSO, Greater Cincinnati Behavioral Health, Child Focus (a children’s mental health provider), and local school districts and law enforcement agencies. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community.

Clermont County Mental Health and Recovery Board

Ohio

The Clermont County Mental Health and Recovery Board (CCMHB) is applying for Category 1 funding in the amount of $858,171. The project will enable the expansion of existing Quick Response Teams (QRTs) in Clermont County. The CCMHRB will expand two of the three QRTs, with a focus on improving outreach and treatment connection rates; increase QRT outreach provided by the Clermont County Sheriff Office's (CCSO) QRT; enhance the QRTs to include a mental health professional to address mental health concerns encountered on QRT outreach attempts; and hire a coordinator to implement a "Handle with Care" program to provide support to children who encounter an overdose and/or have had their parents involved in recent drug charges. The goal of the project is to reduce overdoses and provide connection to treatment and support services for individuals with an opioid misuse disorder and/or a stimulant misuse disorder and their families/loved ones. It is estimated that 300 Clermont County residents will be served by the project annually, including youth and adults. The project serves Clermont County, a largely rural county with a population of 208,234. The project includes partnerships with the CCSO, Greater Cincinnati Behavioral Health, Child Focus (a children’s mental health provider), and local school districts and law enforcement agencies. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community.

GA

Cobb County is applying for Category 1 funding in the amount of $1,200,000. The Cobb County COSSAP Initiative will feature an alternative-to-incarceration program that serves individuals at high risk for overdose or substance misuse whereby the county jail will offer case management services to opioid-involved offenders, including access to treatment/recovery programs, as well as life skills and other assistance programs. The Zone, a local community recovery organization, will employ a K-12 education consultant who will deliver a six-hour curriculum to elementary, middle, and high school students about substance use disorders that includes information about available resources for detoxification, rehabilitation, accountability courts, intensive outpatient programs, sober living, and aftercare. The project will also train peer support specialists and Crisis Response Team members to be available to law enforcement to respond to drug overdoses, including those where children might be present, through projects initiated by the Cobb County Fire Department and the Marietta Police Department and provide participants of Cobb County Accountability Courts and Pre-trial Diversion with weekly one-on-one recovery coaching, an individualized recovery plan, and job readiness training. Cobb County will also purchase naloxone for community-wide distribution and training. The project serves Cobb County, which has a population of approximately 760,000. The project includes partnerships with the District Attorney's Office (specifically its Major Narcotics Unit and Victim Witness Unit), the Cobb and Douglas Department of Public Health, the Cobb Office of the Medical Examiner, the Cobb County Police Department, Cobb Fire and Emergency Services, and the Zone. The project will engage Applied Research Services (ARS), Inc., as a research/evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Cobb County

Georgia

Cobb County is applying for Category 1 funding in the amount of $1,200,000. The Cobb County COSSAP Initiative will feature an alternative-to-incarceration program that serves individuals at high risk for overdose or substance misuse whereby the county jail will offer case management services to opioid-involved offenders, including access to treatment/recovery programs, as well as life skills and other assistance programs. The Zone, a local community recovery organization, will employ a K-12 education consultant who will deliver a six-hour curriculum to elementary, middle, and high school students about substance use disorders that includes information about available resources for detoxification, rehabilitation, accountability courts, intensive outpatient programs, sober living, and aftercare. The project will also train peer support specialists and Crisis Response Team members to be available to law enforcement to respond to drug overdoses, including those where children might be present, through projects initiated by the Cobb County Fire Department and the Marietta Police Department and provide participants of Cobb County Accountability Courts and Pre-trial Diversion with weekly one-on-one recovery coaching, an individualized recovery plan, and job readiness training. Cobb County will also purchase naloxone for community-wide distribution and training. The project serves Cobb County, which has a population of approximately 760,000. The project includes partnerships with the District Attorney's Office (specifically its Major Narcotics Unit and Victim Witness Unit), the Cobb and Douglas Department of Public Health, the Cobb Office of the Medical Examiner, the Cobb County Police Department, Cobb Fire and Emergency Services, and the Zone. The project will engage Applied Research Services (ARS), Inc., as a research/evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

MA

The Commonwealth of Massachusetts, dba Middlesex Sheriff’s Office, applied for a Category 1a urban area grant in the amount of $1,152,729. The Involving Families in Treatment of Inmates with Opioid Use Disorder (OUD) Project will reduce opioid overdose deaths and improve treatment outcomes for inmates with opioid use disorder by providing naloxone to family members and involving them in treatment. Through an enhancement of the Medication-Assisted Treatment and Directed Opioid Recovery (MATADOR) Program — which provides naltrexone, buprenorphine, methadone, and case management services — the proposed project activities include: (1) development and implementation of naloxone trainings and naloxone distribution for family members of inmates with OUD; (2) provision of a comprehensive family services program for inmates with substance use disorders, including outreach to engage families in the project, educational programs for families on substance use disorder, family counseling, and support groups, and (3) an evaluation of the project’s impact in improving treatment outcomes and reducing the risk of overdose deaths. This project serves Middlesex County, located in northeastern Massachusetts. Middlesex County, the most populous county in New England, has 1.6 million residents. The project includes partnership with Brandeis University. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and high rates of overdose deaths.

Commonwealth of Massachusetts dba Middlesex Sheriff's Office

Massachusetts

The Commonwealth of Massachusetts, dba Middlesex Sheriff’s Office, applied for a Category 1a urban area grant in the amount of $1,152,729. The Involving Families in Treatment of Inmates with Opioid Use Disorder (OUD) Project will reduce opioid overdose deaths and improve treatment outcomes for inmates with opioid use disorder by providing naloxone to family members and involving them in treatment. Through an enhancement of the Medication-Assisted Treatment and Directed Opioid Recovery (MATADOR) Program — which provides naltrexone, buprenorphine, methadone, and case management services — the proposed project activities include: (1) development and implementation of naloxone trainings and naloxone distribution for family members of inmates with OUD; (2) provision of a comprehensive family services program for inmates with substance use disorders, including outreach to engage families in the project, educational programs for families on substance use disorder, family counseling, and support groups, and (3) an evaluation of the project’s impact in improving treatment outcomes and reducing the risk of overdose deaths. This project serves Middlesex County, located in northeastern Massachusetts. Middlesex County, the most populous county in New England, has 1.6 million residents. The project includes partnership with Brandeis University. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and high rates of overdose deaths.

MA

The Commonwealth of Massachusetts Sheriff’s Department Hampden applied for a Category 1b suburban area grant in the amount of $900,000. Hampden County Sheriff’s Department’s All Inclusive Support Service Program will reduce opioid-related overdoses and related fatalities. The program will take a multipronged approach to (1) enhance a database in Hampden County that will allow for the collection, analysis, and dissemination of comprehensive, real-time overdose information, and (2) implement a law enforcement, first responder-driven multidisciplinary overdose prevention, response, and diversion referral model known as the Rapid Response and Connection Program. This project serves Hampden County, Massachusetts, which has a population of 470,406. The project includes partnerships between the Hampden County Sheriff’s Department, Office of the District Attorney, Baystate Medical Center, Trinity Health Mercy Medical Center, local law enforcement entities, and other established community partners. Priority considerations addressed in project include the disproportionate impact from substance use on a rural, high-poverty census tract and public safety impact in Qualified Opportunity Zones.

Commonwealth of Massachusetts, Sheriff's Department Hampden

Massachusetts

The Commonwealth of Massachusetts Sheriff’s Department Hampden applied for a Category 1b suburban area grant in the amount of $900,000. Hampden County Sheriff’s Department’s All Inclusive Support Service Program will reduce opioid-related overdoses and related fatalities. The program will take a multipronged approach to (1) enhance a database in Hampden County that will allow for the collection, analysis, and dissemination of comprehensive, real-time overdose information, and (2) implement a law enforcement, first responder-driven multidisciplinary overdose prevention, response, and diversion referral model known as the Rapid Response and Connection Program. This project serves Hampden County, Massachusetts, which has a population of 470,406. The project includes partnerships between the Hampden County Sheriff’s Department, Office of the District Attorney, Baystate Medical Center, Trinity Health Mercy Medical Center, local law enforcement entities, and other established community partners. Priority considerations addressed in project include the disproportionate impact from substance use on a rural, high-poverty census tract and public safety impact in Qualified Opportunity Zones.

OR

The Confederated Tribes of the Grand Ronde Community of Oregon (the Tribe) is applying for a Category 1 award in the amount of $598,977. The Grand Ronde Opioid and Stimulant Site-Based Project will improve community awareness of drug use and help develop collaborative expanded prevention and intervention programs in treatment and counseling, transitional housing, and community school prevention and education. The objectives include creating a men’s transition house program for a house that a state marijuana tax grant is buying, including creating policies and procedures, providing household supplies, and linking to health care, employment training, and education support services; hiring a school resource officer and creating a program at the local public school district that the Tribe’s members attend; helping with start-up and operations of a new medication-assisted treatment (MAT) clinic in Portland by buying methadone dispensers and providing a peer support specialist; and performing additional outreach and education in Grand Ronde based on expanding programs to address drug use and addiction and assisting with comprehensive program development. This project serves the Tribe’s six-county service area, which includes the Reservation community of Grand Ronde on the Polk-Yamhill county line, adjacent to the city (and the school district) of Willamina. It also includes Salem, where the Tribe just opened a MAT clinic, and Multnomah County, which includes the Tribe’s in-development Portland MAT clinic. The Tribe has 5,572 members, although the Portland MAT project will focus on serving the Tribe’s members in the Portland metropolitan area as well as descendants and other Native Americans. There are 22,598 just in the core tri-county area of Portland. The Tribe will also serve other local area residents, as capacity allows, who need care and want to use the Tribe’s recovery model. The project includes partnerships between Tribal departments with their own authority working with each other (Tribal Police Department, Health and Wellness, Social Services, and Education) and the Willamina Public School District. Priority considerations addressed in this application include the fact that Willamina and Grand Ronde are in a federal low-income opportunity zone. The project will advance the promotion of civil rights and benefit individuals residing in high-poverty areas or persistent-poverty counties.

Confederated Tribes of the Grand Ronde Community of Oregon

Oregon

The Confederated Tribes of the Grand Ronde Community of Oregon (the Tribe) is applying for a Category 1 award in the amount of $598,977. The Grand Ronde Opioid and Stimulant Site-Based Project will improve community awareness of drug use and help develop collaborative expanded prevention and intervention programs in treatment and counseling, transitional housing, and community school prevention and education. The objectives include creating a men’s transition house program for a house that a state marijuana tax grant is buying, including creating policies and procedures, providing household supplies, and linking to health care, employment training, and education support services; hiring a school resource officer and creating a program at the local public school district that the Tribe’s members attend; helping with start-up and operations of a new medication-assisted treatment (MAT) clinic in Portland by buying methadone dispensers and providing a peer support specialist; and performing additional outreach and education in Grand Ronde based on expanding programs to address drug use and addiction and assisting with comprehensive program development. This project serves the Tribe’s six-county service area, which includes the Reservation community of Grand Ronde on the Polk-Yamhill county line, adjacent to the city (and the school district) of Willamina. It also includes Salem, where the Tribe just opened a MAT clinic, and Multnomah County, which includes the Tribe’s in-development Portland MAT clinic. The Tribe has 5,572 members, although the Portland MAT project will focus on serving the Tribe’s members in the Portland metropolitan area as well as descendants and other Native Americans. There are 22,598 just in the core tri-county area of Portland. The Tribe will also serve other local area residents, as capacity allows, who need care and want to use the Tribe’s recovery model. The project includes partnerships between Tribal departments with their own authority working with each other (Tribal Police Department, Health and Wellness, Social Services, and Education) and the Willamina Public School District. Priority considerations addressed in this application include the fact that Willamina and Grand Ronde are in a federal low-income opportunity zone. The project will advance the promotion of civil rights and benefit individuals residing in high-poverty areas or persistent-poverty counties.

CT

The Connecticut Department of Mental Health and Addiction Services (DMHAS) is applying for Category 2 funding in the amount of $5,999,998. The Community and Law Enforcement for Addiction Recovery (CLEAR) Project is a multilateral, community-based opioid overdose response program that will be piloted in six jurisdictions across Connecticut. The CLEAR Project will establish partnerships between community agencies and law enforcement to increase connections to care for people with a substance use disorder (SUD) and create a collaborative response to addiction among community partners. For each jurisdiction, the CLEAR Project will conduct assessments; implement an IPIS/Cordata Integrated System for data tracking and referral management; establish a coordinated safety net of recovery coaches and overdose response teams; support families, including through the identification and referral to services of children impacted by a family member’s SUD; increase access to medication-assisted treatment; and implement a community-based, data-driven dispatch response to surges in overdoses. The goal is to create a replicable model for overdose response that can be scaled in communities across the entire state. Sites were selected based on need, population diversity, and readiness to implement the program. The project serves Bridgeport, Greenwich, Norwalk, Torrington, Winsted, and the State Police Troop B and State Police Troop L service districts; together, the districts represent much of Fairfield and Litchfield counties. The project includes partnerships between DMHAS and the McCall Center for Behavioral Health, Liberation Programs Inc., the Bridgeport Police Department, the Greenwich Police Department, the Norwalk Police Department, the Torrington Police Department, and the Winsted Police Department. The project will engage Dr. Carol Gregory and Dr. Kelly Firesheets as evaluation partners. Priority considerations addressed in this application include a high rates of overdose deaths. The project will also benefit individuals residing in high-poverty areas.

Connecticut Department of Mental Health and Addiction Services

Connecticut

The Connecticut Department of Mental Health and Addiction Services (DMHAS) is applying for Category 2 funding in the amount of $5,999,998. The Community and Law Enforcement for Addiction Recovery (CLEAR) Project is a multilateral, community-based opioid overdose response program that will be piloted in six jurisdictions across Connecticut. The CLEAR Project will establish partnerships between community agencies and law enforcement to increase connections to care for people with a substance use disorder (SUD) and create a collaborative response to addiction among community partners. For each jurisdiction, the CLEAR Project will conduct assessments; implement an IPIS/Cordata Integrated System for data tracking and referral management; establish a coordinated safety net of recovery coaches and overdose response teams; support families, including through the identification and referral to services of children impacted by a family member’s SUD; increase access to medication-assisted treatment; and implement a community-based, data-driven dispatch response to surges in overdoses. The goal is to create a replicable model for overdose response that can be scaled in communities across the entire state. Sites were selected based on need, population diversity, and readiness to implement the program. The project serves Bridgeport, Greenwich, Norwalk, Torrington, Winsted, and the State Police Troop B and State Police Troop L service districts; together, the districts represent much of Fairfield and Litchfield counties. The project includes partnerships between DMHAS and the McCall Center for Behavioral Health, Liberation Programs Inc., the Bridgeport Police Department, the Greenwich Police Department, the Norwalk Police Department, the Torrington Police Department, and the Winsted Police Department. The project will engage Dr. Carol Gregory and Dr. Kelly Firesheets as evaluation partners. Priority considerations addressed in this application include a high rates of overdose deaths. The project will also benefit individuals residing in high-poverty areas.

IL

This project serves Cook County, Illinois’ 5.2 million residents. The purpose of the project is to further develop a regional learning health system approach to substance use disorder (SUD) care for justice-involved individuals. The project works to achieve this through three goals: (1) Expand the Cook County Recovery Home Coordinated Capacity Project; (2) Expand the scope of CCCR-LAN to include improved access to substance use disorder care for individuals on electronic monitoring; and (3) Implement a data-sharing linkage between County Care and Cook County Adult Probation to improve enrollment in Medicaid and engagement with care coordination services among Adult Probation clients.

Cook County

Illinois

This project serves Cook County, Illinois’ 5.2 million residents. The purpose of the project is to further develop a regional learning health system approach to substance use disorder (SUD) care for justice-involved individuals. The project works to achieve this through three goals: (1) Expand the Cook County Recovery Home Coordinated Capacity Project; (2) Expand the scope of CCCR-LAN to include improved access to substance use disorder care for individuals on electronic monitoring; and (3) Implement a data-sharing linkage between County Care and Cook County Adult Probation to improve enrollment in Medicaid and engagement with care coordination services among Adult Probation clients.

IL

Through this funding, Cook County Health will (1) Convene the Cook County Community Recovery Learning and Action Network to address recovery housing capacity and coordination; (2) Develop a real-time regional recovery housing information system; (3) Connect justice-involved patients who are part of the Cook County Health substance use disorder program with recovery home services; (4) Pilot a harm reduction oriented, low barrier recovery home to fill a gap in the current recovery home landscape identified by grant partners; and (5) Provide peer recovery support services to individuals involved in drug court.

Cook County Health

Illinois

Through this funding, Cook County Health will (1) Convene the Cook County Community Recovery Learning and Action Network to address recovery housing capacity and coordination; (2) Develop a real-time regional recovery housing information system; (3) Connect justice-involved patients who are part of the Cook County Health substance use disorder program with recovery home services; (4) Pilot a harm reduction oriented, low barrier recovery home to fill a gap in the current recovery home landscape identified by grant partners; and (5) Provide peer recovery support services to individuals involved in drug court.

AK

The Cook Inlet Tribal Council, Inc. (CITC)’s project will expand the accessibility of peer recovery support services and will ultimately decrease the prevalence of substance use in the Anchorage, Alaska, Metropolitan Statistical Area (MSA). Specifically, CITC, in partnership with Southcentral Foundation—a prominent Tribal 501(c)(3) nonprofit primary and behavioral healthcare services provider—will establish a specialized and flexible team of Peer Support Workers who will work in clinical and non-clinical settings. The project will complement the US Bureau of Justice Assistance’s efforts to reduce substance use and its impacts via its focused fundable activities. The project will incorporate 8 main activities that will closely complement CITC’s and Southcentral Foundation’s respective existing behavioral healthcare continua. Those activities, which are linked to the project’s deliverables, and goals, objectives, and outcomes, will be: (1) individual-based peer mentoring sessions; (2) group-based peer mentoring sessions; (3) naloxone use trainings; (4) brief interventions; (5) referrals to primary and behavioral healthcare services; (6) referrals to wrap-around services; (7) case management; and (8) data management. CITC expects to (1) serve 150 unduplicated residents via individual-based peer recovery support services; (2) provide 624 group-based peer recovery support sessions to residents; (3) provide 90 unduplicated residents who are receiving substance detoxification services via Southcentral Foundation with referrals to non-peer-related substance use disorder (SUD) treatment and recovery services; and (4) produce a memorandum of agreement between CITC and Southcentral Foundation, a group-based peer mentoring plan, a services coordination plan, and a services catalogue. With its 398,328 residents, the Anchorage MSA represents over 54 percent of Alaska’s total population, and of those residents, 57,072 are Alaska Native/American Indian (AN/AI) (race alone or in combination). The project’s target population will be AN/AI adults who have SUDs and seek SUD treatment and recovery services but will also serve non-AN/AI individuals. Among all racial groups in Alaska, AN/AI residents have the highest poverty and unemployment rates and the highest opioid-related naloxone intervention, hospitalization, and death rates.

Cook Inlet Tribal Council, Inc

Alaska

The Cook Inlet Tribal Council, Inc. (CITC)’s project will expand the accessibility of peer recovery support services and will ultimately decrease the prevalence of substance use in the Anchorage, Alaska, Metropolitan Statistical Area (MSA). Specifically, CITC, in partnership with Southcentral Foundation—a prominent Tribal 501(c)(3) nonprofit primary and behavioral healthcare services provider—will establish a specialized and flexible team of Peer Support Workers who will work in clinical and non-clinical settings. The project will complement the US Bureau of Justice Assistance’s efforts to reduce substance use and its impacts via its focused fundable activities. The project will incorporate 8 main activities that will closely complement CITC’s and Southcentral Foundation’s respective existing behavioral healthcare continua. Those activities, which are linked to the project’s deliverables, and goals, objectives, and outcomes, will be: (1) individual-based peer mentoring sessions; (2) group-based peer mentoring sessions; (3) naloxone use trainings; (4) brief interventions; (5) referrals to primary and behavioral healthcare services; (6) referrals to wrap-around services; (7) case management; and (8) data management. CITC expects to (1) serve 150 unduplicated residents via individual-based peer recovery support services; (2) provide 624 group-based peer recovery support sessions to residents; (3) provide 90 unduplicated residents who are receiving substance detoxification services via Southcentral Foundation with referrals to non-peer-related substance use disorder (SUD) treatment and recovery services; and (4) produce a memorandum of agreement between CITC and Southcentral Foundation, a group-based peer mentoring plan, a services coordination plan, and a services catalogue. With its 398,328 residents, the Anchorage MSA represents over 54 percent of Alaska’s total population, and of those residents, 57,072 are Alaska Native/American Indian (AN/AI) (race alone or in combination). The project’s target population will be AN/AI adults who have SUDs and seek SUD treatment and recovery services but will also serve non-AN/AI individuals. Among all racial groups in Alaska, AN/AI residents have the highest poverty and unemployment rates and the highest opioid-related naloxone intervention, hospitalization, and death rates.

CA

The Amador County Sheriff's Office, in Amador County, California, is located approximately 45 miles southeast of Sacramento in a part of California known as the foothills of the Sierra Nevada Mountains. In 2021, the population was estimated at approximately 41,259 residents, which includes a state prison. This project supports a jail-based project in Amador County. The Amador County Sheriff's Office will establish a comprehensive reentry program that involves three core components: (1) Discharge planning; (2) Job training; and (3) Peer recovery support.

County of Amador

California

The Amador County Sheriff's Office, in Amador County, California, is located approximately 45 miles southeast of Sacramento in a part of California known as the foothills of the Sierra Nevada Mountains. In 2021, the population was estimated at approximately 41,259 residents, which includes a state prison. This project supports a jail-based project in Amador County. The Amador County Sheriff's Office will establish a comprehensive reentry program that involves three core components: (1) Discharge planning; (2) Job training; and (3) Peer recovery support.

PA

The Cambria County, Pennsylvania, project will expand access to transitional housing, case management services, and workforce development for individuals who have left incarceration and are on probation services with Cambria County Adult Probation and Parole Services. The project will focus on the following: (1) Partner with Breaking the Barriers to provide recovery housing and case management services to up to 90 individuals over the life of the grant. (2) Partner with Goodwill of the Southern Alleghenies to provide workforce development and education services to up to 100 individuals over the life of the grant. (3) Partner with a researcher to continue to provide research-based strategies to identify treatment/resource needs, address system gaps, and evaluate program effectiveness through objective measures. Planned activities/allowable uses include evidence based substance use disorder treatment related to opioids, stimulants, and other drugs, such as MAT, as well as harm reduction activities and recovery support services for pre-trial and post-trial populations leaving jail or residential treatment programs.

County of Cambria

Pennsylvania

The Cambria County, Pennsylvania, project will expand access to transitional housing, case management services, and workforce development for individuals who have left incarceration and are on probation services with Cambria County Adult Probation and Parole Services. The project will focus on the following: (1) Partner with Breaking the Barriers to provide recovery housing and case management services to up to 90 individuals over the life of the grant. (2) Partner with Goodwill of the Southern Alleghenies to provide workforce development and education services to up to 100 individuals over the life of the grant. (3) Partner with a researcher to continue to provide research-based strategies to identify treatment/resource needs, address system gaps, and evaluate program effectiveness through objective measures. Planned activities/allowable uses include evidence based substance use disorder treatment related to opioids, stimulants, and other drugs, such as MAT, as well as harm reduction activities and recovery support services for pre-trial and post-trial populations leaving jail or residential treatment programs.

VA

The Chesterfield County Sheriff's Office project serves a population of over 500,000. The initiative will allow the Chesterfield County Sheriff's Office to expand evidence-based substance use treatment, peer recovery support services, and recovery housing for justice-involved individuals at multiple intercepts. These services are essential to supporting treatment engagement. The project addresses COSSUP's allowable use of implementing evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs and recovery support services for pre-trial and post-trial populations leaving jail. Deliverables include providing case management, treatment, and discharge planning for 300 individuals, providing recovery housing for 130 justice-involved individuals, providing peer recovery support services to up to 240 justice-involved individuals, and providing evidence-based supervision and treatment to up to 240 individuals on pretrial supervision over the life of the grant.

County of Chesterfield

Virginia

The Chesterfield County Sheriff's Office project serves a population of over 500,000. The initiative will allow the Chesterfield County Sheriff's Office to expand evidence-based substance use treatment, peer recovery support services, and recovery housing for justice-involved individuals at multiple intercepts. These services are essential to supporting treatment engagement. The project addresses COSSUP's allowable use of implementing evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs and recovery support services for pre-trial and post-trial populations leaving jail. Deliverables include providing case management, treatment, and discharge planning for 300 individuals, providing recovery housing for 130 justice-involved individuals, providing peer recovery support services to up to 240 justice-involved individuals, and providing evidence-based supervision and treatment to up to 240 individuals on pretrial supervision over the life of the grant.

TX

The Dallas County Criminal Justice Department project focuses on supporting and enhancing its Pretrial Diversion Assessment Program (PTDAP). The funding request is to hire 3 full-time program clinicians to complete pretrial diversion evidenced based assessments, 1 full-time program coordinator to support the program, and funding for program evaluation and research. The grant will expand access to treatment and recovery support services for individuals with substance use disorders in the criminal justice system, specifically first-time felony offenders charged with a low-level, non-violent offense. Dallas County's PTDAP started in July 2021 and needs continued and expanded funding to support the growing program and to continue operation. The project will complete evidence-based risk-need-responsivity assessments on pretrial defendants by a program clinician. This will provide individualized recommendations for the appropriate pretrial diversion program, treatment, and recovery support services. When the defendant successfully completes his/her pretrial diversion program, his/her case is dismissed and expunged, preventing a felony conviction. The PTDAP will serve any eligible defendant within Dallas County, an urban county with a population of approximately 2.6 million. It is estimated that around 600 defendants a year in Dallas County would qualify for the PTDAP. The primary activities of the PTDAP are to provide a post-booking treatment alternative-to-incarceration program, pretrial diversion program; to enable court programming to prioritize and expedite treatment and recovery services for individuals at high-risk of overdose and substance use disorder; and to increase access to evidenced-based treatment. The project goal is to expand and expedite pretrial diversion for firsttime felony offenders with eligible offenses, by leveraging a streamlined process and evidence-based assessments to determine the individual's needs for treatment, recovery support, resources, and appropriate diversion programs, reducing the number of defendants sent to prison, state jail, or released on probation and resulting in a conviction. The project's objectives include increasing referrals and assessments to racial minority groups and underserved communities to advance racial equity, reduce time to expedite the pretrial diversion process, and expand access to needed evidence-based substance use treatment and recovery support. This includes utilizing the assessments to screen defendants for needed for cognitive-behavioral treatment, Mediation Assisted Treatment (MAT), and other treatment and support to address those who have significant substance use history and are at higher risk of overdose.

County of Dallas

Texas

The Dallas County Criminal Justice Department project focuses on supporting and enhancing its Pretrial Diversion Assessment Program (PTDAP). The funding request is to hire 3 full-time program clinicians to complete pretrial diversion evidenced based assessments, 1 full-time program coordinator to support the program, and funding for program evaluation and research. The grant will expand access to treatment and recovery support services for individuals with substance use disorders in the criminal justice system, specifically first-time felony offenders charged with a low-level, non-violent offense. Dallas County's PTDAP started in July 2021 and needs continued and expanded funding to support the growing program and to continue operation. The project will complete evidence-based risk-need-responsivity assessments on pretrial defendants by a program clinician. This will provide individualized recommendations for the appropriate pretrial diversion program, treatment, and recovery support services. When the defendant successfully completes his/her pretrial diversion program, his/her case is dismissed and expunged, preventing a felony conviction. The PTDAP will serve any eligible defendant within Dallas County, an urban county with a population of approximately 2.6 million. It is estimated that around 600 defendants a year in Dallas County would qualify for the PTDAP. The primary activities of the PTDAP are to provide a post-booking treatment alternative-to-incarceration program, pretrial diversion program; to enable court programming to prioritize and expedite treatment and recovery services for individuals at high-risk of overdose and substance use disorder; and to increase access to evidenced-based treatment. The project goal is to expand and expedite pretrial diversion for firsttime felony offenders with eligible offenses, by leveraging a streamlined process and evidence-based assessments to determine the individual's needs for treatment, recovery support, resources, and appropriate diversion programs, reducing the number of defendants sent to prison, state jail, or released on probation and resulting in a conviction. The project's objectives include increasing referrals and assessments to racial minority groups and underserved communities to advance racial equity, reduce time to expedite the pretrial diversion process, and expand access to needed evidence-based substance use treatment and recovery support. This includes utilizing the assessments to screen defendants for needed for cognitive-behavioral treatment, Mediation Assisted Treatment (MAT), and other treatment and support to address those who have significant substance use history and are at higher risk of overdose.

GA

Fulton County Department of Behavioral Health and Disabilities (DBHDD), in partnership with Atlanta Policing Alternatives and Diversion Initiative (PAD), supports the Fulton County Diversion and Deflection Recovery Program (FDR) to respond to substance use, promote public safety, and support access to SUD treatment and recovery services for individuals in Fulton County, Georgia. Annually, DBHDD provides services for over 2,600 people with mental health issues and SUD/COD at five sites throughout Fulton County. Services include screening, assessment, specialty outpatient treatment, and individual and group therapy provided through contracts with community-based providers. This project builds upon the successes of DBHDD's FY20 COSSAP to expand to Fulton County's most underserved areas and increase deflection and diversion across the county. Fulton County is the largest county in Georgia and has experienced a drastic increase in arrests of people with SUD for low-level offenses, delaying or denying vital treatment while also overcrowding jails and the court. In 2021, the City of Atlanta and Fulton County partnered to establish The Center for Diversion and Services (The Center) to provide an alternative to placing people in jail or in the detention center who suffer from behavioral health issues. The FDR program will: (i) provide training to new law enforcement officers and ongoing quarterly professional development for existing officers to promote diversion to The Center, expanding to several precincts within Fulton County; (ii) provide intensive care navigation for at least 425 diverted participants and increased access to recovery housing for those in need; (iii) provide evidence-based mobile behavioral health services to diverted individuals in recovery housing; and (iv) conduct deflection outreach to targeted areas of high crime and high usage in North and South Fulton to connect individuals with needed SUD services before they reach involvement with the criminal justice system. The program's expected outcomes are to increase diversion to The Center year-over-year, reduce recidivism in Fulton County, and increase access to evidence-based behavioral health treatments to individuals in recovery housing. Beneficiaries of this program include individuals with SUD, local law enforcement agencies, and all Fulton County residents. FDR will implement the following allowable activities: Law enforcement deflection and diversion; Naloxone for first responders; Pre-booking and post-booking treatment alternative-to-incarceration programs; Evidence-based SUD treatments and harm reduction activities; Recovery housing and peer support; Embedding peers; and Field initiated projects.

County of Fulton

Georgia

Fulton County Department of Behavioral Health and Disabilities (DBHDD), in partnership with Atlanta Policing Alternatives and Diversion Initiative (PAD), supports the Fulton County Diversion and Deflection Recovery Program (FDR) to respond to substance use, promote public safety, and support access to SUD treatment and recovery services for individuals in Fulton County, Georgia. Annually, DBHDD provides services for over 2,600 people with mental health issues and SUD/COD at five sites throughout Fulton County. Services include screening, assessment, specialty outpatient treatment, and individual and group therapy provided through contracts with community-based providers. This project builds upon the successes of DBHDD's FY20 COSSAP to expand to Fulton County's most underserved areas and increase deflection and diversion across the county. Fulton County is the largest county in Georgia and has experienced a drastic increase in arrests of people with SUD for low-level offenses, delaying or denying vital treatment while also overcrowding jails and the court. In 2021, the City of Atlanta and Fulton County partnered to establish The Center for Diversion and Services (The Center) to provide an alternative to placing people in jail or in the detention center who suffer from behavioral health issues. The FDR program will: (i) provide training to new law enforcement officers and ongoing quarterly professional development for existing officers to promote diversion to The Center, expanding to several precincts within Fulton County; (ii) provide intensive care navigation for at least 425 diverted participants and increased access to recovery housing for those in need; (iii) provide evidence-based mobile behavioral health services to diverted individuals in recovery housing; and (iv) conduct deflection outreach to targeted areas of high crime and high usage in North and South Fulton to connect individuals with needed SUD services before they reach involvement with the criminal justice system. The program's expected outcomes are to increase diversion to The Center year-over-year, reduce recidivism in Fulton County, and increase access to evidence-based behavioral health treatments to individuals in recovery housing. Beneficiaries of this program include individuals with SUD, local law enforcement agencies, and all Fulton County residents. FDR will implement the following allowable activities: Law enforcement deflection and diversion; Naloxone for first responders; Pre-booking and post-booking treatment alternative-to-incarceration programs; Evidence-based SUD treatments and harm reduction activities; Recovery housing and peer support; Embedding peers; and Field initiated projects.

NY

Greene County is a fully rural county in upstate New York with a high burden of overdose. In 2021 the county rate of opioid involved overdose deaths was double the upstate New York average. That same year, Greene County ranked 2nd of 57 upstate New York counties for overdose deaths involving opioids and it ranked 1st for deaths involving heroin. Fentanyl drives the epidemic, with 88% of deaths in the last two years involving fentanyl, often in combination with stimulants, heroin or other substances. Fatality rates are particularly high in the Mountain Top, a remote region of the Catskill Mountains. Greene County Public Health will establish Data Driven Opioid and Recovery Coordination (DDORC) and aim to reduce overdose fatalities, and to decrease sub-county disparities in fatality rates. Specifically, Greene County will expand epidemiological surveillance of overdose trends and disparities in overdose volume and assess access and linkage to treatment and recovery resources. Greene County will also expand MAT services, focusing on linkage to care for justice-involved people and we will enhance Law Enforcement and First Responder Leave Behind and Diversion programs, as well as other novel programs for First Responder overdose response. All of this work will be guided collaboratively by the DDORC, a group of multidisciplinary stakeholders led jointly by Public Health and Public Safety. Specific project goals include: 1) utilize real-time overdose and other substance use related data to describe and address overdose risks, barriers and facilitating factors for substance use treatment and recovery, and disparities in accessing substance use related services; 2) increase access to evidence-based substance disorder treatment by expanding MAT services available at Greene County Public Health and build linkage to care systems between public health and public safety that specifically target justice-involved individuals; 3) increase coordination between public health and public safety partners through support of law enforcement diversion and overdose response programs and overdose-related EMS services; and 4) implement and convene a data-driven multidisciplinary coordinating body lead by Greene County Public Health with participation from public safety partners and other county and community-based agencies that serve people who use drugs. Greene County Public Health will coordinate this project in partnership with the Greene County Sheriff's Office and Albany Medical Center's Divisions of Prehospital Care and Addiction Medicine, sub-recipients, as well as with support from the Regional Emergency Medical Organization (REMO).

County of Greene

New York

Greene County is a fully rural county in upstate New York with a high burden of overdose. In 2021 the county rate of opioid involved overdose deaths was double the upstate New York average. That same year, Greene County ranked 2nd of 57 upstate New York counties for overdose deaths involving opioids and it ranked 1st for deaths involving heroin. Fentanyl drives the epidemic, with 88% of deaths in the last two years involving fentanyl, often in combination with stimulants, heroin or other substances. Fatality rates are particularly high in the Mountain Top, a remote region of the Catskill Mountains. Greene County Public Health will establish Data Driven Opioid and Recovery Coordination (DDORC) and aim to reduce overdose fatalities, and to decrease sub-county disparities in fatality rates. Specifically, Greene County will expand epidemiological surveillance of overdose trends and disparities in overdose volume and assess access and linkage to treatment and recovery resources. Greene County will also expand MAT services, focusing on linkage to care for justice-involved people and we will enhance Law Enforcement and First Responder Leave Behind and Diversion programs, as well as other novel programs for First Responder overdose response. All of this work will be guided collaboratively by the DDORC, a group of multidisciplinary stakeholders led jointly by Public Health and Public Safety. Specific project goals include: 1) utilize real-time overdose and other substance use related data to describe and address overdose risks, barriers and facilitating factors for substance use treatment and recovery, and disparities in accessing substance use related services; 2) increase access to evidence-based substance disorder treatment by expanding MAT services available at Greene County Public Health and build linkage to care systems between public health and public safety that specifically target justice-involved individuals; 3) increase coordination between public health and public safety partners through support of law enforcement diversion and overdose response programs and overdose-related EMS services; and 4) implement and convene a data-driven multidisciplinary coordinating body lead by Greene County Public Health with participation from public safety partners and other county and community-based agencies that serve people who use drugs. Greene County Public Health will coordinate this project in partnership with the Greene County Sheriff's Office and Albany Medical Center's Divisions of Prehospital Care and Addiction Medicine, sub-recipients, as well as with support from the Regional Emergency Medical Organization (REMO).

OH

Hamilton County Public Health (HCPH)'s project will improve its response to overdose deaths and have more real time data as it relates to next of kin interviews and identify and support innovative community overdose prevention strategies as identified by the Overdose Fatality Review (OFR) Team. HCPH will expand the OFR and next-of-kin interviewing to increase access to qualitative data and create space for implementation of OFR recommendations. The primary activities that will be implemented include 1) Interview friends and family of deceased individuals; 2) Interview friends and family of individuals who currently have an SUD and may have suffered a nonfatal overdose; 3) Partner with Hamilton County Heroin Task Force to serve as liaison between HCPH, QRT, and local law enforcement; 4) Partner with an academic evaluator (Ohio University) to evaluate the project; 5) Develop a dashboard that showcases OFR activities and recommendations; 6) Develop a tool to determine which recommendations are suggested for funding; 7) Outreach to hospitals and funeral homes; 8) Lead OFR meetings. This project will serve Hamilton County residents. Expected project outcomes include increasing the number of next of kin interviews by 50%, obtaining a baseline number of interviews of loved ones who know someone in active addiction and implementing and providing funding for two OFR recommendations per project year.

County of Hamilton

Ohio

Hamilton County Public Health (HCPH)'s project will improve its response to overdose deaths and have more real time data as it relates to next of kin interviews and identify and support innovative community overdose prevention strategies as identified by the Overdose Fatality Review (OFR) Team. HCPH will expand the OFR and next-of-kin interviewing to increase access to qualitative data and create space for implementation of OFR recommendations. The primary activities that will be implemented include 1) Interview friends and family of deceased individuals; 2) Interview friends and family of individuals who currently have an SUD and may have suffered a nonfatal overdose; 3) Partner with Hamilton County Heroin Task Force to serve as liaison between HCPH, QRT, and local law enforcement; 4) Partner with an academic evaluator (Ohio University) to evaluate the project; 5) Develop a dashboard that showcases OFR activities and recommendations; 6) Develop a tool to determine which recommendations are suggested for funding; 7) Outreach to hospitals and funeral homes; 8) Lead OFR meetings. This project will serve Hamilton County residents. Expected project outcomes include increasing the number of next of kin interviews by 50%, obtaining a baseline number of interviews of loved ones who know someone in active addiction and implementing and providing funding for two OFR recommendations per project year.

NJ

The County of Hudson, New Jersey, project will serve the County of Hudson, which has an urban population of 702,463 residents. The purpose of this project is to expand upon several current initiatives that help prevent drug overdoses and reduce incidence of substance use across the county. The allowable activities incorporated within the project include law enforcement and first responder deflection and diversion; real-time data collection; services for families impacted by their family member's substance use; and embedding behavioral health professionals, peers, and/or persons with lived experience along the Sequential Intercept Model. Primary activities include: continuation of the Overdose Fatality Review Team (OFRT) bi-monthly meetings and decedent reviews for overdose fatalities; oversight of the OFRT sub-committee which develops recommendations for preventing and reducing overdose; embedding a Community Navigator and Peer Navigator within the Department of Health and Human Services who will receive clients via referrals from parole/probation officers and the courts, including family court and recovery court; launching a family support program which provides light case management and referrals/linkages to services to affected family members of justice-involved individuals with SUDs; community-wide naloxone kit distribution; crisis intervention trainings to the Hudson County Regional SWAT Team and other officers; and launching a mobile unit outreach program in collaboration with the Hudson County Sheriff's Office. Overall, the project will support the implementation and expansion of several evidence-based, data-driven solutions at the intersection of public health, public safety, and behavioral health. This project is critical to ensuring best practices at all levels of care to improve outcomes of justice-involved individuals with SUDs and reduce overdoses in the long-term.

County of Hudson

New Jersey

The County of Hudson, New Jersey, project will serve the County of Hudson, which has an urban population of 702,463 residents. The purpose of this project is to expand upon several current initiatives that help prevent drug overdoses and reduce incidence of substance use across the county. The allowable activities incorporated within the project include law enforcement and first responder deflection and diversion; real-time data collection; services for families impacted by their family member's substance use; and embedding behavioral health professionals, peers, and/or persons with lived experience along the Sequential Intercept Model. Primary activities include: continuation of the Overdose Fatality Review Team (OFRT) bi-monthly meetings and decedent reviews for overdose fatalities; oversight of the OFRT sub-committee which develops recommendations for preventing and reducing overdose; embedding a Community Navigator and Peer Navigator within the Department of Health and Human Services who will receive clients via referrals from parole/probation officers and the courts, including family court and recovery court; launching a family support program which provides light case management and referrals/linkages to services to affected family members of justice-involved individuals with SUDs; community-wide naloxone kit distribution; crisis intervention trainings to the Hudson County Regional SWAT Team and other officers; and launching a mobile unit outreach program in collaboration with the Hudson County Sheriff's Office. Overall, the project will support the implementation and expansion of several evidence-based, data-driven solutions at the intersection of public health, public safety, and behavioral health. This project is critical to ensuring best practices at all levels of care to improve outcomes of justice-involved individuals with SUDs and reduce overdoses in the long-term.

AL

Jefferson County, Alabama, services an area with a population of over 500,000. The initiative will allow Jefferson County to expand evidence-based substance use treatment and peer recovery support services to a pretrial population at high risk for overdose. These services are essential to supporting treatment engagement. The project addresses COSSUP's allowable use of implementing evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs and recovery support services for a pre-trial population leaving jail.

County of Jefferson

Alabama

Jefferson County, Alabama, services an area with a population of over 500,000. The initiative will allow Jefferson County to expand evidence-based substance use treatment and peer recovery support services to a pretrial population at high risk for overdose. These services are essential to supporting treatment engagement. The project addresses COSSUP's allowable use of implementing evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs and recovery support services for a pre-trial population leaving jail.

SC

The Lancaster County Opioid Action Network project represents the work of over 40 public, private, civic, and faith-based partners working together over the past three years to address a range of community problems, especially opioid related crime, misuse, and overdose. The project attempts to reduce misuse by 20% in year one and by 30% in year two. With support from a Research Team, an extensive assessment of the problem will take place, including examination of underlying contributors. A series of strategies are along with a tracking system to provide real time feedback to practitioners. Based on cursory data analysis, several strategies are and include replication of Law Enforcement Assisted Diversion (LEAD), increased access to treatment resources, support for first responders impacted by the traumatic explosion of opioid deaths, and an overdose awareness and education component. The project will provide resources for training of every law enforcement officer in the county on LEAD (Law Enforcement Assisted Diversion), promote visible prescription drug take back strategies, and assist with training, handling, and distribution of Naloxone. Priority considerations include Opportunity Zone, Poverty, and Rural.

County of Lancaster Administration Building

South Carolina

The Lancaster County Opioid Action Network project represents the work of over 40 public, private, civic, and faith-based partners working together over the past three years to address a range of community problems, especially opioid related crime, misuse, and overdose. The project attempts to reduce misuse by 20% in year one and by 30% in year two. With support from a Research Team, an extensive assessment of the problem will take place, including examination of underlying contributors. A series of strategies are along with a tracking system to provide real time feedback to practitioners. Based on cursory data analysis, several strategies are and include replication of Law Enforcement Assisted Diversion (LEAD), increased access to treatment resources, support for first responders impacted by the traumatic explosion of opioid deaths, and an overdose awareness and education component. The project will provide resources for training of every law enforcement officer in the county on LEAD (Law Enforcement Assisted Diversion), promote visible prescription drug take back strategies, and assist with training, handling, and distribution of Naloxone. Priority considerations include Opportunity Zone, Poverty, and Rural.

NC

Lenoir County's project is a regional project serving two rural counties in eastern North Carolina-Lenoir and Greene Counties-with a combined population of greater than 50,000. The grant will expand evidence-based substance use treatment, recovery housing, and case management services for justice-involved individuals at multiple intercepts. Specifically, under this project, Lenoir and Greene County will: Provide recovery housing and case management services to up to 157 individuals over the life of the grant; Provide transportation support to up to 300 individuals over the life of the grant; Provide monthly structured, supervised visitation for children impacted by parental substance use in the family court system; Support identifiable and accessible prescription drug take-back programs for unused, controlled substances in the home; Provide evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs, as well as harm reduction activities and recovery support services; Partner with a researcher to continue to provide research-based strategies to identify treatment/resource needs, address system gaps, and evaluate program effectiveness through objective measures.

County of Lenoir

North Carolina

Lenoir County's project is a regional project serving two rural counties in eastern North Carolina-Lenoir and Greene Counties-with a combined population of greater than 50,000. The grant will expand evidence-based substance use treatment, recovery housing, and case management services for justice-involved individuals at multiple intercepts. Specifically, under this project, Lenoir and Greene County will: Provide recovery housing and case management services to up to 157 individuals over the life of the grant; Provide transportation support to up to 300 individuals over the life of the grant; Provide monthly structured, supervised visitation for children impacted by parental substance use in the family court system; Support identifiable and accessible prescription drug take-back programs for unused, controlled substances in the home; Provide evidence-based substance use disorder treatment related to opioids, stimulants, and other drugs, as well as harm reduction activities and recovery support services; Partner with a researcher to continue to provide research-based strategies to identify treatment/resource needs, address system gaps, and evaluate program effectiveness through objective measures.

OH

The Marion County Prosecutors Office in Marion County, Ohio, project will enhance the Prosecutor Intervention Program for people suffering from substance use disorders (SUD)/opioid use disorders (OUD). The target population for the program are individuals with SUD/OUD who encounter the criminal justice system and are charged by law enforcement with a low-level offense. It is well known that incarceration is not a suitable solution for people suffering with SUD/OUD, so the overarching goal of this program is to divert individuals from incarceration and instead place them in appropriate treatment, ensuring compliance with the treatment program, and help them achieve long-term recovery. The service area is all of Marion County, OH. Marion County is in North Central Ohio and encompasses 404 square miles. As of the 2020 census, the population of the county is 65,359 (census.gov, 2020) and has been identified as a rural area by the Federal Office of Rural Health Policy. In 2020, the Age-Adjusted rate of Unintentional Drug Overdose Deaths in Marion County was 60.6, 15 points higher than the Ohio average of 45.6 (Ohio Department of Health 2020 Drug Overdose Data). The Marion County Prosecutor Intervention Program (PIP) allows the Prosecuting Attorney to divert individuals struggling with SUD/OUD from the criminal justice system to appropriate treatment services. An assigned project coordinator works with each client to ensure: 1) Connections to appropriate treatment and community resources; 2) Stable housing; 3) and follow up engagement. Marion County has a unique level of collaboration within the county. Local law enforcement, EMS and fire, regional hospitals, Marion County Courts, and local treatment agencies recognize the need for additional services for the population struggling with SUD/OUD. The creation of the PIP program has strengthened the relationships and collaboration efforts of county agencies, creating a solid foundation to enhance their capability of responding and providing emergency treatment for those struggling with SUD/OUD as well as working to reduce overall recidivism rates and overpopulation of the jail system.

County of Marion

Ohio

The Marion County Prosecutors Office in Marion County, Ohio, project will enhance the Prosecutor Intervention Program for people suffering from substance use disorders (SUD)/opioid use disorders (OUD). The target population for the program are individuals with SUD/OUD who encounter the criminal justice system and are charged by law enforcement with a low-level offense. It is well known that incarceration is not a suitable solution for people suffering with SUD/OUD, so the overarching goal of this program is to divert individuals from incarceration and instead place them in appropriate treatment, ensuring compliance with the treatment program, and help them achieve long-term recovery. The service area is all of Marion County, OH. Marion County is in North Central Ohio and encompasses 404 square miles. As of the 2020 census, the population of the county is 65,359 (census.gov, 2020) and has been identified as a rural area by the Federal Office of Rural Health Policy. In 2020, the Age-Adjusted rate of Unintentional Drug Overdose Deaths in Marion County was 60.6, 15 points higher than the Ohio average of 45.6 (Ohio Department of Health 2020 Drug Overdose Data). The Marion County Prosecutor Intervention Program (PIP) allows the Prosecuting Attorney to divert individuals struggling with SUD/OUD from the criminal justice system to appropriate treatment services. An assigned project coordinator works with each client to ensure: 1) Connections to appropriate treatment and community resources; 2) Stable housing; 3) and follow up engagement. Marion County has a unique level of collaboration within the county. Local law enforcement, EMS and fire, regional hospitals, Marion County Courts, and local treatment agencies recognize the need for additional services for the population struggling with SUD/OUD. The creation of the PIP program has strengthened the relationships and collaboration efforts of county agencies, creating a solid foundation to enhance their capability of responding and providing emergency treatment for those struggling with SUD/OUD as well as working to reduce overall recidivism rates and overpopulation of the jail system.

WI

The Oneida County Health Department proposes to advance the Oneida County Community Response Team (OC CRT) Law Enforcement and First Responder Deflection and Referral to Treatment Program and establish recovery housing, both of which involve the progression of peer recovery coach services. The purpose is to improve current comprehensive, multi-disciplinary, evidence-based, community centered referral to treatment programs at multiple intercepts of the criminal justice system and establish recovery supports that enhance treatment and health outcomes for individuals experiencing substance use concerns. Project activities include expanding law enforcement and first responder participation in OC CRT deflection activities, as well as, collaboration with the newly formed Criminal Justice Coordinative Committee to establish comprehensive diversion programs at multiple intercepts of the sequential model. The project emphasizes developing peer recovery coach services, as well as, the integration of social workers to provide case management and care coordination services. In addition, the project aims to build an Advancing Recovery Capital Workgroup focused on establishing recovery housing, including recovery support services, in the region. Expected outcomes include: improved coordination of public health and response agency efforts through multi-disciplinary teams, increased number of evidence-based interventions within the criminal justice system, decreases recidivism rates, increased linkages to care and engagement in treatment, increased availability of recovery support resources, improved housing stability, and reduced morbidity and mortality associated with substance use. Beneficiaries of this project include various organizations involved at different intercepts of the criminal justice system by reducing recidivism rates and the burden of addressing behavioral health concerns within the system. Individuals experiencing substance use concerns will experience improved health outcomes and the ability to become productive members of society. The general community benefits from reduced property and public order crime. Most importantly, by supporting caregivers experiencing substance use concerns, the project improves social determinants of health for children living in these environments and helps impact family cycles of addiction. Subrecipient activities include: law enforcement and first responders will participate in follow-up contact interventions; recovery support services will provide case management, care coordination, and skill building services; recovery housing subrecipient will coordinate and provide guidance on steps to establishing recovery housing, finding and updating suitable locations, and training on systems of operation; data analysis subrecipient will complete process and outcome evaluation and reporting activities.

County of Oneida

Wisconsin

The Oneida County Health Department proposes to advance the Oneida County Community Response Team (OC CRT) Law Enforcement and First Responder Deflection and Referral to Treatment Program and establish recovery housing, both of which involve the progression of peer recovery coach services. The purpose is to improve current comprehensive, multi-disciplinary, evidence-based, community centered referral to treatment programs at multiple intercepts of the criminal justice system and establish recovery supports that enhance treatment and health outcomes for individuals experiencing substance use concerns. Project activities include expanding law enforcement and first responder participation in OC CRT deflection activities, as well as, collaboration with the newly formed Criminal Justice Coordinative Committee to establish comprehensive diversion programs at multiple intercepts of the sequential model. The project emphasizes developing peer recovery coach services, as well as, the integration of social workers to provide case management and care coordination services. In addition, the project aims to build an Advancing Recovery Capital Workgroup focused on establishing recovery housing, including recovery support services, in the region. Expected outcomes include: improved coordination of public health and response agency efforts through multi-disciplinary teams, increased number of evidence-based interventions within the criminal justice system, decreases recidivism rates, increased linkages to care and engagement in treatment, increased availability of recovery support resources, improved housing stability, and reduced morbidity and mortality associated with substance use. Beneficiaries of this project include various organizations involved at different intercepts of the criminal justice system by reducing recidivism rates and the burden of addressing behavioral health concerns within the system. Individuals experiencing substance use concerns will experience improved health outcomes and the ability to become productive members of society. The general community benefits from reduced property and public order crime. Most importantly, by supporting caregivers experiencing substance use concerns, the project improves social determinants of health for children living in these environments and helps impact family cycles of addiction. Subrecipient activities include: law enforcement and first responders will participate in follow-up contact interventions; recovery support services will provide case management, care coordination, and skill building services; recovery housing subrecipient will coordinate and provide guidance on steps to establishing recovery housing, finding and updating suitable locations, and training on systems of operation; data analysis subrecipient will complete process and outcome evaluation and reporting activities.

KS

The Reno County Health Department will establish Medication Assisted Treatment (MAT) in the jail and implementation funding to support the work of an Overdose Fatality Review Board. Reno County's efforts in partnering to implement overdose mapping, and implementation of harm reduction activities have had positive interactions across our community. These activities have led to a spike alert protocol and messaging for citizens when dangerous substances were entering our community. Messaging, anti-stigma, and education efforts over the past two years have begun to change minds which is evident in the data collected in the 2022 Health Assessment which indicates that 66% of our population support harm reduction efforts and view substance misuse as a disease. Implementing MAT in the Reno County Correctional Facility will provide a harm reduction service to individuals who experience substance use disorder and enter incarceration. MAT is a resource to support jail administrators in providing effective treatment for individuals with opioid use disorder and helping to halt the opioid epidemic in the United States. Jails can be on the front lines of this epidemic, and they also are in a unique position to initiate treatment in a controlled, safe environment. MAT is a cornerstone for best practice for recovery from substance misuse, particularly when coupled with evidence based therapy offered from our partners. This will improve medical and mental health outcomes and reduce relapses and recidivism. Reno County is ready to implement harm reduction efforts that will provide equitable support for all citizens who are ready for recovery. Implementation of an Overdose Fatality Review Board will engage partners such as law enforcement, district attorneys, mental health providers, drug court, not-for-profits, medical partners, and families. The board will review data and activities from individuals who have passed due to an overdose, giving Reno County the opportunity to better understand if there was a missed opportunity to go further upstream and implement prevention methods. Allowing for the development of policies, and services to support individuals and families experiencing substance use disorder. These actions will support prevention efforts, recovery supports, reduce recidivism, and reduce secondary trauma based off the recommendations of this multidisciplinary team.

County of Reno

Kansas

The Reno County Health Department will establish Medication Assisted Treatment (MAT) in the jail and implementation funding to support the work of an Overdose Fatality Review Board. Reno County's efforts in partnering to implement overdose mapping, and implementation of harm reduction activities have had positive interactions across our community. These activities have led to a spike alert protocol and messaging for citizens when dangerous substances were entering our community. Messaging, anti-stigma, and education efforts over the past two years have begun to change minds which is evident in the data collected in the 2022 Health Assessment which indicates that 66% of our population support harm reduction efforts and view substance misuse as a disease. Implementing MAT in the Reno County Correctional Facility will provide a harm reduction service to individuals who experience substance use disorder and enter incarceration. MAT is a resource to support jail administrators in providing effective treatment for individuals with opioid use disorder and helping to halt the opioid epidemic in the United States. Jails can be on the front lines of this epidemic, and they also are in a unique position to initiate treatment in a controlled, safe environment. MAT is a cornerstone for best practice for recovery from substance misuse, particularly when coupled with evidence based therapy offered from our partners. This will improve medical and mental health outcomes and reduce relapses and recidivism. Reno County is ready to implement harm reduction efforts that will provide equitable support for all citizens who are ready for recovery. Implementation of an Overdose Fatality Review Board will engage partners such as law enforcement, district attorneys, mental health providers, drug court, not-for-profits, medical partners, and families. The board will review data and activities from individuals who have passed due to an overdose, giving Reno County the opportunity to better understand if there was a missed opportunity to go further upstream and implement prevention methods. Allowing for the development of policies, and services to support individuals and families experiencing substance use disorder. These actions will support prevention efforts, recovery supports, reduce recidivism, and reduce secondary trauma based off the recommendations of this multidisciplinary team.

CA

The County of San Luis Obispo's Behavioral Health Department/Drug and Alcohol Services Division, is partnering with Superior Court, Probation and Sheriff Departments for the project. The County of San Luis Obispo is a medium-size jurisdiction in California (pop. 283,159) aims to provide 200 individuals suffering from opiate use and stimulant use disorders with evidence-based therapy and Recovery Residences. The target population is adults that have both opiate and stimulant use disorder, primarily methamphetamine, who are at high-risk for overdose. Project Strategy and Partnerships: San Luis Obispo County is the 11th least affordable housing market in the United States (2017). The enhancement is to provide Recovery Residence stays (Drug and Alcohol-free Living) to all COSSUP participants in San Luis Obispo County who need this level of care for up to 90 days. All Recovery Residences provided funding with this grant will be MAT compliant to serve those with opiate use disorders. In addition, this project will provide for two Behavioral Health Specialist I (Case Managers) to provide intensive case management services to COSSUP participants while in-custody and while in treatment after being released from custody. The Case Manager will provide transportation and an initial supply of hygiene items to provide a warm welcome from custody to outpatient treatment in conjunction with the Recovery Residence. Utilizing Cognitive Behavioral Therapy (CBT) as a brief treatment intervention, this grant proposes to address both mental health and substance use disorders in a coordinated integrated care to provide the bridge from County Jail to community-based treatment. Project Outcomes: When successful, participants in the program will have achieved and sustained a lifestyle of sobriety and recovery, including learning CBT skills to better manage their lives. There will be decreased criminal recidivism, decreased impact on the criminal justice and behavioral health care systems, and re-stabilized lives.

County of San Luis Obispo

California

The County of San Luis Obispo's Behavioral Health Department/Drug and Alcohol Services Division, is partnering with Superior Court, Probation and Sheriff Departments for the project. The County of San Luis Obispo is a medium-size jurisdiction in California (pop. 283,159) aims to provide 200 individuals suffering from opiate use and stimulant use disorders with evidence-based therapy and Recovery Residences. The target population is adults that have both opiate and stimulant use disorder, primarily methamphetamine, who are at high-risk for overdose. Project Strategy and Partnerships: San Luis Obispo County is the 11th least affordable housing market in the United States (2017). The enhancement is to provide Recovery Residence stays (Drug and Alcohol-free Living) to all COSSUP participants in San Luis Obispo County who need this level of care for up to 90 days. All Recovery Residences provided funding with this grant will be MAT compliant to serve those with opiate use disorders. In addition, this project will provide for two Behavioral Health Specialist I (Case Managers) to provide intensive case management services to COSSUP participants while in-custody and while in treatment after being released from custody. The Case Manager will provide transportation and an initial supply of hygiene items to provide a warm welcome from custody to outpatient treatment in conjunction with the Recovery Residence. Utilizing Cognitive Behavioral Therapy (CBT) as a brief treatment intervention, this grant proposes to address both mental health and substance use disorders in a coordinated integrated care to provide the bridge from County Jail to community-based treatment. Project Outcomes: When successful, participants in the program will have achieved and sustained a lifestyle of sobriety and recovery, including learning CBT skills to better manage their lives. There will be decreased criminal recidivism, decreased impact on the criminal justice and behavioral health care systems, and re-stabilized lives.

CA

Continuation funding from the BJA FY 2023 Comprehensive Opioid, Stimulant, and Substance Use Site-based Program (COSSUP), will enable Stanislaus County, California, to expand and enhance comprehensive programs to identify, respond to, treat, and support those impacted by the overdose crisis and the impacts of used and misuse of opioids, stimulants, or other substances. Lead agency for the project is County of Stanislaus, a unit of local government in California. Project partners are Stanislaus County Behavioral Health and Recovery Services, Center for Human Services and Stanislaus County Health Services Agency. County of Stanislaus's population is over 500,000. The project goal is to reduce the impact of the use and misuse of opioids, stimulants, and other substances on individuals and communities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives. This will be accomplished by embedding COAP-funded staff with the current Community Assessment, Response, and Engagement (CARE) Multidisciplinary Team (Evidence-based practice) colocated in Modesto, California. The project objectives are to support comprehensive, locally driven response to the use and misuse of opioids, stimulants, and other substances that expand access to treatment and recovery support services; support law enforcement-led deflection programs; and promote education and prevention activities. This will be accomplished by implementing a multidisciplinary overdose prevention, response, and deflection/diversion model led by law enforcement (CARE MDT); providing evidence-based SUD treatment such as Motivational Interviewing as well as harm reduction activities, including educating users on the proper use of Naloxone; and providing access to transitional/recovery housing and recovery support services. The project deliverables are to maintain a working relationship with the BJA supported COSSUP training and TA providers and to establish/maintain a multidisciplinary coordinating body that focused on addressing the issues that arise due to the use and misuse of opioids, stimulants, and other substances. The multidisciplinary coordinating body will be the CARE MDT, who will also collaborate closely with the Stanislaus County Opioid Safety Coalition. The will support: (1) Personnel costs; (2) Travel costs for BJA-required training and convening; (3) Program Supplies; (4) Recovery Housing; (5) Emergency Housing Vouchers. The service area is Stanislaus County, California including all towns and rural hamlets. The target population served by this grant will be primarily homeless individuals impacted by the overdose crisis in Stanislaus County.

County of Stanislaus

California

Continuation funding from the BJA FY 2023 Comprehensive Opioid, Stimulant, and Substance Use Site-based Program (COSSUP), will enable Stanislaus County, California, to expand and enhance comprehensive programs to identify, respond to, treat, and support those impacted by the overdose crisis and the impacts of used and misuse of opioids, stimulants, or other substances. Lead agency for the project is County of Stanislaus, a unit of local government in California. Project partners are Stanislaus County Behavioral Health and Recovery Services, Center for Human Services and Stanislaus County Health Services Agency. County of Stanislaus's population is over 500,000. The project goal is to reduce the impact of the use and misuse of opioids, stimulants, and other substances on individuals and communities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives. This will be accomplished by embedding COAP-funded staff with the current Community Assessment, Response, and Engagement (CARE) Multidisciplinary Team (Evidence-based practice) colocated in Modesto, California. The project objectives are to support comprehensive, locally driven response to the use and misuse of opioids, stimulants, and other substances that expand access to treatment and recovery support services; support law enforcement-led deflection programs; and promote education and prevention activities. This will be accomplished by implementing a multidisciplinary overdose prevention, response, and deflection/diversion model led by law enforcement (CARE MDT); providing evidence-based SUD treatment such as Motivational Interviewing as well as harm reduction activities, including educating users on the proper use of Naloxone; and providing access to transitional/recovery housing and recovery support services. The project deliverables are to maintain a working relationship with the BJA supported COSSUP training and TA providers and to establish/maintain a multidisciplinary coordinating body that focused on addressing the issues that arise due to the use and misuse of opioids, stimulants, and other substances. The multidisciplinary coordinating body will be the CARE MDT, who will also collaborate closely with the Stanislaus County Opioid Safety Coalition. The will support: (1) Personnel costs; (2) Travel costs for BJA-required training and convening; (3) Program Supplies; (4) Recovery Housing; (5) Emergency Housing Vouchers. The service area is Stanislaus County, California including all towns and rural hamlets. The target population served by this grant will be primarily homeless individuals impacted by the overdose crisis in Stanislaus County.

OR

Tillamook County, Oregon, will implement a project that is consistent with the goals, objectives, and intended outcomes of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP), which include reducing overdose deaths, promoting public safety, and supporting access to substance use disorder (SUD) treatment and recovery services, as well as evidence-based, culturally relevant interventions for adults and affected family members at any intercept point of the justice system. The purpose of the project is to continue to build upon the work and accomplishments of Opioid Use Response in Tillamook County (OUR Tillamook), a countywide, community-based, and multisectoral consortium that was formed in 2019 to address the opioid epidemic afflicting a rural, coastal region that is home to nearly 28,000 people residing in an area just over 1,100 square miles. The COSSUP initiative will address identified gaps and opportunities to expand prevention, treatment, and recovery services for individuals experiencing substance use disorder (SUD), and will primarily target opioid use disorder (OUD) experienced by low-income and uninsured/underinsured residents. Specific project activities will include: 1) delivering crisis intervention training to local law enforcement and first responders to assist efforts to deflect and divert individuals away from adult or juvenile justice systems; 2) the purchase of NARCAN (naloxone) and related supplies for law enforcement and first responders to administer and distribute in the field to prevent or reverse rural opioid overdoses and build community trust and participation; 3) continuing education and prevention programs that connect law enforcement agencies with K-12 students utilizing the Hazelden Betty Ford Foundation school-based prevention curriculum; and 4) hiring a peer support specialist to create a law enforcement liaison program to build bridges of support and collaboration between law enforcement officers and people with OUD in the justice system. By the end of the 36-month project period, expected outcomes will include: 1) the completion of mental health and SUD/OUD specific crisis intervention and de-escalation training for all law enforcement agencies and first responders; 2) administration or distribution of up to 100 doses of NARCAN per month in rural cases of confirmed or suspected opioid overdose; and 3) the continued delivery of the Hazelden Betty Ford Foundation school-based prevention program with active law enforcement participation at three local K-12 school districts during the grant period.

County of Tillamook

Oregon

Tillamook County, Oregon, will implement a project that is consistent with the goals, objectives, and intended outcomes of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP), which include reducing overdose deaths, promoting public safety, and supporting access to substance use disorder (SUD) treatment and recovery services, as well as evidence-based, culturally relevant interventions for adults and affected family members at any intercept point of the justice system. The purpose of the project is to continue to build upon the work and accomplishments of Opioid Use Response in Tillamook County (OUR Tillamook), a countywide, community-based, and multisectoral consortium that was formed in 2019 to address the opioid epidemic afflicting a rural, coastal region that is home to nearly 28,000 people residing in an area just over 1,100 square miles. The COSSUP initiative will address identified gaps and opportunities to expand prevention, treatment, and recovery services for individuals experiencing substance use disorder (SUD), and will primarily target opioid use disorder (OUD) experienced by low-income and uninsured/underinsured residents. Specific project activities will include: 1) delivering crisis intervention training to local law enforcement and first responders to assist efforts to deflect and divert individuals away from adult or juvenile justice systems; 2) the purchase of NARCAN (naloxone) and related supplies for law enforcement and first responders to administer and distribute in the field to prevent or reverse rural opioid overdoses and build community trust and participation; 3) continuing education and prevention programs that connect law enforcement agencies with K-12 students utilizing the Hazelden Betty Ford Foundation school-based prevention curriculum; and 4) hiring a peer support specialist to create a law enforcement liaison program to build bridges of support and collaboration between law enforcement officers and people with OUD in the justice system. By the end of the 36-month project period, expected outcomes will include: 1) the completion of mental health and SUD/OUD specific crisis intervention and de-escalation training for all law enforcement agencies and first responders; 2) administration or distribution of up to 100 doses of NARCAN per month in rural cases of confirmed or suspected opioid overdose; and 3) the continued delivery of the Hazelden Betty Ford Foundation school-based prevention program with active law enforcement participation at three local K-12 school districts during the grant period.

NC

The Craven County Sheriff’s Office is a unit of local government in New Bern, North Carolina, a rural area in Eastern North Carolina. Working with community partners, The Craven County Sherriff’s Office proposes to provide jail-based and re-entry programs to: (1) expand or enhance pre-booking or post-booking treatment or intervention programs that serve individuals at high risk for overdose or substance abuse; (2) expand or enhance embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model to assist persons in the criminal justice system and their families navigate the justice system and increase their connection to treatment and recovery support services (66 percent of the budget), and (3) expand and enhance evidence-based treatment and recovery support services including transitional or recovery housing (15 percent of the budget), transportation (7 percent of the budget), and peer recovery support services (12 percent of the budget). Funding from this grant will increase access to behavioral health treatment and services, improve linkage to peer specialists and recovery support, and provide transitional recovery housing to the most vulnerable individuals leaving the Craven County Jail.

Craven County Government

North Carolina

The Craven County Sheriff’s Office is a unit of local government in New Bern, North Carolina, a rural area in Eastern North Carolina. Working with community partners, The Craven County Sherriff’s Office proposes to provide jail-based and re-entry programs to: (1) expand or enhance pre-booking or post-booking treatment or intervention programs that serve individuals at high risk for overdose or substance abuse; (2) expand or enhance embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model to assist persons in the criminal justice system and their families navigate the justice system and increase their connection to treatment and recovery support services (66 percent of the budget), and (3) expand and enhance evidence-based treatment and recovery support services including transitional or recovery housing (15 percent of the budget), transportation (7 percent of the budget), and peer recovery support services (12 percent of the budget). Funding from this grant will increase access to behavioral health treatment and services, improve linkage to peer specialists and recovery support, and provide transitional recovery housing to the most vulnerable individuals leaving the Craven County Jail.

GA

The Georgia Criminal Justice Coordinating Council (CJCC) project provides a collaborative and effective data-driven response for Georgia's citizens affected by the opioid crisis as well as substance use disorder, while holding substance users accountable and improving public safety. This project will serve a minimum of six geographically diverse localities throughout the state using a competitive request for applications process. Potential projects will respond to the following objectives: criminal justice response in diversion and intervention, prevention and harm reduction, and recovery support. CJCC will also work with the Georgia Council on Substance Abuse to provide law enforcement throughout the state with trauma response training. Each objective is at the core of the state's response to create sustainable solutions that will support substance use recovery, prevention, and enhance public safety for individuals who suffer from substance use disorder, impacted family members, and the communities in which they live. Project activities will address the following allowable uses: supporting the implementation or enhancement of law enforcement and first responder-led diversion programs for individuals with substance use disorders; supporting the implementation of pre/post-booking alternative to incarceration programs within target areas; promoting education and prevention activities that link law enforcement with K12 youth who may be impacted by substance use; supporting data-driven responses at the local level to address the misuse of opioids and other substances, and expanding access to treatment and recovery support. Funding will also be used to conduct a statewide action plan and evaluation which will be led by the Georgia Statistical Analysis Center who will also play a vital role in the data driven response.

Criminal Justice Coordinating Council

Georgia

The Georgia Criminal Justice Coordinating Council (CJCC) project provides a collaborative and effective data-driven response for Georgia's citizens affected by the opioid crisis as well as substance use disorder, while holding substance users accountable and improving public safety. This project will serve a minimum of six geographically diverse localities throughout the state using a competitive request for applications process. Potential projects will respond to the following objectives: criminal justice response in diversion and intervention, prevention and harm reduction, and recovery support. CJCC will also work with the Georgia Council on Substance Abuse to provide law enforcement throughout the state with trauma response training. Each objective is at the core of the state's response to create sustainable solutions that will support substance use recovery, prevention, and enhance public safety for individuals who suffer from substance use disorder, impacted family members, and the communities in which they live. Project activities will address the following allowable uses: supporting the implementation or enhancement of law enforcement and first responder-led diversion programs for individuals with substance use disorders; supporting the implementation of pre/post-booking alternative to incarceration programs within target areas; promoting education and prevention activities that link law enforcement with K12 youth who may be impacted by substance use; supporting data-driven responses at the local level to address the misuse of opioids and other substances, and expanding access to treatment and recovery support. Funding will also be used to conduct a statewide action plan and evaluation which will be led by the Georgia Statistical Analysis Center who will also play a vital role in the data driven response.

NJ

The County of Cumberland (Inc) is applying for Category 1 funding in the amount of $900,000. Fighting Relapse Effort Employing Drug Offense Monitoring Plus (FREEDOM+) is a collaborative diversionary program that will offer treatment and key peer recovery supports as a critical intervention that interrupts perpetuated criminal behavior. Additional harm reduction, prevention, and intervention efforts like Narcan distribution and education, fentanyl test strips, the U.S. Drug Enforcement Administration's National Drug Take Back Initiative, and integrating Law Enforcement Assisted Diversion (LEAD) and Police Assisted Addiction and Recovery Initiative (PAARI) programs are the "plus" part of this project to support community members fighting to be substance free. The FREEDOM+ program aims to drive those caught in the cycle of relapse and drug-seeking behavior toward treatment on threat of legal consequence, while setting up the participant for success with compassionate peer recovery support services. This project serves an estimated 600 defendants who will be offered, through their defense counsel, an opportunity to participate in FREEDOM+, with hopes that the offered opportunity and supports will motivate as many as 50 percent of participants to remain compliant into sustained recovery. The project includes partnerships with the Cumberland County Department of Human Services (CCDHS), which is a primary partner in implementing FREEDOM+, and its substance misuse programs. CCDHS operates a state licensed treatment facility where they will administer Comprehensive Drug and Alcohol Evaluations and provide a quality, evidenced-based, multi-faceted approach to address substance use problems for individuals and families. CCDHS also operates the Capital Recovery Center, which will be instrumental in managing the progress of defendants participating in FREEDOM+ and providing holistic peer recovery supports. This project will engage Rutgers University’s Walter Rand Institute (WRI) as evaluator. FREEDOM+ advances the U.S. Department of Justice priorities in three ways: by increasing access to justice, protecting the public from crime and evolving threats, and building trust between law enforcement and the community. In addition, Cumberland County meets the Office of Justice Programs priority of being a high-poverty area.

Cumberland County (Inc)

New Jersey

The County of Cumberland (Inc) is applying for Category 1 funding in the amount of $900,000. Fighting Relapse Effort Employing Drug Offense Monitoring Plus (FREEDOM+) is a collaborative diversionary program that will offer treatment and key peer recovery supports as a critical intervention that interrupts perpetuated criminal behavior. Additional harm reduction, prevention, and intervention efforts like Narcan distribution and education, fentanyl test strips, the U.S. Drug Enforcement Administration's National Drug Take Back Initiative, and integrating Law Enforcement Assisted Diversion (LEAD) and Police Assisted Addiction and Recovery Initiative (PAARI) programs are the "plus" part of this project to support community members fighting to be substance free. The FREEDOM+ program aims to drive those caught in the cycle of relapse and drug-seeking behavior toward treatment on threat of legal consequence, while setting up the participant for success with compassionate peer recovery support services. This project serves an estimated 600 defendants who will be offered, through their defense counsel, an opportunity to participate in FREEDOM+, with hopes that the offered opportunity and supports will motivate as many as 50 percent of participants to remain compliant into sustained recovery. The project includes partnerships with the Cumberland County Department of Human Services (CCDHS), which is a primary partner in implementing FREEDOM+, and its substance misuse programs. CCDHS operates a state licensed treatment facility where they will administer Comprehensive Drug and Alcohol Evaluations and provide a quality, evidenced-based, multi-faceted approach to address substance use problems for individuals and families. CCDHS also operates the Capital Recovery Center, which will be instrumental in managing the progress of defendants participating in FREEDOM+ and providing holistic peer recovery supports. This project will engage Rutgers University’s Walter Rand Institute (WRI) as evaluator. FREEDOM+ advances the U.S. Department of Justice priorities in three ways: by increasing access to justice, protecting the public from crime and evolving threats, and building trust between law enforcement and the community. In addition, Cumberland County meets the Office of Justice Programs priority of being a high-poverty area.

ME

The purpose of the Pathways for ME: Person-Centered Recovery and Reentry project is to reduce fatal overdose deaths and recidivism and enhance public safety in Cumberland County, Maine. The Cumberland County Public Health Department project will implement activities under the following allowable uses: embed peers in the jail and community to assist people with SUD and justice involvement; implement pre-booking and post-booking treatment alternatives to incarceration program; housing navigation and support for transitional or recovery housing; and coordinated efforts among police departments to expand the use of diversion. To meet the goal of the project, the primary activities are to: facilitate and sustain a coordinated network of organizations that provide reentry support and case management; expand the network to include Police Community Liaisons; screen people for Substance Use Disorder (SUD) and co-occurring disorders in the jail; provide reentry supports as people with SUD leave the jail; and increase peer recovery support in the jail and upon release. The activities will be focused on people who have an SUD and are in the county jail at least seven days. Given the complexity of needs among the target population and a host of barriers for people as they leave jail, the project relies on several strategic partnerships (and subawards) across a range of organizations and services that, together, create a tailored and coordinated system of care. Those organizations include: Cumberland County Jail, Maine Pretrial Services, Co-occurring Collaborative Serving Maine, Amistad, and Portland Recovery Community Center. Other partners include SUD treatment providers and Police Departments across the county. The expected outcomes of the project are: 1) A coordinated network of organizations that meets at least 2 times per month to coordinate care, eliminate barriers, and provide reentry services to people with SUD as they leave the county jail. 2) Annual screening of 1000 people for SUD and co-occurring disorders and offering materials on treatment and recovery support for all who screen positive. 3) All people who leave the jail receive naloxone. 4) Annually, 100 people in the jail receive reentry support, including navigation for the continuity of Medications for Opioid Use Disorder and safe housing as well as linkages to peer recovery support. 5)Annually, 100 people in the community receive reentry support, peer recovery support and community service navigation immediately after release from jail. John Snow, Inc will collect data and conduct the evaluation for the project.

Cumberland, County of

Maine

The purpose of the Pathways for ME: Person-Centered Recovery and Reentry project is to reduce fatal overdose deaths and recidivism and enhance public safety in Cumberland County, Maine. The Cumberland County Public Health Department project will implement activities under the following allowable uses: embed peers in the jail and community to assist people with SUD and justice involvement; implement pre-booking and post-booking treatment alternatives to incarceration program; housing navigation and support for transitional or recovery housing; and coordinated efforts among police departments to expand the use of diversion. To meet the goal of the project, the primary activities are to: facilitate and sustain a coordinated network of organizations that provide reentry support and case management; expand the network to include Police Community Liaisons; screen people for Substance Use Disorder (SUD) and co-occurring disorders in the jail; provide reentry supports as people with SUD leave the jail; and increase peer recovery support in the jail and upon release. The activities will be focused on people who have an SUD and are in the county jail at least seven days. Given the complexity of needs among the target population and a host of barriers for people as they leave jail, the project relies on several strategic partnerships (and subawards) across a range of organizations and services that, together, create a tailored and coordinated system of care. Those organizations include: Cumberland County Jail, Maine Pretrial Services, Co-occurring Collaborative Serving Maine, Amistad, and Portland Recovery Community Center. Other partners include SUD treatment providers and Police Departments across the county. The expected outcomes of the project are: 1) A coordinated network of organizations that meets at least 2 times per month to coordinate care, eliminate barriers, and provide reentry services to people with SUD as they leave the county jail. 2) Annual screening of 1000 people for SUD and co-occurring disorders and offering materials on treatment and recovery support for all who screen positive. 3) All people who leave the jail receive naloxone. 4) Annually, 100 people in the jail receive reentry support, including navigation for the continuity of Medications for Opioid Use Disorder and safe housing as well as linkages to peer recovery support. 5)Annually, 100 people in the community receive reentry support, peer recovery support and community service navigation immediately after release from jail. John Snow, Inc will collect data and conduct the evaluation for the project.

OH

The Alcohol, Drug Addiction, and Mental Health Services Board of Cuyahoga County (ADAMHS) is in the Northern District of Ohio (NDOH). Cuyahoga is the NDOH’s most populous county with 1.2 million residents in 58 municipalities. Since 2018, ADAMHS has partnered in surveillance and outreach with law enforcement, public/private health, and social welfare agencies to improve the effects of the opioid epidemic, but stark challenges remain. The county suffered 675 overdose deaths in 2021, one of the highest rates per 100,000 population in the country, with similar numbers expected in 2022. The purpose of this effort is to identify, respond to, and support those affected by illicit drugs, reduce overdose deaths, and mitigate impacts on individuals in the criminal justice system. ADAMHS will (1) expand comprehensive information gathering, analysis, and dissemination of fatal and nonfatal overdose incidents that promote the use of real-time data collection for planning and response and emerging drug trends (65 percent); and (2) conduct a peer recovery support services pilot (29 percent), with an evaluation of the latter (6 percent). This work involves the follow subrecipients: the Begun Center for Violence Prevention Research and Education, Cuyahoga County Board of Health, and Thrive Peer Recovery Services. The three objectives are to: (1) expand the Cuyahoga County Multi-Jurisdictional Overdose Surveillance Program to gain more information and develop clearer insight for better informed planning and response, especially across underserved communities; (2) enhance and diversify the data subcommittee of the U.S. Attorney’s Office NDOH Heroin and Opioid Task Force by increasing participation of more culturally specific, faith-based, and citizen action organizations; and (3) pilot a peer recovery support services program to bridge in-custody and community-based services for many non-Hispanic Black and Hispanic persons. Overdose Surveillance Program deliverables are an expanded overdose data dashboard, quarterly written drug trend and overdose hotspot alerts, annual reports of overdose trends, and quarterly reports of synthesized law enforcement decedent data provided to the county Overdose Fatality Review, including infographics, data briefs, and manuscripts submitted for peer review, and a medical examiner coded-data final report. Data subcommittee deliverables are bi-monthly meetings, a more diverse membership roster, and bi-monthly data subcommittee oral presentations by regional, state and national peers.

Cuyahoga County

Ohio

The Alcohol, Drug Addiction, and Mental Health Services Board of Cuyahoga County (ADAMHS) is in the Northern District of Ohio (NDOH). Cuyahoga is the NDOH’s most populous county with 1.2 million residents in 58 municipalities. Since 2018, ADAMHS has partnered in surveillance and outreach with law enforcement, public/private health, and social welfare agencies to improve the effects of the opioid epidemic, but stark challenges remain. The county suffered 675 overdose deaths in 2021, one of the highest rates per 100,000 population in the country, with similar numbers expected in 2022. The purpose of this effort is to identify, respond to, and support those affected by illicit drugs, reduce overdose deaths, and mitigate impacts on individuals in the criminal justice system. ADAMHS will (1) expand comprehensive information gathering, analysis, and dissemination of fatal and nonfatal overdose incidents that promote the use of real-time data collection for planning and response and emerging drug trends (65 percent); and (2) conduct a peer recovery support services pilot (29 percent), with an evaluation of the latter (6 percent). This work involves the follow subrecipients: the Begun Center for Violence Prevention Research and Education, Cuyahoga County Board of Health, and Thrive Peer Recovery Services. The three objectives are to: (1) expand the Cuyahoga County Multi-Jurisdictional Overdose Surveillance Program to gain more information and develop clearer insight for better informed planning and response, especially across underserved communities; (2) enhance and diversify the data subcommittee of the U.S. Attorney’s Office NDOH Heroin and Opioid Task Force by increasing participation of more culturally specific, faith-based, and citizen action organizations; and (3) pilot a peer recovery support services program to bridge in-custody and community-based services for many non-Hispanic Black and Hispanic persons. Overdose Surveillance Program deliverables are an expanded overdose data dashboard, quarterly written drug trend and overdose hotspot alerts, annual reports of overdose trends, and quarterly reports of synthesized law enforcement decedent data provided to the county Overdose Fatality Review, including infographics, data briefs, and manuscripts submitted for peer review, and a medical examiner coded-data final report. Data subcommittee deliverables are bi-monthly meetings, a more diverse membership roster, and bi-monthly data subcommittee oral presentations by regional, state and national peers.

OH

The Cuyahoga County Medical Examiner's Office (CCMEO) is implementing the Cuyahoga County Overdose Fatality Review Counteractive Initiative (CCOFRCI). The purpose of this effort is to enhance Cuyahoga County's Overdose Fatality Review (OFR) to promote cross-system coordination within the criminal justice and behavioral health systems for the identification and implementation of preventable risk factors and missed opportunities for intervention in order to reduce overdose deaths in Cuyahoga County, particularly for those historically marginalized, underserved, and adversely affected by inequality in Cuyahoga County, Ohio (metropolitan Cleveland). The OFR is a 20+ member, multidisciplinary body established in 2013 that shares identified cross-agency data to conduct intensive case reviews of exemplar overdose deaths, to identify systems gaps, and create recommendations, all with the purpose of learning from fatal overdose deaths and working towards decreasing deaths. This process and access to cross-agency information is uniquely distinctive to OFRs. The OFR is under the purview of the CCMEO and co-led by The Cuyahoga County Board of Health. Project activities include enhancing the OFR, with the addition of desk reviews and increasing the number of reviews from 18 to 54. Subrecipient activities include (1) 54 Next-of-Kin interviews conducted by the Alcohol, Drug Addiction and Mental Health Services Board; (2) The University of Kentucky Institute for Pharmaceutical Outcomes and Policy will pilot and develop a Natural Language Processing (NLP) plug-in for the COSSAP OFR Data System (COSSAP DS) for use by all OFRs who utilize this data system; and (3) The Case Western Reserve University (CWRU) Begun Center for Violence Prevention Research and Education will conduct survey and focus group/interviews with OFR stakeholders to evaluate the utility of OFR recommendations and apply risk terrain modeling to findings from the OFR to inform a county-wide educational outreach program in Year Three. Expected outcomes include: (1) increasing the pool of OFR cases to substantiate findings from previous reviews; (2) oversampling of populations of interest to understand variability of characteristics not captured due to the limited sample (Priority 1A); (3) implementation of a county-wide community outreach education campaign to share emerging overdose trends and promote public health strategies to reduce overdoses; and (4) create a resource guide that describes the OFR model of Cuyahoga County and its application of the COSSAP DS that can benefit and assist other OFRs.

Cuyahoga, County of

Ohio

The Cuyahoga County Medical Examiner's Office (CCMEO) is implementing the Cuyahoga County Overdose Fatality Review Counteractive Initiative (CCOFRCI). The purpose of this effort is to enhance Cuyahoga County's Overdose Fatality Review (OFR) to promote cross-system coordination within the criminal justice and behavioral health systems for the identification and implementation of preventable risk factors and missed opportunities for intervention in order to reduce overdose deaths in Cuyahoga County, particularly for those historically marginalized, underserved, and adversely affected by inequality in Cuyahoga County, Ohio (metropolitan Cleveland). The OFR is a 20+ member, multidisciplinary body established in 2013 that shares identified cross-agency data to conduct intensive case reviews of exemplar overdose deaths, to identify systems gaps, and create recommendations, all with the purpose of learning from fatal overdose deaths and working towards decreasing deaths. This process and access to cross-agency information is uniquely distinctive to OFRs. The OFR is under the purview of the CCMEO and co-led by The Cuyahoga County Board of Health. Project activities include enhancing the OFR, with the addition of desk reviews and increasing the number of reviews from 18 to 54. Subrecipient activities include (1) 54 Next-of-Kin interviews conducted by the Alcohol, Drug Addiction and Mental Health Services Board; (2) The University of Kentucky Institute for Pharmaceutical Outcomes and Policy will pilot and develop a Natural Language Processing (NLP) plug-in for the COSSAP OFR Data System (COSSAP DS) for use by all OFRs who utilize this data system; and (3) The Case Western Reserve University (CWRU) Begun Center for Violence Prevention Research and Education will conduct survey and focus group/interviews with OFR stakeholders to evaluate the utility of OFR recommendations and apply risk terrain modeling to findings from the OFR to inform a county-wide educational outreach program in Year Three. Expected outcomes include: (1) increasing the pool of OFR cases to substantiate findings from previous reviews; (2) oversampling of populations of interest to understand variability of characteristics not captured due to the limited sample (Priority 1A); (3) implementation of a county-wide community outreach education campaign to share emerging overdose trends and promote public health strategies to reduce overdoses; and (4) create a resource guide that describes the OFR model of Cuyahoga County and its application of the COSSAP DS that can benefit and assist other OFRs.

TX

The Dallas County District Attorney’s Office is applying under Category 1A for grant funding in the amount of $1,194,189 to develop the Dallas County Criminal Justice Opioid Response Plan. This project will take place in Dallas County, population 2.6 million, the 2nd largest county in Texas and the 8th largest county in the U.S. The program will (1) hire a program manager to develop a strategic plan for handling opioid-involved individuals upon entry into jail and continuing throughout the criminal justice system; (2) hire a clinical assessor to provide consistent recommendations for treatment; (3) fund evidence-based residential treatment, transitional housing, and Narcan; and (4) provide ongoing analysis of the program. Dr. Jennifer Gonzalez of the Meadows Mental Health and Policy Institute will serve as the project’s research partner. Priority considerations addressed in this application include (1) high rates of overdose deaths and (2) high rates of primary treatment admissions for heroin or other opioids. In addition, priority consideration is included for applications that offer enhancements to public safety in Qualified Opportunity Zones.

Dallas County

Texas

The Dallas County District Attorney’s Office is applying under Category 1A for grant funding in the amount of $1,194,189 to develop the Dallas County Criminal Justice Opioid Response Plan. This project will take place in Dallas County, population 2.6 million, the 2nd largest county in Texas and the 8th largest county in the U.S. The program will (1) hire a program manager to develop a strategic plan for handling opioid-involved individuals upon entry into jail and continuing throughout the criminal justice system; (2) hire a clinical assessor to provide consistent recommendations for treatment; (3) fund evidence-based residential treatment, transitional housing, and Narcan; and (4) provide ongoing analysis of the program. Dr. Jennifer Gonzalez of the Meadows Mental Health and Policy Institute will serve as the project’s research partner. Priority considerations addressed in this application include (1) high rates of overdose deaths and (2) high rates of primary treatment admissions for heroin or other opioids. In addition, priority consideration is included for applications that offer enhancements to public safety in Qualified Opportunity Zones.

TX

Dallas County Health District dba Parkland Health is devoted to serving the health care needs of its surrounding communities. Parkland Health has more than 165 outpatient specialty and sub-specialty clinics on its main campus, operates an extensive mobile health van program to care for the underserved and homeless in Dallas County, and serves as the medical provider for the Dallas County Jail through its Correctional Health Department. The Correctional Health Department has provided health care services at the Dallas County Jail and Juvenile Justice Centers since 2006. The Correctional Health Department endeavors to offer evidence-based medication-assisted treatment to adults and juveniles who present upon intake with substance use disorder. The program’s goals are to provide MAT service with counseling and rehabilitative groups, advance racial equity, support evidence-based prevention for youth substance use and assist all patients with social determinants of care during their transition back to the community. The project will provide evidence-based substance use disorder treatment, following the Medication Assistance Treatment program. The project will also collaborate with the courts and probation services to facilitate the release and provide resources in the community to support the individual after release. Using the Sequential Intercept Model, MAT-trained Social workers and peer-lived mentors will partner with service providers for assistance with supportive services such as transitional housing, health insurance, healthcare home placement, pharmacy assistance, career planning and placement, and the identification of a peer with lived experienced for discharge. Peer mentors will receive training via webinars from the National Reentry Resource Group and the Substance Abuse and Mental Health Services Administration (SAMHSA) Resource Center. Expected outcomes will demonstrate a need for the program, show racial inequities as it relates to the background of patients participating, and show a decrease in recidivism. This data should drive processes and contribute to supportive funding. Activities under the grant include: evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (34 percent) and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (33 percent).

Dallas County Hospital District

Texas

Dallas County Health District dba Parkland Health is devoted to serving the health care needs of its surrounding communities. Parkland Health has more than 165 outpatient specialty and sub-specialty clinics on its main campus, operates an extensive mobile health van program to care for the underserved and homeless in Dallas County, and serves as the medical provider for the Dallas County Jail through its Correctional Health Department. The Correctional Health Department has provided health care services at the Dallas County Jail and Juvenile Justice Centers since 2006. The Correctional Health Department endeavors to offer evidence-based medication-assisted treatment to adults and juveniles who present upon intake with substance use disorder. The program’s goals are to provide MAT service with counseling and rehabilitative groups, advance racial equity, support evidence-based prevention for youth substance use and assist all patients with social determinants of care during their transition back to the community. The project will provide evidence-based substance use disorder treatment, following the Medication Assistance Treatment program. The project will also collaborate with the courts and probation services to facilitate the release and provide resources in the community to support the individual after release. Using the Sequential Intercept Model, MAT-trained Social workers and peer-lived mentors will partner with service providers for assistance with supportive services such as transitional housing, health insurance, healthcare home placement, pharmacy assistance, career planning and placement, and the identification of a peer with lived experienced for discharge. Peer mentors will receive training via webinars from the National Reentry Resource Group and the Substance Abuse and Mental Health Services Administration (SAMHSA) Resource Center. Expected outcomes will demonstrate a need for the program, show racial inequities as it relates to the background of patients participating, and show a decrease in recidivism. This data should drive processes and contribute to supportive funding. Activities under the grant include: evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (34 percent) and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (33 percent).

IL

DeKalb County Court Services is applying for Category 1 funding in the amount of $900,000. The DeKalb County Comprehensive Opioid, Stimulant, and Other Substance Use Disorder Project will serve clients involved with the DeKalb County Court system by providing immediate access to treatment services for persons with substance use disorders (SUDs) who come into the criminal justice system and recovery services after treatment. Clients can enter the program at any point in the criminal justice system, from a first appearance in court through a time when they may be sentenced and supervised by the court. Services will be provided to the individual whether the client resides in the community or is incarcerated awaiting trial. The program in DeKalb County will cover treatment costs for eligible clients in need of immediate help for SUDs, assist with transportation getting to and from treatment, and help fund medication-assisted treatment. The project will also create new opportunities to enhance post-treatment success by providing additional recovery support services, including hiring and training a dedicated peer recovery support specialist. The project coordinator will train personnel in DeKalb County Court Services on the administration of naloxone. Policies and procedures will be developed with input from all partners in the criminal justice system, including a diversion plan that can be used to keep clients from obtaining a conviction if they successfully complete the program. The project serves DeKalb County, which has a population of 104,897. The project includes partnerships between DeKalb County Court Services and the DeKalb County Drug Overdose Prevention Program, local city and county government officials, the local judiciary, the State’s Attorney’s Office, the Public Defender’s Office, local law enforcement agencies, and local/regional service providers. The project will engage New York University’s Marron Institute as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

DeKalb County (Inc)

Illinois

DeKalb County Court Services is applying for Category 1 funding in the amount of $900,000. The DeKalb County Comprehensive Opioid, Stimulant, and Other Substance Use Disorder Project will serve clients involved with the DeKalb County Court system by providing immediate access to treatment services for persons with substance use disorders (SUDs) who come into the criminal justice system and recovery services after treatment. Clients can enter the program at any point in the criminal justice system, from a first appearance in court through a time when they may be sentenced and supervised by the court. Services will be provided to the individual whether the client resides in the community or is incarcerated awaiting trial. The program in DeKalb County will cover treatment costs for eligible clients in need of immediate help for SUDs, assist with transportation getting to and from treatment, and help fund medication-assisted treatment. The project will also create new opportunities to enhance post-treatment success by providing additional recovery support services, including hiring and training a dedicated peer recovery support specialist. The project coordinator will train personnel in DeKalb County Court Services on the administration of naloxone. Policies and procedures will be developed with input from all partners in the criminal justice system, including a diversion plan that can be used to keep clients from obtaining a conviction if they successfully complete the program. The project serves DeKalb County, which has a population of 104,897. The project includes partnerships between DeKalb County Court Services and the DeKalb County Drug Overdose Prevention Program, local city and county government officials, the local judiciary, the State’s Attorney’s Office, the Public Defender’s Office, local law enforcement agencies, and local/regional service providers. The project will engage New York University’s Marron Institute as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

NC

The North Carolina Controlled Substances Reporting System improvement program improves the exchange of information and collection of data on controlled substances II-V among states by increasing the number of prescribers regularly using the prescription drug monitoring program; provide a training program for system users based on their identified needs; produce and disseminate educational materials using online resources and cross-sector expertise; and support collaborations among law enforcement, public health officials, and prosecutors by increasing the system’s ability to respond to sector needs.

Department of Health and Human Services

North Carolina

The North Carolina Controlled Substances Reporting System improvement program improves the exchange of information and collection of data on controlled substances II-V among states by increasing the number of prescribers regularly using the prescription drug monitoring program; provide a training program for system users based on their identified needs; produce and disseminate educational materials using online resources and cross-sector expertise; and support collaborations among law enforcement, public health officials, and prosecutors by increasing the system’s ability to respond to sector needs.

MA

The Commonwealth of Massachusetts is implementing the Diversion to Care (DivCare) project; a responsive and adaptive approach to reduce exposure to the criminal justice system and alleviate racial inequity by strengthening regional implementation of interventions along the Sequential Intercept Model (SIM) grounded in community input and participation in project design, implementation, and evaluation (Priority 1A). The goals of DivCare are to improve statewide coordination and increase access to harm reduction, addiction treatment, and recovery services in 6 overdose burdened communities through reduced justice system involvement. Project activities will include: (1) statewide coordination to maximize existing resources, improve data surveillance systems, and better coordinate responses to events such as seizures and clinic closures; (2) incorporation of communities experiencing racial and ethnic inequities in project design, implementation, and evaluation; (3) implementation of interventions that reduce exposure to the criminal justice system and focus on racial inequities; (4) integration of peers and people with lived experience in intervention activities; and (5) expanded utilization of evidence-based harm reduction, addiction treatment, and recovery support resources across the intercept points. Site selection factors will include readiness, capacity, need, and geography. Expected outcomes include: improved realtime data collection and data sharing agreements at the state and local level; expansion of culturally specific interventions advised by a community feedback process; integration of people with lived experience into the intersecting criminal justice and addiction care continuum; strengthened regional coordination of community-based harm reduction, treatment, and recovery services across the intercept points. Local jurisdictions and their community residents who are at risk of both criminal justice involvement and harms from the use of opioids, stimulants, and other substances are the intended beneficiaries of the project. Subrecipient activities will include creation of data-sharing agreements between partners, using SIM map workshops to identify intercept points in need of strengthening, integration of culturally specific advisory groups including peers with lived experience to approve intervention activities, and enhanced utilization of evidence-based harm reduction, addiction treatment, and recovery support services across the intercept points focused on racial inequities. This project will be aided by training and technical assistance plan using nationally renowned experts in addiction, criminal justice, and SIM mapping. The only active BJA-COSSAP grant award at the state jurisdiction level, the EOTC managed Project NORTH (awarded FY20), will end 9/30/23.

Department of Public Safety

Massachusetts

The Commonwealth of Massachusetts is implementing the Diversion to Care (DivCare) project; a responsive and adaptive approach to reduce exposure to the criminal justice system and alleviate racial inequity by strengthening regional implementation of interventions along the Sequential Intercept Model (SIM) grounded in community input and participation in project design, implementation, and evaluation (Priority 1A). The goals of DivCare are to improve statewide coordination and increase access to harm reduction, addiction treatment, and recovery services in 6 overdose burdened communities through reduced justice system involvement. Project activities will include: (1) statewide coordination to maximize existing resources, improve data surveillance systems, and better coordinate responses to events such as seizures and clinic closures; (2) incorporation of communities experiencing racial and ethnic inequities in project design, implementation, and evaluation; (3) implementation of interventions that reduce exposure to the criminal justice system and focus on racial inequities; (4) integration of peers and people with lived experience in intervention activities; and (5) expanded utilization of evidence-based harm reduction, addiction treatment, and recovery support resources across the intercept points. Site selection factors will include readiness, capacity, need, and geography. Expected outcomes include: improved realtime data collection and data sharing agreements at the state and local level; expansion of culturally specific interventions advised by a community feedback process; integration of people with lived experience into the intersecting criminal justice and addiction care continuum; strengthened regional coordination of community-based harm reduction, treatment, and recovery services across the intercept points. Local jurisdictions and their community residents who are at risk of both criminal justice involvement and harms from the use of opioids, stimulants, and other substances are the intended beneficiaries of the project. Subrecipient activities will include creation of data-sharing agreements between partners, using SIM map workshops to identify intercept points in need of strengthening, integration of culturally specific advisory groups including peers with lived experience to approve intervention activities, and enhanced utilization of evidence-based harm reduction, addiction treatment, and recovery support services across the intercept points focused on racial inequities. This project will be aided by training and technical assistance plan using nationally renowned experts in addiction, criminal justice, and SIM mapping. The only active BJA-COSSAP grant award at the state jurisdiction level, the EOTC managed Project NORTH (awarded FY20), will end 9/30/23.

MI

The need to expand overdose prevention, SUD treatment, and other harm reduction services is high in Northern Michigan. Like many rural areas, there are few options for community-based SUD care and funding is limited. Both Michigan's Upper Peninsula and its northern Lower Peninsula lack critical community mental health infrastructure to ensure continuity of service after acute drug-related crisis and access to harm reduction resources. This dramatically impacts the health of northern communities, some of which have rates of hepatitis C, a viral infection associated with injection drug use, that exceed Michigan's densely populated urban counties. Moreover, health care and first responder resources are more geospatially dispersed, leading to delays in treatment and access to critical harm reduction interventions. However, current funding is insufficient to meet the demands of innovative prevention programs to support northern counties in reducing morbidities and mortalities associated with SUD and drug overdoses. Therefore, to build infrastructure and increase capacity for SUD services in Northern Michigan and one centrally located, urban community, the Michigan State Police (MSP), in collaboration with the Bay Mills Indian Community, Catholic Human Services, Greater Flint Health Coalition, Harm Reduction Michigan, Nathan's House, and the Michigan Public Health Institute, is proposing several innovative prevention programs. MSP is leading the project with ten counties in Northern and Central Michigan in partnership with local tribal, public health, and community organizations and the University of Michigan School of Nursing as the evaluation partner. The goal of the project is to offer SUD and overdose prevention services that will promote health during critical moments in recovery and prevention. For example, a comprehensive education campaign for K-12, at-risk youth and county-level overdose fatality reviews will be implemented as primary prevention strategies. Likewise, drug checking and other harm reduction services will be used to prevent overdose during active use. For consumers who are newly entering community services, MAT programming will be expanded, and additional behavioral health clinicians will be recruited to offer SUD counseling services. In Genesee County, a comprehensive, interdisciplinary recovery community center that centralizes community-based services will be implemented. To help prevent contact with the justice system, recovery coaches and jail-based SUD care will be implemented to prepare consumers for re-entry. Finally, transitional recovery housing capacity will be bolstered to provide stable housing and extended recovery support. Overall, these projects will build critical infrastructure in Northern and Central Michigan for quality SUD care.

Department of State Police Michigan

Michigan

The need to expand overdose prevention, SUD treatment, and other harm reduction services is high in Northern Michigan. Like many rural areas, there are few options for community-based SUD care and funding is limited. Both Michigan's Upper Peninsula and its northern Lower Peninsula lack critical community mental health infrastructure to ensure continuity of service after acute drug-related crisis and access to harm reduction resources. This dramatically impacts the health of northern communities, some of which have rates of hepatitis C, a viral infection associated with injection drug use, that exceed Michigan's densely populated urban counties. Moreover, health care and first responder resources are more geospatially dispersed, leading to delays in treatment and access to critical harm reduction interventions. However, current funding is insufficient to meet the demands of innovative prevention programs to support northern counties in reducing morbidities and mortalities associated with SUD and drug overdoses. Therefore, to build infrastructure and increase capacity for SUD services in Northern Michigan and one centrally located, urban community, the Michigan State Police (MSP), in collaboration with the Bay Mills Indian Community, Catholic Human Services, Greater Flint Health Coalition, Harm Reduction Michigan, Nathan's House, and the Michigan Public Health Institute, is proposing several innovative prevention programs. MSP is leading the project with ten counties in Northern and Central Michigan in partnership with local tribal, public health, and community organizations and the University of Michigan School of Nursing as the evaluation partner. The goal of the project is to offer SUD and overdose prevention services that will promote health during critical moments in recovery and prevention. For example, a comprehensive education campaign for K-12, at-risk youth and county-level overdose fatality reviews will be implemented as primary prevention strategies. Likewise, drug checking and other harm reduction services will be used to prevent overdose during active use. For consumers who are newly entering community services, MAT programming will be expanded, and additional behavioral health clinicians will be recruited to offer SUD counseling services. In Genesee County, a comprehensive, interdisciplinary recovery community center that centralizes community-based services will be implemented. To help prevent contact with the justice system, recovery coaches and jail-based SUD care will be implemented to prepare consumers for re-entry. Finally, transitional recovery housing capacity will be bolstered to provide stable housing and extended recovery support. Overall, these projects will build critical infrastructure in Northern and Central Michigan for quality SUD care.

IN

Dubois County is applying for Category 1 funding in the amount of $600,000. The Community Supervision Recovery Continuum will feature law enforcement/first responder diversion, post-booking treatment alternative-to-incarceration programs for individuals at high risk for overdose or substance misuse, and recovery support services, including transitional or recovery housing and peer recovery support services. Dubois County Community Corrections (DCCC) will develop a behavioral health team (BHT) that will be available to respond to behavioral health crises with law enforcement and provide guidance for diversion. DCCC will renovate its 102-bed work release facility to allow for separate housing pods; two pods (one for males and one for females) will be designated as “therapeutic communities,” where a group-based approach to rehabilitation is used to develop pro-social behaviors and work toward recovery. The BHT will augment this programming with individual and group counseling sessions and peer recovery support services. The Dubois County Sheriff’s Department and the Jasper Police Department will participate in Crisis Intervention Team training. The project serves Dubois County, with a population of 42,542. The project includes partnerships with the Dubois County Sheriff’s Office, the Jasper Police Department, and DCCC. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community and will benefit individuals residing in high-poverty areas.

Dubois County

Indiana

Dubois County is applying for Category 1 funding in the amount of $600,000. The Community Supervision Recovery Continuum will feature law enforcement/first responder diversion, post-booking treatment alternative-to-incarceration programs for individuals at high risk for overdose or substance misuse, and recovery support services, including transitional or recovery housing and peer recovery support services. Dubois County Community Corrections (DCCC) will develop a behavioral health team (BHT) that will be available to respond to behavioral health crises with law enforcement and provide guidance for diversion. DCCC will renovate its 102-bed work release facility to allow for separate housing pods; two pods (one for males and one for females) will be designated as “therapeutic communities,” where a group-based approach to rehabilitation is used to develop pro-social behaviors and work toward recovery. The BHT will augment this programming with individual and group counseling sessions and peer recovery support services. The Dubois County Sheriff’s Department and the Jasper Police Department will participate in Crisis Intervention Team training. The project serves Dubois County, with a population of 42,542. The project includes partnerships with the Dubois County Sheriff’s Office, the Jasper Police Department, and DCCC. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community and will benefit individuals residing in high-poverty areas.

IL

The DuPage County Health Department (DCHD) will deliver medication-assisted treatment (MAT) at the DuPage County Jail, implement a data management team to unify disparate data sources related to opioid use in the county; and implement a cross-sector Overdose Fatality Review Team based on the RxStat model. The Illinois Criminal Justice Information Authority will serve as the research partner for this project.

DuPage County Health Department

Illinois

The DuPage County Health Department (DCHD) will deliver medication-assisted treatment (MAT) at the DuPage County Jail, implement a data management team to unify disparate data sources related to opioid use in the county; and implement a cross-sector Overdose Fatality Review Team based on the RxStat model. The Illinois Criminal Justice Information Authority will serve as the research partner for this project.

OH

The Erie County, Ohio, Health Department (ECHD) project will expand prevention and harm reduction services to combat the opioid epidemic in Erie County. The Erie County Pathways project will focus on providing enhanced care to law enforcement/first responders dealing with behavioral or mental health issues, and youths through school programming. ECHD has identified five primary objectives for this project: (1) developing a pathway and increase services for first responders who are able to access behavioral and mental health care and services in a secure manner; (2) enhancement of Erie County drug take back programs by securely collecting opioids and other illicit substances for disposal during twice-yearly destruction events and distribution of Deterra; (3) partnering with Erie County school districts to expand prevention programs for adolescents; (4) Post overdose response: funding the Erie County Sheriff’s office 9-11 Dispatch for the Drug Overdose Response Team to conduct visits with non-fatal overdose survivors ; (5) Increase referrals/prevention education for mental health and substance use treatment and recovery services. The project includes the following activities: (1) drug take back programs and prevention education outreach for adolescents as well as distribution of Deterra bags for the community (10 percent); (2) law enforcement/first responder mental health and substance use program (25 percent); (3) Implement Botvin Life Skills. Collect pre-post survey data from schools that implement Botvin educational programming/create evaluation (10 percent); (4) Increase referral for mental health and substance use treatment/recovery services through prevention education as well as referral systems for schools, responders and the SUD community (15 percent); (5) education/prevention programming connecting law enforcement and schools (20 percent); (6) evidence-based substance use disorder (SUD) and opioid use disorder (OUD) prevention, and referral support services (10 percent); and (7) Participate and provide prevention education during community events and school events (10 percent). The target service area for this project is Erie County, Ohio, with a population of about 74,000 individuals. The three-year project will develop, implement, and coordinate alcohol and other drug prevention/treatment/recovery care to strengthen and expand access to treatment and recovery for those struggling with addiction. Target populations are adults and adolescents. ECHD operates the Erie County Community Health Center through which integrated health care plans will be developed for individuals struggling with SUD/OUD as well as family members/caregivers.

Erie County

Ohio

The Erie County, Ohio, Health Department (ECHD) project will expand prevention and harm reduction services to combat the opioid epidemic in Erie County. The Erie County Pathways project will focus on providing enhanced care to law enforcement/first responders dealing with behavioral or mental health issues, and youths through school programming. ECHD has identified five primary objectives for this project: (1) developing a pathway and increase services for first responders who are able to access behavioral and mental health care and services in a secure manner; (2) enhancement of Erie County drug take back programs by securely collecting opioids and other illicit substances for disposal during twice-yearly destruction events and distribution of Deterra; (3) partnering with Erie County school districts to expand prevention programs for adolescents; (4) Post overdose response: funding the Erie County Sheriff’s office 9-11 Dispatch for the Drug Overdose Response Team to conduct visits with non-fatal overdose survivors ; (5) Increase referrals/prevention education for mental health and substance use treatment and recovery services. The project includes the following activities: (1) drug take back programs and prevention education outreach for adolescents as well as distribution of Deterra bags for the community (10 percent); (2) law enforcement/first responder mental health and substance use program (25 percent); (3) Implement Botvin Life Skills. Collect pre-post survey data from schools that implement Botvin educational programming/create evaluation (10 percent); (4) Increase referral for mental health and substance use treatment/recovery services through prevention education as well as referral systems for schools, responders and the SUD community (15 percent); (5) education/prevention programming connecting law enforcement and schools (20 percent); (6) evidence-based substance use disorder (SUD) and opioid use disorder (OUD) prevention, and referral support services (10 percent); and (7) Participate and provide prevention education during community events and school events (10 percent). The target service area for this project is Erie County, Ohio, with a population of about 74,000 individuals. The three-year project will develop, implement, and coordinate alcohol and other drug prevention/treatment/recovery care to strengthen and expand access to treatment and recovery for those struggling with addiction. Target populations are adults and adolescents. ECHD operates the Erie County Community Health Center through which integrated health care plans will be developed for individuals struggling with SUD/OUD as well as family members/caregivers.

MA

The Essex Medicated Assisted Treatment Recovery Project (EMATRP) will be expanding and enhancing its current MAT program and support services pre- and post- release through these initiatives: (1) enhancing the current MAT program with care continuum coordinators, (2) providing pre-release harm-reduction education for all MAT participants to include naloxone upon release for 3,000 inmates, and (3) partnering with Spectrum for clinical stabilization services beds to provide participants with transitional housing and peer recovery for up 825 inmates. This project serves Essex County in Massachusetts with a population of 800,017. The project includes partnerships between Wellpath. Priority considerations addressed in this application include high-poverty area and Qualified Opportunity Zone.

Essex County Sheriff's Department

Massachusetts

The Essex Medicated Assisted Treatment Recovery Project (EMATRP) will be expanding and enhancing its current MAT program and support services pre- and post- release through these initiatives: (1) enhancing the current MAT program with care continuum coordinators, (2) providing pre-release harm-reduction education for all MAT participants to include naloxone upon release for 3,000 inmates, and (3) partnering with Spectrum for clinical stabilization services beds to provide participants with transitional housing and peer recovery for up 825 inmates. This project serves Essex County in Massachusetts with a population of 800,017. The project includes partnerships between Wellpath. Priority considerations addressed in this application include high-poverty area and Qualified Opportunity Zone.

DE

Delaware is disproportionately impacted by the abuse of illicit opioids and prescription drugs as seen in our high rates of overdose deaths from heroin and other opioids and lack of accessibility to treatment providers and facilities. Delaware is third in the nation for rates of overdose fatalities. In 2021, 515 Delawareans died from a drug overdose. The Delaware COSSAP Saving Lives will implement new opioid-intervention programs in six geographically diverse localities and establish pre-arrest or post-arrest law enforcement diversion programs for individuals who commit non-violent, drug-related offenses by utilizing community-based substance use disorder and behavioral health services. This project coordinates services statewide and two geographic locations are in rural parts of the state. Grant funds will implement strategies identified in the statewide coordinated plan to provide law enforcement resources to address the opioid epidemic in Delaware (38 percent of funds). Funds will include coordinating social services with law enforcement for response to children impacted during a drug overdose (10 percent of funds). Funds will expand the take-back program for unused controlled substances found in the home, hospitals, and long-term care facilities (2 percent of funds). The project goals include: (1) increase number of law enforcement diversion programs; (2) reduce incidence of overdose deaths; (3) increase transitional housing availability (20 percent of funds); (4) increase services to youth impacted by addiction; and (5) produce an evaluation report. The project includes partnerships between the Criminal Justice Council, Division of Public Health’s Office of Health Crisis Response, Division of Substance Abuse and Mental Health, and Delaware Association of Chiefs of Police. The project includes an evaluator from the University of Delaware.

Executive Office of the Governor Of Delaware

Delaware

Delaware is disproportionately impacted by the abuse of illicit opioids and prescription drugs as seen in our high rates of overdose deaths from heroin and other opioids and lack of accessibility to treatment providers and facilities. Delaware is third in the nation for rates of overdose fatalities. In 2021, 515 Delawareans died from a drug overdose. The Delaware COSSAP Saving Lives will implement new opioid-intervention programs in six geographically diverse localities and establish pre-arrest or post-arrest law enforcement diversion programs for individuals who commit non-violent, drug-related offenses by utilizing community-based substance use disorder and behavioral health services. This project coordinates services statewide and two geographic locations are in rural parts of the state. Grant funds will implement strategies identified in the statewide coordinated plan to provide law enforcement resources to address the opioid epidemic in Delaware (38 percent of funds). Funds will include coordinating social services with law enforcement for response to children impacted during a drug overdose (10 percent of funds). Funds will expand the take-back program for unused controlled substances found in the home, hospitals, and long-term care facilities (2 percent of funds). The project goals include: (1) increase number of law enforcement diversion programs; (2) reduce incidence of overdose deaths; (3) increase transitional housing availability (20 percent of funds); (4) increase services to youth impacted by addiction; and (5) produce an evaluation report. The project includes partnerships between the Criminal Justice Council, Division of Public Health’s Office of Health Crisis Response, Division of Substance Abuse and Mental Health, and Delaware Association of Chiefs of Police. The project includes an evaluator from the University of Delaware.

MD

Maryland has taken numerous steps to combat the increasing number of overdoses and deaths resulting from the heroin and opioid crisis. Some of these efforts include creating workgroups, enacting legislation, and declaring a State of Emergency. Although Maryland remains committed to addressing this crisis, overdose deaths continue to significantly impact the state at an alarming rate. According to the CDC, the overdose death rate in Maryland increased from 20.9 deaths per 100,000 in 2015 to 44.6 in 2020. Based on the Overdose Detection Mapping Application Program (ODMAP), overdose deaths in Maryland increased by 8.28 percent, from 12,581 in 2018 to 13,623 in 2021. During the same time, heroin and non-fatal/fatal overdoses increased by 3.7 percent, while fentanyl overdoses increased 108 percent. Furthermore, there were a total of 32,405 overdoses in Maryland between January 2020 and June 2, 2022. For the Maryland Efforts to Expand the Fight Against Opioids (MEEFAO) project, the Governor’s Office of Crime Prevention, Youth, and Victim Services (GOCPYVS) is partnering with the Maryland Department of Health, the Opioid Operational Command Center, the Maryland Judiciary, and more to respond to the growing challenges resulting from the opioid epidemic. The Maryland Statistical Analysis Center will also be engaged to support action-oriented research, performance management, and evaluation of all selected sites. The evaluation of MEEFAO is expected to contribute to the national body of knowledge as it relates to best practices. The expected outcomes of MEEFAO will also decrease opioid overdose deaths, decrease recidivism rates, improve relationships between law enforcement and the community, and improve social and behavioral outcomes in the community.

Executive Office of the State of Maryland

Maryland

Maryland has taken numerous steps to combat the increasing number of overdoses and deaths resulting from the heroin and opioid crisis. Some of these efforts include creating workgroups, enacting legislation, and declaring a State of Emergency. Although Maryland remains committed to addressing this crisis, overdose deaths continue to significantly impact the state at an alarming rate. According to the CDC, the overdose death rate in Maryland increased from 20.9 deaths per 100,000 in 2015 to 44.6 in 2020. Based on the Overdose Detection Mapping Application Program (ODMAP), overdose deaths in Maryland increased by 8.28 percent, from 12,581 in 2018 to 13,623 in 2021. During the same time, heroin and non-fatal/fatal overdoses increased by 3.7 percent, while fentanyl overdoses increased 108 percent. Furthermore, there were a total of 32,405 overdoses in Maryland between January 2020 and June 2, 2022. For the Maryland Efforts to Expand the Fight Against Opioids (MEEFAO) project, the Governor’s Office of Crime Prevention, Youth, and Victim Services (GOCPYVS) is partnering with the Maryland Department of Health, the Opioid Operational Command Center, the Maryland Judiciary, and more to respond to the growing challenges resulting from the opioid epidemic. The Maryland Statistical Analysis Center will also be engaged to support action-oriented research, performance management, and evaluation of all selected sites. The evaluation of MEEFAO is expected to contribute to the national body of knowledge as it relates to best practices. The expected outcomes of MEEFAO will also decrease opioid overdose deaths, decrease recidivism rates, improve relationships between law enforcement and the community, and improve social and behavioral outcomes in the community.

OH

The South-Central Ohio Major Crimes Unit and its Outreach/Overdose Response Team (Project FORT) serves Fairfield County which is situated in south central Ohio adjacent to Columbus, the state capital. According to 2021 US Census estimates, the population of Fairfield County is 161,064 with the area bearing a distinctly Appalachian feel in both geography and demographics. With an average of 3,280 overdose events occurring each day in Ohio Fairfield County has observed a huge increase in the use of Fentanyl/Fentanyl analogues and psychostimulants like Methamphetamine. In 2018 73 percent of all drug overdoses involved Fentanyl or a Fentanyl analogue while deaths associated with Methamphetamine have increased by 487.5 percent since 2014. This shift from traditional opiates has had a dramatic impact on the number of incarcerations in Fairfield County. In just five years recidivism rates have increased by 77 percent in Fairfield County. The Major Crimes Unit/Project FORT through a new collaboration with Fairfield County Reentry Program seeks to lower recidivism rates as well as reducing overdoses and overdose deaths targeting individuals in rural areas. The initiative will provide enhanced access to treatment and recovery services and Medically Assisted Treatment for individuals being released from jail. This project would provide an aftercare plan and care team for everyone that would include: (1) connections to appropriate treatment and community resources; (2) Peer Support/Recovery Coach; and (3) follow up engagement with Project FORT. Additionally, the Major Crimes Unit would add a full-time overdose death investigator who would create a comprehensive response plan to overdose and overdose deaths, liaison with local law enforcement and conduct follow up investigations with a goal of bring closure to these grieving families and hold those responsible for these tragic and unnecessary deaths accountable. With COSSAP funding, Project FORT will work to decrease recidivism rates and increase the number of individuals engaging in treatment and recovery services through breaking the cycle of incarceration for those struggling with substance use disorder by providing: (1) immediate connection to treatment/recovery services upon release; (2) follow-up care; (3) enhanced access to recovery housing; (4) transportation to treatment/recovery services; and (5) comprehensive investigation of overdose deaths.

Fairfield County

Ohio

The South-Central Ohio Major Crimes Unit and its Outreach/Overdose Response Team (Project FORT) serves Fairfield County which is situated in south central Ohio adjacent to Columbus, the state capital. According to 2021 US Census estimates, the population of Fairfield County is 161,064 with the area bearing a distinctly Appalachian feel in both geography and demographics. With an average of 3,280 overdose events occurring each day in Ohio Fairfield County has observed a huge increase in the use of Fentanyl/Fentanyl analogues and psychostimulants like Methamphetamine. In 2018 73 percent of all drug overdoses involved Fentanyl or a Fentanyl analogue while deaths associated with Methamphetamine have increased by 487.5 percent since 2014. This shift from traditional opiates has had a dramatic impact on the number of incarcerations in Fairfield County. In just five years recidivism rates have increased by 77 percent in Fairfield County. The Major Crimes Unit/Project FORT through a new collaboration with Fairfield County Reentry Program seeks to lower recidivism rates as well as reducing overdoses and overdose deaths targeting individuals in rural areas. The initiative will provide enhanced access to treatment and recovery services and Medically Assisted Treatment for individuals being released from jail. This project would provide an aftercare plan and care team for everyone that would include: (1) connections to appropriate treatment and community resources; (2) Peer Support/Recovery Coach; and (3) follow up engagement with Project FORT. Additionally, the Major Crimes Unit would add a full-time overdose death investigator who would create a comprehensive response plan to overdose and overdose deaths, liaison with local law enforcement and conduct follow up investigations with a goal of bring closure to these grieving families and hold those responsible for these tragic and unnecessary deaths accountable. With COSSAP funding, Project FORT will work to decrease recidivism rates and increase the number of individuals engaging in treatment and recovery services through breaking the cycle of incarceration for those struggling with substance use disorder by providing: (1) immediate connection to treatment/recovery services upon release; (2) follow-up care; (3) enhanced access to recovery housing; (4) transportation to treatment/recovery services; and (5) comprehensive investigation of overdose deaths.

OH

Franklin County, Ohio, in collaboration with Franklin County Public Health, Columbus Public Health, and the Franklin County Sheriff’s Office, along with a number of community-based providers, propose to implement Integrated Substance Use Proactive Engagement and Response (iSUPER), a multi-layered, multi-agency initiative intended to contribute to our local collective understanding of best practices through (1) increased access to treatment and recovery supports for justice-involved individuals and underserved populations at greatest risk for overdose; (2) expanded distribution of naloxone to law enforcement and other first responders; (3) strengthened harm reduction efforts through the deployment of five vending machines dispensing an array of harm reduction and medical supplies in our hardest-hit neighborhoods; (4) expanded emergency recovery housing options; and (5) increased linkage to peer support services. Services through iSUPER will be dedicated to six Franklin County zip codes with the highest rates of overdose, along with justice-involved individuals released from the Franklin County Correctional Center and assessed as at risk for an opioid use disorder. During the 3-year grant program, it is anticipated that 6,141 individuals will be directly served through iSUPER.

Franklin County Board of Commissioners

Ohio

Franklin County, Ohio, in collaboration with Franklin County Public Health, Columbus Public Health, and the Franklin County Sheriff’s Office, along with a number of community-based providers, propose to implement Integrated Substance Use Proactive Engagement and Response (iSUPER), a multi-layered, multi-agency initiative intended to contribute to our local collective understanding of best practices through (1) increased access to treatment and recovery supports for justice-involved individuals and underserved populations at greatest risk for overdose; (2) expanded distribution of naloxone to law enforcement and other first responders; (3) strengthened harm reduction efforts through the deployment of five vending machines dispensing an array of harm reduction and medical supplies in our hardest-hit neighborhoods; (4) expanded emergency recovery housing options; and (5) increased linkage to peer support services. Services through iSUPER will be dedicated to six Franklin County zip codes with the highest rates of overdose, along with justice-involved individuals released from the Franklin County Correctional Center and assessed as at risk for an opioid use disorder. During the 3-year grant program, it is anticipated that 6,141 individuals will be directly served through iSUPER.

NC

The Gaston County Government is applying for Category 1 funding in the amount of $899,999. The Gaston County Comprehensive Project to Improve Outcomes for Children Impacted by Substance Abuse will align county entities, substance misuse treatment providers, law enforcement agencies, courts, health care providers, and the faith-based community to provide an integrated system of referrals and services for children victimized by the opioid crisis. Under the supervision of Gaston County Health and Human Services’ (HHS) Children and Family Division, a therapeutic center will be established to provide therapeutic services for children in foster care who have been referred to the center by courts, direct therapeutic services for children lacking health insurance, counseling and therapeutic services for foster care children removed from their homes because of substance misuse, a county initiative to support rehabilitation rather than incarceration for opioid users, and outpatient substance misuse treatment. Gaston County HHS will also initiate a Therapeutic Visitation Center for the targeted population.

Gaston County

North Carolina

The Gaston County Government is applying for Category 1 funding in the amount of $899,999. The Gaston County Comprehensive Project to Improve Outcomes for Children Impacted by Substance Abuse will align county entities, substance misuse treatment providers, law enforcement agencies, courts, health care providers, and the faith-based community to provide an integrated system of referrals and services for children victimized by the opioid crisis. Under the supervision of Gaston County Health and Human Services’ (HHS) Children and Family Division, a therapeutic center will be established to provide therapeutic services for children in foster care who have been referred to the center by courts, direct therapeutic services for children lacking health insurance, counseling and therapeutic services for foster care children removed from their homes because of substance misuse, a county initiative to support rehabilitation rather than incarceration for opioid users, and outpatient substance misuse treatment. Gaston County HHS will also initiate a Therapeutic Visitation Center for the targeted population.

NC

The purpose of the Gaston County, North Carolina, project is to initiate the following activities: (1) bring together multiple county entities—substance abuse treatment providers, law enforcement, courts, health care providers, and the faith-based community—to collaborate in implementing a law enforcement assisted diversion program (LEAD); (2) augment treatment and recovery services for individuals who are at high risk for overdose and recidivism and are participants in recovery court; and (3) incorporate transitional/recovery housing assistance and certified peer recovery support services into both the LEAD and the recovery court programs. The expected outcomes are to improve public safety, reduce criminal recidivism, and reduce the associated costs of legal and criminal-justice-service utilization. The service area is all of Gaston County, the seventh largest county in North Carolina, with a population of 230,226. The project expects to serve approximately 50 participants yearly: 25 through LEAD and 25 within the recovery court. The Gaston County Police Department is the lead agency and partners include the District Attorney’s Office, Olive Branch Ministry—an affiliate of the North Carolina Harm Reduction Coalition, and the Gaston County Controlled Substance Coalition. The Coalition is a permanent task force of community leaders that will serve as the multi-disciplinary body for the project. The District Attorney’s Office will assign an Assistant District Attorney to both the Operational and Coordinating Groups. Olive Branch Ministry will provide training for stakeholders in the principles of harm reduction and will provide certified peer support specialists. The project will also identify a contracted source to provide evidence-based clinical assessments and individualized treatment plans. The Gaston County Police Department will supervise three full-time positions: a LEAD case manager, a recovery court case manager, and a project coordinator. Case management will focus on the whole individual and stress comprehensive assessment, service planning, and service coordination. The project coordinator’s roles and responsibilities will include consulting with the multi-disciplinary coalition, overseeing the programmatic and financial components of the grant, collaborating with stakeholders to develop program resources (e.g., policies, protocols, and screening forms), arranging trainings, troubleshooting stakeholders’ concerns, identifying resources, facilitating meetings, developing information-sharing systems in collaboration with the coalition, and streamlining communication.

Gaston County

North Carolina

The purpose of the Gaston County, North Carolina, project is to initiate the following activities: (1) bring together multiple county entities—substance abuse treatment providers, law enforcement, courts, health care providers, and the faith-based community—to collaborate in implementing a law enforcement assisted diversion program (LEAD); (2) augment treatment and recovery services for individuals who are at high risk for overdose and recidivism and are participants in recovery court; and (3) incorporate transitional/recovery housing assistance and certified peer recovery support services into both the LEAD and the recovery court programs. The expected outcomes are to improve public safety, reduce criminal recidivism, and reduce the associated costs of legal and criminal-justice-service utilization. The service area is all of Gaston County, the seventh largest county in North Carolina, with a population of 230,226. The project expects to serve approximately 50 participants yearly: 25 through LEAD and 25 within the recovery court. The Gaston County Police Department is the lead agency and partners include the District Attorney’s Office, Olive Branch Ministry—an affiliate of the North Carolina Harm Reduction Coalition, and the Gaston County Controlled Substance Coalition. The Coalition is a permanent task force of community leaders that will serve as the multi-disciplinary body for the project. The District Attorney’s Office will assign an Assistant District Attorney to both the Operational and Coordinating Groups. Olive Branch Ministry will provide training for stakeholders in the principles of harm reduction and will provide certified peer support specialists. The project will also identify a contracted source to provide evidence-based clinical assessments and individualized treatment plans. The Gaston County Police Department will supervise three full-time positions: a LEAD case manager, a recovery court case manager, and a project coordinator. Case management will focus on the whole individual and stress comprehensive assessment, service planning, and service coordination. The project coordinator’s roles and responsibilities will include consulting with the multi-disciplinary coalition, overseeing the programmatic and financial components of the grant, collaborating with stakeholders to develop program resources (e.g., policies, protocols, and screening forms), arranging trainings, troubleshooting stakeholders’ concerns, identifying resources, facilitating meetings, developing information-sharing systems in collaboration with the coalition, and streamlining communication.

GA

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.

Georgia Criminal Justice Coordinating Council

Georgia

The Georgia Criminal Justice Coordinating Council applied for Category 2 statewide area grant funding in the amount of $2,289,701. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) establish a multi-locality naloxone initiative to include continued training for law enforcement personnel and provide funding to assist with the replenishment of the opioid reversal drug; (2) establish and implement a pre-arrest/post-booking diversion program for youth and adults who have a moderate to high risk of substance abuse within Athens-Clarke County; (3) provide K-12 youth in Athens-Clarke County with increased access to education and treatment; and (4) provide a comprehensive, real-time, information collection database for the City of Savannah to expand the pre-arrest diversion program, which is funded through the FY 2018 Comprehensive Opioid Abuse Site Program (COAP). This project serves serve 23 of Georgia’s 159 counties. The project includes partnerships between Athens-Clarke County Unified Government and City of Savannah.

AZ

Gila County is a small and rural county in Arizona with about 54,000 people. Mental health problems, homelessness, and drug-overdose levels are on the rise in Gila County. The death rate due to drug overdoses is approximately 49.9 per 100,000 population, which is the highest rate in the state. Fentanyl and fentanyl-combination overdoses are rising, with the drug’s apparent increasing accessibility. Education regarding opioid use is lacking, primarily because the stigma placed on opioid users is still very prevalent in this community. Gila County Health and Emergency Management (GCHEM) seeks to provide more education about naloxone and the opioid epidemic to Gila County residents and decrease the number of overdoses in the county. The hope is by increasing the education levels about the dangers of illicit drug use to the community’s youth, educating the elderly population of the importance of taking the correct dosages of medications, and working with all members of the community to increase naloxone distribution levels, the number of drug induced deaths will decrease. GCHEM seeks to work in partnership with the Gila County Probation Office, Gila County schools, senior centers, treatment centers, and community stakeholders to increase the awareness of the ongoing opioid epidemic within their own community and protect the vulnerable populations in Gila County, including the elderly and youths.

Gila County

Arizona

Gila County is a small and rural county in Arizona with about 54,000 people. Mental health problems, homelessness, and drug-overdose levels are on the rise in Gila County. The death rate due to drug overdoses is approximately 49.9 per 100,000 population, which is the highest rate in the state. Fentanyl and fentanyl-combination overdoses are rising, with the drug’s apparent increasing accessibility. Education regarding opioid use is lacking, primarily because the stigma placed on opioid users is still very prevalent in this community. Gila County Health and Emergency Management (GCHEM) seeks to provide more education about naloxone and the opioid epidemic to Gila County residents and decrease the number of overdoses in the county. The hope is by increasing the education levels about the dangers of illicit drug use to the community’s youth, educating the elderly population of the importance of taking the correct dosages of medications, and working with all members of the community to increase naloxone distribution levels, the number of drug induced deaths will decrease. GCHEM seeks to work in partnership with the Gila County Probation Office, Gila County schools, senior centers, treatment centers, and community stakeholders to increase the awareness of the ongoing opioid epidemic within their own community and protect the vulnerable populations in Gila County, including the elderly and youths.

WA

The County of Grays Harbor is applying for a Category 1 award in the amount of $600,000. The Grays Harbor County Jail System of Care Expansion project will expand services by increasing capacity in the Grays Harbor County Jail to serve individuals who have a psychostimulant disorder as well. This expansion would include additional staff time for medical monitoring, managing recovery groups, and bolstering re-entry supports. The project will develop and implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the pretrial and post-trial populations leaving the county jail. This includes implementing medication-assisted treatment, cognitive behavioral treatment, wellness recovery planning, and re-entry care navigation within the county jail and supporting the transition to community-based services once released from custody. The goal of this expanded system of care is to increase the number of affected individuals returning to the community with established sobriety and behavioral health supports, decrease morbidity and mortality for those individuals, and decrease recidivisms among this population. This project serves Grays Harbor County, which has a population of just over 75,000 people. The project includes partnerships between the Grays Harbor Sheriff’s Office, Coastal Community Action Program (CCAP), Community Integrated Health Services (CIHS), and the Grays Harbor County Commissioners.

Grays Harbor County

Washington

The County of Grays Harbor is applying for a Category 1 award in the amount of $600,000. The Grays Harbor County Jail System of Care Expansion project will expand services by increasing capacity in the Grays Harbor County Jail to serve individuals who have a psychostimulant disorder as well. This expansion would include additional staff time for medical monitoring, managing recovery groups, and bolstering re-entry supports. The project will develop and implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the pretrial and post-trial populations leaving the county jail. This includes implementing medication-assisted treatment, cognitive behavioral treatment, wellness recovery planning, and re-entry care navigation within the county jail and supporting the transition to community-based services once released from custody. The goal of this expanded system of care is to increase the number of affected individuals returning to the community with established sobriety and behavioral health supports, decrease morbidity and mortality for those individuals, and decrease recidivisms among this population. This project serves Grays Harbor County, which has a population of just over 75,000 people. The project includes partnerships between the Grays Harbor Sheriff’s Office, Coastal Community Action Program (CCAP), Community Integrated Health Services (CIHS), and the Grays Harbor County Commissioners.

SC

The Greenville County Sheriff’s Office (GCSO), located in Northwest South Carolina, project involves implementing and delivering a law enforcement led diversion to treatment initiative in Greenville County, which has a population of 516,126. The project will develop a comprehensive local response to the county’s substance abuse problem through synthesizing grant resources with existing practices and personnel to support planned activities per allowable use of funds to: (1) enhance existing police assisted addiction and recovery initiative (PAARI) program with law enforcement and first responder deflection and diversion (30 percent of budget); (2) collaborate with the coroner's office and research partner on a data dashboard and real-time overdose tracking program (5 percent); (3) provide naloxone for law enforcement and first responders (11 percent); (4) support school-based prevention and parental education programs to connect law enforcement with K-12 students (8 percent); (5) deliver evidence-based substance use disorder treatment including medication-assisted treatment (MAT), counseling, and connections with certified peer support specialists (15 percent); and (6) embed a case manager into GCSO to divert individuals with substance use disorders as early as possible in the Sequential Intercept Model (16 percent). To aid in implementing this plan, recovery community stakeholders from the county, including law enforcement agencies, community behavioral and mental health services, addiction services, state representatives, and hospital and emergency services will be included on the multidisciplinary Substance Abuse and Recovery Coordinating Council (SARCC) to participate in ongoing meetings with the project team and serve as a permanent standing body with the mission of increasing cooperation and collaboration to sustain substance abuse and recovery efforts. The project addresses issues related to racial equity and the removal of barriers to access and opportunity for communities that have been historically underserved, marginalized, and adversely affected by inequality through providing enhanced implicit bias training for law enforcement and treatment services targeted to underserved minority communities. Additionally, the includes a strong research-practitioner partnership with the Center for Justice and Social Research at Clemson University to provide a scientific mixed methods program evaluation to provide empirical feedback for program improvement and dissemination of process and outcome findings to the law enforcement, and research communities.

Greenville County

South Carolina

The Greenville County Sheriff’s Office (GCSO), located in Northwest South Carolina, project involves implementing and delivering a law enforcement led diversion to treatment initiative in Greenville County, which has a population of 516,126. The project will develop a comprehensive local response to the county’s substance abuse problem through synthesizing grant resources with existing practices and personnel to support planned activities per allowable use of funds to: (1) enhance existing police assisted addiction and recovery initiative (PAARI) program with law enforcement and first responder deflection and diversion (30 percent of budget); (2) collaborate with the coroner's office and research partner on a data dashboard and real-time overdose tracking program (5 percent); (3) provide naloxone for law enforcement and first responders (11 percent); (4) support school-based prevention and parental education programs to connect law enforcement with K-12 students (8 percent); (5) deliver evidence-based substance use disorder treatment including medication-assisted treatment (MAT), counseling, and connections with certified peer support specialists (15 percent); and (6) embed a case manager into GCSO to divert individuals with substance use disorders as early as possible in the Sequential Intercept Model (16 percent). To aid in implementing this plan, recovery community stakeholders from the county, including law enforcement agencies, community behavioral and mental health services, addiction services, state representatives, and hospital and emergency services will be included on the multidisciplinary Substance Abuse and Recovery Coordinating Council (SARCC) to participate in ongoing meetings with the project team and serve as a permanent standing body with the mission of increasing cooperation and collaboration to sustain substance abuse and recovery efforts. The project addresses issues related to racial equity and the removal of barriers to access and opportunity for communities that have been historically underserved, marginalized, and adversely affected by inequality through providing enhanced implicit bias training for law enforcement and treatment services targeted to underserved minority communities. Additionally, the includes a strong research-practitioner partnership with the Center for Justice and Social Research at Clemson University to provide a scientific mixed methods program evaluation to provide empirical feedback for program improvement and dissemination of process and outcome findings to the law enforcement, and research communities.

CO

In June of 2019, Gunnison County, Colorado, was awarded the Health Resources Service Administration (HRSA) Rural Communities Opioid Response Planning grant (RCORP) to better understand the current services and resources to prevent, treat and support people who are recovering from substance use disorder (SUD). The Consortium initially consisted of six key organizations: Gunnison County Juvenile Services, Gunnison County Health and Human Services, the Health Coalition of the Gunnison Valley, the Center for Mental Health, Gunnison Valley Hospital, and Western Colorado University. Over the past three years this group has grown to over 30 individuals/organizations representing diverse sectors of the community including parents, youth, and individuals with lived experience. This Consortium completed a needs and gaps analysis report and developed a three-year strategic plan. The Consortium, now titled Grasp, will oversee the implementation efforts of the Comprehensive Opioid, Stimulant, and Substance Abuse program. Grasp is dedicated to the prevention, treatment, and recovery of SUD across the lifespan. Program activities include: (1) strengthen diversion program and explore alternative to ticketing for youth and adults; (2) education and prevention programs to connect law enforcement agencies with K-12 students; (3) increase services for children and youth impacted by their parents’ or other family members’ substance use with wraparound services and using the sequential intercept model with the embedded clinical social worker; (4) increase medication-assisted treatment (MAT) and rural ambulatory medically supervised withdrawal services in Gunnison and Crested Butte; (5) implement harm reduction strategies and expand upon naloxone distribution; (6) support recovery housing in the community and on Western Colorado University’s campus; (7) data collection and reporting. Program goals include: (1) improve the quality and sustainability of rural behavioral health care services through supporting rural health care providers to offer coordinated, evidence-based, trauma-informed SUD, and other care services; (2) reduce drug-related arrests for people aged 35 and younger in Gunnison County and reduce recidivism at the jail; (3) address structural- and system- level barriers to improve rural residents’ access to quality, integrated SUD, and other behavioral health care services.

Gunnison County

Colorado

In June of 2019, Gunnison County, Colorado, was awarded the Health Resources Service Administration (HRSA) Rural Communities Opioid Response Planning grant (RCORP) to better understand the current services and resources to prevent, treat and support people who are recovering from substance use disorder (SUD). The Consortium initially consisted of six key organizations: Gunnison County Juvenile Services, Gunnison County Health and Human Services, the Health Coalition of the Gunnison Valley, the Center for Mental Health, Gunnison Valley Hospital, and Western Colorado University. Over the past three years this group has grown to over 30 individuals/organizations representing diverse sectors of the community including parents, youth, and individuals with lived experience. This Consortium completed a needs and gaps analysis report and developed a three-year strategic plan. The Consortium, now titled Grasp, will oversee the implementation efforts of the Comprehensive Opioid, Stimulant, and Substance Abuse program. Grasp is dedicated to the prevention, treatment, and recovery of SUD across the lifespan. Program activities include: (1) strengthen diversion program and explore alternative to ticketing for youth and adults; (2) education and prevention programs to connect law enforcement agencies with K-12 students; (3) increase services for children and youth impacted by their parents’ or other family members’ substance use with wraparound services and using the sequential intercept model with the embedded clinical social worker; (4) increase medication-assisted treatment (MAT) and rural ambulatory medically supervised withdrawal services in Gunnison and Crested Butte; (5) implement harm reduction strategies and expand upon naloxone distribution; (6) support recovery housing in the community and on Western Colorado University’s campus; (7) data collection and reporting. Program goals include: (1) improve the quality and sustainability of rural behavioral health care services through supporting rural health care providers to offer coordinated, evidence-based, trauma-informed SUD, and other care services; (2) reduce drug-related arrests for people aged 35 and younger in Gunnison County and reduce recidivism at the jail; (3) address structural- and system- level barriers to improve rural residents’ access to quality, integrated SUD, and other behavioral health care services.

OH

Hamilton County, Ohio, is situated at the southernmost tip of the state, bordering Kentucky and Indiana and has an estimated 826,139 residents. Hamilton County includes 49 distinct cities, villages, and townships, the largest of which is Cincinnati. In 2021, Hamilton County suffered 454 overdose deaths and continues to witness 50-70 overdoses per week. As the opioid epidemic worsens, the Hamilton County Justice Center has become the largest detox facility in Hamilton County, with 6,000 individuals detoxing annually. Hamilton County needs intentional and strategic interventions to deflect individuals out of the criminal justice system and into evidence-based care and treatment that is most appropriate to address their needs. This project is lead by the Hamilton County Addiction Response Coalition (HC ARC) and involves Hamilton County’s Co-Responder Deflection Pilot (HC CORE), which is a collaborative, co-responder intervention to assist individuals with substance use disorder, mental health disorder, co-occurring disorders, or experiencing homelessness, with a specially trained team of law enforcement and peer navigators who create community-based pathways to treatment, recovery support services, housing, case management, or other needs-based services. HC CORE will involve all six Police Treatment and Community Collaborative (PTACC) deflection pathways as a referral source to a single, co-responder program: (1) self-referral, (2) active outreach, (3) intervention, (4) prevention, (5) post-overdose response, and (6) community-based response. HC CORE will employ its own peer navigation team to ensure that care and case management are provided through a local and neutral lens, also ensuring that the CORE peer navigators will work with the participant from the point of first encounter, onward. The CORE Case Plan will include activities and services that enrich and stabilize the lives of the participants. By embedding peer navigators with law enforcement for deflection efforts, HC CORE will incorporate real-time data collection, drug take-back programs, harm reduction activities, and recovery support services to successfully serve individuals at all stages within the continuum of care model.

Hamilton County

Ohio

Hamilton County, Ohio, is situated at the southernmost tip of the state, bordering Kentucky and Indiana and has an estimated 826,139 residents. Hamilton County includes 49 distinct cities, villages, and townships, the largest of which is Cincinnati. In 2021, Hamilton County suffered 454 overdose deaths and continues to witness 50-70 overdoses per week. As the opioid epidemic worsens, the Hamilton County Justice Center has become the largest detox facility in Hamilton County, with 6,000 individuals detoxing annually. Hamilton County needs intentional and strategic interventions to deflect individuals out of the criminal justice system and into evidence-based care and treatment that is most appropriate to address their needs. This project is lead by the Hamilton County Addiction Response Coalition (HC ARC) and involves Hamilton County’s Co-Responder Deflection Pilot (HC CORE), which is a collaborative, co-responder intervention to assist individuals with substance use disorder, mental health disorder, co-occurring disorders, or experiencing homelessness, with a specially trained team of law enforcement and peer navigators who create community-based pathways to treatment, recovery support services, housing, case management, or other needs-based services. HC CORE will involve all six Police Treatment and Community Collaborative (PTACC) deflection pathways as a referral source to a single, co-responder program: (1) self-referral, (2) active outreach, (3) intervention, (4) prevention, (5) post-overdose response, and (6) community-based response. HC CORE will employ its own peer navigation team to ensure that care and case management are provided through a local and neutral lens, also ensuring that the CORE peer navigators will work with the participant from the point of first encounter, onward. The CORE Case Plan will include activities and services that enrich and stabilize the lives of the participants. By embedding peer navigators with law enforcement for deflection efforts, HC CORE will incorporate real-time data collection, drug take-back programs, harm reduction activities, and recovery support services to successfully serve individuals at all stages within the continuum of care model.

OH

Hamilton County applied for Category 1A grant funding in the amount of $1,000,000. The Hamilton County Addiction Response Coalition (HC ARC), under the proposed quick response team (QRT) expansion program, will address and has already addressed a number of the overarching goals of the solicitation, specifically, encouraging cross-system planning and collaboration among officials who work in law enforcement, pretrial services, courts, probation and parole, child welfare, reentry, prescription drug monitoring programs, and emergency medical services, as well as health care providers, public health partnerships, and agencies that provide substance abuse treatment and recovery support services. The QRT expansion plans to engage current community stakeholders, as well as new community stakeholders and partnerships beyond the coalition to target hot-spot areas. The QRT will continue to expand its on-the-ground efforts by utilizing HC ARC member organizations to not only provide outreach and resources to individuals suffering from addiction, but also the organizations they frequent to arm them with tools and resources. HC ARC has established a coordinated multidisciplinary response team that includes law enforcement, treatment providers, government representatives from the county and city, and a program administrator. This project serves Hamilton County, population 817,473. The project includes partnerships between Hamilton County Public Health Department and the Talbert House. There are no priority considerations addressed in this application.

Hamilton County Addiction Response Coalition

Ohio

Hamilton County applied for Category 1A grant funding in the amount of $1,000,000. The Hamilton County Addiction Response Coalition (HC ARC), under the proposed quick response team (QRT) expansion program, will address and has already addressed a number of the overarching goals of the solicitation, specifically, encouraging cross-system planning and collaboration among officials who work in law enforcement, pretrial services, courts, probation and parole, child welfare, reentry, prescription drug monitoring programs, and emergency medical services, as well as health care providers, public health partnerships, and agencies that provide substance abuse treatment and recovery support services. The QRT expansion plans to engage current community stakeholders, as well as new community stakeholders and partnerships beyond the coalition to target hot-spot areas. The QRT will continue to expand its on-the-ground efforts by utilizing HC ARC member organizations to not only provide outreach and resources to individuals suffering from addiction, but also the organizations they frequent to arm them with tools and resources. HC ARC has established a coordinated multidisciplinary response team that includes law enforcement, treatment providers, government representatives from the county and city, and a program administrator. This project serves Hamilton County, population 817,473. The project includes partnerships between Hamilton County Public Health Department and the Talbert House. There are no priority considerations addressed in this application.

OH

The Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board in Ohio proposes a comprehensive and multi-disciplinary collaborative approach to address and prevent the illicit use of opioids, stimulants, and other substances and its adverse consequences within a predominantly rural county. The proposed Criminal Justice Connections – Extending Our Reach (CJC-EOR) project will reduce the impact of illicit opioids, stimulants, and other substances on individuals and communities by using a multi-level approach. The project aims to: (1) expand and enhance an existing LEAD® program; (2) implement a school and/or community-based prevention/early intervention service program for children and family members who are negatively impacted by substance use and/or criminal justice involvement; (3) develop a sustainable co-responder model between criminal justice and behavioral health systems; (4) enhance the use of Overdose Detection Mapping Application Program (ODMAP) in collaboration with community partners; and (5) expand the local workforce through formalized relationships with area institutions of higher education. The proposed project will also evaluate the system level approach which further connects public safety, criminal justice, treatment, and recovery systems to provide a greater continuum of care for individuals with substance use disorder. Activities include: law enforcement and first responder deflection and diversion (30 percent); real-time data collection (15 percent); education and prevention programs to connect law enforcement agencies with K-12 students (20 percent); evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (5 percent); and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (30 percent). The Hancock County ADAMHS Board will collaborate with Brandeis University’s Institute for Behavioral Health researchers for this project to evaluate the impact of the proposed initiatives.

Hancock County

Ohio

The Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board in Ohio proposes a comprehensive and multi-disciplinary collaborative approach to address and prevent the illicit use of opioids, stimulants, and other substances and its adverse consequences within a predominantly rural county. The proposed Criminal Justice Connections – Extending Our Reach (CJC-EOR) project will reduce the impact of illicit opioids, stimulants, and other substances on individuals and communities by using a multi-level approach. The project aims to: (1) expand and enhance an existing LEAD® program; (2) implement a school and/or community-based prevention/early intervention service program for children and family members who are negatively impacted by substance use and/or criminal justice involvement; (3) develop a sustainable co-responder model between criminal justice and behavioral health systems; (4) enhance the use of Overdose Detection Mapping Application Program (ODMAP) in collaboration with community partners; and (5) expand the local workforce through formalized relationships with area institutions of higher education. The proposed project will also evaluate the system level approach which further connects public safety, criminal justice, treatment, and recovery systems to provide a greater continuum of care for individuals with substance use disorder. Activities include: law enforcement and first responder deflection and diversion (30 percent); real-time data collection (15 percent); education and prevention programs to connect law enforcement agencies with K-12 students (20 percent); evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (5 percent); and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (30 percent). The Hancock County ADAMHS Board will collaborate with Brandeis University’s Institute for Behavioral Health researchers for this project to evaluate the impact of the proposed initiatives.

OH

The Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board is applying for a Category 1 award in the amount of $600,000. The Recovery Community Organization Outreach Project in Hancock County, Ohio, will enhance recovery support services (RSS) and peer recovery support services (PRSS) and increase access to transitional or recovery housing for individuals 18 years and older who have a history of opioid, stimulant, or other substance use disorders and are either at risk or involved in the criminal justice system in Hancock County. The project activities will aim to expand availability and access to recovery housing and peer recovery support services, increase coordination of services between criminal justice and recovery support service systems, and conduct an evaluation of the project’s impact. The main goals of the proposed project are to reduce the impact of opioids, stimulants, and other substances on individuals and the community (i.e., reduce recidivism and nonfatal overdoses) and reduce the number of overdose fatalities. This project serves Hancock County, which has a population of approximately 75,000 people. The project includes partnerships between FOCUS: Recovery and Wellness Community, LOFT (a youth drop-in center program), Recovery Homes, Family Resource Center, the Hancock County Sheriff’s Office, the Adult Probation Department, Findlay Municipal Court, and the Findlay Mayor’s Office. This project will engage Brandeis University’s Institute for Behavioral Health as the research partner.

Hancock County

Ohio

The Hancock County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board is applying for a Category 1 award in the amount of $600,000. The Recovery Community Organization Outreach Project in Hancock County, Ohio, will enhance recovery support services (RSS) and peer recovery support services (PRSS) and increase access to transitional or recovery housing for individuals 18 years and older who have a history of opioid, stimulant, or other substance use disorders and are either at risk or involved in the criminal justice system in Hancock County. The project activities will aim to expand availability and access to recovery housing and peer recovery support services, increase coordination of services between criminal justice and recovery support service systems, and conduct an evaluation of the project’s impact. The main goals of the proposed project are to reduce the impact of opioids, stimulants, and other substances on individuals and the community (i.e., reduce recidivism and nonfatal overdoses) and reduce the number of overdose fatalities. This project serves Hancock County, which has a population of approximately 75,000 people. The project includes partnerships between FOCUS: Recovery and Wellness Community, LOFT (a youth drop-in center program), Recovery Homes, Family Resource Center, the Hancock County Sheriff’s Office, the Adult Probation Department, Findlay Municipal Court, and the Findlay Mayor’s Office. This project will engage Brandeis University’s Institute for Behavioral Health as the research partner.

MN

The Hennepin County Sheriff’s Office (HCSO) is applying for Category 1 funding in the amount of $1,067,674. The Peer Support and Community Outreach Program will enable HCSO to expand peer recovery support services to individuals in custody, as well as recovery support services including transitional or recovery housing. It will also expand community access to drug-take services. The HCSO, in partnership with Bold North Recovery and Consulting, will conduct community outreach and education efforts among residents at community events, which will feature distribution of medication disposal bags, education about the dangers of opioids, signs of addiction, treatment options, and the proper administration of naloxone. The HCSO will partner with Heritage Health Solutions to pilot Heritage CARES, a virtual peer recovery support services program, for which Heritage Health Solutions will provide training to key detention staff members. The project will conduct 24 community education sessions annually and distribute 1,200 drug disposal pouches and 2,499 naloxone kits. It will also provide virtual peer recovery support services for up to 435 residents. The project serves Hennepin County, which has a population of 1.3 million residents spanning 600 square miles. The project includes partnerships with Bold North Recovery and Consulting and Heritage Health Solutions. A priority consideration addressed in this application is building trust between law enforcement and the community.

Hennepin County

Minnesota

The Hennepin County Sheriff’s Office (HCSO) is applying for Category 1 funding in the amount of $1,067,674. The Peer Support and Community Outreach Program will enable HCSO to expand peer recovery support services to individuals in custody, as well as recovery support services including transitional or recovery housing. It will also expand community access to drug-take services. The HCSO, in partnership with Bold North Recovery and Consulting, will conduct community outreach and education efforts among residents at community events, which will feature distribution of medication disposal bags, education about the dangers of opioids, signs of addiction, treatment options, and the proper administration of naloxone. The HCSO will partner with Heritage Health Solutions to pilot Heritage CARES, a virtual peer recovery support services program, for which Heritage Health Solutions will provide training to key detention staff members. The project will conduct 24 community education sessions annually and distribute 1,200 drug disposal pouches and 2,499 naloxone kits. It will also provide virtual peer recovery support services for up to 435 residents. The project serves Hennepin County, which has a population of 1.3 million residents spanning 600 square miles. The project includes partnerships with Bold North Recovery and Consulting and Heritage Health Solutions. A priority consideration addressed in this application is building trust between law enforcement and the community.

ID

The Idaho Department of Health and Welfare (DHW) is applying for Category 2 funding in the amount of $3,075,000. The Idaho COSSUP Program will implement projects designed to increase naloxone access, education, and distribution; enhance coordination and expansion of take-back programs; increase access to medication-assisted treatment through provider and public safety education; and evaluate DHW’s naloxone distribution efforts to vulnerable populations. Idaho’s seven local public health districts (PHDs) will serve as project implementation sites to provide naloxone trainings and overdose rescue kits to law enforcement officers, first responders, and vulnerable populations in their regions. The PHDs will also organize and promote permanent drug take-back locations and take-back day events in identified vulnerable counties. The program will fund the statewide naloxone distribution program and the seven PHDs to distribute naloxone to law enforcement officers, first responders, and other organizations interacting directly with individuals at risk of an overdose. To increase accessibility to medication-assisted treatment, DHW will identify vulnerable counties across the state and fund Project ECHO Idaho and a media-marketing vendor to develop and disseminate educational materials to providers. Project ECHO will produce medications for opioid use disorder (MOUD)/substance use disorder (SUD) podcast episodes, conduct outreach, and complete an assessment of current MOUD/SUD educational activities. The project serves the State of Idaho, which has an estimated population of 1,839,106. The project includes partnerships between DHW and the seven Idaho Public Health Districts, Project ECHO Idaho, and the Idaho Division of Behavioral Health. The project will contract with a third-party evaluator to conduct an evaluation of naloxone distribution activities funded under this grant. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Idaho Department of Health and Welfare

Idaho

The Idaho Department of Health and Welfare (DHW) is applying for Category 2 funding in the amount of $3,075,000. The Idaho COSSUP Program will implement projects designed to increase naloxone access, education, and distribution; enhance coordination and expansion of take-back programs; increase access to medication-assisted treatment through provider and public safety education; and evaluate DHW’s naloxone distribution efforts to vulnerable populations. Idaho’s seven local public health districts (PHDs) will serve as project implementation sites to provide naloxone trainings and overdose rescue kits to law enforcement officers, first responders, and vulnerable populations in their regions. The PHDs will also organize and promote permanent drug take-back locations and take-back day events in identified vulnerable counties. The program will fund the statewide naloxone distribution program and the seven PHDs to distribute naloxone to law enforcement officers, first responders, and other organizations interacting directly with individuals at risk of an overdose. To increase accessibility to medication-assisted treatment, DHW will identify vulnerable counties across the state and fund Project ECHO Idaho and a media-marketing vendor to develop and disseminate educational materials to providers. Project ECHO will produce medications for opioid use disorder (MOUD)/substance use disorder (SUD) podcast episodes, conduct outreach, and complete an assessment of current MOUD/SUD educational activities. The project serves the State of Idaho, which has an estimated population of 1,839,106. The project includes partnerships between DHW and the seven Idaho Public Health Districts, Project ECHO Idaho, and the Idaho Division of Behavioral Health. The project will contract with a third-party evaluator to conduct an evaluation of naloxone distribution activities funded under this grant. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

AR

This project will serve the Sixteenth Judicial District in northern Arkansas, a rural region comprised of five counties: Izard, Stone, Fulton, Cleburne, and Independence. The mission of this project is to reduce the impact of substance misuse, including overdose deaths, in the area. This will be accomplished by helping more people with substance use disorder (SUD) receive treatment instead of entering the criminal justice system. This project will also help increase community awareness about substance misuse and improve the ability of law enforcement agencies and communities to respond to overdoses. The primary focus for activities will be law enforcement deflection/diversion and access to peer recovery support services, and most of the activities will be conducted by COSSAP investigators and peer recovery support specialists (PRSS). Peers are individuals who have experienced SUD, are in sustained recovery, and have been trained to help others achieve recovery. By expanding access to peer support services, this project will connect more people with SUD to the treatment they desperately need. COSSAP investigators are deputies from the Izard County Sheriff’s office who are also assigned to the existing Drug Task Force for the district. Having designated COSSAP agents on the district task force will ensure that more cases involving substance use can be referred for peer support and that treatment arrangements can be made as quickly as possible. This project will also include outreach and education activities across the district and will improve the accuracy and efficiency of data collection. Allowable activities include: (1) enhancing access to peer recovery support services (35 percent); (2) law enforcement and first responder deflection and diversion (35 percent); (3) embedding PRSS at multiple points of Sequential Intercept Model (10 percent); (4) prevention programs to connect law enforcement agencies with K-12 students (10 percent); (5) drug take-back programs (5 percent); (6) data collection (5 percent).

Izard County

Arkansas

This project will serve the Sixteenth Judicial District in northern Arkansas, a rural region comprised of five counties: Izard, Stone, Fulton, Cleburne, and Independence. The mission of this project is to reduce the impact of substance misuse, including overdose deaths, in the area. This will be accomplished by helping more people with substance use disorder (SUD) receive treatment instead of entering the criminal justice system. This project will also help increase community awareness about substance misuse and improve the ability of law enforcement agencies and communities to respond to overdoses. The primary focus for activities will be law enforcement deflection/diversion and access to peer recovery support services, and most of the activities will be conducted by COSSAP investigators and peer recovery support specialists (PRSS). Peers are individuals who have experienced SUD, are in sustained recovery, and have been trained to help others achieve recovery. By expanding access to peer support services, this project will connect more people with SUD to the treatment they desperately need. COSSAP investigators are deputies from the Izard County Sheriff’s office who are also assigned to the existing Drug Task Force for the district. Having designated COSSAP agents on the district task force will ensure that more cases involving substance use can be referred for peer support and that treatment arrangements can be made as quickly as possible. This project will also include outreach and education activities across the district and will improve the accuracy and efficiency of data collection. Allowable activities include: (1) enhancing access to peer recovery support services (35 percent); (2) law enforcement and first responder deflection and diversion (35 percent); (3) embedding PRSS at multiple points of Sequential Intercept Model (10 percent); (4) prevention programs to connect law enforcement agencies with K-12 students (10 percent); (5) drug take-back programs (5 percent); (6) data collection (5 percent).

AL

This project serves Jefferson County, Alabama with a population of over 500,000. The purpose of the project is to expand peer recovery services and evidence-based treatment, including medication-assisted treatment (MAT), to individuals at high-risk for overdose who are habitual offenders. The project addresses the allowable use of providing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (90 percent of the budget). The project includes a partnership with the University of Alabama (UAB) Department of Psychiatry Substance Abuse Division and includes program evaluation which is identified as a priority consideration (10 percent of the budget).

Jefferson County, Alabama

Alabama

This project serves Jefferson County, Alabama with a population of over 500,000. The purpose of the project is to expand peer recovery services and evidence-based treatment, including medication-assisted treatment (MAT), to individuals at high-risk for overdose who are habitual offenders. The project addresses the allowable use of providing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (90 percent of the budget). The project includes a partnership with the University of Alabama (UAB) Department of Psychiatry Substance Abuse Division and includes program evaluation which is identified as a priority consideration (10 percent of the budget).

AR

The Johnson County Opioid Response Effort (JCORE), through the Johnson County Sheriff’s Office, centers on teaming peer specialists with specialty investigators so that behavioral health resources can be implemented during the timeframe when individuals are most receptive to help. This “golden moment” falls immediately after overdose or investigation and possible arrest. By pairing services with investigation, diversion to drug courts, treatment, and other transitional services moves the individual into a more positive path to recovery instead of the traditional method of incarceration only. Utilizing two teams of peer and investigator allows for round the clock coverage without creating stress of continuous coverage on one team which results in burnout. Peer specialists respond to police calls for drug-related incidents and follow the individual through medical care and incarceration as necessary, placing the peer specialist in a position to engage family and friends to elicit support. Peer specialists can use their lived experience to help the individual see the benefits of life change. This approach has proven that individuals are more inclined to assist in investigations and the team approach has reduced stigma among law enforcement. Peer specialists also provide training and distribution of naloxone to the support systems of individuals. Classes and support groups conducted within the jail identifies individuals incarcerated for other charges who are also struggling with substance use disorders. After identification, those individuals can be moved toward treatment options and recovery, resulting in decreased jail population and lowered recidivism. JCORE will utilize participation in drug takeback programs, law enforcement diversion, naloxone for law enforcement, and treatment alternatives to incarceration. The primary use of the funds will center on embedding peer specialists at various points in the Sequential Intercept Model which makes it a labor-intensive program.

Johnson County

Arkansas

The Johnson County Opioid Response Effort (JCORE), through the Johnson County Sheriff’s Office, centers on teaming peer specialists with specialty investigators so that behavioral health resources can be implemented during the timeframe when individuals are most receptive to help. This “golden moment” falls immediately after overdose or investigation and possible arrest. By pairing services with investigation, diversion to drug courts, treatment, and other transitional services moves the individual into a more positive path to recovery instead of the traditional method of incarceration only. Utilizing two teams of peer and investigator allows for round the clock coverage without creating stress of continuous coverage on one team which results in burnout. Peer specialists respond to police calls for drug-related incidents and follow the individual through medical care and incarceration as necessary, placing the peer specialist in a position to engage family and friends to elicit support. Peer specialists can use their lived experience to help the individual see the benefits of life change. This approach has proven that individuals are more inclined to assist in investigations and the team approach has reduced stigma among law enforcement. Peer specialists also provide training and distribution of naloxone to the support systems of individuals. Classes and support groups conducted within the jail identifies individuals incarcerated for other charges who are also struggling with substance use disorders. After identification, those individuals can be moved toward treatment options and recovery, resulting in decreased jail population and lowered recidivism. JCORE will utilize participation in drug takeback programs, law enforcement diversion, naloxone for law enforcement, and treatment alternatives to incarceration. The primary use of the funds will center on embedding peer specialists at various points in the Sequential Intercept Model which makes it a labor-intensive program.

MA

The Middle District Attorney’s Office (MDAO) proposes to implement the Spencer Area Peer Recovery Support Center Project. This project responds to Category 1 objectives: 1) locally driven responses to the use and misuse of opioids, stimulants, and other substances that expand access to treatment and recovery support services and 2) promote education and prevention activities. The MDAO is the prosecution agency for the 60 communities in Worcester County, Massachusetts. The county has 862,111 residents and covers the largest geographical area of any Massachusetts county. This project was guided by the county’s law enforcement, municipal leaders, medical providers, treatment agencies, educational institutions, and others participating in the District Attorney’s Central Massachusetts Opioid Task Force. This multi-disciplinary group works together to assess risk and protective factors related to the opioid epidemic and support the development and implementation of strategic and collaborative solutions. COSSUP funding for the Spencer Area Peer Recovery Support Center Project will establish and operate a new peer-based recovery support center based in the area of Spencer Massachusetts. This project will improve access to services in the thirteen-town region of central western Massachusetts. Efforts will also include education and prevention programming for students, youth, and professionals across Worcester County and the distribution of Naloxone to first responders and families. As aligned with COSSUP priorities this project will accomplish the following: 1) Reduce the number of opioid overdoses and overdose deaths in Worcester County; 2) Decrease the incidence of Opioid Use Disorder in Worcester County; 3) Increase the number of individuals receiving treatment and recovery support services in Worcester County; and 4) Increase the use of evidence-based programming in schools and youth groups in Worcester County.

Judiciary Courts of The Commonwealth of Massachusetts

Massachusetts

The Middle District Attorney’s Office (MDAO) proposes to implement the Spencer Area Peer Recovery Support Center Project. This project responds to Category 1 objectives: 1) locally driven responses to the use and misuse of opioids, stimulants, and other substances that expand access to treatment and recovery support services and 2) promote education and prevention activities. The MDAO is the prosecution agency for the 60 communities in Worcester County, Massachusetts. The county has 862,111 residents and covers the largest geographical area of any Massachusetts county. This project was guided by the county’s law enforcement, municipal leaders, medical providers, treatment agencies, educational institutions, and others participating in the District Attorney’s Central Massachusetts Opioid Task Force. This multi-disciplinary group works together to assess risk and protective factors related to the opioid epidemic and support the development and implementation of strategic and collaborative solutions. COSSUP funding for the Spencer Area Peer Recovery Support Center Project will establish and operate a new peer-based recovery support center based in the area of Spencer Massachusetts. This project will improve access to services in the thirteen-town region of central western Massachusetts. Efforts will also include education and prevention programming for students, youth, and professionals across Worcester County and the distribution of Naloxone to first responders and families. As aligned with COSSUP priorities this project will accomplish the following: 1) Reduce the number of opioid overdoses and overdose deaths in Worcester County; 2) Decrease the incidence of Opioid Use Disorder in Worcester County; 3) Increase the number of individuals receiving treatment and recovery support services in Worcester County; and 4) Increase the use of evidence-based programming in schools and youth groups in Worcester County.

HI

The First Circuit Court of the State of Hawaii is applying for a Category 1 award in the amount of $996,657. The COSSAP Hawaii program will provide treatment, recovery support services, and family court interventions by implementing and expanding comprehensive efforts to identify, respond to, treat, and support those impacted by drugs of misuse in the adult and juvenile justice system on Oahu, Hawaii. This program will help both the Family Court’s Juvenile Client Services Branch and the Adult Client Services Branch provide much-needed client treatment and support services currently impacted by a budget shortfall due to the COVID-19 pandemic. This project serves Oahu, Hawaii, which has a population greater than 500,000. The project includes partnerships between the Hawaii State Department of Health, Alcohol and Drug Abuse Division and new and existing community providers to deliver the contracted services for the juvenile and adult activities for this project. Priority considerations addressed in this application include high poverty areas for adults and juveniles in the First Circuit criminal and juvenile justice system that are from neighborhoods on Oahu that are disproportionately impacted by poverty, homelessness, and substance use and have limited access to services in their community.

Judiciary Courts of the State of Hawaii

Hawaii

The First Circuit Court of the State of Hawaii is applying for a Category 1 award in the amount of $996,657. The COSSAP Hawaii program will provide treatment, recovery support services, and family court interventions by implementing and expanding comprehensive efforts to identify, respond to, treat, and support those impacted by drugs of misuse in the adult and juvenile justice system on Oahu, Hawaii. This program will help both the Family Court’s Juvenile Client Services Branch and the Adult Client Services Branch provide much-needed client treatment and support services currently impacted by a budget shortfall due to the COVID-19 pandemic. This project serves Oahu, Hawaii, which has a population greater than 500,000. The project includes partnerships between the Hawaii State Department of Health, Alcohol and Drug Abuse Division and new and existing community providers to deliver the contracted services for the juvenile and adult activities for this project. Priority considerations addressed in this application include high poverty areas for adults and juveniles in the First Circuit criminal and juvenile justice system that are from neighborhoods on Oahu that are disproportionately impacted by poverty, homelessness, and substance use and have limited access to services in their community.

OK

The Tulsa County District Court, Fourteenth Judicial District of Oklahoma, is applying for Category 1 funding in the amount of $1,200,000. The project will launch the Tulsa County Anti-Recidivism Misdemeanor Diversion (TURN) Program, a court-based intervention program (mixed pre- and post-plea model) that expedites treatment and recovery services for justice-involved individuals with substance use disorders, mental illnesses, and co-occurring SUDs/MIs who are at high risk for overdose. TURN requires that participants engage with service and treatment providers in exchange for dismissed charges, no court fines or fees, and fewer court dates, among other benefits. By prioritizing stabilization and long-term social success, TURN will improve outcomes for individuals whose current primary source of treatment is the Tulsa County Jail. Deliverables include 1,000 misdemeanor cases diverted out of the criminal justice system and 800 alternative sentence recommendation outcomes. The program will be administered by Tulsa County Alternative Court Programs (TCACP), a division of the court. The project serves Tulsa County (OK), with an estimated 2019 population of 651, 552. The project includes partnerships with the Tulsa County District Attorney, the Tulsa County Public Defender, the Oklahoma Department of Mental Health and Substance Abuse Services, the Mental Health Association of Oklahoma, Oklahoma Family & Children’s Services, the Tulsa Police Department, and the Tulsa County Sheriff’s Office. The project will engage Oklahoma State University’s National Center for Wellness and Recovery as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.

Judiciary Courts of the State of Oklahoma

Oklahoma

The Tulsa County District Court, Fourteenth Judicial District of Oklahoma, is applying for Category 1 funding in the amount of $1,200,000. The project will launch the Tulsa County Anti-Recidivism Misdemeanor Diversion (TURN) Program, a court-based intervention program (mixed pre- and post-plea model) that expedites treatment and recovery services for justice-involved individuals with substance use disorders, mental illnesses, and co-occurring SUDs/MIs who are at high risk for overdose. TURN requires that participants engage with service and treatment providers in exchange for dismissed charges, no court fines or fees, and fewer court dates, among other benefits. By prioritizing stabilization and long-term social success, TURN will improve outcomes for individuals whose current primary source of treatment is the Tulsa County Jail. Deliverables include 1,000 misdemeanor cases diverted out of the criminal justice system and 800 alternative sentence recommendation outcomes. The program will be administered by Tulsa County Alternative Court Programs (TCACP), a division of the court. The project serves Tulsa County (OK), with an estimated 2019 population of 651, 552. The project includes partnerships with the Tulsa County District Attorney, the Tulsa County Public Defender, the Oklahoma Department of Mental Health and Substance Abuse Services, the Mental Health Association of Oklahoma, Oklahoma Family & Children’s Services, the Tulsa Police Department, and the Tulsa County Sheriff’s Office. The project will engage Oklahoma State University’s National Center for Wellness and Recovery as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.

WI

The Juneau County, Wisconsin, Sheriff’s Office project will provide case management, therapy ,and a crisis liaison within the jail. The primary objective of this project is to assess substance use disorder (SUD) and co-occurring mental health disorders that affect recidivism. The focus of the project is to provide jail-based programming and evidence-based substance use treatment, as well as harm reduction activities and recovery support services. Additionally, transition planning by the jail case manager will assist inmates in accessing treatment, medication, and prescriptions upon release from the jail. All grant funds will be used to provide these services. Activities for this project include: (1) assess case management needs through evidence-based assessments, refer clients to mental health and medical programs that address co-occurring disorders and SUD. This may include access to medication-assisted treatments that are available through established providers. The goals of the project are to provide assistance with stabilizing SUD and co-occurring mental health disorders that focus on reducing recidivism and increasing medication compliance. The project serves all Juneau County inmates. Juneau County has a population of 26,718 people and the jail can hold 157 inmates.

Juneau County

Wisconsin

The Juneau County, Wisconsin, Sheriff’s Office project will provide case management, therapy ,and a crisis liaison within the jail. The primary objective of this project is to assess substance use disorder (SUD) and co-occurring mental health disorders that affect recidivism. The focus of the project is to provide jail-based programming and evidence-based substance use treatment, as well as harm reduction activities and recovery support services. Additionally, transition planning by the jail case manager will assist inmates in accessing treatment, medication, and prescriptions upon release from the jail. All grant funds will be used to provide these services. Activities for this project include: (1) assess case management needs through evidence-based assessments, refer clients to mental health and medical programs that address co-occurring disorders and SUD. This may include access to medication-assisted treatments that are available through established providers. The goals of the project are to provide assistance with stabilizing SUD and co-occurring mental health disorders that focus on reducing recidivism and increasing medication compliance. The project serves all Juneau County inmates. Juneau County has a population of 26,718 people and the jail can hold 157 inmates.

WV

The Justice and Community Services (JCS) Section of the West Virginia Division of Administrative Services (DAS), which is the State Administrative Agency for criminal justice-related activities in the state, is applying under Category 2 for grant funding in the amount of $6,000,000 under the FY 2020 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (COSSAP) grant program. The purpose of the project is two-fold. First, the project will establish a cutting-edge approach to pre-arrest diversion by integrating quick response teams, LEAD, and the West Virginia Angel Initiative (Angel) to establish the WV QLA Early Intervention Program. This program will be implemented into the following nine counties: Berkeley, Cabell, Kanawha, McDowell, Mercer, Monongalia, Raleigh, Wood, and Wyoming. The total population of these counties is 763,728 and accounts for 61 percent of the overdose fatalities within West Virginia. Second, the project will assist county commissions and non-profit organizations to assist with the recruitment, retention, and training of peer recovery coaches throughout the state. Coaches will be required to possess the following credentials to be funded under this initiative: 1) a high school diploma or recognized equivalent; 2) experience with substance use challenges; 3) involved with a personal support and/or recovery system; 4) reside in stable, recovery-oriented housing the last six (6) months; 5) have no involvement with the legal system within the last six (6) months and/or pending legal issues; and 7) no intensive behavioral health involvement within the last six (6) months, including intensive services, detoxification services, and/or residential treatment services. JCS has partnered with the West Virginia Office of Drug Control Policy and West Virginia Department of Health and Human Resources Bureau for Behavioral Health in the implementation, monitoring, oversight, and sustainment of the proposed project. Priority considerations addressed in this application include rural and high-poverty areas.

Justice and Community Services

West Virginia

The Justice and Community Services (JCS) Section of the West Virginia Division of Administrative Services (DAS), which is the State Administrative Agency for criminal justice-related activities in the state, is applying under Category 2 for grant funding in the amount of $6,000,000 under the FY 2020 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (COSSAP) grant program. The purpose of the project is two-fold. First, the project will establish a cutting-edge approach to pre-arrest diversion by integrating quick response teams, LEAD, and the West Virginia Angel Initiative (Angel) to establish the WV QLA Early Intervention Program. This program will be implemented into the following nine counties: Berkeley, Cabell, Kanawha, McDowell, Mercer, Monongalia, Raleigh, Wood, and Wyoming. The total population of these counties is 763,728 and accounts for 61 percent of the overdose fatalities within West Virginia. Second, the project will assist county commissions and non-profit organizations to assist with the recruitment, retention, and training of peer recovery coaches throughout the state. Coaches will be required to possess the following credentials to be funded under this initiative: 1) a high school diploma or recognized equivalent; 2) experience with substance use challenges; 3) involved with a personal support and/or recovery system; 4) reside in stable, recovery-oriented housing the last six (6) months; 5) have no involvement with the legal system within the last six (6) months and/or pending legal issues; and 7) no intensive behavioral health involvement within the last six (6) months, including intensive services, detoxification services, and/or residential treatment services. JCS has partnered with the West Virginia Office of Drug Control Policy and West Virginia Department of Health and Human Resources Bureau for Behavioral Health in the implementation, monitoring, oversight, and sustainment of the proposed project. Priority considerations addressed in this application include rural and high-poverty areas.

KS

The Kansas Department of Health and Environment’s All Hands on DECK (Drug Endangered Children in Kansas) is a project designed to prevent and mitigate adverse childhood experiences, specifically targeting drug endangered children (DEC), those who are found in environments where illegal drugs are manufactured, sold, distributed, used or where there is other significant evidence of illegal drugs. Approximately 140,860 Kansas children are living in environments where their parent or caregiver uses substances, and an estimated 5,155 Kansas infants are born exposed to substances every year. Recent data show Kansas has had increases in drug overdoses and deaths that are higher than the national average. Drug endangered children are much more likely to use substances themselves; have chronic diseases like diabetes, heart disease and obesity; experience mental health issues; and have social problems including financial difficulties and employment challenges. The comprehensive statewide program addresses substance use and misuse, promotes public safety, reduces overdose deaths, and supports access to prevention, harm-reduction, treatment, and recovery services in Kansas communities and multiple systems including the justice system. The goals of this project are to (1) improve identification of and response to drug endangered children in Kansas by providing training, increasing collaboration and multidisciplinary approaches, and implementing a robust subaward component; (2) increase awareness of drug endangered children in Kansas through development of a statewide media campaign, an increase in real-time data collection and dissemination, and integration of DEC awareness into existing initiatives like drug take back days; and 3) build the capacity of project partners to implement a statewide DEC initiative. The project is designed and implemented with an equity frame and will target those who have been underserved and/or adversely affected by inequality. The project divides the state into six regions to ensure geographic equity and will target all four Kansas tribes-- Iowa, Kickapoo, Potawatomi, and Sac and Fox. This project is focused on changing the trajectory for children suffering the negative impacts of living in environments where drugs are present and will develop a model that can be replicated throughout Kansas and across the United States.

Kansas Department of Health and Environment

Kansas

The Kansas Department of Health and Environment’s All Hands on DECK (Drug Endangered Children in Kansas) is a project designed to prevent and mitigate adverse childhood experiences, specifically targeting drug endangered children (DEC), those who are found in environments where illegal drugs are manufactured, sold, distributed, used or where there is other significant evidence of illegal drugs. Approximately 140,860 Kansas children are living in environments where their parent or caregiver uses substances, and an estimated 5,155 Kansas infants are born exposed to substances every year. Recent data show Kansas has had increases in drug overdoses and deaths that are higher than the national average. Drug endangered children are much more likely to use substances themselves; have chronic diseases like diabetes, heart disease and obesity; experience mental health issues; and have social problems including financial difficulties and employment challenges. The comprehensive statewide program addresses substance use and misuse, promotes public safety, reduces overdose deaths, and supports access to prevention, harm-reduction, treatment, and recovery services in Kansas communities and multiple systems including the justice system. The goals of this project are to (1) improve identification of and response to drug endangered children in Kansas by providing training, increasing collaboration and multidisciplinary approaches, and implementing a robust subaward component; (2) increase awareness of drug endangered children in Kansas through development of a statewide media campaign, an increase in real-time data collection and dissemination, and integration of DEC awareness into existing initiatives like drug take back days; and 3) build the capacity of project partners to implement a statewide DEC initiative. The project is designed and implemented with an equity frame and will target those who have been underserved and/or adversely affected by inequality. The project divides the state into six regions to ensure geographic equity and will target all four Kansas tribes-- Iowa, Kickapoo, Potawatomi, and Sac and Fox. This project is focused on changing the trajectory for children suffering the negative impacts of living in environments where drugs are present and will develop a model that can be replicated throughout Kansas and across the United States.

KY

Kenton County Fiscal Court applied for Category 1b suburban area grant funding in the amount of $900,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will develop, implement, and expand Law Enforcement Assisted Diversion to policing agencies with pre-arrest diversion coordinators to reduce incarceration and lower the cost to communities and provide a case manager for those leaving incarceration to reduce recidivism. The program will also contract a peer support specialist to assist quick response teams responding to overdoses to establish connections, provide harm-reduction information, and easy access to naloxone. In addition, the program will provide supportive services to those wanting treatment and those in recovery. Supportive services will include referrals to community partners, case management, transportation, recovery housing, assistance with identification and an Indigent Essentials Backpack. This project serves Kenton, Pendleton, and Grant counties with a total population of 205,701. The project includes partnerships between Mental Health America, Northern Kentucky Community Action, Life Learning Center, Transitions, Sun, Alexandria’s Angels, Erlanger Police social workers, and the City of Falmouth.

Kenton County Fiscal Court

Kentucky

Kenton County Fiscal Court applied for Category 1b suburban area grant funding in the amount of $900,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will develop, implement, and expand Law Enforcement Assisted Diversion to policing agencies with pre-arrest diversion coordinators to reduce incarceration and lower the cost to communities and provide a case manager for those leaving incarceration to reduce recidivism. The program will also contract a peer support specialist to assist quick response teams responding to overdoses to establish connections, provide harm-reduction information, and easy access to naloxone. In addition, the program will provide supportive services to those wanting treatment and those in recovery. Supportive services will include referrals to community partners, case management, transportation, recovery housing, assistance with identification and an Indigent Essentials Backpack. This project serves Kenton, Pendleton, and Grant counties with a total population of 205,701. The project includes partnerships between Mental Health America, Northern Kentucky Community Action, Life Learning Center, Transitions, Sun, Alexandria’s Angels, Erlanger Police social workers, and the City of Falmouth.

WA

The project will develop comprehensive, locally driven responses to the use of opioids, stimulants, and other substances through the implementation of an overdose fatality review (OFR) process in King County, Washington. The funds will support the creation of an OFR as a community-based rapid response network to foster evidence-based strategies for treatment and prevention of overdose. King County Medical Examiner’s Office (KCMEO), the applicant and intended beneficiary of funds, will partner with the Overdose Prevention team of Public Health – Seattle and King County, law enforcement, and community groups to establish and conduct OFR. Primary activities include: (1) design and establish an OFR process supported by existing real-time fatal drug overdose surveillance conducted by KCMEO; (2) utilize OFR to recommend evidence-based responses to drug overdoses and emerging drug trends; and (3) translate recommendations into action plans for effective community-based interventions. The project will address the following allowable uses: (1) real-time data collection to inform OFR (75.5 percent of the budget); (2) naloxone for law enforcement and first responders (3.5 percent of the budget); and (3) embedding persons with lived experiences into the Sequential Intercept Model (21 percent of the budget). Funding will be allocated to personnel and test kits for in-house testing of drug evidence and decedent blood and naloxone for distribution to law enforcement and first responders. Expected outcomes include: (1) hire and onboard project staff; (2) design and establish an OFR committee; (3) produce quarterly recommendations from OFR, once established; (4) provide up to 500 naloxone kits for law enforcement and first responders annually; (5) provide educational resources for law enforcement and community groups; (6) embed law enforcement community outreach and Community Liaisons into the Sequential Intercept Model; and (7) establish a Quality Improvement and Oversight Committee to conduct continuous quality improvement for the project.

King County

Washington

The project will develop comprehensive, locally driven responses to the use of opioids, stimulants, and other substances through the implementation of an overdose fatality review (OFR) process in King County, Washington. The funds will support the creation of an OFR as a community-based rapid response network to foster evidence-based strategies for treatment and prevention of overdose. King County Medical Examiner’s Office (KCMEO), the applicant and intended beneficiary of funds, will partner with the Overdose Prevention team of Public Health – Seattle and King County, law enforcement, and community groups to establish and conduct OFR. Primary activities include: (1) design and establish an OFR process supported by existing real-time fatal drug overdose surveillance conducted by KCMEO; (2) utilize OFR to recommend evidence-based responses to drug overdoses and emerging drug trends; and (3) translate recommendations into action plans for effective community-based interventions. The project will address the following allowable uses: (1) real-time data collection to inform OFR (75.5 percent of the budget); (2) naloxone for law enforcement and first responders (3.5 percent of the budget); and (3) embedding persons with lived experiences into the Sequential Intercept Model (21 percent of the budget). Funding will be allocated to personnel and test kits for in-house testing of drug evidence and decedent blood and naloxone for distribution to law enforcement and first responders. Expected outcomes include: (1) hire and onboard project staff; (2) design and establish an OFR committee; (3) produce quarterly recommendations from OFR, once established; (4) provide up to 500 naloxone kits for law enforcement and first responders annually; (5) provide educational resources for law enforcement and community groups; (6) embed law enforcement community outreach and Community Liaisons into the Sequential Intercept Model; and (7) establish a Quality Improvement and Oversight Committee to conduct continuous quality improvement for the project.

CA

The project serves Kings County, California, which has a population of approximately 150,373. The purpose of the project is to build strong coordination between in-custody and community-based treatment, establish a job training program for individuals reentering the community from jail, and establish virtual peer recovery support services for individuals leaving jail. The project addresses the allowable use of establishing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as medication-assisted treatment (MAT), with a focus on building strong coordination between in-custody and community-based treatment and recovery support services (100 percent of the budget). The project includes a partnership with Kings County Jobs Training Office, Wellpath, and Heritage Health Solutions.

Kings County

California

The project serves Kings County, California, which has a population of approximately 150,373. The purpose of the project is to build strong coordination between in-custody and community-based treatment, establish a job training program for individuals reentering the community from jail, and establish virtual peer recovery support services for individuals leaving jail. The project addresses the allowable use of establishing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as medication-assisted treatment (MAT), with a focus on building strong coordination between in-custody and community-based treatment and recovery support services (100 percent of the budget). The project includes a partnership with Kings County Jobs Training Office, Wellpath, and Heritage Health Solutions.

WA

The Kittitas County Sheriff's Office project will serve those incarcerated at the Kittitas County Jail located in Ellensburg, Washington, including both Kittitas County residents as well as other clients from other areas of the state as well. As of 2020, Kittitas County has an estimated population of 44,337 and the jail's daily population is steadily rising since the pandemic, but currently an average of 98 people incarcerated daily. The request for this funding is to develop a project that will expand and enhance evidence-based medication for opioid use disorder (MOUD), as well as recovery support services within the Kittitas County Jail. The Kittitas County Jail currently has a FY 2020 COSSUP grant this project will continue the services, while enhancing the program to continue to lower recidivism and having a positive effect on the entire community they serve. According to the Rural Health Grants Eligibility Analyzer, Kittitas County is eligible for Rural Health Grants. According to the most available stats in 2018, The ration of Kittitas County residents to primary care physicians is 1710:1. The University of Washington released stats in January of 2023 that states crime lab data for police evidence testing indicate a 186% increase in the number of cases positive for opioids statewide between 2002- and 2018-2020, with increases in most counties. The Kittitas County Jail houses all persons who are booked within the 2,297.3 square miles and serve all local Law Enforcement agencies as well as the United State Marshalls and Washington State Department of Corrections. The program is designed to enhance and increase staff training, screening, delivery of onsite services including intake, induction, dosing, care coordination and post-release coordination. The Kittitas County Sheriff's Office will seek a MOUD partner that is committed to enhancing the already established programming and consist of medical providers carrying certifications in Addiction and Emergency Medicine, Internal, OB/GYN, and Family Medicine, as well as other specialties. The program will include a researcher to develop and provide the necessary data as required and to further find ways to increase its capabilities by utilizing a mixed method approach consisting of participant interviews, MAT retention rates, and recidivism statistics.

Kittitas, County of

Washington

The Kittitas County Sheriff's Office project will serve those incarcerated at the Kittitas County Jail located in Ellensburg, Washington, including both Kittitas County residents as well as other clients from other areas of the state as well. As of 2020, Kittitas County has an estimated population of 44,337 and the jail's daily population is steadily rising since the pandemic, but currently an average of 98 people incarcerated daily. The request for this funding is to develop a project that will expand and enhance evidence-based medication for opioid use disorder (MOUD), as well as recovery support services within the Kittitas County Jail. The Kittitas County Jail currently has a FY 2020 COSSUP grant this project will continue the services, while enhancing the program to continue to lower recidivism and having a positive effect on the entire community they serve. According to the Rural Health Grants Eligibility Analyzer, Kittitas County is eligible for Rural Health Grants. According to the most available stats in 2018, The ration of Kittitas County residents to primary care physicians is 1710:1. The University of Washington released stats in January of 2023 that states crime lab data for police evidence testing indicate a 186% increase in the number of cases positive for opioids statewide between 2002- and 2018-2020, with increases in most counties. The Kittitas County Jail houses all persons who are booked within the 2,297.3 square miles and serve all local Law Enforcement agencies as well as the United State Marshalls and Washington State Department of Corrections. The program is designed to enhance and increase staff training, screening, delivery of onsite services including intake, induction, dosing, care coordination and post-release coordination. The Kittitas County Sheriff's Office will seek a MOUD partner that is committed to enhancing the already established programming and consist of medical providers carrying certifications in Addiction and Emergency Medicine, Internal, OB/GYN, and Family Medicine, as well as other specialties. The program will include a researcher to develop and provide the necessary data as required and to further find ways to increase its capabilities by utilizing a mixed method approach consisting of participant interviews, MAT retention rates, and recidivism statistics.

TN

Knox County is implementing a probation-focused case management program (Intensive Case Management Program). The program's purpose is to provide an evidence-based response to the use and misuse of opioids, stimulants, and other substances by expanding access to treatment and recovery support services for probationers supervised through the Knox County Probation Department. The project will provide intensive case management services and substance use treatment for individuals on probation who have a substance use disorder and are at risk for overdose. The project will also increase access to recovery support services for individuals on probation, which will be partially accomplished through a subrecipient agreement with the Metro Drug Coalition. Expected outcomes include reducing risk of overdose death and enhancing evidence-based treatment and recovery service engagement for those on supervised probation.

Knox, County of

Tennessee

Knox County is implementing a probation-focused case management program (Intensive Case Management Program). The program's purpose is to provide an evidence-based response to the use and misuse of opioids, stimulants, and other substances by expanding access to treatment and recovery support services for probationers supervised through the Knox County Probation Department. The project will provide intensive case management services and substance use treatment for individuals on probation who have a substance use disorder and are at risk for overdose. The project will also increase access to recovery support services for individuals on probation, which will be partially accomplished through a subrecipient agreement with the Metro Drug Coalition. Expected outcomes include reducing risk of overdose death and enhancing evidence-based treatment and recovery service engagement for those on supervised probation.

PA

Fatal substance overdoses throughout Lackawanna County, Pennsylvania, have increased in 2020 and 2021 after seeing a significant decrease in 2019, despite expansive efforts to combat substance use disorder within the county. In response to this public health crisis, Lackawanna County has implemented several innovative initiatives to address the opioid epidemic and reduce overdose deaths, including the Lackawanna County District Attorney Office (LCDAO) led Lackawanna County overdose fatality review (OFR) team. The Lackawanna County OFR is a multidisciplinary group that conducts extensive case reviews and examines local overdose fatality data to find the root causes of addiction, understand the factors that ultimately led to an overdose, identify gaps in treatment and missed opportunities for intervention, and generate data-driven recommendations to decrease overdose fatalities throughout the county. The project will serve the residents of Lackawanna County to reduce the amount of both fatal and non-fatal overdoses through a focus on program implementation and improvement. The funding will support the OFR’s ability to conduct evaluations of the next of kin interview process, provide mentorship, guidance, and technical support to developing OFR teams, conduct an external evaluation of Lackawanna County OFR Team, establish an awareness and education campaign, and implement recommendations generated by the Lackawanna County OFR team. The Lackawanna County District Attorney’s Office will engage in a subgrant with the University of Pittsburgh Program Evaluation and Research Unit (PERU) to support the Lackawanna County District Attorney’s Office as a research and evaluation partner. PERU will provide support related to problem analysis, evaluations, assessment of implementation, and strategic planning of interventions. All funds requested by the Lackawanna County District Attorney’s Office will be allocated to the category of real-time data collection and the goals and objectives of the proposed program will be related to the implementation of recommendations generated by and improvement of the established county OFR team.

Lackawanna County Government

Pennsylvania

Fatal substance overdoses throughout Lackawanna County, Pennsylvania, have increased in 2020 and 2021 after seeing a significant decrease in 2019, despite expansive efforts to combat substance use disorder within the county. In response to this public health crisis, Lackawanna County has implemented several innovative initiatives to address the opioid epidemic and reduce overdose deaths, including the Lackawanna County District Attorney Office (LCDAO) led Lackawanna County overdose fatality review (OFR) team. The Lackawanna County OFR is a multidisciplinary group that conducts extensive case reviews and examines local overdose fatality data to find the root causes of addiction, understand the factors that ultimately led to an overdose, identify gaps in treatment and missed opportunities for intervention, and generate data-driven recommendations to decrease overdose fatalities throughout the county. The project will serve the residents of Lackawanna County to reduce the amount of both fatal and non-fatal overdoses through a focus on program implementation and improvement. The funding will support the OFR’s ability to conduct evaluations of the next of kin interview process, provide mentorship, guidance, and technical support to developing OFR teams, conduct an external evaluation of Lackawanna County OFR Team, establish an awareness and education campaign, and implement recommendations generated by the Lackawanna County OFR team. The Lackawanna County District Attorney’s Office will engage in a subgrant with the University of Pittsburgh Program Evaluation and Research Unit (PERU) to support the Lackawanna County District Attorney’s Office as a research and evaluation partner. PERU will provide support related to problem analysis, evaluations, assessment of implementation, and strategic planning of interventions. All funds requested by the Lackawanna County District Attorney’s Office will be allocated to the category of real-time data collection and the goals and objectives of the proposed program will be related to the implementation of recommendations generated by and improvement of the established county OFR team.

LA

The Lafourche Parish, Louisiana, Sheriff’s Office (LPSO) will develop and implement a comprehensive opioid prevention effort that promotes civil rights and racial equity in the identification, response, treatment, and support of those impacted by illicit opioids, stimulants, and other drugs in Lafourche Parish, Louisiana. The goal of Project Comprehensive Opioid Prevention Effort (COPE) is to deploy needed service activities and protocols to reduce overdose deaths, promote public safety, and support access to prevention, harm-reduction, treatment, and recovery services, both in the community and the justice system. The Project will function under the direction of a Project COPE Steering Committee, which is a permanent multidisciplinary coordinating body that focus on addressing the issues that arise due to the impacts of illicit opioids, stimulants, and other drugs. It is composed of representatives from the LPSO, court system, Lafourche Parish Coroner’s Office, Parish Government, public and private school systems, Nicholls State University, and prevention, intervention, and treatment agencies. Program activities include law enforcement deflection and diversion, real time data collection, education, and prevention, pre and post booking treatment alternatives to incarceration, evidence-based substance use disorder treatment, and social workers and peer embedment at any intercept of the Sequential Intercept Model. A program-specific priority is in support of Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities through the Federal Government.” In partnership with the Kingdom Impact Global Worship Centre, underserved populations that have been adversely affected by the opioid epidemic will be identified and strategically facilitated under the program.

Lafourche Parish Sheriff's Office

Louisiana

The Lafourche Parish, Louisiana, Sheriff’s Office (LPSO) will develop and implement a comprehensive opioid prevention effort that promotes civil rights and racial equity in the identification, response, treatment, and support of those impacted by illicit opioids, stimulants, and other drugs in Lafourche Parish, Louisiana. The goal of Project Comprehensive Opioid Prevention Effort (COPE) is to deploy needed service activities and protocols to reduce overdose deaths, promote public safety, and support access to prevention, harm-reduction, treatment, and recovery services, both in the community and the justice system. The Project will function under the direction of a Project COPE Steering Committee, which is a permanent multidisciplinary coordinating body that focus on addressing the issues that arise due to the impacts of illicit opioids, stimulants, and other drugs. It is composed of representatives from the LPSO, court system, Lafourche Parish Coroner’s Office, Parish Government, public and private school systems, Nicholls State University, and prevention, intervention, and treatment agencies. Program activities include law enforcement deflection and diversion, real time data collection, education, and prevention, pre and post booking treatment alternatives to incarceration, evidence-based substance use disorder treatment, and social workers and peer embedment at any intercept of the Sequential Intercept Model. A program-specific priority is in support of Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities through the Federal Government.” In partnership with the Kingdom Impact Global Worship Centre, underserved populations that have been adversely affected by the opioid epidemic will be identified and strategically facilitated under the program.

IL

The Lake County, Illinois, Health Department and Community Health Center project serves Lake County, Illinois, with a population of 711,239. The purpose of this project is to provide wraparound evidenced-based treatment for consumers of the A Way Out 3.0 program including medication-assisted treatment (MAT), recovery support services, peer support, case management, and transitional and recovery housing. A Way Out 3.0 will serve as an evidence-based treatment initiative for individuals at high risk of overdose and substance abuse and as a pre-booking and post-booking alternative to incarceration. The project will focus on increasing access to treatment, increasing treatment success rates, reducing overdoses, and providing community outreach. This project will aim to have 90 percent of consumers with opioid use scheduled to receive services or treatment within 24 hours of initial contact; 70 percent of consumers will successfully complete their first treatment episode; and 90 percent of consumers will receive information regarding MAT and/or naloxone. Additionally, peer support groups will be offered bi-weekly for consumers, and one community outreach session will be conducted by the A Way Out team per month. Priority considerations addressed in this application include a high rate of primary treatment episodes for heroin and other opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities. An individual from Rosalind Franklin University of Medicine and Sciences will serve as the evaluator for the project.

Lake County

Illinois

The Lake County, Illinois, Health Department and Community Health Center project serves Lake County, Illinois, with a population of 711,239. The purpose of this project is to provide wraparound evidenced-based treatment for consumers of the A Way Out 3.0 program including medication-assisted treatment (MAT), recovery support services, peer support, case management, and transitional and recovery housing. A Way Out 3.0 will serve as an evidence-based treatment initiative for individuals at high risk of overdose and substance abuse and as a pre-booking and post-booking alternative to incarceration. The project will focus on increasing access to treatment, increasing treatment success rates, reducing overdoses, and providing community outreach. This project will aim to have 90 percent of consumers with opioid use scheduled to receive services or treatment within 24 hours of initial contact; 70 percent of consumers will successfully complete their first treatment episode; and 90 percent of consumers will receive information regarding MAT and/or naloxone. Additionally, peer support groups will be offered bi-weekly for consumers, and one community outreach session will be conducted by the A Way Out team per month. Priority considerations addressed in this application include a high rate of primary treatment episodes for heroin and other opioids, high rates of overdose deaths, and a lack of accessibility to treatment providers and facilities. An individual from Rosalind Franklin University of Medicine and Sciences will serve as the evaluator for the project.

MS

The Lamar County Board of Supervisors applied for Category 1c rural/tribal area grant funding in the amount of $599,981. The Lamar County Guardian Project objectives are to divert 100 individuals with SUD from jail and into community-based treatment and to provide counseling and case management services to 150 individuals suffering SUD while inside the correctional facility. All 250 individuals would be provided with case management and outreach services provided by staff and volunteers under this project umbrella. This project serves Lamar County, Mississippi, which has a population of 63,300. The project includes Healthcorr, LLC, a provider servicing the Lamar County Jail. Healthcorr, LLC will provide a Licensed Clinical Social worker to be staffed in the Jail. This position will provide booking assessments, counseling services, medical referrals, and tools needed to be successful outside of Jail. This position will also accept referrals from law enforcement for outpatient treatment services in lieu of collecting additional chargers. Lamar County Jail will provide a Substance Use Officer to act in a case management role on a case by case basis. This officer will be the liaison between courts, medical facilities, treatment facilities and additional correctional facilities. This position will offer assistance once released in order to remain successful sober. Priority considerations addressed in this application include the lack of accessibility to treatment providers and facilities and emergency medical services, and rural challenges.

Lamar County Board of Supervisors

Mississippi

The Lamar County Board of Supervisors applied for Category 1c rural/tribal area grant funding in the amount of $599,981. The Lamar County Guardian Project objectives are to divert 100 individuals with SUD from jail and into community-based treatment and to provide counseling and case management services to 150 individuals suffering SUD while inside the correctional facility. All 250 individuals would be provided with case management and outreach services provided by staff and volunteers under this project umbrella. This project serves Lamar County, Mississippi, which has a population of 63,300. The project includes Healthcorr, LLC, a provider servicing the Lamar County Jail. Healthcorr, LLC will provide a Licensed Clinical Social worker to be staffed in the Jail. This position will provide booking assessments, counseling services, medical referrals, and tools needed to be successful outside of Jail. This position will also accept referrals from law enforcement for outpatient treatment services in lieu of collecting additional chargers. Lamar County Jail will provide a Substance Use Officer to act in a case management role on a case by case basis. This officer will be the liaison between courts, medical facilities, treatment facilities and additional correctional facilities. This position will offer assistance once released in order to remain successful sober. Priority considerations addressed in this application include the lack of accessibility to treatment providers and facilities and emergency medical services, and rural challenges.

WY

Laramie County, Wyoming, project focuses on Law Enforcement Assisted Diversion (LEAD), a community-based, harm-reduction intervention for individuals with law violations driven by unmet behavioral health needs. The program will expand case management capacity and hours of availability, address increasing use, and overdose within the community, and provide expanded hours and resources for client support. LEAD provides a non-punitive, health-centered approach to ensure that individuals struggling with substance use or mental illness are diverted from the criminal justice system while decreasing recidivism and improving public safety. Consistent with LEAD’s Guiding Principles, this model, based on harm reduction principles, seeks to connect high-need drug offenders to culturally competent, community-based service providers at the earliest law enforcement contact and keep individuals out of the criminal justice system. Laramie County is the most populous county in Wyoming with an estimated population of 100,863 residents, and home to the state capitol, Cheyenne. LEAD is a multi-agency collaborative between the Laramie County government, Laramie County Sheriff’s Office, Cheyenne Regional Medical Center, the Cheyenne Police Department, Healthworks, Volunteers of America, and Crossroads Health Clinic. LEAD will build on existing efforts to address the needs of repeat drug offenders through an initiative based on shared planning, decision-making, data sharing, and evaluation that will: (1) expand outreach and hours of service to eligible individuals within the county; (2) enhance coordination of service delivery through the existing social service network; (3) increase referrals to substance use and mental health treatment centers; and (4) improve collaboration and communication among law enforcement agencies and social services providers. From the perspective of the Sequential Intercept Model, LEAD intercepts the individual and diverts the behavioral problem at the point of law enforcement response (Intercept 1) to channel drug-involved individuals into a community-based intervention whenever possible and appropriate. Expected outcomes of this project include reduced recidivism for low-level drug offenders in Laramie County, strengthened collaboration across county and city departments and community-based organizations to better meet the needs of individuals with a history of substance use, mental health disorders, or low-level drug offenses, and increased community public health and safety.

Laramie County Government

Wyoming

Laramie County, Wyoming, project focuses on Law Enforcement Assisted Diversion (LEAD), a community-based, harm-reduction intervention for individuals with law violations driven by unmet behavioral health needs. The program will expand case management capacity and hours of availability, address increasing use, and overdose within the community, and provide expanded hours and resources for client support. LEAD provides a non-punitive, health-centered approach to ensure that individuals struggling with substance use or mental illness are diverted from the criminal justice system while decreasing recidivism and improving public safety. Consistent with LEAD’s Guiding Principles, this model, based on harm reduction principles, seeks to connect high-need drug offenders to culturally competent, community-based service providers at the earliest law enforcement contact and keep individuals out of the criminal justice system. Laramie County is the most populous county in Wyoming with an estimated population of 100,863 residents, and home to the state capitol, Cheyenne. LEAD is a multi-agency collaborative between the Laramie County government, Laramie County Sheriff’s Office, Cheyenne Regional Medical Center, the Cheyenne Police Department, Healthworks, Volunteers of America, and Crossroads Health Clinic. LEAD will build on existing efforts to address the needs of repeat drug offenders through an initiative based on shared planning, decision-making, data sharing, and evaluation that will: (1) expand outreach and hours of service to eligible individuals within the county; (2) enhance coordination of service delivery through the existing social service network; (3) increase referrals to substance use and mental health treatment centers; and (4) improve collaboration and communication among law enforcement agencies and social services providers. From the perspective of the Sequential Intercept Model, LEAD intercepts the individual and diverts the behavioral problem at the point of law enforcement response (Intercept 1) to channel drug-involved individuals into a community-based intervention whenever possible and appropriate. Expected outcomes of this project include reduced recidivism for low-level drug offenders in Laramie County, strengthened collaboration across county and city departments and community-based organizations to better meet the needs of individuals with a history of substance use, mental health disorders, or low-level drug offenses, and increased community public health and safety.

NC

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 Center, 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.

Lenoir County

North Carolina

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

MT

The County of Lewis and Clark applied to Category 1c grant funding and received $600,000. It proposes to implement the Medication-Assisted Treatment (MAT) Bridges Project, which will support the delivery of treatment in the County's Detention Center for individuals with opioid use disorders (OUD). MAT medications, in combination with counseling and behavioral therapies, provide an evidence-based, holistic patient approach to the treatment of opioid dependency. The County requested funding for medications, supplies, medical appointments, and personnel, to implement the MAT Bridges program in the County's Detention Center. The MAT Bridges program is projected to increase retention in treatment for individuals upon release into the community and decrease recidivism rates for MAT Bridges participants. This project serves an estimated population of 73,832, including both rural and urban communities in the county. The project includes partnerships between the County’s Criminal Justice Services Department, Sheriff's Office and community providers.

Lewis and Clark County

Montana

The County of Lewis and Clark applied to Category 1c grant funding and received $600,000. It proposes to implement the Medication-Assisted Treatment (MAT) Bridges Project, which will support the delivery of treatment in the County's Detention Center for individuals with opioid use disorders (OUD). MAT medications, in combination with counseling and behavioral therapies, provide an evidence-based, holistic patient approach to the treatment of opioid dependency. The County requested funding for medications, supplies, medical appointments, and personnel, to implement the MAT Bridges program in the County's Detention Center. The MAT Bridges program is projected to increase retention in treatment for individuals upon release into the community and decrease recidivism rates for MAT Bridges participants. This project serves an estimated population of 73,832, including both rural and urban communities in the county. The project includes partnerships between the County’s Criminal Justice Services Department, Sheriff's Office and community providers.

KY

The Lexington-Fayette Urban County Government (LFUCG) project includes a First Responder diversion program and will provide naloxone as leave behind kits for ambulance first responders. This project will be implemented in Lexington-Fayette County, a jurisdiction represented by a merged city-county government, in central Kentucky. CPOOL has four specific objectives. The first objective of CPOOL is to hire two qualified Social Workers and a Peer Support Specialist to enhance a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. Second, CPOOL will increase the rate of successful client contacts and referrals to services for individual survivors of drug overdose identified by emergency response by the Lexington Division of Fire and Emergency Medical Services (LDFEMS). The third objective is through the implementation of a naloxone Leave Behind program by the ambulance crews that have responded to the 911 call for the non-fatal overdose. The fourth objective is to provide reentry support to individuals who are preparing to leave treatment and transition back home, including to help connect to support services, treatment providers, and recovery housing as needed. In CPOOL, there will be continued collaboration with substance use treatment providers like Hope Center, Chrysalis House, and Isaiah House; support programs Voices of Hope; and policy makers such as the Kentucky Office of Drug Control Policy. Additionally, LFUCG will work directly with the Training and Technical Assistance provider selected by BJA. CPOOL meets one area of Priority Consideration. LFUCG will work with the University of Kentucky Center on Drug and Alcohol as a research partner to complete an evaluation on the project.

Lexington-Fayette Urban County Government

Kentucky

The Lexington-Fayette Urban County Government (LFUCG) project includes a First Responder diversion program and will provide naloxone as leave behind kits for ambulance first responders. This project will be implemented in Lexington-Fayette County, a jurisdiction represented by a merged city-county government, in central Kentucky. CPOOL has four specific objectives. The first objective of CPOOL is to hire two qualified Social Workers and a Peer Support Specialist to enhance a multidisciplinary response team of law enforcement, fire and emergency services, treatment providers, recovery advocates, and other community partners. Second, CPOOL will increase the rate of successful client contacts and referrals to services for individual survivors of drug overdose identified by emergency response by the Lexington Division of Fire and Emergency Medical Services (LDFEMS). The third objective is through the implementation of a naloxone Leave Behind program by the ambulance crews that have responded to the 911 call for the non-fatal overdose. The fourth objective is to provide reentry support to individuals who are preparing to leave treatment and transition back home, including to help connect to support services, treatment providers, and recovery housing as needed. In CPOOL, there will be continued collaboration with substance use treatment providers like Hope Center, Chrysalis House, and Isaiah House; support programs Voices of Hope; and policy makers such as the Kentucky Office of Drug Control Policy. Additionally, LFUCG will work directly with the Training and Technical Assistance provider selected by BJA. CPOOL meets one area of Priority Consideration. LFUCG will work with the University of Kentucky Center on Drug and Alcohol as a research partner to complete an evaluation on the project.

NC

Lincoln County, North Carolina, is a mix of urban and rural communities. There were 143 cases of documented overdose/substance misuse in 2019 compared to 380 in 2021–over a 100 percent increase. In all age ranges, overdose/substance misuse increased since 2019. Lincoln County lacks critical infrastructure to support enhanced needs of individuals with substance use disorder and county leadership is prepared to make the necessary changes to align Lincoln County with the priority areas outlined by the state government in North Carolina. Currently, there is no deflection or diversion work happening in Lincoln County, so the Lincoln County Health Department is using grant funds to create a community paramedicine-led Post Overdose Response Team (PORT), the first deflection and diversion program of its kind for first responders in the county. The full budget will be used to build and implement the program including hiring staff, buying supplies, acquiring a robust data tracking system among other expenses that might arise. The PORT would serve individuals with substance use disorder to mitigate injury and death. The PORT program will consist of a certified community paramedic, a certified peer recovery support specialist, and a licensed clinical social worker. The team will connect with eligible individuals and their family members to provide peer support services, linkages to appropriate care, education on the disease of addiction, harm reduction services, safety education, parenting education, and education on any co-occurring health care needs, and training to those who suffer from a substance use disorder and their loved ones. The goals for this program include: (1) reduce reoccurring use of emergency services or hospital emergency departments; (2) connect people with services for acute or long-term needs; and (3) assist individuals in recovery, sobriety, and daily life skills.

Lincoln County

North Carolina

Lincoln County, North Carolina, is a mix of urban and rural communities. There were 143 cases of documented overdose/substance misuse in 2019 compared to 380 in 2021–over a 100 percent increase. In all age ranges, overdose/substance misuse increased since 2019. Lincoln County lacks critical infrastructure to support enhanced needs of individuals with substance use disorder and county leadership is prepared to make the necessary changes to align Lincoln County with the priority areas outlined by the state government in North Carolina. Currently, there is no deflection or diversion work happening in Lincoln County, so the Lincoln County Health Department is using grant funds to create a community paramedicine-led Post Overdose Response Team (PORT), the first deflection and diversion program of its kind for first responders in the county. The full budget will be used to build and implement the program including hiring staff, buying supplies, acquiring a robust data tracking system among other expenses that might arise. The PORT would serve individuals with substance use disorder to mitigate injury and death. The PORT program will consist of a certified community paramedic, a certified peer recovery support specialist, and a licensed clinical social worker. The team will connect with eligible individuals and their family members to provide peer support services, linkages to appropriate care, education on the disease of addiction, harm reduction services, safety education, parenting education, and education on any co-occurring health care needs, and training to those who suffer from a substance use disorder and their loved ones. The goals for this program include: (1) reduce reoccurring use of emergency services or hospital emergency departments; (2) connect people with services for acute or long-term needs; and (3) assist individuals in recovery, sobriety, and daily life skills.

OR

The Lincoln County Sheriff’s Office (LCSO) is applying for a Category 1 award in the amount of $599,999. The LCSO-SBIRT project will implement a screening, brief intervention, treatment, and referral to treatment (SBIRT) program aligned to the COSSAP funding purpose of expanding comprehensive efforts to identify, respond to, treat, and support people impacted by illicit opioids, stimulants, and other drugs. This project serves Lincoln County, with the service population being adults 18 years of age and older who are booked into the Lincoln County Jail and who prescreen positive for risky substance use behaviors. The LCSO SBIRT program will serve 200 people over the life of the project. The project includes partnerships between ReConnections; Amy Yates, LCSW, Justice Counselor; and Data Specialist Brooke O’Byrne. Priority considerations addressed in this application include the fact that Lincoln County has five high-poverty census tracts in an area disproportionately impacted by substance use (e.g., lack of community treatment and high rates of overdose deaths), and the project will advance justice and build trust between law enforcement and the community.

Lincoln County Sheriff's Office Search and Rescue

Oregon

The Lincoln County Sheriff’s Office (LCSO) is applying for a Category 1 award in the amount of $599,999. The LCSO-SBIRT project will implement a screening, brief intervention, treatment, and referral to treatment (SBIRT) program aligned to the COSSAP funding purpose of expanding comprehensive efforts to identify, respond to, treat, and support people impacted by illicit opioids, stimulants, and other drugs. This project serves Lincoln County, with the service population being adults 18 years of age and older who are booked into the Lincoln County Jail and who prescreen positive for risky substance use behaviors. The LCSO SBIRT program will serve 200 people over the life of the project. The project includes partnerships between ReConnections; Amy Yates, LCSW, Justice Counselor; and Data Specialist Brooke O’Byrne. Priority considerations addressed in this application include the fact that Lincoln County has five high-poverty census tracts in an area disproportionately impacted by substance use (e.g., lack of community treatment and high rates of overdose deaths), and the project will advance justice and build trust between law enforcement and the community.

WV

The County of Logan, Southwestern Regional Day Report Center's Fresh Start Program, is a comprehensive alternative-to-incarceration program designed to reduce clients’ risk of relapse and recidivism while improving their quality of life through treatment, peer support, and community connectedness. Due to the pervasive opioid and stimulant epidemic, Fresh Start has expanded and diversified its approach to those impacted. Enhancements include providing participants with further educational and certification opportunities, developing an internship program for participants who are near completion of the program, and helping participants repair relationships through family-centered activities. This project serves a target population of high-risk individuals as measured by the Level of Service Case Management Inventory with an elevation in the moderate to high range for the Alcohol or Other Drug Problems subscale and who meet criteria as suffering from an opioid or stimulant use disorder as classified in the Diagnostic and Statistical Manual of Mental Disorders – 5th Edition. The project includes partnerships between chief probation officers, the region's adult drug court and family treatment court, the West Virginia Supreme Court, the West Virginia Food and Farm Coalition, Grow Appalachia, the Hungry Lambs Food Initiative, West Virginia University Extension Services, county health departments, West Virginia Jobs and Hope, and the West Virginia Military Authority.

Logan County Commission

West Virginia

The County of Logan, Southwestern Regional Day Report Center's Fresh Start Program, is a comprehensive alternative-to-incarceration program designed to reduce clients’ risk of relapse and recidivism while improving their quality of life through treatment, peer support, and community connectedness. Due to the pervasive opioid and stimulant epidemic, Fresh Start has expanded and diversified its approach to those impacted. Enhancements include providing participants with further educational and certification opportunities, developing an internship program for participants who are near completion of the program, and helping participants repair relationships through family-centered activities. This project serves a target population of high-risk individuals as measured by the Level of Service Case Management Inventory with an elevation in the moderate to high range for the Alcohol or Other Drug Problems subscale and who meet criteria as suffering from an opioid or stimulant use disorder as classified in the Diagnostic and Statistical Manual of Mental Disorders – 5th Edition. The project includes partnerships between chief probation officers, the region's adult drug court and family treatment court, the West Virginia Supreme Court, the West Virginia Food and Farm Coalition, Grow Appalachia, the Hungry Lambs Food Initiative, West Virginia University Extension Services, county health departments, West Virginia Jobs and Hope, and the West Virginia Military Authority.

CA

The County of Los Angeles is applying for Category 1a urban area grant funding in the amount of $1,200,000. The Los Angeles County Department of Health Services Office of Diversion and Reentry (ODR) will (1) expand law enforcement referral opportunities to divert individuals who commit low-level drug and prostitution offenses as a result of unmet health, behavioral health, and socioeconomic needs away from the criminal justice system and into supportive services by broadening eligibility criteria to include individuals with histories of stimulant, opioid and/or other substance use; (2) reduce the number of individuals in Hollywood with unmet substance use, mental health, housing, employment, or health needs entering the criminal justice system for low-level offenses; and (3) increase access to harm-reduction services and case management, including overdose education and access to naloxone for Hollywood LEAD (Law Enforcement Assisted Diversion) participants. This project serves the City of Los Angeles (population 3,949,776). The project includes partnerships between ODR, Los Angeles Police Department, Los Angeles County District Attorney’s Office, Los Angeles City Attorney’s Office, Community Health Project Los Angeles (service provider), and Dr. Ricky Bluthenthal from the University of Southern California.

Los Angeles County

California

The County of Los Angeles is applying for Category 1a urban area grant funding in the amount of $1,200,000. The Los Angeles County Department of Health Services Office of Diversion and Reentry (ODR) will (1) expand law enforcement referral opportunities to divert individuals who commit low-level drug and prostitution offenses as a result of unmet health, behavioral health, and socioeconomic needs away from the criminal justice system and into supportive services by broadening eligibility criteria to include individuals with histories of stimulant, opioid and/or other substance use; (2) reduce the number of individuals in Hollywood with unmet substance use, mental health, housing, employment, or health needs entering the criminal justice system for low-level offenses; and (3) increase access to harm-reduction services and case management, including overdose education and access to naloxone for Hollywood LEAD (Law Enforcement Assisted Diversion) participants. This project serves the City of Los Angeles (population 3,949,776). The project includes partnerships between ODR, Los Angeles Police Department, Los Angeles County District Attorney’s Office, Los Angeles City Attorney’s Office, Community Health Project Los Angeles (service provider), and Dr. Ricky Bluthenthal from the University of Southern California.

LA

The Louisiana Department of Public Safety and Corrections (DPS&C) is applying for a Category 2 award in the amount of $5,996,211. The Reentry Health Information Exchange for Justice Involved Individuals with Substance Use Disorders project will create the Louisiana Tulane University Correctional Release Health Information Exchange (LaTU-CRHIE). This project will be a public-private partnership bringing innovation and a collaborative initiative to design and implement a behavioral health information exchange network to be piloted in the selected regions to improve transitions of care for justice-involved individuals with substance use disorders accessing behavioral health services post-release. LaTU-CRHIE will digitally revolutionize and actively address the way Louisiana releases and treats JIIs with SUDs across a continuity of care continuum. DPS&C will work with Tulane University, School of Medicine, Department of Psychiatry and Behavioral Science, and Tulane’s collaborative partner, Delaware Health Information Network, to design and implement a comprehensive behavioral information exchange network to facilitate information for the dissemination, collection, and analysis of information. This project serves Southern Louisiana and 16 selected parishes which make up almost 50 percent of the state’s population. Priority considerations addressed in this application include the fact that twelve of the sixteen parishes selected for this proposal have a poverty rating above the national average and a designation status as a "Medically Underserved Area/Population," specifically in mental health, where only 25 percent of Louisiana’s population needs are being met for the treatment of mental health care and services.

Louisiana Department of Public Safety and Corrections

Louisiana

The Louisiana Department of Public Safety and Corrections (DPS&C) is applying for a Category 2 award in the amount of $5,996,211. The Reentry Health Information Exchange for Justice Involved Individuals with Substance Use Disorders project will create the Louisiana Tulane University Correctional Release Health Information Exchange (LaTU-CRHIE). This project will be a public-private partnership bringing innovation and a collaborative initiative to design and implement a behavioral health information exchange network to be piloted in the selected regions to improve transitions of care for justice-involved individuals with substance use disorders accessing behavioral health services post-release. LaTU-CRHIE will digitally revolutionize and actively address the way Louisiana releases and treats JIIs with SUDs across a continuity of care continuum. DPS&C will work with Tulane University, School of Medicine, Department of Psychiatry and Behavioral Science, and Tulane’s collaborative partner, Delaware Health Information Network, to design and implement a comprehensive behavioral information exchange network to facilitate information for the dissemination, collection, and analysis of information. This project serves Southern Louisiana and 16 selected parishes which make up almost 50 percent of the state’s population. Priority considerations addressed in this application include the fact that twelve of the sixteen parishes selected for this proposal have a poverty rating above the national average and a designation status as a "Medically Underserved Area/Population," specifically in mental health, where only 25 percent of Louisiana’s population needs are being met for the treatment of mental health care and services.

KY

Louisville Jefferson County Metro Government is applying for a Category 1a urban area grant in the amount of $1,200,000. The MAT Expansion Project, known as IMPACT—Innovative Medication Program for Addiction Care and Treatment, aims to increase access to medications for Opioid Use Disorder in the jail. The project will expand in-custody access to MAT to reduce overdose deaths, reduce criminal behavior, and improve treatment retention and treatment outcomes for the population with moderate to severe opioid use disorder (OUD). Goals of the project include: increase access to MAT to incarcerated individuals already enrolled in a community opioid treatment program or office-based opioid treatment program prior to arrest, increase access to MAT by initiating two FDA-approved medications (methadone and buprenorphine) for OUD, improve treatment retention by providing in-custody behavioral therapies for substance use disorder and referral and linkage to care in the community upon release, and developing protocols to control medication diversion and offer ongoing staff training to address safety and security and the stigma associated with MAT as a treatment modality. This project serves the Louisville Metro City/County with a combined population estimated of 771,517. The project includes partnerships between Yescare, and the MORE Center.

Louisville Jefferson County Metro Government

Kentucky

Louisville Jefferson County Metro Government is applying for a Category 1a urban area grant in the amount of $1,200,000. The MAT Expansion Project, known as IMPACT—Innovative Medication Program for Addiction Care and Treatment, aims to increase access to medications for Opioid Use Disorder in the jail. The project will expand in-custody access to MAT to reduce overdose deaths, reduce criminal behavior, and improve treatment retention and treatment outcomes for the population with moderate to severe opioid use disorder (OUD). Goals of the project include: increase access to MAT to incarcerated individuals already enrolled in a community opioid treatment program or office-based opioid treatment program prior to arrest, increase access to MAT by initiating two FDA-approved medications (methadone and buprenorphine) for OUD, improve treatment retention by providing in-custody behavioral therapies for substance use disorder and referral and linkage to care in the community upon release, and developing protocols to control medication diversion and offer ongoing staff training to address safety and security and the stigma associated with MAT as a treatment modality. This project serves the Louisville Metro City/County with a combined population estimated of 771,517. The project includes partnerships between Yescare, and the MORE Center.

MA

The City of Lowell, Massachusetts, Police Department (LPD) project will expand and enhance the City of Lowell's existing Community Opioid Outreach Program (CO-OP). The CO-OP was implemented in 2016 to try to connect persons in Lowell, who recently overdosed, to services. The partners include LPD, Lowell Fire Department, Lowell Health Department, Pridestar Trinity EMS, and Lowell House Addiction Treatment and Recovery, Inc. The purpose of the project is to meet the growing needs of those with substance use disorder (SUD) in the City of Lowell. Project activities will include adding a Recovery Housing Specialist and bilingual Outreach Recovery Specialist to the CO-OP team. These positions will be essential to addressing the needs of homeless individuals with SUD and better serving individuals with SUD who speak English as a second language. The LPD is also proposing to provide financial assistance for transitional and recovery housing with recovery support services to individuals that qualify. Additionally, the department will continue to support the Lowell Health Department's Youth Outreach Specialist. This individual will assist youth and their families impacted by substance use and work closely with the Recovery Housing Specialist to secure housing for homeless young adults (18-26) with SUD. The LPD is also proposing to partner with the University of Massachusetts Lowell to conduct an evaluation of the project to understand the effect the program has on the opioid epidemic in the City of Lowell and the lives of those struggling with SUD and housing. Expected outcomes include securing transitional or recovery housing for 36 homeless individuals with SUD, increasing the number of individuals that access recovery services (i.e. youth and individuals that speak a different language), and increasing the number of individuals with SUD that make forward progress on stages of change. The project will address the following allowable activities: expand law enforcement and first responder deflection program (80%) and provide transitional or recovery housing and peer recovery support services (6%). 14% of the budget will also be dedicated to program evaluation. A breakdown of the budget is below. Additionally, please note that the LPD was awarded the BJA FY 19 Comprehensive Opioid Abuse Site-based Program in the amount of $900,000 (2019-AR-BX-K005). This grant will end in September 2023.

Lowell, City of

Massachusetts

The City of Lowell, Massachusetts, Police Department (LPD) project will expand and enhance the City of Lowell's existing Community Opioid Outreach Program (CO-OP). The CO-OP was implemented in 2016 to try to connect persons in Lowell, who recently overdosed, to services. The partners include LPD, Lowell Fire Department, Lowell Health Department, Pridestar Trinity EMS, and Lowell House Addiction Treatment and Recovery, Inc. The purpose of the project is to meet the growing needs of those with substance use disorder (SUD) in the City of Lowell. Project activities will include adding a Recovery Housing Specialist and bilingual Outreach Recovery Specialist to the CO-OP team. These positions will be essential to addressing the needs of homeless individuals with SUD and better serving individuals with SUD who speak English as a second language. The LPD is also proposing to provide financial assistance for transitional and recovery housing with recovery support services to individuals that qualify. Additionally, the department will continue to support the Lowell Health Department's Youth Outreach Specialist. This individual will assist youth and their families impacted by substance use and work closely with the Recovery Housing Specialist to secure housing for homeless young adults (18-26) with SUD. The LPD is also proposing to partner with the University of Massachusetts Lowell to conduct an evaluation of the project to understand the effect the program has on the opioid epidemic in the City of Lowell and the lives of those struggling with SUD and housing. Expected outcomes include securing transitional or recovery housing for 36 homeless individuals with SUD, increasing the number of individuals that access recovery services (i.e. youth and individuals that speak a different language), and increasing the number of individuals with SUD that make forward progress on stages of change. The project will address the following allowable activities: expand law enforcement and first responder deflection program (80%) and provide transitional or recovery housing and peer recovery support services (6%). 14% of the budget will also be dedicated to program evaluation. A breakdown of the budget is below. Additionally, please note that the LPD was awarded the BJA FY 19 Comprehensive Opioid Abuse Site-based Program in the amount of $900,000 (2019-AR-BX-K005). This grant will end in September 2023.

WA

The purpose of the Lummi Indian Business Council project is to increase the availability of care and reduce barriers to those suffering from addiction and mental health issues and to create protective factors for Lummi and Tribal Youth in Washington. The primary activities of this program will be to use the Sequential Intercept Model (SIM) to help those dealing with their substance use disorder and mental health issues to help them address their illnesses. Lummi will also enhance its relationship with the Lummi Nation Police Department (LNPD) and Lummi Court System in this process. Currently, the Lummi Nation provides Narcan and Kloxxado to various community and business programs and departments, including LNPD, for overdose reverses. Lummi Nation has Drug Court and Family Court programs that prioritize and expedite treatment and recovery services and uses a variety of medication-assisted treatment evidence-based practices at their Opiate Treatment Program providing mono-buprenorphine, buprenorphine/naloxone, naltrexone, and Sublocade. It also features various harm reduction activities including transitional housing, recovery support services, needle-exchange and motivational interviewing. Lummi Nation will enhance these services and use the SIM and embed a Mental Health Counselor and Peer Counselor/Recovery Coach in Intercept 1 (law enforcement) to help those dealing with addiction or mental health issues. It will also create an education and prevention program that focuses on connecting law enforcement with K-12 students. It will not only use evidence-based practices, but also culturally based practices to ensure that protective factors are created to help children and youth be able to withstand the pressures to use drugs. Expected outcomes are to increase referrals and enrollment to mental and substance use health services through our law enforcement agency and decrease need for incarceration and increase educational and prevention services in schools to decrease alcohol and drug use in youth and school age children.

Lummi Indian Business Council

Washington

The purpose of the Lummi Indian Business Council project is to increase the availability of care and reduce barriers to those suffering from addiction and mental health issues and to create protective factors for Lummi and Tribal Youth in Washington. The primary activities of this program will be to use the Sequential Intercept Model (SIM) to help those dealing with their substance use disorder and mental health issues to help them address their illnesses. Lummi will also enhance its relationship with the Lummi Nation Police Department (LNPD) and Lummi Court System in this process. Currently, the Lummi Nation provides Narcan and Kloxxado to various community and business programs and departments, including LNPD, for overdose reverses. Lummi Nation has Drug Court and Family Court programs that prioritize and expedite treatment and recovery services and uses a variety of medication-assisted treatment evidence-based practices at their Opiate Treatment Program providing mono-buprenorphine, buprenorphine/naloxone, naltrexone, and Sublocade. It also features various harm reduction activities including transitional housing, recovery support services, needle-exchange and motivational interviewing. Lummi Nation will enhance these services and use the SIM and embed a Mental Health Counselor and Peer Counselor/Recovery Coach in Intercept 1 (law enforcement) to help those dealing with addiction or mental health issues. It will also create an education and prevention program that focuses on connecting law enforcement with K-12 students. It will not only use evidence-based practices, but also culturally based practices to ensure that protective factors are created to help children and youth be able to withstand the pressures to use drugs. Expected outcomes are to increase referrals and enrollment to mental and substance use health services through our law enforcement agency and decrease need for incarceration and increase educational and prevention services in schools to decrease alcohol and drug use in youth and school age children.

MI

Macomb County is applying for a Category 1 award in the amount of $595,168. The Macomb County Prosecutor’s Office/Families Against Narcotics (FAN) REDIRECT Diversion Program will reduce the number of overdoses, assist people in getting treatment for addiction, reduce drug-related crimes, and improve the relationship between law enforcement and the community. The overall goal of REDIRECT is to reduce both drug-related crime and overdose mortalities among high-need/high-risk people in Macomb County who may have committed a minor, non-violent, drug-related offense by offering them a referral to treatment and continuum of care, in lieu of arrest and prosecution of criminal charges. The objectives are to launch REDIRECT in all 18 police departments within the county, provide a continuum of care to participants for 12 months to support their sobriety, and to reduce the stigma of addiction within law enforcement and the community. This project serves Macomb County, which has a population of approximately 873,000. The project includes a partnership with FAN, a grassroots organization known and respected by law enforcement throughout the county. Priority considerations addressed in this application include that the project will benefit individuals residing in a high-poverty area or persistent-poverty county.

Macomb County

Michigan

Macomb County is applying for a Category 1 award in the amount of $595,168. The Macomb County Prosecutor’s Office/Families Against Narcotics (FAN) REDIRECT Diversion Program will reduce the number of overdoses, assist people in getting treatment for addiction, reduce drug-related crimes, and improve the relationship between law enforcement and the community. The overall goal of REDIRECT is to reduce both drug-related crime and overdose mortalities among high-need/high-risk people in Macomb County who may have committed a minor, non-violent, drug-related offense by offering them a referral to treatment and continuum of care, in lieu of arrest and prosecution of criminal charges. The objectives are to launch REDIRECT in all 18 police departments within the county, provide a continuum of care to participants for 12 months to support their sobriety, and to reduce the stigma of addiction within law enforcement and the community. This project serves Macomb County, which has a population of approximately 873,000. The project includes a partnership with FAN, a grassroots organization known and respected by law enforcement throughout the county. Priority considerations addressed in this application include that the project will benefit individuals residing in a high-poverty area or persistent-poverty county.

IN

The County of Marion is applying for a Category 1 award in the amount of $1,163,404. The Marion County Sheriff's Office’s (MCSO) Increasing MAT Capacity program will increase medication-assisted treatment (MAT) program capacity to fund a full scale, comprehensive MAT program that focuses on three parts: continuation, induction, and community connectivity. MAT in this program refers to the use of U.S. Food and Drug Administration (FDA)-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders as a medical disorder. There are three FDA-approved medications used to treat opioid use disorder (OUD), and two will be used in this program: buprenorphine and naltrexone. This program will screen all arrestees at Marion County Jail Intake for OUD, continue MAT treatment for patients that self-report at Marion County Jail Intake to be currently enrolled in a MAT program, identify at-risk patients and induct on MAT, and ensure patients are connected to health insurance and MAT in the community prior to their release. This project serves Marion County, which includes the city of Indianapolis, Indiana, and has a population of approximately 101,020. The project includes partnerships between MCSO, MCSO’s Behavioral Management Team, Wellpath, and Midtown Community Mental Health. Priority considerations addressed in this application include that the individuals who will benefit from the project live in high-poverty areas.

Marion County

Indiana

The County of Marion is applying for a Category 1 award in the amount of $1,163,404. The Marion County Sheriff's Office’s (MCSO) Increasing MAT Capacity program will increase medication-assisted treatment (MAT) program capacity to fund a full scale, comprehensive MAT program that focuses on three parts: continuation, induction, and community connectivity. MAT in this program refers to the use of U.S. Food and Drug Administration (FDA)-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders as a medical disorder. There are three FDA-approved medications used to treat opioid use disorder (OUD), and two will be used in this program: buprenorphine and naltrexone. This program will screen all arrestees at Marion County Jail Intake for OUD, continue MAT treatment for patients that self-report at Marion County Jail Intake to be currently enrolled in a MAT program, identify at-risk patients and induct on MAT, and ensure patients are connected to health insurance and MAT in the community prior to their release. This project serves Marion County, which includes the city of Indianapolis, Indiana, and has a population of approximately 101,020. The project includes partnerships between MCSO, MCSO’s Behavioral Management Team, Wellpath, and Midtown Community Mental Health. Priority considerations addressed in this application include that the individuals who will benefit from the project live in high-poverty areas.

MA

The Massachusetts Administrative Office of the Trial Court applied for a Category 2 statewide grant in the amount of $6,000,000. Project NORTH (Navigation, Outreach, Recovery, Treatment, and Hope) will increase treatment engagement and retention, decrease risk of overdose, and reduce risk of justice-system involvement. The objectives of the project are to increase access to evidence-based treatment and care coordination, decrease barriers to treatment retention, increase recovery support and recovery capital, and increase access to overdose-prevention education and naloxone distribution. This project serves 62 communities in 9 counties and 2.7 million people. Locations include Barnstable, Boston, Brockton, Chelsea, Haverhill, Fall River, Lawrence, Lowell, Lynn, New Bedford, Pittsfield, Quincy, Springfield, Taunton, and Worcester. The project includes partnerships with nine licensed treatment providers whose catchment areas overlap with 15 high-need court locations, the University of Massachusetts Chan Medical School’s Center of Excellence for Specialty Courts, and the Massachusetts Alliance for Sober Housing. Priority considerations in this application include rural regions, high-poverty areas, and Qualified Opportunity Zones. Please note that Marisa Hebble, Senior Manager for Behavioral Health in the Massachusetts Trial Court, currently leads this initiative as Project Director.

Massachusetts Administrative Office of the Trial Court

Massachusetts

The Massachusetts Administrative Office of the Trial Court applied for a Category 2 statewide grant in the amount of $6,000,000. Project NORTH (Navigation, Outreach, Recovery, Treatment, and Hope) will increase treatment engagement and retention, decrease risk of overdose, and reduce risk of justice-system involvement. The objectives of the project are to increase access to evidence-based treatment and care coordination, decrease barriers to treatment retention, increase recovery support and recovery capital, and increase access to overdose-prevention education and naloxone distribution. This project serves 62 communities in 9 counties and 2.7 million people. Locations include Barnstable, Boston, Brockton, Chelsea, Haverhill, Fall River, Lawrence, Lowell, Lynn, New Bedford, Pittsfield, Quincy, Springfield, Taunton, and Worcester. The project includes partnerships with nine licensed treatment providers whose catchment areas overlap with 15 high-need court locations, the University of Massachusetts Chan Medical School’s Center of Excellence for Specialty Courts, and the Massachusetts Alliance for Sober Housing. Priority considerations in this application include rural regions, high-poverty areas, and Qualified Opportunity Zones. Please note that Marisa Hebble, Senior Manager for Behavioral Health in the Massachusetts Trial Court, currently leads this initiative as Project Director.

MA

The Massachusetts Middle District Attorney’s Office, in partnership with AdCare Hospital and the National Alliance for Drug Endangered Children, received funding to support the Worcester County Drug Diversion and Drug Endangered Children Initiative. The Middle District Attorney’s Office is the lead prosecution agency for the 60 communities that make up Worcester County, Massachusetts. The county has 862,111 residents and covers the largest geographical area of any county in the Commonwealth. Over the last seven years, the county’s law enforcement, municipal leaders, medical providers, treatment agencies, and other vested parties have joined forces to assess risk and protective factors related to opioid misuse. These representatives make up the Central Massachusetts Opioid Task Force, which aims to reduce overdoses and overdose deaths among residents, to prevent first-use of opioids, and to change the trajectory of intergenerational trauma resulting from substance misuse. The project will use data-driven, evidence-based strategies to reduce the number of low-level offenders with a history of substance use disorder that become incarcerated in Central Massachusetts. The Task Force recognizes the need for greater awareness and response to the impact caregiver substance use has on children. Local data indicates the identification rate of these children is lower than expected in a region the size of Worcester County. Unidentified children inherently lack access to the trauma informed services needed to address their victimization and its long-term impacts. This project will utilize national expertise in assessing community needs and developing appropriate responses through proven practices. The project will achieve the following: (1) expand diversion opportunities for low-level offenders with history of substance misuse; (2) reduce the number of unintentional overdose deaths among low-level offenders and criminal justice system-involved individuals in Worcester County; (3) evaluate the impact of diversion strategies and substance-abuse treatment for low-level offenders with history of substance misuse; (4) operationalize a county-wide Drug Endangered Children Alliance; and (5) Reduce impact of trauma on children in Worcester County.

Massachusetts Supreme Judicial Court

Massachusetts

The Massachusetts Middle District Attorney’s Office, in partnership with AdCare Hospital and the National Alliance for Drug Endangered Children, received funding to support the Worcester County Drug Diversion and Drug Endangered Children Initiative. The Middle District Attorney’s Office is the lead prosecution agency for the 60 communities that make up Worcester County, Massachusetts. The county has 862,111 residents and covers the largest geographical area of any county in the Commonwealth. Over the last seven years, the county’s law enforcement, municipal leaders, medical providers, treatment agencies, and other vested parties have joined forces to assess risk and protective factors related to opioid misuse. These representatives make up the Central Massachusetts Opioid Task Force, which aims to reduce overdoses and overdose deaths among residents, to prevent first-use of opioids, and to change the trajectory of intergenerational trauma resulting from substance misuse. The project will use data-driven, evidence-based strategies to reduce the number of low-level offenders with a history of substance use disorder that become incarcerated in Central Massachusetts. The Task Force recognizes the need for greater awareness and response to the impact caregiver substance use has on children. Local data indicates the identification rate of these children is lower than expected in a region the size of Worcester County. Unidentified children inherently lack access to the trauma informed services needed to address their victimization and its long-term impacts. This project will utilize national expertise in assessing community needs and developing appropriate responses through proven practices. The project will achieve the following: (1) expand diversion opportunities for low-level offenders with history of substance misuse; (2) reduce the number of unintentional overdose deaths among low-level offenders and criminal justice system-involved individuals in Worcester County; (3) evaluate the impact of diversion strategies and substance-abuse treatment for low-level offenders with history of substance misuse; (4) operationalize a county-wide Drug Endangered Children Alliance; and (5) Reduce impact of trauma on children in Worcester County.

MA

The Franklin County Sheriff's Office, in collaboration with the Opioid Task Force of Franklin County, the North Quabbin Region, and other partners, will expand services provided by the Community Opportunity, Network, Navigation, Exploration, and Connection Team (CONNECT) project. Serving 30 rural communities across nearly 1,000 square miles, CONNECT became the first team serving 86,773 residents to respond to fatal and non-fatal overdoses in July 2021 in the only federally designated rural county in Massachusetts. CONNECT was created to address consistently high levels of fatal overdoses in a region marked by persistent poverty, further exacerbated by the COVID-19 pandemic, which drove up opioid-related fatalities by 45.5% between 2020 and 2021. Despite the presence of CONNECT, gaps remain. Lack of law enforcement and first responder capacity, budget cuts, and staff turnover have emerged as issues. The distribution of naloxone to our law enforcement and first responders remains a priority as many municipalities cannot afford it due to high costs. Advancing racial equity in our work has also emerged as a priority, as data reveal people of color are disproportionately impacted by opioid overdoses in Massachusetts. Rural isolation and lack of access to services remain a concern, where limited transportation routes and Internet connectivity prevent individuals from accessing SUD treatment services and peer recovery coaching supports in community settings, preventing their entry into the mental health and criminal justice systems. To address these challenges, CONNECT will: 1) implement a set of new strategies at Intercept Zero that would include the creation of a CONNECT Mobile Outreach Program to visit residents in their communities, including targeting priority populations (e.g., trade workers), create self and at-risk referral pathways to leverage CONNECT services to prevent opioid overdoses from occurring, provide grief support visits, and create an opioid fatality review team; 2) embed peer recovery coaches in community, court, and emergency room settings; 3) continue to provide naloxone to law enforcement and first responders; 4) support CONNECT Cultural Humility Initiative to ensure the diversity, equity, inclusion, and justice principles are part of our community outreach; and 5) expand real-time data collection with our Critical Management System for CONNECT's new services. Led by research scientists Pamela Kelley and Dr. Sean Varano, Kelley Research Associates will act as CONNECT's Research Partner to assess its effectiveness.

Massachusetts Supreme Judicial Court

Massachusetts

The Franklin County Sheriff's Office, in collaboration with the Opioid Task Force of Franklin County, the North Quabbin Region, and other partners, will expand services provided by the Community Opportunity, Network, Navigation, Exploration, and Connection Team (CONNECT) project. Serving 30 rural communities across nearly 1,000 square miles, CONNECT became the first team serving 86,773 residents to respond to fatal and non-fatal overdoses in July 2021 in the only federally designated rural county in Massachusetts. CONNECT was created to address consistently high levels of fatal overdoses in a region marked by persistent poverty, further exacerbated by the COVID-19 pandemic, which drove up opioid-related fatalities by 45.5% between 2020 and 2021. Despite the presence of CONNECT, gaps remain. Lack of law enforcement and first responder capacity, budget cuts, and staff turnover have emerged as issues. The distribution of naloxone to our law enforcement and first responders remains a priority as many municipalities cannot afford it due to high costs. Advancing racial equity in our work has also emerged as a priority, as data reveal people of color are disproportionately impacted by opioid overdoses in Massachusetts. Rural isolation and lack of access to services remain a concern, where limited transportation routes and Internet connectivity prevent individuals from accessing SUD treatment services and peer recovery coaching supports in community settings, preventing their entry into the mental health and criminal justice systems. To address these challenges, CONNECT will: 1) implement a set of new strategies at Intercept Zero that would include the creation of a CONNECT Mobile Outreach Program to visit residents in their communities, including targeting priority populations (e.g., trade workers), create self and at-risk referral pathways to leverage CONNECT services to prevent opioid overdoses from occurring, provide grief support visits, and create an opioid fatality review team; 2) embed peer recovery coaches in community, court, and emergency room settings; 3) continue to provide naloxone to law enforcement and first responders; 4) support CONNECT Cultural Humility Initiative to ensure the diversity, equity, inclusion, and justice principles are part of our community outreach; and 5) expand real-time data collection with our Critical Management System for CONNECT's new services. Led by research scientists Pamela Kelley and Dr. Sean Varano, Kelley Research Associates will act as CONNECT's Research Partner to assess its effectiveness.

NC

The Mecklenburg County Sheriff’s Office (MCSO) is applying for Category 1 funding in the amount of $1,199,985. The project will enable the expansion of the Behavioral Health Day Treatment program in the MCSO Detention Center administered by the Mecklenburg County Community Support Services Substance Use Department, increasing the program’s capacity and thereby reducing its waiting list. The program serves detention residents with co-occurring mental health/substance use disorders by providing treatment and peer recovery support services and addressing critical reentry needs. The project will enable MCSO to implement virtual peer recovery support services and expand access to transitional or recovery housing during the transition from in-custody to the community. Project deliverables include providing treatment to 360 detention residents, rental assistance for 45 detention residents, and virtual peer recovery support services to up to 435 individuals as they transition from the detention facility to the community. The project serves Mecklenburg County, which has a population of 1,074,475. The project provides funding for peer support peer navigator services for program participants, funding for a contracted dually licensed clinician, and transitional housing support, Priority considerations addressed in this application include disproportionately impacted by the misuse of illicit opioids, stimulants, or other substances as evidenced high rates of overdose deaths and building trust between law enforcement and the community.

Mecklenburg County

North Carolina

The Mecklenburg County Sheriff’s Office (MCSO) is applying for Category 1 funding in the amount of $1,199,985. The project will enable the expansion of the Behavioral Health Day Treatment program in the MCSO Detention Center administered by the Mecklenburg County Community Support Services Substance Use Department, increasing the program’s capacity and thereby reducing its waiting list. The program serves detention residents with co-occurring mental health/substance use disorders by providing treatment and peer recovery support services and addressing critical reentry needs. The project will enable MCSO to implement virtual peer recovery support services and expand access to transitional or recovery housing during the transition from in-custody to the community. Project deliverables include providing treatment to 360 detention residents, rental assistance for 45 detention residents, and virtual peer recovery support services to up to 435 individuals as they transition from the detention facility to the community. The project serves Mecklenburg County, which has a population of 1,074,475. The project provides funding for peer support peer navigator services for program participants, funding for a contracted dually licensed clinician, and transitional housing support, Priority considerations addressed in this application include disproportionately impacted by the misuse of illicit opioids, stimulants, or other substances as evidenced high rates of overdose deaths and building trust between law enforcement and the community.

CA

Mendocino County Behavioral Health and Recovery Services (MCBHRS) is applying for Category 1 funding in the amount of $600,000. The Bridge Program will identify individuals with opioid use disorder (OUD) and other substance use disorders (SUDs) and start them on medication-assisted treatment (MAT) in custody and case manage them to MAT and/or substance use treatment services at clinics and Mendocino County Behavioral Health Substance Use Disorders Treatment (SUDT) sites pre-release. The program will continue to follow these individuals post-release and support them however possible. The program will fund a behavioral health case manager to work full time within the jail and perform comprehensive case management and discharge planning. The project serves rural Mendocino County, which has a population of 86,749. The project includes partnerships between MCBHRS and the SUDT, Mendocino County Sheriff’s Office, Mendocino Community Health Clinics, and Mendocino Coast Clinics. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Mendocino County

California

Mendocino County Behavioral Health and Recovery Services (MCBHRS) is applying for Category 1 funding in the amount of $600,000. The Bridge Program will identify individuals with opioid use disorder (OUD) and other substance use disorders (SUDs) and start them on medication-assisted treatment (MAT) in custody and case manage them to MAT and/or substance use treatment services at clinics and Mendocino County Behavioral Health Substance Use Disorders Treatment (SUDT) sites pre-release. The program will continue to follow these individuals post-release and support them however possible. The program will fund a behavioral health case manager to work full time within the jail and perform comprehensive case management and discharge planning. The project serves rural Mendocino County, which has a population of 86,749. The project includes partnerships between MCBHRS and the SUDT, Mendocino County Sheriff’s Office, Mendocino Community Health Clinics, and Mendocino Coast Clinics. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

WI

Menominee Family Services, Menominee Tribal Police Department, and Maehnowesekiyah Wellness Center partnered to implement a Police Assisted Addiction and Recovery Initiative inspired program called Yācehtāwak. The goal of the Yācehtāwak Program is to decrease the number of drug-related deaths and reduce the crime associated with overall substance abuse. It is the policy of the Menominee Tribal Police to provide those who voluntarily ask for help in combating their addiction, with assistance in locating treatment assistance. Family Services provides crisis response, which includes: (1) establishing transitional housing services for 60 clients in recovery by the end of the grant period; (2) administering crisis response services to at least 60 individuals by the end of the grant period; (3) providing harm reduction assistance to 30 individuals by the end of the grant period. Grant activities include: (1) real-time data collection (5 percent); naloxone for law enforcement and first responders (10 percent); evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (15 percent); transitional or recovery housing and peer recovery support services (30 percent); field-initiated projects that bring together justice, behavioral health, and public health practitioners (40 percent).

Menominee Indian Tribe of Wisconsin

Wisconsin

Menominee Family Services, Menominee Tribal Police Department, and Maehnowesekiyah Wellness Center partnered to implement a Police Assisted Addiction and Recovery Initiative inspired program called Yācehtāwak. The goal of the Yācehtāwak Program is to decrease the number of drug-related deaths and reduce the crime associated with overall substance abuse. It is the policy of the Menominee Tribal Police to provide those who voluntarily ask for help in combating their addiction, with assistance in locating treatment assistance. Family Services provides crisis response, which includes: (1) establishing transitional housing services for 60 clients in recovery by the end of the grant period; (2) administering crisis response services to at least 60 individuals by the end of the grant period; (3) providing harm reduction assistance to 30 individuals by the end of the grant period. Grant activities include: (1) real-time data collection (5 percent); naloxone for law enforcement and first responders (10 percent); evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (15 percent); transitional or recovery housing and peer recovery support services (30 percent); field-initiated projects that bring together justice, behavioral health, and public health practitioners (40 percent).

MI

The Michigan State Police (MSP) is applying for Category 2 funding in the amount of $5,675,564. The MSP COSSAP project will provide subawards to multiple community agencies in seven counties (Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee) across Michigan that have not previously received Bureau of Justice Assistance funding to develop and expand their overdose prevention programs. The selected counties are a mix of rural and urban jurisdictions that have experienced a high overdose burden, have limited access and resources to substance use treatment services compared to other counties in the state, and are ready to implement their programs within the required time frame of the grant. Strategies include development and expansion of quick response teams, law enforcement embedded social workers, jail-based medicated-assisted treatment with recovery coaches, law enforcement assisted diversion, naloxone for first responders, and drug checking sites; the latter will be the first program in Michigan to pilot this service for people who use drugs. The project will also support drug take back events. The MSP will partner with local agencies to ensure that there is no duplication of funding. The goal of the project is to reduce the rate of overdoses and the racial/ethnic disparities in overdose mortality rates in order to help families and communities heal and recover. The project serves Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee counties, with a total population of 1,458,377. The project includes partnerships between MSP and local public health departments, community organizations, and law enforcement agencies in each of the participating counties. The project will engage the University of Michigan School of Nursing as an evaluation/research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Michigan Department of State Police

Michigan

The Michigan State Police (MSP) is applying for Category 2 funding in the amount of $5,675,564. The MSP COSSAP project will provide subawards to multiple community agencies in seven counties (Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee) across Michigan that have not previously received Bureau of Justice Assistance funding to develop and expand their overdose prevention programs. The selected counties are a mix of rural and urban jurisdictions that have experienced a high overdose burden, have limited access and resources to substance use treatment services compared to other counties in the state, and are ready to implement their programs within the required time frame of the grant. Strategies include development and expansion of quick response teams, law enforcement embedded social workers, jail-based medicated-assisted treatment with recovery coaches, law enforcement assisted diversion, naloxone for first responders, and drug checking sites; the latter will be the first program in Michigan to pilot this service for people who use drugs. The project will also support drug take back events. The MSP will partner with local agencies to ensure that there is no duplication of funding. The goal of the project is to reduce the rate of overdoses and the racial/ethnic disparities in overdose mortality rates in order to help families and communities heal and recover. The project serves Genesee, Grand Traverse, Kent, Lake, Muskegon, Newaygo, and Shiawassee counties, with a total population of 1,458,377. The project includes partnerships between MSP and local public health departments, community organizations, and law enforcement agencies in each of the participating counties. The project will engage the University of Michigan School of Nursing as an evaluation/research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

MA

The Worcester County Regional Outreach project at the Middle District Attorney’s Office (MDAO) enhances county-wide response to substance use, misuse, and abuse for non-fatal overdoses and children affected by opioids. This program implements a post-overdose follow-up strategy using the Critical Incident Management System (CIMS) to track fatal and non-fatal overdose incidents. CIMS allows overdoses to be tracked in real-time and alerts the follow-up team of the need for a home visit. Police and clinicians or recovery coaches make home visits within 72 hours of a non-fatal overdose and provide the survivor and their family with resources and referrals for service. Services are also offered for any children involved with the incident or individual. The Worcester County Regional Outreach project has the following goals: 1) To reduce the number of unintentional overdose deaths in Worcester County; 2) To increase the number of individuals receiving treatment and recovery support services in Worcester County; 3) To improve outcomes for children affected by substance abuse; and 4) To build a sustainable model for long term substance abuse and overdose prevention.

Middle District Attorney's Office

Massachusetts

The Worcester County Regional Outreach project at the Middle District Attorney’s Office (MDAO) enhances county-wide response to substance use, misuse, and abuse for non-fatal overdoses and children affected by opioids. This program implements a post-overdose follow-up strategy using the Critical Incident Management System (CIMS) to track fatal and non-fatal overdose incidents. CIMS allows overdoses to be tracked in real-time and alerts the follow-up team of the need for a home visit. Police and clinicians or recovery coaches make home visits within 72 hours of a non-fatal overdose and provide the survivor and their family with resources and referrals for service. Services are also offered for any children involved with the incident or individual. The Worcester County Regional Outreach project has the following goals: 1) To reduce the number of unintentional overdose deaths in Worcester County; 2) To increase the number of individuals receiving treatment and recovery support services in Worcester County; 3) To improve outcomes for children affected by substance abuse; and 4) To build a sustainable model for long term substance abuse and overdose prevention.

MA

This project serves Middlesex County, Massachusetts, with a population of approximately 1,632,002. The purpose of the project is to build strong coordination between in-custody and community-based recovery support, including support for the families and loved ones of incarcerated individuals. The project addresses the allowable use of establishing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as medication-assisted treatment (MAT), with a focus on building strong coordination between in-custody and community-based treatment and recovery support services (100 percent of the budget). The project includes a partnership with the Phoenix, a community-based organization that provides access to active and engaging events and builds a restorative social network of peers in an emotionally safe environment.

Middlesex County Sheriff's Office, Commonwealth of Massachusetts

Massachusetts

This project serves Middlesex County, Massachusetts, with a population of approximately 1,632,002. The purpose of the project is to build strong coordination between in-custody and community-based recovery support, including support for the families and loved ones of incarcerated individuals. The project addresses the allowable use of establishing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as medication-assisted treatment (MAT), with a focus on building strong coordination between in-custody and community-based treatment and recovery support services (100 percent of the budget). The project includes a partnership with the Phoenix, a community-based organization that provides access to active and engaging events and builds a restorative social network of peers in an emotionally safe environment.

MS

The Mississippi State Department of Health (MSDH) project is titled Mississippi COSSAP Advanced Response Enhancement System (MCARES), will enhance real-time response to illicit substance use and misuse; reduce overdose fatalities; promote rapid response; and support access to prevention, treatment, and recovery. MCARES is a statewide project that will mitigate the effects of opioids, stimulants, and other substances by delivering initiatives that collectively identify, respond to, treat, and support those locally impacted at the community level while ameliorating racial and health inequities. This three-pronged approach of demand reduction, harm reduction, and supply reduction ensures a holistic initiative, one that while directed at the state level, simultaneously enlists and enhances local capabilities to sustain these efforts beyond the project’s timeframe. Attention will be focused on counties or county clusters within the state that have a documented record of elevated vulnerability to the impacts of opioids, stimulants, and other illicit drugs. MCARES will select six community-based organizations within six of the nine Mississippi public safety districts to direct the community-based response, prioritizing areas of high need through a data-driven process in which multiple years of fatal and nonfatal overdose death rates will be carefully analyzed along with other indicators to create community risk profiles. MCARES goals include: (1) comprehensive, real-time, regional information collection, analysis, and dissemination that promote the use of data for both efficient and effective planning and response to overdoses and emerging drug trends (35 percent of total budget); (2) expansion of naloxone distribution for first responders and direct distribution to end users (e.g., individuals experiencing a drug overdose) (10 percent of total budget); and (3) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, including medication-assisted treatment (MAT) and harm reduction activities (20 percent of total budget). To attain these goals, MCARES will implement activities to achieve the following outcomes: (1) development and implementation of a state-level overdose spike response framework to guide transportable response units in rapid local response efforts; (2) transportable response units to provide a concerted, collaborative rapid response to communities experiencing a drug overdose spike, based on real-time surveillance data received by MSDH; (3) expanded naloxone access to individuals suffering from a nonfatal overdose; and increased MOUD for under-insured and uninsured Mississippians.

Mississippi State Department of Health

Mississippi

The Mississippi State Department of Health (MSDH) project is titled Mississippi COSSAP Advanced Response Enhancement System (MCARES), will enhance real-time response to illicit substance use and misuse; reduce overdose fatalities; promote rapid response; and support access to prevention, treatment, and recovery. MCARES is a statewide project that will mitigate the effects of opioids, stimulants, and other substances by delivering initiatives that collectively identify, respond to, treat, and support those locally impacted at the community level while ameliorating racial and health inequities. This three-pronged approach of demand reduction, harm reduction, and supply reduction ensures a holistic initiative, one that while directed at the state level, simultaneously enlists and enhances local capabilities to sustain these efforts beyond the project’s timeframe. Attention will be focused on counties or county clusters within the state that have a documented record of elevated vulnerability to the impacts of opioids, stimulants, and other illicit drugs. MCARES will select six community-based organizations within six of the nine Mississippi public safety districts to direct the community-based response, prioritizing areas of high need through a data-driven process in which multiple years of fatal and nonfatal overdose death rates will be carefully analyzed along with other indicators to create community risk profiles. MCARES goals include: (1) comprehensive, real-time, regional information collection, analysis, and dissemination that promote the use of data for both efficient and effective planning and response to overdoses and emerging drug trends (35 percent of total budget); (2) expansion of naloxone distribution for first responders and direct distribution to end users (e.g., individuals experiencing a drug overdose) (10 percent of total budget); and (3) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, including medication-assisted treatment (MAT) and harm reduction activities (20 percent of total budget). To attain these goals, MCARES will implement activities to achieve the following outcomes: (1) development and implementation of a state-level overdose spike response framework to guide transportable response units in rapid local response efforts; (2) transportable response units to provide a concerted, collaborative rapid response to communities experiencing a drug overdose spike, based on real-time surveillance data received by MSDH; (3) expanded naloxone access to individuals suffering from a nonfatal overdose; and increased MOUD for under-insured and uninsured Mississippians.

MS

The Mississippi State Department of Health (MSDH) is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Mississippi Opioid, Stimulant, and Substance Abuse Program will implement universal SUD screening with comprehensive evidence-based SUD interventions delivered through collaboration between patient and provider. They will improve the timeliness and quality of drug overdose information on death certificates and the transfer of this information electronically to support the rapid exchange of death information. The program will select an appropriate web-based naloxone administration training portal to train law enforcement and other first responders on administration of naloxone and expand the availability of naloxone to those that receive training. Also, the program will extend and expand access to evidence-based treatment interventions through MSDH county health departments. This project serves all citizens of the state of Mississippi, a predominately rural state with a population of 2.9 million residents. The project includes partnerships between the Mississippi Public Health Institute, Mississippi Office of Forensics Laboratories, and the University of Mississippi Medical Center. Priority considerations addressed in this application include rural, high-poverty areas, and Qualified Opportunity Zones.

Mississippi State Department of Health

Mississippi

The Mississippi State Department of Health (MSDH) is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Mississippi Opioid, Stimulant, and Substance Abuse Program will implement universal SUD screening with comprehensive evidence-based SUD interventions delivered through collaboration between patient and provider. They will improve the timeliness and quality of drug overdose information on death certificates and the transfer of this information electronically to support the rapid exchange of death information. The program will select an appropriate web-based naloxone administration training portal to train law enforcement and other first responders on administration of naloxone and expand the availability of naloxone to those that receive training. Also, the program will extend and expand access to evidence-based treatment interventions through MSDH county health departments. This project serves all citizens of the state of Mississippi, a predominately rural state with a population of 2.9 million residents. The project includes partnerships between the Mississippi Public Health Institute, Mississippi Office of Forensics Laboratories, and the University of Mississippi Medical Center. Priority considerations addressed in this application include rural, high-poverty areas, and Qualified Opportunity Zones.

MT

The County of Missoula and the Missoula County Attorney’s Office are applying for Category 1 funding in the amount of $600,000. The project will expand the Missoula County Prosecution-Led Pretrial Diversion Program, called Calibrate, which currently diverts low-risk, first-time offenders from criminal charges, in order to assist higher-risk individuals with drug charges or substance use disorders, providing them an opportunity to seek treatment rather than face criminal charges. The project will hire new staff members, including a diversion specialist, and will contract with two licensed addiction counselors. Its objectives are to serve more participants, to screen and enroll additional candidates into the program, and to monitor their progress. It will also provide participants with chemical dependency evaluations and develop a referral list of substance use providers to provide easier access for participants. The project serves Missoula County, an area of 2,600 square miles with an estimated population of 121,630. The project includes partnerships with the state Office of Public Defenders, the Missoula County Detention Facility, local law enforcement agencies, and justices of the peace. The project will engage the University of Montana as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.

Missoula County

Montana

The County of Missoula and the Missoula County Attorney’s Office are applying for Category 1 funding in the amount of $600,000. The project will expand the Missoula County Prosecution-Led Pretrial Diversion Program, called Calibrate, which currently diverts low-risk, first-time offenders from criminal charges, in order to assist higher-risk individuals with drug charges or substance use disorders, providing them an opportunity to seek treatment rather than face criminal charges. The project will hire new staff members, including a diversion specialist, and will contract with two licensed addiction counselors. Its objectives are to serve more participants, to screen and enroll additional candidates into the program, and to monitor their progress. It will also provide participants with chemical dependency evaluations and develop a referral list of substance use providers to provide easier access for participants. The project serves Missoula County, an area of 2,600 square miles with an estimated population of 121,630. The project includes partnerships with the state Office of Public Defenders, the Missoula County Detention Facility, local law enforcement agencies, and justices of the peace. The project will engage the University of Montana as an evaluation partner. Priority considerations addressed in this application include protecting the public from crime and evolving threats in a region disproportionately impacted by substance use, as evidenced by a lack of accessibility to treatment providers and facilities.

WV

The Monongalia County Health Department project service area includes all of Monongalia County. This encompasses urban and rural areas where community concerns include resident struggles with substance use disorder (SUD), access to treatment options, and stigma surrounding these issues. In 2019, Monongalia County was found to have the fifth highest frequency of overdose deaths in the state, with 71% of these deaths involving opioids. The county was one of five awarded a grant in 2019 by the West Virginia Department of Health and Human Resources to develop a Quick Response Team (QRT). The goal of that funding was to reduce the numbers of unintentional opioid overdose deaths and increase the numbers of individuals participating in treatment and rehabilitation. QRT is comprised of emergency medical services, 911, law enforcement, Peer Recovery Support Specialists (PRSS), public health officials, social service providers, faith-based organizations, and local pharmacies. The main goals of this project are consistent with COSSUP's goals to reduce the impact of the use and misuse of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives.

Monongalia County

West Virginia

The Monongalia County Health Department project service area includes all of Monongalia County. This encompasses urban and rural areas where community concerns include resident struggles with substance use disorder (SUD), access to treatment options, and stigma surrounding these issues. In 2019, Monongalia County was found to have the fifth highest frequency of overdose deaths in the state, with 71% of these deaths involving opioids. The county was one of five awarded a grant in 2019 by the West Virginia Department of Health and Human Resources to develop a Quick Response Team (QRT). The goal of that funding was to reduce the numbers of unintentional opioid overdose deaths and increase the numbers of individuals participating in treatment and rehabilitation. QRT is comprised of emergency medical services, 911, law enforcement, Peer Recovery Support Specialists (PRSS), public health officials, social service providers, faith-based organizations, and local pharmacies. The main goals of this project are consistent with COSSUP's goals to reduce the impact of the use and misuse of opioids, stimulants, and other substances on individuals and communities, including a reduction in the number of overdose fatalities, as well as to mitigate the impacts on crime victims by supporting comprehensive, collaborative initiatives.

PA

Montgomery County, Pennsylvania, continues to experience a high number of opioid and substance abuse overdoses. In 2020 and 2021, there were over 2,100 911 calls for service compared to an average of 432 from 2017-2019. According to the Montgomery County Department of Public Safety, there was an increase of 472 percent in overdose calls for service in 2020 compared to 2019. The isolation effects of COVID-19 may be correlated to the dramatic increase in the number of opioid and other substance overdoses. The Department of Public Safety (DPS) realizes that the robust, data-sharing and monitoring platform known as the Emergency Medical Overdose Surveillance System (EMODSS) is a critical asset for a data-driven approach to problem resolution. The County of Montgomery will expand real-time data collection, engage wider stakeholder use, and expand the platform to make appropriate data available to more county agencies/departments, program partners and the public. DPS will improve the Department’s use of this intelligence technology, both as an investigative tool and a data-hosting source. DPS will continue to develop data-sharing agreements with other county offices, as well as external data-sharing partners, to gain access to more in-depth drug-related incident data. This project will significantly expand the data capabilities of Health and Human Services with the County of Montgomery. The Liberty High Intensity Drug Trafficking Area (HIDTA) and Delaware Valley Intelligence Center (DVIC) will also benefit from data sharing through EMODSS. Data analytics capabilities will be greatly improved with this project. EMODSS stores public safety, coroner, naloxone distribution, public health, and qualitative data about drug use patterns of non-fatal and fatal overdose victims. The staff funded under this grant will work with all stakeholders to outline specific data sets that can be integrated into the secure platform EMODSS is built upon. Data will be used to identify prevention, education, intervention, diversion, recovery, and enforcement strategies that can be implemented throughout the life of the grant and beyond. A complete analysis of the data will allow the county to identify communities and individuals at greatest risk for drug misuse, abuse, and overdose, whic will help the County’s Opioid Response Task Force to brainstorm, plan and implement data-driven responses and programs and target resources for maximum impact.

Montgomery County

Pennsylvania

Montgomery County, Pennsylvania, continues to experience a high number of opioid and substance abuse overdoses. In 2020 and 2021, there were over 2,100 911 calls for service compared to an average of 432 from 2017-2019. According to the Montgomery County Department of Public Safety, there was an increase of 472 percent in overdose calls for service in 2020 compared to 2019. The isolation effects of COVID-19 may be correlated to the dramatic increase in the number of opioid and other substance overdoses. The Department of Public Safety (DPS) realizes that the robust, data-sharing and monitoring platform known as the Emergency Medical Overdose Surveillance System (EMODSS) is a critical asset for a data-driven approach to problem resolution. The County of Montgomery will expand real-time data collection, engage wider stakeholder use, and expand the platform to make appropriate data available to more county agencies/departments, program partners and the public. DPS will improve the Department’s use of this intelligence technology, both as an investigative tool and a data-hosting source. DPS will continue to develop data-sharing agreements with other county offices, as well as external data-sharing partners, to gain access to more in-depth drug-related incident data. This project will significantly expand the data capabilities of Health and Human Services with the County of Montgomery. The Liberty High Intensity Drug Trafficking Area (HIDTA) and Delaware Valley Intelligence Center (DVIC) will also benefit from data sharing through EMODSS. Data analytics capabilities will be greatly improved with this project. EMODSS stores public safety, coroner, naloxone distribution, public health, and qualitative data about drug use patterns of non-fatal and fatal overdose victims. The staff funded under this grant will work with all stakeholders to outline specific data sets that can be integrated into the secure platform EMODSS is built upon. Data will be used to identify prevention, education, intervention, diversion, recovery, and enforcement strategies that can be implemented throughout the life of the grant and beyond. A complete analysis of the data will allow the county to identify communities and individuals at greatest risk for drug misuse, abuse, and overdose, whic will help the County’s Opioid Response Task Force to brainstorm, plan and implement data-driven responses and programs and target resources for maximum impact.

OH

Public Health - Dayton and Montgomery County (PHDMC) is one of 113 local governmental health departments in Montgomery County, Ohio and serves an estimated population of 537,309 residents. PHDMC has provided drug epidemic surveillance since 2010 and co-leads a community-wide effort to respond to the drug crisis, the Community Overdose Action Team (COAT). The COAT members are supportive and invested in the implementation of the Continued Linkage to Hope Project. The purpose of the Continued Linkage to Hope Project is to enhance data sharing among partners, advance data collection and analysis, and expand the current Certified Peer Recovery Support (CPRS) services into the criminal justice and hospital systems by filling a gap in the continuum of care for those who are in active addiction. The Continued Linkage to Hope Project will address the allowable uses of funding by: (1) Further enhancing and expanding a comprehensive real-time data system to include regional information, collection, analysis, and dissemination. PHDMC will continue to work with its data partners to integrate hospital and criminal justice data systems into a care coordination platform that will be available to the CPR's to assist in response to those in active addiction. (2) Enhancing and expanding the current Overdose Fatality Review efforts by integrating qualitative data collection to contextualize overdose trends as well as barriers to care following fatal and nonfatal overdoses. The data has been and will continue to be used to develop program and policy recommendations and improve coordination and collaboration between agencies and community conditions to prevent future overdose deaths. (3) Prototyping a risk stratification system to prioritize and respond to drug overdose survivors by utilizing a machine-learning algorithm to identify the largest risk factors of addicted individuals. PHDMC and other county behavioral health providers will use the scores to determine the level of risk of future overdose or death. (4) Expanding law enforcement and court-based interventions to expedite treatment and recovery services for individuals who are at high risk of a drug overdose by utilizing CPRS services. The Continued Linkage to Hope Project will enhance and expand a system of care that increases engagement for those in active addiction by embedding CPRS's into the municipal courts. CPRS's will provide the much-needed support and direct connection to additional resources that will decrease future criminal justice involvement and increase individuals' likelihood of moving towards recovery.

Montgomery, County of

Ohio

Public Health - Dayton and Montgomery County (PHDMC) is one of 113 local governmental health departments in Montgomery County, Ohio and serves an estimated population of 537,309 residents. PHDMC has provided drug epidemic surveillance since 2010 and co-leads a community-wide effort to respond to the drug crisis, the Community Overdose Action Team (COAT). The COAT members are supportive and invested in the implementation of the Continued Linkage to Hope Project. The purpose of the Continued Linkage to Hope Project is to enhance data sharing among partners, advance data collection and analysis, and expand the current Certified Peer Recovery Support (CPRS) services into the criminal justice and hospital systems by filling a gap in the continuum of care for those who are in active addiction. The Continued Linkage to Hope Project will address the allowable uses of funding by: (1) Further enhancing and expanding a comprehensive real-time data system to include regional information, collection, analysis, and dissemination. PHDMC will continue to work with its data partners to integrate hospital and criminal justice data systems into a care coordination platform that will be available to the CPR's to assist in response to those in active addiction. (2) Enhancing and expanding the current Overdose Fatality Review efforts by integrating qualitative data collection to contextualize overdose trends as well as barriers to care following fatal and nonfatal overdoses. The data has been and will continue to be used to develop program and policy recommendations and improve coordination and collaboration between agencies and community conditions to prevent future overdose deaths. (3) Prototyping a risk stratification system to prioritize and respond to drug overdose survivors by utilizing a machine-learning algorithm to identify the largest risk factors of addicted individuals. PHDMC and other county behavioral health providers will use the scores to determine the level of risk of future overdose or death. (4) Expanding law enforcement and court-based interventions to expedite treatment and recovery services for individuals who are at high risk of a drug overdose by utilizing CPRS services. The Continued Linkage to Hope Project will enhance and expand a system of care that increases engagement for those in active addiction by embedding CPRS's into the municipal courts. CPRS's will provide the much-needed support and direct connection to additional resources that will decrease future criminal justice involvement and increase individuals' likelihood of moving towards recovery.

OR

The Multnomah County, Oregon, Sheriff’s Office (MCSO) will expand and enhance Multnomah County’s Supported Recovery Program, implementing modifications needed to effectively respond to changes in the county’s criminal justice system resulting from the pandemic and Oregon’s recent decision to decriminalized the possession of certain drugs or quantities. Once implemented, the project, which serves individuals throughout the county jail system, will ensure overall effectiveness, improve access for marginalized populations, and ensure smooth transitions to community supports for individuals with substance use disorder being discharged from jail. Primary activities and associated outcomes include: (1) design and offer education and harm reduction programs within the jail to improve transition planning and long-term recovery upon reentry; (2) expand treatment options, including MAT, to include services for opioids, stimulants and other illicit drugs found in the community and begin services within the jail to improve transition planning and long-term recovery upon reentry; (3) ensure effective use of peer support specialists to improve seamless transition to community-based treatment settings; and (4) address known disparities by redesigning treatment and group processes and actively outreach underserved communities. The project will serve individuals with substance use disorders within the Multnomah County jails, with most services offered within the jail and transitional services offered by peer support specialists in the community. Subrecipients include the Multnomah County Health Department’s Corrections Health. Grant funds will also support an external evaluator from program design and evaluation services. Allowable uses to be addressed by this project include: (1) evidence-based substance use disorder treatment, including MAT, for addictions to opioids, stimulants, and other illicit drugs as well as harm reduction activities and recovery support services (approximately 30 percent of the budget); (2) transitional or recovery housing and peer recovery support services (approximately 30 percent of the budget); (3) embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (approximately 5 percent of the budget).

Multnomah County

Oregon

The Multnomah County, Oregon, Sheriff’s Office (MCSO) will expand and enhance Multnomah County’s Supported Recovery Program, implementing modifications needed to effectively respond to changes in the county’s criminal justice system resulting from the pandemic and Oregon’s recent decision to decriminalized the possession of certain drugs or quantities. Once implemented, the project, which serves individuals throughout the county jail system, will ensure overall effectiveness, improve access for marginalized populations, and ensure smooth transitions to community supports for individuals with substance use disorder being discharged from jail. Primary activities and associated outcomes include: (1) design and offer education and harm reduction programs within the jail to improve transition planning and long-term recovery upon reentry; (2) expand treatment options, including MAT, to include services for opioids, stimulants and other illicit drugs found in the community and begin services within the jail to improve transition planning and long-term recovery upon reentry; (3) ensure effective use of peer support specialists to improve seamless transition to community-based treatment settings; and (4) address known disparities by redesigning treatment and group processes and actively outreach underserved communities. The project will serve individuals with substance use disorders within the Multnomah County jails, with most services offered within the jail and transitional services offered by peer support specialists in the community. Subrecipients include the Multnomah County Health Department’s Corrections Health. Grant funds will also support an external evaluator from program design and evaluation services. Allowable uses to be addressed by this project include: (1) evidence-based substance use disorder treatment, including MAT, for addictions to opioids, stimulants, and other illicit drugs as well as harm reduction activities and recovery support services (approximately 30 percent of the budget); (2) transitional or recovery housing and peer recovery support services (approximately 30 percent of the budget); (3) embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (approximately 5 percent of the budget).

OR

The Multnomah County project will expand and enhance the continuum of support for justice-involved individuals with opioid and other substance use disorders (SUD). The project bolsters the care continuum between the jail and post-release settings, aimed at increasing the likelihood of Medication Assisted Treatment (MAT) (also known as Medication Supported Recovery or MSR) initiation and maintenance between jail and community settings. This project will increase overall effectiveness of support service provision and sustainability for justice-involved individuals experiencing SUD, improve access for marginalized populations to SUD supports, and ensure smooth transitions to community supports for individuals with SUD being discharged from jail. Primary activities and associated outcomes include: (1) Work with Multnomah County Sheriff's Office and Corrections Health to increase ability to administer MSR more efficiently to clients in custody. (2) Provide access to low-barrier MSR at MCHD's Harm Reduction Clinic (HRC), co-located with syringe services in the community. (3) Provide additional social worker/case manager support at SSP sites and the HRC. (4) Promote education and prevention activities at SSP sites and the HRC. (5) Strengthen multidisciplinary oversight and coordination. (6) Work with the BJA evaluation team to create an evaluation plan (including process, impact, output measures, as appropriate).

Multnomah, County of

Oregon

The Multnomah County project will expand and enhance the continuum of support for justice-involved individuals with opioid and other substance use disorders (SUD). The project bolsters the care continuum between the jail and post-release settings, aimed at increasing the likelihood of Medication Assisted Treatment (MAT) (also known as Medication Supported Recovery or MSR) initiation and maintenance between jail and community settings. This project will increase overall effectiveness of support service provision and sustainability for justice-involved individuals experiencing SUD, improve access for marginalized populations to SUD supports, and ensure smooth transitions to community supports for individuals with SUD being discharged from jail. Primary activities and associated outcomes include: (1) Work with Multnomah County Sheriff's Office and Corrections Health to increase ability to administer MSR more efficiently to clients in custody. (2) Provide access to low-barrier MSR at MCHD's Harm Reduction Clinic (HRC), co-located with syringe services in the community. (3) Provide additional social worker/case manager support at SSP sites and the HRC. (4) Promote education and prevention activities at SSP sites and the HRC. (5) Strengthen multidisciplinary oversight and coordination. (6) Work with the BJA evaluation team to create an evaluation plan (including process, impact, output measures, as appropriate).

PR

The Municipality of Bayamon in Puerto Rico applied under Category 1B for grant funding in the amount of $890,070 for the purpose of implementing a Bayamon Whole-of-Community Opioid Overdose and Crime Reduction Initiative. This project serves the Bayamon population of approximately 207,960. Its primary deliverables include planning documents for information sharing, naloxone deployment and training, public safety and K-12 schools education and early threat detection, Safe Community response initiatives, and treatment outreach improvements to support high-impact overdose victims such as homeless individuals, veterans, and youths. For priority considerations, the applicant meets the criteria for an above 20 percent high-poverty area, as U.S. Census data indicates Bayamon's poverty rate is 37.4 percent. In addition, Bayamon has documented in Qualified Opportunity Zone reports 60 Census track areas with 58 that are designated as low-income communities.

Municipio de Bayamon

Puerto Rico

The Municipality of Bayamon in Puerto Rico applied under Category 1B for grant funding in the amount of $890,070 for the purpose of implementing a Bayamon Whole-of-Community Opioid Overdose and Crime Reduction Initiative. This project serves the Bayamon population of approximately 207,960. Its primary deliverables include planning documents for information sharing, naloxone deployment and training, public safety and K-12 schools education and early threat detection, Safe Community response initiatives, and treatment outreach improvements to support high-impact overdose victims such as homeless individuals, veterans, and youths. For priority considerations, the applicant meets the criteria for an above 20 percent high-poverty area, as U.S. Census data indicates Bayamon's poverty rate is 37.4 percent. In addition, Bayamon has documented in Qualified Opportunity Zone reports 60 Census track areas with 58 that are designated as low-income communities.

TX

The My Health My Resources of Tarrant County (MHMR) project will focus on treatment and recovery services in court-based programs and strengthen supportive housing resources for individuals in recovery. The geographic area of focus for this program is Tarrant County, Texas, an urban community of 2.08 million residents including the cities of Fort Worth and Arlington. The primary target populations are individuals or families who are either justice involved or at risk of becoming justice-involved and have a history of alcohol and/or drug problems, including co-occurring mental health disorders, who are in or seeking recovery, along with their family members and significant others. MHMR will use funds to advance the development of the recovery-oriented system of care by transforming substance use disorder treatment services for families with children and/or justice-involved individuals who have a history of alcohol and/or drug problems, including co-occurring mental health disorders, from episodic treatment events to a long-term recovery focus. The primary goal is to improve the public safety of the community, support the welfare of children, and promote family stability impacted by (parental) Substance Use Disorders (SUD) and other related concerns, through participation in the Nurturing Families Program, and/or Peer Support and Recovery Housing for individuals residing in the homeless shelters, participating in the Tarrant County Family Recovery Court (FRC) Program and/or Pine Street Residential Unit. Secondary goals include: (1) identify and refer families and individuals to substance use disorder treatment services who are homeless, or involved in FRC/Drug Court services, or at Pine Street in the efforts to increase/streamline and improve access to treatment; (2) reduce substance use and improve the psychological well-being of participants; (3) increase permanency by reducing the effect of substance use and trauma through the provision of safe and stable housing; and (4) increase the participant's ability to live independently and responsibly. MHMR Research Division serves as the evaluator for the project.

My Health My Resources of Tarrant County

Texas

The My Health My Resources of Tarrant County (MHMR) project will focus on treatment and recovery services in court-based programs and strengthen supportive housing resources for individuals in recovery. The geographic area of focus for this program is Tarrant County, Texas, an urban community of 2.08 million residents including the cities of Fort Worth and Arlington. The primary target populations are individuals or families who are either justice involved or at risk of becoming justice-involved and have a history of alcohol and/or drug problems, including co-occurring mental health disorders, who are in or seeking recovery, along with their family members and significant others. MHMR will use funds to advance the development of the recovery-oriented system of care by transforming substance use disorder treatment services for families with children and/or justice-involved individuals who have a history of alcohol and/or drug problems, including co-occurring mental health disorders, from episodic treatment events to a long-term recovery focus. The primary goal is to improve the public safety of the community, support the welfare of children, and promote family stability impacted by (parental) Substance Use Disorders (SUD) and other related concerns, through participation in the Nurturing Families Program, and/or Peer Support and Recovery Housing for individuals residing in the homeless shelters, participating in the Tarrant County Family Recovery Court (FRC) Program and/or Pine Street Residential Unit. Secondary goals include: (1) identify and refer families and individuals to substance use disorder treatment services who are homeless, or involved in FRC/Drug Court services, or at Pine Street in the efforts to increase/streamline and improve access to treatment; (2) reduce substance use and improve the psychological well-being of participants; (3) increase permanency by reducing the effect of substance use and trauma through the provision of safe and stable housing; and (4) increase the participant's ability to live independently and responsibly. MHMR Research Division serves as the evaluator for the project.

AZ

Navajo County, Arizona, in partnership with the National Association of Drug Court Professionals (NADCP), will implement the County Overdose Prevention and Engagement (COPE) Program. The program, based on the Ten Essential Elements of Opioid Intervention Courts, will utilize a rapid response team of justice system and behavioral health practitioners to identify individuals at risk of drug overdose immediately after arrest and link them with evidence-based treatment, recovery support services, and ongoing monitoring. The goal of the program is to prevent overdose deaths and increase long-term treatment engagement among at-risk individuals. The first year of the grant will focus on project design and implementation. Navajo County will assemble a steering committee of key justice system, behavioral health, and public health partners to oversee the project’s development. With NADCP’s technical support, Navajo County will conduct a comprehensive needs assessment to ensure the program is designed to meet the needs of at-risk individuals and maximize the use of local resources. Navajo County and NADCP will then finalize the program design, provide role-based training to staff, and implement a data collection protocol for measuring project outcomes. In year two, Navajo County will launch the program in its two largest courts. Each arrestee will be screened for risk of overdose before their first court appearance. High-risk individuals who opt into the program will receive a same-day warm handoff to Community Bridges, a leading treatment provider. Participants will also receive recovery support services and ongoing supervision by pre-trial services officers. Supervision, including random drug testing and regular check-in meetings, will inform any needed adjustments to the participant’s treatment plan. Participants’ legal cases will be stayed for 90 days so they can focus on treatment, after which their cases will resume. Many participants will ultimately be referred to a drug court, mental health court, or other program for longer-term treatment, while others may go through regular case processing. In the final year, Navajo County and NADCP will use program data for continuous quality improvement, making real-time adjustments to the program model to achieve the greatest possible impact. NADCP will assist Navajo County in producing a final report documenting program implementation and results. The Arizona Administrative Office of the Courts supports this program and may look to replicate the program in other counties if successful.

Navajo County

Arizona

Navajo County, Arizona, in partnership with the National Association of Drug Court Professionals (NADCP), will implement the County Overdose Prevention and Engagement (COPE) Program. The program, based on the Ten Essential Elements of Opioid Intervention Courts, will utilize a rapid response team of justice system and behavioral health practitioners to identify individuals at risk of drug overdose immediately after arrest and link them with evidence-based treatment, recovery support services, and ongoing monitoring. The goal of the program is to prevent overdose deaths and increase long-term treatment engagement among at-risk individuals. The first year of the grant will focus on project design and implementation. Navajo County will assemble a steering committee of key justice system, behavioral health, and public health partners to oversee the project’s development. With NADCP’s technical support, Navajo County will conduct a comprehensive needs assessment to ensure the program is designed to meet the needs of at-risk individuals and maximize the use of local resources. Navajo County and NADCP will then finalize the program design, provide role-based training to staff, and implement a data collection protocol for measuring project outcomes. In year two, Navajo County will launch the program in its two largest courts. Each arrestee will be screened for risk of overdose before their first court appearance. High-risk individuals who opt into the program will receive a same-day warm handoff to Community Bridges, a leading treatment provider. Participants will also receive recovery support services and ongoing supervision by pre-trial services officers. Supervision, including random drug testing and regular check-in meetings, will inform any needed adjustments to the participant’s treatment plan. Participants’ legal cases will be stayed for 90 days so they can focus on treatment, after which their cases will resume. Many participants will ultimately be referred to a drug court, mental health court, or other program for longer-term treatment, while others may go through regular case processing. In the final year, Navajo County and NADCP will use program data for continuous quality improvement, making real-time adjustments to the program model to achieve the greatest possible impact. NADCP will assist Navajo County in producing a final report documenting program implementation and results. The Arizona Administrative Office of the Courts supports this program and may look to replicate the program in other counties if successful.

NV

The Nevada Office of the Attorney General (NOAG) is applying for Category 2 funding in the amount of $5,751,772. The project involves enhancing existing or implementing new drug deflection/diversion programs undertaken by Mobile Outreach Safety Teams (MOST) or Forensic Assessment Services Triage Teams (FASTT), increasing provision of naloxone, and conducting drug take-back days to address drug/mental health crisis situations. MOST is a jail and hospital diversion program whereby public safety personnel and behavioral health clinicians collaborate to address the behavioral health needs of people involved in or at risk of involvement in the criminal justice system. FASTT provides assessment and case management for individuals who are screened as moderate to high risk using the Ohio Risk Assessment System and those with mental health and co-occurring disorders. The project serves seven sites from Nevada’s 16 counties and one independent city: Carson City, Churchill, Douglas, Lincoln, Lyon, Nye, and Storey. The subaward sites consist of three designated rural areas, three designated frontier areas, and the smallest urban area in Nevada. The project includes partnerships between the NOAG and the Nevada Department of Health and Human Services and community coalitions. The project will engage the University of Nevada, Reno (UNR’s) program evaluation team as an evaluation partner. Priority considerations addressed in this application include high rates of overdose deaths and a lack of accessibility to treatment providers and facilities.

Nevada Office of the Attorney General

Nevada

The Nevada Office of the Attorney General (NOAG) is applying for Category 2 funding in the amount of $5,751,772. The project involves enhancing existing or implementing new drug deflection/diversion programs undertaken by Mobile Outreach Safety Teams (MOST) or Forensic Assessment Services Triage Teams (FASTT), increasing provision of naloxone, and conducting drug take-back days to address drug/mental health crisis situations. MOST is a jail and hospital diversion program whereby public safety personnel and behavioral health clinicians collaborate to address the behavioral health needs of people involved in or at risk of involvement in the criminal justice system. FASTT provides assessment and case management for individuals who are screened as moderate to high risk using the Ohio Risk Assessment System and those with mental health and co-occurring disorders. The project serves seven sites from Nevada’s 16 counties and one independent city: Carson City, Churchill, Douglas, Lincoln, Lyon, Nye, and Storey. The subaward sites consist of three designated rural areas, three designated frontier areas, and the smallest urban area in Nevada. The project includes partnerships between the NOAG and the Nevada Department of Health and Human Services and community coalitions. The project will engage the University of Nevada, Reno (UNR’s) program evaluation team as an evaluation partner. Priority considerations addressed in this application include high rates of overdose deaths and a lack of accessibility to treatment providers and facilities.

NH

The New Hampshire Department of Justice (DOJ) is applying for Category 2 funding in the amount of $4,710,993. The project will enable the expansion of the Prevention, Enforcement, & Treatment (PET) Program, which is designed to help lower recidivism rates of overdose victims and provide support to families of those struggling with substance use disorders (SUDs) by tasking a police officer to respond to overdose calls in a jurisdiction and to connect individuals and their family members to lifesaving resources. The project will expand PET from Laconia to six other counties across the state in partnership with Amoskeag Health, a nonprofit health care provider who, along with the Manchester Adverse Childhood Experiences Response Team Technical Assistance Center (ACERT TAC) will enable a multigenerational approach to SUD. The ACERT TAC will provide training and resources for the communities to ensure their networks of programs and services are trauma-informed. The project will integrate PET and adverse childhood experiences (ACEs) into the first responders’ curriculum when responding to calls related to drug use. PET will offer a core of services to the families of individuals with SUD while identifying and utilizing resources from Manchester ACERT TAC to address the ACEs in children. The project serves the State of New Hampshire, which has an estimated population of 1,377,529. It will focus on the jurisdictions of Laconia, Belmont, Berlin, Claremont, Londonderry, Manchester, Somersworth and Merrimack. The project will include partnerships between the New Hampshire DOJ and the Belmont Police Department, the Berlin Police Department, the Claremont Police Department, the Laconia Police Department, the Londonderry Police Department, the Manchester Police Department, the Somersworth Police Department, the Merrimack Police Department, and Amoskeag Health. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

New Hampshire Department of Justice

New Hampshire

The New Hampshire Department of Justice (DOJ) is applying for Category 2 funding in the amount of $4,710,993. The project will enable the expansion of the Prevention, Enforcement, & Treatment (PET) Program, which is designed to help lower recidivism rates of overdose victims and provide support to families of those struggling with substance use disorders (SUDs) by tasking a police officer to respond to overdose calls in a jurisdiction and to connect individuals and their family members to lifesaving resources. The project will expand PET from Laconia to six other counties across the state in partnership with Amoskeag Health, a nonprofit health care provider who, along with the Manchester Adverse Childhood Experiences Response Team Technical Assistance Center (ACERT TAC) will enable a multigenerational approach to SUD. The ACERT TAC will provide training and resources for the communities to ensure their networks of programs and services are trauma-informed. The project will integrate PET and adverse childhood experiences (ACEs) into the first responders’ curriculum when responding to calls related to drug use. PET will offer a core of services to the families of individuals with SUD while identifying and utilizing resources from Manchester ACERT TAC to address the ACEs in children. The project serves the State of New Hampshire, which has an estimated population of 1,377,529. It will focus on the jurisdictions of Laconia, Belmont, Berlin, Claremont, Londonderry, Manchester, Somersworth and Merrimack. The project will include partnerships between the New Hampshire DOJ and the Belmont Police Department, the Berlin Police Department, the Claremont Police Department, the Laconia Police Department, the Londonderry Police Department, the Manchester Police Department, the Somersworth Police Department, the Merrimack Police Department, and Amoskeag Health. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

NJ

The New Jersey Department of Law and Public Safety (DL&PS), Office of the Attorney General, is applying for Category 2 funding in the amount of $6,000,000. The project will establish Law Enforcement Assisted Diversion (LEAD) programs in six areas of New Jersey. DL&PS will use available data to identify areas where LEAD would best be implemented, prioritizing sites that have been disproportionately impacted by the misuse of illicit opioids, stimulants, or other substances. DL&PS will work with each site, in conjunction with project partners and a consultant, to ensure that each program design is an approved LEAD replication. During the planning phase, DL&PS will contract with a consultant for support, training, and technical assistance; hire a project coordinator to ensure that performance measures, deliverables, and reporting requirements are satisfied; work with public safety and public health entities on data collection needs; and procure an academic partner to assist in developing data collection guidelines, oversee site data collection, and evaluate the programs. DL&PS will seek assistance with data collection from the Integrated Drug Awareness Dashboard. The project serves the State of New Jersey, which has a population of 9,288,994. The project includes partnerships between DL&PS and New Jersey’s Division of Mental Health and Addiction Services, the New Jersey Department of Health, the New Jersey State Police’s Drug Monitoring Initiative, the New Jersey Prescription Monitoring Program, and the New Jersey Coordinator for Addiction Responses and Enforcement Strategies. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community.

New Jersey Department of Law and Public Safety

New Jersey

The New Jersey Department of Law and Public Safety (DL&PS), Office of the Attorney General, is applying for Category 2 funding in the amount of $6,000,000. The project will establish Law Enforcement Assisted Diversion (LEAD) programs in six areas of New Jersey. DL&PS will use available data to identify areas where LEAD would best be implemented, prioritizing sites that have been disproportionately impacted by the misuse of illicit opioids, stimulants, or other substances. DL&PS will work with each site, in conjunction with project partners and a consultant, to ensure that each program design is an approved LEAD replication. During the planning phase, DL&PS will contract with a consultant for support, training, and technical assistance; hire a project coordinator to ensure that performance measures, deliverables, and reporting requirements are satisfied; work with public safety and public health entities on data collection needs; and procure an academic partner to assist in developing data collection guidelines, oversee site data collection, and evaluate the programs. DL&PS will seek assistance with data collection from the Integrated Drug Awareness Dashboard. The project serves the State of New Jersey, which has a population of 9,288,994. The project includes partnerships between DL&PS and New Jersey’s Division of Mental Health and Addiction Services, the New Jersey Department of Health, the New Jersey State Police’s Drug Monitoring Initiative, the New Jersey Prescription Monitoring Program, and the New Jersey Coordinator for Addiction Responses and Enforcement Strategies. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community.

NJ

The New Jersey State Parole Board (NJSPB) is applying for a Category 2 award in the amount of $3,278,813. The FY 2021 COSSAP-New Jersey State Parole Board project will provide peer recovery-based services to individuals with substance use disorder who are under parole supervision, as well as expand Rutgers University’s current Intensive Recovery Treatment Support (IRTS) program and create a team of providers specifically dedicated to the needs of individuals under NJSPB supervision. The target population to be served under this grant will be a minimum of 110 adult offenders released from New Jersey state correctional facilities to parole supervision residing in any one of New Jersey’s 21 counties. Medium-to-high-risk offenders will be identified prior to their release from prison and will be referred, when released on parole, to receive IRTS services with the aid of a Peer Health Navigator. The project includes a partnership with Rutgers University Behavioral Health Care. Priority considerations addressed in this application include protecting the public from crime and evolving threats, building trust between law enforcement and the community, and serving individuals residing in high-poverty areas.

New Jersey State Parole Board

New Jersey

The New Jersey State Parole Board (NJSPB) is applying for a Category 2 award in the amount of $3,278,813. The FY 2021 COSSAP-New Jersey State Parole Board project will provide peer recovery-based services to individuals with substance use disorder who are under parole supervision, as well as expand Rutgers University’s current Intensive Recovery Treatment Support (IRTS) program and create a team of providers specifically dedicated to the needs of individuals under NJSPB supervision. The target population to be served under this grant will be a minimum of 110 adult offenders released from New Jersey state correctional facilities to parole supervision residing in any one of New Jersey’s 21 counties. Medium-to-high-risk offenders will be identified prior to their release from prison and will be referred, when released on parole, to receive IRTS services with the aid of a Peer Health Navigator. The project includes a partnership with Rutgers University Behavioral Health Care. Priority considerations addressed in this application include protecting the public from crime and evolving threats, building trust between law enforcement and the community, and serving individuals residing in high-poverty areas.

NY

The project serves all of Niagara County, New York, along with sub-recipient agency Community Missions Inc and partners including probation, law enforcement and public health, will create Niagara County PATH-3D (Presenting Alternatives for Treatment and Healing – Deflect, Destigmatize, attend to Diversity, Equity and Inclusion), a two-pronged, harm-reduction approach connecting individuals to recovery supports and treatment while diverting from criminal justice involvement. PATH-3D will expand the community’s quick response to opioid overdose team (QRT) to include response to overdoses of any drug type and add Family Peer Support (CRPA-F). QRT will expand referral sources beyond law enforcement, including other first responders, hospitals, providers, and self-referral. Dispatched to conduct follow-up with individuals post overdose, the QRT will engage an individual and assess for and assist with a broad range of social, medical, and recovery support needs. Family support will be provided, including for a fatal overdose. The QRT will connect with 40 percent of individuals referred, will link 50 percent of those served with recovery supports, and affect a 10 percent decrease in overdoses countywide. PATH-3D will also create a probationer response team (PRT), embedding a licensed clinician and CRPA into probation to assist probationers at risk of violation or revocation due to substance related issues. The PRT will engage probationers, assess, develop individual plans, and connect participants to recovery supports. Recognizing the disparate impact of overdose and criminal justice involvement on black, indigenous, and people of color in the community, PATH-3D will select program design and activities promoting racial equity and removing barriers to access for historically underserved and marginalized individuals.

Niagara County

New York

The project serves all of Niagara County, New York, along with sub-recipient agency Community Missions Inc and partners including probation, law enforcement and public health, will create Niagara County PATH-3D (Presenting Alternatives for Treatment and Healing – Deflect, Destigmatize, attend to Diversity, Equity and Inclusion), a two-pronged, harm-reduction approach connecting individuals to recovery supports and treatment while diverting from criminal justice involvement. PATH-3D will expand the community’s quick response to opioid overdose team (QRT) to include response to overdoses of any drug type and add Family Peer Support (CRPA-F). QRT will expand referral sources beyond law enforcement, including other first responders, hospitals, providers, and self-referral. Dispatched to conduct follow-up with individuals post overdose, the QRT will engage an individual and assess for and assist with a broad range of social, medical, and recovery support needs. Family support will be provided, including for a fatal overdose. The QRT will connect with 40 percent of individuals referred, will link 50 percent of those served with recovery supports, and affect a 10 percent decrease in overdoses countywide. PATH-3D will also create a probationer response team (PRT), embedding a licensed clinician and CRPA into probation to assist probationers at risk of violation or revocation due to substance related issues. The PRT will engage probationers, assess, develop individual plans, and connect participants to recovery supports. Recognizing the disparate impact of overdose and criminal justice involvement on black, indigenous, and people of color in the community, PATH-3D will select program design and activities promoting racial equity and removing barriers to access for historically underserved and marginalized individuals.

NC

The North Carolina Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (NC DHHS) will implement evidence-based strategies to reduce the rate of opioid overdose associated with individuals involved in the local justice system. NC DHHS will competitively subaward nine sites to implement pre-arrest diversion programs, jail-based overdose prevention education and naloxone upon release, jail-based medication assisted treatment, and connections to care upon release. Six sites will be new projects and three sites will involve expanding or enhancing existing projects. The state will collaborate with a research partner for the project.

North Carolina State Department of Health and Human Services

North Carolina

The North Carolina Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (NC DHHS) will implement evidence-based strategies to reduce the rate of opioid overdose associated with individuals involved in the local justice system. NC DHHS will competitively subaward nine sites to implement pre-arrest diversion programs, jail-based overdose prevention education and naloxone upon release, jail-based medication assisted treatment, and connections to care upon release. Six sites will be new projects and three sites will involve expanding or enhancing existing projects. The state will collaborate with a research partner for the project.

TX

The North Texas Behavioral Health Authority (NTBHA) is applying for Category 1 funding in the amount of $1,195,589. The NTBHA Behavioral Health Critical Time Intervention (CTI) Program will serve adult individuals experiencing critical transitions who have suspected or diagnosed substance use disorders (SUDs) or co-occurring disorders (CODs), encouraging recovery for those exiting the jail system or entering the jail deflection center. The CTI model consists of a nine-month period of intensive individual community-based services that require frequent contact to establish a relationship with the individual, resulting in a re-engagement in services and assessment of needs. The project will expand utilization of existing behavioral health treatment options, such as MAT, upon exiting jail or while being deflected from jail—with the goals of decreasing overdose deaths and increasing utilization of behavioral health treatment services. It will focus on domains that have been identified as most important for the target population: housing, benefits/finances, family/social networks, living skills, and SUD/mental health treatment. The project will benefit individuals experiencing critical transitions, law enforcement, and the justice system by reducing the impact of opioids and other drugs on those who participate in services. The project serves six counties in North Texas with a total population of more than 3.2 million—Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall—with a focus on Dallas County. The project includes partnerships between NTBHA and the Dallas County District Attorney’s Office, local law enforcement agencies, Dallas County Hospital, local SUD treatment and mental health service providers, and Dallas Deflects, a collaborative project involving the North Texas Behavioral Health Authority and Homeward Bound, Inc. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

North Texas Behavioral Health Authority

Texas

The North Texas Behavioral Health Authority (NTBHA) is applying for Category 1 funding in the amount of $1,195,589. The NTBHA Behavioral Health Critical Time Intervention (CTI) Program will serve adult individuals experiencing critical transitions who have suspected or diagnosed substance use disorders (SUDs) or co-occurring disorders (CODs), encouraging recovery for those exiting the jail system or entering the jail deflection center. The CTI model consists of a nine-month period of intensive individual community-based services that require frequent contact to establish a relationship with the individual, resulting in a re-engagement in services and assessment of needs. The project will expand utilization of existing behavioral health treatment options, such as MAT, upon exiting jail or while being deflected from jail—with the goals of decreasing overdose deaths and increasing utilization of behavioral health treatment services. It will focus on domains that have been identified as most important for the target population: housing, benefits/finances, family/social networks, living skills, and SUD/mental health treatment. The project will benefit individuals experiencing critical transitions, law enforcement, and the justice system by reducing the impact of opioids and other drugs on those who participate in services. The project serves six counties in North Texas with a total population of more than 3.2 million—Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall—with a focus on Dallas County. The project includes partnerships between NTBHA and the Dallas County District Attorney’s Office, local law enforcement agencies, Dallas County Hospital, local SUD treatment and mental health service providers, and Dallas Deflects, a collaborative project involving the North Texas Behavioral Health Authority and Homeward Bound, Inc. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

MA

The Northampton Department of Health and Human Services (DHHS) Drug Addiction Recovery Team (DART) Enhanced Model will provide deflection interventions at sequential intercepts zero and multiple communities in Hampshire and Hampden counties in Western Massachusetts and will provide regional data collection and synthesis for the region, including an additional ten communities in Berkshire County. DHHS played a leadership role throughout the opioid crisis in Western Massachusetts and is committed to continuing to strengthen that work. The project will build upon DHHS's current multi-sector, cross-county foundation of police departments, recovery centers, behavioral health and treatment providers, and hospitals. The specific aim of the enhanced model is to improve engagement with communities that have been historically underserved, marginalized and adversely affected by inequality. The DART model consists of teams of first responders, community responders, and harm reductionists who offer free support to people who use drugs, and their families, after an opioid overdose or other high risk substance use. DHHS will collaborate with local recovery centers to hire community responders, with the goal of more effectively reaching nonwhite and homeless individuals with SUD, as well as persons with co-occurring SUD and mental health disorders. Moreover, DHHS will shift its model to ensure that more post-overdose responses are conducted by a non-police DART member whenever possible to increase engagement with persons from historically marginalized groups. Secondly, DHHS plans to conduct outreach activities in communities in the catchment area that are most impacted by environmental harms and risks (known as environmental justice communities), as people living in these overburdened communities may be more at risk for drug use and overdose. The goal of these activities is to reduce SUD stigma and increase deflection of individuals with SUD and cooccurring disorders prior to police intervention. Thirdly, DART will continue to support partnering police departments in obtaining an ongoing supply of Naloxone and will expand distribution to individuals likely to reverse an overdose in the community. Lastly, DART will continue its focus on real-time data collection and analysis and utilize the UMass Center for Program Evaluation to support evaluation of program efficacy and quality assurance. DART aims to divert individuals with SUD and co-occurring disorders from involvement with the criminal justice system and reduce the high rates of opioid overdose deaths in the region, specifically among historically marginalized groups.

Northampton, City of

Massachusetts

The Northampton Department of Health and Human Services (DHHS) Drug Addiction Recovery Team (DART) Enhanced Model will provide deflection interventions at sequential intercepts zero and multiple communities in Hampshire and Hampden counties in Western Massachusetts and will provide regional data collection and synthesis for the region, including an additional ten communities in Berkshire County. DHHS played a leadership role throughout the opioid crisis in Western Massachusetts and is committed to continuing to strengthen that work. The project will build upon DHHS's current multi-sector, cross-county foundation of police departments, recovery centers, behavioral health and treatment providers, and hospitals. The specific aim of the enhanced model is to improve engagement with communities that have been historically underserved, marginalized and adversely affected by inequality. The DART model consists of teams of first responders, community responders, and harm reductionists who offer free support to people who use drugs, and their families, after an opioid overdose or other high risk substance use. DHHS will collaborate with local recovery centers to hire community responders, with the goal of more effectively reaching nonwhite and homeless individuals with SUD, as well as persons with co-occurring SUD and mental health disorders. Moreover, DHHS will shift its model to ensure that more post-overdose responses are conducted by a non-police DART member whenever possible to increase engagement with persons from historically marginalized groups. Secondly, DHHS plans to conduct outreach activities in communities in the catchment area that are most impacted by environmental harms and risks (known as environmental justice communities), as people living in these overburdened communities may be more at risk for drug use and overdose. The goal of these activities is to reduce SUD stigma and increase deflection of individuals with SUD and cooccurring disorders prior to police intervention. Thirdly, DART will continue to support partnering police departments in obtaining an ongoing supply of Naloxone and will expand distribution to individuals likely to reverse an overdose in the community. Lastly, DART will continue its focus on real-time data collection and analysis and utilize the UMass Center for Program Evaluation to support evaluation of program efficacy and quality assurance. DART aims to divert individuals with SUD and co-occurring disorders from involvement with the criminal justice system and reduce the high rates of opioid overdose deaths in the region, specifically among historically marginalized groups.

PA

Northumberland County is applying for a Category 1 award in the amount of $595,168. The Northumberland County Opioid and Substance Use Response Program will address the numerous issues and difficulties faced by individuals suffering from substance use in the area. The programs to be procured through this grant are as follows: the hiring of a wellness nurse to assist Children and Youth Services; the hiring of a certified recovery specialist to assist a local recovery club; the hiring of a project coordinator; the use of DJ Choices, a prevention advocacy group that will conduct assemblies at local schools; trainings for individuals and families suffering from substance use; and the implementation of sober events. This project serves Northumberland County, which has a population of 90,843. The project includes partnerships between Northumberland County’s Opioid Coalition, the Greater Susquehanna Valley United Way, the Oasis Recovery Club, and Crossroads Counseling Inc. This project will engage Brandn Green, PhD, of JG Research and Evaluation as the research partner for this project.

Northumberland County

Pennsylvania

Northumberland County is applying for a Category 1 award in the amount of $595,168. The Northumberland County Opioid and Substance Use Response Program will address the numerous issues and difficulties faced by individuals suffering from substance use in the area. The programs to be procured through this grant are as follows: the hiring of a wellness nurse to assist Children and Youth Services; the hiring of a certified recovery specialist to assist a local recovery club; the hiring of a project coordinator; the use of DJ Choices, a prevention advocacy group that will conduct assemblies at local schools; trainings for individuals and families suffering from substance use; and the implementation of sober events. This project serves Northumberland County, which has a population of 90,843. The project includes partnerships between Northumberland County’s Opioid Coalition, the Greater Susquehanna Valley United Way, the Oasis Recovery Club, and Crossroads Counseling Inc. This project will engage Brandn Green, PhD, of JG Research and Evaluation as the research partner for this project.

MI

The Oakland County Sheriff’s Office (OCSO) provides law enforcement services to the citizens of Oakland County, Michigan–a population of more than 1.2 million residents. The county’s overdose crisis is a public safety and health emergency that threatens the well-being of individuals who misuse drugs and impacts the safety of communities. Prescription drugs and prescription drug abuse are driving an epidemic of overdose deaths that include the boundaries of Oakland County. Mutual trust is essential to maintain public safety and a partnership between law enforcement and the mental health community to provide applicable services and enhanced response to persons in crisis is needed. This grant seeks to expand an existing law enforcement deflection and diversion program and educate community members on the crisis response concept and 100 percent of the budget will be dedicated to these activities. The program will provide the ability to expand individual agency Crisis Intervention Team (CIT) trained law enforcement officers, along with the creation of a county-wide crisis response team made up of dedicated CIT law enforcement officers who receive advanced training and respond where the need arises, like a county-wide task force. The crisis response program will include 12 communities that contract with the OCSO for law enforcement services and 39 local and multijurisdictional law enforcement agencies within Oakland County. The Crisis Response Unit will provide training to teachers, counselors, and citizens in the crisis response concept. The training is not a certification in CIT but will enhance an understanding around crisis response and mental health. By creating a county-wide crisis response unit and increasing CIT training, officers will be better equipped to respond to individuals experiencing a crisis and divert them to mental health agencies to receive appropriate care. The anticipated outcome of this program is a decrease in overdose deaths within Oakland County.

Oakland County

Michigan

The Oakland County Sheriff’s Office (OCSO) provides law enforcement services to the citizens of Oakland County, Michigan–a population of more than 1.2 million residents. The county’s overdose crisis is a public safety and health emergency that threatens the well-being of individuals who misuse drugs and impacts the safety of communities. Prescription drugs and prescription drug abuse are driving an epidemic of overdose deaths that include the boundaries of Oakland County. Mutual trust is essential to maintain public safety and a partnership between law enforcement and the mental health community to provide applicable services and enhanced response to persons in crisis is needed. This grant seeks to expand an existing law enforcement deflection and diversion program and educate community members on the crisis response concept and 100 percent of the budget will be dedicated to these activities. The program will provide the ability to expand individual agency Crisis Intervention Team (CIT) trained law enforcement officers, along with the creation of a county-wide crisis response team made up of dedicated CIT law enforcement officers who receive advanced training and respond where the need arises, like a county-wide task force. The crisis response program will include 12 communities that contract with the OCSO for law enforcement services and 39 local and multijurisdictional law enforcement agencies within Oakland County. The Crisis Response Unit will provide training to teachers, counselors, and citizens in the crisis response concept. The training is not a certification in CIT but will enhance an understanding around crisis response and mental health. By creating a county-wide crisis response unit and increasing CIT training, officers will be better equipped to respond to individuals experiencing a crisis and divert them to mental health agencies to receive appropriate care. The anticipated outcome of this program is a decrease in overdose deaths within Oakland County.

SD

The Oglala Sioux Tribe (OST), Circles of Care Program/Division of Behavioral Health (Circles of Care), will collaborate with OST Justice Programs to plan, implement, and evaluate a tribal-wide strategic plan promoting wellness, addiction recovery, and the reduction of criminal recidivism using the sequential intercept model. During the past seven years the OST has successfully: 1. Integrated medical professionals into the addiction treatment process through medication assisted treatment: 2. Implemented a recovery support/client navigator approach; and 3. Initiated the utilization of best and promising practices for direct service and population level interventions. The cycling and recycling of individuals through the tribal justice system has been identified as a major social problem resulting in significant strain on tribal systems. The OST will utilize funding to continue capacity development within the tribal justice system and behavioral health infrastructure to address several of the well-known barriers to recovery and persistent drivers of criminal recidivism. The Pine Ridge Reservation is the homeland of the Oglala Sioux Tribe and is among the largest land-based reservations in the nation. Pine Ridge consists of over 3.5 thousand square miles with a population of over 30,000. Circles of Care and OST Justice Programs are committed to developing a streamlined process to increase access to behavioral health services at all points of the OST criminal justice system. Circles of Care will coordinate Tribal resources to link more than 300 participants annually with targeted case management, substance use education and treatment, and recovery support services. Through the delivery of well-integrated and high quality services, Circles of Care aims to achieve four measurable objectives: 1. Increase the proportion of individuals entering the OST Justice System that are provided behavioral health screening and assessment by 15% annually; 2. Increase the number of eligible participants that successfully complete their targeted case management goals by 25% annually; 3. Increase participant score within key quality of life metrics by 10% from baseline to service completion annually; and 4. Reduce the proportion of individuals within the OST justice system that reoffend within 2-years post reentry by 5% annually.

Oglala Sioux Tribe of Pine Ridge Indian Reservation

South Dakota

The Oglala Sioux Tribe (OST), Circles of Care Program/Division of Behavioral Health (Circles of Care), will collaborate with OST Justice Programs to plan, implement, and evaluate a tribal-wide strategic plan promoting wellness, addiction recovery, and the reduction of criminal recidivism using the sequential intercept model. During the past seven years the OST has successfully: 1. Integrated medical professionals into the addiction treatment process through medication assisted treatment: 2. Implemented a recovery support/client navigator approach; and 3. Initiated the utilization of best and promising practices for direct service and population level interventions. The cycling and recycling of individuals through the tribal justice system has been identified as a major social problem resulting in significant strain on tribal systems. The OST will utilize funding to continue capacity development within the tribal justice system and behavioral health infrastructure to address several of the well-known barriers to recovery and persistent drivers of criminal recidivism. The Pine Ridge Reservation is the homeland of the Oglala Sioux Tribe and is among the largest land-based reservations in the nation. Pine Ridge consists of over 3.5 thousand square miles with a population of over 30,000. Circles of Care and OST Justice Programs are committed to developing a streamlined process to increase access to behavioral health services at all points of the OST criminal justice system. Circles of Care will coordinate Tribal resources to link more than 300 participants annually with targeted case management, substance use education and treatment, and recovery support services. Through the delivery of well-integrated and high quality services, Circles of Care aims to achieve four measurable objectives: 1. Increase the proportion of individuals entering the OST Justice System that are provided behavioral health screening and assessment by 15% annually; 2. Increase the number of eligible participants that successfully complete their targeted case management goals by 25% annually; 3. Increase participant score within key quality of life metrics by 10% from baseline to service completion annually; and 4. Reduce the proportion of individuals within the OST justice system that reoffend within 2-years post reentry by 5% annually.

OH

The Ohio Department of Health project will provide evidence-based substance use disorder (SUD) treatment, such as medication-assisted treatment (MAT), as well as harm reduction services in local communities. The project seeks to reduce unintentional drug overdose deaths in six geographically diverse counties by implementing the following activities: (1) expansion of evidence-based harm reduction activities to Black and Hispanic populations. This will include the provision of harm reduction services (e.g., naloxone) and education in high-burden zip codes to ensure the highest-risk underserved populations are being reached. Potential outreach sites include barbershops/salons, churches, colleges, bars, shelters, homeless encampments, and other locations to be determined; (2) improve access to MAT within existing syringe service programs. Sites funded under this project will be required to work with local providers to improve access to MAT, specifically buprenorphine, for SSP clients; and (3) provide harm reduction services to those leaving local or regional jails. Funded counties will be required to provide evidence-based harm reduction services to those leaving local or regional jails within the selected counties. To implement this project, ODH will contract with a researcher to assist with the development of the project action plan and to conduct an evaluation of the three proposed activities for each site.

Ohio Department of Health

Ohio

The Ohio Department of Health project will provide evidence-based substance use disorder (SUD) treatment, such as medication-assisted treatment (MAT), as well as harm reduction services in local communities. The project seeks to reduce unintentional drug overdose deaths in six geographically diverse counties by implementing the following activities: (1) expansion of evidence-based harm reduction activities to Black and Hispanic populations. This will include the provision of harm reduction services (e.g., naloxone) and education in high-burden zip codes to ensure the highest-risk underserved populations are being reached. Potential outreach sites include barbershops/salons, churches, colleges, bars, shelters, homeless encampments, and other locations to be determined; (2) improve access to MAT within existing syringe service programs. Sites funded under this project will be required to work with local providers to improve access to MAT, specifically buprenorphine, for SSP clients; and (3) provide harm reduction services to those leaving local or regional jails. Funded counties will be required to provide evidence-based harm reduction services to those leaving local or regional jails within the selected counties. To implement this project, ODH will contract with a researcher to assist with the development of the project action plan and to conduct an evaluation of the three proposed activities for each site.

OH

The Ohio Office of Criminal Justice Services (OCJS), a division of the Ohio Department of Public Safety, project will support a combination of local initiatives and statewide programs and resources to reduce the impact of opioid, stimulant, and substance use on Ohio's individuals and communities. This project focuses on two primary efforts: 1) increase connectivity to treatment and supportive services through community partnerships that develop, expand, or enhance Ohio's footprint of deflection, specifically the Naloxone Plus (i.e., QRT) model, Ohio's predominant deflection pathway; and 2) build multi-sector collaboration that allows local deflection teams as well as communities that do not have deflection teams to more effectively and accurately identify people who are at risk and provide comprehensive support. Funding will be used to support a framework for providing consistent support and training to aid the efforts of local deflection programs, such that deflection programs become an indispensable and sustainable part of their community. Specifically, OCJS will provide project-based funding to support six to eight sites in Ohio to develop, expand, or proactively enhance local Quick Response Teams, identified through a grant application process designed to promote more equitable opportunity for communities to participate. OCJS will also fund a statewide law enforcement initiative, BRIDGE, to proactively alert healthcare professionals of the potential for overdoses in the wake of a large drug seizure. In addition, BRIDGE saturation events will combine local law enforcement efforts with outreach provided by QRTs and/or prevention, treatment, and recovery services. Process and outcome evaluations will be woven throughout these local and state initiatives. The Substance Use Deflection Center of Excellence will promote the latest in research and best practices by offering training, technical assistance, and resources to support deflection in Ohio. The Center will expand membership of their long-standing Collaboration Board to serve as the multidisciplinary coordinating body to increase cooperation and collaboration across all sectors.

Ohio Office of Criminal Justice Services

Ohio

The Ohio Office of Criminal Justice Services (OCJS), a division of the Ohio Department of Public Safety, project will support a combination of local initiatives and statewide programs and resources to reduce the impact of opioid, stimulant, and substance use on Ohio's individuals and communities. This project focuses on two primary efforts: 1) increase connectivity to treatment and supportive services through community partnerships that develop, expand, or enhance Ohio's footprint of deflection, specifically the Naloxone Plus (i.e., QRT) model, Ohio's predominant deflection pathway; and 2) build multi-sector collaboration that allows local deflection teams as well as communities that do not have deflection teams to more effectively and accurately identify people who are at risk and provide comprehensive support. Funding will be used to support a framework for providing consistent support and training to aid the efforts of local deflection programs, such that deflection programs become an indispensable and sustainable part of their community. Specifically, OCJS will provide project-based funding to support six to eight sites in Ohio to develop, expand, or proactively enhance local Quick Response Teams, identified through a grant application process designed to promote more equitable opportunity for communities to participate. OCJS will also fund a statewide law enforcement initiative, BRIDGE, to proactively alert healthcare professionals of the potential for overdoses in the wake of a large drug seizure. In addition, BRIDGE saturation events will combine local law enforcement efforts with outreach provided by QRTs and/or prevention, treatment, and recovery services. Process and outcome evaluations will be woven throughout these local and state initiatives. The Substance Use Deflection Center of Excellence will promote the latest in research and best practices by offering training, technical assistance, and resources to support deflection in Ohio. The Center will expand membership of their long-standing Collaboration Board to serve as the multidisciplinary coordinating body to increase cooperation and collaboration across all sectors.

OK

The Misdemeanor Diversion Expansion is a community-based diversion from prosecution program that expedites the delivery of substance use and co-occurring disorder (SUD/COD) treatment at SAMHSA Sequential Intercept 3: Jails/Courts. Grant funds will be used to hire key personnel to increase the participant capacity of MDP and enable long-term developmental planning of diversion programs in Oklahoma County. The Oklahoma County Criminal Justice Advisory Council (CJAC) provides residents of Oklahoma County with effective, efficient criminal justice reform. There are two intended subrecipients of grant funds for the project: the Diversion Hub and Catalyst Behavioral Services. Beneficiaries of services provided through the Misdemeanor Diversion Expansion are individuals with active misdemeanor cases in the Oklahoma County District Court who are at high risk for a substance use or co-occurring disorder. The project aims to reduce justice involvement and correlated overdose risk for this population through the delivery of social and treatment services and the development of data-driven responses to gaps in services. Primary activities include case management to increase the capacity of misdemeanor diversion; case management to identify candidates for diversion and support MDP graduates; treatment case management that enables the on-site provision of Medication Assisted Treatment; Peer Recovery Support that outreaches to individuals struggling with treatment engagement; data collection and analysis that identifies critical relationships between risk factors, program outcomes, and gaps in services; and development management to apply data to improve program structure and create infrastructure for future diversion programs. Four-hundred and fifty cases will be diverted from traditional prosecution and managed by an MDP case manager. Four-hundred and fifty cases will be screened for MDP qualifications and assisted after MDP graduation. Three hundred and fifty cases will be provided with on-site rehabilitation services. Two hundred and fifty cases will be provided with on-site therapeutic treatment services. Copies of data analysis and developmental reports will be supplied to the Bureau of Justice Assistance.

Oklahoma County Criminal Justice Advisory Council

Oklahoma

The Misdemeanor Diversion Expansion is a community-based diversion from prosecution program that expedites the delivery of substance use and co-occurring disorder (SUD/COD) treatment at SAMHSA Sequential Intercept 3: Jails/Courts. Grant funds will be used to hire key personnel to increase the participant capacity of MDP and enable long-term developmental planning of diversion programs in Oklahoma County. The Oklahoma County Criminal Justice Advisory Council (CJAC) provides residents of Oklahoma County with effective, efficient criminal justice reform. There are two intended subrecipients of grant funds for the project: the Diversion Hub and Catalyst Behavioral Services. Beneficiaries of services provided through the Misdemeanor Diversion Expansion are individuals with active misdemeanor cases in the Oklahoma County District Court who are at high risk for a substance use or co-occurring disorder. The project aims to reduce justice involvement and correlated overdose risk for this population through the delivery of social and treatment services and the development of data-driven responses to gaps in services. Primary activities include case management to increase the capacity of misdemeanor diversion; case management to identify candidates for diversion and support MDP graduates; treatment case management that enables the on-site provision of Medication Assisted Treatment; Peer Recovery Support that outreaches to individuals struggling with treatment engagement; data collection and analysis that identifies critical relationships between risk factors, program outcomes, and gaps in services; and development management to apply data to improve program structure and create infrastructure for future diversion programs. Four-hundred and fifty cases will be diverted from traditional prosecution and managed by an MDP case manager. Four-hundred and fifty cases will be screened for MDP qualifications and assisted after MDP graduation. Three hundred and fifty cases will be provided with on-site rehabilitation services. Two hundred and fifty cases will be provided with on-site therapeutic treatment services. Copies of data analysis and developmental reports will be supplied to the Bureau of Justice Assistance.

NY

This project serves Onondaga County, New York, with a population of approximately 467,669. The purpose of the project is to build strong coordination between in-custody and community-based treatment and establish virtual peer recovery support services for individuals leaving jail and returning to the community. The project addresses the allowable uses of establishing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as medication-assisted treatment (MAT), with a focus on building strong coordination between in-custody and community-based treatment and recovery support services (73 percent of the budget) and providing peer recovery support services (15 percent of the budget). The project includes a partnership with Crouse Health, a community-based opioid treatment provider. A research partner will be selected. This application includes program evaluation which is identified as a priority consideration (12 percent of the budget).

Onondaga County

New York

This project serves Onondaga County, New York, with a population of approximately 467,669. The purpose of the project is to build strong coordination between in-custody and community-based treatment and establish virtual peer recovery support services for individuals leaving jail and returning to the community. The project addresses the allowable uses of establishing evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as medication-assisted treatment (MAT), with a focus on building strong coordination between in-custody and community-based treatment and recovery support services (73 percent of the budget) and providing peer recovery support services (15 percent of the budget). The project includes a partnership with Crouse Health, a community-based opioid treatment provider. A research partner will be selected. This application includes program evaluation which is identified as a priority consideration (12 percent of the budget).

NC

Onslow County is applying for a Category 1 award in the amount of $899,943. The Onslow County COSSAP 2021 project will provide medication-assisted treatment (MAT), therapeutic counseling, and recovery case management in the Onslow County Detention Center (OCDC). The three target populations are opioid-addicted pregnant women, those currently receiving MAT from a community provider when booked into OCDC, and inmates initially assessed with an opioid dependency and a misdemeanor conviction. In addition, each individual will be connected to appropriate MAT, evidence-based therapeutic counseling, and recovery support services in the community upon release. These services will include recovery housing, health, education/training, and employment support coordinated by the recovery support case manager and a certified peer support specialist. This project serves Onslow County, which has a population of 211,881. The project includes partnerships between Southern Health Partners, Oxford House, Women/Children Housing, Hope is Alive, Coastal Carolina Community College and its Adult High School, NCWorks Career Center, the Onslow County Public Health Department, Goshen Medical Center, the Onslow County Department of Social Services, ACT Associates, and Integrated Family Services.

Onslow County

North Carolina

Onslow County is applying for a Category 1 award in the amount of $899,943. The Onslow County COSSAP 2021 project will provide medication-assisted treatment (MAT), therapeutic counseling, and recovery case management in the Onslow County Detention Center (OCDC). The three target populations are opioid-addicted pregnant women, those currently receiving MAT from a community provider when booked into OCDC, and inmates initially assessed with an opioid dependency and a misdemeanor conviction. In addition, each individual will be connected to appropriate MAT, evidence-based therapeutic counseling, and recovery support services in the community upon release. These services will include recovery housing, health, education/training, and employment support coordinated by the recovery support case manager and a certified peer support specialist. This project serves Onslow County, which has a population of 211,881. The project includes partnerships between Southern Health Partners, Oxford House, Women/Children Housing, Hope is Alive, Coastal Carolina Community College and its Adult High School, NCWorks Career Center, the Onslow County Public Health Department, Goshen Medical Center, the Onslow County Department of Social Services, ACT Associates, and Integrated Family Services.

NC

The Onslow County, North Carolina, project will expand evidence-based substance use treatment in the Onslow County Detention Center (OCDC), Court programming to identify need for services for children and youth impacted by their parent/family substance use, recovery housing support and comprehensive, real-time, information collection, analysis and trends. Onslow County is in the southeastern coastal plain of North Carolina and has an estimated population of 209,491. There are also approximately 45,079 active-duty marines and sailors stationed at Camp Lejeune and New River Air Station. Onslow County has experienced the ravages of the opioid epidemic at a higher level than many communities in the state, and has worked since 2016 to strategically develop services and resources to support their citizens. The overarching goal of this application is to provide linkages for those affected by an opioid use disorder or other substance disuse to treatment services and resources. This includes both those incarcerated, and the children and families affected by substance use. Project activities include establishing a therapeutic community within the OCDC for individuals with substance use disorders. Inmates will be provided evidence-based treatment such as individual and group counseling, family support when appropriate, strategies for relapse prevention to include harm reduction, community and social support systems, and crisis contingency planning. Case plans will be developed with inmate and community resource connections made upon release. Referrals will be made to Oxford House for safe, sober housing while partnering to increase recovery housing inventory within the County. In addition, a Licensed Clinical Addictions Specialist will coordinate with the Courts, (including the new Veterans Treatment Court), the Department of Social Services (DSS), Child Protective Services (CPS) and the OCDC to provide immediate linkages to appropriate services for children, youth, and families in cases where substance misuse is identified. Comprehensive, real-time data will be collected and analyzed by the Project Manager and a multi-disciplinary workgroup of service provider agencies and community stakeholders to monitor progress to goals and guide the program. Onslow County currently has a FY 2021 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program providing medication assisted treatment (MAT) and case management in the Onslow County Detention Center.

Onslow, County of

North Carolina

The Onslow County, North Carolina, project will expand evidence-based substance use treatment in the Onslow County Detention Center (OCDC), Court programming to identify need for services for children and youth impacted by their parent/family substance use, recovery housing support and comprehensive, real-time, information collection, analysis and trends. Onslow County is in the southeastern coastal plain of North Carolina and has an estimated population of 209,491. There are also approximately 45,079 active-duty marines and sailors stationed at Camp Lejeune and New River Air Station. Onslow County has experienced the ravages of the opioid epidemic at a higher level than many communities in the state, and has worked since 2016 to strategically develop services and resources to support their citizens. The overarching goal of this application is to provide linkages for those affected by an opioid use disorder or other substance disuse to treatment services and resources. This includes both those incarcerated, and the children and families affected by substance use. Project activities include establishing a therapeutic community within the OCDC for individuals with substance use disorders. Inmates will be provided evidence-based treatment such as individual and group counseling, family support when appropriate, strategies for relapse prevention to include harm reduction, community and social support systems, and crisis contingency planning. Case plans will be developed with inmate and community resource connections made upon release. Referrals will be made to Oxford House for safe, sober housing while partnering to increase recovery housing inventory within the County. In addition, a Licensed Clinical Addictions Specialist will coordinate with the Courts, (including the new Veterans Treatment Court), the Department of Social Services (DSS), Child Protective Services (CPS) and the OCDC to provide immediate linkages to appropriate services for children, youth, and families in cases where substance misuse is identified. Comprehensive, real-time data will be collected and analyzed by the Project Manager and a multi-disciplinary workgroup of service provider agencies and community stakeholders to monitor progress to goals and guide the program. Onslow County currently has a FY 2021 Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program providing medication assisted treatment (MAT) and case management in the Onslow County Detention Center.

FL

Orange County, Florida, Government Health Services project’s Orange County Post-Overdose Response Team (PORT) will increase access to evidence-based treatment and recovery support for individuals living with an opioid use disorder (OUD). The service area is all of Orange County, with a particular focus on those census tracts with the highest overdose rates, and on individuals who have more than one unintentional overdose requiring emergency response. PORT addresses field-initiated projects that bring together justice, behavioral health, and public health practitioners to implement new or promising practices–which may not yet have a research base–in addressing the impact of opioids, stimulants, and other substances on communities as a whole and individuals at risk of or with justice system involvement. This includes the application of evidence-based strategies from other fields that have not yet been fully examined in the justice context. While there is promising research on the use of a PORT model in multiple settings around the U.S., there is still a need for extensive testing and research. In addition, the focus of this proposal on improved outcomes for people with OUD, while reducing stress on the healthcare and law enforcement infrastructure is not yet a well-examined strategy. The project will target communities that see a disproportionate number of accidental overdose cases, often in areas with higher poverty rates and underserved populations. These communities have traditionally not had equitable access to awareness, prevention, intervention, or treatment. These communities also have disproportionate engagement with the criminal justice system. Targeting individuals with OUD in these communities with the intensive case management approach that PORT provides is a key way to remove barriers to equitable access and better outcomes for individuals and communities.

Orange County

Florida

Orange County, Florida, Government Health Services project’s Orange County Post-Overdose Response Team (PORT) will increase access to evidence-based treatment and recovery support for individuals living with an opioid use disorder (OUD). The service area is all of Orange County, with a particular focus on those census tracts with the highest overdose rates, and on individuals who have more than one unintentional overdose requiring emergency response. PORT addresses field-initiated projects that bring together justice, behavioral health, and public health practitioners to implement new or promising practices–which may not yet have a research base–in addressing the impact of opioids, stimulants, and other substances on communities as a whole and individuals at risk of or with justice system involvement. This includes the application of evidence-based strategies from other fields that have not yet been fully examined in the justice context. While there is promising research on the use of a PORT model in multiple settings around the U.S., there is still a need for extensive testing and research. In addition, the focus of this proposal on improved outcomes for people with OUD, while reducing stress on the healthcare and law enforcement infrastructure is not yet a well-examined strategy. The project will target communities that see a disproportionate number of accidental overdose cases, often in areas with higher poverty rates and underserved populations. These communities have traditionally not had equitable access to awareness, prevention, intervention, or treatment. These communities also have disproportionate engagement with the criminal justice system. Targeting individuals with OUD in these communities with the intensive case management approach that PORT provides is a key way to remove barriers to equitable access and better outcomes for individuals and communities.

LA

The Orleans Parish District Attorney (OPDA)’s office project includes a multidisciplinary coordinating body by consolidating existing anti-opioid committees into a singular body–the Metropolitan Overdose Data to Action Program (MODTAP). The service area of this project is the city of New Orleans, which is home to a diverse community with significant underserved populations and the anchor of a metropolitan area totaling just under one million individuals. This data-driven approach ensures that resources are applied in the right area and at the right time, and best practices are adopted. In New Orleans, the coalition is willing, but the data is weak. While there has been great support for across-the-board efforts in responding to the crisis, the actual utilization of the plethora of data available to drive collaborative decision-making has been lacking. Each stakeholder collects data, makes decisions, and applies resources independently in their own silo. Even in areas where there is general agreement on the efficacy of an agreed-upon strategy, there is no consensus being developed on how to deploy it most effectively. MODTAP would be charged with collecting, reviewing, and disseminating data collected by the member organizations and the local Overdose Mapping Application Program to conduct quarterly overdose fatality reviews (OFR). The OFR process will be supported by evidence-based Risk Terrain Mapping that will guide the policy recommendations and collective actions of MODTAP on a micro-level. In turn, OPDA will use the findings and recommendations by MODTAP to maximize participation in the diversion of substance use disorder-related offenses into non-criminal legal system resolutions. Planned activities for MODTAP are real-time data collection and a post booking treatment alternative-to-incarceration program, including screening to identify candidates for referral to the Law Enforcement Assisted Diversion Program (LEAD).

Orleans Parish District Attorney

Louisiana

The Orleans Parish District Attorney (OPDA)’s office project includes a multidisciplinary coordinating body by consolidating existing anti-opioid committees into a singular body–the Metropolitan Overdose Data to Action Program (MODTAP). The service area of this project is the city of New Orleans, which is home to a diverse community with significant underserved populations and the anchor of a metropolitan area totaling just under one million individuals. This data-driven approach ensures that resources are applied in the right area and at the right time, and best practices are adopted. In New Orleans, the coalition is willing, but the data is weak. While there has been great support for across-the-board efforts in responding to the crisis, the actual utilization of the plethora of data available to drive collaborative decision-making has been lacking. Each stakeholder collects data, makes decisions, and applies resources independently in their own silo. Even in areas where there is general agreement on the efficacy of an agreed-upon strategy, there is no consensus being developed on how to deploy it most effectively. MODTAP would be charged with collecting, reviewing, and disseminating data collected by the member organizations and the local Overdose Mapping Application Program to conduct quarterly overdose fatality reviews (OFR). The OFR process will be supported by evidence-based Risk Terrain Mapping that will guide the policy recommendations and collective actions of MODTAP on a micro-level. In turn, OPDA will use the findings and recommendations by MODTAP to maximize participation in the diversion of substance use disorder-related offenses into non-criminal legal system resolutions. Planned activities for MODTAP are real-time data collection and a post booking treatment alternative-to-incarceration program, including screening to identify candidates for referral to the Law Enforcement Assisted Diversion Program (LEAD).

MI

Ottawa County's Community Mental Health project will reduce the impact of opioids, stimulants and other substances for justice involved individuals in Ottawa County, Michigan, by increasing access to comprehensive treatment, case management and recovery support services. Community Mental Health of Ottawa County received a FY 2020 COSSAP grant. Accomplishments in implementation include 97 individuals receiving assessments for substance use or co-occurring disorders in six months, which led to 77 referrals for substance use or co-occurring treatment services. Program implementation has identified a strong need for an additional case manager for timely treatment and referral coordination. Expansion of services through this grant application include (1) coordinated case management comprising 57% of the overall budget; (2) pre-booking or post-booking treatment alternative-to-incarceration; (3) individual, group and doubling MAT treatment; (4) peer recovery support services; and (5) transitional housing comprising of 6% of the overall budget. Expected outcomes include a reduction in substance use dependency, an increase in stabilization as individuals re-enter the community and improved multi-agency collaboration.

Ottawa County Community Mental Health

Michigan

Ottawa County's Community Mental Health project will reduce the impact of opioids, stimulants and other substances for justice involved individuals in Ottawa County, Michigan, by increasing access to comprehensive treatment, case management and recovery support services. Community Mental Health of Ottawa County received a FY 2020 COSSAP grant. Accomplishments in implementation include 97 individuals receiving assessments for substance use or co-occurring disorders in six months, which led to 77 referrals for substance use or co-occurring treatment services. Program implementation has identified a strong need for an additional case manager for timely treatment and referral coordination. Expansion of services through this grant application include (1) coordinated case management comprising 57% of the overall budget; (2) pre-booking or post-booking treatment alternative-to-incarceration; (3) individual, group and doubling MAT treatment; (4) peer recovery support services; and (5) transitional housing comprising of 6% of the overall budget. Expected outcomes include a reduction in substance use dependency, an increase in stabilization as individuals re-enter the community and improved multi-agency collaboration.

VA

The County of Page is applying for a Category 1 award in the amount of $600,000. The Page County Jail Medication-Assisted Treatment (MAT) Enhancement Re-Entry (JMATER) Program will address the growing opioid problem and the negative consequences of substance misuse and related crimes through evidence-based treatment and recovery services, peer support, and abstinence monitoring. The JMATER program will expand and enhance the current Jail MAT Re-Entry (JMATR) Program by adding in-house treatment and recovery services by hiring two dedicated substance use treatment staff members—a re-entry case manager and a substance use disorder therapist. These positions will allow for more timely responses to the treatment needs of program participants. Given the increasing pattern of drug misuse in Page County, referrals to JMATER are expected to exceed 50 eligible high-risk/high-need participants in the first year. Current trends indicate most referrals will be for probation violations on possession of Schedule I or II substances or prescription drugs as well as initial drug possession charges. The JMATER Program will provide 24-hour emergency/crisis intervention, case management, individual/group therapy, peer support, access to inpatient detoxification and residential treatment centers, transitional housing, an intensive outpatient program, trauma-informed services, and access to medication-assisted treatment induction and follow-up care through a telehealth system. The enhanced JMATER Program will help to reduce the substantial jail overcrowding and high arrest rates in Page County. This project serves Page County, a rural Virginia community with a total population of approximately 24,000. The project includes partnerships between local organizations and community-based partners, the Commonwealth of Virginia Department of Corrections, Strength in Peers, Gemeinshaft Home, the Page County Sheriff's Office Foundation, and the Town of Luray Police Department. This project will engage Dr. Debra Stanley as the evaluation partner for this project. Priority considerations addressed in this application include the fact that the targeted county is a high-poverty qualified opportunity zone rural area serving an economically distressed community.

Page County Government

Virginia

The County of Page is applying for a Category 1 award in the amount of $600,000. The Page County Jail Medication-Assisted Treatment (MAT) Enhancement Re-Entry (JMATER) Program will address the growing opioid problem and the negative consequences of substance misuse and related crimes through evidence-based treatment and recovery services, peer support, and abstinence monitoring. The JMATER program will expand and enhance the current Jail MAT Re-Entry (JMATR) Program by adding in-house treatment and recovery services by hiring two dedicated substance use treatment staff members—a re-entry case manager and a substance use disorder therapist. These positions will allow for more timely responses to the treatment needs of program participants. Given the increasing pattern of drug misuse in Page County, referrals to JMATER are expected to exceed 50 eligible high-risk/high-need participants in the first year. Current trends indicate most referrals will be for probation violations on possession of Schedule I or II substances or prescription drugs as well as initial drug possession charges. The JMATER Program will provide 24-hour emergency/crisis intervention, case management, individual/group therapy, peer support, access to inpatient detoxification and residential treatment centers, transitional housing, an intensive outpatient program, trauma-informed services, and access to medication-assisted treatment induction and follow-up care through a telehealth system. The enhanced JMATER Program will help to reduce the substantial jail overcrowding and high arrest rates in Page County. This project serves Page County, a rural Virginia community with a total population of approximately 24,000. The project includes partnerships between local organizations and community-based partners, the Commonwealth of Virginia Department of Corrections, Strength in Peers, Gemeinshaft Home, the Page County Sheriff's Office Foundation, and the Town of Luray Police Department. This project will engage Dr. Debra Stanley as the evaluation partner for this project. Priority considerations addressed in this application include the fact that the targeted county is a high-poverty qualified opportunity zone rural area serving an economically distressed community.

PA

The Pennsylvania Commission on Crime and Delinquency (PCCD) project focuses on reducing overdose death among two highly vulnerable populations: people under probation supervision and individuals recently released from incarceration. With the assistance of committed project partners, local sites will implement evidence-based models to support people who use drugs and/or in recovery who are justice-involved. County sites will develop tailored local action plans utilizing a menu of program areas. PCCD’s proposed project builds on a successful pilot program launched in 2021 with Vital Strategies and supports six counties with identifying, planning, implementing, and assessing the impact of evidence-based reforms, services, and supports that can reduce overdose among people on probation and those returning to the community post-incarceration. Each county site will receive intensive, tailored supports from the project’s training and technical assistance (TTA) partner, Justice System Partners (JSP). This work will be informed by a baseline needs assessment and other collaborative research and evaluation strategies executed by the CUNY Institute for State and Local Governance (ISLG). PCCD and other statewide partners will ensure these activities are supported, and that project outcomes are translated for policymakers and practitioners across Pennsylvania and beyond. Project activities include: (1) pre-booking or post-booking treatment alternative-to-incarceration programs (approximately 17.5 percent of the budget); (2) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (approximately 17.5 percent of the budget); (3) transitional or recovery housing and peer recovery support services (up to 30 percent of the budget); (4) embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (approximately 17.5 percent of the budget); (5) field-initiated projects that bring together justice, behavioral health, and public health practitioners (approximately 17.5 percent of the budget).

Pennsylvania Commission on Crime and Delinquency

Pennsylvania

The Pennsylvania Commission on Crime and Delinquency (PCCD) project focuses on reducing overdose death among two highly vulnerable populations: people under probation supervision and individuals recently released from incarceration. With the assistance of committed project partners, local sites will implement evidence-based models to support people who use drugs and/or in recovery who are justice-involved. County sites will develop tailored local action plans utilizing a menu of program areas. PCCD’s proposed project builds on a successful pilot program launched in 2021 with Vital Strategies and supports six counties with identifying, planning, implementing, and assessing the impact of evidence-based reforms, services, and supports that can reduce overdose among people on probation and those returning to the community post-incarceration. Each county site will receive intensive, tailored supports from the project’s training and technical assistance (TTA) partner, Justice System Partners (JSP). This work will be informed by a baseline needs assessment and other collaborative research and evaluation strategies executed by the CUNY Institute for State and Local Governance (ISLG). PCCD and other statewide partners will ensure these activities are supported, and that project outcomes are translated for policymakers and practitioners across Pennsylvania and beyond. Project activities include: (1) pre-booking or post-booking treatment alternative-to-incarceration programs (approximately 17.5 percent of the budget); (2) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (approximately 17.5 percent of the budget); (3) transitional or recovery housing and peer recovery support services (up to 30 percent of the budget); (4) embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (approximately 17.5 percent of the budget); (5) field-initiated projects that bring together justice, behavioral health, and public health practitioners (approximately 17.5 percent of the budget).

PA

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.

Pennsylvania Department of Corrections

Pennsylvania

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.

NC

The Pitt County, North Carolina, Sheriff's Office proposes to expand the evidence-based substance use disorder (SUD) treatment programs that operate within the Pitt County Detention Center. The Sheriff's Heroin Addiction Recovery Program (SHARP) and the Women's Empowerment and Recovery (WEAR) program are designed to combat substance use disorder and overdose deaths in Pitt County. These programs include general education development/high school equivalency services, cognitive behavioral therapy, moral recognition therapy, peer support services, access to a social worker, licensed substance abuse counselors, peer support services, and Medicated Assisted Treatment. The proposed expansion would fund three more years of programmatic staff, offer ride-sharing services to newly released low-income detainee’s for SUD’s related treatment and recovery needs, provide a residential treatment housing option to low-income individuals with substance use disorder, contract with a local university for programmatic development and evaluation, and connect law enforcement with more local K-12 students. The plan is use 7 percent of the budget to provide 2,100 total rides, 700 per project year, to treatment and recovery support services by partnering with the specialized non-profit organization, Danny’s Ride. Funds will also be used to hire a case manager who will track participants, create discharge plans, and aid participants with discharge needs. Thirty-five percent of the budget will go towards the salaries and benefits of the SHARP/WEAR Programs Coordinator and the Social Worker. The Pitt County Sheriff’s Office will partner with East Carolina University (ECU) for programmatic evaluation/analysis, data collection, SHARP/WEAR curriculum development, and family life education classes for detainees (20 percent of the budget). The Principal Investigator for the project will be Dr. Mallette, CFLE, and her team of human service graduate students. This COSSAP project will also dedicate 4 percent of the funds to expand the reach of evidence-based D.A.R.E. programming in Pitt County. D.A.R.E is an education and prevention program that connects law enforcement agencies to K-12 students. The curriculum has been reinvented to include components such as opioid and OTC/Rx drug abuse, vaping prevention, depression awareness, coping mechanisms, bullying, and communication skills.

Pitt County

North Carolina

The Pitt County, North Carolina, Sheriff's Office proposes to expand the evidence-based substance use disorder (SUD) treatment programs that operate within the Pitt County Detention Center. The Sheriff's Heroin Addiction Recovery Program (SHARP) and the Women's Empowerment and Recovery (WEAR) program are designed to combat substance use disorder and overdose deaths in Pitt County. These programs include general education development/high school equivalency services, cognitive behavioral therapy, moral recognition therapy, peer support services, access to a social worker, licensed substance abuse counselors, peer support services, and Medicated Assisted Treatment. The proposed expansion would fund three more years of programmatic staff, offer ride-sharing services to newly released low-income detainee’s for SUD’s related treatment and recovery needs, provide a residential treatment housing option to low-income individuals with substance use disorder, contract with a local university for programmatic development and evaluation, and connect law enforcement with more local K-12 students. The plan is use 7 percent of the budget to provide 2,100 total rides, 700 per project year, to treatment and recovery support services by partnering with the specialized non-profit organization, Danny’s Ride. Funds will also be used to hire a case manager who will track participants, create discharge plans, and aid participants with discharge needs. Thirty-five percent of the budget will go towards the salaries and benefits of the SHARP/WEAR Programs Coordinator and the Social Worker. The Pitt County Sheriff’s Office will partner with East Carolina University (ECU) for programmatic evaluation/analysis, data collection, SHARP/WEAR curriculum development, and family life education classes for detainees (20 percent of the budget). The Principal Investigator for the project will be Dr. Mallette, CFLE, and her team of human service graduate students. This COSSAP project will also dedicate 4 percent of the funds to expand the reach of evidence-based D.A.R.E. programming in Pitt County. D.A.R.E is an education and prevention program that connects law enforcement agencies to K-12 students. The curriculum has been reinvented to include components such as opioid and OTC/Rx drug abuse, vaping prevention, depression awareness, coping mechanisms, bullying, and communication skills.

MA

The Plymouth County District Attorney’s Office (PCDAO) is applying for Category 1 funding in the amount of $1,185,241. The project will expand the county’s Drug Endangered Children Initiative (DECI) program to embed social services with law enforcement in order to rapidly respond to drug overdoses where children are impacted. Led by the DECI subcommittee within the Plymouth County Drug Abuse Task Force and leveraging existing efforts by the PCDAO and the United Way of Greater Plymouth County’s Family Resource Center (UWGPC FRC), the project will continue to train police on identifying drug-endangered children in order to increase the number of referrals. The PCDAO will work with each police department’s outreach team to develop prompts for officers to use when visiting homes for an outreach visit of an overdose victim who lives with or has children. The project will also provide funding to local youth-serving agencies, faith-based communities, and medical professionals to support training and the implementation of trauma-sensitive practices to help identified drug-endangered children build resilience and increase the UWGPC FRC’s ability to offer direct services to children and families referred from the community. The project will develop the Plymouth County Comfort Dogs Pilot Program, with the mission and purpose to offer local law enforcement Comfort Dogs to assist with their efforts of identifying, responding, supporting, and treating those impacted by anxiety, mental illness, illicit opioids, stimulants, and other drugs. The Plymouth County District Attorney’s pilot program will deliver 20 Comfort Dogs for deployment within Plymouth County, MA. The Comfort Dog Team will be present in schools and the community to enhance resilience, community response, and support to those impacted by substance use. Additionally, community-based interactions with K-12 youth will provide comfort and emotional support for the well-being of Drug Endangered Children and students with Adverse Childhood Experiences (ACEs), affording an additional avenue for referrals to our DECI at the United Way. The Plymouth County District Attorney’s Office will partner with a PhD-level faculty member at Bridgewater State University to evaluate this program. The Research Consultant will develop and implement a study to determine if there is a correlation between the Plymouth County Comfort Dogs Pilot Program and the community as whole with a special focus on the well-being of Drug Endangered Children, students with Adverse Childhood Experiences (ACEs), truancy and those in our community who are impacted by anxiety, mental illness, illicit opioids, stimulants, and other drugs. The goal of the project is to reduce the impact of opioids, stimulants, and other substances on individuals and communities by mitigating the impact on children and families through a comprehensive and collaborative county-wide effort. The project serves Plymouth County, comprising 27 municipalities with a total population of 521,202. The project includes partnerships between PCDAO, UWGPC FRC, the sheriff’s office, and local police departments. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Plymouth County (Inc)

Massachusetts

The Plymouth County District Attorney’s Office (PCDAO) is applying for Category 1 funding in the amount of $1,185,241. The project will expand the county’s Drug Endangered Children Initiative (DECI) program to embed social services with law enforcement in order to rapidly respond to drug overdoses where children are impacted. Led by the DECI subcommittee within the Plymouth County Drug Abuse Task Force and leveraging existing efforts by the PCDAO and the United Way of Greater Plymouth County’s Family Resource Center (UWGPC FRC), the project will continue to train police on identifying drug-endangered children in order to increase the number of referrals. The PCDAO will work with each police department’s outreach team to develop prompts for officers to use when visiting homes for an outreach visit of an overdose victim who lives with or has children. The project will also provide funding to local youth-serving agencies, faith-based communities, and medical professionals to support training and the implementation of trauma-sensitive practices to help identified drug-endangered children build resilience and increase the UWGPC FRC’s ability to offer direct services to children and families referred from the community. The project will develop the Plymouth County Comfort Dogs Pilot Program, with the mission and purpose to offer local law enforcement Comfort Dogs to assist with their efforts of identifying, responding, supporting, and treating those impacted by anxiety, mental illness, illicit opioids, stimulants, and other drugs. The Plymouth County District Attorney’s pilot program will deliver 20 Comfort Dogs for deployment within Plymouth County, MA. The Comfort Dog Team will be present in schools and the community to enhance resilience, community response, and support to those impacted by substance use. Additionally, community-based interactions with K-12 youth will provide comfort and emotional support for the well-being of Drug Endangered Children and students with Adverse Childhood Experiences (ACEs), affording an additional avenue for referrals to our DECI at the United Way. The Plymouth County District Attorney’s Office will partner with a PhD-level faculty member at Bridgewater State University to evaluate this program. The Research Consultant will develop and implement a study to determine if there is a correlation between the Plymouth County Comfort Dogs Pilot Program and the community as whole with a special focus on the well-being of Drug Endangered Children, students with Adverse Childhood Experiences (ACEs), truancy and those in our community who are impacted by anxiety, mental illness, illicit opioids, stimulants, and other drugs. The goal of the project is to reduce the impact of opioids, stimulants, and other substances on individuals and communities by mitigating the impact on children and families through a comprehensive and collaborative county-wide effort. The project serves Plymouth County, comprising 27 municipalities with a total population of 521,202. The project includes partnerships between PCDAO, UWGPC FRC, the sheriff’s office, and local police departments. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

OK

The Ponca Tribe of Indians of Oklahoma, headquartered in White Eagle, Oklahoma, with tribal jurisdiction extending to parts of Kay and Noble Counties, has a membership of 3,522. The tribe operates a small, ambulatory health clinic, White Eagle Health Center with a user population approaching 5,000 consisting of infants, children, adolescents, adults, and elders. The White Eagle Health Center service area encompasses four additional counties which are resident to four other rural tribes each with limited access to mental health and substance use disorder treatment services. The purpose of the project is to provide evidence-based treatment (30% of budget), recovery support services (40% of budget), tribal and county court-based intervention programming (20% of budget), naloxone distribution for law enforcement and first responders (5% of budget), and identifiable and accessible take back programming for unused controlled substances (5% of budget). The goals of the program are to: 1) Increase the accessibility of EBPs for American Indian/Alaskan Native (AI/AN) clients diagnosed with a substance use disorder 2) Reduce recovery support barriers for clients diagnosed with a substance use disorder; 3) Equip tribal law enforcement, other first responders and community members with the necessary education and equipment for administering Naloxone for the purpose of reversing opioid overdose; and 4) Establish reoccurring opportunities to facilitate the proper disposal of controlled substances by AI/AN community members. The project includes partnerships between the White Eagle Health Center, White Eagle Health Center-Behavioral Health Department, Ponca Tribal Court, Ponca Tribal Transit, Ponca Tribe Domestic Violence Services, and Ponca Indian Child Welfare. Data collection protocols will be developed to effectively measure the success of the program's objectives. This information will assist the COSSUP Project in reporting required performance measures to the Bureau of Justice Assistance. An annual report will be created to disseminate to stakeholders, community members, and other interested parties to increase investment in this program and provide a model for treating those impacted by illicit opioids, stimulants, and other drugs of abuse.

Ponca Tribe of Oklahoma

Oklahoma

The Ponca Tribe of Indians of Oklahoma, headquartered in White Eagle, Oklahoma, with tribal jurisdiction extending to parts of Kay and Noble Counties, has a membership of 3,522. The tribe operates a small, ambulatory health clinic, White Eagle Health Center with a user population approaching 5,000 consisting of infants, children, adolescents, adults, and elders. The White Eagle Health Center service area encompasses four additional counties which are resident to four other rural tribes each with limited access to mental health and substance use disorder treatment services. The purpose of the project is to provide evidence-based treatment (30% of budget), recovery support services (40% of budget), tribal and county court-based intervention programming (20% of budget), naloxone distribution for law enforcement and first responders (5% of budget), and identifiable and accessible take back programming for unused controlled substances (5% of budget). The goals of the program are to: 1) Increase the accessibility of EBPs for American Indian/Alaskan Native (AI/AN) clients diagnosed with a substance use disorder 2) Reduce recovery support barriers for clients diagnosed with a substance use disorder; 3) Equip tribal law enforcement, other first responders and community members with the necessary education and equipment for administering Naloxone for the purpose of reversing opioid overdose; and 4) Establish reoccurring opportunities to facilitate the proper disposal of controlled substances by AI/AN community members. The project includes partnerships between the White Eagle Health Center, White Eagle Health Center-Behavioral Health Department, Ponca Tribal Court, Ponca Tribal Transit, Ponca Tribe Domestic Violence Services, and Ponca Indian Child Welfare. Data collection protocols will be developed to effectively measure the success of the program's objectives. This information will assist the COSSUP Project in reporting required performance measures to the Bureau of Justice Assistance. An annual report will be created to disseminate to stakeholders, community members, and other interested parties to increase investment in this program and provide a model for treating those impacted by illicit opioids, stimulants, and other drugs of abuse.

NC

The Public Health Authority of Cabarrus County is applying for Category 1 funding in the amount of $900,000. Through the Providing Medication Assisted Treatment (MAT) and Recovery Support Services to Individuals with Opioid Use Disorder (OUD) project, Cabarrus Health Alliance (CHA), the local health department for Cabarrus and Rowan counties, will provide MAT to 50 uninsured individuals with OUD residing in the counties. The program will combine pharmacotherapy (via buprenorphine-naloxone), behavioral health treatment, voluntary access, recovery support services, and low-barrier access for participation. CHA will receive referrals for detainees post-release from the Cabarrus County Detention Center (CCDC) and recruit other MAT patients through its internal syringe access program and MAT program for pregnant women with OUD. The program will expand local capacity for care beyond pregnant women with OUD to adults with OUD; increase the number of individuals with OUD receiving MAT in combination with behavioral health services; and decrease opioid overdoses among participants of the MAT program. The project serves Cabarrus and Rowan counties, with a total population of 358,541. Parts of both counties are U.S. Human Resources and Services Administration-designated Medically Underserved Areas and Health Professional Shortage Areas in primary, dental, and mental health care and are also designated as High-Poverty Areas. The project includes partnerships with CCDC, the Stepping Up Initiative, and Atrium Health Addiction Services. Priority considerations addressed in this application include disproportionate impact by the misuse of opioids, protecting the public from crime and evolving threats, and benefiting individuals residing in high-poverty areas or persistent-poverty counties.

Public Health Authority of Cabarrus County

North Carolina

The Public Health Authority of Cabarrus County is applying for Category 1 funding in the amount of $900,000. Through the Providing Medication Assisted Treatment (MAT) and Recovery Support Services to Individuals with Opioid Use Disorder (OUD) project, Cabarrus Health Alliance (CHA), the local health department for Cabarrus and Rowan counties, will provide MAT to 50 uninsured individuals with OUD residing in the counties. The program will combine pharmacotherapy (via buprenorphine-naloxone), behavioral health treatment, voluntary access, recovery support services, and low-barrier access for participation. CHA will receive referrals for detainees post-release from the Cabarrus County Detention Center (CCDC) and recruit other MAT patients through its internal syringe access program and MAT program for pregnant women with OUD. The program will expand local capacity for care beyond pregnant women with OUD to adults with OUD; increase the number of individuals with OUD receiving MAT in combination with behavioral health services; and decrease opioid overdoses among participants of the MAT program. The project serves Cabarrus and Rowan counties, with a total population of 358,541. Parts of both counties are U.S. Human Resources and Services Administration-designated Medically Underserved Areas and Health Professional Shortage Areas in primary, dental, and mental health care and are also designated as High-Poverty Areas. The project includes partnerships with CCDC, the Stepping Up Initiative, and Atrium Health Addiction Services. Priority considerations addressed in this application include disproportionate impact by the misuse of opioids, protecting the public from crime and evolving threats, and benefiting individuals residing in high-poverty areas or persistent-poverty counties.

CO

The Pueblo County Department of Public Health and Environment (PDPHE) is applying for Category 1 funding in the amount of $899,280. The Pueblo County Partners for Data (PCPD) and Substance Abuse Response project will expand substance use and treatment datasets using quantitative and qualitative data from existing PCPD partner agencies (safety, health systems, harm reduction, schools, and social services) and new partnerships; facilitate data sharing and integration among partners; cultivate community partner and member use of the data to recognize gaps and make real-time decisions to reduce the impact of substance use on individuals and communities, reduce overdose deaths, and mitigate impacts on crime victims; enhance data infrastructure, including the data software and hardware to effectively manage a larger quantity of data; provide technical assistance to partners to collect data and assist with data organization in a compatible manner; disseminate data to the public, community partners, and community leaders so they are informed and able to make decisions based on substance use trends; and ensure data collection, analysis, and dissemination incorporate a health equity lens with the focus on reducing bias and disparities. The project will be carried out by a core team of five individuals working in the Office of Policy and Strategic Implementation at PDPHE. Deliverables include an enhanced data dashboard with additional quantitative measures such as MAT encounters, social determinants of health, prescriptions, and qualitative measures incorporating local stories; a data network where community partners, members, and researchers can request datasets based on research questions and programmatic or policy needs; a governance agreement to outline how to share, format, translate, link, and integrate data while adhering to appropriate privacy requirements to enhance data infrastructure; and an inclusive Health Equity in Data plan including community member involvement to guide data collection, analysis, and dissemination. The project serves Pueblo County, which has an estimated population of 168,424. The project includes partnerships between the PCPD and the District Attorney’s Office, the county Department of Human Services, local law enforcement agencies, hospitals, Pueblo Triple Aim Corporation, a federally qualified health center, a transitional housing center, the local fire department, and a behavioral health provider. The project will engage an external evaluation team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also support efforts to protect the public from crime and evolving threats, promote civil rights, and build trust between law enforcement and the community.

Pueblo Department of Public Health and Environment

Colorado

The Pueblo County Department of Public Health and Environment (PDPHE) is applying for Category 1 funding in the amount of $899,280. The Pueblo County Partners for Data (PCPD) and Substance Abuse Response project will expand substance use and treatment datasets using quantitative and qualitative data from existing PCPD partner agencies (safety, health systems, harm reduction, schools, and social services) and new partnerships; facilitate data sharing and integration among partners; cultivate community partner and member use of the data to recognize gaps and make real-time decisions to reduce the impact of substance use on individuals and communities, reduce overdose deaths, and mitigate impacts on crime victims; enhance data infrastructure, including the data software and hardware to effectively manage a larger quantity of data; provide technical assistance to partners to collect data and assist with data organization in a compatible manner; disseminate data to the public, community partners, and community leaders so they are informed and able to make decisions based on substance use trends; and ensure data collection, analysis, and dissemination incorporate a health equity lens with the focus on reducing bias and disparities. The project will be carried out by a core team of five individuals working in the Office of Policy and Strategic Implementation at PDPHE. Deliverables include an enhanced data dashboard with additional quantitative measures such as MAT encounters, social determinants of health, prescriptions, and qualitative measures incorporating local stories; a data network where community partners, members, and researchers can request datasets based on research questions and programmatic or policy needs; a governance agreement to outline how to share, format, translate, link, and integrate data while adhering to appropriate privacy requirements to enhance data infrastructure; and an inclusive Health Equity in Data plan including community member involvement to guide data collection, analysis, and dissemination. The project serves Pueblo County, which has an estimated population of 168,424. The project includes partnerships between the PCPD and the District Attorney’s Office, the county Department of Human Services, local law enforcement agencies, hospitals, Pueblo Triple Aim Corporation, a federally qualified health center, a transitional housing center, the local fire department, and a behavioral health provider. The project will engage an external evaluation team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also support efforts to protect the public from crime and evolving threats, promote civil rights, and build trust between law enforcement and the community.

NM

The Pueblo of Pojoaque, a federally recognized American Indian Tribe, is in north-central New Mexico and is one of the six Northern Tewa-speaking Rio Grande Pueblos. The Pueblo is in the Pojoaque Valley, 15 miles north of Santa Fe and 10 miles south of Rio Arriba County, and situated along interstate US 84/285, a major highway with more than 25,000 commuters per day. This level of traffic and the Pueblo’s proximity to Rio Arriba County, a county that has historically had one of the highest rates of drug-related deaths, makes the community vulnerable to the sale and distribution of illicit substances. The project will provide services to individuals and families of the Pueblo of Pojoaque, the Hispanic communities in Pojoaque Valley, and the tribal communities of San Idefonso, Nambe, Santa Clara, Tesuque, and Ohkay Owingeh. The purpose of the program is to (1) enhance evidence-based harm reduction efforts within the Pueblo of Pojoaque; (2) expand access to recovery support services for individuals with substance use problems; and (3) support evidence-based culturally centered prevention efforts to reduce youth substance use. The long-term program goals are to prevent substance use among youth and reduce the impact of substance abuse on individuals and the community. The project will focus on three specific allowable activities described in the solicitation: (1) naloxone education and distribution for law enforcement and first responders; education and prevention programs to connect law enforcement agencies with K-12 students; and evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, as well as harm reduction activities and recovery support services. Within each activity and trainings offered, the program will give priority to American Indian Tribal members to promote racial equity and remove any barriers to access. The program will design a culturally responsive program that represents the Pueblo and fills existing gaps created by colonization and the forced removal of traditional ways.

Pueblo of Pojoaque

New Mexico

The Pueblo of Pojoaque, a federally recognized American Indian Tribe, is in north-central New Mexico and is one of the six Northern Tewa-speaking Rio Grande Pueblos. The Pueblo is in the Pojoaque Valley, 15 miles north of Santa Fe and 10 miles south of Rio Arriba County, and situated along interstate US 84/285, a major highway with more than 25,000 commuters per day. This level of traffic and the Pueblo’s proximity to Rio Arriba County, a county that has historically had one of the highest rates of drug-related deaths, makes the community vulnerable to the sale and distribution of illicit substances. The project will provide services to individuals and families of the Pueblo of Pojoaque, the Hispanic communities in Pojoaque Valley, and the tribal communities of San Idefonso, Nambe, Santa Clara, Tesuque, and Ohkay Owingeh. The purpose of the program is to (1) enhance evidence-based harm reduction efforts within the Pueblo of Pojoaque; (2) expand access to recovery support services for individuals with substance use problems; and (3) support evidence-based culturally centered prevention efforts to reduce youth substance use. The long-term program goals are to prevent substance use among youth and reduce the impact of substance abuse on individuals and the community. The project will focus on three specific allowable activities described in the solicitation: (1) naloxone education and distribution for law enforcement and first responders; education and prevention programs to connect law enforcement agencies with K-12 students; and evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, as well as harm reduction activities and recovery support services. Within each activity and trainings offered, the program will give priority to American Indian Tribal members to promote racial equity and remove any barriers to access. The program will design a culturally responsive program that represents the Pueblo and fills existing gaps created by colonization and the forced removal of traditional ways.

AR

The Pulaski County Sheriff's Office (PCSO) seeks funding through the BJA COSSAP grant for the purposes of treating substance use disorder (SUD) sufferers, providing transitional housing to SUD sufferers, and embedding peers at multiple stages of the Sequential Intercept Model (SIM). PCSO serves Pulaski County, the most urban county in Arkansas with 400,000 inhabitants and 800 square miles of area. The PCSO Reentry Program will implement the proposal in Pulaski County. PCSO was awarded a 2019 COSSAP grant, but this application represents a substantively different proposal as it focuses on Peer Recovery Support Specialists (PRSS), medication-assisted treatment (MAT), and transitional housing. Salary for additional PCSO Reentry staff represents the largest portion of the requested funds, at 55 percent, which funds four additional staff: a grant administrator, a Substance Abuse Counselor (SAC), and two PRSS. The grant administrator will spend 100 percent of their time administering this program, expanding the partnership network, and developing new funding sources to continue the program after the award expires. The SAC and the two PRSS will be embedded at multiple intercepts in the SIM as detailed in the grant narrative. Expected outcomes include program self-sufficiency stemming from the grant administrator’s funding efforts and increased support at multiple stages of SIM for SUD sufferers. Much of this support will occur at the PCSO Regional Detention Facility (RDF) in the form of 30 additional sessions per week for each additional counselor. The next largest requested expenditure funds pre-release evidence-based SUD treatment at the PCSO RDF at 21 percent. MAT represents the bulk of these costs but grant monies will also fund evidence-based curriculum materials for courses such as Cognitive Behavioral Therapy. The PCSO contracts with Turn Key Health for all medical services in the PCSO RDF and will continue to do so with MAT as detailed in the grant narrative. The requested monies will fund MAT for approximately 150 people. Lastly, the PCSO requests funds for transitional and recovery housing at 11 percent of the grant. These monies will fund approximately 225 months of housing for SUD sufferers post-release. The PCSO leverages existing partnerships with many facilities to extend the impact of these funds as detailed in the grant narrative. If successful, this proposal will significantly expand the reach and depth of services the PCSO offers to justice-involved Arkansan sufferers of SUD.

Pulaski County

Arkansas

The Pulaski County Sheriff's Office (PCSO) seeks funding through the BJA COSSAP grant for the purposes of treating substance use disorder (SUD) sufferers, providing transitional housing to SUD sufferers, and embedding peers at multiple stages of the Sequential Intercept Model (SIM). PCSO serves Pulaski County, the most urban county in Arkansas with 400,000 inhabitants and 800 square miles of area. The PCSO Reentry Program will implement the proposal in Pulaski County. PCSO was awarded a 2019 COSSAP grant, but this application represents a substantively different proposal as it focuses on Peer Recovery Support Specialists (PRSS), medication-assisted treatment (MAT), and transitional housing. Salary for additional PCSO Reentry staff represents the largest portion of the requested funds, at 55 percent, which funds four additional staff: a grant administrator, a Substance Abuse Counselor (SAC), and two PRSS. The grant administrator will spend 100 percent of their time administering this program, expanding the partnership network, and developing new funding sources to continue the program after the award expires. The SAC and the two PRSS will be embedded at multiple intercepts in the SIM as detailed in the grant narrative. Expected outcomes include program self-sufficiency stemming from the grant administrator’s funding efforts and increased support at multiple stages of SIM for SUD sufferers. Much of this support will occur at the PCSO Regional Detention Facility (RDF) in the form of 30 additional sessions per week for each additional counselor. The next largest requested expenditure funds pre-release evidence-based SUD treatment at the PCSO RDF at 21 percent. MAT represents the bulk of these costs but grant monies will also fund evidence-based curriculum materials for courses such as Cognitive Behavioral Therapy. The PCSO contracts with Turn Key Health for all medical services in the PCSO RDF and will continue to do so with MAT as detailed in the grant narrative. The requested monies will fund MAT for approximately 150 people. Lastly, the PCSO requests funds for transitional and recovery housing at 11 percent of the grant. These monies will fund approximately 225 months of housing for SUD sufferers post-release. The PCSO leverages existing partnerships with many facilities to extend the impact of these funds as detailed in the grant narrative. If successful, this proposal will significantly expand the reach and depth of services the PCSO offers to justice-involved Arkansan sufferers of SUD.

KY

The Purchase District Health Department is partnering public health, public safety, and recovery communities to address SUD/OUD epidemic with the purpose of impacting racial and gender equity of recovery service delivery and reducing drug-related harms including overdose and incarceration. The project serves eight counties in far western Kentucky with a population totaling 200,000 people. Project activities fall into four categories: 1) Reducing overdose by (a) distributing naloxone to at-risk individuals and their families and (b) educating young people about fentanyl; 2) Implementing a deflection/pre-arrest diversion program that increases access to substance use and behavioral health treatment; 3) Implementing a warm-handoff to peer support for individuals released from jail; and 4) Providing housing vouchers for individuals in recovery. Expected outcomes include reduced drug-related recidivism, increased utilization of substance use disorder services, and improved coordination of services between public safety, public health, and behavioral health service providers. The intended beneficiaries of the project are individuals with active substance use disorder, individuals in recovery, justice-involved individuals, and families of individuals with substance use disorder. The project includes a rigorous evaluation component and research activities to inform future programming and best practices.

Purchase District Health Department

Kentucky

The Purchase District Health Department is partnering public health, public safety, and recovery communities to address SUD/OUD epidemic with the purpose of impacting racial and gender equity of recovery service delivery and reducing drug-related harms including overdose and incarceration. The project serves eight counties in far western Kentucky with a population totaling 200,000 people. Project activities fall into four categories: 1) Reducing overdose by (a) distributing naloxone to at-risk individuals and their families and (b) educating young people about fentanyl; 2) Implementing a deflection/pre-arrest diversion program that increases access to substance use and behavioral health treatment; 3) Implementing a warm-handoff to peer support for individuals released from jail; and 4) Providing housing vouchers for individuals in recovery. Expected outcomes include reduced drug-related recidivism, increased utilization of substance use disorder services, and improved coordination of services between public safety, public health, and behavioral health service providers. The intended beneficiaries of the project are individuals with active substance use disorder, individuals in recovery, justice-involved individuals, and families of individuals with substance use disorder. The project includes a rigorous evaluation component and research activities to inform future programming and best practices.

WA

The Puyallup Reservation is highly urbanized as it is primarily located within Pierce County and the city of Tacoma, Washington. Pierce County, where drug overdoses are now the leading cause of accidental death, has a population of 946,310 (2022). The city of Tacoma is the third largest city in the state. The 2010 Census reported that Tacoma has the eighth highest percentage of American Indians and Alaska Natives among U.S. Cities. The Puyallup Tribe's Indian Health Service designated service area has a Native American and Alaska Native population of 28,208 individuals from over 350 tribes and bands. The substance abuse epidemic has had a devastating impact on Puyallup tribal members, their families, and the tribal community as a whole. Substance use on the reservation is prevalent and overdose fatalities are becoming increasingly common. Resolving complex, multi-generational substance use is more successful when individuals have sober support, family education, and a thriving community. Returning to the tribal community should not be a barrier to recovery. The project seeks to increase access to inpatient treatment, outpatient treatment services (including counseling and MAT), and family recovery support services that are culturally appropriate. In addition, the project seeks to increase interventions and education within the Puyallup Tribal community to protect future generations. Community Family Services, a department within Puyallup Tribal government administration, provides assessments, referrals, and treatment services to all Native American's living within this service area. Their staff of substance use professionals connects clients to individualized treatment depending on what stage of recovery a person is in. Services provided by the Puyallup Tribe are culturally appropriate and targeted to healing Native families within the Puyallup tribal community. The Puyallup Tribe will use grant funding to reduce barriers to treatment services, as well as to increase the length of time in treatment by coordinating immediate outpatient services. funding will also enhance education and support for the family to strengthen the recovery community. The positive impact of this project extends beyond the individual receiving treatment and benefits the Puyallup community as a whole.

Puyallup Tribe of Indians

Washington

The Puyallup Reservation is highly urbanized as it is primarily located within Pierce County and the city of Tacoma, Washington. Pierce County, where drug overdoses are now the leading cause of accidental death, has a population of 946,310 (2022). The city of Tacoma is the third largest city in the state. The 2010 Census reported that Tacoma has the eighth highest percentage of American Indians and Alaska Natives among U.S. Cities. The Puyallup Tribe's Indian Health Service designated service area has a Native American and Alaska Native population of 28,208 individuals from over 350 tribes and bands. The substance abuse epidemic has had a devastating impact on Puyallup tribal members, their families, and the tribal community as a whole. Substance use on the reservation is prevalent and overdose fatalities are becoming increasingly common. Resolving complex, multi-generational substance use is more successful when individuals have sober support, family education, and a thriving community. Returning to the tribal community should not be a barrier to recovery. The project seeks to increase access to inpatient treatment, outpatient treatment services (including counseling and MAT), and family recovery support services that are culturally appropriate. In addition, the project seeks to increase interventions and education within the Puyallup Tribal community to protect future generations. Community Family Services, a department within Puyallup Tribal government administration, provides assessments, referrals, and treatment services to all Native American's living within this service area. Their staff of substance use professionals connects clients to individualized treatment depending on what stage of recovery a person is in. Services provided by the Puyallup Tribe are culturally appropriate and targeted to healing Native families within the Puyallup tribal community. The Puyallup Tribe will use grant funding to reduce barriers to treatment services, as well as to increase the length of time in treatment by coordinating immediate outpatient services. funding will also enhance education and support for the family to strengthen the recovery community. The positive impact of this project extends beyond the individual receiving treatment and benefits the Puyallup community as a whole.

WA

The Adult and Family Healing to Wellness Courts (AFHWC) of the Quinault Indian Nation (QIN) project will address the lack of integrated assistance, particularly for people who may be eligible for diversion from County Superior Court. Persons in AFHWC are currently not prioritized for services or treatment in Behavioral Health or Substance Dependency Treatment, causing further hardship for families whose loved ones may have initially committed to but subsequently abandoned treatment prior to the issuance of a court order. With the possibility of securing a joint jurisdiction agreement with the Grays Harbor Superior Court before the end of 2023, as well as the opportunity to redirect qualifying cases to the Tribal Court's supervision, the Tribal Court requires more assistance to centralize its services and assist families in their recovery. This is an important step because of the prevalence of addiction in the community and the scarcity of preventative assistance services. In order to accomplish this, the QIN AFHWC will collaborate with the Quinault Wellness Center to deliver evidence-based, culturally inclusive recovery support tools to our community's most vulnerable residents. This three-year initiative will provide stabilizing services in a community heavily struck by drug use disorders with the help of trained Peer Recovery Supports who are also AFHWC Alum. The project design incorporates the Sequential Intercept Model from SAMHSA as well as the ten Key Components of Tribal Healing to Wellness Court best practices. It also includes systems of care to address the unique needs of those with cooccurring disorders. This initiative will assist address system gaps upstream of encountering the judicial system while also giving support to individuals who are already in it.

Quinault Indian Nation

Washington

The Adult and Family Healing to Wellness Courts (AFHWC) of the Quinault Indian Nation (QIN) project will address the lack of integrated assistance, particularly for people who may be eligible for diversion from County Superior Court. Persons in AFHWC are currently not prioritized for services or treatment in Behavioral Health or Substance Dependency Treatment, causing further hardship for families whose loved ones may have initially committed to but subsequently abandoned treatment prior to the issuance of a court order. With the possibility of securing a joint jurisdiction agreement with the Grays Harbor Superior Court before the end of 2023, as well as the opportunity to redirect qualifying cases to the Tribal Court's supervision, the Tribal Court requires more assistance to centralize its services and assist families in their recovery. This is an important step because of the prevalence of addiction in the community and the scarcity of preventative assistance services. In order to accomplish this, the QIN AFHWC will collaborate with the Quinault Wellness Center to deliver evidence-based, culturally inclusive recovery support tools to our community's most vulnerable residents. This three-year initiative will provide stabilizing services in a community heavily struck by drug use disorders with the help of trained Peer Recovery Supports who are also AFHWC Alum. The project design incorporates the Sequential Intercept Model from SAMHSA as well as the ten Key Components of Tribal Healing to Wellness Court best practices. It also includes systems of care to address the unique needs of those with cooccurring disorders. This initiative will assist address system gaps upstream of encountering the judicial system while also giving support to individuals who are already in it.

MN

The Comprehensive Longitudinal Efforts Addressing Narcotic Use Proliferation (CLEANUP) will address illicit substance use in Rice County, Minnesota, with a population of 67,000 people. It will reduce overdose deaths, promote public safety, and support access to treatment, recovery, and harm reduction in the community and justice system. A multidisciplinary coordinating body, the Rice County Opioid Council, will support law enforcement and justice systems to intervene earlier using deflection and diversion to shift efforts from punishment to restorative practices. Through the Recovery Support Team, the project will support access to treatment, housing, basic needs, peer recovery support and culturally/linguistically appropriate services to improve outcomes for those struggling with substance use disorder, prioritizing Latin and East African communities. Activities under the grant include police-assisted recovery and deflection (14 percent of budget), pre-charge adult diversion (36 percent of budget), recovery support team (36 percent of budget), pre-/post-treatment housing (14 percent of budget). Council partners have implemented most of the remaining allowable activities, and with the resources made possible by this grant and the support of a research partner, Rice County will have a comprehensive model that could serve as a national model for other rural communities. The project benefits individuals from underserved rural Rice County struggling with substance use disorder, with a focus on underserved communities, especially Latine and Somali.

Rice County

Minnesota

The Comprehensive Longitudinal Efforts Addressing Narcotic Use Proliferation (CLEANUP) will address illicit substance use in Rice County, Minnesota, with a population of 67,000 people. It will reduce overdose deaths, promote public safety, and support access to treatment, recovery, and harm reduction in the community and justice system. A multidisciplinary coordinating body, the Rice County Opioid Council, will support law enforcement and justice systems to intervene earlier using deflection and diversion to shift efforts from punishment to restorative practices. Through the Recovery Support Team, the project will support access to treatment, housing, basic needs, peer recovery support and culturally/linguistically appropriate services to improve outcomes for those struggling with substance use disorder, prioritizing Latin and East African communities. Activities under the grant include police-assisted recovery and deflection (14 percent of budget), pre-charge adult diversion (36 percent of budget), recovery support team (36 percent of budget), pre-/post-treatment housing (14 percent of budget). Council partners have implemented most of the remaining allowable activities, and with the resources made possible by this grant and the support of a research partner, Rice County will have a comprehensive model that could serve as a national model for other rural communities. The project benefits individuals from underserved rural Rice County struggling with substance use disorder, with a focus on underserved communities, especially Latine and Somali.

NM

Rio Arriba County, through Rio Arriba Health & Human Services (RAHHS), is applying for Category 1 funding in the amount of $582,810. The project will enable RAHHS to expand its Law Enforcement Assisted Diversion (LEAD) Program, resulting in enhanced coverage during peak off-business hours and an expanded intake network in order to maximize the number of beneficiaries of the program. While referrals from law enforcement will be prioritized, referrals will also be accepted pre-arrest from community providers, as will self-referrals. RAHHS will also work with the New Mexico Behavioral Health Services Division (BHSD) to develop a reimbursement model for care that is consistent with LEAD, provides the actual services needed by LEAD clientele, and can be scaled to the 32 other counties in New Mexico. The project will assign one certified peer support worker case manager to district court to serve and redirect LEAD clients back to LEAD who disappear into the corrections system in other counties and will expand prevention efforts by assigning a half-time clinician to provide dialectical behavioral therapy to at-risk youth in the Española and Chama School Districts. Deliverables include the referral of 80 individuals by law enforcement for pre-arrest diversion to treatment. The project serves Rio Arriba County, which has an estimated population of 38,921. The project includes partnerships with BHSD, the Rio Arriba County Sheriff’s Office, the Española Police Department, the New Mexico State Police, Adult Probation, the District Attorney’s Office, the Public Defender’s Office, the First Judicial District Court, the Rio Arriba Community Health Council, the Northern New Mexico Rural Health Network, and the Opiate Use Reduction (OUR) Network. The project will engage Dr. Anne Hayes Egan of New Ventures Consulting as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Rio Arriba County

New Mexico

Rio Arriba County, through Rio Arriba Health & Human Services (RAHHS), is applying for Category 1 funding in the amount of $582,810. The project will enable RAHHS to expand its Law Enforcement Assisted Diversion (LEAD) Program, resulting in enhanced coverage during peak off-business hours and an expanded intake network in order to maximize the number of beneficiaries of the program. While referrals from law enforcement will be prioritized, referrals will also be accepted pre-arrest from community providers, as will self-referrals. RAHHS will also work with the New Mexico Behavioral Health Services Division (BHSD) to develop a reimbursement model for care that is consistent with LEAD, provides the actual services needed by LEAD clientele, and can be scaled to the 32 other counties in New Mexico. The project will assign one certified peer support worker case manager to district court to serve and redirect LEAD clients back to LEAD who disappear into the corrections system in other counties and will expand prevention efforts by assigning a half-time clinician to provide dialectical behavioral therapy to at-risk youth in the Española and Chama School Districts. Deliverables include the referral of 80 individuals by law enforcement for pre-arrest diversion to treatment. The project serves Rio Arriba County, which has an estimated population of 38,921. The project includes partnerships with BHSD, the Rio Arriba County Sheriff’s Office, the Española Police Department, the New Mexico State Police, Adult Probation, the District Attorney’s Office, the Public Defender’s Office, the First Judicial District Court, the Rio Arriba Community Health Council, the Northern New Mexico Rural Health Network, and the Opiate Use Reduction (OUR) Network. The project will engage Dr. Anne Hayes Egan of New Ventures Consulting as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

NY

The County of Rockland, New York, applied for Category 1b suburban area grant funding in the amount of $899,964. The Law Enforcement Assisted Diversion (LEAD) program will start with a pilot with the largest law enforcement agency in Rockland County and then roll out to other police agencies. The goal is to improve public safety, reduce the number of low-level substance-using offenders from entering the criminal justice system, address issues of disproportionality, and strengthen the relationships between prosecution, law enforcement, and the community. This project serves Rockland County, New York. The project includes partnerships between the District Attorney’s Office, Town of Clarkstown Police Department (for the pilot), all local law enforcement agencies in Rockland County, the Rockland Council on Alcoholism and other Drug Dependence, and the Samaritan Daytop Village. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.

Rockland County, NY

New York

The County of Rockland, New York, applied for Category 1b suburban area grant funding in the amount of $899,964. The Law Enforcement Assisted Diversion (LEAD) program will start with a pilot with the largest law enforcement agency in Rockland County and then roll out to other police agencies. The goal is to improve public safety, reduce the number of low-level substance-using offenders from entering the criminal justice system, address issues of disproportionality, and strengthen the relationships between prosecution, law enforcement, and the community. This project serves Rockland County, New York. The project includes partnerships between the District Attorney’s Office, Town of Clarkstown Police Department (for the pilot), all local law enforcement agencies in Rockland County, the Rockland Council on Alcoholism and other Drug Dependence, and the Samaritan Daytop Village. Priority considerations addressed in this application include high-poverty areas and Qualified Opportunity Zones.

OH

The Ross County Peer Recovery Support Services, Data Collection and Youth Drug Prevention Enhancement/Expansion Project is a collaborative effort to enhance current community efforts for peer recovery support services, multi-sector data collection for response to emerging drug threats, and youth drug prevention education to fight emerging drug threats in local communities in Ross County, Ohio. Ross County has continued to experience a steady increase in suspected drug overdoses as well as overdose fatalities with 2021 begin the worst year on record for unintentional drug overdoses and overdose fatalities. Community response to emerging drug threats has continued to evolve as the community has built the partnerships and collaborations needed to effectively address community issues revolved around substance use disorder and overdoses. The project is an opportunity to expand our community collaborations, enhance and expand peer recovery support services, and data collection and youth drug prevention efforts around drug use and substance use disorder. The project will focus on enhancing and expanding established peer recovery support services through a subaward project with the Ross County Community Action Commission to those who experience substance use disorder during treatment, post treatment and recovery with an emphasis on building additional capacity in peer recovery services data collection, evaluation, and program improvements. The Project will also employ a full-time health educator, who will work in conjunction with local schools, local law enforcement, and k-12 aged population in drug prevention education efforts to fill gaps and needs with youth prevention efforts in the community. Finally, the project will employ a full-time data/project coordinator with the Ross County Health District who will enhance and expand local multi sector data collection projects for drug overdose surveillance, quick response team outreach, overdose fatality reviews, and peer recovery support services with an emphasis on building program evaluation processes. Sixty percent of the funding will be allocated to peer recovery support services; 20 percent of funding will go towards real-time data collection; and 20 percent of funding will cover education and prevention programs to connect law enforcement agencies with K-12 students. This project will serve all of Ross County, a rural area in Southern Ohio with a population of 76,666 (U.S. Census 2019 est.).

Ross County Health District

Ohio

The Ross County Peer Recovery Support Services, Data Collection and Youth Drug Prevention Enhancement/Expansion Project is a collaborative effort to enhance current community efforts for peer recovery support services, multi-sector data collection for response to emerging drug threats, and youth drug prevention education to fight emerging drug threats in local communities in Ross County, Ohio. Ross County has continued to experience a steady increase in suspected drug overdoses as well as overdose fatalities with 2021 begin the worst year on record for unintentional drug overdoses and overdose fatalities. Community response to emerging drug threats has continued to evolve as the community has built the partnerships and collaborations needed to effectively address community issues revolved around substance use disorder and overdoses. The project is an opportunity to expand our community collaborations, enhance and expand peer recovery support services, and data collection and youth drug prevention efforts around drug use and substance use disorder. The project will focus on enhancing and expanding established peer recovery support services through a subaward project with the Ross County Community Action Commission to those who experience substance use disorder during treatment, post treatment and recovery with an emphasis on building additional capacity in peer recovery services data collection, evaluation, and program improvements. The Project will also employ a full-time health educator, who will work in conjunction with local schools, local law enforcement, and k-12 aged population in drug prevention education efforts to fill gaps and needs with youth prevention efforts in the community. Finally, the project will employ a full-time data/project coordinator with the Ross County Health District who will enhance and expand local multi sector data collection projects for drug overdose surveillance, quick response team outreach, overdose fatality reviews, and peer recovery support services with an emphasis on building program evaluation processes. Sixty percent of the funding will be allocated to peer recovery support services; 20 percent of funding will go towards real-time data collection; and 20 percent of funding will cover education and prevention programs to connect law enforcement agencies with K-12 students. This project will serve all of Ross County, a rural area in Southern Ohio with a population of 76,666 (U.S. Census 2019 est.).

TN

Rutherford County is applying for Category 1 funding in the amount of $471,807. The Rutherford County Emergency Medical Services (RCEMS) COSSAP Program will improve tracking, analysis, and dissemination of medicolegal data as relates to drug-related deaths and improve death investigation procedures within Rutherford County. The project will fund personnel to implement and manage the new Office of the State Medical Examiner (OSCME)-provided comprehensive case management system by collecting real-time comprehensive information regarding death investigations to include specifically overdose and drug-related deaths; and form a comprehensive opioid, stimulant, and substance misuse fatality review by liaison with OSCME, law enforcement officials, public health agencies, and other interested entities. The two new medicolegal death investigators will be available to assist the Operations Support Death Investigations Supervisor and the County Medical Examiner with those cases that do not reach the threshold for full autopsy performance but do require a thorough external examination with toxicology testing. This would allow for improved efficiency and timeliness for forensic results required for death certification, reporting to investigating law enforcement agencies, reporting to family of the decedents, and for any subsequent adjudication procedures and final disposition arrangements. Tracking of new drugs into the jurisdiction during review of toxicology reports on all medical examiner forensic cases will guide local and regional law enforcement efforts as it relates to crime prevention and identification of evolving threats. The project serves Rutherford County, which has a population of approximately 350,000. The project includes partnerships between RCEMS, OSCME, and the Rutherford County Sheriff’s Office. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Rutherford County

Tennessee

Rutherford County is applying for Category 1 funding in the amount of $471,807. The Rutherford County Emergency Medical Services (RCEMS) COSSAP Program will improve tracking, analysis, and dissemination of medicolegal data as relates to drug-related deaths and improve death investigation procedures within Rutherford County. The project will fund personnel to implement and manage the new Office of the State Medical Examiner (OSCME)-provided comprehensive case management system by collecting real-time comprehensive information regarding death investigations to include specifically overdose and drug-related deaths; and form a comprehensive opioid, stimulant, and substance misuse fatality review by liaison with OSCME, law enforcement officials, public health agencies, and other interested entities. The two new medicolegal death investigators will be available to assist the Operations Support Death Investigations Supervisor and the County Medical Examiner with those cases that do not reach the threshold for full autopsy performance but do require a thorough external examination with toxicology testing. This would allow for improved efficiency and timeliness for forensic results required for death certification, reporting to investigating law enforcement agencies, reporting to family of the decedents, and for any subsequent adjudication procedures and final disposition arrangements. Tracking of new drugs into the jurisdiction during review of toxicology reports on all medical examiner forensic cases will guide local and regional law enforcement efforts as it relates to crime prevention and identification of evolving threats. The project serves Rutherford County, which has a population of approximately 350,000. The project includes partnerships between RCEMS, OSCME, and the Rutherford County Sheriff’s Office. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

TN

Substance use disorder (SUD) and related issues are a burden on the citizens of Rutherford County, Tennessee. In 2021, there were 3,841 fatal overdoses in Tennessee, of which 141 were in Rutherford County. According to the latest CDC data, Tennessee is reported to have the 11th highest rate of overdose deaths per 100,000 population. Rutherford County's 2021 overdose fatality rate was 34 per 100,000 persons. Funding will be utilized to develop the Sheriff's Harm Reduction Program (SHARP). SHARP will reduce SUD and overdose in persons encountering law enforcement while reducing recidivism and incarceration for drug related offenses within the jurisdiction of Rutherford County, Tennessee. This project is in collaboration with Prevention Coalition for Success, Rutherford County Adult Detention Center, Rutherford County Correctional Work Center, Rutherford County Medical Examiner, Rutherford Opioid Board, 16th Judicial District Recovery Court, and Rutherford County Re-Entry Program. All participants listed above are stakeholders in regard to rehabilitation, recidivism and re-entry of incarcerated persons into the community. SHARP will accomplish this by embedding two Certified Peer Support Specialists (CPSS) into Rutherford County Adult Detention Center and Rutherford County Correctional Work Center. These CPSS will assist individuals with navigation of the behavioral healthcare system and recovery resources for incarcerated persons. The Tennessee Department of Mental Health and Substance Abuse Services describes CPSS as having the ability to support others in achieving their personal recovery goals by promoting self-determination, personal responsibility, and empowerment in self-directed recovery. SHARP will also utilize funding for transportation of SUD individuals to behavioral healthcare facilities. SHARP will fill a substantial gap in service provision in Rutherford County, by providing treatment services for incarcerated persons. SHARP's aim is to detect incarcerated individuals struggling with SUD and give them the opportunity to access the services they need by identifying effective behavioral interventions andbolstering community and supervision services to curtail use. We will connect individuals to establish evidence-based treatment services for those struggling with SUD. Through SHARP, this vulnerable population will receive greater access to treatment and recovery services, which will reduce the impact and misuse of opioids, stimulants, and other substances, and reduce overdose fatalities in Rutherford County. The project will leverage the strides Rutherford County has made in recognizing and addressing SUD in every population and address our shortcomings in intercepting and addressing SUD problems within our correction facilities.

Rutherford, County of

Tennessee

Substance use disorder (SUD) and related issues are a burden on the citizens of Rutherford County, Tennessee. In 2021, there were 3,841 fatal overdoses in Tennessee, of which 141 were in Rutherford County. According to the latest CDC data, Tennessee is reported to have the 11th highest rate of overdose deaths per 100,000 population. Rutherford County's 2021 overdose fatality rate was 34 per 100,000 persons. Funding will be utilized to develop the Sheriff's Harm Reduction Program (SHARP). SHARP will reduce SUD and overdose in persons encountering law enforcement while reducing recidivism and incarceration for drug related offenses within the jurisdiction of Rutherford County, Tennessee. This project is in collaboration with Prevention Coalition for Success, Rutherford County Adult Detention Center, Rutherford County Correctional Work Center, Rutherford County Medical Examiner, Rutherford Opioid Board, 16th Judicial District Recovery Court, and Rutherford County Re-Entry Program. All participants listed above are stakeholders in regard to rehabilitation, recidivism and re-entry of incarcerated persons into the community. SHARP will accomplish this by embedding two Certified Peer Support Specialists (CPSS) into Rutherford County Adult Detention Center and Rutherford County Correctional Work Center. These CPSS will assist individuals with navigation of the behavioral healthcare system and recovery resources for incarcerated persons. The Tennessee Department of Mental Health and Substance Abuse Services describes CPSS as having the ability to support others in achieving their personal recovery goals by promoting self-determination, personal responsibility, and empowerment in self-directed recovery. SHARP will also utilize funding for transportation of SUD individuals to behavioral healthcare facilities. SHARP will fill a substantial gap in service provision in Rutherford County, by providing treatment services for incarcerated persons. SHARP's aim is to detect incarcerated individuals struggling with SUD and give them the opportunity to access the services they need by identifying effective behavioral interventions andbolstering community and supervision services to curtail use. We will connect individuals to establish evidence-based treatment services for those struggling with SUD. Through SHARP, this vulnerable population will receive greater access to treatment and recovery services, which will reduce the impact and misuse of opioids, stimulants, and other substances, and reduce overdose fatalities in Rutherford County. The project will leverage the strides Rutherford County has made in recognizing and addressing SUD in every population and address our shortcomings in intercepting and addressing SUD problems within our correction facilities.

MN

The County of St. Louis applied for Category 1b suburban area grant funding in the amount of $897,607. The St. Louis County FY 2020 COSSAP Initiative will expand access to evidence- based treatment (including medication-assisted treatment and recovery services in jail), expand peer recovery support services and access to treatment for rural residents, and provide coordination to support comprehensive responses to substance abuse. This project serves St. Louis County with a population of approximately 200,540. The project includes partnerships between the St. Louis County Jail, Recovery Alliance Duluth, Human Development Center, and Duluth Family Medicine Clinic. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing communities that are primarily rural and/or localities facing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse. Grant funds support a nurse who delivers medication assisted treatment in the St. Louis County Jail, a community health care worker at Duluth Family Medicine, jail-based and community-based peer recovery support services (from Recovery Alliance Duluth and the Human Development Center), and a project coordinator (from Recovery Alliance Duluth). All of these individuals work together to improve outcomes for individuals with substance use disorders involved in the criminal justice system.

Saint Louis County

Minnesota

The County of St. Louis applied for Category 1b suburban area grant funding in the amount of $897,607. The St. Louis County FY 2020 COSSAP Initiative will expand access to evidence- based treatment (including medication-assisted treatment and recovery services in jail), expand peer recovery support services and access to treatment for rural residents, and provide coordination to support comprehensive responses to substance abuse. This project serves St. Louis County with a population of approximately 200,540. The project includes partnerships between the St. Louis County Jail, Recovery Alliance Duluth, Human Development Center, and Duluth Family Medicine Clinic. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing communities that are primarily rural and/or localities facing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse. Grant funds support a nurse who delivers medication assisted treatment in the St. Louis County Jail, a community health care worker at Duluth Family Medicine, jail-based and community-based peer recovery support services (from Recovery Alliance Duluth and the Human Development Center), and a project coordinator (from Recovery Alliance Duluth). All of these individuals work together to improve outcomes for individuals with substance use disorders involved in the criminal justice system.

FL

Seminole County has drafted an evidence-based four-part plan to combat opioid use, abuse, overdose, and arrest which conforms to the following activities: (1) naloxone for law enforcement and first responders (18 percent of budget); (2) court programming to prioritize and expedite treatment and recovery services for individuals at high risk for overdose, as well as services for children and youth impacted by their parents’ or other family members’ substance abuse (25 percent of budget); (3) embedding social workers, peers, and/or persons with lived-in experience at any intercept of the Sequential Intercept Model. This program component will hire a social worker to conduct screenings and plan and implement an Education and Community Outreach program, with special attention to targeted, high-need communities (31 percent of budget); (4) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (16 percent of budget). The program service area is Seminole County, Florida and the program's expected outcome is to achieve a tangible drop in opioid overdose, use, and arrest, expand the workforce serving citizens with addiction, expand recovery support services, and remove barriers to access to support in historically underserved populations. The county works in accordance with the SAMSHA Sequential Intercept Model (SIM), Ohio Risk Assessment System (ORAS), Alcohol Use Disorders Identification Test (AUDIT), and Drug Abuse Screening Test (DAST) to consistently assess and facilitate communication and coordinate services across criminal justice, medical and service provider agencies. To implement successful programs, the county will partner with the 18th Judicial Circuit Court Administration, The Seminole County Sheriff’s Office, the Florida Department of Health, Brooke Research & Consulting, LLC, and the Public Safety Coordinating Council.

Seminole County

Florida

Seminole County has drafted an evidence-based four-part plan to combat opioid use, abuse, overdose, and arrest which conforms to the following activities: (1) naloxone for law enforcement and first responders (18 percent of budget); (2) court programming to prioritize and expedite treatment and recovery services for individuals at high risk for overdose, as well as services for children and youth impacted by their parents’ or other family members’ substance abuse (25 percent of budget); (3) embedding social workers, peers, and/or persons with lived-in experience at any intercept of the Sequential Intercept Model. This program component will hire a social worker to conduct screenings and plan and implement an Education and Community Outreach program, with special attention to targeted, high-need communities (31 percent of budget); (4) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (16 percent of budget). The program service area is Seminole County, Florida and the program's expected outcome is to achieve a tangible drop in opioid overdose, use, and arrest, expand the workforce serving citizens with addiction, expand recovery support services, and remove barriers to access to support in historically underserved populations. The county works in accordance with the SAMSHA Sequential Intercept Model (SIM), Ohio Risk Assessment System (ORAS), Alcohol Use Disorders Identification Test (AUDIT), and Drug Abuse Screening Test (DAST) to consistently assess and facilitate communication and coordinate services across criminal justice, medical and service provider agencies. To implement successful programs, the county will partner with the 18th Judicial Circuit Court Administration, The Seminole County Sheriff’s Office, the Florida Department of Health, Brooke Research & Consulting, LLC, and the Public Safety Coordinating Council.

NY

The goal of the Seneca Nation project is to combat the substance abuse epidemic plaguing the Seneca Nation’s communities through collaboration between numerous entities within the Seneca Nation, community groups, and local organizations. The following objectives have been identified to assist in reaching this goal: (1) establishment of a multi-disciplinary team board comprised of Seneca Nation entities and community organizations to address gaps in data collection within communities and Indian Country, create a strategic plan for the development of an inpatient treatment facility, and identify potential solutions to solving the substance abuse epidemic plaguing our Territories; (2) collaborate with the legal entities to assist individuals in obtaining needed resources for treatment, in addition to addressing any barriers that may exist for the people struggling with addiction; (3) provide trainings centered on Seneca culture and evidence-based practices for Behavioral Health and Seneca Strong; and (4) provide peer support, groups, individuals and community education surrounding the opiate epidemic through collaboration with internal and external entities.

Seneca Nation of Indians

New York

The goal of the Seneca Nation project is to combat the substance abuse epidemic plaguing the Seneca Nation’s communities through collaboration between numerous entities within the Seneca Nation, community groups, and local organizations. The following objectives have been identified to assist in reaching this goal: (1) establishment of a multi-disciplinary team board comprised of Seneca Nation entities and community organizations to address gaps in data collection within communities and Indian Country, create a strategic plan for the development of an inpatient treatment facility, and identify potential solutions to solving the substance abuse epidemic plaguing our Territories; (2) collaborate with the legal entities to assist individuals in obtaining needed resources for treatment, in addition to addressing any barriers that may exist for the people struggling with addiction; (3) provide trainings centered on Seneca culture and evidence-based practices for Behavioral Health and Seneca Strong; and (4) provide peer support, groups, individuals and community education surrounding the opiate epidemic through collaboration with internal and external entities.

WA

The Snohomish County Prosecuting Attorney’s Office (PAO) is applying for Category 1 funding in the amount of $1,200,000. The project will enable the expansion of the Snohomish County Law Enforcement Assisted Diversion (LEAD) project, a cross-sector collaborative effort involving the PAO, the local city attorneys, local police departments, the county sheriff's department, the County Executive, the Mayors of participating cities in Snohomish County, and public defenders. The LEAD program utilizes both pre- and post-arrest diversions: pre-arrest referrals are made by both police and prosecutors who identify individuals who they believe would benefit from a referral to community-based services; post-arrest diversions are made by officers who have grounds to arrest individuals who have committed LEAD-eligible violations. Expansion will enable the county to increase the number of individuals diverted to the program and possibly expand its geographic coverage, as several jurisdictions in the county have indicated that they would like to adopt LEAD. The goals of the program include reorienting local responses to safety, disorder, and behavioral health problems; improving public safety and health through health-oriented interventions; and reducing the number of individuals in the criminal justice system due to low-level law violations. The project serves Snohomish County, with an estimated population of 822,000. The project will include partnerships between the PAO and the local city attorneys, local police departments, the County Sheriff's department, the County Executive, the Mayors of participating cities in Snohomish County, and public defenders. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community, advance the promotion of civil rights, and benefit individuals residing in high-poverty areas.

Snohomish County

Washington

The Snohomish County Prosecuting Attorney’s Office (PAO) is applying for Category 1 funding in the amount of $1,200,000. The project will enable the expansion of the Snohomish County Law Enforcement Assisted Diversion (LEAD) project, a cross-sector collaborative effort involving the PAO, the local city attorneys, local police departments, the county sheriff's department, the County Executive, the Mayors of participating cities in Snohomish County, and public defenders. The LEAD program utilizes both pre- and post-arrest diversions: pre-arrest referrals are made by both police and prosecutors who identify individuals who they believe would benefit from a referral to community-based services; post-arrest diversions are made by officers who have grounds to arrest individuals who have committed LEAD-eligible violations. Expansion will enable the county to increase the number of individuals diverted to the program and possibly expand its geographic coverage, as several jurisdictions in the county have indicated that they would like to adopt LEAD. The goals of the program include reorienting local responses to safety, disorder, and behavioral health problems; improving public safety and health through health-oriented interventions; and reducing the number of individuals in the criminal justice system due to low-level law violations. The project serves Snohomish County, with an estimated population of 822,000. The project will include partnerships between the PAO and the local city attorneys, local police departments, the County Sheriff's department, the County Executive, the Mayors of participating cities in Snohomish County, and public defenders. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project also provides an opportunity to build trust between law enforcement and the community, advance the promotion of civil rights, and benefit individuals residing in high-poverty areas.

SC

The South Carolina Department of Alcohol and Other Drug Abuse Services (DAODAS) project supports law enforcement diversion programs in six diverse jurisdictions across South Carolina (population 5,282,634). The South Carolina COSSUP Initiative is a collaborative plan between DAODAS (the Single State Authority and cabinet-level agency under the Governor's Office); six diverse law enforcement agencies serving Abbeville County (population 24,299), Dorchester County (population 163,327), Georgetown County (population 63,921), Greenwood County (population 69,241), Myrtle Beach (population 37,100), and West Columbia (population 17,466); substance use disorder (SUD) service providers, and university scientists to serve as model programs for diverting individuals from the criminal justice system and enhancing connections to services for people with SUDs and people who use drugs. Per the objectives of Category 2, the Initiative will develop a statewide law enforcement model response to substance use problems by: 1) establishing model deflection and diversion programs across six diverse jurisdictions in the state (27% of budget); 2) embedding social workers into law enforcement agencies to provide case management and support services (23% of budget); 3) delivering evidence-based substance use disorder and co-occurring (mental health and substance use) disorders treatment, including medication-assisted treatment (39% of budget); and 4) conducting a scientific mixed-methods program evaluation providing feedback and identifying improvement opportunities. To aid in implementing this plan, recovery community stakeholders from across the state will be included on the multidisciplinary South Carolina Deflection and Diversion Coordinating Council, which will serve as a permanent standing body with the mission of increasing cooperation and collaboration to sustain diversion and recovery efforts (see memoranda of understanding). The project will support OJP Priority Area 1(A) by addressing issues related to racial equity and the removal of barriers to access and opportunity for communities that have been historically underserved, marginalized, and adversely affected by inequality through the implementation of Fair and Impartial Policing training for law enforcement and treatment services targeting underserved minority communities. The project will include a strong research-practitioner partnership with the Center for Criminal Justice and Social Research at Clemson University to provide a scientific mixed-methods program evaluation to provide empirical feedback for program improvement and dissemination of process and outcome findings to the law enforcement and research communities.

South Carolina Department of Alcohol and Other Drug Abuse Services

South Carolina

The South Carolina Department of Alcohol and Other Drug Abuse Services (DAODAS) project supports law enforcement diversion programs in six diverse jurisdictions across South Carolina (population 5,282,634). The South Carolina COSSUP Initiative is a collaborative plan between DAODAS (the Single State Authority and cabinet-level agency under the Governor's Office); six diverse law enforcement agencies serving Abbeville County (population 24,299), Dorchester County (population 163,327), Georgetown County (population 63,921), Greenwood County (population 69,241), Myrtle Beach (population 37,100), and West Columbia (population 17,466); substance use disorder (SUD) service providers, and university scientists to serve as model programs for diverting individuals from the criminal justice system and enhancing connections to services for people with SUDs and people who use drugs. Per the objectives of Category 2, the Initiative will develop a statewide law enforcement model response to substance use problems by: 1) establishing model deflection and diversion programs across six diverse jurisdictions in the state (27% of budget); 2) embedding social workers into law enforcement agencies to provide case management and support services (23% of budget); 3) delivering evidence-based substance use disorder and co-occurring (mental health and substance use) disorders treatment, including medication-assisted treatment (39% of budget); and 4) conducting a scientific mixed-methods program evaluation providing feedback and identifying improvement opportunities. To aid in implementing this plan, recovery community stakeholders from across the state will be included on the multidisciplinary South Carolina Deflection and Diversion Coordinating Council, which will serve as a permanent standing body with the mission of increasing cooperation and collaboration to sustain diversion and recovery efforts (see memoranda of understanding). The project will support OJP Priority Area 1(A) by addressing issues related to racial equity and the removal of barriers to access and opportunity for communities that have been historically underserved, marginalized, and adversely affected by inequality through the implementation of Fair and Impartial Policing training for law enforcement and treatment services targeting underserved minority communities. The project will include a strong research-practitioner partnership with the Center for Criminal Justice and Social Research at Clemson University to provide a scientific mixed-methods program evaluation to provide empirical feedback for program improvement and dissemination of process and outcome findings to the law enforcement and research communities.

OK

South Western Oklahoma Development Authority is applying for a Category 1 award in the amount of $467,365. The Western Oklahoma Opioid Prevention Consortium will develop, implement, or expand comprehensive programs in response to illicit opioids, stimulants, or other substances of misuse. This project’s objectives and methods will include developing education and prevention programs to connect law enforcement agencies with students in 6th through 9th grades in the public school system by using the "keepin’ it REAL" curriculum, an effective, multicultural middle school drug prevention program derived from evidence-based research; providing naloxone to law enforcement and other first responders each year, which will help with the opioid overdose death rate; establishing drug take-back programs to safely dispose of unused controlled substances that are found in the home and used by hospitals and long-term care facilities; distributing in-home medication lockboxes to the public to help reduce accidental overdose and to help prevent someone stealing one’s prescriptions. This project serves five counties which are designated as rural challenges, persistent poverty counties, or qualified opportunity zones by the Office of Justice Programs and U.S. Census information: Caddo, Harmon, Jackson, Kiowa, and Tillman Counties. The total population size of the five counties is 73,314. The project includes partnerships between law enforcement agencies and the Western Oklahoma Opioid Prevention Consortium in each of the five counties. This project will engage a researcher selected by the Bureau of Justice Assistance who may conduct a site-specific or cross-site evaluation in future years as the research partner for this project. The project will also consult with research partners at Southwestern Oklahoma State University and other partner agencies. Priority considerations addressed in this application include lack of accessibility to treatment providers and facilities and to emergency medical services.

South Western Oklahoma Development Authority

Oklahoma

South Western Oklahoma Development Authority is applying for a Category 1 award in the amount of $467,365. The Western Oklahoma Opioid Prevention Consortium will develop, implement, or expand comprehensive programs in response to illicit opioids, stimulants, or other substances of misuse. This project’s objectives and methods will include developing education and prevention programs to connect law enforcement agencies with students in 6th through 9th grades in the public school system by using the "keepin’ it REAL" curriculum, an effective, multicultural middle school drug prevention program derived from evidence-based research; providing naloxone to law enforcement and other first responders each year, which will help with the opioid overdose death rate; establishing drug take-back programs to safely dispose of unused controlled substances that are found in the home and used by hospitals and long-term care facilities; distributing in-home medication lockboxes to the public to help reduce accidental overdose and to help prevent someone stealing one’s prescriptions. This project serves five counties which are designated as rural challenges, persistent poverty counties, or qualified opportunity zones by the Office of Justice Programs and U.S. Census information: Caddo, Harmon, Jackson, Kiowa, and Tillman Counties. The total population size of the five counties is 73,314. The project includes partnerships between law enforcement agencies and the Western Oklahoma Opioid Prevention Consortium in each of the five counties. This project will engage a researcher selected by the Bureau of Justice Assistance who may conduct a site-specific or cross-site evaluation in future years as the research partner for this project. The project will also consult with research partners at Southwestern Oklahoma State University and other partner agencies. Priority considerations addressed in this application include lack of accessibility to treatment providers and facilities and to emergency medical services.

NV

The Southern Nevada Health District (SNHD) serves Clark County, Nevada which reports a population of 2,338,127 individuals. This COSSUP project will be carried out by two main agencies: Southern Nevada Health District and the Las Vegas Metropolitan Police Department (LVMPD), in an effort to further integrate and expand current multijurisdictional partnerships in Clark County, Nevada, to end fatal drug overdose. These agencies will create a field-initiated linkage to care team that responds to overdoses using a public health framework, called Southern Nevada Post-Overdose Response Team Supports (SPORTS). In addition, the project will enable the expansion of law enforcement diversion services and increase training on the importance and use of naloxone for law enforcement and other first responders and increase naloxone availability for their use and distribution. Expected outcomes include an increase in access to linkage to care and diversion services and decrease in fatal drug overdose. The project will also involve a research partnership with the University of Nevada Las Vegas (UNLV) School of Public Health to assess the effectiveness of the model and implementation to achieve stated outcomes. The two sub-awardees on the project are LVMPD and UNLV. The initiative will also further current funded partnership activities of the Southern Nevada Opioid Advisory Council. The grant beneficiaries include first responders, people and families that experience overdose, governmental agencies, substance use disorder treatment agencies, and recovery community organizations throughout Clark County, Nevada, during the life of the grant and beyond.

Southern Nevada Health District

Nevada

The Southern Nevada Health District (SNHD) serves Clark County, Nevada which reports a population of 2,338,127 individuals. This COSSUP project will be carried out by two main agencies: Southern Nevada Health District and the Las Vegas Metropolitan Police Department (LVMPD), in an effort to further integrate and expand current multijurisdictional partnerships in Clark County, Nevada, to end fatal drug overdose. These agencies will create a field-initiated linkage to care team that responds to overdoses using a public health framework, called Southern Nevada Post-Overdose Response Team Supports (SPORTS). In addition, the project will enable the expansion of law enforcement diversion services and increase training on the importance and use of naloxone for law enforcement and other first responders and increase naloxone availability for their use and distribution. Expected outcomes include an increase in access to linkage to care and diversion services and decrease in fatal drug overdose. The project will also involve a research partnership with the University of Nevada Las Vegas (UNLV) School of Public Health to assess the effectiveness of the model and implementation to achieve stated outcomes. The two sub-awardees on the project are LVMPD and UNLV. The initiative will also further current funded partnership activities of the Southern Nevada Opioid Advisory Council. The grant beneficiaries include first responders, people and families that experience overdose, governmental agencies, substance use disorder treatment agencies, and recovery community organizations throughout Clark County, Nevada, during the life of the grant and beyond.

MI

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.

St. Joseph County

Michigan

The County of St. Joseph applied for Category 1c rural/tribal area grant funding in the amount of $600,000. The County of St. Joseph COSSAP Project will employ a collaborative and comprehensive “gap-filling” approach to develop, implement, and/or expand/enhance existing trauma-informed evidence-based programming in order to identify, respond to, treat, and support those affected by illicit opioids, stimulants, and other substances. Objectives include the expansion of access to supervision, treatment, and recovery support services across the criminal justice system. The project will also create Law Enforcement Assisted Diversion (LEAD) to enhance co-responder crisis intervention teams to connect individuals to trauma-informed and evidence-based co-occurring SUD treatment and recovery support services; provide overdose education and prevention activities; and address the needs of children impacted by substance abuse. This project serves St. Joseph County, Michigan, with a population of 60,964. The project includes partnerships between the 45th Circuit Court of Michigan, sheriff, Community Mental Health and Substance Abuse Services, defense attorney, Office of the Prosecutor, Community Corrections, program evaluator, and program coordinator. Priority considerations addressed in this application include the specific challenges that rural communities face and a Qualified Opportunity Zone.

NY

St. Lawrence County, New York, will expand medication-assisted treatment (MAT), peer support, and harm reduction activities for underserved and high risk populations, including incarcerated individuals and victims of recent overdose. This project will serve the 108,505 residents of St. Lawrence County, located in northern New York State, immediately south of the U.S. border with Canada. The project’s service area may extend beyond County borders, to neighboring Franklin, Jefferson, and Lewis Counties. St. Lawrence County is large, rural, and subject to harsh winter weather. Typical barriers to treatment are made worse by transportation challenges including limited bus routes, shortage of drivers for public transit and volunteer transportation, rising fuel prices, and an unreliable medical transportation program. The Washington/Baltimore HIDTA Overdose Detection Mapping Application Program (ODMAP), an overdose mapping tool used by the County, indicates a 265 percent increase in the number of overdoses reported from 2019 to 2021. In addition, data from the St. Lawrence County Drug Task Force indicates significant increases in drug-related felonies (64 percent) and misdemeanors (90 percent) from 2018 to 2021. The County’s Opioid Treatment Program (OTP) will expand to provide MAT services at the County Correctional Facility; continue to support the Peer Support Services established through FY2020 COSSAP (which has helped reduce “no-shows” from 50 percent to 15 percent); provide client, staff, and community education on overdose prevention and access to harm reduction resources through a new Harm Reduction/Transportation Specialist; establish new harm reduction services including needle exchange and syringe disposal; and coordinate community awareness and stigma reduction media campaigns and community events. Direct oversight of the project will be provided by the St. Lawrence County Opioid Rural Response (SLCORR) Committee, whose purpose is to reduce the morbidity and mortality of substance use disorder (SUD), including opioid use disorder (OUD). SLCORR is led by the St. Lawrence County Community Services Board (SLCCSB) and includes the following stakeholders: St. Lawrence County Community Services, St. Lawrence County Overdose Prevention Program, Seaway Valley Prevention Council, Maximizing Independent Living Center (MILC), and New Hope Transformation Ministries (dba Grace House), a transitional living residence.

St. Lawrence County

New York

St. Lawrence County, New York, will expand medication-assisted treatment (MAT), peer support, and harm reduction activities for underserved and high risk populations, including incarcerated individuals and victims of recent overdose. This project will serve the 108,505 residents of St. Lawrence County, located in northern New York State, immediately south of the U.S. border with Canada. The project’s service area may extend beyond County borders, to neighboring Franklin, Jefferson, and Lewis Counties. St. Lawrence County is large, rural, and subject to harsh winter weather. Typical barriers to treatment are made worse by transportation challenges including limited bus routes, shortage of drivers for public transit and volunteer transportation, rising fuel prices, and an unreliable medical transportation program. The Washington/Baltimore HIDTA Overdose Detection Mapping Application Program (ODMAP), an overdose mapping tool used by the County, indicates a 265 percent increase in the number of overdoses reported from 2019 to 2021. In addition, data from the St. Lawrence County Drug Task Force indicates significant increases in drug-related felonies (64 percent) and misdemeanors (90 percent) from 2018 to 2021. The County’s Opioid Treatment Program (OTP) will expand to provide MAT services at the County Correctional Facility; continue to support the Peer Support Services established through FY2020 COSSAP (which has helped reduce “no-shows” from 50 percent to 15 percent); provide client, staff, and community education on overdose prevention and access to harm reduction resources through a new Harm Reduction/Transportation Specialist; establish new harm reduction services including needle exchange and syringe disposal; and coordinate community awareness and stigma reduction media campaigns and community events. Direct oversight of the project will be provided by the St. Lawrence County Opioid Rural Response (SLCORR) Committee, whose purpose is to reduce the morbidity and mortality of substance use disorder (SUD), including opioid use disorder (OUD). SLCORR is led by the St. Lawrence County Community Services Board (SLCCSB) and includes the following stakeholders: St. Lawrence County Community Services, St. Lawrence County Overdose Prevention Program, Seaway Valley Prevention Council, Maximizing Independent Living Center (MILC), and New Hope Transformation Ministries (dba Grace House), a transitional living residence.

MN

The purpose of this proposed project is to a) build a cross-agency behavioral health services Jail Team for justice involved individuals in jail, and b) provide post-booking wrap around behavioral health services to adults incarcerated in St. Louis County (SLC) Jail and Northeast Regional Corrections Center (NERCC), including post-booking diversion, services while incarcerated, and continuity of care when transitioning to another facility or the community. SLC is working on the following allowable uses: (1) providing a ready source of Naloxone for SLC rural law enforcement, provide Naloxone and training to probation officers, and send Naloxone with people with substance use disorders (SUDs) when released from jail; (2) post-booking treatment alternative-to-incarceration programs; (3) evidence-based SUD treatment; (4) harm reduction activities and recovery support services; (5) medication-assisted treatment (both induction and continuation of previous prescriptions) is provided in SLC Jail and NERCC. Due to Minnesota legislative change (Minn. Stat. § 241.021, subd. 1 - Sec. 241.021 MN Statutes) that enables corrections to get nasal Narcan for free, grant funding was shifted during the grant period (after an approved Grant Award Modification) to support Rule 20 prescreens in the SLC Jail to expedite the process of getting people with substance use disorders into treatment faster. This project will create an internal multi-disciplinary coordinating body within the jail, based on the forensic assertive community team model. This Jail Team will work with flagged inmates to create in-jail and transitional treatment plan, ensuring access to and continuation of services for people with SUDs, co-occurring mental health disorders and SUDs, and polysubstance use disorder. Funding will be used for a) an Administrative Sergeant to oversee coordination of Jail Team and community providers to ensure individuals have necessary supports in place, b) a Probation Officer liaison between Sixth Judicial Court, St. Louis County Jail, NERCC, and Probation to ensure smooth transitions, c) peer recovery specialist to provide peer services to individuals throughout SLC during transitions; focus on connecting individuals in greater SLC to services, d) CADT to provide behavioral services in the SLC Jail and at NERCC, and e) evaluation services to further develop a mechanism to consistently track and analyze data that communicates the effectiveness of the program. The expected outcomes for this project include enhanced access to coordination of care for justice-involved individuals across all intercepts in SLC, increased post booking diversions, increased access to behavioral health and recovery services in the jail, and creation of a jail system that consistently begins a release and transition plan creation process for people with SUDs at booking. The project serves SLC, the largest county geographically in MN, with a population of 200,540. This project will benefit justice involved individuals suffering from SUDs in SLC and the broader Arrowhead Region. Subrecipients of the grant include Arrowhead Regional Corrections probation program; Center for Alcohol and Drug Treatment, the regional in-patient treatment center; Dr. Buffington to perform Rule 20 prescreens; and Recovery Alliance Duluth, a recovery community organization.

St. Louis County

Minnesota

The purpose of this proposed project is to a) build a cross-agency behavioral health services Jail Team for justice involved individuals in jail, and b) provide post-booking wrap around behavioral health services to adults incarcerated in St. Louis County (SLC) Jail and Northeast Regional Corrections Center (NERCC), including post-booking diversion, services while incarcerated, and continuity of care when transitioning to another facility or the community. SLC is working on the following allowable uses: (1) providing a ready source of Naloxone for SLC rural law enforcement, provide Naloxone and training to probation officers, and send Naloxone with people with substance use disorders (SUDs) when released from jail; (2) post-booking treatment alternative-to-incarceration programs; (3) evidence-based SUD treatment; (4) harm reduction activities and recovery support services; (5) medication-assisted treatment (both induction and continuation of previous prescriptions) is provided in SLC Jail and NERCC. Due to Minnesota legislative change (Minn. Stat. § 241.021, subd. 1 - Sec. 241.021 MN Statutes) that enables corrections to get nasal Narcan for free, grant funding was shifted during the grant period (after an approved Grant Award Modification) to support Rule 20 prescreens in the SLC Jail to expedite the process of getting people with substance use disorders into treatment faster. This project will create an internal multi-disciplinary coordinating body within the jail, based on the forensic assertive community team model. This Jail Team will work with flagged inmates to create in-jail and transitional treatment plan, ensuring access to and continuation of services for people with SUDs, co-occurring mental health disorders and SUDs, and polysubstance use disorder. Funding will be used for a) an Administrative Sergeant to oversee coordination of Jail Team and community providers to ensure individuals have necessary supports in place, b) a Probation Officer liaison between Sixth Judicial Court, St. Louis County Jail, NERCC, and Probation to ensure smooth transitions, c) peer recovery specialist to provide peer services to individuals throughout SLC during transitions; focus on connecting individuals in greater SLC to services, d) CADT to provide behavioral services in the SLC Jail and at NERCC, and e) evaluation services to further develop a mechanism to consistently track and analyze data that communicates the effectiveness of the program. The expected outcomes for this project include enhanced access to coordination of care for justice-involved individuals across all intercepts in SLC, increased post booking diversions, increased access to behavioral health and recovery services in the jail, and creation of a jail system that consistently begins a release and transition plan creation process for people with SUDs at booking. The project serves SLC, the largest county geographically in MN, with a population of 200,540. This project will benefit justice involved individuals suffering from SUDs in SLC and the broader Arrowhead Region. Subrecipients of the grant include Arrowhead Regional Corrections probation program; Center for Alcohol and Drug Treatment, the regional in-patient treatment center; Dr. Buffington to perform Rule 20 prescreens; and Recovery Alliance Duluth, a recovery community organization.

MO

The Saint Louis County Department of Public Health will be implementing the Substance Use Public Health Emergency Response (SUPHER) Program, which will implement a range of allowable grant activities, including embedding support staff at any intercept of the Sequential Intercept model, evidence-based substance use disorder treatment (such as MAT, harm reduction activities, and recovery support services) for populations leaving the jail, real-time data collection, and other field-initiated projects that bring together justice, behavioral health, and public health practitioners. The SUPHER Program will design, develop, and refine outreach within DPH Corrections Medicine (CM) to identify, refer, and coordinate induction/maintenance of Medication Assisted Treatment (MAT) and increase linkage to care and social services navigation for justice involved individuals. The SUPHER program will also create a multi-disciplinary coordinating body of justice services, behavioral health, and public health practitioners to establish an overdose fatality review (OFR) board to review cases, share and provide data, and identify intervention points for outreach and education. Lastly, the SUPHER program will assist and expand Project EAGLE FANG, a project within the toxicology lab of DPH's Medical Examiner (ME) office that tests drug paraphernalia obtained from the scene of fatal overdoses and will allow SUPHER to identify emerging trends in drugs associated with fatal overdose. It is through these three objectives that SUPHER will work towards the goal of addressing the needs of justice involved individuals (JIIs) and reduce drug overdoses. This program serves Saint Louis County, Missouri, with approximately 1 million residents. The program includes partnerships with the Saint Louis County Department of Justice Services (DJS) Buzz Westfall Center, DPH CM, and DPH's ME Office that continues to build upon system changes for OUD prevention, treatment and recovery that have been activated. This project will focus explicitly on reaching high-risk and vulnerable populations (justice-involved persons, racial minorities, active drug users, and at-risk youth) through continued implementation of Missouri's Medication First treatment model for OUD, the aim is to increase access to evidence-based medications and improve transitions of care upon discharge.

St. Louis County, Missouri

Missouri

The Saint Louis County Department of Public Health will be implementing the Substance Use Public Health Emergency Response (SUPHER) Program, which will implement a range of allowable grant activities, including embedding support staff at any intercept of the Sequential Intercept model, evidence-based substance use disorder treatment (such as MAT, harm reduction activities, and recovery support services) for populations leaving the jail, real-time data collection, and other field-initiated projects that bring together justice, behavioral health, and public health practitioners. The SUPHER Program will design, develop, and refine outreach within DPH Corrections Medicine (CM) to identify, refer, and coordinate induction/maintenance of Medication Assisted Treatment (MAT) and increase linkage to care and social services navigation for justice involved individuals. The SUPHER program will also create a multi-disciplinary coordinating body of justice services, behavioral health, and public health practitioners to establish an overdose fatality review (OFR) board to review cases, share and provide data, and identify intervention points for outreach and education. Lastly, the SUPHER program will assist and expand Project EAGLE FANG, a project within the toxicology lab of DPH's Medical Examiner (ME) office that tests drug paraphernalia obtained from the scene of fatal overdoses and will allow SUPHER to identify emerging trends in drugs associated with fatal overdose. It is through these three objectives that SUPHER will work towards the goal of addressing the needs of justice involved individuals (JIIs) and reduce drug overdoses. This program serves Saint Louis County, Missouri, with approximately 1 million residents. The program includes partnerships with the Saint Louis County Department of Justice Services (DJS) Buzz Westfall Center, DPH CM, and DPH's ME Office that continues to build upon system changes for OUD prevention, treatment and recovery that have been activated. This project will focus explicitly on reaching high-risk and vulnerable populations (justice-involved persons, racial minorities, active drug users, and at-risk youth) through continued implementation of Missouri's Medication First treatment model for OUD, the aim is to increase access to evidence-based medications and improve transitions of care upon discharge.

MD

The St. Mary’s County Health Department (SMCHD) is applying for a Category 1 award in the amount of $899,963. The St. Mary’s County Day Reporting Center project will provide community-based services and treatment to offenders under parole/probation in St. Mary’s County, Maryland. The offenders will live at home and report to the center on a daily basis. While at the center, the offenders receive various services including substance misuse counseling, anger management, moral reconation therapy, parenting skills, relapse prevention, mental health coordination, job skills, case management, educational classes, life skills, after-care planning, and touch-ups. This project serves a population of roughly 113,510 individuals in St. Mary's County. The project includes partnerships between SMCHD and St. Mary's County Detention and Rehabilitation Center (SMCDRC).

St. Mary's County

Maryland

The St. Mary’s County Health Department (SMCHD) is applying for a Category 1 award in the amount of $899,963. The St. Mary’s County Day Reporting Center project will provide community-based services and treatment to offenders under parole/probation in St. Mary’s County, Maryland. The offenders will live at home and report to the center on a daily basis. While at the center, the offenders receive various services including substance misuse counseling, anger management, moral reconation therapy, parenting skills, relapse prevention, mental health coordination, job skills, case management, educational classes, life skills, after-care planning, and touch-ups. This project serves a population of roughly 113,510 individuals in St. Mary's County. The project includes partnerships between SMCHD and St. Mary's County Detention and Rehabilitation Center (SMCDRC).

NJ

The Department of Law and Public Safety and the New Jersey Division of Consumer Affairs will improve New Jersey Prescription Monitoring Program (NJPMP) information, reporting, quality, and integrity which will allow for better clinical decision making by prescribers. Also, New Jersey's efforts to prevent the abuse, misuse and diversion of controlled substances by creating a module that will develop and generate prescriber report cards to provide prescribers insight into their opioid prescribing patterns, developing hardware and software upgrades for New Jersey's Integrated Drug Awareness Dashboard (IDAD), and producing and disseminating educational materials and informational displays to utilize in NJPMP outreach campaign. Two epidemiologists will be hired to conduct analysis of NJPMP and related data.

State of New Jersey, Department of Law and Public Safety

New Jersey

The Department of Law and Public Safety and the New Jersey Division of Consumer Affairs will improve New Jersey Prescription Monitoring Program (NJPMP) information, reporting, quality, and integrity which will allow for better clinical decision making by prescribers. Also, New Jersey's efforts to prevent the abuse, misuse and diversion of controlled substances by creating a module that will develop and generate prescriber report cards to provide prescribers insight into their opioid prescribing patterns, developing hardware and software upgrades for New Jersey's Integrated Drug Awareness Dashboard (IDAD), and producing and disseminating educational materials and informational displays to utilize in NJPMP outreach campaign. Two epidemiologists will be hired to conduct analysis of NJPMP and related data.

NY

In Sullivan County, New York, the existing diversion programs generally fall into five deflection typologies: self-referral, officer referral, active outreach, naloxone plus and officer intervention. The Sullivan County District Attorney's Office’s Hope Not Handcuffs (HNH) is an example of a program where community and law enforcement collaborate to encourage those with a substance use disorder (SUD) to seek community-based treatment. Hope Not Handcuffs of the Hudson Valley (HNH-HV) wants to continue taking a progressive and innovative approach to combatting SUD in the region and have begun laying the groundwork to implement a third deflection typology–officer and assistant district attorney intervention–but implementing this type of deflection pathway has come with its own set of challenges including a lack of community resources, buy-in from local law enforcement officers, and capacity issues within HNH-HV itself. Sullivan County is a very rural county in New York and no successful work with this SUD population can happen without neighboring Orange County because of the vast amount of community resources that are shared between them. The program has two components: (1) expanding the work HNH-HV is already accomplishing, building on the cross-system collaboration already occurring in the region, and adding a pre-arrest/post-arrest deflection pathway that will begin as a pilot program in Sullivan County and (2) expanding the program to neighboring Orange County, with a goal of reducing the number of non-fatal and fatal drug overdoses. The project includes creating a law enforcement and other first responder deflection and diversion program and creating a pre-booking or post-booking alternative-to-incarceration program.

Sullivan County

New York

In Sullivan County, New York, the existing diversion programs generally fall into five deflection typologies: self-referral, officer referral, active outreach, naloxone plus and officer intervention. The Sullivan County District Attorney's Office’s Hope Not Handcuffs (HNH) is an example of a program where community and law enforcement collaborate to encourage those with a substance use disorder (SUD) to seek community-based treatment. Hope Not Handcuffs of the Hudson Valley (HNH-HV) wants to continue taking a progressive and innovative approach to combatting SUD in the region and have begun laying the groundwork to implement a third deflection typology–officer and assistant district attorney intervention–but implementing this type of deflection pathway has come with its own set of challenges including a lack of community resources, buy-in from local law enforcement officers, and capacity issues within HNH-HV itself. Sullivan County is a very rural county in New York and no successful work with this SUD population can happen without neighboring Orange County because of the vast amount of community resources that are shared between them. The program has two components: (1) expanding the work HNH-HV is already accomplishing, building on the cross-system collaboration already occurring in the region, and adding a pre-arrest/post-arrest deflection pathway that will begin as a pilot program in Sullivan County and (2) expanding the program to neighboring Orange County, with a goal of reducing the number of non-fatal and fatal drug overdoses. The project includes creating a law enforcement and other first responder deflection and diversion program and creating a pre-booking or post-booking alternative-to-incarceration program.

NC

The Government of Surry County, North Carolina, project will establish services targeting underserved groups experiencing addiction. The underserved comprise three groups: incarcerated persons, persons with substance use disorder disabilities, and juveniles impacted by family substance use. Each is at high-risk for justice involvement, discrimination, and poor outcomes. This project will provide supports to minimize inequity among these populations through the provision of substance use treatment in the county detention center, quality recovery housing, and substance use prevention and treatment for youth. Each of these components will include navigation to community resources with a collaborative, trauma-informed approach by organizations focused on meeting the unique needs of individuals and families. The goals are to prevent future addictions, steer the addicted to recovery, and establish trust between the afflicted and the professionals poised to help them succeed. In conjunction with this project, a professional advisory committee will promote equity throughout the planning and implementation of services. Surry County Government will manage the delivery of treatment services within the county detention center. Additionally, two subrecipients will deliver services to the recovery and juvenile communities. New Hope New Beginnings (a nonprofit dedicated to helping people achieve substance-free success) will head the recovery housing portion. Surry Friends of Youth (a local youth-serving nonprofit) will provide support, prevention education, and treatment to juveniles impacted by addiction. Preexisting collaborative relationships between grant recipients will allow any Surry County residents affected by addiction to access services. This project will benefit persons suffering from addiction will benefit from treatment and of social connection and resources and the families and neighbors of individuals entering recovery will benefit from decreased trauma and the knowledge that recovery can be achieved. Expected outcomes of this project include decreases in overdose, crime, recidivism, incarceration, homelessness, child victimization and other risk factors correlated with relapse and substance use. Research partners will perform evaluations using the results-based accountability framework. All programming will rely on evidence-based best practices with a focus on building the relationships necessary to foster successful recovery.

Surry County

North Carolina

The Government of Surry County, North Carolina, project will establish services targeting underserved groups experiencing addiction. The underserved comprise three groups: incarcerated persons, persons with substance use disorder disabilities, and juveniles impacted by family substance use. Each is at high-risk for justice involvement, discrimination, and poor outcomes. This project will provide supports to minimize inequity among these populations through the provision of substance use treatment in the county detention center, quality recovery housing, and substance use prevention and treatment for youth. Each of these components will include navigation to community resources with a collaborative, trauma-informed approach by organizations focused on meeting the unique needs of individuals and families. The goals are to prevent future addictions, steer the addicted to recovery, and establish trust between the afflicted and the professionals poised to help them succeed. In conjunction with this project, a professional advisory committee will promote equity throughout the planning and implementation of services. Surry County Government will manage the delivery of treatment services within the county detention center. Additionally, two subrecipients will deliver services to the recovery and juvenile communities. New Hope New Beginnings (a nonprofit dedicated to helping people achieve substance-free success) will head the recovery housing portion. Surry Friends of Youth (a local youth-serving nonprofit) will provide support, prevention education, and treatment to juveniles impacted by addiction. Preexisting collaborative relationships between grant recipients will allow any Surry County residents affected by addiction to access services. This project will benefit persons suffering from addiction will benefit from treatment and of social connection and resources and the families and neighbors of individuals entering recovery will benefit from decreased trauma and the knowledge that recovery can be achieved. Expected outcomes of this project include decreases in overdose, crime, recidivism, incarceration, homelessness, child victimization and other risk factors correlated with relapse and substance use. Research partners will perform evaluations using the results-based accountability framework. All programming will rely on evidence-based best practices with a focus on building the relationships necessary to foster successful recovery.

TN

The Tennessee Department of Mental Health and Substance Abuse Services is applying for a Category 1 award in the amount of $900,000. The Hamilton County Coalition COSSAP project will continue the work of the Hamilton County Police and Community Overdose Response Team (P-CORT) to support treatment and recovery service initiation for individuals residing in Hamilton County, Tennessee, referred to the program for a recent overdose and substance use disorder, while also expanding the services to include individuals who reside in one of the surrounding counties but who use drugs and frequently overdose in Hamilton County. This project serves Hamilton, Marion, Grundy, Sequatchie, Bledsoe, Rhea, Meigs, McMinn, Bradley and Polk Counties, with a total population of 659,773 people. The project includes partnerships between the Chattanooga Police Department, the Hamilton County Sheriff’s Office, the Hamilton County Drug Court, the Drug Enforcement Administration, the Family Justice Center Council on Alcohol Dependency, the Teen and Adult Challenge, Safe Harbor, the Grundy Recovery Alliance Community Endeavor, Cempa Community Care, the Hamilton County Health Department, Restoration Recovery, Wade In the Water Medical, Oxford House of Tennessee, Greater New Home Baptist Church, Thompkins Baptist Church, and Tennessee Lifeline Peer Recovery Support. This project will engage Dr. Carolyn Audet, Associate Professor in the Department of Health Policy at Vanderbilt University, as the research partner. Priority considerations addressed in this application include the project benefiting individuals residing in high-poverty areas or persistent-poverty counties, as well as the fact that Hamilton County is in a region of Tennessee that has been disproportionately impacted by high rates of opioid deaths and high rates of primary treatment admissions for heroin, opioids, and stimulants.

Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

The Tennessee Department of Mental Health and Substance Abuse Services is applying for a Category 1 award in the amount of $900,000. The Hamilton County Coalition COSSAP project will continue the work of the Hamilton County Police and Community Overdose Response Team (P-CORT) to support treatment and recovery service initiation for individuals residing in Hamilton County, Tennessee, referred to the program for a recent overdose and substance use disorder, while also expanding the services to include individuals who reside in one of the surrounding counties but who use drugs and frequently overdose in Hamilton County. This project serves Hamilton, Marion, Grundy, Sequatchie, Bledsoe, Rhea, Meigs, McMinn, Bradley and Polk Counties, with a total population of 659,773 people. The project includes partnerships between the Chattanooga Police Department, the Hamilton County Sheriff’s Office, the Hamilton County Drug Court, the Drug Enforcement Administration, the Family Justice Center Council on Alcohol Dependency, the Teen and Adult Challenge, Safe Harbor, the Grundy Recovery Alliance Community Endeavor, Cempa Community Care, the Hamilton County Health Department, Restoration Recovery, Wade In the Water Medical, Oxford House of Tennessee, Greater New Home Baptist Church, Thompkins Baptist Church, and Tennessee Lifeline Peer Recovery Support. This project will engage Dr. Carolyn Audet, Associate Professor in the Department of Health Policy at Vanderbilt University, as the research partner. Priority considerations addressed in this application include the project benefiting individuals residing in high-poverty areas or persistent-poverty counties, as well as the fact that Hamilton County is in a region of Tennessee that has been disproportionately impacted by high rates of opioid deaths and high rates of primary treatment admissions for heroin, opioids, and stimulants.

TN

The Tennessee Department of Mental Health and Substance Abuse Services is applying for category 2 in the amount of $6,000,000. This project will increase local community’s capacity to respond to the presence of Substance Use Disorders (SUDs) among justice involved individuals and reduce the impact of SUDs among justice involved individuals. This project will include partnerships with the Tennessee Department of Health to support the expansion of Medication Assisted Treatment (MAT) in COSSAP jail sites and the Tennessee Bureau of Investigation to support Drug Endangered Children Task Forces, Field Based Drug Testing, and overdose data mapping. This project serves to support ten new implementation project sites; 1) Blount, 2) Roane, 3) Anderson, 4) Bradley, 5) Dickson, 6) Cheatham, 7) Roane, 8) Tipton, 9) Grundy and 10) Montgomery counties. Priority Considerations: Qualified Opportunity Zones: All 10 sites targeted for this COSSAP project have Qualified Opportunity Zones in their county: See Attachment 6. High-Poverty Areas or Persistent-Poverty Counties: Two of the targeted counties: Grundy and Cocke are rated by the TN Dept of Economic and Community Development as “Distressed”, while the other eight (8) counties are rated as “Transitional”. Poverty rates for all targeted counties are above the national average (12.3%) with Grundy (28.5%), Cocke (25.0%) and Bradley (18.0%) all exceeding the Statewide poverty rate of 16.7%. Address Specific Challenges That Rural Communities Face: Six of the ten sites selected have more than (50%) of their population residing in rural areas, which Grundy County having (100%) of its population residing in a rural area.

Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

The Tennessee Department of Mental Health and Substance Abuse Services is applying for category 2 in the amount of $6,000,000. This project will increase local community’s capacity to respond to the presence of Substance Use Disorders (SUDs) among justice involved individuals and reduce the impact of SUDs among justice involved individuals. This project will include partnerships with the Tennessee Department of Health to support the expansion of Medication Assisted Treatment (MAT) in COSSAP jail sites and the Tennessee Bureau of Investigation to support Drug Endangered Children Task Forces, Field Based Drug Testing, and overdose data mapping. This project serves to support ten new implementation project sites; 1) Blount, 2) Roane, 3) Anderson, 4) Bradley, 5) Dickson, 6) Cheatham, 7) Roane, 8) Tipton, 9) Grundy and 10) Montgomery counties. Priority Considerations: Qualified Opportunity Zones: All 10 sites targeted for this COSSAP project have Qualified Opportunity Zones in their county: See Attachment 6. High-Poverty Areas or Persistent-Poverty Counties: Two of the targeted counties: Grundy and Cocke are rated by the TN Dept of Economic and Community Development as “Distressed”, while the other eight (8) counties are rated as “Transitional”. Poverty rates for all targeted counties are above the national average (12.3%) with Grundy (28.5%), Cocke (25.0%) and Bradley (18.0%) all exceeding the Statewide poverty rate of 16.7%. Address Specific Challenges That Rural Communities Face: Six of the ten sites selected have more than (50%) of their population residing in rural areas, which Grundy County having (100%) of its population residing in a rural area.

TN

Tennessee Department of Mental Health and Substance Abuse Services, Division of Substance Abuse Services (TDMHSAS-DSAS) will work to enhance collaboration with law enforcement and other first responders to mitigate the impact of illicit opioids, stimulants, and other drugs through the Tennessee Resource Engagement Specialty Teams (TN-REST). TDMHSAS-DSAS has identified six service areas with high rates of prescription misuses among youth and high counts/rates of fatal overdose involving illicit drugs: Knox County, Davidson County, Shelby County, Northeast, Upper Cumberland, and Southwest. The TN-REST project aims to complete the following activities: (1) increase the support and resources for law enforcement/other first responders through community partnerships to provide additional training and naloxone to law enforcement/first responders (38.5 percent of total annual budget); (2) leverage community partnerships to increase drug take back events in underserved areas (10 percent); and (3) create peer support positions to serve in a deflection and diversion program (38 percent). TDMHSAS-DSAS estimates that TN-REST will host at least 85 drug take back events, distribute at least 34,200 units of naloxone to law enforcement, and provide peer support services/coordination to at least 5,400 individuals.

Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

Tennessee Department of Mental Health and Substance Abuse Services, Division of Substance Abuse Services (TDMHSAS-DSAS) will work to enhance collaboration with law enforcement and other first responders to mitigate the impact of illicit opioids, stimulants, and other drugs through the Tennessee Resource Engagement Specialty Teams (TN-REST). TDMHSAS-DSAS has identified six service areas with high rates of prescription misuses among youth and high counts/rates of fatal overdose involving illicit drugs: Knox County, Davidson County, Shelby County, Northeast, Upper Cumberland, and Southwest. The TN-REST project aims to complete the following activities: (1) increase the support and resources for law enforcement/other first responders through community partnerships to provide additional training and naloxone to law enforcement/first responders (38.5 percent of total annual budget); (2) leverage community partnerships to increase drug take back events in underserved areas (10 percent); and (3) create peer support positions to serve in a deflection and diversion program (38 percent). TDMHSAS-DSAS estimates that TN-REST will host at least 85 drug take back events, distribute at least 34,200 units of naloxone to law enforcement, and provide peer support services/coordination to at least 5,400 individuals.

TN

The Tennessee Department of Mental Health and Substance Abuse will: • Support six new implementation project sites (Davidson, Montgomery, Sumner, Putnam, Wilson, and Washington counties) as well as five enhancement project sites for counties that are currently COAP funded (Sullivan, Hamilton, Knox, Jefferson, and Coffee Counties). Sullivan and Hamilton Counties will (1) embed behavioral health clinicians with law enforcement; (2) provide employment readiness and connection to employment services both pre- and post-incarceration; and/or (3) deliver evidence-based cognitive behavioral therapy courses. • Enhance six regional drug-endangered children response teams in Dickson, Cheatham, Lawrence, Franklin, Jefferson, and Scott Counties. Response teams will use a collaborative approach in meeting the needs of children affected by drug overdose events as well as their parents. The Tennessee Bureau of Investigation will also implement a statewide prevention strategy by creating a virtual reality game with education content for students to engage with at school events. • Integrate three certified peer recovery support specialist (CPRS) positions in probation and parole offices across the state, one in each of the three Grand Divisions of Tennessee. • Provide recovery support services, including recovery housing, as part of a comprehensive response. Dr. Carolyn Marie Audet and Lauren Allard will serve as the research partners for this project.

Tennessee Department of Mental Health and Substance Abuse Services

Tennessee

The Tennessee Department of Mental Health and Substance Abuse will: • Support six new implementation project sites (Davidson, Montgomery, Sumner, Putnam, Wilson, and Washington counties) as well as five enhancement project sites for counties that are currently COAP funded (Sullivan, Hamilton, Knox, Jefferson, and Coffee Counties). Sullivan and Hamilton Counties will (1) embed behavioral health clinicians with law enforcement; (2) provide employment readiness and connection to employment services both pre- and post-incarceration; and/or (3) deliver evidence-based cognitive behavioral therapy courses. • Enhance six regional drug-endangered children response teams in Dickson, Cheatham, Lawrence, Franklin, Jefferson, and Scott Counties. Response teams will use a collaborative approach in meeting the needs of children affected by drug overdose events as well as their parents. The Tennessee Bureau of Investigation will also implement a statewide prevention strategy by creating a virtual reality game with education content for students to engage with at school events. • Integrate three certified peer recovery support specialist (CPRS) positions in probation and parole offices across the state, one in each of the three Grand Divisions of Tennessee. • Provide recovery support services, including recovery housing, as part of a comprehensive response. Dr. Carolyn Marie Audet and Lauren Allard will serve as the research partners for this project.

LA

The project supports a community collaboration among the Terrebonne Parish District Attorney's Office Extensive Narcotics Diversion Program (END) and partner public agencies and community organizations to address substance use disorders while reducing unnecessary prosecution and incarceration for felony level drug offenses. The END program seeks to divert non-violent offenders from the traditional court system offering a treatment and recovery resolution instead. The END program is a pre-booking and post-booking treatment alternative to incarceration program. It is a prosecutor led court diversion /intervention program; it utilizes court programming to prioritize and expedite treatment and recovery services for individuals at high risk of overdose; it coordinates evidence-based substance use disorder treatment related to opioids, stimulants and other drugs. Funding will be used to improve and enhance the screening process to increase the number of qualified felony level drug offenses that are offered the opportunity to receive case management referrals and treatment in lieu of conviction and incarceration. The goal is to identify appropriate END participants as early as possible in the process and to increase our capacity to handle the additional participants. By providing expanded case management, treatment referrals and other social services through the program, we can address the substance use and any disorders while pausing the court process in order to allow the participant to address these issues and begin the recovery process. In 2022, the district attorney's office received referrals totaling 625 felony drug offenses. Of these 61 were screened and approved for participation in the END program, being offered the opportunity to participate in supervision and treatment, avoiding trial, conviction and incarceration. Forty-two (42) of these cases, 6.72%, eventually enrolled in the program. The expansion of the program would seek a 20% year over year increase in the number of participants given the opportunity to treatment alternative to traditional case processing. In addition, recent losses in funding and other economic challenges such as COVID-19 and Hurricane IDA have also degraded our ability to offer treatment alternatives to incarceration thru pre-trial diversion programming. BJA support through this award will allow the END program to expand prosecutor screenings to identify all eligible participants, provide dedicated case management, data collection, and increased drug testing to support treatment and recovery as an alternative to incarceration.

Terrebonne Parish Consolidated Government

Louisiana

The project supports a community collaboration among the Terrebonne Parish District Attorney's Office Extensive Narcotics Diversion Program (END) and partner public agencies and community organizations to address substance use disorders while reducing unnecessary prosecution and incarceration for felony level drug offenses. The END program seeks to divert non-violent offenders from the traditional court system offering a treatment and recovery resolution instead. The END program is a pre-booking and post-booking treatment alternative to incarceration program. It is a prosecutor led court diversion /intervention program; it utilizes court programming to prioritize and expedite treatment and recovery services for individuals at high risk of overdose; it coordinates evidence-based substance use disorder treatment related to opioids, stimulants and other drugs. Funding will be used to improve and enhance the screening process to increase the number of qualified felony level drug offenses that are offered the opportunity to receive case management referrals and treatment in lieu of conviction and incarceration. The goal is to identify appropriate END participants as early as possible in the process and to increase our capacity to handle the additional participants. By providing expanded case management, treatment referrals and other social services through the program, we can address the substance use and any disorders while pausing the court process in order to allow the participant to address these issues and begin the recovery process. In 2022, the district attorney's office received referrals totaling 625 felony drug offenses. Of these 61 were screened and approved for participation in the END program, being offered the opportunity to participate in supervision and treatment, avoiding trial, conviction and incarceration. Forty-two (42) of these cases, 6.72%, eventually enrolled in the program. The expansion of the program would seek a 20% year over year increase in the number of participants given the opportunity to treatment alternative to traditional case processing. In addition, recent losses in funding and other economic challenges such as COVID-19 and Hurricane IDA have also degraded our ability to offer treatment alternatives to incarceration thru pre-trial diversion programming. BJA support through this award will allow the END program to expand prosecutor screenings to identify all eligible participants, provide dedicated case management, data collection, and increased drug testing to support treatment and recovery as an alternative to incarceration.

IN

The Health and Hospital Corporation of Marion County (doing business as Eskenazi Health) project is carried out by three agencies—the Substance Use Outreach Services Program (SUOS), the Safe Syringe Access and Support Program (SSAS), and Project POINT—and will encompass a multi-pronged approached to support patients, staff, and community/government partners. These programs will provide community-based prevention services in the form of education and prevention programs and naloxone distribution; community-based intervention in the form of substance use disorder (SUD) treatment and harm reduction activities and support services; and post-intervention support in the form of transitional housing assistance and peer recovery services. The project will focus on the following activities: (1) a drug take-back program (approximately 7 percent of budget); (2) real-time data collection (approximately 11 percent of budget); (3) naloxone distribution (approximately 17 percent of budget); (4) K-12 education and prevention programs (approximately 25 percent of budget); (5) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs as well as harm reduction activities and recovery support services (approximately 21 percent of budget); (6) transitional or recovery housing and peer recovery support services (approximately 19 percent of budget). This grant-funded initiative is a collaboration between Eskenazi Health and partner agencies, including the Marion County Coroner’s Office and the Indiana Department of Health Laboratory Services Commission, and will impact first responders, substance use disorder providers and patients, and governmental agencies throughout Marion County during the life of the grant and beyond.

The Health & Hospital Corporation of Marion County

Indiana

The Health and Hospital Corporation of Marion County (doing business as Eskenazi Health) project is carried out by three agencies—the Substance Use Outreach Services Program (SUOS), the Safe Syringe Access and Support Program (SSAS), and Project POINT—and will encompass a multi-pronged approached to support patients, staff, and community/government partners. These programs will provide community-based prevention services in the form of education and prevention programs and naloxone distribution; community-based intervention in the form of substance use disorder (SUD) treatment and harm reduction activities and support services; and post-intervention support in the form of transitional housing assistance and peer recovery services. The project will focus on the following activities: (1) a drug take-back program (approximately 7 percent of budget); (2) real-time data collection (approximately 11 percent of budget); (3) naloxone distribution (approximately 17 percent of budget); (4) K-12 education and prevention programs (approximately 25 percent of budget); (5) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs as well as harm reduction activities and recovery support services (approximately 21 percent of budget); (6) transitional or recovery housing and peer recovery support services (approximately 19 percent of budget). This grant-funded initiative is a collaboration between Eskenazi Health and partner agencies, including the Marion County Coroner’s Office and the Indiana Department of Health Laboratory Services Commission, and will impact first responders, substance use disorder providers and patients, and governmental agencies throughout Marion County during the life of the grant and beyond.

IN

Tippecanoe County Government is applying for a Category 1 award in the amount of $1,200,000. The NewLeaf Wellness Center and Treatment Program will intervene at the pre-trial state or post-conviction state of criminal cases by identifying mental health and addiction treatment needs and connecting those individuals with the appropriate services. It will provide needed mental health and substance misuse services to participants through Tippecanoe County Community Corrections’ newly formed NewLeaf Wellness Center. Educational and treatment services provided through NewLeaf Wellness Center will include evidenced based practices such as living in balance, relapse prevention, cognitive behavioral therapy, trauma-informed care, and moral reconation therapy. The overall goal of this project is to accomplish a reduction in recidivism, jail overcrowding, and drug-related fatalities. This project serves Tippecanoe County, Indiana, which has an estimated population of 196,195. The project includes (but is not limited to) partnerships between local law enforcement agencies, Tippecanoe County Courts, Tippecanoe County Community Corrections, Valley Oaks, Meridian Health Services, NAMI, Calla Collaborative Health, Purdue University, Court Services, and Health Call. This project will engage Tippecanoe County Community Corrections Executive Director Jason Huber as the research partner for this project.

Tippecanoe County

Indiana

Tippecanoe County Government is applying for a Category 1 award in the amount of $1,200,000. The NewLeaf Wellness Center and Treatment Program will intervene at the pre-trial state or post-conviction state of criminal cases by identifying mental health and addiction treatment needs and connecting those individuals with the appropriate services. It will provide needed mental health and substance misuse services to participants through Tippecanoe County Community Corrections’ newly formed NewLeaf Wellness Center. Educational and treatment services provided through NewLeaf Wellness Center will include evidenced based practices such as living in balance, relapse prevention, cognitive behavioral therapy, trauma-informed care, and moral reconation therapy. The overall goal of this project is to accomplish a reduction in recidivism, jail overcrowding, and drug-related fatalities. This project serves Tippecanoe County, Indiana, which has an estimated population of 196,195. The project includes (but is not limited to) partnerships between local law enforcement agencies, Tippecanoe County Courts, Tippecanoe County Community Corrections, Valley Oaks, Meridian Health Services, NAMI, Calla Collaborative Health, Purdue University, Court Services, and Health Call. This project will engage Tippecanoe County Community Corrections Executive Director Jason Huber as the research partner for this project.

MA

The Town of East Bridgewater, Massachusetts, received funding to support the existing Plymouth County Outreach (PCO) program and all the funding goes towards law enforcement and first responder deflection and diversion programming. This project serves the area of Plymouth County, which has a population of 533,033. PCO is a police-directed post-overdose outreach model and serves to make treatment more accessible for those struggling with Substance Use Disorder and their families. The key program components will enhance the current PCO model in two ways. First, the creation of a standardized training curriculum for all police officers, dispatchers, and civilian employees of police departments throughout Plymouth County, including the fundamentals of addiction, overdose prevention and response, trauma informed responses to addiction/overdoses, and adverse childhood experiences (ACES). It is expected that 75 percent of all police personnel will be trained through this funding. Second, the creation of two satellite offices in underserved parts of the county identified as overdose “hot-spots” to expand the capacity of PCO staff to engage with clients in non-adversarial settings; conduct harm reduction training and distribution of supplies; provide drop-in services that focus on removing barriers to accessing treatment (assistance with obtaining identification, insurance applications, and transportation); and provide referrals for employment, housing, mental health counseling, and local treatment/recovery resources. This project includes partnerships between the 27 police departments in Plymouth County, as well as the Bridgewater State University Police Department, the Plymouth County District Attorney and Sheriff, and all local hospitals and treatment facilities. PCO is administered by an advisory board that is comprised of police chiefs, physicians, and public health experts. The research partner for this project will maintain the Critical Incident Management System (CIMS) software which records real-time data on all overdoses that occur in Plymouth County. CIMS also manages and documents incident follow-up outreach visits to determine the success at connecting individuals with treatment services, shares information across communities using a county-wide incident notification system and provides real-time reporting tools. This proposal signifies a strategic expansion of the PCO model to fill critical gaps in current resources and services.

Town of East Bridgewater

Massachusetts

The Town of East Bridgewater, Massachusetts, received funding to support the existing Plymouth County Outreach (PCO) program and all the funding goes towards law enforcement and first responder deflection and diversion programming. This project serves the area of Plymouth County, which has a population of 533,033. PCO is a police-directed post-overdose outreach model and serves to make treatment more accessible for those struggling with Substance Use Disorder and their families. The key program components will enhance the current PCO model in two ways. First, the creation of a standardized training curriculum for all police officers, dispatchers, and civilian employees of police departments throughout Plymouth County, including the fundamentals of addiction, overdose prevention and response, trauma informed responses to addiction/overdoses, and adverse childhood experiences (ACES). It is expected that 75 percent of all police personnel will be trained through this funding. Second, the creation of two satellite offices in underserved parts of the county identified as overdose “hot-spots” to expand the capacity of PCO staff to engage with clients in non-adversarial settings; conduct harm reduction training and distribution of supplies; provide drop-in services that focus on removing barriers to accessing treatment (assistance with obtaining identification, insurance applications, and transportation); and provide referrals for employment, housing, mental health counseling, and local treatment/recovery resources. This project includes partnerships between the 27 police departments in Plymouth County, as well as the Bridgewater State University Police Department, the Plymouth County District Attorney and Sheriff, and all local hospitals and treatment facilities. PCO is administered by an advisory board that is comprised of police chiefs, physicians, and public health experts. The research partner for this project will maintain the Critical Incident Management System (CIMS) software which records real-time data on all overdoses that occur in Plymouth County. CIMS also manages and documents incident follow-up outreach visits to determine the success at connecting individuals with treatment services, shares information across communities using a county-wide incident notification system and provides real-time reporting tools. This proposal signifies a strategic expansion of the PCO model to fill critical gaps in current resources and services.

MA

The Town of East Bridgewater project supports the existing Plymouth County Outreach (PCO) program. Ninety-seven percent of this budget will support the allowable use category of law enforcement and first responder deflection and diversion programming and 3% will support real-time data collection. This project serves the area of Plymouth County, which has a population of 541,589.1. PCO is a police directed post-overdose outreach model and serves to make treatment more accessible for those struggling with Substance Use Disorder and their families. The key program components of this project will enhance the current PCO model in three ways. First, the expansion of the reentry strategy to provide recovery support to pre-trial court-based populations including referrals to local resources, sober living scholarships, and transportation vouchers. Second, the expansion of recovery supports to youth including weekly youth recovery support groups and the development of a policy and curriculum for educational SUD classes that schools can add to the existing school drug policy violation disciplinary options. Finally, the creation of an Overdose Fatality Review process to identify gaps in services and resources that contribute to fatal overdose events including six OFR meetings reviewing 12-18 fatal events per year. This project includes partnerships between the 27 police departments in Plymouth County, as well as the Bridgewater State University Police Department, the Plymouth County District Attorney and Sheriff, as well as all local hospitals and treatment facilities. PCO is administered by an Advisory Board that is comprised of Police Chiefs, Physicians, and Public Health experts. Kelley Research Associates (KRA) will serve as the research partner for this project and also maintain the Critical Incident Management System (CIMS) software which records real-time data on all overdoses that occur in Plymouth County. CIMS also manages and documents incident followup outreach visits to determine the success at connecting individuals with treatment services, shares information across communities using a county-wide incident notification system and provides real-time reporting tools. Previous COSSAP funding from 2018 and 2020 allowed PCO to establish long-term viability.

Town of East Bridgewater

Massachusetts

The Town of East Bridgewater project supports the existing Plymouth County Outreach (PCO) program. Ninety-seven percent of this budget will support the allowable use category of law enforcement and first responder deflection and diversion programming and 3% will support real-time data collection. This project serves the area of Plymouth County, which has a population of 541,589.1. PCO is a police directed post-overdose outreach model and serves to make treatment more accessible for those struggling with Substance Use Disorder and their families. The key program components of this project will enhance the current PCO model in three ways. First, the expansion of the reentry strategy to provide recovery support to pre-trial court-based populations including referrals to local resources, sober living scholarships, and transportation vouchers. Second, the expansion of recovery supports to youth including weekly youth recovery support groups and the development of a policy and curriculum for educational SUD classes that schools can add to the existing school drug policy violation disciplinary options. Finally, the creation of an Overdose Fatality Review process to identify gaps in services and resources that contribute to fatal overdose events including six OFR meetings reviewing 12-18 fatal events per year. This project includes partnerships between the 27 police departments in Plymouth County, as well as the Bridgewater State University Police Department, the Plymouth County District Attorney and Sheriff, as well as all local hospitals and treatment facilities. PCO is administered by an Advisory Board that is comprised of Police Chiefs, Physicians, and Public Health experts. Kelley Research Associates (KRA) will serve as the research partner for this project and also maintain the Critical Incident Management System (CIMS) software which records real-time data on all overdoses that occur in Plymouth County. CIMS also manages and documents incident followup outreach visits to determine the success at connecting individuals with treatment services, shares information across communities using a county-wide incident notification system and provides real-time reporting tools. Previous COSSAP funding from 2018 and 2020 allowed PCO to establish long-term viability.

ME

The Town of Scarborough is applying for Category 1 funding in the amount of $600,000. The project will support the expansion of the Law Enforcement Assisted Diversion (LEAD) program in the Scarborough Police Department (SPD), launched in November 2020 under the guidance of the LEAD National Support Bureau. Individuals are linked to the program by police officers and receive an intake assessment consisting of goal identification and setting, referrals for services, and social support. Program participants are also able to enroll in the Heroin Opioid Prevention Effort (HOPE) program, a Police Assisted Addiction & Recovery Initiative (PAARI)-model program operated by SPD. The project will support the hiring of a case manager to assist the SPD Social Services Division. Additional funding will be used to support short-term housing costs for individuals enrolled in the program; clinical and psychiatric care for individuals without health insurance; and emergency services to facilitate transportation of participants, food, clothing, prepaid phone service, and necessities. Deliverables for this project include reducing recidivism for participants and increasing referrals for services. The project serves Scarborough, a community of 20,352 citizens in Southern Cumberland County, spread over 70.63 square miles. The project includes partnerships with the Cumberland County District Attorney’s Office; Maine Health-Maine Medical Center Psychiatry; Spurwink Behavioral Health Services; Milestone Detoxification Center; and the Scarborough Economic Development Corporation. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Town of Scarborough

Maine

The Town of Scarborough is applying for Category 1 funding in the amount of $600,000. The project will support the expansion of the Law Enforcement Assisted Diversion (LEAD) program in the Scarborough Police Department (SPD), launched in November 2020 under the guidance of the LEAD National Support Bureau. Individuals are linked to the program by police officers and receive an intake assessment consisting of goal identification and setting, referrals for services, and social support. Program participants are also able to enroll in the Heroin Opioid Prevention Effort (HOPE) program, a Police Assisted Addiction & Recovery Initiative (PAARI)-model program operated by SPD. The project will support the hiring of a case manager to assist the SPD Social Services Division. Additional funding will be used to support short-term housing costs for individuals enrolled in the program; clinical and psychiatric care for individuals without health insurance; and emergency services to facilitate transportation of participants, food, clothing, prepaid phone service, and necessities. Deliverables for this project include reducing recidivism for participants and increasing referrals for services. The project serves Scarborough, a community of 20,352 citizens in Southern Cumberland County, spread over 70.63 square miles. The project includes partnerships with the Cumberland County District Attorney’s Office; Maine Health-Maine Medical Center Psychiatry; Spurwink Behavioral Health Services; Milestone Detoxification Center; and the Scarborough Economic Development Corporation. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

MA

The Seekonk Police Department is applying for Category 1 funding in the amount of $798,156. The Bristol County Outreach Opioid Intervention/Mental Health Program is a law enforcement-led post-overdose outreach collaboration among eight towns in Bristol County that will facilitate access to treatment for individuals struggling with substance use disorder, as well as support for their families and friends. The program includes hiring a project coordinator/clinician and a recovery specialist to support the eight-town coalition of police departments in their efforts to provide post overdose/referral recovery support services to individuals experiencing non-fatal overdoses and those determined to be at risk for overdose. Outreach teams will conduct post-overdose home visits within 72 hours of an overdose to offer access to treatment. Outreach will also include distribution of harm reduction tool kits including naloxone. All eight towns currently use countywide overdose/referral tracking software called the Critical Incident Management System (CIMS), which tracks all fatal and non-fatal overdoses, shares data among law enforcement agencies, and documents post-overdose follow-up. The project serves the towns of Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset in Bristol County, which have an aggregate population of 136,738. The project includes partnerships between the municipal police departments in Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset. The project will engage Kelley Research Associates as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Town of Seekonk

Massachusetts

The Seekonk Police Department is applying for Category 1 funding in the amount of $798,156. The Bristol County Outreach Opioid Intervention/Mental Health Program is a law enforcement-led post-overdose outreach collaboration among eight towns in Bristol County that will facilitate access to treatment for individuals struggling with substance use disorder, as well as support for their families and friends. The program includes hiring a project coordinator/clinician and a recovery specialist to support the eight-town coalition of police departments in their efforts to provide post overdose/referral recovery support services to individuals experiencing non-fatal overdoses and those determined to be at risk for overdose. Outreach teams will conduct post-overdose home visits within 72 hours of an overdose to offer access to treatment. Outreach will also include distribution of harm reduction tool kits including naloxone. All eight towns currently use countywide overdose/referral tracking software called the Critical Incident Management System (CIMS), which tracks all fatal and non-fatal overdoses, shares data among law enforcement agencies, and documents post-overdose follow-up. The project serves the towns of Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset in Bristol County, which have an aggregate population of 136,738. The project includes partnerships between the municipal police departments in Dighton, Easton, Fairhaven, Mansfield, Rehoboth, Seekonk, and Somerset. The project will engage Kelley Research Associates as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

NC

Transylvania County, through its Community Awareness Recovery Effort (C.A.R.E.) Coalition, is applying for Category 1 funding in the amount of $599,767. The Creating Access to Therapeutic, Reentry, and Recovery Support Services in Transylvania County Detention Center program will create access to trauma-informed behavioral health services and peer support specialist-informed recovery and reentry services for detainees residing in the detention center. This goal will be achieved by hiring and training a behavioral health therapist and a care coordinator to support the needs of detainees across the continuum of their detention, from booking/intake to release. The project will also support expansion of Transylvania County’s substance use disorder response efforts to include trauma-informed care (TIC) approaches and evidence-based interventions specifically targeted at persons involved with the criminal justice system; distribution of naloxone to detainees upon release; completion of a strategic plan for advocacy for medication-assisted treatment (MAT) bridge prescription; and TIC training for detention, law enforcement, and probation officers. The project serves Transylvania County, which has a largely rural population of 34,385. The project includes partnerships with the Transylvania Opioid Response Team, the Transylvania County Sheriff’s Office, and Transylvania Public Health. The project will engage the University of Western Carolina as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Transylvania County

North Carolina

Transylvania County, through its Community Awareness Recovery Effort (C.A.R.E.) Coalition, is applying for Category 1 funding in the amount of $599,767. The Creating Access to Therapeutic, Reentry, and Recovery Support Services in Transylvania County Detention Center program will create access to trauma-informed behavioral health services and peer support specialist-informed recovery and reentry services for detainees residing in the detention center. This goal will be achieved by hiring and training a behavioral health therapist and a care coordinator to support the needs of detainees across the continuum of their detention, from booking/intake to release. The project will also support expansion of Transylvania County’s substance use disorder response efforts to include trauma-informed care (TIC) approaches and evidence-based interventions specifically targeted at persons involved with the criminal justice system; distribution of naloxone to detainees upon release; completion of a strategic plan for advocacy for medication-assisted treatment (MAT) bridge prescription; and TIC training for detention, law enforcement, and probation officers. The project serves Transylvania County, which has a largely rural population of 34,385. The project includes partnerships with the Transylvania Opioid Response Team, the Transylvania County Sheriff’s Office, and Transylvania Public Health. The project will engage the University of Western Carolina as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

OK

The Community Approach to Vulnerable Adult Treatment (CATVAT) is a treatment-focused diversion project that ameliorates the impact of substance use on vulnerable adults in Tulsa County by diverting their court cases appropriately, providing wraparound services, and preventing possible future victimization, at SAMHSA Sequential Intercept 3: Jails/Courts and Intercept 2: Initial Court Hearings/Initial Detention. Grant funds will be used to retain and hire personnel include two prosecutors and three case managers who will handle substance-involved vulnerable adult cases holistically. There is one intended subrecipient of grant funds, Family and Children's Services. Beneficiaries of services provided through the grant project are vulnerable adults in Tulsa County who commit offenses or become victims due to untreated substance use, mental illness, or co-occurring disorders. CATVAT is a collaborative, multidisciplinary program to alleviate the impacts of substance use on individuals with one or more factors that categorize them as vulnerable, including advanced age, Serious Mental Illness, intellectual disability, and other characteristics. Primary activities include joint staffing by CATVAT prosecutors and case managers of complicated vulnerable adult cases to determine treatment needs, divert criminal cases, detect victimization, prosecute individuals appropriately, and provide social services to prevent future victimization. 400 cases will be diverted from traditional prosecution; 300 court-ordered outpatient cases will be managed; 100 cases ineligible for COO will be managed; 400 screenings for SUD/MI of jail inmates 65 years and older will be conducted; 200 cases will be prosecuted with diversion consideration; 100 victim cases will be managed; 300 victim case follow-ups will be conducted; and 500 cases will be jointly staffed. The requested $1,600,000 will be budgeted between the following allowable uses of Category 1 funds: Pre-booking or post-booking treatment alternative-to-incarceration programs (55%), and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (45%).

Tulsa County District Attorney

Oklahoma

The Community Approach to Vulnerable Adult Treatment (CATVAT) is a treatment-focused diversion project that ameliorates the impact of substance use on vulnerable adults in Tulsa County by diverting their court cases appropriately, providing wraparound services, and preventing possible future victimization, at SAMHSA Sequential Intercept 3: Jails/Courts and Intercept 2: Initial Court Hearings/Initial Detention. Grant funds will be used to retain and hire personnel include two prosecutors and three case managers who will handle substance-involved vulnerable adult cases holistically. There is one intended subrecipient of grant funds, Family and Children's Services. Beneficiaries of services provided through the grant project are vulnerable adults in Tulsa County who commit offenses or become victims due to untreated substance use, mental illness, or co-occurring disorders. CATVAT is a collaborative, multidisciplinary program to alleviate the impacts of substance use on individuals with one or more factors that categorize them as vulnerable, including advanced age, Serious Mental Illness, intellectual disability, and other characteristics. Primary activities include joint staffing by CATVAT prosecutors and case managers of complicated vulnerable adult cases to determine treatment needs, divert criminal cases, detect victimization, prosecute individuals appropriately, and provide social services to prevent future victimization. 400 cases will be diverted from traditional prosecution; 300 court-ordered outpatient cases will be managed; 100 cases ineligible for COO will be managed; 400 screenings for SUD/MI of jail inmates 65 years and older will be conducted; 200 cases will be prosecuted with diversion consideration; 100 victim cases will be managed; 300 victim case follow-ups will be conducted; and 500 cases will be jointly staffed. The requested $1,600,000 will be budgeted between the following allowable uses of Category 1 funds: Pre-booking or post-booking treatment alternative-to-incarceration programs (55%), and embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (45%).

OK

The Tulsa County, Oklahoma, District Attorney’s Tulsa County Collaborative Jail Reentry (TCJR) Initiative is a collaborative effort between the Tulsa County District Attorney and Family and Children’s Services, a nonprofit behavioral and mental health provider and proposed subrecipient. Grant funding will provide for a prosecutor to attend daily bond docket and otherwise serve as an early identifier of possible diversion candidates in the Tulsa County Jail. This prosecutor will work jointly with a data specialist to improve tracking and identification protocols, and case managers to locate the best alternatives to prosecution for eligible candidates who have a substance use disorder and/or mental illness. The case managers, together with a licensed clinical social worker and a peer recovery support specialist, will provide the candidates with treatment inside the jail and connect them with treatment and support services after release, thereby establishing a continuum of care between incarceration and community living. The TCJR Initiative aims to reduce Tulsa County’s high substance use and overdose rates by deploying essential personnel to make treatment accessible within the jail and after release, and by bolstering the ability of agency personnel to track and share data to inform prosecutorial decision-making about diversion eligibility. The target population is Tulsa County Jail inmates with substance use disorders and/or mental illnesses. Objectives include: 1) identify inmates in need of treatment services (2) connect inmates with treatment services inside the jail, (3) help inmates stay connected to treatment and supportive services after release; and (4) improve data tracking and sharing capabilities to inform prosecutorial decision-making Program measurements and performance targets include: (1) 2,000 inmates identified as needing treatment services; (2) 600 inmates connected to treatment services inside the jail; (3) 400 inmates assisted with treatment and support services after release; and (4) report on data upgrades and utilization. The budget includes (1) real-time data collection (10 percent); (2) pre-booking or post-booking treatment alternative-to-incarceration programs (55 percent); (3) evidence-based substance use disorder treatment related to opioids (25 percent); (4) transitional or recovery housing and peer recovery support services (10 percent).

Tulsa County District Attorney

Oklahoma

The Tulsa County, Oklahoma, District Attorney’s Tulsa County Collaborative Jail Reentry (TCJR) Initiative is a collaborative effort between the Tulsa County District Attorney and Family and Children’s Services, a nonprofit behavioral and mental health provider and proposed subrecipient. Grant funding will provide for a prosecutor to attend daily bond docket and otherwise serve as an early identifier of possible diversion candidates in the Tulsa County Jail. This prosecutor will work jointly with a data specialist to improve tracking and identification protocols, and case managers to locate the best alternatives to prosecution for eligible candidates who have a substance use disorder and/or mental illness. The case managers, together with a licensed clinical social worker and a peer recovery support specialist, will provide the candidates with treatment inside the jail and connect them with treatment and support services after release, thereby establishing a continuum of care between incarceration and community living. The TCJR Initiative aims to reduce Tulsa County’s high substance use and overdose rates by deploying essential personnel to make treatment accessible within the jail and after release, and by bolstering the ability of agency personnel to track and share data to inform prosecutorial decision-making about diversion eligibility. The target population is Tulsa County Jail inmates with substance use disorders and/or mental illnesses. Objectives include: 1) identify inmates in need of treatment services (2) connect inmates with treatment services inside the jail, (3) help inmates stay connected to treatment and supportive services after release; and (4) improve data tracking and sharing capabilities to inform prosecutorial decision-making Program measurements and performance targets include: (1) 2,000 inmates identified as needing treatment services; (2) 600 inmates connected to treatment services inside the jail; (3) 400 inmates assisted with treatment and support services after release; and (4) report on data upgrades and utilization. The budget includes (1) real-time data collection (10 percent); (2) pre-booking or post-booking treatment alternative-to-incarceration programs (55 percent); (3) evidence-based substance use disorder treatment related to opioids (25 percent); (4) transitional or recovery housing and peer recovery support services (10 percent).

CA

The Tuolumne Band of Me-Wuk Indians is applying for a Category 1 award in the amount of $600,000. The Tuolumne Band of Me-Wuk Indians Comprehensive Opioid and Substance Abuse Prevention Project will deliver substance misuse services to American Indians in its service area. It will also continue the employment of the Tribe’s licensed advanced alcohol and drug counselor, certified clinical supervisor, and certified domestic violence advocate. The funding will also allow the Tribe to hire a second certified substance misuse counselor who will assist the Tribe in meeting the need for services. As COVID-19 restrictions ease, the Tribe’s existing alcohol and drug counselor will restart services in the Tuolumne County Jail to meet the overwhelming need for culturally appropriate services for those incarcerated there. This project serves the Tuolumne Rancheria and Tuolumne County, California, a rural region with well under 100,000 people. The services will be delivered to American Indians and their dependents—including in the Tuolumne County Jail—and also to Mariposa and Calaveras Counties, which are served by the Tuolumne Band of Me-Wuk Indians Temporary Aid to Needy Families Program. Priority considerations addressed in this application include a lack of accessibility to treatment providers and facilities and to emergency medical services.

Tuolumne Me-Wuk Tribal Council

California

The Tuolumne Band of Me-Wuk Indians is applying for a Category 1 award in the amount of $600,000. The Tuolumne Band of Me-Wuk Indians Comprehensive Opioid and Substance Abuse Prevention Project will deliver substance misuse services to American Indians in its service area. It will also continue the employment of the Tribe’s licensed advanced alcohol and drug counselor, certified clinical supervisor, and certified domestic violence advocate. The funding will also allow the Tribe to hire a second certified substance misuse counselor who will assist the Tribe in meeting the need for services. As COVID-19 restrictions ease, the Tribe’s existing alcohol and drug counselor will restart services in the Tuolumne County Jail to meet the overwhelming need for culturally appropriate services for those incarcerated there. This project serves the Tuolumne Rancheria and Tuolumne County, California, a rural region with well under 100,000 people. The services will be delivered to American Indians and their dependents—including in the Tuolumne County Jail—and also to Mariposa and Calaveras Counties, which are served by the Tuolumne Band of Me-Wuk Indians Temporary Aid to Needy Families Program. Priority considerations addressed in this application include a lack of accessibility to treatment providers and facilities and to emergency medical services.

NY

The Ulster County Sheriff’s Office will; (1) expand a law enforcement diversion co-response team previously funded by the Bureau of Justice Assistance modeled after LEAD, PAARI, QRT, and traditional care management to provide peer services within the rural areas of the county; (2) provided peer care management services in the Ulster County Jail to provide MAT programing support, as well as pre/post re-entry services to assist the coordination of re-entry for individuals with SUD, linking individuals with community-based treatment and recovery supports which increase access to behavioral health care, and following up with individuals for up to post release; and (3) provide naloxone vending machines in public spaces at the jail and in the community as a harm reduction measure for close networks of individuals experiencing opioid use disorder to gain easy and equitable access. The project includes collaboration between Ulster County Department of Mental Health, the Ulster County Sheriff’s Office, and Opioid Response as County Law Enforcement's High Risk Mitigation Team. This expansion project aims to increase collaboration between law enforcement and the community with the following goals: (1) reduce opioid fatalities in the rural region of the county by 40 percent in three years; (2) decrease opioid fatalities among incarcerated individuals upon re-entry by 40 percent over the course of three years; (3) increase naloxone distribution to the families and networks of individuals experiencing opioid use disorder by 100 percent within three years. The goal of all proposed programs is to enhance relationships between law enforcement and black, indigenous, and people of color communities struggling with substance use disorder by ensuring that all outreach and practices are trauma informed and sensitive to the historical and systemic racism.

Ulster County

New York

The Ulster County Sheriff’s Office will; (1) expand a law enforcement diversion co-response team previously funded by the Bureau of Justice Assistance modeled after LEAD, PAARI, QRT, and traditional care management to provide peer services within the rural areas of the county; (2) provided peer care management services in the Ulster County Jail to provide MAT programing support, as well as pre/post re-entry services to assist the coordination of re-entry for individuals with SUD, linking individuals with community-based treatment and recovery supports which increase access to behavioral health care, and following up with individuals for up to post release; and (3) provide naloxone vending machines in public spaces at the jail and in the community as a harm reduction measure for close networks of individuals experiencing opioid use disorder to gain easy and equitable access. The project includes collaboration between Ulster County Department of Mental Health, the Ulster County Sheriff’s Office, and Opioid Response as County Law Enforcement's High Risk Mitigation Team. This expansion project aims to increase collaboration between law enforcement and the community with the following goals: (1) reduce opioid fatalities in the rural region of the county by 40 percent in three years; (2) decrease opioid fatalities among incarcerated individuals upon re-entry by 40 percent over the course of three years; (3) increase naloxone distribution to the families and networks of individuals experiencing opioid use disorder by 100 percent within three years. The goal of all proposed programs is to enhance relationships between law enforcement and black, indigenous, and people of color communities struggling with substance use disorder by ensuring that all outreach and practices are trauma informed and sensitive to the historical and systemic racism.

NY

Ulster County is applying for Category 1b suburban area grant funding in the amount of $900,000. The High-Risk Mitigation Team (HRMT) will increase ORACLE’s capacity to respond to overdose scenes by providing crisis intervention training (CIT) to officers throughout Ulster County. The project will develop the HRMT to work directly with ORACLE, providing certified peer advocate services (CRPA) and intensive case management within the city of Kingston, New York. The project will also develop an initial alert system for first responders in Kingston to alert the ORACLE team of overdose when it happens. This project serves Ulster County, a community of approximately 177,573 people. The project includes partnerships between the Ulster County Department of Health and Mental Health, Ulster County Sheriff’s Office, and ORACLE team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and a high rate of overdose deaths.

Ulster County

New York

Ulster County is applying for Category 1b suburban area grant funding in the amount of $900,000. The High-Risk Mitigation Team (HRMT) will increase ORACLE’s capacity to respond to overdose scenes by providing crisis intervention training (CIT) to officers throughout Ulster County. The project will develop the HRMT to work directly with ORACLE, providing certified peer advocate services (CRPA) and intensive case management within the city of Kingston, New York. The project will also develop an initial alert system for first responders in Kingston to alert the ORACLE team of overdose when it happens. This project serves Ulster County, a community of approximately 177,573 people. The project includes partnerships between the Ulster County Department of Health and Mental Health, Ulster County Sheriff’s Office, and ORACLE team. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin or other opioids and a high rate of overdose deaths.

NY

New York State Unified Court System's New York County Supreme Court, Criminal Term (NYCSC), in partnership with the Center for Justice Innovation (Center), Category 1A aims to reduce the use and misuse of opioids, stimulants, and other substances and improve access to and engagement in treatment by integrating peer recovery services into and enhancing the capacity of the Manhattan Felony Alternative to Incarceration Court (ATI Court) through the Manhattan ATI Substance Use Treatment Enhancement Project. The ATI Court, focused on people charged with felonies in Manhattan, serves more than 350 people each year, offering alternatives to incarceration for all types of felony cases, including violent offenses. The ATI Court provides individualized clinical assessments; treatment plans tailored to participant needs; and rigorous monitoring of engagement in services. This first-of-its-kind all-purpose ATI Court provides a model for efforts nationwide to reduce incarceration, enhance public safety, and decrease recidivism for felony defendants. Nearly 60% of ATI Court participants struggle with substance use; 20% have substance use needs, are homeless, and are incarcerated when referred. To better serve participants, particularly those using opioids and at high risk of overdose, the ATI Court will add peer specialists with lived experience of recovery and justice-involvement to its clinical team. This initiative will 1) embed social workers and peers at the third intercept of the Sequential Intercept Model (approximately 34% of budget); 2) increase the use and quality of alternative to incarceration services (approximately 18% of budget); 3) engage participants leaving jail in evidence based treatments, such as medication-assisted treatment and harm reduction (approximately 13% of budget); and 4) use naloxone to reverse overdoses (approximately 4% of budget). Approximately 6% of budget will support other required costs. This project addresses priority considerations 1A and 2: increasing access to services for underserved and marginalized communities, and collaboration with an external research partner. NYCSC will provide a sub-award to the Center to employ two peer specialists, a senior social worker, and a court resource coordinator. Research partner MDRC, sub-recipient of the Center, will evaluate the model (approximately 25% of budget), particularly its impact on long-term wellness among participants with substance use disorder and justice system outcomes among all participants.

Unified Court System of New York State

New York

New York State Unified Court System's New York County Supreme Court, Criminal Term (NYCSC), in partnership with the Center for Justice Innovation (Center), Category 1A aims to reduce the use and misuse of opioids, stimulants, and other substances and improve access to and engagement in treatment by integrating peer recovery services into and enhancing the capacity of the Manhattan Felony Alternative to Incarceration Court (ATI Court) through the Manhattan ATI Substance Use Treatment Enhancement Project. The ATI Court, focused on people charged with felonies in Manhattan, serves more than 350 people each year, offering alternatives to incarceration for all types of felony cases, including violent offenses. The ATI Court provides individualized clinical assessments; treatment plans tailored to participant needs; and rigorous monitoring of engagement in services. This first-of-its-kind all-purpose ATI Court provides a model for efforts nationwide to reduce incarceration, enhance public safety, and decrease recidivism for felony defendants. Nearly 60% of ATI Court participants struggle with substance use; 20% have substance use needs, are homeless, and are incarcerated when referred. To better serve participants, particularly those using opioids and at high risk of overdose, the ATI Court will add peer specialists with lived experience of recovery and justice-involvement to its clinical team. This initiative will 1) embed social workers and peers at the third intercept of the Sequential Intercept Model (approximately 34% of budget); 2) increase the use and quality of alternative to incarceration services (approximately 18% of budget); 3) engage participants leaving jail in evidence based treatments, such as medication-assisted treatment and harm reduction (approximately 13% of budget); and 4) use naloxone to reverse overdoses (approximately 4% of budget). Approximately 6% of budget will support other required costs. This project addresses priority considerations 1A and 2: increasing access to services for underserved and marginalized communities, and collaboration with an external research partner. NYCSC will provide a sub-award to the Center to employ two peer specialists, a senior social worker, and a court resource coordinator. Research partner MDRC, sub-recipient of the Center, will evaluate the model (approximately 25% of budget), particularly its impact on long-term wellness among participants with substance use disorder and justice system outcomes among all participants.

NY

The New York State Unified Court System (UCS) is applying for Category 2 funding in the amount of $5,783,403. The New York Rural Opioid Court Initiative will implement opioid courts (OICs)—pre-plea court programs that expedite treatment and recovery services for offenders at high risk for overdose—in eight USDA-designated rural counties in New York State (Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Lewis). The project provides the infrastructure, planning, and evaluation of evidence-based treatment interventions, supervision, and recovery supportive services to successfully divert defendants with substance use disorder at risk of overdose. The OICs’ development will be supported locally by engaging in Sequential Intercept Model mapping in each jurisdiction and by the establishment of an OIC Center of Excellence, which will provide guidance to the selected counties in applying best practices to address the issues of polysubstance use disorders, mental health, and trauma. The project will also improve court supervision and access to treatment and peers through teleservices and will engage with drug testing laboratories to enhance testing for complex synthetic drugs to target effective supervision, treatment, and supportive services. The goal of the project is to stabilize defendants while an appropriate disposition of their case is determined so that participants may connect with treatment and other services that produce behavior change. The project serves Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Wyoming counties in New York State, with a combined population of 408,060. The project includes partnerships with the New York Office of Addiction Services and Supports and Policy Research Associates. The project will engage NPC Research as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Unified Court System of New York State

New York

The New York State Unified Court System (UCS) is applying for Category 2 funding in the amount of $5,783,403. The New York Rural Opioid Court Initiative will implement opioid courts (OICs)—pre-plea court programs that expedite treatment and recovery services for offenders at high risk for overdose—in eight USDA-designated rural counties in New York State (Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Lewis). The project provides the infrastructure, planning, and evaluation of evidence-based treatment interventions, supervision, and recovery supportive services to successfully divert defendants with substance use disorder at risk of overdose. The OICs’ development will be supported locally by engaging in Sequential Intercept Model mapping in each jurisdiction and by the establishment of an OIC Center of Excellence, which will provide guidance to the selected counties in applying best practices to address the issues of polysubstance use disorders, mental health, and trauma. The project will also improve court supervision and access to treatment and peers through teleservices and will engage with drug testing laboratories to enhance testing for complex synthetic drugs to target effective supervision, treatment, and supportive services. The goal of the project is to stabilize defendants while an appropriate disposition of their case is determined so that participants may connect with treatment and other services that produce behavior change. The project serves Sullivan, Greene, Delaware, Genesee, Cortland, Columbia, Chenango, and Wyoming counties in New York State, with a combined population of 408,060. The project includes partnerships with the New York Office of Addiction Services and Supports and Policy Research Associates. The project will engage NPC Research as an evaluation partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

KS

Wyandotte County has seen a steep increase in opioid overdose and overdose deaths since 2018. To address this the Wyandotte County Health Department (WCHD) has started a Peer Support Navigation Program to assist with linkage to care. Hiring peers is an evidence-based practice that increases a person with Substance Use Disorder (SUD) likelihood of seeking recovery-based services due to the shared understanding, respect, and mutual empowerment regarding the challenges of changing SUD behaviors. Wyandotte County also suffered a great loss in the fall of 2022 when the only inpatient treatment center in the county, Mirror Inc., shut its doors permanently. This closure eliminated the potential for nearby residential treatment, which directly affects not only general community members who are interested and open for recovery access, but those experiencing potential incarceration due to drug use as well. Now that there is no inpatient option, local drug court participants do not have an immediate treatment follow up for their programming, nor a Mirror employee that had worked with drug court to provide assessments to establish this treatment connection. This has resulted in drug court participants sitting in jail for up to 2 months awaiting an assessment for follow-up care. The closing of Mirror Inc. established a new partnership between WCHD and the local drug court. This partnership has developed a greater collaboration in the corrections setting. First, to utilize this funding to hire a Masters Licensed Addiction Counselor (LMAC) through Wyandot Behavioral Health Network (WBHN) to provide assessments that can decrease the time it takes for drug court participants and general probation offenders to access recovery services. WBHN is a family of organizations serving the mental health needs of Wyandotte County, Kansas and beyond. Along with mental health services, they offer outpatient SUD treatment services, and they are starting a Medication Assisted Treatment program. WBHN hiring the LMAC, would allow them to complete assessments needed and allow them to create a services chart should they want to receive services from the organization. The LMAC could also provide some treatment such as substance use treatment and mental health therapy, if further collaboration is to take place. Creating this position and embedding it in the court and community corrections facilities will aid in care navigation as well as provide a consistent person thus providing a more coordinated approach for the for the individual.

Unified Government of Wyandotte County

Kansas

Wyandotte County has seen a steep increase in opioid overdose and overdose deaths since 2018. To address this the Wyandotte County Health Department (WCHD) has started a Peer Support Navigation Program to assist with linkage to care. Hiring peers is an evidence-based practice that increases a person with Substance Use Disorder (SUD) likelihood of seeking recovery-based services due to the shared understanding, respect, and mutual empowerment regarding the challenges of changing SUD behaviors. Wyandotte County also suffered a great loss in the fall of 2022 when the only inpatient treatment center in the county, Mirror Inc., shut its doors permanently. This closure eliminated the potential for nearby residential treatment, which directly affects not only general community members who are interested and open for recovery access, but those experiencing potential incarceration due to drug use as well. Now that there is no inpatient option, local drug court participants do not have an immediate treatment follow up for their programming, nor a Mirror employee that had worked with drug court to provide assessments to establish this treatment connection. This has resulted in drug court participants sitting in jail for up to 2 months awaiting an assessment for follow-up care. The closing of Mirror Inc. established a new partnership between WCHD and the local drug court. This partnership has developed a greater collaboration in the corrections setting. First, to utilize this funding to hire a Masters Licensed Addiction Counselor (LMAC) through Wyandot Behavioral Health Network (WBHN) to provide assessments that can decrease the time it takes for drug court participants and general probation offenders to access recovery services. WBHN is a family of organizations serving the mental health needs of Wyandotte County, Kansas and beyond. Along with mental health services, they offer outpatient SUD treatment services, and they are starting a Medication Assisted Treatment program. WBHN hiring the LMAC, would allow them to complete assessments needed and allow them to create a services chart should they want to receive services from the organization. The LMAC could also provide some treatment such as substance use treatment and mental health therapy, if further collaboration is to take place. Creating this position and embedding it in the court and community corrections facilities will aid in care navigation as well as provide a consistent person thus providing a more coordinated approach for the for the individual.

CA

The proposed project will support three inter-related programmatic enhancements at the Ventura County Jail, to achieve the overarching goal of expanding substance use disorder (SUD) care and retention for this high-risk population. Ventura County has seen a sharp rise in opioid- and methamphetamine-related overdose deaths, with a 33 percent increase in deaths from 2021 to 2022. The jail population mirrors the SUD problems seen in the general population; however, there are limited treatment and support services currently available as a means of reducing problems related to SUD among persons involved with county corrections. This project aims to address the challenges being faced related to the rising prevalence of SUD in the county, with a particular emphasis on people with histories of opioid use disorder and stimulant use, through early SUD identification of persons in the county jail system and improved delivery of treatment and supportive services. The specific services that will be implemented/expanded include conducting uniform SUD screening at intake (including comparison testing of two screening tools; expanding access to in-custody medication for opioid use disorder; and improving community SUD aftercare attendance and housing stability for those referred for ongoing SUD treatment, including use of a newly established Patient Navigator to provide more efficient responses to client needs during the high-risk period when returning to the community. In addressing these goals, this project responds to several of the allowable uses/practices specified in the solicitation, including evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (25 percent); transitional or recovery housing and peer recovery support services (35 percent); embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (25 percent); and field-initiated projects that bring together justice, behavioral health, and public health practitioners (15 percent). The project will include partnerships with county health care providers with expertise in addiction treatment. The inclusion of a research partner (New York University) will ensure that the project process and outcomes are appropriately documented and reported.

Ventura County

California

The proposed project will support three inter-related programmatic enhancements at the Ventura County Jail, to achieve the overarching goal of expanding substance use disorder (SUD) care and retention for this high-risk population. Ventura County has seen a sharp rise in opioid- and methamphetamine-related overdose deaths, with a 33 percent increase in deaths from 2021 to 2022. The jail population mirrors the SUD problems seen in the general population; however, there are limited treatment and support services currently available as a means of reducing problems related to SUD among persons involved with county corrections. This project aims to address the challenges being faced related to the rising prevalence of SUD in the county, with a particular emphasis on people with histories of opioid use disorder and stimulant use, through early SUD identification of persons in the county jail system and improved delivery of treatment and supportive services. The specific services that will be implemented/expanded include conducting uniform SUD screening at intake (including comparison testing of two screening tools; expanding access to in-custody medication for opioid use disorder; and improving community SUD aftercare attendance and housing stability for those referred for ongoing SUD treatment, including use of a newly established Patient Navigator to provide more efficient responses to client needs during the high-risk period when returning to the community. In addressing these goals, this project responds to several of the allowable uses/practices specified in the solicitation, including evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services (25 percent); transitional or recovery housing and peer recovery support services (35 percent); embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model (25 percent); and field-initiated projects that bring together justice, behavioral health, and public health practitioners (15 percent). The project will include partnerships with county health care providers with expertise in addiction treatment. The inclusion of a research partner (New York University) will ensure that the project process and outcomes are appropriately documented and reported.

NC

The Wake County Sheriff’s Office (WCSO) will develop an Opioid Abuse Management Program, which aims to reduce the high rate of opioid overdoses and opioid fatalities in Wake County. The Opioid Abuse Management program will be overseen by a Program Coordinator who will implement and oversee the progress of the program. Funding through the program will ensure that all deputies are equipped with naloxone to administer and reverse the effects of an overdose. The program will also provide handheld narcotics analyzers and necessary accessories, which will enable deputies to quickly identify suspected controlled substances in emergency situations. Tablets will also be funded through the program and will be provided to deputies responding to substance abuse calls. These tablets will provide a direct connection to Alliance Health Access and Information Line, where deputies will receive immediate virtual assistance from a social services professional. Tablets will also be used in the Detox Unit by project staff for reporting and data management, as well as by residents housed in the Detox Unit to assist with job applications, substance abuse treatment programs, and telehealth visits. WCSO recognizes that our duty of care must not stop upon a resident’s release and therefore will implement collaborative partnerships with behavioral health clinics and treatment providers to expand our comprehensive efforts to respond to, treat, and support those impacted by illicit opioids, stimulants, and other drugs of abuse once released from our care. WCSO will procure a software company to develop and implement a Substance Abuse Disorder Management Platform that will track treatment during incarceration and upon release. This software will connect the WCSO with outside healthcare professionals to better understand patterns and to share crucial information.

Wake County

North Carolina

The Wake County Sheriff’s Office (WCSO) will develop an Opioid Abuse Management Program, which aims to reduce the high rate of opioid overdoses and opioid fatalities in Wake County. The Opioid Abuse Management program will be overseen by a Program Coordinator who will implement and oversee the progress of the program. Funding through the program will ensure that all deputies are equipped with naloxone to administer and reverse the effects of an overdose. The program will also provide handheld narcotics analyzers and necessary accessories, which will enable deputies to quickly identify suspected controlled substances in emergency situations. Tablets will also be funded through the program and will be provided to deputies responding to substance abuse calls. These tablets will provide a direct connection to Alliance Health Access and Information Line, where deputies will receive immediate virtual assistance from a social services professional. Tablets will also be used in the Detox Unit by project staff for reporting and data management, as well as by residents housed in the Detox Unit to assist with job applications, substance abuse treatment programs, and telehealth visits. WCSO recognizes that our duty of care must not stop upon a resident’s release and therefore will implement collaborative partnerships with behavioral health clinics and treatment providers to expand our comprehensive efforts to respond to, treat, and support those impacted by illicit opioids, stimulants, and other drugs of abuse once released from our care. WCSO will procure a software company to develop and implement a Substance Abuse Disorder Management Platform that will track treatment during incarceration and upon release. This software will connect the WCSO with outside healthcare professionals to better understand patterns and to share crucial information.

OH

The Warren County Common Pleas Court (WCCP) Services Department is applying for Category 1 funding in the amount of $900,000. The Recovery Engagement Alternative Community Treatment (REACT) Program is a court-based intervention program designed to serve individuals not accepted by Warren County’s Recovery Court but in need of treatment services. A collaboration of court and probation services, REACT will expand access to supervision, treatment, and recovery support services across the criminal justice system. It will shift the focus of participating probation officers to rehabilitative efforts and support services to increase the number of clients who complete probation and treatment successfully, as well as find housing and employment. The REACT program is for adults on community supervision through WCCP with a substance use disorder, a history of unsuccessful previous community supervision, repeated prior treatment episodes, and with other areas of high criminogenic risk and need. REACT clients will be supervised by a probation officer trained in evidence-based practices. The probation officer and the client will work toward mutual goals of facilitating sobriety and cognitive-behavioral change, securing safe and stable housing, and securing stable employment. Deliverables include provision of services for 70 participants annually and housing for 32 participants per year. The project serves Warren County, which has a population of 234,602. The project includes partnerships between WCCP and Talbert House, Solutions Community Counseling and Recovery Centers, and New Foundations Recovery Housing. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Warren County

Ohio

The Warren County Common Pleas Court (WCCP) Services Department is applying for Category 1 funding in the amount of $900,000. The Recovery Engagement Alternative Community Treatment (REACT) Program is a court-based intervention program designed to serve individuals not accepted by Warren County’s Recovery Court but in need of treatment services. A collaboration of court and probation services, REACT will expand access to supervision, treatment, and recovery support services across the criminal justice system. It will shift the focus of participating probation officers to rehabilitative efforts and support services to increase the number of clients who complete probation and treatment successfully, as well as find housing and employment. The REACT program is for adults on community supervision through WCCP with a substance use disorder, a history of unsuccessful previous community supervision, repeated prior treatment episodes, and with other areas of high criminogenic risk and need. REACT clients will be supervised by a probation officer trained in evidence-based practices. The probation officer and the client will work toward mutual goals of facilitating sobriety and cognitive-behavioral change, securing safe and stable housing, and securing stable employment. Deliverables include provision of services for 70 participants annually and housing for 32 participants per year. The project serves Warren County, which has a population of 234,602. The project includes partnerships between WCCP and Talbert House, Solutions Community Counseling and Recovery Centers, and New Foundations Recovery Housing. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

NC

The Wayne County Detention Center, through the Wayne County Sheriff’s Office, applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to provide best practices in developing, implementing, and sustaining a jail-based medication-assisted treatment (MAT) program during incarceration and upon release. The benefits include stemming the cycle of arrest, incarceration, and release typically linked to substance use disorders; helping to maintain a safe and secure jail for inmates and staff; and reducing costs, since data indicate that MAT for opioid use disorders is cost-effective. This project serves Wayne County, North Carolina, which is the sixth largest agricultural county in the state with approximately over 116,000 residents. The project includes partnerships between Southern Health Partners, Wayne County’s Day Reporting Center, and Dixon Social Interactive Services, Inc. Priority considerations addressed in this application include Qualified Opportunity Zones and persistent poverty.

Wayne County Sheriff's Office

North Carolina

The Wayne County Detention Center, through the Wayne County Sheriff’s Office, applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to provide best practices in developing, implementing, and sustaining a jail-based medication-assisted treatment (MAT) program during incarceration and upon release. The benefits include stemming the cycle of arrest, incarceration, and release typically linked to substance use disorders; helping to maintain a safe and secure jail for inmates and staff; and reducing costs, since data indicate that MAT for opioid use disorders is cost-effective. This project serves Wayne County, North Carolina, which is the sixth largest agricultural county in the state with approximately over 116,000 residents. The project includes partnerships between Southern Health Partners, Wayne County’s Day Reporting Center, and Dixon Social Interactive Services, Inc. Priority considerations addressed in this application include Qualified Opportunity Zones and persistent poverty.

UT

Weber County, Utah, is enhancing the reentry support services for justice-involved individuals in the community, with special attention to those who have experienced or are at risk of experiencing homelessness, as part of its collaborative response to reentry. The Weber County Community Reentry Coalition will oversee the project and will build upon existing partnerships between the Weber County Sheriff’s Office, Weber Human Services, Utah Support Advocates for Recovery Awareness, Ogden Police Department, Lantern House Homeless Shelter, Weber Housing Authority, Weber Public Defender Group, and more. The project will integrate peer recovery support services within the local criminal justice system, increase reentry coordination systems navigation capacity to bridge gaps along the sequential intercept model, provide funds for housing assistance, and mitigate costs associated with obtaining housing assistance and/or employment. Approximately 73 percent of grant funds will be used to support: (1) two full-time peer recovery support specialist positions to provide critical addiction recovery support services that are tailored to meet the specific needs of individuals returning from incarceration with substance use disorders and experiencing homelessness for the first time or chronically; and (2) three full-time reentry coordinator positions to conduct assessment, reentry planning, resource connection, and systems navigation with the ability to work in the jail, shelter, and community policing as necessary to serve as a bridge between these agencies that see many people cycle between them. Approximately 27 percent of grant funds will be used to help pay for: (1) supplemental housing assistance, along with vouchers, for initial costs such as first month’s rent or deposit for those exiting incarceration with no income or means to pay; and (2) costs associated with reentry and recovery support services.

Weber County

Utah

Weber County, Utah, is enhancing the reentry support services for justice-involved individuals in the community, with special attention to those who have experienced or are at risk of experiencing homelessness, as part of its collaborative response to reentry. The Weber County Community Reentry Coalition will oversee the project and will build upon existing partnerships between the Weber County Sheriff’s Office, Weber Human Services, Utah Support Advocates for Recovery Awareness, Ogden Police Department, Lantern House Homeless Shelter, Weber Housing Authority, Weber Public Defender Group, and more. The project will integrate peer recovery support services within the local criminal justice system, increase reentry coordination systems navigation capacity to bridge gaps along the sequential intercept model, provide funds for housing assistance, and mitigate costs associated with obtaining housing assistance and/or employment. Approximately 73 percent of grant funds will be used to support: (1) two full-time peer recovery support specialist positions to provide critical addiction recovery support services that are tailored to meet the specific needs of individuals returning from incarceration with substance use disorders and experiencing homelessness for the first time or chronically; and (2) three full-time reentry coordinator positions to conduct assessment, reentry planning, resource connection, and systems navigation with the ability to work in the jail, shelter, and community policing as necessary to serve as a bridge between these agencies that see many people cycle between them. Approximately 27 percent of grant funds will be used to help pay for: (1) supplemental housing assistance, along with vouchers, for initial costs such as first month’s rent or deposit for those exiting incarceration with no income or means to pay; and (2) costs associated with reentry and recovery support services.

KY

Whitley County, Kentucky, is one of many Appalachian communities devastated by illicit drugs. Drug overdose mortality in this county far exceeds Kentucky’s rate, the Appalachian region’s rate, and is nearly double the U.S. rate according to the University of Chicago’s NORC Opioid Community Assessment Tool. This project aims to reduce the impact of illicit substances on people and community. Primary activities include: (1) embedding community health workers in local law enforcement agencies; (2) supporting ongoing collaboration between local law enforcement agencies, the local health department, and a local federally qualified health center providing integrated behavioral health services; (3) collecting real-time data; and (4) supporting law enforcement, first responder, and jail diversion opportunities. This project expects outcomes to include a reduction in overdose deaths, a decrease in repeat law enforcement and first responder responses, and increased access to treatment.

Whitley County Health Department

Kentucky

Whitley County, Kentucky, is one of many Appalachian communities devastated by illicit drugs. Drug overdose mortality in this county far exceeds Kentucky’s rate, the Appalachian region’s rate, and is nearly double the U.S. rate according to the University of Chicago’s NORC Opioid Community Assessment Tool. This project aims to reduce the impact of illicit substances on people and community. Primary activities include: (1) embedding community health workers in local law enforcement agencies; (2) supporting ongoing collaboration between local law enforcement agencies, the local health department, and a local federally qualified health center providing integrated behavioral health services; (3) collecting real-time data; and (4) supporting law enforcement, first responder, and jail diversion opportunities. This project expects outcomes to include a reduction in overdose deaths, a decrease in repeat law enforcement and first responder responses, and increased access to treatment.

WI

The Winnebago County District Attorney’s Office (WCDAO) is applying for Category 1 funding in the amount of $1,897,863. Stimulant and Opioid Addiction Recovery (SOAR) will develop a diversion strategy using evidence-based components for people with substance use disorder (SUD) and felony drug-possession cases and will improve data infrastructure, engaging stakeholders that include local justice, health, and service agencies and community-based service providers. SOAR will operate in two phases, the first beginning with the defendant being arrested or summoned to an initial court appearance. Phase 1 includes a 24/7 drug-monitoring program; Phase 2 consists of a post-charge diversion agreement. The project will collaborate with a recovery-services and training facility in Winnebago County that will provide certified peer support specialists. A local pharmacy will provide naltrexone shots to participants who are interested in pursuing that path. Pragmatic field tests of process improvements will document performance and feasibility of implementation. The project’s goal is to identify and respond to the needs of persons with SUD who are currently excluded from diversion programs. Deliverables include improved data collection to characterize and respond to SUD; a screening tool for treatment and diversion for persons with SUD; and improvements in domains important to the justice system, social-service agencies, the community, and SUD-involved persons, such as increased treatment engagement and reduced recidivism. The project serves Winnebago County, a largely rural county with a population of approximately 170,000. The project includes partnerships between WCDAO and the Winnebago County Department of Human Services, the Winnebago County Department of Public Health, Options Lab, the Winnebago County Circuit Court, the Wisconsin State Public Defender’s Office, and Fox Valley Peer-based Response, Information, Support, and Maintenance. The project will engage the New York University's Marron Institute as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

Winnebago County

Wisconsin

The Winnebago County District Attorney’s Office (WCDAO) is applying for Category 1 funding in the amount of $1,897,863. Stimulant and Opioid Addiction Recovery (SOAR) will develop a diversion strategy using evidence-based components for people with substance use disorder (SUD) and felony drug-possession cases and will improve data infrastructure, engaging stakeholders that include local justice, health, and service agencies and community-based service providers. SOAR will operate in two phases, the first beginning with the defendant being arrested or summoned to an initial court appearance. Phase 1 includes a 24/7 drug-monitoring program; Phase 2 consists of a post-charge diversion agreement. The project will collaborate with a recovery-services and training facility in Winnebago County that will provide certified peer support specialists. A local pharmacy will provide naltrexone shots to participants who are interested in pursuing that path. Pragmatic field tests of process improvements will document performance and feasibility of implementation. The project’s goal is to identify and respond to the needs of persons with SUD who are currently excluded from diversion programs. Deliverables include improved data collection to characterize and respond to SUD; a screening tool for treatment and diversion for persons with SUD; and improvements in domains important to the justice system, social-service agencies, the community, and SUD-involved persons, such as increased treatment engagement and reduced recidivism. The project serves Winnebago County, a largely rural county with a population of approximately 170,000. The project includes partnerships between WCDAO and the Winnebago County Department of Human Services, the Winnebago County Department of Public Health, Options Lab, the Winnebago County Circuit Court, the Wisconsin State Public Defender’s Office, and Fox Valley Peer-based Response, Information, Support, and Maintenance. The project will engage the New York University's Marron Institute as a research partner. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.

WI

The Winnebago County Health Department (WCHD) project will leverage existing coalition work, create best practices in prevention, and address the county’s increasing number of overdose deaths. The Winnebago County Overdose Fatality Review (OFR) Team has been a platform for community change to address system issues, yet the number of overdoses continues to rise. While partners recognize the benefits of the work, there is an identified need to increase the level of response and improve the collected metrics. The project includes: 1) Real-time data collection. WCHD will contract with a researcher to continue regular OFR monthly reviews to: (1) collect overdose data; (2) understand aggregate data trends; (3) report findings to the OFR governing committees; (4) build collaborative partnerships throughout the community to drive coordinated action related to substance use; (5) increase capacity for the implementation of current and new OFR recommendations to continue addressing the main purpose of OFRs, to prevent overdose deaths. In addition, WCHD will contract with a researcher who will evaluate the current state of the work and impact in the community through data analysis, utilization of the CDC Overdose Data2Action Evaluation tool, and provide data to COSSAP to help drive future action. 2) Embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model. WCHD will contract with Fox Cities Victim Crisis Response to respond on-scene to address the grief and needs of next-of-kin by connecting them to support services and conducting next-of-kin interviews to better understand the circumstances that led to an overdose death and to prevent future overdoses. 3) law enforcement and first responder deflection and diversion; and peer recovery support services. WCHD will contract with Solutions Recovery, Inc. to implement a WC-OFR recommended, data-driven rapid response program that is being created in summer 2022 for full launch in fall 2022, and to create sustainability of the program over three years. Through this COSSAP funding, Winnebago County will have the expanded resources to implement recommendations and changes driven by data that holistically affect individuals and families who have been overlooked, forgotten, and left on their own to change their lives. Creating a new person-centered customer service model of care, support, navigation, and hope will change the trajectory of overdose deaths in Winnebago County.

Winnebago County

Wisconsin

The Winnebago County Health Department (WCHD) project will leverage existing coalition work, create best practices in prevention, and address the county’s increasing number of overdose deaths. The Winnebago County Overdose Fatality Review (OFR) Team has been a platform for community change to address system issues, yet the number of overdoses continues to rise. While partners recognize the benefits of the work, there is an identified need to increase the level of response and improve the collected metrics. The project includes: 1) Real-time data collection. WCHD will contract with a researcher to continue regular OFR monthly reviews to: (1) collect overdose data; (2) understand aggregate data trends; (3) report findings to the OFR governing committees; (4) build collaborative partnerships throughout the community to drive coordinated action related to substance use; (5) increase capacity for the implementation of current and new OFR recommendations to continue addressing the main purpose of OFRs, to prevent overdose deaths. In addition, WCHD will contract with a researcher who will evaluate the current state of the work and impact in the community through data analysis, utilization of the CDC Overdose Data2Action Evaluation tool, and provide data to COSSAP to help drive future action. 2) Embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model. WCHD will contract with Fox Cities Victim Crisis Response to respond on-scene to address the grief and needs of next-of-kin by connecting them to support services and conducting next-of-kin interviews to better understand the circumstances that led to an overdose death and to prevent future overdoses. 3) law enforcement and first responder deflection and diversion; and peer recovery support services. WCHD will contract with Solutions Recovery, Inc. to implement a WC-OFR recommended, data-driven rapid response program that is being created in summer 2022 for full launch in fall 2022, and to create sustainability of the program over three years. Through this COSSAP funding, Winnebago County will have the expanded resources to implement recommendations and changes driven by data that holistically affect individuals and families who have been overlooked, forgotten, and left on their own to change their lives. Creating a new person-centered customer service model of care, support, navigation, and hope will change the trajectory of overdose deaths in Winnebago County.

PA

The York/Adams Drug and Alcohol Commission proposes to establish a new program to connect persons leaving prison with the appropriate evidence-based treatment and support services, which may include medication-assisted treatment; connect individuals who are on work-release with treatment and nontreatment services; and establish an integrated data system containing all law enforcement naloxone utilizations, emergency medical services naloxone utilizations, and hospital emergency department admissions and encourage prescription drug monitoring program usage.

York County

Pennsylvania

The York/Adams Drug and Alcohol Commission proposes to establish a new program to connect persons leaving prison with the appropriate evidence-based treatment and support services, which may include medication-assisted treatment; connect individuals who are on work-release with treatment and nontreatment services; and establish an integrated data system containing all law enforcement naloxone utilizations, emergency medical services naloxone utilizations, and hospital emergency department admissions and encourage prescription drug monitoring program usage.

CA

The overall goal of the Yurok Wellness and Safety Net Tenders project is to reduce opioid-related overdose (OD) risks and avoidable deaths, disease, and other negative effects on health and social wellbeing among Yurok tribal community members. With strategic assistance from our project partners and guided by the Yurok Tribal Wellness Coalition, serving as our project multidisciplinary coordinating board, the project will implement lifesaving activities in our California geographic catchment area of the Yurok Indian Reservation and Humboldt and Del Norte (HM-DN) counties. Together these counties span over 5,282 square miles in this mountainous region of Northern California. Its thick cover of trees, seemingly endless rural terrain, and washed-out single-lane dirt roads, often inaccessible in the winter, provide cover for covert activities including underground cannabis cultivation and human, sex, and drug trafficking (including opioids, methamphetamine, and cannabis). Project activities include: creating and implementing culturally specific OD reversal and response training first responders and members of other key community sectors including family members from HM and DN counties; dispensing thousands of naloxone, other approved opioid OD devices, and fentanyl test strip kits; improving local data collection; standardization, reporting, and leveraging a harm reduction partner's low threshold buprenorphine access, and developing a screening and diversion program with DN County Justice Partners. The project will be housed under the Yurok Tribal Court to enhance tribal wellness services and referrals to outside community assistance such as shelter, housing, and domestic violence and behavioral health services.

Yurok Tribe

California

The overall goal of the Yurok Wellness and Safety Net Tenders project is to reduce opioid-related overdose (OD) risks and avoidable deaths, disease, and other negative effects on health and social wellbeing among Yurok tribal community members. With strategic assistance from our project partners and guided by the Yurok Tribal Wellness Coalition, serving as our project multidisciplinary coordinating board, the project will implement lifesaving activities in our California geographic catchment area of the Yurok Indian Reservation and Humboldt and Del Norte (HM-DN) counties. Together these counties span over 5,282 square miles in this mountainous region of Northern California. Its thick cover of trees, seemingly endless rural terrain, and washed-out single-lane dirt roads, often inaccessible in the winter, provide cover for covert activities including underground cannabis cultivation and human, sex, and drug trafficking (including opioids, methamphetamine, and cannabis). Project activities include: creating and implementing culturally specific OD reversal and response training first responders and members of other key community sectors including family members from HM and DN counties; dispensing thousands of naloxone, other approved opioid OD devices, and fentanyl test strip kits; improving local data collection; standardization, reporting, and leveraging a harm reduction partner's low threshold buprenorphine access, and developing a screening and diversion program with DN County Justice Partners. The project will be housed under the Yurok Tribal Court to enhance tribal wellness services and referrals to outside community assistance such as shelter, housing, and domestic violence and behavioral health services.