Comprehensive Opioid, Stimulant, and Substance Use Program

Visit Topic Area: Prosecutor, Pretrial, & Court Diversion

Cook Inlet Tribal Council, Inc

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

22nd Judicial Circuit District Attorney's Office

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

Jefferson County Commission

Jefferson County Commission applied for Category 1a urban area funding in the amount of $1,189,215. The Jefferson County Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) will extend peer recovery services to include expanded pretrial supervision, as well as provide evidence-based treatment, including medication-assisted treatment (MAT), to individuals at high risk for overdose. This project serves a population of more than 500,000 in Jefferson County, Alabama. The project includes partnerships between the University of Alabama Department of Psychiatry — Substance Abuse Division, Jefferson County Sheriff's Office, and a local evaluator. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.

Jefferson County, 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).

Arkansas Department of Finance and Administration

The Arkansas Department of Finance and Administration is applying for a Category 2 statewide area grant in the amount of $6,000,000. The Arkansas COSSAP Project will address the opioid epidemic strategically and continue providing support to areas that have been disproportionally impacted by the abuse of illicit opioids, stimulants, and other substances, as indicated by a high rate of treatment admissions for substances other than alcohol; high rates of overdose-related deaths; and lack of accessibility to treatment and recovery services. The primary focuses of the proposed projects are comprehensive, real-time, regional information collection, analysis, and dissemination; the development of peer recovery services and treatment alternatives to incarceration; and continued Comprehensive Opioid Abuse Site-based Program (COAP) overdose investigations involving peer recovery services and the implementation of strategies identified in the Comprehensive Opioid Abuse Strategic Plan. This project serves specific counties where high rates of opioid deaths have been identified in COAP Category 2; however, the specific subrecipients for the proposed projects have not been selected. The project includes partnerships between the Department of Finance and Administration Office of Intergovernmental Services (DFA-IGS), Department Human Services, Office of State Drug Director, and the Single State Authority, in addition to a new partnership between DFA-IGS and the Arkansas Coroners’ Association. Priority considerations addressed in this application include providing services to rural communities and the fact that the individuals (populations) intended to benefit from the project reside in high-poverty and/or persistent-poverty counties.

Arkansas Department of Finance and Administration

The Arkansas Department of Finance and Administration will: • Support an overdose crime scene team consisting of a criminal investigator and a peer recovery specialist to assist law enforcement task forces/agencies in a minimum of six geographically diverse sites (counties, regions, or localities) within the state. • Increase access and enrollment to treatment, increase education and awareness, and evaluate the grant strategies identified in 25 localities within the state to address offenders who may be opioid abusers. The sites to receive subawards will be selected through a competitive process. Subawardees will be required to use overdoes detection mapping application program. An independent evaluator will be selected after the grant is awarded.

Izard County

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).

Johnson County

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.

Pulaski County

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

Pulaski County Sheriff's Office

The Pulaski County Sheriff’s Office in Arkansas will combat the opioid epidemic by including a diversion program for pre-sentencing offenders through expansion on their current Crisis Intervention Team, providing transitional housing, and installing tamper proof drug collection receptacles at two precincts in the outermost parts of the county to allow for more localized collection of unused and expired medications for those citizens who reside in the outermost sections of the county.

Arizona Criminal Justice Commission

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.

Navajo County

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

Alameda County Probation Department

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.

City of Long Beach

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.

Hoopa Valley Tribal Council

The Hoopa Valley Tribal Court is applying for a Category 1C award in the amount of $600,000. The Hoopa Tribal Wellness Court Pre-Booking Enhancement will support ongoing operations and service expansion under its Adult Tribal Healing to Wellness Court. This project intends to increase and standardize services for individuals with substance use disorder and opioid use disorder. While many of these individuals are court-involved, services will also be made available to anyone seeking assistance, with priority for special populations. The special populations include pregnant women, individuals with or at-risk of HIV/AIDS, older adults caring for a minor child due to foster care involvement, and individuals entering the community from incarceration. This project utilizes a hub-and-spoke model to centralize service delivery for Wellness Court participants and increase favorable outcomes as they journey to health. Funding for medication-assisted treatment is requested to help assure that individuals working through opioid misuse have the support needed through full recovery. This project serves enrolled citizens of the Hoopa Valley Tribe, American Indian/Alaska Natives (AI/AN), and AI/AN citizens enrolled in other tribes living within the jurisdictional boundaries of the Hoopa Valley Tribe. The Hoopa Valley Tribe and its reservations are within Humboldt County, California. The project includes partnerships between the K’ima:w Medical Center, the Court's Probation Services, and the Judicial Project Advisory Team.

Mendocino County

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.

Yurok Tribe

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.

Boulder County

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

City of Alamosa

The City of Alamosa applied for Category 1c tribal/rural area grant funding in the amount of $599,997. The Specialized Case Management program will provide a non-arrest, community partner pathway to connect addicted individuals to intensive case management and harm-reduction resources using the evidence- based TASC Specialized Case management and Let Everyone Advance with Dignity (LEAD) model. The City of Alamosa is creating a system of care that will allow individuals to receive appropriate levels of service and treatment to address root challenges rather than utilizing a criminal justice system clearly not equipped to address substance use disorder effectively. The Specialized Case Management program will provide a third pathway into intensive case management, service coordination, and connection to harm- reduction resources. This project serves approximately 50,000 residents in the 12th Judicial District. The project includes partnerships between the City of Alamosa, Center for Restorative Programs, and the 12th Judicial District Office of the District Attorney. Priority considerations addressed in this application include the disproportionate impact of opioids and other substances on the region, the specific challenges faced by rural communities, and the high poverty area served by the project.

New Castle County

The New Castle County Division of Police is proposing to expand Hero Help, a law enforcement led diversion by creating a team (substance abuse clinician, nurse, police officer, case manager, victim advocate) embedded in the patrol division, to respond immediately to 9-1-1 calls for service. Grant funds support a full-time project coordinator, nurse, child victim advocate (respond to overdose where children are impacted) and a licensed clinician. Additionally, to improve analytic capacity, develop a data collection tool to capture near real-time fatal and nonfatal overdoses. University of Delaware, Center for Drug and Health Studies, and Daniel O’Connell will serve as the research partner.

City of Port St. Lucie

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.

Florida Office of the State Courts Administrator

The Florida Office of the State Courts Administrator proposes that five established family dependency drug courts increase the number of families they serve and it proposes to institute/enhance peer-support programs; incorporate medication-assisted treatment; establish substance use disorder prevention programs for the children whose parents are participants in family dependency drug court; execute evidence-based, parent-child relationship-strengthening programs; strengthen peer-to-peer collaboration among sites with an annual all-sites meeting and cross-site visits; and increase training and technical assistance regarding substance use disorder and opioid use disorder. This project serves family dependency drug courts in Broward, Palm Beach, Orange, Marion, and Citrus counties. Dr. Barbara Andraka-Christou and her team from the University of Central Florida will serve as the evaluator for this project.

Seminole County

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.

Fulton County

The County of Fulton applied for Category 1a urban grant funding in the amount of $1,200,000. The Comprehensive Opioid, Stimulant, and Substance Abuse Program will expand Fulton County’s comprehensive efforts to identify, respond to, treat, and support those impacted by substance use disorders and reduce impact on the criminal justice system. The Fulton County Department of Behavioral Health and Developmental Disabilities (DBHDD) and its partners will expand pre-arrest diversion, case management, and training for law enforcement personnel to the city of Atlanta and two other jurisdictions using the Law Enforcement Assisted Diversion model; provide recovery support services including transitional or recovery housing through Fulton DBHDD and its local partners; and offer evidence-based treatment including medication-assisted treatment through partner Grady Hospital. This project serves the city of Atlanta (population 498,044). The project includes partnerships between the Atlanta Fulton Pre-Arrest Diversion Initiative, Grady Hospital, Mary Hall Freedom House, Atlanta Recovery Center, Trinity Community Ministries, Sober Living of America, There’s Another Option, Highsmith Collins, Atlanta Police Department, and the Fulton County Offices of the District Attorney, Public Defender, and Solicitor General. Priority considerations addressed in this application include Qualified Opportunity Zones, high-poverty areas, and a lack of accessibility to treatment providers, facilities, and emergency medical services. Dr. Kevin Baldwin from Applied Research Services serves as the lead evaluator for the proposed project.

Georgia Criminal Justice Coordinating Council

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.

Screven County Sheriff's Office

The Screven County Sheriff's Office applied for Category 1c tribal/rural grant funding in the amount of $587,825. The Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program will (1) employ needs assessment tools to identify and prioritize services for jail offenders, (2) expand diversion programs for drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders, (3) deliver an evidenced-based prevention program, and (4) offer rigorous program evaluation providing feedback and improvement opportunities. This project serves Screven County, Georgia, with a population of 14,300. The project includes partnerships between the Community Service Board of Middle Georgia, Ogeechee Division; Drug Court for the Ogeechee Judicial Circuit; and scientific partners. Priority considerations addressed in this application include a 100 percent rural county, high-poverty area, and Qualified Opportunity Zone.

Judiciary Courts of the State of 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.

Iowa Governor's Office of Drug Control Policy

The Iowa Governor’s Office of Drug Control Policy will: • Reduce substance abuse and criminal involvement involving nonviolent individuals by implementing or expanding pre-/post-arrest diversion to treatment in Black Hawk, Story, and Jones Counties. • Expand citizen access to medication disposal in 25 new sites in underserved areas of the state. The Criminal and Juvenile Justice Planning Agency, Iowa’s Statistical Analysis Center, will serve as the evaluator for the project.

Nez Perce Tribe

The Nez Perce Tribe is applying for Category 1 funding in the amount of $600,000. The Nez Perce Tribe Opioid, Stimulant, and Substance Abuse Diversion and Resiliency project, a collaboration among the tribe's behavioral health program, the tribal prosecutor's office, and the Nez Perce Tribal Police, will establish a youth diversion program to provide an alternative to jail for juveniles, featuring a youth diversion program coordinator within the prosecutor's office. It will also have a youth life skills coach within the behavioral health program, provide youth activities to build resiliency, establish a youth law enforcement officer within Nez Perce Tribal Police to serve as a positive mentor to tribal youth and to help prevent substance misuse among youth, and provide funding to the tribal court and behavioral health program in order to authorize residential treatment for those with co-occurring mental and substance use disorders. The project addresses a critical need for the tribe to take steps to increase youth resiliency to illicit substances and to provide alternatives to incarceration as a means of helping offenders rebuild their lives. Its goals are to engage at least 60 percent of current youth offenders in the program by the end of year one of the project, 70 percent in year two, and 80 percent in year three. The project serves the Nez Perce Tribe's reservation, an area of 1,208 square miles in north central Idaho with a population of 18,854. The project will include partnerships among the tribe's behavioral health program, the tribal prosecutor's office, the Nez Perce Tribal Police, the Nez Perce Tribal Executive Committee’s Law and Justice Subcommittee, the tribal court, the public defender, and the Department of Social 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. The project will also benefit individuals residing in high-poverty areas or persistent-poverty counties.

Nez Perce Tribe

Idaho

Boone County

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

Boone County applied for Category 1c rural/tribal area grant funding in the amount of $599,000. The Boone County Support Outreach Recovery Team will to fill the identified need for a community law enforcement officer to work with the individuals who have been arrested and fill the identified need for an addiction counselor to work with the county’s jailed population. The second purpose of this program is to fill the identified need for an addiction counselor who will work as a recovery coach with Boone County’s jailed population. This individual will deliver services such as moral reconation therapy and substance abuse counseling. This project serves Boone County, Illinois (population 53,606). The project includes partnerships between the Boone County Health Department, the multidisciplinary team, the Rosecrance, and the Belvidere Police Department.

DeKalb County (Inc)

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

Kane County

The Kane County State's Attorney's Office is applying for a Category 1 award in the amount of $1,199,114. The Kane County Pre-Arrest Diversion Initiative will reduce the harms to self and community caused by the ongoing public safety and health effects of substance use disorder, untreated mental health issues, and homelessness through the creation of a system that provides access to necessary care outside of the criminal legal system. The Kane County State’s Attorney’s Office has begun establishing relationships with community-based agencies and mental health service providers throughout Kane County, in addition to an early collaboration with the Elgin Police Department, which has created a Collaborative Crisis Services Unit in part to participate in pre-arrest diversion. The Kane County Sheriff is prepared to join the initiative when it expands beyond Elgin, and the long-term goal is for additional municipal police departments to participate. Objectives of Law Enforcement Assisted Diversion (LEAD) pre-arrest diversion are to improve public safety, reduce the number of people entering the criminal legal system, eliminate racial disparities in the system, create sustainability by reinvesting systems savings, and improve police-community relations. This project serves Kane County, Illinois, population 532,403. The project includes partnerships between the Eglin Police Department, the Kane County Sheriff's Office, county board members, city council members, multiple service agency directors, Aurora University's Social Work Department, and community advocates for racial and social justice. Priority considerations addressed in this application include the fact that Elgin contains three high poverty census tracts, making it a priority area to provide an alternative to the potential harms involved in going through the criminal legal system.

Dubois County

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.

Indiana Family and Social Services Administration

The Indiana County Leaders Collaboration for Change (ICLCC) will establish and/or build upon existing collaborative relationships between first responders, the criminal justice system, child welfare and foster care, behavioral health, primary care and addiction service providers to identify, develop (or) enhance, and implement specific countywide programs designed to reduce the impact of opioids, stimulants, and other substances on individuals and communities. The counties will achieve this by developing (or) enhancing and implementing one or more of the following within their county: Law Enforcement Assisted Diversion (LEAD) model programs (new to Indiana), prebooking or postbooking treatment alternative-to-incarceration programs, education and prevention programs to connect law enforcement in schools, embed social services with law enforcement to rapidly respond to drug overdoses where children are impacted, and expand access to evidence-based treatment and recovery support services across the criminal justice system. This project serves individuals across Knox, Wayne, Fayette, Floyd, Clark, Allen, and Madison counties. The project includes partnerships between the Division of Mental Health and Addiction and seven county coalitions. Priority considerations addressed in this application include rural, high-poverty, and economically distressed regions.

Tippecanoe County

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.

Unified Government of Wyandotte County

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

Kentucky Justice and Public Safety Cabinet

The proposed project, Kentucky Comprehensive Advocacy and Resource Efforts (K-CARE), will help to ensure that individuals negatively impacted by opioids are provided with support in the form of a community resource coordinator (CRC). K-CARE will place CRCs with Kentucky’s four (4) civil legal services providers, which provides access to CRCs for all 120 Kentucky counties via the civil legal service placements, as well as targeted support for other projects that align with the original intention of the funding. Those other projects included a fifth civil legal services provider who offers support to individuals in residential treatment settings, a law enforcement-based K-CARE project, naloxone distribution via the KY Office of Drug Control Policy, and expansion of the K-CARE model into the judicial system via a partnership with the KY Administrative Office of the Courts who embedded CRCs in ten pre-trial offices to support a diversion program. K-CARE CRCs will serve as a vital referral source for the constellation of needs that are likely to present, including linking victims with available services for interpersonal violence such as domestic violence shelters, child advocacy centers, and protective services. Likewise, K-CARE CRCs will help individuals in need to secure access to necessary health care services, transportation, employment assistance, job training, vocational rehabilitation programs, and independent/transitional housing options in their communities.

Lafourche Parish Sheriff's Office

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.

St. Tammany Parish Government

St. Tammany Parish will develop an information system to analyze and track the opioid client population across justice system and health intercepts in order to reduce cases of overdose and increase treatment and recovery service access. Key partners for this project include the 22nd Judicial District Court, the Safe Haven Advisory Board, St. Tammany Parish Hospital, the St. Tammany Parish Sheriff’s Office and Jail, and the District Attorney’s Office.

Terrebonne Parish Consolidated Government

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

City of Boston

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

City of Holyoke Police Department

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 Newburyport

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

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.

Massachusetts Administrative Office of the Trial Court

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 between the Executive Office of Health and Human Services, MassHealth (Medicaid office), Department of Public Health, Department of Mental Health, 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 currently leads this initiative as Project Director, not Jessica Fix. Ms. Fix is registered in JustGrants as Grant Award Administrator and is responsible for administrative/fiscal oversight. We are unable to update this field as it locked in the web form.

Massachusetts Supreme Judicial Court

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

Governor's Office of Crime Control and Prevention

Maryland’s “Regrounding Our Response: A Coordinated Public Safety and Public Health Approach to the Opioid Epidemic” initiative will establish six new law enforcement assisted diversion (LEAD) sites (St. Mary’s County, Columbia in Howard County, Westminster in Carroll County, Annapolis City in Anne Arundel County, Hagerstown in Washington County, and Cumberland in Allegany County), support three existing LEAD sites (Belair in Harford County, Wicomico County, and Baltimore City), and support detention-based interventions in partnership with the Office of the Public Defender in five of the nine sites. The objectives include: (1) reduce recidivism in LEAD participants; (2) reduce calls for service for drug-related activity in the target areas; (3) reduce criminal justice costs incurred by LEAD participants; and (4) improve police understanding of and response to issues related to addiction and mental health disorders. The Maryland Statistical Analysis Center will support the research, performance management, and evaluation of all the selected sites.

St. Mary's County

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).

Cass County, Inc.

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.

City of Detroit

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.

Grand Traverse Band of Ottawa and Chippewa Indians

The Grand Traverse Band of Ottawa and Chippewa Indians (GTB) applied for Category 1c tribal/rural area grant funding in the amount of $600,000. The GTB COSSAP Project will address the current substance use issues identified by Grand Traverse Band’s Behavioral Health intakes, with statistics confirming the continued need for substance use services and recovery support for adolescents and adult federally recognized Native Americans who are experiencing depression, trauma, suicide ideation, and co-occurring disorders. This project serves 5,100 Native Americans in the GTB six-county service area located in lower northwest Michigan (Antrim, Benzie, Charlevoix, Grand Traverse, Leelanau, and Manistee counties). The project includes partnerships between GTB Public Safety and the GTB Tribal Court departments. Priority considerations addressed in this application include addressing specific challenges that rural communities face.

Macomb County

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.

St. Joseph County

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.

Minnesota Department of Public Safety—Bureau of Criminal Apprehension

The Minnesota Department of Public Safety (DPS) will support the “Timely Treatment, Strengthened Service, and Effective Evaluation for Overdose Prevention: Linkage to Care Across Minnesota” project to achieve the following objectives in eight sites: • Reduce opioid misuse and opioid overdose death by supporting local efforts to implement effective opioid overdose prevention projects. • Support local efforts to implement treatment and recovery support linkage activities serving individuals vulnerable for drug overdose. • Support implementation of local multidisciplinary intervention models to bring together stakeholders with different perspectives and different information to identify drug overdose prevention strategies. • Enhance access to naloxone among people who use drugs to decrease overdose deaths. • Enhance successful local multidisciplinary overdose prevention activities to decrease overdose deaths. • Evaluate the extent to which additional funding to eight opioid overdose prevention projects, referred to as “Tackling Opioid Use With Networks (TOWN)”, impact the incidence of overdose in communities. • Create a TOWN Manual in collaboration with the communities to support the expansion and sustainability of the TOWN model. The eight sites will implement three evidence-based activities: (1) peer recovery specialists in emergency departments; (2) treatment linkage by emergency medical services; and (3) overdose fatality review teams. The project will also enhance six Minnesota Department of Public Safety-funded syringe services programs by providing each site with naloxone to distribute to participants who use opioids. Dr. Catherine Diamond from the Minnesota Department of Health will lead the project evaluation.

Rice County

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.

29th Judicial Circuit Court

The 29th Judicial Circuit Court applied for Category 1b suburban area grant funding in the amount of $887,194. The Jasper County Treatment Program (JCTP) will provide a postbooking connection to clinical treatment indicated by evidence-based needs for all offenders per screening for substance abuse, mental illness, criminogenic risk, and connection to enhanced treatment for family-based offenders. The program will also provide court-ordered referrals into the JCTP and referral into other offender programming as indicated for nonfamily substance abuse offenders, as well as develop individualized treatment plans for family-based substance abuse offenders. Also, the program will provide case management of JCTP participants targeting substance abuse and co-occurring disorders and communicate community treatment program participation requirements (i.e., probation conditions, such as mandatory counseling session participation, MAT plan compliance, drug testing, and court reporting). This project serves Jasper County (population 120,217). Priority considerations addressed in this application include eight high-poverty areas and a Qualified Opportunity Zone.

Lamar County Board of Supervisors

The Lamar County Board of Supervisors applied for Category 1c rural/tribal area grant funding in the amount of $599,981. The Lamar County LEAD Program will develop a trauma-informed, comprehensive, community-based response to divert individuals experiencing opioid or stimulant misuse/abuse from the criminal justice system to treatment. The objectives are to (1) divert 100 individuals with SUD from the criminal justice system to treatment and case management service providers, and (2) provide harm-reduction case management services to 150 individuals with SUD. A total of 250 individuals will be served over the project period. This project serves Lamar County, Mississippi, which has a population of 63,300. The project includes partnerships between Pine Belt Mental Healthcare Resources’ Grant and Research Department. Priority considerations addressed in this application include the lack of accessibility to treatment providers and facilities and emergency medical services, and rural challenges.

City of Billings

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.

Missoula County

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.

Buncombe County Health and Human Services

Buncombe County Department of Health and Human Services (DHHS) proposes to connect individuals at risk of overdose with substance use treatment and peer support; provide transitional or recovery housing for individuals with opioid use disorder (OUD) leaving the jails or the emergency department; develop programs to address the opioid epidemic in rural areas; develop and implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the pretrial and post-trial populations leaving jails; and support the timely collection and integration of data to provide an understanding of drug trends, support program evaluation, inform clinical decision-making, identify at-risk individuals or populations, and support investigations. Buncombe County DHHS, the Sheriff’s Office, and Emergency Medical Services will implement the Overdose Detection Mapping Application Program (ODMAP).

Burke County

Burke County will support the continuation of its law enforcement-assisted diversion (LEAD) program and implement and pilot the Helping Achieve Recovery through Burke Opioid Use Reduction (HARBOUR) program which is patterned after the Recovery Community Center (RCC) model. The goals of the project include: (1) reduce overdose incidents and deaths; (2) give low-level offenders the opportunity to access treatment with long-term recovery support instead of criminal justice system involvement, thereby reducing recidivism rates and long-term costs to the taxpayers; (3) provide treatment and long-term recovery support along with maximizing the ability of those in recovery to reintegrate into the community. Partners include Burke County Sheriff’s Office, Morganton Department of Public Safety, Valdese Police Department, Drexel Police Department, Glen Alpine Police Department, Burke United Christian Ministries, Burke Council on Alcoholism and Chemical Dependency, Inc. (dba Burke Recovery), Catawba Valley Behavioral Health, and Burke County Health Department.

Catawba County

The County of Catawba applied for Category 1b grant funding in the amount of $900,000. The purpose of the project is to expand the current Law Enforcement Assisted Diversion (LEAD) program by offering additional financial support for Officer training and engagement in order to grow the referral pool. Second, funds will be used to further develop an existing jail services program to include a more robust pretrial diversion program. Finally, funds will be used to implement a new transitional, reentry housing program to be utilized by both LEAD and jail services. This project serves Catawba County, North Carolina, with a population of 150,000 people. The project includes partnerships between the Cognitive Connection and Rebound Treatment Center. Catawba Valley Behavioral Health has existing relationships with the local sheriff’s department, five local police departments and the Districts Attorney’s Office through the LEAD program. Priority considerations addressed in this application include high rates of overdose and overdose death.

Gaston County

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

Hyde County Health Department

Through the implementation of its Substance Awareness Program, Hyde County Health Department (HCHD) aims to work collaboratively with community partners to reduce substance misuse, overdoses, and deaths, and disease transmissions & infections (related to intravenous drug use) by increasing the utilization of treatment & harm reduction resources; supporting people who use drugs (PWUD) and those in recovery; and providing education to PWUD, their families, and the general community.

Lenoir County

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.

Lincoln County

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.

Atlantic City (Inc)

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.

Bergen County

The County of Bergen applied for a Category 1a urban area grant in the amount of $1,200,000. The BCPO-COSSAP Project will establish a comprehensive, evidence-based response to the opioid crisis. This response will be composed of multiple teams and initiatives, including a 24/7 hotline utilized primarily by law enforcement, the Arrest Initiative, Bergen County's Central Municipal Diversion Program, and a county-level Overdose Fatality Review Team. These teams will work independently and share data to best coordinate response needs for opioid and addiction needs across Bergen County. This project serves Bergen County, which is home to 948,046 residents. The project includes partnerships between the Bergen County Police Chiefs Association; Bergen County police departments; Newark Community Solutions, Center for Court Innovation; The Center for Alcohol and Drug Resources, a division of Children’s Aid and Family Services; Bergen County Health Department and Division of Mental Health and Addiction Services; and Bergen New Bridge Medical Center. Priority considerations addressed in this application include Bergen County’s 12 Qualified Opportunity Zones.

Cumberland County (Inc)

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

New Jersey State Parole Board

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.

Bernalillo County

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.

Rio Arriba County

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

Sierra County

Sierra County in New Mexico will develop a crisis intervention team to assist law enforcement officers in developing a law enforcement diversion program, provide jail-based opioid and behavioral health services, provide skill-building and treatment, assist incarcerated individuals transitioning to community-based services once released from custody, add community behavior health treatment planning and services, and conduct opioid education programs in schools. This project will engage Ann Hays Egan of New Ventures Consulting as the research partner for this project.

Nevada Office of the Attorney General

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.

Albany County

Albany County applied for a Category 1b suburban area grant in the amount of $898,062. The Growing LEAD: Increasing Operational Capacity to Improve and Expand Service in Albany County program will be increased with the addition of case managers to grow caseload capacity by 200 percent, an increase of approximately 50 new clients annually. Additionally, a full-time, dedicated project director and community engagement and outreach coordinator will be hired to improve coordination between partners and the public, increase public awareness of LEAD, and develop policies and procedures to better serve LEAD communities. This project serves the city of Albany, with a population of over 97,000. The project includes partnerships between Albany County Executive Office, District Attorney’s Office, sheriff, mayor of Albany, City of Albany Police Department, Center for Law and Justice, and Central Avenue Business Improvement District. Priority considerations addressed in this application include Qualified Opportunity Zones.

Albany County

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

Cayuga County

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

Chautauqua County

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

Rockland County, 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.

Sullivan County

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.

Ulster County

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.

Unified Court System of New York State

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 Lewis 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

Butler County of Ohio

Butler County of Ohio applied for Category 1B grant funding in the amount of $900,000. The Butler County COSSAP project aims to reduce the impact of opioids, stimulants, and other substances on individuals within its communities, through reducing the number of overdose fatalities, as well as mitigating the impacts of on crime victims by supporting comprehensive, collaborative initiatives. This project serves Butler County, home to a population of 382,000. The project includes a partnership with Miami University’s Center for School-based Mental Health Programs. Priority considerations addressed in this application include rural challenges in a high-poverty area and Qualified Opportunity Zone.

County of Marion

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

Fairfield County

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

Franklin County Municipal Court

Franklin County Municipal Court applied under Category 1A for grant funding in the amount of $903,289 to support and enhance its MAT, Assessment, Referral, Care and Hope (MARCH) project. This project serves Franklin County and the areas surrounding Columbus, Ohio, with an estimated population of 922,223. The purpose of the project is to continue to fund, expand, and enhance the court’s MAT program — an innovative and effective collaborative effort among Franklin County and City of Columbus justice and government stakeholders. Grant funds would continue to support the positions of MAT project manager and one community case manager through 2023. Enhancements would add an additional community case manager and a contracted peer support specialist to significantly increase the capacity of the program, opening more days to in-custody referrals and facilitating the offering of a full-time behavioral health walk-in clinic. The project includes partnerships between Franklin County Municipal Court, Columbus City Attorney, Office of Justice Policy and Programs, Franklin County Sheriff’s Office, Franklin County ADAMH Board, and a variety of community behavioral health providers. The MARCH program will enhance public safety in Qualified Opportunity Zones.

Warren County

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.

Judiciary Courts of the State of 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.

Oklahoma County Criminal Justice Advisory Council

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 SUD/COD treatment services. Two-hundred cases will be provided with Peer Recovery Support. Copies of data analysis and developmental reports will be supplied to the Bureau of Justice Assistance.

Oklahoma County Criminal Justice Advisory Council

Oklahoma

Ponca Tribe of 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.

Ponca Tribe of Oklahoma

Oklahoma

Tulsa County District Attorney

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

Clackamas County, Health Housing and Human Services

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.

Confederated Tribes of the Grand Ronde Community of 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.

Confederated Tribes of the Grand Ronde Community of Oregon

Oregon

Lincoln County

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.

City of Erie

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

Delaware County, Pennsylvania

The Delaware County Department of Human Services, Division of Drug and Alcohol, applied under Category 1A for Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program grant funding in the amount of $1,200,000. This project will serve the county of Delaware, Pennsylvania, the fifth most populous county in the Commonwealth of Pennsylvania with 562,960 residents. The purpose of the project is to expand evidence-based treatment, specifically medication-assisted treatment, and recovery support services, focusing on peer recovery support, within Delaware County’s criminal justice system. The objective of the project is to expand access to buprenorphine treatment in the Delaware County prison, George W. Hill Correctional Facility, to ensure that individuals are supported in their recovery while incarcerated and engaged in recovery support services upon release, linking returning citizens to transportation, recovery meetings, employment opportunities, or higher levels of care. The project includes partnerships between Delaware County’s Single County Authority, George W. Hill Correctional Facility, and WellPath LLC.

Pennsylvania Commission on Crime and Delinquency

The Pennsylvania Commission on Crime and Delinquency (PCCD) is applying for grant funding in the amount of $5,368,458 to address opioid, stimulant, and substance abuse needs in the justice system. Priority considerations addressed in this application include serving counties with high rates of overdose deaths, as well as rural areas. Pennsylvania’s proposed project will support six counties (Carbon, Clinton, Dauphin, Fayette, Northumberland, and Snyder) in implementing law enforcement diversion programs, jail-based screening protocols, and comprehensive reentry services. The program will also support naloxone training and distribution programs in correctional settings for individuals with substance use disorder leaving local jails. The project will help prevent individuals with substance use disorder from becoming involved in the criminal justice system, as well as provide individuals with appropriate and evidence-based care and support during and after incarceration. These efforts will also enhance connections between law enforcement, criminal justice agencies, and treatment providers to build pathways to rehabilitation and breaking the cycle of recidivism.

Pennsylvania Commission on Crime and Delinquency

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

Greenville County

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

Oconee County

The purpose of this program is to design and implement a collaborative intervention strategy that provides (pre-booking or post-booking) treatment alternative-to-incarceration programs serving individuals at high risk for overdose or substance abuse utilizing evidence-based recovery support services (transitional/recovery housing and peer support) and medication-assisted treatment (MAT). To meet these objectives, the proposed initiative will provide: 1) assessment-based individualized treatment plans, 2) MAT (Medication Assisted Treatment), 3) transitional housing at the OARS Center, 4) cognitive behavioral therapy, and 5) peer support services. Services will be delivered in the Oconee Addiction Recovery & Solutions Center located adjacent to the Oconee Law Enforcement Center that, as a communitywide enterprise, was recently renovated for this purpose. OARS will coordinate with the Oconee County Sheriff’s Office, the Oconee County Detention Center, the Oconee County Drug Court, the 10th Judicial Circuit Solicitor’s Office, and the Center for Family Medicine to deliver the proposed initiative through: 1) the development of a comprehensive, locally driven evidence-based response to opioids, stimulants, and other substances with expanded access to supervision, treatment, and recovery support services; 2) supporting law enforcement and other first responder diversion programs for nonviolent drug offenders to improve responses to offenders at high risk for overdose or substance abuse and provide alternative-to-incarceration services to those suffering from substance abuse disorders; 3) needs assessment tools to identify and prioritize services for jail offenders; 4) the use of evidenced-based treatment practices; and 5) rigorous program evaluation by Clemson University providing feedback and improvement opportunities.

Minnehaha County

Minnehaha County applied under Category 1b for grant funding in the amount of $900,000 under the reporting umbrella of the Minnehaha County Sheriff’s Office. This project serves the population of Minnehaha County, which includes a population of 186,749 residents. The purpose of the project is to reduce reliance of the criminal justice system to deal with individuals with substance abuse disorders. The project includes partnerships between Minnehaha County (Sheriff’s Office, SAO, Human Services), the Sioux Falls Police Department, Avera Hospital, Urban Indian Health, and the University of South Dakota. The program-specific priority area the applicant will address is the lack of accessibility to treatment providers. The OJP policy priority area the applicant will address is to enhance public safety in four Qualified Opportunity Zones. The applicant will partner with researchers in the Department of Family Medicine at the University of South Dakota to submit performance measurement and related assessments (including a gap assessment) to make data-informed decisions. These deliverables will also include assessments of the peer navigator and associated program. Final reports will be produced that summarize community crime changes and analysis of benefits to Qualified Opportunity Zones.

Oglala Sioux Tribe of Pine Ridge Indian Reservation

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

Cocke County, Tennessee, Government

Cocke County Government, located in the rural Appalachian Mountain region of eastern Tennessee, applied for grant funding under Subcategory 1b in the amount of $899,488. This project serves Tennessee's 4th Judicial District, which includes Cocke, Sevier, Jefferson, and Grainger counties and has a total combined population of 212,069. The purpose of the proposed Tennessee Recovery Oriented Compliance Strategy (TN-ROCS) Enhancement and Evaluation project is (1) to increase the capacity of this innovative court-based intervention program to link individuals across the district at high risk of overdose to appropriate, evidence-based behavioral health treatment and recovery support services; and (2) to independently validate the TN-ROCS model, such that key findings related to program quality and implementation fidelity can inform current and future data-driven expansion efforts. This project includes partnerships between Cocke County, 4th Judicial District Circuit Court Judge Duane Slone, Dr. Stephen Loyd, Dr. Jennifer Anderson, American Institutes for Research, and Rulo Strategies. All four priority considerations are addressed in this application. Cocke County is a geographically isolated rural area that is plagued by persistently high rates of poverty, substance use, and overdose fatality. Additionally, one census tract within Cocke County (9207.00) has been designated as a Qualified Opportunity Zone.

Knox, County of

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.

Sevier County Government

Sevier County will enhance the Sevier County Offender Recovery Program (SCORP), a comprehensive, collaborative effort to identify and refer individuals to treatment and recovery following incarceration. Interventions begin during incarceration; however, the majority of services are provided immediately at release during the probationary period. Funds will be used to hire a peer mentor coordinator, a women’s service liaison, and a probation/life skills coach for incarcerated women enrolled in the program and expand the substance abuse prevention education program to include the families of SCORP participants.

Tennessee Department of Mental Health and Substance Abuse Services

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

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.

County of Dallas

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

Arlington County Government

Arlington County Department of Human Services’ Behavioral Health Division (BHD) applied for grant funding under Category 1B in the amount of $899,815 over three years. This project will serve Arlington County (population 235,000) and is particularly focused on response in high-poverty regions of the county where opioid use and opioid overdoses remain prevalent. The project also works across traditional jurisdictional boundaries to provide wraparound services for individuals identified as high risk or otherwise involved in the Arlington criminal justice system. The purpose of this project is to improve access to and treatment in the detoxification program; provide early intervention to people arrested on substance use-related charges and identify alternatives to incarceration; improve recovery options by adding a reentry program to an established residential program; maintain collaboration between the police and BHD to address opioid overdoses and activity hotspots; assess and provide interventions for children and families impacted by substance use; and evaluate the use of evidence-based treatment and outcomes. The proposed addition of 1.0 FTE therapist and 1.0 FTE case manager will allow BHD to enhance services along the Sequential Intercept Model. The therapist will be focused on establishment, implementation, and evaluation of evidence-based programming in a variety of treatment settings and will be the clinical lead for the creation of diversion service plans and “Plans of Safe Care” for substance-exposed infants. The case manager will serve as the lead clinical staff for co-response with police and fire services to the community, and will provide community outreach, education, and naloxone distribution. Both positions will expand the reach of MAT programming in the county and will address gaps identified through comprehensive community assessment. A key feature of the proposal is a collaboration with an academic partner, Dr. Taxman from George Mason University, to evaluate performance, including outcomes and outputs, along with the development of fidelity assessments to measure evidence-based practice adoption. The project expands upon existing partnership with the police and fire departments, Child Protective Services, the offices of the sheriff, the public defender, and the Commonwealth’s attorney.

Arlington County Government

Virginia

Augusta County

The Commonwealth’s Attorney’s Office for the County of Augusta, Virginia, applied for grant funding in the amount of $600,000. This project serves Augusta County, a small, semi-rural county with the population of 74,701. The purpose of the project is to expand its currently existing LEAD program to serve the expanding number persons with substance use disorder. The grant will fund a new case management program, which will connect higher-risk, felony-level offenders with community resources prior to them being charged. The program will also institute a new transfer project, which will give medical professionals and first responders the ability to ensure continuity of care for clients presenting with SUD. The project includes partnerships between Augusta County Sherriff’s Department, Blue Ridge Court Services, Valley Community Services Board, Blue Ridge Criminal Justice Board, and the Institute for Reform and Solutions. Priority considerations addressed in this application include rural designation for part of the County of Augusta in seven of its census tracts.

Chesterfield County

Chesterfield County Sheriff’s Office is applying for grant funding in the amount of $1,192,430. This project serves the metro Richmond area with a population of over 500,000 and is submitted under Subcategory 1a. The purpose of the project is to provide specialized pretrial supervision to individuals at high risk for overdose and expand reentry planning and medication-assisted treatment to inmates. The project includes partnerships between the Chesterfield County Sheriff’s Office, Chesterfield Community Corrections Services, Chesterfield Mental Health Supportive Services, other local agencies and a local evaluator. Priority considerations addressed in this application include providing services to Qualified Opportunity Zones, addressing persistent poverty, and serving a region that has been disproportionately impacted by substance abuse.

County of Chesterfield

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.

City of Kirkland

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

City of Olympia

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

Makah Indian Tribe of the Makah Indian Reservation

In the Comprehensive Opioid Abuse Site-Based Program application, the Makah Tribe is proposing to utilize funding under Category 1: Local or Tribal Applicants, Subcategory 1c. The applicant intends to utilize funds from this application to continue funding the two FTE positions from the previous application: the COSSAP case manager and one coordinator, who will implement the LEAD program, develop MAT protocols, and help further expand the Sisuk Houses. There are no priority considerations for this application.

Quinault Indian Nation

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.

City of West Allis

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

Winnebago County

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

Wisconsin Department of Justice

The Wisconsin Department of Justice (DOJ) will support the implementation of local law enforcement assisted diversion (LEAD) and medication-assisted treatment (MAT) programs in jails. Five pre-booking diversion sites using the LEAD model will be selected to provide diversion to treatment at the pre-arrest or post-arrest stages. Nine jail-based sites will be selected to provide non-narcotic, non-addictive injectable MAT to an inmate in the days immediately preceding re-entry to the community. The MAT program will include community-based care coordination for inmates exiting the county or tribal jail and rely on evidence-based, trauma-informed practices for substance use disorder treatment. This project will engage the Wisconsin DOJ's Bureau of Justice Information and Analysis as the research partner for this project.

City of Martinsburg

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

Logan County

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.

Grantee Projects

Cook Inlet Tribal Council, Inc

Cook Inlet Tribal Council, Inc

22nd Judicial Circuit District Attorney's Office

22nd Judicial Circuit District Attorney's Office

Jefferson County Commission

Jefferson County Commission

Jefferson County, Alabama

Jefferson County, Alabama

Arkansas Department of Finance and Administration

Arkansas Department of Finance and Administration

Arkansas Department of Finance and Administration

Arkansas Department of Finance and Administration

Izard County

Izard County

Johnson County

Johnson County

Pulaski County

Pulaski County

Pulaski County Sheriff's Office

Pulaski County Sheriff's Office

Arizona Criminal Justice Commission

Arizona Criminal Justice Commission

Navajo County

Navajo County

Alameda County Probation Department

Alameda County Probation Department

City of Long Beach

City of Long Beach

Hoopa Valley Tribal Council

Hoopa Valley Tribal Council

Mendocino County

Mendocino County

Yurok Tribe

Yurok Tribe

Boulder County

Boulder County

City of Alamosa

City of Alamosa

New Castle County

New Castle County

City of Port St. Lucie

City of Port St. Lucie

Florida Office of the State Courts Administrator

Florida Office of the State Courts Administrator

Seminole County

Seminole County

Fulton County

Fulton County

Georgia Criminal Justice Coordinating Council

Georgia Criminal Justice Coordinating Council

Screven County Sheriff's Office

Screven County Sheriff's Office

Judiciary Courts of the State of Hawaii

Judiciary Courts of the State of Hawaii

Iowa Governor's Office of Drug Control Policy

Iowa Governor's Office of Drug Control Policy

Nez Perce Tribe

Nez Perce Tribe

Boone County

Boone County

Boone County

Boone County

DeKalb County (Inc)

DeKalb County (Inc)

Kane County

Kane County

Dubois County

Dubois County

Indiana Family and Social Services Administration

Indiana Family and Social Services Administration

Tippecanoe County

Tippecanoe County

Unified Government of Wyandotte County

Unified Government of Wyandotte County

Kentucky Justice and Public Safety Cabinet

Kentucky Justice and Public Safety Cabinet

Lafourche Parish Sheriff's Office

Lafourche Parish Sheriff's Office

St. Tammany Parish Government