Grantee Projects

AR

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

Izard County

Arkansas

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

CO

The Colorado Department of Public Health and Environment (CDPHE) applied for Category 2 statewide area grant funding in the amount of $6,000,000. The Colorado Opioid, Stimulant, and Substance Abuse Project will support comprehensive, collaborative initiatives in selected areas through a competitive request for applications from local public health, law enforcement, and substance use treatment providers serving residents in seven rural counties to conduct one or more of the BJA allowable uses of the funding to meet the specific local needs. Deliverables of the project include the selection and provision of at least six subawards within six months of the grant award, at least six contracts and scopes of work, a BJA-required implementation manual, an annual summary of the site project, project accomplishments from each site (sub-award), coordinated cross-site training and peer-to-peer learning, quarterly process data, annual evaluation data, and a written evaluation report at the end of the grant period. This project serves seven rural counties: Bent, Costilla, Crowley, Huerfano, Otero, Prowers, and Saguache. The project includes partnerships between the Prevention Services Division of CDPHE and the Office of Behavioral Health of the Colorado Department of Human Services, as well as local public health, law enforcement, and substance use treatment partners in the seven counties. Priority considerations addressed in this application include rural and high-poverty areas containing economic opportunity zones. Partner agencies and activities will be specified after a competitive Request for Applications is released in February 2021, the applications are reviewed, and awards are made.

Colorado Department of Public Health and Environment

Colorado

The Colorado Department of Public Health and Environment (CDPHE) applied for Category 2 statewide area grant funding in the amount of $6,000,000. The Colorado Opioid, Stimulant, and Substance Abuse Project will support comprehensive, collaborative initiatives in selected areas through a competitive request for applications from local public health, law enforcement, and substance use treatment providers serving residents in seven rural counties to conduct one or more of the BJA allowable uses of the funding to meet the specific local needs. Deliverables of the project include the selection and provision of at least six subawards within six months of the grant award, at least six contracts and scopes of work, a BJA-required implementation manual, an annual summary of the site project, project accomplishments from each site (sub-award), coordinated cross-site training and peer-to-peer learning, quarterly process data, annual evaluation data, and a written evaluation report at the end of the grant period. This project serves seven rural counties: Bent, Costilla, Crowley, Huerfano, Otero, Prowers, and Saguache. The project includes partnerships between the Prevention Services Division of CDPHE and the Office of Behavioral Health of the Colorado Department of Human Services, as well as local public health, law enforcement, and substance use treatment partners in the seven counties. Priority considerations addressed in this application include rural and high-poverty areas containing economic opportunity zones. Partner agencies and activities will be specified after a competitive Request for Applications is released in February 2021, the applications are reviewed, and awards are made.

GA

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.

Screven County Sheriff's Office

Georgia

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.

ID

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

Idaho Department of Health and Welfare

Idaho

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

IN

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.

Indiana Family and Social Services Administration

Indiana

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.

IN

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

The Health & Hospital Corporation of Marion County

Indiana

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

MD

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

St. Mary's County

Maryland

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

MI

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

Macomb County

Michigan

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

MI

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

St. Joseph County

Michigan

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

MN

The Minneapolis Health Department will partner with the Hennepin Health, Hennepin County Medical Center, Minneapolis Police Department, Minneapolis Fire Department, Emergency Medical Services, and Serve Minnesota to implement both hospital-based and community-based services to connect individuals at risk for overdose and/or survivors of a nonfatal overdose and their families with substance abuse and behavioral health treatment providers and recovery support. The Minneapolis Health Department Research and Evaluation Team will serve as the research partner for the proposed project.

City of Minneapolis

Minnesota

The Minneapolis Health Department will partner with the Hennepin Health, Hennepin County Medical Center, Minneapolis Police Department, Minneapolis Fire Department, Emergency Medical Services, and Serve Minnesota to implement both hospital-based and community-based services to connect individuals at risk for overdose and/or survivors of a nonfatal overdose and their families with substance abuse and behavioral health treatment providers and recovery support. The Minneapolis Health Department Research and Evaluation Team will serve as the research partner for the proposed project.

MS

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

Mississippi State Department of Health

Mississippi

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

NJ

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

Atlantic City (Inc)

New Jersey

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

NJ

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

State of New Jersey, Department of Law and Public Safety

New Jersey

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

NY

St. Lawrence County applied for Category 1b suburban area grant funding in the amount of $900,000. The St. Lawrence County Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (COSSAP) utilizes patient-centered care to facilitate access to substance use treatment for individuals with opioid use disorder who are not currently getting the needed care. The program will expand harm-reduction services and recovery support opportunities, as well as increase access to communicable disease testing and preventive care to individuals in high-risk populations. Also, the program will provide essential patient-centered addiction services for the people at greatest risk for overdose. This project serves the 109,558 residents of St. Lawrence County. The project includes partnerships between St. Lawrence County Community Services, St. Lawrence Health Systems, Seaway Valley Prevention Council, the Maximizing Independent Living Center, and New Hope Transformation Ministries (dba Grace House). Priority considerations addressed in this application include Qualified Opportunity Zones and the specific challenges that rural communities face.

St. Lawrence County

New York

St. Lawrence County applied for Category 1b suburban area grant funding in the amount of $900,000. The St. Lawrence County Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program (COSSAP) utilizes patient-centered care to facilitate access to substance use treatment for individuals with opioid use disorder who are not currently getting the needed care. The program will expand harm-reduction services and recovery support opportunities, as well as increase access to communicable disease testing and preventive care to individuals in high-risk populations. Also, the program will provide essential patient-centered addiction services for the people at greatest risk for overdose. This project serves the 109,558 residents of St. Lawrence County. The project includes partnerships between St. Lawrence County Community Services, St. Lawrence Health Systems, Seaway Valley Prevention Council, the Maximizing Independent Living Center, and New Hope Transformation Ministries (dba Grace House). Priority considerations addressed in this application include Qualified Opportunity Zones and the specific challenges that rural communities face.

NY

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

St. Lawrence County

New York

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

OK

The Muscogee Creek Nation Department of Health (MCNDH) is applying for Category 1 funding in the amount of $600,000. The MCNDH COSSAP Program will work across Muscogee Creek Nation (MCN) tribal programs to identify adult citizens who are at risk or suffering from opioid use disorder (OUD); train law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation; and expand treatment for patients. MCNDH will partner with the MCN Lighthorse Police Department (LHP) to administer the grant. The project will hire a project coordinator and a client navigator to establish a relationship with a medication-assisted treatment provider; provide annual professional training to all providers at all tribal health clinics; review and update policies and procedures on opioid treatment and administration; and review the process to identify, screen, assess, and refer OUD patients. The project will also purchase 300 naloxone kits to provide to law enforcement officers, emergency management personnel, and rural volunteer firefighters upon completion of naloxone administration training; purchase two 38-gallon drug disposal bins to be placed at two locations within the reservation for disposal of unwanted, unused, or expired controlled substances; and purchase 2,500 drug disposal system pouches. The project aims to provide case management and peer support for at least 100 patients; training for 300 law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation on how to identify an opioid overdose and how to administer naloxone; and training for 500 MCNDH staff, law enforcement officers, emergency management personnel, and rural volunteer firefighters to identify patients for potential OUD. The project serves the Muscogee Creek Nation, which has a population of 91,053 across 11 counties in east-central Oklahoma. The project includes partnerships between MCNDH, LHP, the MCN’s Social Services Program, the Indian Child Welfare Program, and the Family Violence Prevention Program. 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.

Muscogee Creek Nation

Oklahoma

The Muscogee Creek Nation Department of Health (MCNDH) is applying for Category 1 funding in the amount of $600,000. The MCNDH COSSAP Program will work across Muscogee Creek Nation (MCN) tribal programs to identify adult citizens who are at risk or suffering from opioid use disorder (OUD); train law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation; and expand treatment for patients. MCNDH will partner with the MCN Lighthorse Police Department (LHP) to administer the grant. The project will hire a project coordinator and a client navigator to establish a relationship with a medication-assisted treatment provider; provide annual professional training to all providers at all tribal health clinics; review and update policies and procedures on opioid treatment and administration; and review the process to identify, screen, assess, and refer OUD patients. The project will also purchase 300 naloxone kits to provide to law enforcement officers, emergency management personnel, and rural volunteer firefighters upon completion of naloxone administration training; purchase two 38-gallon drug disposal bins to be placed at two locations within the reservation for disposal of unwanted, unused, or expired controlled substances; and purchase 2,500 drug disposal system pouches. The project aims to provide case management and peer support for at least 100 patients; training for 300 law enforcement officers, emergency management personnel, and rural volunteer firefighters throughout the MCN reservation on how to identify an opioid overdose and how to administer naloxone; and training for 500 MCNDH staff, law enforcement officers, emergency management personnel, and rural volunteer firefighters to identify patients for potential OUD. The project serves the Muscogee Creek Nation, which has a population of 91,053 across 11 counties in east-central Oklahoma. The project includes partnerships between MCNDH, LHP, the MCN’s Social Services Program, the Indian Child Welfare Program, and the Family Violence Prevention Program. 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.

PA

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

York County

Pennsylvania

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

TN

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.

Sevier County Government

Tennessee

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.