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).

AZ

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

Arizona Criminal Justice Commission

Arizona

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

AZ

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

Navajo County

Arizona

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

CO

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

Arapahoe County Colorado

Colorado

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

CO

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

Pueblo Department of Public Health and Environment

Colorado

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

CT

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

Connecticut Department of Mental Health and Addiction Services

Connecticut

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

FL

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

Orange County

Florida

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

IL

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

Cook County

Illinois

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

IL

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

Cook County Health

Illinois

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

IL

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

DuPage County Health Department

Illinois

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

IN

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

Dubois County

Indiana

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

KY

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

Purchase District Health Department

Kentucky

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

LA

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

Lafourche Parish Sheriff's Office

Louisiana

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

LA

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

Louisiana Department of Public Safety and Corrections

Louisiana

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

LA

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

Orleans Parish District Attorney

Louisiana

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

MA

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

Berkshire Regional Planning Commission

Massachusetts

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

MA

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

City of Boston

Massachusetts

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

MA

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

City of Holyoke Police Department

Massachusetts

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

MA

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

City of Lowell

Massachusetts

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

MA

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

City of Newburyport

Massachusetts

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

MA

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

Commonwealth of Massachusetts dba Middlesex Sheriff's Office

Massachusetts

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

MA

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

Department of Public Safety

Massachusetts

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

MA

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

Northampton, City of

Massachusetts

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

MD

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

Baltimore, City of

Maryland

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

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

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

City of Detroit

Michigan

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

MI

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

Department of State Police Michigan

Michigan

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

MI

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

Michigan Department of State Police

Michigan

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

MN

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

City of Duluth

Minnesota

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

NC

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

North Carolina State Department of Health and Human Services

North Carolina

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

NC

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

Wake County

North Carolina

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

ND

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

City of Bismarck

North Dakota

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

NJ

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

Burlington County

New Jersey

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

NJ

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

New Jersey State Parole Board

New Jersey

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

NM

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

Bernalillo County

New Mexico

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

NM

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

Rio Arriba County

New Mexico

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

NV

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

Nevada Office of the Attorney General

Nevada

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

NV

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

Southern Nevada Health District

Nevada

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

NY

The City of Ithaca applied for Category 1b suburban area grant funding in the amount of $900,000. The Ithaca LEAD Program (ILP) will reduce repeated arrests and incarceration for people whose unlawful conduct stems from unmet behavioral health needs in the city of Ithaca and adjacent towns in Tompkins County, New York. ILP will reduce racial disparities in criminal justice involvement for the region’s African-American population, reduce unnecessary arrests and prosecutions imposed on the justice system, improve officer efficiency, maximize the value of the city’s community-based service array, and improve outcomes for this complex population. In the era of COVID-19, these changes are especially critical. Across the nation, officers are confronting new challenges in interacting with people on the street; jails are striving to reduce incarceration so as to mitigate COVID-19 risks; and judges, attorneys, and court staff are seeking to reduce congestion in courtrooms. This project serves the city of Ithaca, New York. The project includes partnerships with Tompkins County District Attorney and Legislature, Community Leadership Team DCI, Ithaca Police Department, Tompkins County Sheriff, REACH Medical, Greater Ithaca Activities Center, and the LEAD National Support Bureau. Priority considerations addressed in this application include Qualified Opportunity Zones, as well as challenges faced by rural communities and high-poverty areas.

The City of Ithaca

New York

The City of Ithaca applied for Category 1b suburban area grant funding in the amount of $900,000. The Ithaca LEAD Program (ILP) will reduce repeated arrests and incarceration for people whose unlawful conduct stems from unmet behavioral health needs in the city of Ithaca and adjacent towns in Tompkins County, New York. ILP will reduce racial disparities in criminal justice involvement for the region’s African-American population, reduce unnecessary arrests and prosecutions imposed on the justice system, improve officer efficiency, maximize the value of the city’s community-based service array, and improve outcomes for this complex population. In the era of COVID-19, these changes are especially critical. Across the nation, officers are confronting new challenges in interacting with people on the street; jails are striving to reduce incarceration so as to mitigate COVID-19 risks; and judges, attorneys, and court staff are seeking to reduce congestion in courtrooms. This project serves the city of Ithaca, New York. The project includes partnerships with Tompkins County District Attorney and Legislature, Community Leadership Team DCI, Ithaca Police Department, Tompkins County Sheriff, REACH Medical, Greater Ithaca Activities Center, and the LEAD National Support Bureau. Priority considerations addressed in this application include Qualified Opportunity Zones, as well as challenges faced by rural communities and high-poverty areas.

NY

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

Ulster County

New York

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

NY

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

Ulster County

New York

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

NY

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

Unified Court System of New York State

New York

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

OH

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

Cuyahoga County

Ohio

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

OH

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

Cuyahoga, County of

Ohio

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

OH

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

Hancock County

Ohio

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

OH

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

Ohio Office of Criminal Justice Services

Ohio

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

OK

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

City of Jay

Oklahoma

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

OK

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

South Western Oklahoma Development Authority

Oklahoma

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

OR

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

Confederated Tribes of the Grand Ronde Community of Oregon

Oregon

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

PA

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

City of Erie

Pennsylvania

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

PA

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

Northumberland County

Pennsylvania

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

PA

The Pennsylvania Department of Corrections will focus on persons reentering the community from Pennsylvania Department of Corrections facilities who are high-frequency utilizers of services across systems (e.g., justice, health care, social services). Project efforts will focus on improving data sharing across relevant entities in the Commonwealth, with formation of a stakeholder team to advise on naloxone distribution, data sharing systems, and administrative protocols. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.

Pennsylvania Department of Corrections

Pennsylvania

The Pennsylvania Department of Corrections will focus on persons reentering the community from Pennsylvania Department of Corrections facilities who are high-frequency utilizers of services across systems (e.g., justice, health care, social services). Project efforts will focus on improving data sharing across relevant entities in the Commonwealth, with formation of a stakeholder team to advise on naloxone distribution, data sharing systems, and administrative protocols. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.

PR

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

Municipio de Bayamon

Puerto Rico

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

SC

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

County of Lancaster Administration Building

South Carolina

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

SC

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

Greenville County

South Carolina

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

TN

Bradley County is applying for a Category 1 award in the amount of $891,575. The Bradley County Prevention Coalition will implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the criminal justice-involved individuals in the community.  This plan was developed as a result of the identification of top-priority needs and prevention solutions for Bradley County and includes three main areas of focus: a comprehensive Resource Hub, a Quick Response Team (QRT), and the expansion of appropriate, substance use-informed training for officers and other personnel. In a first-of-its-kind Resource Hub initiative, the goals of engaging and improving the quality of life of individuals with or at risk of a substance use disorder, promoting public wellbeing, and reducing overdose deaths are met with a focus on utilization of comprehensive, appropriate, and integrated community-based services. The Resource Hub will be a center of representation for partnering community agencies, law enforcement, court personnel and legal counsel, recovery treatment providers, and other community professionals.  The Resource Hub will serve the community by including representation and direct access to all of the community’s frontline recovery support services. The development of a QRT will serve the community through assisting victims of drug and human trafficking for the first 24 to 72 hours after their identification of such, a very critical recovery service. The QRT will bridge the gap between first responders and victim service providers. The expansion of trainings for law enforcement will help to better prepare officers in the community to best respond to the population of individuals experiencing the impact of substance use disorder (particularly opioids), to include not only adults who are impacted but children and youth as well. This project primarily serve Bradley County, although ultimately all resources will be available to the benefit of the entire 10th Judicial District, which is comprised of Bradley County, Polk County, Meigs County, and McMinn County. The 10th Judicial District has a population of approximately 225,000 people, with approximately 110,000 of those being residents of Bradley County. The project includes partnerships between the Bradley Prevention Coalition, the Bradley County Sheriff's Office, the City of Cleveland Police Department, Cordata, Willowbend Farms Inc, Parkridge Valley Cleveland Outpatient Center, the Caring Place/United Way Housing Coalition, and 10th Judicial District Treatment Courts.

Bradley County

Tennessee

Bradley County is applying for a Category 1 award in the amount of $891,575. The Bradley County Prevention Coalition will implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery service engagement among the criminal justice-involved individuals in the community.  This plan was developed as a result of the identification of top-priority needs and prevention solutions for Bradley County and includes three main areas of focus: a comprehensive Resource Hub, a Quick Response Team (QRT), and the expansion of appropriate, substance use-informed training for officers and other personnel. In a first-of-its-kind Resource Hub initiative, the goals of engaging and improving the quality of life of individuals with or at risk of a substance use disorder, promoting public wellbeing, and reducing overdose deaths are met with a focus on utilization of comprehensive, appropriate, and integrated community-based services. The Resource Hub will be a center of representation for partnering community agencies, law enforcement, court personnel and legal counsel, recovery treatment providers, and other community professionals.  The Resource Hub will serve the community by including representation and direct access to all of the community’s frontline recovery support services. The development of a QRT will serve the community through assisting victims of drug and human trafficking for the first 24 to 72 hours after their identification of such, a very critical recovery service. The QRT will bridge the gap between first responders and victim service providers. The expansion of trainings for law enforcement will help to better prepare officers in the community to best respond to the population of individuals experiencing the impact of substance use disorder (particularly opioids), to include not only adults who are impacted but children and youth as well. This project primarily serve Bradley County, although ultimately all resources will be available to the benefit of the entire 10th Judicial District, which is comprised of Bradley County, Polk County, Meigs County, and McMinn County. The 10th Judicial District has a population of approximately 225,000 people, with approximately 110,000 of those being residents of Bradley County. The project includes partnerships between the Bradley Prevention Coalition, the Bradley County Sheriff's Office, the City of Cleveland Police Department, Cordata, Willowbend Farms Inc, Parkridge Valley Cleveland Outpatient Center, the Caring Place/United Way Housing Coalition, and 10th Judicial District Treatment Courts.

TX

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

Dallas County Hospital District

Texas

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

VA

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

City of Harrisonburg

Virginia

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

WA

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

Quinault Indian Nation

Washington

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

WI

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

City of Madison

Wisconsin

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

WI

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

City of West Allis

Wisconsin

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

WI

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

Winnebago County

Wisconsin

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

WV

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

Cabell County

West Virginia

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

WV

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

Monongalia County

West Virginia

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