Izard County
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).
Read MoreIzard County
Arkansas
New Castle County
DE
The New Castle County Division of Police is proposing to expand Hero Help, a law enforcement led diversion by creating a team (substance abuse clinician, nurse, police officer, case manager, victim advocate) embedded in the patrol division, to respond immediately to 9-1-1 calls for service. Grant funds support a full-time project coordinator, nurse, child victim advocate (respond to overdose where children are impacted) and a licensed clinician. Additionally, to improve analytic capacity, develop a data collection tool to capture near real-time fatal and nonfatal overdoses. University of Delaware, Center for Drug and Health Studies, and Daniel O’Connell will serve as the research partner.
Read MoreNew Castle County
Delaware
Indiana Family and Social Services Administration
IN
The Indiana County Leaders Collaboration for Change (ICLCC) will establish and/or build upon existing collaborative relationships between first responders, the criminal justice system, child welfare and foster care, behavioral health, primary care and addiction service providers to identify, develop (or) enhance, and implement specific countywide programs designed to reduce the impact of opioids, stimulants, and other substances on individuals and communities. The counties will achieve this by developing (or) enhancing and implementing one or more of the following within their county: Law Enforcement Assisted Diversion (LEAD) model programs (new to Indiana), prebooking or postbooking treatment alternative-to-incarceration programs, education and prevention programs to connect law enforcement in schools, embed social services with law enforcement to rapidly respond to drug overdoses where children are impacted, and expand access to evidence-based treatment and recovery support services across the criminal justice system. This project serves individuals across Knox, Wayne, Fayette, Floyd, Clark, Allen, and Madison counties. The project includes partnerships between the Division of Mental Health and Addiction and seven county coalitions. Priority considerations addressed in this application include rural, high-poverty, and economically distressed regions.
Read MoreIndiana Family and Social Services Administration
Indiana
The Health & Hospital Corporation of Marion County
IN
The Health and Hospital Corporation of Marion County (doing business as Eskenazi Health) project is carried out by three agencies—the Substance Use Outreach Services Program (SUOS), the Safe Syringe Access and Support Program (SSAS), and Project POINT—and will encompass a multi-pronged approached to support patients, staff, and community/government partners. These programs will provide community-based prevention services in the form of education and prevention programs and naloxone distribution; community-based intervention in the form of substance use disorder (SUD) treatment and harm reduction activities and support services; and post-intervention support in the form of transitional housing assistance and peer recovery services. The project will focus on the following activities: (1) a drug take-back program (approximately 7 percent of budget); (2) real-time data collection (approximately 11 percent of budget); (3) naloxone distribution (approximately 17 percent of budget); (4) K-12 education and prevention programs (approximately 25 percent of budget); (5) evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs as well as harm reduction activities and recovery support services (approximately 21 percent of budget); (6) transitional or recovery housing and peer recovery support services (approximately 19 percent of budget). This grant-funded initiative is a collaboration between Eskenazi Health and partner agencies, including the Marion County Coroner’s Office and the Indiana Department of Health Laboratory Services Commission, and will impact first responders, substance use disorder providers and patients, and governmental agencies throughout Marion County during the life of the grant and beyond.
Read MoreThe Health & Hospital Corporation of Marion County
Indiana
Louisiana Department of Public Safety and Corrections
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. This project will engage Marc Diana,PhD, as the research partner for this project. 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.
Read MoreLouisiana Department of Public Safety and Corrections
Louisiana
St. Mary's County
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).
Read MoreSt. Mary's County
Maryland
Macomb County
MI
Macomb County is applying for a Category 1 award in the amount of $595,168. The Macomb County Prosecutor’s Office/Families Against Narcotics (FAN) REDIRECT Diversion Program will reduce the number of overdoses, assist people in getting treatment for addiction, reduce drug-related crimes, and improve the relationship between law enforcement and the community. The overall goal of REDIRECT is to reduce both drug-related crime and overdose mortalities among high-need/high-risk people in Macomb County who may have committed a minor, non-violent, drug-related offense by offering them a referral to treatment and continuum of care, in lieu of arrest and prosecution of criminal charges. The objectives are to launch REDIRECT in all 18 police departments within the county, provide a continuum of care to participants for 12 months to support their sobriety, and to reduce the stigma of addiction within law enforcement and the community. This project serves Macomb County, which has a population of approximately 873,000. The project includes a partnership with FAN, a grassroots organization known and respected by law enforcement throughout the county. Priority considerations addressed in this application include that the project will benefit individuals residing in a high-poverty area or persistent-poverty county.
Read MoreMacomb County
Michigan
City of Minneapolis
MN
The Minneapolis Health Department (MHD) will work with the University of Minnesota Medical Center (UMMC), Red Lake Nation, and other partners to implement First Step, leveraging existing care systems, incorporating evidence-based treatments, and facilitating partnerships between psychosocial and medical providers to offer effective services to persons with opioid use disorder (OUD). This project expands previous work by adding a Peer Recovery Navigator (PRN) as the initial connection at the emergency department, who will work with the patient until they are discharged and connected with services. The PRN will build rapport and negotiate immediate and short-term goals with the patient. They will provide close follow up with the patient at the community level and help them get established on medication. The goal will be to have the patient engage in medication-assisted treatment through the delivery of a “bupe bundle” in the emergency department as an entry point to recovery, then connect them with support services in the community. The community-based project will be implemented through Red Lake Nation and serve as a referral for UMMC and first responders. An additional point of entry to First Step will be a mobile medical unit which will have the capacity to deliver MAT and serve both as a connection and referral point for the other components. Minneapolis is experiencing a disproportionate impact from opioid-related overdoses compared to the rest of Minnesota. Two communities within Minneapolis are particularly impacted by the opioid crisis, American Indians, and African Americans. The three-year average (2018-2020) mortality rate of opioid overdose among American Indians (215 deaths per 100,000 persons) is almost nine times higher than the city-wide rate (24 deaths per 100,000 persons), and 12 times that of white residents. For the African American community, the average mortality rate, 41 deaths per 100,000 persons, more than doubles that of the white population. One hundred percent of the budget will be used to implement evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction services and recovery support services.
Read MoreCity of Minneapolis
Minnesota
City of Minneapolis
MN
The Minneapolis Health Department will partner with the Hennepin Health, Hennepin County Medical Center, Minneapolis Police Department, Minneapolis Fire Department, Emergency Medical Services, and Serve Minnesota to implement both hospital-based and community-based services to connect individuals at risk for overdose and/or survivors of a nonfatal overdose and their families with substance abuse and behavioral health treatment providers and recovery support. The Minneapolis Health Department Research and Evaluation Team will serve as the research partner for the proposed project.
Read MoreCity of Minneapolis
Minnesota
Turtle Mountain Band of Chippewa Indians
ND
The Turtle Mountain Band of Chippewa Indians is applying for Category 1 funding in the amount of $596,493. The Turtle Mountain COSSAP Program will comprise a take-back medication program in collaboration with Bureau of Indian Affairs (BIA) law enforcement, Turtle Mountain Agency; expansion of access to evidence-based treatment and recovery support services; implementation of peer recovery support services; utilization of an evidence-based screening tool for use by first responders, law enforcement, and others to assess for substance misuse indicators; and development of community outreach and education events. The Turtle Mountain Recovery Center (TMRC), a treatment facility with 16 residential beds for inpatient care and outpatient counseling and support, will serve 500 tribal members annually through both inpatient and outpatient treatment. TMRC will partner with the Turtle Mountain Community College to refer those in recovery to classes that build employable skills, as well as refer to other supportive services such as permanent housing and food assistance. The project will involve the hiring and training of three full-time peer support specialists, all Turtle Mountain tribal members, who will provide outreach and education to the community, liaise with local law enforcement and other stakeholders, and advocate for those in treatment and recovery; and purchase and utilization of the Triage Assessment for Addictive Disorders-5 (TAAD5) evidence-based screening tool. The project serves the Turtle Mountain Band of Chippewa Indians, a federally recognized tribe of 30,100 members located in Rolette County, North Dakota. The project includes partnerships with BIA local law enforcement and the 5th Generation Healing Center. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.
Read MoreTurtle Mountain Band of Chippewa Indians
North Dakota
Atlantic City (Inc)
NJ
Atlantic City is applying for Category 1 funding in the amount of $600,000. The Atlantic City COSSAP program will focus on promoting public safety and supporting access to recovery services, strengthening data collection and sharing, aligning and maximizing resources, and preventing substance use. It will implement a comprehensive plan to reduce the risk of overdose death and enhance treatment and recovery engagement through recommendations made by the city’s overdose fatality review team, bringing together stakeholders with different perspectives and different data sets to improve public health and clinical practices. Strategies include enhanced outreach to overdose survivors and their families and enhanced targeting of high-frequency cases. Goals of the project include reducing the impact of opioids, stimulants, and other substances on individuals and communities, reducing the number of overdose fatalities, and mitigating the impacts on crime victims by supporting comprehensive, collaborative initiatives, in part by enhancing the proactive use of prescription drug monitoring programs to support clinical decision making and preventing the misuse and diversion of controlled substances. The project serves Atlantic City, which has a population of 37,999. The project includes partnerships with the city’s Director of Public Health, the Jewish Family Services Department, Southern Jersey Family Medical Center, AtlantiCare Regional Medical Center Behavioral Health, the Atlantic City Police Department, the Atlantic City Municipal Court, and emergency medical services. Priority considerations addressed in this application include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities.
Read MoreAtlantic City (Inc)
New Jersey
State of New Jersey, Department of Law and Public Safety
NJ
The Department of Law and Public Safety and the New Jersey Division of Consumer Affairs will improve New Jersey Prescription Monitoring Program (NJPMP) information, reporting, quality, and integrity which will allow for better clinical decision making by prescribers. Also, New Jersey's efforts to prevent the abuse, misuse and diversion of controlled substances by creating a module that will develop and generate prescriber report cards to provide prescribers insight into their opioid prescribing patterns, developing hardware and software upgrades for New Jersey's Integrated Drug Awareness Dashboard (IDAD), and producing and disseminating educational materials and informational displays to utilize in NJPMP outreach campaign. Two epidemiologists will be hired to conduct analysis of NJPMP and related data.
Read MoreState of New Jersey, Department of Law and Public Safety
New Jersey
York County
PA
The York/Adams Drug and Alcohol Commission proposes to establish a new program to connect persons leaving prison with the appropriate evidence-based treatment and support services, which may include medication-assisted treatment; connect individuals who are on work-release with treatment and nontreatment services; and establish an integrated data system containing all law enforcement naloxone utilizations, emergency medical services naloxone utilizations, and hospital emergency department admissions and encourage prescription drug monitoring program usage.
Read MoreYork County
Pennsylvania
City of Charleston
SC
The City of Charleston is implementing the Charleston County Addiction Crisis Task Force: Police Assisted Peer Recovery Program. This law enforcement diversion program will fund three positions: one project coordinator to provide data collection and analysis services to all law enforcement agencies in Charleston County and two peer support specialists to support law enforcement officers while conducting outreach. The project funds Critical Incident Management Software (CIMS) to facilitate communication between police-based outreach programs and treatment facilities to track follow-up success, with support from ODMAP to facilitate real-time overdose follow-up communication across the county. The peer support specialists will deploy with trained QRT officers for the purpose of engaging individuals who recently suffered an overdose or presented signs of a substance use disorder during an interaction with law enforcement. They will be responsible for developing recovery plans to support overdose survivors as they transition to treatment. Harm reduction kits that include naloxone, gloves, masks, and information on local resources so that overdose deaths and other negative health outcomes associated with drug use can be reduced will be made available to survivors and at other locations. The goal of the project is to achieve a 15 percent reduction in the number of days from overdose to outreach. The project serves the City of Charleston, which is the nexus of the Charleston-North Charleston-Summerville Metropolitan Statistical Area and has a population estimated at 713,000, with an estimated 411,000 in Charleston County. The project includes partnerships with the Charleston Police Department, the Charleston County Sheriff’s Office, the North Charleston Police Department, and the Mt. Pleasant Police Department, all of which have officers serving on the Charleston County Addiction Crisis Task Force (ACT Force). Priority considerations addressed in this project include a high rate of primary treatment admissions for heroin, opioids, and stimulants; high rates of overdose deaths; and a lack of accessibility to treatment providers and facilities. The project will also benefit individuals residing in high-poverty areas.
Read MoreCity of Charleston
South Carolina
Sevier County Government
TN
Sevier County will enhance the Sevier County Offender Recovery Program (SCORP), a comprehensive, collaborative effort to identify and refer individuals to treatment and recovery following incarceration. Interventions begin during incarceration; however, the majority of services are provided immediately at release during the probationary period. Funds will be used to hire a peer mentor coordinator, a women’s service liaison, and a probation/life skills coach for incarcerated women enrolled in the program and expand the substance abuse prevention education program to include the families of SCORP participants.
Read MoreSevier County Government
Tennessee