The Jefferson County Commission will implement the Jefferson County Forensic Care Management Team, which will be colocated at the Jefferson County Jail. The project will expand the availability of peer recovery support services, both pre- and post-release. The University of Alabama at Birmingham Department of Psychiatry will serve as the research partner for this project.
Boulder County Community Justice Services will work with the project partners to develop diversion and policy-related programming across intercept points as alternatives to traditional prosecution for offenders with low criminogenic risk who are facing opioid-related charges, those with treatment needs who are residing in jail, or those reentering the community, with a focus across all interventions on those who are high system utilizers. The OMNI Institute will serve as the research partner for the proposed project.
The Delaware Criminal Justice Council, in partnership with the Division of Substance Abuse and Mental Health, will implement the Delaware Smart Criminal Justice and Treatment Change Team to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will implement programs to effectively integrate initiatives, processes, and programs into standard treatment policies and practices maximizing efforts. Grant funds will be used to implement comprehensive policies and practices identified in the planning phase and outlined in the coordinated state criminal justice and treatment plan. Subgrants will be awarded that assist and provide financial support to units of local government and community services agencies to implement strategies that support treatment and recovery service engagement; increase the use of diversion and alternatives to incarceration; and reduce the incidence of overdose death. The geographic area is the entire state of Delaware.
The Indiana Criminal Justice Institute (ICJI) and the Indiana Division of Mental Health and Addiction (DMHA) will implement a program that will provide tablets to individuals in three pilot sites with the end goal of allowing for remote monitoring of medications and sobriety by Fayette County Community Corrections. The project, titled “Technology-assisted Treatment Expansion in Fayette County,” will operate in three pilot sites: the Fayette County Sheriff's Department, Fayette County Community Corrections, and the House of Ruth. The pilot sites will be provided with tablets and the associated software. Upon release, eligible participants will be provided with wireless communication devices to allow remote monitoring of medications and sobriety. ICJI and DMHA will collaborate with Indiana University and two local service providers.
Tippecanoe County will establish a pre-trial assessment model that will ensure that all individuals incarcerated in the Tippecanoe County Jail have a professional addictions and mental health assessment performed within 48 hours of initial intake, provide programming within the Tippecanoe County Jail, and provide intensive case management services to targeted individuals released from the Tippecanoe County Jail.
The Indiana Division of Mental Health and Addiction, in partnership with the Indiana Criminal Justice Institute (ICJI), Choices Coordinated Care Solutions (Choices), Centerstone, Relias Analytics, and the Indiana University Center for Collaborative Systems Change, seeks to address the treatment needs of justice-involved individuals of southern Indiana in seven rural counties. The project will use mobile technology hardware, software, internet connectivity, and Web-based services, along with other available resources, to assess participants in drug courts as well as individuals with opioid use disorder (OUD) to gain access to services and provide treatment when necessary as a diversion from charges.
The Indiana Family and Social Service Administration, Division of Mental Health and Addiction, through the Integrated Response Project (IRP), will ensure that Marion County inmates with an opioid abuse diagnosis or a history of opioid overuse are connected with and engaged in treatment and recovery services upon their release and will enhance the provision of additional law enforcement pre-arrest diversion beds and linkage to services.
The Louisiana Department of Health’s (LDH) Office of Behavioral Health plans to implement the Louisiana Comprehensive Opioid Abuse Program (LaCOAP), a program that aims to reduce the number of opioid-related overdoses and overdose deaths among offenders. The program will develop a multiagency planning team to develop a plan to address opioid use disorders in offenders. This multidisciplinary approach includes a large number of community partners, including the Louisiana Commission on Law Enforcement and Administration of Criminal Justice, LDH’s Office of Public Health/Bureau of Health Informatics, the Louisiana Department of Public Safety and Corrections, and the New Orleans Division of the U.S. Drug Enforcement Administration. Other partners include the New Orleans Sheriff’s Department and the local governing entities that provide behavioral health services in three of the targeted parishes, to include Metropolitan Human Services District, Capital Area Human Services District, and the Florida Parishes Human Services Authority.
The Louisiana Department of Health, Office of Behavioral Health will support access to, and engagement in, treatment and recovery support services for offenders with opioid abuse in Orleans and East Baton Rouge Parishes jails, as well as increased use of diversion in Orleans, Jefferson, and St. Tammany Parishes. This will be accomplished by providing support for peer support specialists and treatment staff members at the Day Reporting Center in New Orleans, which serves both Orleans and Jefferson Parishes, and at the St. Tammany Parish Jail to enable those with opioid use disorders to be assessed and referred to a specialty court.
The Orleans Parish will enhance the Orleans Re-Entry Court by screening offenders for opioid addictions at sentencing; referring offenders with opioid addictions to receive medication-assisted treatment; and offering offenders job training services, education, and cognitive behavioral interventions while incarcerated and upon release. Loyola University New Orleans will serve as the research partner.
The Eastern Band of Cherokee Indians’ Integrated Opioid Abuse Program will develop a task force composed of tribal decision makers who will create policies and keep agencies accountable to indicators of success. A multidisciplinary team will provide direct services to high-frequency drug users and their families. These two teams will work together to develop a plan to create a secured mental health/opioid abuse treatment center and secure transportation for participants becoming certified peer recovery support specialists.
Mecklenburg County Criminal Justice Services will implement the Mecklenburg Opioid Systemic Response Plan, a diversionary program aimed at offenders who are opioid abusers in the community. The project will initially focus on information gathering to create a comprehensive cross-system response plan to the opioid crisis. This information will help apply the Sequential Intercept Model to Mecklenburg County. Mecklenburg County Criminal Justice Services will then enhance services at intercept point 3 (jail/courts) and point 5 (community corrections), respectively, for the target population. The University of North Carolina–Charlotte’s School of Social Work will serve as the project’s research partner.
Camden County, New Jersey, plans to implement the Camden County Opioid Abuse Diversion Program (CCOAD) to improve treatment and support services for individuals with a history of opioid abuse diagnosis. These interventions will specifically target the pre-trial and reentry intercepts of the Sequential Intercept Model. The initial phase of CCOAD entailed conducting a comprehensive assessment of individuals incarcerated in the Camden County Correctional Facility (CCCF) to document the extent of the opioid crisis in the Camden County jail, subsequently setting up wraparound services at the pre-trial and reentry intercepts. The second phase of the program entails the integration of specialized care managers to work intensely with individuals with an opioid abuse diagnosis upon their release to help them navigate treatment options and resources as well as advocacy specific to housing, employment, legal challenges, and access to social services. In addition, CCOAD will include a comprehensive ongoing analysis on the effectiveness of strategies used by the program. The Walter Rand Institute of Public Affairs at Rutgers University will serve as the project’s research partner.
Between 2003 and 2015, Franklin County experienced a 343 percent increase in residents dying from drug-related overdoses. To combat what the DEA has referred to as “Ground Zero” of the opiate and carfentanil crisis, the government of Franklin County, Ohio, will implement the Diversion Alternative–Project Opioid (DA–PO) program, a comprehensive and multifaceted approach to reducing the impact of the opioid crisis. Expanding treatment and support services and reducing the number of overdoses and fatalities are the project’s main goals. In addition, the DA–PO program calls for planning and implementation of a Community Mayor's Drug Court, the launch of a robust harm-reduction campaign that will include hosting town hall meetings, distributing naloxone kits to families of overdose survivors, and distributing fentanyl test strips to those in active addiction. Mighty Crow Media will partner with Franklin County as the project’s researcher.
The Franklin County Pathways to Healthy Living Program will offer services to individuals booked into the Franklin County Correctional Center and in active withdrawal to include screening, cognitive behavioral treatment, medication-assisted treatment (MAT), and linkage to peer support. Participants will be linked with a team pre- and post-release to ensure continuity of care. Funding will support implementation of You’re Extra Special (YES) for children aged 7 to 14 with a parent diagnosed with addiction.
The Franklin County Municipal Court will enhance and evaluate the MAT + Link opioid intervention. Through MAT + Link, offenders struggling with opioid addiction have access to medication-assisted treatment (MAT) in jail or immediately upon release through court-based services. There will be a MAT + Link project manager, and a full-time case manager will serve as coordinator. Pretrial and Probation Services will partner with an external evaluator to track the impact of MAT + Link on treatment adherence and recidivism.
The Ohio Department of Rehabilitation and Correction will partner with the Ohio Department of Mental Health and Addiction Services under the Bureau of Correctional Recovery Services to develop virtual reality products aimed at enhancing treatment services for people with opioid abuse and others with opioid involvement. The pilot sites include two prisons: Dayton Correctional Institution and Warren Correctional Institution. In addition to the two prison sites, two community-supervision offices, both in isolated rural areas with limited access to treatment, have been selected as pilot community sites: Pike County Adult Parole Authority and Scioto County Adult Parole Authority. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
Clackamas County Community Corrections will improve the data infrastructure and develop diversion strategies that target incarcerated individuals eligible for early release into treatment, individuals on probation and reentering the community who meet the criteria for medication-assisted treatment (MAT), and supportive housing for justice-involved females to reunify with their children while receiving treatment or for those who are pregnant. BetaGov/Litmus at New York University (NYU) will serve as the evaluator for the proposed project.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to individuals at risk of overdosing and encouraging them to be assessed and treated. The project will support the technology, professional expertise, and partnerships needed to gather comprehensive data, perform outreach visits, execute research, and contribute to the administration of the HOPE Initiative. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
The Harris County Community Supervision and Corrections Department will develop protocols for diverting appropriate individuals to treatment assessments and community-based care; develop protocols for smoothing the transition between in-custody medication-assisted treatment (MAT] to community supervision and continued treatment for those exiting to probation; and link opioid-abusing individuals with recovery coaches to support recovery efforts, reduce barriers, and improve community engagement.
Multiple departments within the Makah Tribal Organization have developed the concept of a “Healing Together House” (HTH). The HTH project will support a Law Enforcement-Assisted Diversion (LEAD) program as an alternative to the judicial system, addressing those who cycle in and out of the system with no resolution to their underlying needs. The project will develop a drop-in house to provide services such as a 24-hour safe place, recovery coaching, and a space to share meals with and provide education to a community.
The Puyallup Tribe of Indians, a federally recognized tribe in western Washington State, will implement the Community Reentry Services Project. Members reentering the community from inpatient treatment or a correction facility will receive treatment, case management, peer-to-peer mentorship, and vouchers for housing and transportation.
The Seattle Police Department, in partnership with the Washington State Department of Corrections, King County Prosecuting Attorney’s Office, and the Public Defenders Association, will enhance in-custody access to services, mentoring, and peer support; expand reentry access to services (including stable housing and opioid abuse-related treatment), mentoring, and peer support; and provide options for diversion to treatment for persons on community supervision instead of return to custody. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
The Winnebago County District Attorney will improve data infrastructure and develop diversion strategies for people with opioid use disorders using evidence-based components. BetaGov/Litmus at New York University (NYU) will serve as the research partner for the proposed project.
The Logan County Commission, in partnership with the Southwestern Regional Day Report Center in Logan, West Virginia, will implement the Fresh Start program, which will facilitate access to treatment services to overdose survivors. West Virginia has the highest drug overdose death rate in the nation. Overdoses attributed to prescription drug overdoses are especially prevalent in the southernmost counties of West Virginia, including Logan County. At the center of the program will be agricultural and artisan programming, which aims to reconnect clients with their communities. The program will offer community mentoring, interagency teamwork, life-based skills development sessions, craftsmanship, artisanship, and credit attainment through the local community college. Another key component of the program is the creation of the Logan County Health Department Satellite site, to provide increased access to basic health-care services. Marshall University will serve as the project’s research partner.