Apr 10, 2019
The Center at Sierra Health Foundation works to promote health and racial equity throughout California with a community-first funding model that centers the voices and priorities of marginalized communities. The Center is partnering with DHCS to expand the reach of MAT services and wraparound care to all who need it. The project is centered on increasing access to comprehensive prevention, education and treatment for opioid and stimulant use disorders, and to improve health outcomes for communities of color disproportionately impacted by and penalized for substance use disorders.
In the first and second rounds, the MAT Access Points Project provided support to organizations to increase access to treatment services by building their capacity to provide MAT and substance use disorder treatment, as well as support for community-based organizations to conduct racially and culturally responsive prevention and educational activities focused on awareness of substance use disorder and reducing stigma. The focus for funding opportunities has been on disproportionately impacted communities such as tribal populations and communities of color, and has also included innovative projects through recovery housing and syringe services programs.
In the third round of the project, MAT Access Points is continuing to expand access to prevention and education for priority populations as well as partners with projects across the state that support various components of DHCS’ California MAT Expansion project including tribal MAT projects, youth focused work, and narcotic treatment programs, among others. For more information, visit the MAT Access Points Website.
This project receives State Opioid Response (SOR) grant funding through the Substance Abuse and Mental Health Services Administration (SAMHSA) and State General Funds from the State of California.
Project Leads
Other Resources:
Apr 10, 2019
Project Overview
This project, MAT in Jails and Drug Courts, is funded by the California Department of Health Care Services (DHCS) through the California FY 2022/23 budget, which included an allocation of State General Funds for ongoing support to the Medication Assisted Treatment (MAT) Expansion Project. The goal of this project is to increase access to MAT in county jails and drug courts while also building county capacity to effectively respond to individuals with justice system involvement with opioid use disorder (OUD), stimulant use disorder, and other substance use disorders (SUD). The ultimate goal of the Learning Collaborative is for Jail MAT county teams to commit to increasing access to at least two forms of the three FDA-approved medications for treatment of OUD in their jails and drug courts. The technical assistance model works from the basis that each county starts at a different point in access to MAT and will progress in accordance with their resources and priorities. The project brings together county teams in a learning collaborative with the objective to improve coordination among all county agencies and providers who serve justice-involved county residents and to develop bridges to further build system capacity to ensure access to effective treatment and recovery supports.
Counties participating in the MAT in Jails and Drug Courts Learning Collaborative receive technical assistance through individualized monthly coaching, topic-specific webinars, quarterly learning collaboratives, office hours, and ad hoc training. The Learning Collaborative is available to teams from all California counties interested in developing or expanding access to MAT for OUD in their jails and through their drug court systems. This project will also provide technical assistance to child welfare/juvenile justice county teams. Grant funds and participation stipends are available to participating county teams receiving technical assistance to enhance county efforts and pilot innovative solutions that demonstrate outcomes to lead to sustainable funding. Outreach and communication regarding the project and participation requirements to counties and applicable associations will be sent in November 2022 with the county team participation finalized in January 2023.
This project receives State General Funds from the State of California.
State Opioid Response I and II Project History
Throughout State Opioid Response (SOR) I and SOR II, Health Management Associates (HMA) led two projects:
- Expanding Access to MAT in County Criminal Justice Settings “Jail MAT”
- County Touchpoints for Access to MAT for Justice-Involved Individuals “County Touchpoints”
Jail MAT Background
In 2018, Health Management Associates (HMA) launched the first cohort of Expanding Access to MAT in County Criminal Justice Settings learning collaborative in 23 California counties under contract with California’s Department of Health Care Services (DHCS) with State Opioid Response (SOR) I funding. In spring 2020, additional counties joined, bringing the total to 32 counties which covered more than 80% of the state’s population. In September 2020, county teams who participated under SOR I as were invited to apply to continue in the learning collaborative under SOR II. New counties were also encouraged and invited to participate. Throughout 2021-2022, 32 CA counties participated under SOR II and 27 of these counties received an implementation grant. Implementation grants were used to supplement staffing costs, purchase medications, increase behavioral health services, provide harm reduction, develop reentry resources and support, and more. All project artifacts and resources have been archived on this website page. Throughout the State Opioid Response (SOR) I and SOR II funding and contracting periods, 37 different California counties have participated in the Learning Collaborative. As of August 2022, 31,968 individuals have received MAT while incarcerated in county jails participating in this Learning Collaborative across the 36 counties who have submitted data during SOR I and SOR II. The project engaged advisors from state associations of counties, sheriffs, narcotic treatment providers, the state prison system, and others to help break down barriers and to spread project information.
County Touchpoints Background
In August 2018, Health Management Associates (HMA) recognized the need to educate and engage other justice system stakeholders to support jail MAT implementation among key county partners and stakeholders. HMA established an in-person learning collaborative model across the state with six targeted stakeholder groups: probation, adult collaborative courts, youth/dependency courts, public defenders, district attorneys, and human services/child welfare. More than 1,500 persons from these stakeholder groups were trained under State Opioid Response (SOR) I. Under SOR II, the project operated two learning collaboratives that addressed MAT access issues identified in SOR I justice-related projects and built on the successful strategies engaged in the Jail MAT project: county child welfare systems, including dependency courts and juvenile probation, and special populations focusing on persons with co-occurring substance use disorder (SUD) and serious mental illness (SMI) outside of incarceration. There were 13 Child Welfare teams and 5 Special Populations teams representing 14 county teams at the intersection of SUD, justice, and child welfare systems. County teams received targeted education and training about opioid addiction and treatment in county criminal justice and child welfare systems and worked on system collaborations, resource alignment, system mapping and gap analysis. Additional optional workgroups (Plans of Safe Care and Child Welfare Data) were convened with the aim of enhancing processes, sharing best practices, and leveraging multi-county input to inform state and county decisions.
Project Leads
Other Resources
Apr 10, 2019
The DUI MAT Integration/Outreach Project provides the framework to optimize select DUI Programs to become new and effective access points for medication-assisted and other treatment modalities for OUD and PolySUD.
DUI MAT Providers receive support, training, tools, and resources to deliver DUI MAT services through integration into their DUI Programs. Project data defines the population of OUD and PolySUD persons who are reached through interaction with the DUI Treatment System.
The DUI MAT Project integrated into DUI Programs helps to reduce DUI recidivism, increases public safety on the roadways, and assists more people in accessing treatment for OUD and PolySUD.
CADTP is currently engaged with 58 licensed DUI Programs to participate in the DUI MAT Project, SOR IV.
For additional information, please visit the project website at: https://caduimat.com or email the project manager, Janice Forbes at janice@cadtp.org.
This project receives funding from the State Opioid Response (SOR) grant through the Substance Abuse and Mental Health Services Administration (SAMHSA).
CADTP DUI MAT Project Team
Apr 10, 2019
Health Management Associates (HMA) created the project “County Touchpoints in Access to MAT for Justice-Involved Populations” with the recognition that persons released from jail and receiving MAT frequently encountered judges, probation officers, child welfare workers, and other justice system personnel who did not consider the person to be “clean” or “drug free” if they were using MAT. Often, clients were encouraged or required by agencies to reduce or terminate MAT in order to qualify for services, be released from probation, or regain custody of their children. Prematurely reducing or terminating MAT places the individual at very high and preventable risk for relapse, overdose and death.
The project is continuing to focus on working with county justice systems through two learning collaboratives:
- In the first learning collaborative, HMA is providing 13 multi-agency county teams with technical assistance support to improve the outcomes of children and parents affected by opioid use disorder and methamphetamine/stimulant use in the Child Welfare and Justice Systems by building sustainable, family-centered, evidence-based, integrated practices across local justice, child welfare, and behavioral health systems.
- Participating Counties 2020-2022: Butte; Kings; Lake; Los Angeles; Mendocino; Monterey; Orange; Santa Barbara; Santa Clara; Santa Cruz; Shasta; Sonoma; Stanislaus
- The second learning collaborative supports five multi-agency county teams to optimize their approaches to two subpopulations of persons with opioid use disorder and methamphetamine/stimulant use in the justice system: 1) those with early problem substance use who encounter the justice system but are not detained and therefore may not be introduced to treatment options, and 2) those with a serious mental illness along with addiction. Teams receive technical assistance to build local patient-centered, evidence-based, sustainable, and integrated practices across law enforcement, justice, health care, crisis intervention, and other local systems targeted at one of these two unique populations.
- Participating Counties 2020-2022: San Bernardino; Orange; Siskiyou; San Luis Obispo; Santa Barbara
More information about these projects for justice-involved individuals led by HMA is available at AddictionFreeCA.org.
Project Lead
Other Resources
Apr 10, 2019
The University of California, San Francisco lead an effort to build in new expertise in the areas of opioid overdose, opioid withdrawal, and initiation of buprenorphine for the pharmacists and physicians staffing the California Poison Control Center (CPCS), leveraging the existing scope, ease of access, and current CPCS/emergency department consultation relationships. This project concluded in 2019.
Project Leads
Other Resources
