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Agenda 04/09/2019 Item #16D 904/09/2019 EXECUTIVE SUMMARY Recommendation to approve a Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative “after-the-fact” grant application to facilitate the development of a substance abuse medication assisted treatment model in the Collier County jail and in community treatment settings. OBJECTIVE: To develop a local comprehensive criminal justice and community continuum of care plan for opioid users within Collier County. CONSIDERATIONS: America’s correctional facilities are at the epicenter of the opioid overdose crisis. Nationally, nearly one (1) in five (5) people entering local jails has an opioid use disorder (OUD). The high prevalence of OUD in the jail population is especially concerning given the high rates of overdose post-release. Individuals with OUDs who leave jail untreated also may continue their drug use, which may contribute to recidivism and reincarceration. Implementing Medication Assisted Treatment (MAT) in jails and enhancing collaboration between jails and community providers is required to change the course of the opioid epidemic. Bureau of Justice Assistance (BJA) is joining efforts with Arnold Ventures philanthropy to support this nine -month planning initiative designed to help communities develop a care model that targets the jail population and builds bridges between in-custody and community-based treatment. On February 20, 2019 the Institute of Intergovernmental Research (IIR) released the MAT Planning Initiative solicitation on behalf of the U.S. Department of Justice, Bureau of Justice Assistance. Under this solicitation, up to fifteen (15) communities will be selected to participate in the planning initiative. The application was due to the Bureau of Justice Assistance on March 25, 2019. Due to the unique nature of the grant and its collaborative application process between agencies, more time was needed to assemble the application. Collier County CMA #5330 authorizes the County Manager to approve the submittal of grant applications, with subsequent Board of County Commissioners (Board) action at the next regularly scheduled Board meeting to ratify the approval as an “after -the-fact” application. The County Manager approved the grant application on March 19, 2019. Preparation of this grant application occurred through a collaborative effort with the Collier County Sheriff Office (CCSO), Armor Correctional, and the David Lawrence Center (DLC) through Collier County’s Community and Human Services (CHS) Division. Collier County government is required to be the lead applicant. The Collier County Sheriff’s Office, Armor Correctional, and the DLC are collectively applying for the grant funds to facilitate the development of a MAT approach in the Collier County jail and community settings. The focus of this application is to obtain funding to help Collier County take advantage of an opportunity to establish a comprehensive continuum of care that starts in the jail and extends to treatment providers in the community. If Collier County is selected to participate in this planning initiative, Collier County will receive full travel scholarships for five (5) required team members to participate in two (2) face -to-face meetings that will be held in Washington, DC, between July 2019 and February 2020. Participants will have an opportunity to learn from experts and from other communities. Over the course of nine (9) months, there will be four (4) virtual peer-to-peer exchanges, monthly coaching calls with subject experts, and tailored technical assistance for strategic planning. In addition, selected participating communities will be eligible for additional funding and technical assistance to implement a continuum of care model to treat individuals with OUDs in the jail and the community. 16.D.9 Packet Pg. 957 04/09/2019 FISCAL IMPACT: If the grant is awarded, funds from BJA in the amount of $15,730 over nine (9) months will be appropriated into the Human Services Grant Fund (707) via a Budget Amendment at the time of Board acceptance. LEGAL CONSIDERATIONS: The Board will have the opportunity to accept or reject the funds if the grant is approved. Accordingly, this Office has no issue with respect to the legal sufficiency of this request, which is appropriate Board action. This Item requires a majority vote of the Board for approval - JAB GROWTH MANAGEMENT IMAPCT: There is no Growth Management impact due to this request. RECOMMENDATION: To approve a Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative after-the-fact grant application to facilitate the development of a substance abuse medication assisted treatment model in the Collier County jail and in community treatment settings. Prepared By: Hilary Halford, Sr. Grant & Housing Coordinator, Community & Human Services Division ATTACHMENT(S) 1. CM-MEMO 2019 03-18 DOJ BJA Opioid Program ATF 19-012 (PDF) 2. APP 2019 03-18 DOJ BJA Opioid Program CM Approved (PDF) 3. Mat_Solicitation (002) (PDF) 16.D.9 Packet Pg. 958 04/09/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.9 Doc ID: 8389 Item Summary: Recommendation to approve a Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative “after-the-fact” grant application to facilitate the development of a substance abuse medication assisted treatment model in the Collier County jail and in community treatment settings. Meeting Date: 04/09/2019 Prepared by: Title: – Community & Human Services Name: Hilary Halford 03/20/2019 4:16 PM Submitted by: Title: Manager - Federal/State Grants Operation – Community & Human Services Name: Kristi Sonntag 03/20/2019 4:16 PM Approved By: Review: Community & Human Services Kristi Sonntag CHS Review Completed 03/20/2019 5:15 PM Community & Human Services Cormac Giblin Additional Reviewer Completed 03/22/2019 8:09 AM Public Services Department Kimberley Grant Level 1 Reviewer Completed 03/22/2019 12:09 PM Public Services Department Todd Henry Level 1 Division Reviewer Completed 03/22/2019 1:48 PM Grants Erica Robinson Level 2 Grants Review Completed 03/22/2019 1:53 PM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 03/25/2019 9:56 AM Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 03/26/2019 10:01 AM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 03/26/2019 11:59 AM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 03/28/2019 2:50 PM Budget and Management Office Ed Finn Additional Reviewer Completed 03/30/2019 1:47 PM Grants Therese Stanley Additional Reviewer Completed 04/02/2019 6:42 AM County Manager's Office Geoffrey Willig Level 4 County Manager Review Completed 04/02/2019 12:51 PM Board of County Commissioners MaryJo Brock Meeting Pending 04/09/2019 9:00 AM 16.D.9 Packet Pg. 959 16.D.9.aPacket Pg. 960Attachment: CM-MEMO 2019 03-18 DOJ BJA Opioid Program ATF 19-012 (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 1 of 19 Planning Initiative to Establish Local Comprehensive Criminal Justice Continuums of Care for Opioid Users The Institute of Intergovernmental Research (IIR) released the “Planning Initiative to Build Bridges between Jail and Community-Based Treatment for Opioid Use Disorder” solicitation on behalf of the U.S. Department of Justice, Bureau of Justice Assistance (BJA). BJA is joining efforts with Arnold Ventures to support a nine-month planning initiative designed to help communities develop a comprehensive continuum of care model that targets the jail population and builds bridges between in-custody and community-based treatment. All application components must be submitted via online surveys. All surveys in the application package must be completed no later than 5:00 p.m., ET, on March 25, 2019. If you have questions or technical issues, please contact IIR via email at COAP@iir.com. Applicant Information Applicant agency Collier County Government - Community & Human Services Division Applicant jurisdiction (local or tribal government name) Collier County Local Government Employer Identification Number 59-6000558 Type of applicant X County government ☐ City or township government ☐ Indian/Native American Tribal government ☐ Other (Explain) Population of area to be served under this application 376,086 Primary Contact for Matters Related to This Application First name Kristi Last name Sonntag Job title Director, Community & Human Services Phone number 239-252-2486 Email address kristi.sonntag@colliercountyfl.gov Street address 3339 East Tamiami Trail, Building H, Room 211 City Naples State Florida Zip code 34112 16.D.9.b Packet Pg. 961 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 2 of 19 Related-Project Funding Please indicate the amount of any funding you currently receive from each of the following sources that is relevant to supporting a continuum of care for opioid users (e.g., funding to support jail-based or community-based MAT). Federal funding BJA grant funding $400,000 SAMHSA grant funding - CDC grant funding - State funding $1,042,506 Local funding $1,215,578 Philanthropic funding - Other funding - Please thoroughly answer the Project Narrative questions below. You may copy and paste your responses from other documents into the text boxes. There are no word limits for responses. Project Narrative Question 1. Provide a description of your community including, if available, demographics, population, fatal and nonfatal heroin and other opioid overdose data for 2018, availability of criminal justice, community-based substance use treatment, and emergency medical resources for opioid use disorder and other substance use disorders, number of treatment admissions for primary heroin and other opioid use in 2018; and any other information that would be relevant for the selection committee to know about your community. Answer to Question 1: Collier County Florida has an off-season population of 376,086. The demographic breakdown is 63% White, 28% Hispanic, 7% Black, 1.5% Asian and .5% American Indian. Collier County has an additional 1.8 million visitors per year. It is projected that in 2019, Collier County will have an off-season population of 451,303. During the 2018 calendar year, Collier County documented 173 opioid overdoses, 31 were fatal and 142 non-fatal. There were 98 deployments of Narcan. In July 2018, Collier County Sheriff’s Office deputies began carrying Narcan. Since July 2018, CCSO deputies, alone, successfully deployed Narcan 30 times. Since January 2019, CCSO deputies have already deployed Narcan 10 times. Collier County has two hospitals, Naples Community Hospital and Physician’s Regional Hospital which can treat overdoses. Collier County only has one non-profit addiction treatment facility, David Lawrence Center. In addition, Hazelden Betty Ford is an addiction treatment center, however they do not serve the uninsured. There are other treatment facilities in the County which are for-profit and expensive. Our local community behavioral health treatment center, David Lawrence Center had approximately 700 treatment admissions for heroin/opioids across the treatment continuum (including detox and residential but not including Drug Court), in 2008.”   16.D.9.b Packet Pg. 962 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 3 of 19 Question 2. What particular challenges are motivating your jurisdiction’s interest in participating in this planning process? What makes now an opportune time to engage in this work as a system? If selected to be part of the planning process, what does your jurisdiction hope to achieve in terms of measurable results and/or practice changes? Answer to Question 2: Collier County, Florida leaders work well together and focus on making positive changes in our community when it comes to mental health and substance abuse treatment. The David Lawrence Center, the local community behavioral health center, offers Suboxone and Vivitrol clinics for uninsured and insured clients in the community. In addition, Hazelden-Betty Ford, a nonprofit addiction treatment provider, offers Suboxone and Vivitrol for insured clients in their intensive programs. New Season, a local for-profit agency provides methadone services and NCH Healthcare, the community’s non-profit hospital system, offers outpatient Suboxone services through their outpatient behavioral health clinic. The Collier County Judiciary runs a successful Drug Court, Veterans Court and Mental Health Court. Incarcerated individuals in the Drug Court Program, qualify for medical assisted treatment while incarcerated. Currently, the only drug used is Vivitrol, which is provided by the David Lawrence Center through grant funding. Unfortunately, due to the costs of Vivitrol, it is not given to many defendants, as there simply is not enough funding. The Collier County Jail partners with its Medical Contractor and the David Lawrence Center to administer Vivitrol for those approved, prior to their release from custody. The Jail’s medical contractor, Armor Correctional Health, is willing to offer Suboxone for drug addicted inmates, while in custody to assist with treatment, but funding is a major obstacle. The Collier County Sheriff’s Office has been tracking overdoses in Collier County due to a partnership with HIDTA. This enables them to get an accurate picture of the drug problems in Collier County. Now that there is a clear picture of the overdoses in Collier County, it would be a great time to take a proactive step towards assisting the drug addicted population with medication assisted treatment. Specifically, with the incarcerated population, prior to their release. Without medically assisted treatment it is common for drug addicted incarcerated individuals to overdose post-release, due to their threshold having been diminished while incarcerated. Collier County recently established a Mental Health and Substance Abuse Ad Hoc Advisory Board that provides recommendations and input to the Board of County Commissioners. This advisory board is preparing a county wide strategic plan to address mental health and substance abuse issues. The County has taken a proactive approach and is actively engaged in seeking alternatives and approaches to address substance abuse and the opioid epidemic. With funding, Collier County Sheriff’s Office anticipates an increase in the number of inmates who are using MAT prior to release from jail. We would also anticipate a decrease in the number of opioid overdoses in the County. 16.D.9.b Packet Pg. 963 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 4 of 19 Question 3. Please provide an overview of existing jail-based and community-based MAT services. Specifically, identify what forms of MAT are currently provided in each setting. Do you anticipate any difficulties providing at least two forms of MAT in both settings? If so, please describe. Answer to Question 3: Collier County Jail does not currently offer any MAT services, except for Vivitrol for a very small percentage of Drug Court participants who qualify prior to their release from custody. Additionally, any pregnant female inmate who was on Methadone prior to their incarceration are taken to the Methadone clinic daily. The cost to take one inmate each week to the Methadone clinic is approximately $600.00. This includes an initial three-hour evaluation, a one-hour weekly meeting with their counselor and a trip to the clinic 7 days a week. The clinic is 2 miles away from the jail. This also creates a safety and security risk for the deputies, as inmates know exactly what day and time they are scheduled for treatment. Many times, deputies must address the inmate’s family/friends who are at the treatment facility trying to see or speak to their incarcerated loved one. Providing treatment in the jail facility will reduce jail costs and permit deputies to provide public safety services rather than transportation services. We do not anticipate any difficulties providing at least two forms of MAT in the jail setting. We work closely with our Medical contractor and the David Lawrence Center who are both very willing and excited about having the ability to offer MAT to our incarcerated population. Approximately 50 % of our inmate population suffers from drug abuse disorders. While not all of them are willing or ready to go into a treatment program, with the addition of MAT, we believe we will see at least half of them participate. Besides hospitals and the David Lawrence Center, Collier County only has one affordable Methadone treatment clinic, the Naples Metro Treatment Center. In 2018, the Collier County Jail sent three inmates to the clinic, with a total of 129 treatments. The cost to the jail per treatment is $16. According to the Methadone Clinic, they have 275 active patients daily. 16.D.9.b Packet Pg. 964 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 5 of 19 Question 4: Describe any existing partnerships among jail staff, including medical service personnel, and community-based treatment providers. Are individuals leaving jail connected with a community-based treatment provider? If so, please describe how treatment is coordinated between jail staff and community-based treatment providers. Answer to Question 4: The Collier County Jail works very closely with David Lawrence Center and other treatment facilities in the community. DLC and CCSO partner in the Criminal Justice, Mental Health and Substance Abuse grant, which funds the FIRST Program, a community based (DLC) out-patient treatment program. All inmates are screened for drug dependencies. Inmates who suffer from drug addition, are referred for the FIRST Program for assessment. If they qualify, they are connected to the DLC through their case managers. High-risk inmates going into the FIRST Program are typically handed off to the case managers at the time of their release from jail. If inmates wish to get into a long-term residential treatment program, Reintegration Specialists, work with the inmate to complete the application process prior to their release from jail. The DLC is contracted through the Jail’s medical treatment contractor to provide Project Recovery, a jail-based drug rehabilitation program. Counselors work with inmates prior to their release from the program and incarceration to connect them with services post-release at the DLC. Question 5. Is there anything significant about your jurisdiction’s local or state policy landscape that will limit or enhance your ability to successfully implement a jail-based or community-based MAT program (e.g., state Medicaid expansion, adoption of new community treatment models, limited funding streams for behavioral health)? Answer to Question 5: Florida did not expand Medicaid, which limits many individuals’ access to treatment. While Florida, and Collier County, have received federal STR and now SOR dollars for response to opioid use disorder, administration of these grants can be administratively burdensome due to the limitations and requirements for participation (e.g., Vivitrol and buprenorphine are funded through completely separate contracts with different requirements and allocations; the GPRA documentation reporting requirements are challenging for monitoring clients after discharge; our regional managing entity has prohibited use of these funds for outreach services and residential level of treatment, etc.).  Collier County has a serious limitation of affordable housing in general, and for individuals who are on MAT securing affordable housing can be a challenge. There are only two organizations in the County who are certified recovery residences and not all the homes permit individuals on MAT. Our only homeless shelter, a privately funded, faith-based organization, does not admit individuals on MAT. 16.D.9.b Packet Pg. 965 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 6 of 19 Question 6. Does your jurisdiction have an existing, interdisciplinary opioid task force and/or a criminal justice planning group (e.g., criminal justice coordinating council)? If so, how will this proposed project be integrated with their work? If your jurisdiction does not have an existing opioid task force or interdisciplinary criminal justice planning group, what strategies will the lead agency use to ensure the meaningful participation of the stakeholders? Answer to Question 6: Collier County has an active Drug Task Force which involves many different community partners, including emergency responders, community- based treatment facilities, hospitals, medical practitioners and universities. Collier County also has an active Public Safety Coordinating Council which includes board members from the Board of County Commissioners, Clerk of Courts, Collier County Sheriff’s Office, David Lawrence Center, St The Board of County Commissioners established the Mental Health and Substance Abuse ad hoc committee in 2017. The committee is currently meeting every two weeks to discuss the population and how the council can work to enhance the communities service continuum. Collier County is also the recipient of a State of Florida CJMHSA grant. This grant combines community treatment providers with jail staff to facilitate a smooth transition to the community while providing treatment services to reduce recidivism. If selected, we will bring the project to the Public Safety Coordinating Council and to the Drug Task Force and work with them on a comprehensive plan to implement MAT to our jail population. Both groups are very pro-active in finding ways to decrease the opioid problems in Collier County, 16.D.9.b Packet Pg. 966 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 7 of 19 Data from the Jail Facility Form Applicant Information Applicant agency Collier County Sheriff’s Office Applicant jurisdiction (local or tribal government name) Local County Government Collier County Jail Employer Identification Number 59-6000561 Primary Contact for Matters Related to This Application First name Katina Last name Bouza Job title Corrections Support Division Director Phone number 239-252-9645 Email address Katina.bouza@colliersheriff.org State Florida Question 1. What is the rated capacity of your jail facility/facilities? On December 31, 2018, what was the total rated capacity of your jail facilities, excluding separate temporary holding areas? Rated capacity is the maximum number of beds or inmates assigned by a rating official to a facility. ANSWER: Rated capacity: 1304 Estimate? ☐ When exact numeric answers are not available, provide estimates and mark ( X ) in the checkbox beside each number that is estimated. Question 2. Between January 1, 2018, and December 31, 2018, what was the average daily population of your jail facilities?  INCLUDE inmates who participated in weekend programs that allow offenders to serve their sentences of confinement only on weekends (e.g., Friday–Sunday).  To calculate the average daily population, add the number of persons for each day during the period January 1, 2018, through December 31, 2018, and divide the result by 365.  If daily counts are not available, estimate the average daily population by adding the number of persons held on the same day of each month and divide the result by 12.  If average daily population cannot be calculated as directed above, then estimate the typical number of persons held in your jail facilities each day. ANSWER: a. Males: 905 Estimate? ☐ b. Females: 181 Estimate? ☐ c. TOTAL (Sum of a and b): 1086 Estimate? ☐ 16.D.9.b Packet Pg. 967 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 8 of 19 Question 3. How many persons under the supervision in your jail jurisdiction were ADMITTED to your jail facilities during 2018? INCLUDE…  Persons officially booked into and housed in your jail facilities by formal legal document and by the authority of the courts or some other official agency  Repeat offenders booked on new charges  Persons serving a weekend sentence coming into the facility for the first time. EXCLUDE… X Returns from escape, work release, medical appointments/treatment facilities, furloughs, bail/bond releases, and court appearances ANSWER: a. Males: 25,872 Estimate? ☐ b. Females: 5,595 Estimate? ☐ c. TOTAL (Sum of a and b): 31,377 Estimate? ☐ Question 4. How many persons under the supervision in your jail jurisdiction were DISCHARGED from your jail facilities during 2018? INCLUDE…  Persons released after a period of confinement (e.g., sentence completion, bail/bond releases, other pretrial releases, transfers to other jurisdictions, or deaths)  Persons completing their weekend sentence leaving the facility for the last time EXCLUDE… X Temporary discharges (e.g., work releases, medical appointments, treatment, out to courts, furloughs, day reporters, or transfers to other facilities within your jurisdiction) ANSWER: a. Males: 22,774 Estimate? ☐ b. Females: 5,596 Estimate? ☐ c. TOTAL (Sum of a and b): 28,730 Estimate? ☐ Question 5. Of all the persons CONFINED in your jail facilities on December 31, 2018, how many were: ANSWER: a. Convicted: 320 Estimate? ☐ b. Not Convicted: 452 Estimate? ☐ c. TOTAL (Sum of a and b): 772 Estimate? ☐ 16.D.9.b Packet Pg. 968 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 9 of 19 Question 6. On December 31, 2018, how many staff employed in your facilities were: Count each employee only once. Classify employees with multiple functions by the function performed most frequently.  INCLUDE payroll staff, nonpayroll staff on the payroll of other government agencies (e.g., health department, school district, or court), and unpaid interns X EXCLUDE staff paid through contractual agreements and community volunteers ANSWER: a. Correctional officers: 240 Estimate? ☐ (Deputies or other custody staff who spend more than 50% of their time with the incarcerated population) b. Medical staff: 50 Estimate? ☐ c. All other staff: 56 Estimate? ☐ (Administrators, clerical and maintenance staff, educational staff, professional and technical staff, and other staff who spend more than 50% of their time in the facility) d. TOTAL (Sum of a, b, and c): 346 Estimate? ☐ Question 7. How does your jail facility identify inmates with substance use disorders? ☐ We do not currently have a process to screen inmates for substance use disorders. X We rely on the self-report on inmates at booking or intake. ☐ Our medical staff conducts a clinical interview. ☐ We drug screen inmates at intake. ☐ We rely on the inmate’s history. Question 8. What percentage of inmates in your jail facility have: ANSWER: a. A substance use disorder? 51% Estimate? ☐ b. An opioid use disorder? 15% Estimate? ☐ Question 9. How is Medication- Assisted Treatment (MAT) currently used in your jail facility? Please check all that apply. ☐ We do not currently use MAT in our jail. X We use MAT to treat pregnant women in our jail. ☐ We use MAT to medically manage opioid withdrawal. X We induct (begin) inmates on MAT prior to release. ☐ We use MAT to maintain inmates who are already receiving MAT when admitted to jail. 16.D.9.b Packet Pg. 969 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 10 of 19 Question 10. What percentage of inmates in your jail facility are currently receiving MAT? ANSWER: a. Less than 1% Estimate? X Question 11. Through what mechanism is the majority of MAT services delivered in your jail? ☐ We contract with a private local provider (includes community physicians and nonprofit health centers). X We contract with a correctional health care firm. ☐ We use a public provider (including county hospitals or staff form local departments of health). ☐ We directly employ medical staff. ☐ Other (describe) Question 12. Please indicate the forms of MAT available in your jail. Please check all that apply. X Long-lasting injectable Naltrexone (Brand name: Vivitrol®) X Oral Naltrexone (Brand names: ReVia®, Depade®) X Buprenorphine (Brand names: Suboxone®, Subutex®, Zubsolv®, Bunavail®, Sublocade®, Buprenex®, Probuphine®, and Belbuca®) X Methadone Question 13. Please indicate which of the following substance abuse or recovery-oriented services are regularly provided in your jail facility. Please check all that apply. X Group outpatient substance use treatment (8 hours or fewer a week) X Group intensive outpatient substance use treatment (9 or more hours per week) ☐ Therapeutic community X Separate pod for inmates ☐ Peer-run recovery services ☐ Faith-based recovery services X Alcoholic Anonymous/Narcotics Anonymous ☐ Other (please explain) Question 14. Please indicate whether your jail facility offers any of these reentry services prior to release. Please check all that apply. X We schedule appointments and facilitate with MAT providers in the community prior to release. X We provide assistance completing intake paperwork for quick access to treatment in the community upon release. ☐ We coordinate MAT services with probation/parole/pretrial. X We assist with reactivating and/or applying for Medicaid. 16.D.9.b Packet Pg. 970 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 11 of 19 Question 15. Help us understand why MAT may not be fully offered in your community by indicating your opinion about the following statements. a. The cost is prohibitive/there is insufficient funding. ☐ Strongly disagree ☐ Disagree ☐ Uncertain X Agree ☐ Strongly agree b. There is a risk the medication will be diverted. ☐ Strongly disagree X Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree c. Our primary drug treatment providers do not support MAT. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree d. There is opposition from our local prosecutor(s). X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree e. There is opposition from our local judge(s). X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree f. There is opposition from probation or parole. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree g. We lack access to physicians with expertise in prescribing medications to treat substance abuse. ☐ Strongly disagree X Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree h. We have not received adequate information about how to implement MAT. ☐ Strongly disagree X Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree i. Our clients cannot afford to pay for MAT. ☐ Strongly disagree ☐ Disagree ☐ Uncertain X Agree ☐ Strongly agree 16.D.9.b Packet Pg. 971 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 12 of 19 Data from Probation Form Applicant Information Applicant agency Florida Department of Corrections Applicant jurisdiction (local or tribal government name) Circuit 20 Employer Identification Number 59-2869774 Primary Contact for Matters Related to This Application First name Terri Last name McCall Job title Circuit Administrator Phone number 239-338-2914 Email address Terri.McCall@FDC.MyFlorida.com State Florida Question 1. On December 31, 2018, what was your agency’s adult probation population? Include adult probationers who have been placed under the supervision of a probation agency as part of a court order, regardless of conviction status. ANSWER: Population: 1,914 Estimate? ☐ When exact numeric answers are not available, provide estimates and mark (“X”) in the checkbox beside each number that is estimated. Question 2. Of those on probation on December 31, 2018, how many were placed on probation through: ANSWER: a. Direct sentence to probation: 1,914 Estimate? ☐ b. Split sentence: (Incarceration combined with probation) Estimate? ☐ N/A c. Suspended execution of sentence to incarceration: 0 Estimate? ☐ d. Suspended imposition of sentence: 0 e. Other—Please describe: 0 Estimate? ☐ f. Not known: 0 Estimate? ☐ g. TOTAL (Sum of a through f): 1,914. Estimate? ☐ 16.D.9.b Packet Pg. 972 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 13 of 19 Question 3. What percentage of current probationers have: ANSWER: a. A substance use disorder? 60 Estimate? X b. An opioid use disorder? 30 Estimate? X Question 4. What percentage of current probationers are receiving MAT? ANSWER: a. Unknown, this information is not tracked. Estimate? ☐ Question 5. Please indicate the forms of MAT commonly available to probationers. Please check all that apply. ☐ Long-lasting injectable Naltrexone (Brand name: Vivitrol®) ☐ Oral Naltrexone (Brand names: ReVia®, Depade®) ☐ Buprenorphine (Brand names: Suboxone®, Subutex®, Zubsolv®, Bunavail®, Sublocade®, Buprenex®, Probuphine®, and Belbuca®) X Methadone Question 6. Please indicate which of the following substance abuse or recovery-oriented services are regularly available to probationers in your community. Please check all that apply. X Group outpatient substance use treatment (8 hours or fewer a week) ☐ Group intensive outpatient substance use treatment (9 or more hours per week) X Residential treatment ☐ Peer-run recovery services ☐ Faith-based recovery services ☐ Alcoholic Anonymous/Narcotics Anonymous ☐ Other (please explain) Question 7. Help us understand why MAT may not be fully offered in your community by indicating your opinion about the following statements. a. The cost is prohibitive/there is insufficient funding. ☐ Strongly disagree ☐ Disagree X Uncertain ☐ Agree ☐ Strongly agree b. There is a risk the medication will be diverted. ☐ Strongly disagree ☐ Disagree X Uncertain ☐ Agree ☐ Strongly agree c. Our primary drug treatment providers do not support MAT. ☐ Strongly disagree ☐ Disagree X Uncertain ☐ Agree ☐ Strongly agree d. There is opposition from our local prosecutor(s). ☐ Strongly disagree ☐ Disagree X Uncertain ☐ Agree ☐ Strongly agree e. There is opposition from our local judge(s). ☐ Strongly disagree ☐ Disagree X Uncertain ☐ Agree ☐ Strongly agree 16.D.9.b Packet Pg. 973 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 14 of 19 f. There is opposition from the sheriff or jail staff. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree g. We lack access to physicians with expertise in prescribing medications to treat substance abuse. ☐ Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree X Strongly agree h. We have not received adequate information about how to implement MAT. ☐ Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree X Strongly agree i. Our clients cannot afford to pay for MAT. ☐ Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree X Strongly agree Question 8. Please answer the following questions about your relationship with community-based substance-abuse treatment providers. a. Do you have an established contract with at least one community-based MAT provider? X Yes ☐ No b. How many current community-based MAT providers do you regularly work with? One (1) Residential MAT Provider. c. How many community-based substance abuse treatment (MAT and non-MAT) providers do you regularly work with? (Please consider the number of treatment providers you would consider as your primary substance abuse treatment providers serving a large portion of your probation population.) 2 total treatment providers. One residential and one non-residential. d. Are any of your substance abuse treatment providers co-located with probation? X Yes ☐ No 16.D.9.b Packet Pg. 974 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 15 of 19 Data From the Local Government Department Responsible for Substance Use Treatment Services Applicant Information Applicant agency David Lawrence Center Applicant jurisdiction (local or tribal government name) Collier County Employer Identification Number 59-2206025 Primary Contact for Matters Related to This Application First name Nancy Last name Dauphinais Job title Chief Operating Officer Phone number 239-354-1449 Email address nancyd@dlcmhc.com State Florida Question 1: Which local government agency or department oversees substance use treatment services in your community? Does the agency routinely work with the local criminal justice partners (e.g., jails, probation, the courts)? Answer 1: Collier County’s Division of Community and Human Services routinely works with local criminal justice partners within the county. Question 2: In your community, who delivers the majority of substance use treatment services provided to the criminal justice population? Please check all that apply. ☐ A county- or city-operated treatment agency X An agency/agencies who are contracted service providers ☐ Private provider(s) in our community ☐ Other (please explain) Question 3: Does the county or city agency responsible for substance use treatment services have formal agreement(s) with the local jail? X Yes ☐ No ☐ I don’t know Question 4: Does the county or city agency responsible for substance use treatment services have formal agreement(s) with the local probation department? ☐ Yes X No ☐ I don’t know Question 5: Are behavioral therapies (e.g., cognitive behavioral therapy) routinely provided to individuals that are prescribed MAT? X Yes ☐ No ☐ I don’t know 16.D.9.b Packet Pg. 975 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 16 of 19 Question 6: Are there any accredited opioid treatment programs (OTPs) that provide MAT in your community? If so, how many? X Yes Number of OTPs 1 private, for profit agency – New Seasons ☐ No If you are not sure, you can look up that information at https://dpt2.samhsa.gov/treatment/directory.aspx. Question 7: Please indicate the forms of MAT commonly available in your community. Please check all that apply. X Long-lasting injectable Naltrexone (Brand name: Vivitrol®) X Oral Naltrexone (Brand names: ReVia®, Depade®) X Buprenorphine (Brand names: Suboxone®, Subutex®, Zubsolv®, Bunavail®, Sublocade®, Buprenex®, Probuphine®, and Belbuca®) X Methadone Question 8. Please indicate which of the following substance abuse or recovery-oriented services are regularly available in your community. Please check all that apply. X Group outpatient substance use treatment (8 hours or fewer a week) X Group intensive outpatient substance use treatment (9 or more hours per week) X Residential treatment ☐ Peer-run recovery services ☐ Faith-based recovery services X Alcoholic Anonymous/Narcotics Anonymous ☐ Other (please explain) Question 9: Help us understand why MAT may not be fully offered in your community by indicating your opinion about the following statements. a. The cost is prohibitive/there is insufficient funding. ☐ Strongly disagree ☐ Disagree ☐ Uncertain X Agree ☐ Strongly agree b. There is a risk the medication will be diverted. ☐ Strongly disagree X Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree c. Our primary drug treatment providers do not support MAT. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree d. There is opposition from our local prosecutor(s). ☐ Strongly disagree X Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree e. There is opposition from our local judge(s). X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree 16.D.9.b Packet Pg. 976 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 17 of 19 f. There is opposition from probation or parole. ☐ Strongly disagree X Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree g. We lack access to physicians with expertise in prescribing medications to treat substance abuse. ☐ Strongly disagree ☐ Disagree ☐ Uncertain X Agree ☐ Strongly agree h. We have not received adequate information about how to implement MAT. ☐ Strongly disagree X Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree i. Our clients cannot afford to pay for MAT. ☐ Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree X Strongly agree 16.D.9.b Packet Pg. 977 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 18 of 19 Data from Drug Court (Optional if not applicable) Applicant Information Applicant agency David Lawrence Center Applicant jurisdiction (local or tribal government name) Collier County Employer Identification Number 59-2206025 Primary Contact for Matters Related to This Application First name Nancy Last name Dauphinais Job title Chief Operating Officer Phone number 239-354-1449 Email address nancyd@dlcmhc.com State Florida Question 1. On December 31, 2018, how many participants are enrolled in your drug court? ANSWER: Drug Court Population: 56 Estimate? ☐ When exact numeric answers are not available, provide estimates and mark (“X”) in the checkbox beside each number that is estimated. Question 2. What percentage of drug court participants are receiving MAT? ANSWER: a. 6 Estimate? X Question 3. Please indicate the forms of MAT commonly available to probationers. Please check all that apply. X Long-lasting injectable Naltrexone (Brand name: Vivitrol®) X Oral Naltrexone (Brand names: ReVia®, Depade®) X Buprenorphine (Brand names: Suboxone®, Subutex®, Zubsolv®, Bunavail®, Sublocade®, Buprenex®, Probuphine®, and Belbuca®) X Methadone Question 4. Help us understand why MAT may not be fully offered in your community by indicating your opinion about the following statements. a. The cost is prohibitive/there is insufficient funding. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree b. There is a risk the medication will be diverted. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree 16.D.9.b Packet Pg. 978 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 19 of 19 c. Our primary drug treatment providers do not support MAT. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree d. There is opposition from our local prosecutor(s). X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree e. There is opposition from our local judge(s). X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree f. There is opposition from probation or parole. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree g. We lack access to physicians with expertise in prescribing medications to treat substance abuse. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree h. We have not received adequate information about how to implement MAT. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree i. Our clients cannot afford to pay for MAT. X Strongly disagree ☐ Disagree ☐ Uncertain ☐ Agree ☐ Strongly agree 16.D.9.b Packet Pg. 979 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 20 of 19 PROPOSED PLANNING TEAM MEMBERS All communities selected for this planning initiative must identify a team of at least five and no more than eight local stakeholders. If selected, each team member must agree to participate in both virtual and in-person meetings. The communities that are selected for the planning initiative will:  Receive full travel scholarships for five team members to participate in two face-to-face meetings that will be held in Washington, DC, between July 2019 and February 2020. These meetings will be approximately 2.5 days in length. The selected communities may elect to self-fund the travel for up to three additional team members to participate in the two face-to-face meetings that will be held.  Have a meaningful opportunity to learn from experts and from one another. Over the course of the nine months, there will be four virtual peer-to-peer exchanges and monthly coaching calls with subject experts, and tailored technical assistance for strategic planning. Individuals selected to serve on the planning team should plan on serving for the entirety of the nine-month planning process to ensure continuity. The individuals selected should have decision-making authority and the support of their agency to actively participate in the planning meetings. Applicant Information Applicant agency Collier County Government Applicant jurisdiction (local or tribal government name) Local County Government Employer Identification Number 59-6000558 Primary Contact for Matters Related to This Application First name Kristi Last name Sonntag Job title Director, Community & Human Services Phone number 239-252-2486 Email address kristi.sonntag@colliercountyfl.gov State Florida Required Planning Member 1: A representative responsible for health services in the local jail(s). This may be a health services administrator, a physician, or a nurse. This person must, at a minimum, be responsible for, or involved in the delivery of substance use treatment, and specifically MAT, inside the jail. Agency Name First and Last Name of the Representative Title of Representative Armor Correctional Zinna Rodriguez Health Services Administrator 16.D.9.b Packet Pg. 980 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 21 of 19 Required Planning Member 2: A representative from the jail custody system, with decision-making authority over custody operations. Agency Name First and Last Name of the Representative Title of Representative Collier County Sheriff’s Office Kevin Rambosk Sheriff Required Planning Member 3: A representative from the local administrator’s office, preferably an individual responsible for public safety/criminal justice agencies or human service agencies in the community. Agency Name First and Last Name of the Representative Title of Representative Board of County Commissioners Andy Solis Collier County Commissioner Required Planning Member 4: A representative from the local community corrections, probation, or pretrial services agency with responsibilities that include coordination with jail administration for substance use services. Agency Name First and Last Name of the Representative Title of Representative Collier County Sheriff’s Office Katina Bouza Corrections Support Division Director Required Planning Member 5: A representative from the local behavioral health department or agency that oversees substance use treatment. This should be a local government employee, not a treatment provider. Agency Name First and Last Name of the Representative Title of Representative Collier County Community and Human Services Kristi Sonntag Director OPTIONAL PLANNING TEAM MEMBERS Communities may elect to self-fund the travel for up to three additional team members to participate in the two face-to-face meetings that will be held. Do you intend to self-fund travel for the optional team members? ☐ Yes ☐ No ☐ We are not sure yet If yes, please list those team members below. Optional Team Member 1: Agency Name First and Last Name of the Representative Title of Representative Collier County Sheriff’s Office Chris Roberts Chief of Corrections Optional Team Member 2: Agency Name First and Last Name of the Representative Title of Representative Adult Community Services Beverly Belli Director 16.D.9.b Packet Pg. 981 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Page 22 of 19 Optional Team Member 3: Agency Name First and Last Name of the Representative Title of Representative David Lawrence Center Nancy Dauphinais Chief Operating Officer PROJECT COORDINATION Each applicant must identify a project coordinator to serve as the administrative and operational coordinator of the planning initiative. We anticipate that the project coordinator will:  Guide the development of the local planning effort.  Conduct outreach to officials in key agencies to gain support for the planning initiative.  Cultivate and maintain effective partnerships with stakeholders to achieve common objectives.  Coordinate and convene routine (no less than once a month) work group meetings and ensure follow-up on key action items.  Serve as the primary point of contact for this initiative with BJA and its partners. Please identify the project coordinator below. Agency Name First and Last Name of the Project Coordinator Title of the Project Coordinator Collier County Community & Human Services Division Kristi Sonntag Director Thank you for completing the survey. More information on application package requirements is accessible at https://www.coapresources.org/ItemsOfInterest/FundingOpportunities. 16.D.9.b Packet Pg. 982 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) ,r C-ov*tA Public Servioes Department Community & Human Services Division March 18. 2019 Bureau of Justice Assistance U.S. Deoartment of Justice Comprehensive Opioid Abuse Program Planning Initiative for Opioid Use Disorder Solicitation Dear Review Committee: On behalf of Collier county, Community and Human Services Division, we are pleased to work on the B!A's "Planning lnitiotive to Build Bridges between Joil ond Community-based Treotment for Opioid Use Disordef' in Colller County. I am committed to serve as an active planning team member and to assist in strengthening the treatment options for those suffering from opioid use disorder, especially those who find themselves incarcerated, In making this commitment I will be authorized to make decisions on behalf of the Community and Human Services Division of Collier County. I further understand that as a participant on the planning team I will be required to participate in monthly virtual meetings and two (2) face-to-face trainings, over the next nine months, in Washington, D.C. on a date yet to be determined. Thank you for the opportunity to serve on this planning team and to help meet the needs of our communrty. Respectfully, ,rff Community and Human Services Division Community & Human Seryices oivision . 3339 TamiamiTrail East, Suito 211 . Napl€s, Fbrida 34112-536'1 zos-zszcAnE (zzre). 23$252-cAFE (2233). 239-252"4230 (RsvP) . ururw.colliergov.neuhumanseruices 16.D.9.b Packet Pg. 983 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 16.D.9.b Packet Pg. 984 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 16.D.9.b Packet Pg. 985 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 16.D.9.b Packet Pg. 986 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 16.D.9.b Packet Pg. 987 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 16.D.9.b Packet Pg. 988 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 16.D.9.b Packet Pg. 989 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) March 19, 2019 To whom it may concern: I enthusiastically agree to participate as the representative for the local adminstrator’s office if Collier County is selected to participate in the planning initiative to help communities develop a comprehensive continuum of care targeting our jail population and to build bridges between in-custody and community-based treatment. I commit to active participation throughout the entire 9-month process, including travelling for the 2 face-to-face meetings in Washington, DC, and to partaking in the virtual peer-to-peer exchanges and monthly coaching calls. I look forward to working with our community partners to make this initiative a success. Sincerely, Andy Solis, Esq. Commissioner, District 2 Collier County Board of County Commissioners 16.D.9.b Packet Pg. 990 Attachment: APP 2019 03-18 DOJ BJA Opioid Program CM Approved (8389 : BJA, MAT Planning Initiative after-the-fact grant application) Planning Initiative to Build Bridges Between Jail and Community-Based Treatment for Opioid Use Disorder Introduction America’s correctional facilities sit at the epicenter of the opioid overdose crisis. Nationally, nearly one in five people entering local jails has an opioid use disorder (OUD), and some states estimate that a majority of their residents with OUDs pass through the doors of their jails each year. The high prevalence of OUD in the jail population is especially concerning given the high rates of overdose post-release. Studies have estimated that formerly incarcerated people are significantly more likely to die of a drug overdose in the two weeks immediately post-release than are members of the general population. Individuals with OUDs who leave jail untreated also may continue their drug use, which can contribute to recidivism and reincarceration. Our country’s opioid epidemic is not a problem without solutions. Medication-assisted treatment (MAT), the use of FDA- approved medications in combination with counseling and recovery support, is the gold standard treatment for OUD and has been shown to reduce fatal overdoses and illicit drug use. Unfortunately, treatment access is limited in most communities and absent in many jails. This is a significant missed opportunity to initiate treatment for individuals with OUDs while they are incarcerated and after they are released into the community. Implementing MAT in jails and enhancing collaboration between jails and community providers are required to change the course of the opioid epidemic, but these are not easy tasks for local jurisdictions. The purpose of this solicitation is to help communities take advantage of this opportunity to treat some of their most vulnerable residents with OUDs by establishing a comprehensive continuum of care that starts in jail and extends to treatment providers in the community. Applicants may find the publication Jail-Based Medication-Assisted Treatment: Promising Practices, Guidelines, and Resources for the Field to be useful as they consider their planning efforts. February 2019 www.bja.gov Competitive Application Announcement 16.D.9.c Packet Pg. 991 Attachment: Mat_Solicitation (002) (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 2 / Planning Initiative to Build Bridges Between Jail and Community-Based Treatment for Opioid Use Disorder Planning Initiative Details The Institute of Intergovernmental Research (IIR) is releasing this solicitation on behalf of the U.S. Department of Justice, Bureau of Justice Assistance (BJA). BJA is joining efforts with Arnold Ventures to support this nine-month planning initiative designed to help communities develop a comprehensive continuum of care model that targets the jail population and builds bridges between in-custody and community-based treatment. Under this solicitation, up to 15 communities will be selected to participate in the planning initiative. The planning initiative is designed to assist local communities by: • Increasing stakeholder understanding of promising practices in the use of MAT in jails and community-based settings. • Building a comprehensive plan for initiating or expanding a MAT continuum of care model from jail to community. • Developing effective partnerships between jails and community-based treatment providers. • Planning for continuity and coordination of MAT during transitions into jails and reentry into communities. The ultimate goal of this initiative is to reduce overdose deaths, reduce recidivism, and increase engagement in evidence-based OUD treatment by developing a continuum of care for individuals in jail and in the community post- release. This effort is part of BJA’s Interagency Response to the Opioid Crisis (IROC) portfolio under the Comprehensive Opioid Abuse Program and Arnold Ventures’ work to address the opioid epidemic. IROC supports innovative demonstration projects that strategically blend public health and public safety funding from multiple federal agencies and promote public-philanthropic partnerships. Through its Public Health and Criminal Justice portfolios, Arnold Ventures supports projects that aim to reduce overdose deaths as well as the social, economic, and criminal justice-related costs of the opioid epidemic. Eligibility Applicants are limited to units of local government and federally recognized Indian tribal governments (as determined by the Secretary of the Interior). Benefits If Selected Communities that are selected for the planning initiative will: • Receive full travel scholarships for five team members to participate in two face-to-face meetings that will be held in Washington, DC, between July 2019 and February 2020. These meetings will be approximately two days in length. The scholarships will be managed as travel reimbursements, meaning that attendees will pay for their travel and be reimbursed for their eligible expenses according to federal travel guidelines after each training. • Have a meaningful opportunity to learn from experts and from one another. Over the course of nine months, there will be four virtual peer-to-peer exchanges, monthly coaching calls with subject experts, and tailored technical assistance for strategic planning. • Be eligible for additional funding and technical assistance to implement a continuum of care model to treat individuals with OUDs in the jail and the community. Applicant Requirements Applicants must meet three requirements: • Applicants must demonstrate the commitment of a multidisciplinary team made up of representatives who oversee and provide treatment services to individuals in custody and in the community. • Applicants must agree to work towards a plan to provide at least two forms of MAT in both a jail-based setting and a community-based setting, • Applicants must identify a project coordinator. Commitment of Multidisciplinary Team All communities selected for this planning initiative must identify a team of at least five (and no more than eight) local stakeholders. If selected, each team member must agree to participate in both virtual and in-person meetings with the other sites selected. 16.D.9.c Packet Pg. 992 Attachment: Mat_Solicitation (002) (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 3 / Planning Initiative to Build Bridges Between Jail and Community-Based Treatment for Opioid Use Disorder Individuals selected to serve on the planning team should plan on serving for the entirety of the nine-month planning process to ensure continuity. The individuals selected should have the authority and support of their home agencies to actively participate in the planning meetings and drive change in their agencies. Mandatory Planning Team Members To be considered for the planning initiative, your application must demonstrate the commitment of the following individuals: • A representative responsible for health services in the local jail(s). This may be a health services administrator, a physician, or a nurse. This person must, at a minimum, be responsible for, or involved in, the delivery of substance use treatment inside the jail. • A representative from the jail custody system, with decision-making authority over custody operations. • A representative from the local administrator’s office responsible for public safety/criminal justice agencies or human service agencies in the community. • A representative from the local community corrections, probation, or pretrial services agency with responsibilities that include coordination with jail administration for substance use services. • A representative from the local behavioral health department or agency that oversees substance use treatment. This should be a local government employee, not a treatment provider. The travel scholarships will support travel expenses for the five planning team members identified above. All five members of the mandatory team must agree to participate in the two face-to-face meetings to be held in Washington, DC. Optional Team Members Additional team members are encouraged to participate in the virtual learning opportunities. Sites selected for the planning initiative may elect to self-fund the travel for up to three additional team members to participate in the two face-to-face meetings in Washington, DC. The following list of suggested optional team members is not intended to be a comprehensive list. Applicants may propose alternate team members. • Medicaid coordinator • Prosecutor • Defense attorney • Court representative • Local MAT provider • Criminal justice coordinator or representative of the local opioid task force Forms of MAT Applicants must agree to develop a plan to provide at least two forms of MAT in both a jail-based setting and a community-based setting. Project Coordination Each applicant must identify a project coordinator to serve as the administrative and operational coordinator of the planning initiative. We anticipate that the project coordinator will: • Guide the development of the local planning effort. • Conduct outreach to officials in key agencies to gain support for the planning initiative. • Cultivate and maintain effective partnerships with stakeholders to achieve common objectives. • Coordinate and convene routine (no less than once a month) workgroup meetings and ensure follow-up on key action items. • Serve as the primary point of contact for this initiative with BJA and its partners. How to Apply All application components must be submitted via online surveys. Links to each of the surveys, along with PDF versions of the questions for each survey, are available on the COAP Resource Center at COAP Funding Opportunities. All required application components must 16.D.9.c Packet Pg. 993 Attachment: Mat_Solicitation (002) (8389 : BJA, MAT Planning Initiative after-the-fact grant application) 4 / Planning Initiative to Build Bridges Between Jail and Community-Based Treatment for Opioid Use Disorder be submitted via online surveys no later than 5:00 p.m., ET, on March 25, 2019. Applicants should receive a notice of submission upon completion of the survey within the survey software. For issues with submission, please email COAP@ iir.com. Final award decisions will be made by IIR, BJA, and Arnold Ventures and are expected to be announced by April 30, 2019. To Learn More Should you have any questions about the application process, please send an email to COAP@iir.com and we will do our best to respond promptly. Answers to frequently asked questions and other updates that arise during the open solicitation period will be posted periodically on the COAP Resource Center at COAP Funding Opportunities. Signed Letters of Commitment Upload a scanned, signed copy of a letter of commitment from each proposed planning team member in the Project Narrative survey. Letters of commitment should be addressed to the Review Committee (no address needed). The letter of commitment must, at a minimum: • Include a statement indicating your agency’s commitment to participating in the mandatory virtual and face-to-face meetings. • Indicate a willingness to work closely with the designed training and technical assistance providers who will be leading the planning effort. Selection Criteria IIR will evaluate all proposals submitted by the published deadline on March 25, 2019, to ensure that all required project materials are included. Incomplete applications will be removed from consideration. The funders aim to select a diverse group of communities that represent a variety of population sizes (measured by jail capacity) and geographic locations. In addition to these considerations, applications will be evaluated based on the following criteria: • Disproportionate Impact of the Opioid Epidemic: Communities that have been disproportionately impacted by problematic opioid use will be given priority consideration. Evidence of disproportionate impact can be demonstrated, in part, by high rates of OUD-related treatment admissions, high rates of opioid overdose deaths, and/or a lack of accessibility to treatment providers and emergency medical services. • Existing Coordination Capacity: Communities that demonstrate that they have an existing coordinating body such as a criminal justice coordinating council, an opioid task force, or another planning body with demonstrated capacity and willingness to plan across the criminal justice and behavioral health continuum will receive priority consideration. • Stakeholder Investment: Applicants that demonstrate investment in the planning process by self-funding the travel of one or more of the optional team members will be prioritized, since this indicates community support for the effort. Stakeholder investment also may be demonstrated by providing evidence of ongoing or past efforts to increase access to treatment for the criminal justice system-involved population that were successful and required cross-sector collaboration. Applications will be reviewed by Arnold Ventures, BJA, and IIR staff members. Arnold Ventures and BJA will make the final decisions on site selection, and all decisions are final. Applicant Checklist _____ Project narrative survey _____Applicant information _____Letters of commitment _____ Data from jail facility survey _____ Data from probation survey _____ Data from drug court survey (optional if you do not have one) _____ Data from treatment survey _____ Proposed planning team members survey 16.D.9.c Packet Pg. 994 Attachment: Mat_Solicitation (002) (8389 : BJA, MAT Planning Initiative after-the-fact grant application)