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Agenda 07/09/2019 Item #16D 6 (Criminal Justice Community Continuum of Care Plan)07/09/2019 EXECUTIVE SUMMARY Recommendation to participate in the Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative, to facilitate the development of a medication-assisted treatment approach in the Collier County jail and community treatment settings. Approve the recommended Collier County delegation members and approve the acceptance of a donation and Budget Amendment in the amount of $15,730 to fund travel for required team members to participate in meetings that will be held in Washington, DC. 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 in five people entering local jails have 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) has joined efforts with Arnold Ventures philanthropy to support this nine (9) month planning initiative designed to help communities develop a care model that targets the jail population and build 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, BJA. Under this solicitation, fif teen (15) communities were to be selected to participate in the planning initiative. Preparation in this grant application occurred through a collaborative effort with Collier County Sheriff Office (CCSO), Armor and David Lawrence Center (DLC) through Collier County’s Community, and Human Services Division. Collier County government was required to be the lead applicant. The Board of County Commissioners (Board) approved the after the fact submission of the grant application on April 9, 2019 (Agenda Item #16D9). The application to the Bureau of Justice Assistance was submitted on March 25, 2019. Funding in the amount of $15,730 was requested to fund travel for five (5) required team members to participate in two (2) face-to-face meetings that will be held in Washington, DC. On May 7, 2019, the Community & Human Services Division (CHS) received notice that the Collier County collaborative application was not selected for this initiative. According to the Institute for Intergovernmental Research, a significant number of applications were received, and not all could be funded. On May 22, 2019, the Naples Daily News published an article titled, “After grant denial, many Collier inmates still lack medication-assisted treatment for opioid addictions”. Shortly after the article was published a Naples Daily News reader approached DLC and offered to personally fund the grant request in full with a private donation. The donation was provided to DLC who will remit the donation to the County to support the travel of the planning members. The County will retain the donation in designated fund and will provide all expense documentation to DLC following travel to accurately account for the donated funds. In the event any funds remain following travel the County will return the donated funds to DLC. 16.D.6 Packet Pg. 1380 07/09/2019 On June 4, 2019, CHS received a formal notice from the IIR on behalf of the U.S. Department of Justice, BJA, that Collier County had been selected to participate in the nine -month planning initiative as a result of the generous donation. As a planning initiative participant, Collier County is requires to have five (5) team members to participate in two (2) face-to-face meetings that will be held in Washington, DC. The first meeting is scheduled for August 13th and 14th. The meetings will allow all communities the 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, the 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. As a participant Collier County is responsible to send a delegation consisting of the following representation: Required Planning Members Required Participant Recommended Participant Title Agency Jail Services Health Care Administrator Zinnia Rodriguez Health Services Administrator Armor Correctional Local Government Human Service Administrator Kristi Sonntag Community & Human Services Division Director Collier County Government Jail Custody System Representative Kevin Rambosk Sheriff Collier County Sheriff Office Local Government Administrator’s Office Representative Sean Callahan Executive Director- Corporate Business Operations Collier County Government Local Community Corrections, Probation, or Pretrial Services Katina Bouza Corrections Support Division Director Collier County Sheriff’s Office Alternate Chris Roberts Chief of Corrections Collier County Sheriff’s Office Alternate Beverly Belli Director Adult Community Services Alternate Nancy Dauphinais Chief Operating Officer David Lawrence Center Alternate Steve Carnell Department Head Collier County Government FISCAL IMPACT: DLC will remit the $15,730 donation to the County for the MAT Planning Initiative. A budget amendment is required in the amount of $15,730 for the donation within CHS’s Service s for 16.D.6 Packet Pg. 1381 07/09/2019 Seniors Fund (123), Project 44056. LEGAL CONSIDERATIONS: This Item is approved for form and legality and requires a majority vote of the Board for approval - JAB GROWTH MANAGEMENT IMPACT: There is no Growth Management impact due to this request. RECOMMENDATION: Recommendation to participate in the Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative, to facilitate the development of a medication -assisted treatment approach in the Collier County jail and community treatment settings. Approve the recommended Collier County delegation members and the acceptance of a donation and Budget Amendment in the amount of $15,730 to fund travel for required team members to participate in meetings that will be held in Washington, DC. Prepared By: Hilary Halford, Sr. Grant & Housing Coordinator, Community and Human Services Division ATTACHMENT(S) 1. Collier County Denial Letter (PDF) 2. Collier County Award Letter (PDF) 3. Application (PDF) 4. Letter to Maggie Lopez- Donation for MAT Program 6-24-2019 (PDF) 16.D.6 Packet Pg. 1382 07/09/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.6 Doc ID: 9362 Item Summary: Recommendation to accept the Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award, to facilitate the development of a medication-assisted treatment approach in the Collier County jail and community treatment settings, approve the recommended Collier County delegation members and approve a Budget Amendment in the amount of $15,730 to recognize a private donation to fund travel for required team members to participate in meetings that will be held in Washington, D.C. Meeting Date: 07/09/2019 Prepared by: Title: – Community & Human Services Name: Hilary Halford 06/17/2019 9:07 AM Submitted by: Title: Manager - Federal/State Grants Operation – Community & Human Services Name: Kristi Sonntag 06/17/2019 9:07 AM Approved By: Review: Community & Human Services Cormac Giblin Additional Reviewer Completed 06/17/2019 10:27 AM Community & Human Services Kristi Sonntag CHS Review Completed 06/18/2019 12:11 PM Community & Human Services Maggie Lopez Additional Reviewer Completed 06/18/2019 3:11 PM Community & Human Services Akiko Woods Additional Reviewer Completed 06/18/2019 3:14 PM Public Services Department Kimberley Grant Level 1 Reviewer Completed 06/18/2019 4:21 PM Public Services Department Todd Henry Level 1 Division Reviewer Completed 06/20/2019 3:50 PM Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 06/24/2019 8:29 AM Grants Erica Robinson Level 2 Grants Review Completed 06/25/2019 10:40 AM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 06/25/2019 2:30 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 06/26/2019 1:35 PM Office of Management and Budget Laura Wells Level 3 OMB Gatekeeper Review Completed 06/26/2019 3:07 PM Grants Therese Stanley Additional Reviewer Completed 06/27/2019 1:21 PM Budget and Management Office Ed Finn Additional Reviewer Completed 06/27/2019 1:31 PM County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 06/27/2019 2:56 PM 16.D.6 Packet Pg. 1383 07/09/2019 Board of County Commissioners MaryJo Brock Meeting Pending 07/09/2019 9:00 AM 16.D.6 Packet Pg. 1384 May 07, 2019 Ms. Kristi Sonntag Collier County Government - Community and Human Services Division 3339 East Tamiami Trail Naples, FL 34112 Dear Ms. Sonntag: Thank you for your recent application in response to the solicitation Planning Initiative to Build Bridges Between Jail and Community-Based Treatment for Opioid Use Disorder, issued by the Institute for Intergovernmental Research on behalf of the U.S. Department of Justice, Bureau of Justice Assistance (BJA), and in partnership with Arnold Ventures. We appreciate the time and effort expended in submitting the requested information. I am writing to inform you that, unfortunately, your site was not selected for this initiative. A significant number of applications were received, and not all could be funded. Fifteen applications were ultimately selected for funding based on the review and evaluation. However, we would like to support your community by linking you to other opportunities for training and technical assistance (TTA) available via BJA’s Comprehensive Opioid Abuse Program (COAP). Advocates for Human Potential, Inc. (AHP) is one of the COAP TTA providers that has expertise in the provision of MAT to persons both in custody and in the community. You may request AHP’s assistance for your community, or request general TTA, via the COAP Resource Center at https://www.coapresources.org/TTA. Again, we very much appreciate your interest in this opportunity. If you or your staff have questions regarding your submission or the selection process, please contact us at coap@iir.com. Sincerely, Gina Hartsfield President and Chief Executive Officer GH:jj 16.D.6.a Packet Pg. 1385 Attachment: Collier County Denial Letter (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) June 4, 2019 Ms. Kristi Sonntag 3339 East Tamiami Trail Naples, FL 34112 Dear Ms. Sonntag: Thank you for your recent application in response to the solicitation Planning Initiative to Build Bridges Between Jail and Community-Based Treatment for Opioid Use Disorder, issued by the Institute for Intergovernmental Research (IIR) on behalf of the U.S. Department of Justice, Bureau of Justice Assistance (BJA), and in partnership with Arnold Ventures. In light of the generous donation your agency received to fund travel to the upcoming meetings, and upon further consideration of your application, it is my pleasure to inform you that your team is hereby selected to participate in the nine-month planning initiative 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. Congratulations on being selected to participate in this exciting program! As part of the planning initiative, your team members are invited to participate in two face-to-face meetings in Washington, DC, the first of which will be held on August 13–14, 2019, and the second on January 22–23, 2020. Each meeting will last one and one-half days. Your team should also anticipate participation in monthly calls with Health Management Associates (HMA) regarding your project beginning in June 2019. More details regarding both travel to the meetings and the monthly calls will be provided very soon. The IIR, BJA, Arnold Ventures and HMA teams all look forward to partnering with you on this important initiative. Please do not hesitate to contact us with any questions at COAP@iir.com. Sincerely, Gina Hartsfield President and Chief Executive Officer GH:jj 16.D.6.b Packet Pg. 1386 Attachment: Collier County Award Letter (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1387 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1388 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1389 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1390 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1391 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1392 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1393 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1394 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1395 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1396 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1397 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1398 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1399 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1400 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1401 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1402 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1403 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1404 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1405 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1406 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1407 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1408 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) ,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.6.c Packet Pg. 1409 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 16.D.6.c Packet Pg. 1410 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 16.D.6.c Packet Pg. 1411 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 16.D.6.c Packet Pg. 1412 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 16.D.6.c Packet Pg. 1413 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 16.D.6.c Packet Pg. 1414 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 16.D.6.c Packet Pg. 1415 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 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.6.c Packet Pg. 1416 Attachment: Application (9362 : Bureau of Justice Assistance, Medically Assisted Treatment Planning Initiative grant award) 16.D.6.d Packet Pg. 1417 Attachment: Letter to Maggie Lopez- Donation for MAT Program 6-24-2019 (9362 : Bureau of Justice Assistance, Medically Assisted Treatment