Friday, November 22, 2024
11/22/2024
The proposed project will assess the number, capacity, and willingness of providers to expand provision of Substance Use Disorder (SUD) treatment and recovery services, with attention to access among key populations: adolescents and youth ages 12-21, pregnant and postpartum women, dually eligible adults, individuals with disabilities, and American Indian/ Alaskan Native (AI/AN) Nations. Accounting for the results of the assessment, the funding will also enable infrastructure creation and enhancements, such as new methodologies for reimbursement for SUD, enhanced telehealth capability, exploring an access to treatment information system, and eliminating other barriers to beneficiaries accessing treatment and recovery services. Maine is among the states hardest hit by a national trend of non-medical uses of opioid prescription drugs and increasing use of heroin, with subsequent increases in opioid-related morbidity and mortality. Addressing the opioid epidemic in Maine is particularly challenging given the rural nature of the state. Maine?s rate of opioid-related overdose deaths (ODDs) is sixth-highest in the US, having increased by 178% from 2012 to 2016.(1) By 2017, ODDs had risen to 26.5 per 100,000, more than double the national rate, largely due to increased availability of fentanyl and its analogs.(2,3) In 2017, Emergency Medical Services responded to 3,269 drug or medication related overdoses and 2,992 alcohol related overdoses in Maine.(4) In addition, there were 354 overdose deaths involving opioids (pharmaceutical or non-pharmaceutical) in 2018 ? this accounts for 80% of all drug-related deaths in the state.(5) In Maine, the average annual Alcohol-Attributable Deaths (AAD) during the 2006-2010 period was higher for alcohol than opioids, at 372 (vs 354 ODD). Among deaths in people age 20-60 during that period, the average annual AAD was 241, which represents almost 9% of all deaths in that age group.(6) Alcohol is the most commonl y consumed substance with highest need for treatment.(7) Funding from the Support Act, if awarded, would enable Maine to conduct an in depth assessment of SUD in Maine and begin to build infrastructure that the existing assessments indicate are much needed to enable better response to SUD, including OUD, and to expand capacity for Medicaid beneficiaries to receive the care they need from within the full range of SUD treatment and recovery services.References:(1) Sorg M. Expanded Maine Drug Death Report for 2017. Margaret Chase Smith Policy Center, University of Maine;2018(2) Sorg M. Expanded Maine Drug Death Report for 2017. Margaret Chase Smith Policy Center, University of Maine;2018(3) National Institute on Drug Abuse. Maine Opioid Summary: Opioid-Related Overdose Deaths. 2018; https://www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/maine-opioid-summary.(4) Substance Use Trends in Maine.State Epidemiological Profile 2018,www.maineseow.com%2FDocuments%2F2018%2FSEOW%2520EpiProfile%25202018%2520with%2520sub%2520state%2520data%252011302018.pdf&usg=AOvVaw3VKa1WpuNG0XavDL-iHUtb(5) Sorg, Marcella. Expanded Maine Drug Death Report for 2018. Updated 4/19/19. Margaret Chase Smith Policy Center, University of Maine.(6) Centers for Disease Control and Prevention. Alcohol Related Disease Impact (ARDI) application, 2013. Available at www.cdc.gov/ARDI.(7) Stahre M, Roeber J, Kanny D, Brewer RD, Zhang X. Contribution of Excessive Alcohol Consumption to Deaths and Years of Potential Life Lost in the United States. Prev Chronic Dis 2014;11:130293. DOI: http://dx.doi.org/10.5888/pcd11.130293External
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
