Rural Communities Opioid Response-Implementation - 1.Project Title: Implementing Jail Based Opioid Resources in Western North Carolina 2.Requested Award Amount: $999,995.52 3.Applicant Organization Name: Blue Ridge Community Health Services, Inc. (BRCHS) 4.Address: 220 Fifth Ave E, Hendersonville, NC 28792 5. Facility Type: FQHC 6. Project Director Name: Sandra McGriff 7. Contact Phone Number: 828.692.4289; Email Address: smcgriff@brchs.com; Website Address: www.brchs.com 8.Current FY 20 or FY 21 RCORP-Implementation Award Recipient: N 9. EIN Exception Request: N 10. Grants.gov 11.Consortium Name/Membership: Western North Carolina Opioid Response Consortium (12 members). BRCHS; Appalachian Mountain Community Health Centers; Mountain Community Health Partnership; High Country Community Health; Western North Carolina Community Health Services; Pisgah Legal Services; Transylvania County Public Health; County Sherriff’s Offices (Avery, Jackson, Transylvania, Yancey); Mountain Area Health Education Center; Western Carolina University. 12.Previous or Current RCORP Award Recipient: N 13.Target Population: With a population of 112,371 individuals, 25% of the population is at or below the federal poverty level (U.S., 11.1%; 13.2%, NC). 88% of the population is white and 3% is American Indian/Alaskan Native. Incarcerated individuals are historically vulnerable population that face numerous health disparities. Among incarcerated individuals across the nation, over 50% suffer from substance use/opioid us disorders (SUD/OUDs). Fewer than 50% of these individuals receive treatment in jail, and less than 10% receive treatment after release. Rural North Carolina has the highest incarceration in the states with most offenses related to substance use. With high rates of poverty and lack of insurance, rural populations in these counties have lower access to basic health services. Poor health outcomes are noted throughout the region, including higher rates of death due to behavioral health issues and overdose rates. Trends in the region’s healthcare delivery system in recent years, including increasing physician shortages, have exacerbated existing gaps in the availability of health care services. Barriers to access are further compounded by the population’s characteristics of Appalachian culture, including an emphasis on family and kinship ties and distrust of social service organizations. 14.Target Service Area: Avery, Jackson, Transylvania, and Yancey Counties, North Carolina. All service delivery sites are in a HRSA designated rural area. 15.Overlap with FY 19 or FY 20 RCORP-Implementation Award Service Area- N