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First Responder Opioid overdose Naloxone Training and Linkage Into Needed Evidence-based Services (FRONTLINES)

Award Number: H79SP080300
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2018
PERIOD OF PERFORMANCE END DATE: 09/29/2022

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First Responder Opioid overdose Naloxone Training and Linkage Into Needed Evidence-based Services (FRONTLINES) - The proposed FRONTLINES Project, First Responder Opioid overdose Naloxone Training and Linkage Into Needed Evidence-based Services, is a collaboration between the City of Houston Health Department (HHD), Houston Fire Department (HFD), Houston Recovery Center (HRC), and Baylor College of Medicine (BCM) to ensure: 1. all HFD response units are equipped with naloxone opioid overdose kits; 2. all HFD first responders are trained in recognition and pre-hospital management of a person with opioid overdose, including proper administration of naloxone, and 3. all opioid overdose victims HFD treats are offered linkages to opioid use treatment services in the community and ongoing case management through the Houston Recovery Center. Since 2011, opioid overdose rates have increased by over 120% in Houston. HFD has responded to 545 opioid related overdose calls during the first 6 months of 2017. Additionally, the high potency, synthetic opioids, fentanyl and carfentanil, which have been linked to increased opioid overdose death rates in numerous communities across the country, have been detected this year in Houston area drug seizures. Currently within HFD, only Advanced Life Support (ALS) response units are stocked with, and paramedic first responders trained in use of, naloxone. ALS response units comprise 20% of the total response units in HFD. The HFD responds to all suspected opioid overdose victims and they are transported to local, hospital-based Emergency Centers for further care. However, many leave the hospital without formal referral or direct linkage into evidence-based opioid use disorder treatment services. This project will provide linkages to treatment through case managers from the Houston Recovery Center (HRC). FRONTLINES addresses these barriers by effectively addressing the opioid epidemic in the City of Houston by increasing HFD first responder access to, and training in use of, naloxone for opioid overdose victims and by partnering with the HRC’s robust peer recovery and case management services. To ensure every opioid overdose victim HFD responds to can access needed and desired care within the Houston community. The proposed program delivery model builds in sustainability in the use of a train-the-trainer model for naloxone opioid overdose training delivery within HFD divisions and automating the linkage of overdose victims from HFD to HRC. The FRONTLINES Project builds on existing community resources and expertise to better equip the City of Houston to respond effectively and compassionately to the opioid overdose epidemic within our city.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$460,791 )
2023	2021	CITY OF HOUSTON HEALTH DEPARTMENT	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	3/30/2023	NON-COMPETING CONTINUATION	-$460,791
														Subtotal = -$460,791

Issue Date FY: 2021 ( Subtotal = $500,000 )
2021	2021	HOUSTON, CITY OF	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	8/4/2021	NON-COMPETING CONTINUATION	$500,000
2021	2020	HOUSTON, CITY OF	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	12/23/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $500,000

Issue Date FY: 2020 ( Subtotal = $500,000 )
2020	2020	HOUSTON, CITY OF	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	2	8/5/2020	NON-COMPETING CONTINUATION	$500,000
2020	2018	HOUSTON, CITY OF	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	10/4/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2018	HOUSTON, CITY OF	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	10/11/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $500,000

Issue Date FY: 2019 ( Subtotal = $0 )
2019	2018	HOUSTON, CITY OF	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	6/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2018 ( Subtotal = $1,000,000 )
2018	2018	HOUSTON, CITY OF	8000 N STADIUM DR	HOUSTON	TX	77054	HARRIS	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/19/2018	NEW	$1,000,000
														Subtotal = $1,000,000

Grand Total All Awards = $1,539,209

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First Responder Opioid overdose Naloxone Training and Linkage Into Needed Evidence-based Services (FRONTLINES)

Award Number: H79SP080300

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2018

PERIOD OF PERFORMANCE END DATE: 09/29/2022

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