Thursday, April 3, 2025
4/3/2025
Project MOTION - Baystate Medical Center, the Hampden County Sheriff’s Department, Providence Behavioral Health Hospital, Mercy Medical Center, and the Center for Addiction Recovery will collaborate on Project MOTION - Maintaining Opiate Treatment to Improve Outcomes and Next Steps, expanding access to medication-assisted treatment (MAT) in jail and after release for adult offenders/ex-offenders with an Opioid Use Disorder (OUD) in western Massachusetts. The population of focus is males and females over 18 years of age with OUD who are incarcerated and are within four months of scheduled release. Our desired outcomes are: 1) an increase in the number of incarcerated and post-incarceration individuals receiving MAT; and 2) a decrease in illicit opioid drug use and prescription opioid misuse at three and six-month follow-up. Our population suffers from opioid use disorders at rates vastly higher than the general population. The Sheriff’s Department electronic medical record system shows an opioid use disorder prevalence of 40% for men and 53% for women. Over two-thirds of the newly released persons with an opioid disorder will seek to engage in treatment services when they return to their home community. Risk of opioid overdose is markedly increased following release from incarceration. Our population of focus needs state-of-the art Medication Assisted Treatment (MAT) embedded in a network of mental health, recovery, and sobriety maintenance services. We will provide MAT using several FDA-approved medications; Case Management staff will serve as the crucial link to comprehensive psychosocial and health care support services, including primary health care, mental health care, and peer support programs to sustain treatment and recovery. We will continue to use the evidence-based Critical Time Intervention (CTI) program model. The intervention involves two components: (1) strengthening the individual's long-term ties to services, family, and friends and (2) providing emotional and practical support during the transition back to the community. Our specific objectives are that by the end of the Project MOTION 3-year grant period, we will have: 1) determined what factors enhance MAT treatment initiation and maintenance during incarceration and post-release into the community; 2) demonstrated effective strategies for maintaining MAT during shorter incarcerations and resuming community-based treatment; 3) measured the impact of MAT and case management on patients’ activities during incarceration and patients’ substance use and health status after release back to the community. In Year 1 of the grant period, we will serve 50 participants who will be incarcerated; of those 50 individuals, 30 participants will be serving sentences and 20 will be pre-trial. In each of Year 2 and 3 of the grant period, we will serve 75 participants; of those 75 individuals, 50 will be serving sentences and 25 out of the 75 will be pre-trial. The total number of unduplicated individuals (all of whom will be within 4 months of release from jail) we will serve over the three-year grant period is 200.
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).