Tuesday, May 13, 2025
5/13/2025
State Opioid Response (SOR) 2 - Project Abstract: California will continue efforts under the MAT Expansion Project in SOR 2, while implementing and expanding evidence-based treatment for opioid use (OUD) and methamphetamine use disorders. Priority populations include American Indian and Alaskan Natives (AI/AN), youth, and OUD clients experiencing homelessness. An estimated 10,000 under or uninsured clients will be directly served and 300,000 will be impacted through prevention and education. In 2018, California's age adjusted opioid overdose rate per 100,000 residents was 5.82 with a statewide total of 2,428 deaths. California has experienced a rapid rise in fentanyl-related overdose deaths, nearly doubling from 431 deaths in 2017 to 786 in 2018. California's amphetamine overdose rate is identical to the rate of opioid overdose deaths in California in 2018, as compared to 2,428 opioid overdose-related deaths. SOR 2 projects and activities will be across the State with an emphasis on areas with the highest rate and volume of overdose deaths. Activities will focus on where individuals with substance use disorders (SUD) routinely present, such as primary care, hospitals, SUD treatment providers, and justice-involved settings. If the entity is responsible for health care of the SOR client, this project will help that entity expand access to care but if not, effectively refer/engage the client to treatment services. While access to MAT is a concern in rural areas of the State, many urban areas still lack capacity to treat all individuals with an OUD. Effective education for the justice-involved system, courts, child welfare, health system, workforce and SUD providers continues to be an effective method to combat stigma and engage clients into services. California will expand its approach to SUD prevention, treatment, and recovery services through the following objectives: 1) Develop additional MAT locations through strategic access points, such as health care providers including Tribal clinics, as well as hospital emergency departments and county jails; 2) Provide MAT services, prevention and recovery services to specific populations, such as AI/AN populations, youth and OUD clients experiencing homelessness 3) Expand overdose prevention activities to prevent opioid and methamphetamine overdose deaths; and 4) Expand access to evidence-based treatment for methamphetamine use disorder including direct service provision, contingency management training and prevention activities. California's SOR 2 projects will use evidence-based practices, including FDA-approved medications, counseling, peer support, and contingency management for methamphetamine use disorder. DHCS will work with county governments, health providers, community organizations, foundations and other key partners as part of a collaborative effort. The grant will continue to focus on reducing stigma, coordination of funding streams, creating project sustainability and increasing awareness of the effectiveness and availability of treatment for SUD.
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).