Maine’s StimSOR2020 grant application incorporates an array of services spanning treatment, recovery, and Primary and Community prevention strategies that target several at risk populations in the state. The flexibility to fund stimulant use treatment programming and community prevention interventions is embraced by the Department of Health and Human Services, as it increases the ability to positively impact the polysubstance use issues currently experienced in the State of Maine. Contained within this grant application are the following service proposals:
• Funding for continued support of Re-entry Medication Assisted Treatment (MAT) programs currently across eight of Maine’s sixteen counties. To more comprehensively address the treatment needs of this population, there is an intent to implement Opioid Treatment Program (OTP) pilots in up to three county correctional facilities, as well as providing non-medication treatment options of Intensive Outpatient and Outpatient counseling programs.
• Creation of a recovery supports pilot that will fund non-Medicaid reimbursed services for the pregnant and post-partum women that are enrolled in OUD treatment programming through the CMS Maternal Opioid Misuse cooperative agreement.
• Expansion of recovery coach placement in emergency departments that offer Rapid Induction MAT.
• Continuation of the Medication Assisted Recovery Program (MARP) in the City of Portland that is largely focused on the homeless individuals and stabilization through a treatment service package that includes MAT, case management, counseling, housing, and eventual transition to more traditional community treatment programming.
• Primary prevention education to both youth and prevention providers that broadens to include a focus on stimulant use.
• Implementation of community prevention programming that establishes both HIV and Hepatitis testing and applicable vaccines for at-risk populations, focusing on FQHC and Linkage to Care sites and aligning with the ME CDC’s Vulnerability Assessment areas of need.
• Distribution of naloxone kits to Fire/Rescue first responder departments, that struggle to maintain a sufficient on-hand supply due to budgetary constraints.
• Establishment of pilot sites for the provision of Contingency Management/Community Reinforcement Approach (CM/CRA) to better address stimulant use.
DHHS will prioritize the following service recipients for reimbursement:
• The uninsured population; eight percent of people in Maine that currently do not qualify for the state’s Medicaid program; and underinsured pregnant and parenting women, transient population homeless individuals, and those injecting drugs intravenously, which aligns with SATPBG priority populations.