The Montana State Opioid Response (SOR II) Project will support the implementation of evidence-based prevention, treatment, and recovery support strategies for individuals with Opioid and/or Stimulant Use Disorders (OUD and SUD) in Montana, with an emphasis on American Indians and individuals involved in the criminal justice system. American Indians are Montana's largest racial minority and face a more than 20-year disparity in life expectancy compared to white Montanans, partially attributable to higher rates of substance use. Justice system involvement for individuals with OUD and SUD is on the rise in Montana with an estimated 90% of the individuals in Montana jails being held for substance-abuse related offenses. Key strategies funded under this application include support for a comprehensive OUD treatment model at 16 provider locations in MT and providing technical assistance and training related to peer support, DATA Waivers, implementing MAT in justice system facilities, naloxone use, and the PAX Good Behavior Game.
The goals and objectives for the MT SOR II projects are:
Goal 1: Increase access to evidence-based treatment for underserved populations with OUD and SUD in Montana. Objective 1.1: By 8/31/2022, 1300 Montanans in clinically underserved group s will receive comprehensive OUD treatment services, including MAT, care coordination, behavioral health and peer support services, and HIV and Viral Hepatitis C testing. Objective 1.2: By 8/31/2022, 150 Montanans with methamphetamine or other stimulant use disorder will receive treatment services including contingency management, community reinforcement, and/or peer support. Objective 1.3: By 8/31/2022, a minimum of three detention centers will provide MAT and/or treatment transition services to individuals in or discharging from jail. Goal 2: Increase access to evidence-based prevention and recovery services for OUD and SUD in Montana. Objective 2.1: by 8/31/2022, 3500 naloxone units will be distributed to key partners including trained peer support specialists, First Responders, and Syringe Exchange Programs. By 8/31/2022, 50% of Montana grade schools will be trained to implement the PAX Good Behavior Game. Objective 2.3: By 8/31/2022, Montana will adopt standards, policies, and procedures to promote quality Recovery Housing. Goal 3: Enhance collaborations to increase the reach and impact of SOR activities statewide. Objective 3.1: By 8/31/2022, SOR leadership will meet four times with tribal health leaders to ensure effective coordination and appropriate implementation of SOR activities for Montana's American Indian population. Objective 3.2: By 8/31/2022, Montana will have a health communication plan to deliver evidence-based prevention and recovery messages to underserved populations.
We plan to serve 1,450 unduplicated individuals throughout the two-year cycle; 700 in year one and 750 in year two. At this time, we expect to begin providing direct services by the third month after the grant is awarded.