Centerstone MAT Services (C-MAT) will expand/enhance access to medication-assisted treatment (MAT) services, delivering FDA-approved medications in combination with comprehensive and evidence-based psychosocial services in 8 southwestern Illinois counties (Bond, Calhoun, Greene, Jersey, Macoupin, Madison, Montgomery, and St. Clair). C-MAT will serve 350 unduplicated adults ages 18 and older with an opioid use disorder (OUD) seeking or receiving MAT to decrease illicit opioid use/prescription opioid misuse (Yr. 1:50; Yrs. 2-5:75, annually).
C-MAT’s focus population encompasses an anticipated 2,266 catchment area adults with OUD seeking or receiving MAT medications. Focus population demographics are expected to mirror those of Centerstone clients with OUD in the catchment area, with 48% male, 52% female, 87% White, 7% African American, 2% Hispanic/Latino, and 33% Medicaid recipients. C-MAT’s subpopulations include the 1,520 who are Veterans, 1,418 involved in the criminal justice system, and those who have a co-occurring substance use (4,244) and/or mental disorder (3,272) (COD). Between 2016-2020, there was a 51% increase in drug ODs in the catchment area; with an estimated 80% of overdoses related to opioids. Four catchment area counties have significantly higher opioid dispensing rates than the state rate (43/100), the state rate of opioid-related inpatient admissions is higher than the national rate (348 vs. 300/100,000), and state treatment admissions are greater for prescription opioids than any other substance.
C-MAT will deliver Medication-Assisted Treatment (MAT) according to NIDA’s Principles of Drug Addiction Treatment, SAMHSA’s Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorders, and Hazelden’s COR-12, providing FDA-approved medications in conjunction with evidence-based behavioral health therapies, including Hazelden’s Co-occurring Disorders Program, Seeking Safety, and DIMENSIONS: Tobacco Free Program. Key C-MAT strategies/interventions include community collaborations; assembly of Advisory Council; enhancement of program procedures, including mitigation of medication diversion; outreach/engagement; screenings/assessments; development of Individual Treatment Plan; provision of MAT, OUD/COD treatment/psychosocial services, tobacco cessation, care coordination, recovery support services (e.g., peer supports, linkages to housing/employment, benefits enrollment); HIV/VH testing/linkages; telehealth services; sustainability planning; and dissemination of a comprehensive evaluation. C-MAT goals are to enhance/expand access to MAT services, OUD treatment, wrap-around/recovery supports, etc.; develop infrastructure/capacity to expand, enhance, and sustain services; improve clients’ health status/outcomes; and develop/disseminate a replicable service model. C-MAT will achieve the following measurable objectives: Conduct outreach/engagement among 750 individuals; provide training/workforce development for 100 staff/community providers; achieve abstinence from illicit drugs among 60% of clients; reduce mental health symptomatology by 50%; assist 100% in need with resources to identify/secure stable housing and employment; achieve no past 30-day criminal justice involvement among 60% with histories; reduce tobacco use by 30%; reduce costly service utilization by 50%; increase social connectedness among 70% of clients; and achieve 80% client retention. C-MAT has secured commitments from partners dedicated to the project’s success, and will collaborate with community providers, law enforcement, coalitions, social service agencies, key stakeholders, etc.