CommonSpirit Health's St. Joseph's Behavioral Health Center (SJBHC) will expand medication-assisted treatment (MAT) for residents of Stockton in California's Central Valley in San Joaquin County. 5,000 community members will be reached and 475 adults with Opioid Use Disorder (OUD), including probationers and parolees, will receive MAT treament and recovery services over the 5-year grant period; 50% will reduce illicit and prescription opioid usage.
CommonSpirit Health (CSH) is one of the nation's largest nonprofit health systems. Formed with the merger of Catholic Health Initiatives (CHI) and Dignity Health in 2019, it is comprised of 137 hospitals and more than 1,000 care centers in 21 states, serving 20 million patients annually. Our patient population reflects the geographic, ethnic and socio-economic diversity of the American "melting pot". A visionary leader in healthcare, CSH is shifting its care paradigm from an emphasis on caring for the sick care to a mission of preventing illness, achieving health equity, and advocating for social justice. In 2018, 11 Emergency Departments (EDs) in the CSH system became access points for MAT, an innovative combination of FDA-approved opioid agonist medications - methadone, buprenorphine , naltrexone - and behavioral health services and counseling. As a result of the program's success, CSH has since expanded MAT to 25 out of the system's 30 California EDs in 2021.
With SAMHSA funding, the Access MAT project will provide MAT and recovery services to adults, 18 and over: 50 in year 1, 100 in year 2, 125 in year 3, and 150 in years 4 and 5. 10-20% of clients will be formerly incarcerated. Access MAT will strengthen the link between MAT, counseling, and recovery services at SJBHC and St. Joseph's Medical Center Emergency Department's embedded MAT program. Importantly, Access MAT will initiative outreach and engagement in the community, and work with San Joaquin County Correctional Health Care and other correctional facilities to support treatment for inmates within 4 months of release.
CSH St. Joseph's Behavioral Health Center will implement all required activities in order to:
1. Increase the number of individuals with OUD receiving MAT at SJBHC
2. Triple the number of X-Waivered clinicians at St. Joseph's Medical Center
3. Decrease illicit opioid drug use and prescription opioid misuse among participants
4. Create a MAT pipeline for incarcerated adults with OUD who are within four months of release and other hard to reach, diverse populations in the Central Valley
5. Sustain new system innovations and roll them out to other sites after the grant period
Based on SJBHC's 40 year history of treatment for individuals with substance use disorders, we anticipate that 50% of individuals enrolled in the program will achieve sobriety from opioids and complete the course of treatment and that 50% of these will successfully taper off their medication within 3-6 months.