Centerstone MAT Services in Florida (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 2 Florida counties (i.e., Manatee and Sarasota). C-MAT will serve 300 unduplicated adults ages 18 and older with an opioid use disorder (OUD) seeking or receiving MAT to decrease illicit opioid use/prescription opioid misuse (Year 1: 40; Years 2-5: 65, annually).
C-MAT’s focus population encompasses an anticipated 3,667 catchment area adults with OUD seeking or receiving MAT. Focus population demographics are expected to mirror those of catchment area Centerstone clients with OUD, with 48% male, 52% female, 86% White, 5% African American, and 7% Hispanic/Latino individuals. C-MAT’s subpopulations include an estimated 2,625 Veterans with OUD; 2,140 criminal justice system involved adults with OUD; and those with a co-occurring OUD and substance use (6,862) and/or mental health disorders (5,291). Of the 8,228 catchment area individuals with OUD, an estimated 72% (5,924) will have polysubstance use, 60% (4,939) experience severe economic distress, 57% (4,690) will face major depressive disorder, and 57% (4,690) may become homeless.
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 an Advisory Council; enhancement of program procedures, including mitigation of medication diversion; outreach/engagement; screening/assessment; development of Individual Treatment Plans; 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; ensure 8 providers have/complete DATA waiver training; reduce illicit drug use by 60%; reduce mental health symptomatology by 50%; assist 100% in need to identify/secure stable housing and employment; achieve no past 30-day criminal justice involvement among 60%; reduce tobacco use by 30%; reduce costly service utilization by 50%; increase social connectedness among 70%; 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.