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Project JUNO Community (JUstice-iNvolved Opioid use disorder treatment engagement in Community)

Award Number: H79TI084269
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2021
PERIOD OF PERFORMANCE END DATE: 09/29/2026

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Project JUNO Community (JUstice-iNvolved Opioid use disorder treatment engagement in Community) - Project JUNO Community (JUstice-iNvolved Opioid use disorder treatment engagement in Community) will provide medication assisted treatment (MAT) and comprehensive psychosocial services to 200 individuals aged 18 and older with opioid use disorder (OUD) who initiate MAT while in the San Francisco County Jail and agree to be linked to the Office-based Buprenorphine Induction Clinic (OBIC) after release. OBIC is the nation’s oldest buprenorphine induction clinic (established in 2003) and works to stabilize patients on buprenorphine before transitioning to other community-based MAT providers. The population of focus will be San Francisco residents with OUD who initiate MAT while in Jail and enroll in OBIC within 30 days of release. Patient navigators will work closely with OBIC and Jail Health providers to transition patients to outpatient care at OBIC using motivational interviewing. There is an established treatment relationship between Jail Health and OBIC, but linkage for patients is only 30% within 30 days of release and 6-month engagement in MAT is also low. The population of focus is at high risk of treatment drop-out and overdose due to co-occurring mental illness, stimulant use and homelessness. Three evidence-based practices, known to be effective with the population of focus, will be used to overcome these barriers: MAT pharmacotherapy (primarily sublingual or extended-release buprenorphine), patient navigation with motivational interviewing, and contingency management. The project’s goals are (1) increase treatment retention amongst patients initiating MAT at Jail; (2) reduce the impact of OUD on enrolled patients; (3) increase access and engagement with mental health and primary care; and (4) establish and maintain patient satisfaction with patient navigators. Multiple performance indicators will be measured via patient report, project staff report, and clinical and administrative records to evaluate progress towards project goals. The project will serve 200 patients over the five-year funding period (30 in Year #1, 50 per year in Years #2-4, and 20 in Year #5). Most patients are expected to be male and African American, Latinx, or multiracial. Project JUNO Community staff will come from the Division of Substance Abuse and Addiction Medicine (DSAAM) in the UCSF Department of Psychiatry and Behavioral Sciences which has over 40 years of serving the population of focus and providing comprehensive care management to complex, underserved populations. DSAAM will also partner with the San Francisco Department of Public Health, which oversees Jail Health Services and various outpatient mental health and primary care clinics, to complete the project goals. Project staff are highly trained individuals who are state and nationally recognized leaders in the treatment of OUD. The project will link patients to OBIC initially for stabilization. Depending on clinical outcomes, patients can be referred to a licensed opioid treatment program (OTOP/Ward 93 for methadone) or DPH office-based MAT providers (for buprenorphine or extended-release naltrexone) for ongoing care by Project JUNO Community navigators. Referrals to primary care and treatment of mental illness will also be available to provide a continuum of care individualized to meet patients’ needs.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $524,991 )
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	4	7/2/2024	NON-COMPETING CONTINUATION	$524,991
2024	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	2/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $524,991

Issue Date FY: 2023 ( Subtotal = $524,990 )
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	3	9/30/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	7/6/2023	NON-COMPETING CONTINUATION	$524,990
2023	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	2/22/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $524,990

Issue Date FY: 2022 ( Subtotal = $524,996 )
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	2	7/8/2022	NON-COMPETING CONTINUATION	$524,996
2022	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	10/29/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	2/25/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $524,996

Issue Date FY: 2021 ( Subtotal = $524,996 )
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/7/2021	NEW	$524,996
														Subtotal = $524,996

Grand Total All Awards = $2,099,973

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Project JUNO Community (JUstice-iNvolved Opioid use disorder treatment engagement in Community)

Award Number: H79TI084269

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2021

PERIOD OF PERFORMANCE END DATE: 09/29/2026

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