Centro de Salud de la Comunidad de San Ysidro, Inc., doing business as San Ysidro Health (SYHealth), proposes to implement the Medication Assisted Treatment – Prescription Drug and Opioid Addiction (MAT-PDOA) Project during the 2021-2026 period, with the goal of increasing access to, utilization of, and retention in Medication Assisted Treatment (MAT) care in San Diego County. SYHealth proposes to serve county residents who are living with opioid use disorder (OUD), including illicit drug users and prescription misusers who are seeking/receiving MAT. As a safety net provider, there will be an emphasis on serving individuals who are low income (i.e., Medicaid/Medi-Cal beneficiaries) and are uninsured. Nevertheless, MAT-PDOA services will be available to anyone in need of care, regardless of their ability to pay.
Grant activities will focus on (i) increasing SYHealth’s internal capacity to provide OUD/MAT care, including targeted efforts to engage hard to reach populations, (ii) increasing DATA Waived providers with knowledge and confidence to become MAT prescribers, and (iii) reducing silos in the local substance use disorder (SUD) service network. To achieve its goal, SYHealth proposes to achieve the following objectives:
Objective #1: Provide MAT to 425 unduplicated patients by end of Year 5.
Objective #2: At the end of each project year, 90% of SYHealth’s MAT patients will demonstrate decreased illicit drug use or prescription misuse at their 6-month follow up.
Objective #3: By end of Year 1, establish referral systems (evidenced by Memorandum of Understanding or other documentation) for SUD services, including OUD/MAT, with at least two community agencies serving vulnerable populations (e.g., adolescents, pregnant women, and individuals in the criminal justice system).
Objective #4: By end of Year 1, establish OUD/MAT capacity at SYHealth-Mountain Health Family Medicine (serving rural populations) and SYHealth-El Cajon (serving refugee populations).
Objective #5: Establish SUD Teaching Clinic hours for SYHealth’s Internal Medicine (IM) residents by Year 2. By graduation of each residency cohort (July of each applicable project year), 83% of IM residents will participate in at least 5 MAT inductions and express intent to prescribe MAT when they begin their medical practice.