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Portland CHC proposes a two-tiered (MAT-PDOA) program as an intermediate phase of our current outpatient MAT program.

Award Number: H79TI084417
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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Portland CHC proposes a two-tiered (MAT-PDOA) program as an intermediate phase of our current outpatient MAT program. - Medicated Assisted Treatment-Prescription Drug and Opioid Addiction (MAT-PDOA) is an intermediate phase of intensive outpatient MAT that fills a service gap in Portland Community Health Center's existing MAT program. Portland CHC proposes adding two intermediate levels to serve as the bridge between our most intensive Phase-1 of MAT and the more traditional office-based Phases 4 and 5 of our Greater Pathways program. MAT-PDOA will provide targeted pharmacotherapy with psychosocial supports and community-based recovery resources to decrease diversion from treatment plans and misuse of medication. The patients with the strongest need for these services are residents of the greater Portland, Maine area, specifically those who live in resource-limited neighborhoods where opioid use disorder (OUD) is most prevalent. The MAT-PDOA program bridges a service gap in our current MAT programming to serve patients who fall between our most intensive daily supervised dosing program or more traditional office-based MAT programs. Strategies and interventions of the program include a flexible range of service times, access to specialized medical and behavioral health providers, individual counseling, outreach and peer support, case management, and linkages to a robust suite of community recovery and support resources. Goals of the project include: (1) Expanding and enhancing Portland CHC’s suite of treatment and recovery support services to more effectively identify, engage, and retain individuals in OUD treatment and facilitate long-term recovery; (2) Expanding regional access to MAT for OUDs to increase the number of individuals with OUD receiving MAT; and (3) Increasing the number of patients successfully engaging in MAT and long-term maintenance to decrease illicit opioid and prescription opioid misuse and facilitate long-term recovery. Objectives include: (1) Implementing referral and service delivery models specifically surrounding the MAT-PDOA program via outreach to Greater Portland Addiction Collaborative Partners; (2) Establishing funding mechanisms and service delivery models for the MAT-PDOA program with Preble Street Resource Center and University of Southern Maine; (3) Hiring all vacant key personnel and implement formalized policies for intake and treatment within the first year of funding; (4) Delivering services for up to 25 unique patients within the first year of funding; (5) Increasing the number of unique patients with OUD that Portland CHC’s waivered providers deliver MAT services to by 25 within the second year of funding; (6) Providing Sublocade pharmacotherapy and urine screening for up to three uninsured program participants within the first year; (7) Demonstrating a decrease in illicit drug and prescription opioid misuse in 50% of participants at 6-month follow-ups; (8) Maintaining an average of 25 unique MAT patients at any given time during the 5-year grant cycle (125 total).


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 = $525,000 )
2024	2024	PORTLAND COMMUNITY HEALTH CENTER	180 PARK AVE	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	4	7/2/2024	NON-COMPETING CONTINUATION	$525,000
2024	2023	PORTLAND COMMUNITY HEALTH	180 PARK AVE	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	12/26/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $525,000

Issue Date FY: 2023 ( Subtotal = $525,000 )
2023	2023	PORTLAND COMMUNITY HEALTH	180 PARK AVE	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	3	6/27/2023	NON-COMPETING CONTINUATION	$525,000
2023	2022	PORTLAND COMMUNITY HEALTH	180 PARK AVE	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	3/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	PORTLAND COMMUNITY HEALTH	180 PARK AVE	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	4/25/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $525,000

Issue Date FY: 2022 ( Subtotal = $525,000 )
2022	2022	PORTLAND COMMUNITY HEALTH	180 PARK AVE	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	7/6/2022	NON-COMPETING CONTINUATION	$525,000
2022	2021	PORTLAND COMMUNITY HEALTH CENTER	180 PARK AVE STE 1	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	2/8/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $525,000

Issue Date FY: 2021 ( Subtotal = $525,000 )
2021	2021	PORTLAND COMMUNITY HEALTH CENTER	180 PARK AVE STE 1	PORTLAND	ME	04102	CUMBERLAND	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/7/2021	NEW	$525,000
														Subtotal = $525,000

Grand Total All Awards = $2,100,000

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Portland CHC proposes a two-tiered (MAT-PDOA) program as an intermediate phase of our current outpatient MAT program.

Award Number: H79TI084417

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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