Friday, November 22, 2024
11/22/2024
Project Abstract Summary Project Name: The Harborview Medical Center Special Project Collaboration Opioid Use Disorder Treatment (HMC SPC-OUD) Project Summary: The Harborview Medical Center Special Projects Collaborative Opioid Use Disorder program will target high risk individuals in South King County, Washington who are seeking medication for opioid use disorder (MOUD) at two new low barrier primary care medical clinics managed by the Harborview Madison Clinic and co-located with significant behavioral health and homelessness services provided by Catholic Community Services (CCS). Building on our successful experience with a proven model of providing MOUD in urban safety net medical settings, we will expand capacity to treat more patients and enhance services for patients at two South King County Family Centers that are implementing low barrier drop-in primary care medical services for a hard to reach population. This is a collaborative clinical effort between 1) HMC, which has substantial experience implementing MOUD in primary care settings, 2) the HMC Madison Clinic, which will provide the primary care services most needed by the target population, and 3) Catholic Community Service, which manages the Family Centers and provides behavioral health, outreach, and housing programs at each site. A South King County needs assessment of the target population found that 75% had unstable housing within the last 12 months; the average age was 46 years; 64% were male; 34% were women; 1% were trans/non-binary; mean age was 46 years; 45% were white, 8% American Indian/Alaska Native, 9% Latino/Hispanic, 34% black, 6% Asian/Pacific Islander, and 6% other. Strategies and interventions include two Evidence-Based Practices (EBPs): 1) MOUD with buprenorphine-naloxone, extended-release naltrexone, or injectable buprenorphine, 2) The Massachusetts Nurse Care Manager Model for providing MOUD in medical settings. Project goals are to: 1) increase low barrier access to MOUD using a proven model for providing integrated services in in medical settings; and 2) provide enhanced on-site services for patients receiving MOUD who have high rates of experiencing homelessness as well as medical, mental health, and other substance use problems. Objectives include, but are not limited to: 1) serve 378 unduplicated patients over a three-year period, 2) provide same-day medication access to individuals with OUD, 3) assure access to comprehensive services in a culturally competent, patient-centered care manner, 4) reduce adverse OUD-related outcomes and substance use from baseline to 6-month follow-up, 5) maximize retention in MOUD, 6) reduce disparities in MOUD access, 7) collaborate with community partners to serve high risk patients, 8) provide harm reduction, recovery support, key medical screening, and tobacco cessation services, 9) seek sustainable program financing, and 10) train clinical staff in the use of EBPs, including DATA waiver training. This project will be done in collaboration with the Washington State Research and Data Analysis, which will provide technical support, ongoing evaluation, and policy support.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
