The proposed program, State of Maryland Opioid Response III (MD-SOR III) will support state and local capacity to address opioid use disorder (OUD) and stimulant use disorder (STMUD) in high risk and vulnerable communities through prevention, treatment and recovery interventions.
Need: The COVID-19 pandemic brought disruptions in MD communities ability to provide consistent OUD and stimulant use disorder outreach and treatment. Between 2019 and 2020, with the onset of the COVID-19 Pandemic, MD recorded a 19.6% increase in deaths and deaths in 2020 were the highest on record, with the highest number of opioid related overdose deaths in Baltimore City (634), Baltimore County (305), Anne Arundel County (168) and Prince George's County (103). These four jurisdictions account for 65% of all opioid related overdose deaths in the state.
Goals & Objectives:
Goal 1: Individuals seeking access to services for OUD will receive access to MAT and other clinically appropriate services.
1.A. Increase referral of individuals (adults and adolescents) with OUD to MAT services, as measured by 80% of individuals served with SOR funds being referred to MAT if indicated as clinically appropriate.
1.B. Increase the number of individuals (adults and adolescents) with OUD accessing MAT, as measured by 50% of individuals with OUD served with SOR funds receiving at least three (3) MAT-related services.
1.C. Sustain and enhance services in regional 24/7 OTPs to ensure timely access to intake, assessment, inductions and ongoing medication and psychosocial services for MAT.
Goal 2: Reduce Opioid Overdose Related Deaths (OORD) through prevention, treatment and recovery using evidence-based practices.
2.A. Increase public awareness of the continuum of services from prevention to treatment to recovery by targeted media campaigns as measured by media metrics (e.g., website views).
2.B. Increase Naloxone distribution by 10% by the end of FY24 leading to a decrease in opioid deaths.
2.C. Increase access to recovery support services by sustaining and expanding the OUD/SUD community-based treatment and recovery support by 20%, inclusive of crisis services, recovery beds, employment assistance, and supportive programming for recovery success.
2.D. Increase pipeline of healthcare providers and peer specialists trained and/or certified in behavioral health (OUD and SUD) care by 10% as measured by participants in SOR-III funded workforce programs.
Program Reach: Number of Unduplicated individuals to be Served with Grant Funds
Year 1 Year2 Total
Treatment Services** 9,917 10,482 20,399
Recovery Support Services ** 200 207 407
Prevention Services 292,995 347,995 640,990
GPRA/SPARS Targets** Treatment: 2,820 Treatment: 2,851 Treatment: 5,670
Recovery: 160 Recovery: 166 Recovery: 326
Note: Of those individuals receiving treatment and recovery support services, applicants must indicate the total number of individuals who will complete the CSAT Government Performance and Results ACT (GPRA) Client Outcome Measures for Discretionary Programs Tool for each grant year; the total receiving treatment and recovery support services will be applicant's GPRA target in SPARS.