The Oregon State Opioid Response (SOR) 4 grant will focus on regions and populations with high rates of opioid and stimulant use disorders, high overdose rates, and low substance use disorder (SUD) treatment participation. Activities will employ a comprehensive youth substance use prevention plan, strengthen overdose prevention and harm reduction resources and services, increase access to treatment and recovery services, and develop the SUD workforce in the state.
Prevention activities will include youth-led substance use prevention messaging and school-based prevention programs. Overdose prevention activities will involve partnerships with community organizations and expansion of the state's harm reduction initiative to increase access to overdose prevention supplies, resources, education, and technical assistance. Harm reduction activities will strengthen peer support specialist outreach, community-based overdose reversal medication distribution, and infectious disease screening, testing, and referral. Treatment activities will expand innovative medications for opioid use disorder (MOUD) programs, including supporting MOUD in jails, and provide contingency management implementation training and technical assistance for treatment organizations. Recovery support activities will collaborate with community partners to broaden culturally specific recovery support services. Workforce development activities will bolster peer recovery specialist and counselor training and SUD-focused Project ECHO programming for healthcare professionals. The geographic catchment areas for Oregon's SOR 4 grant include Southwest, Southwest Coast, Portland Tri-County, Eastern, and Northwest Rural regions. Oregon’s SOR 4 activities will target disparities in SUD-services for Black/African American, Native American and Indigenous, LGBTQIA2S+, and youth and young adult populations.
Oregon seeks to center equity and the voices and experiences of people with lived experience in its SOR initiatives. All grant activities are in coordination with Oregon’s nine federally recognized tribes and will be delivered with a culturally responsive and trauma-informed approach. Oregon’s overarching SOR 4 goals include the following:
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Goal 1 (Prevention): Expand youth-centered substance use prevention messaging and school-based prevention programing in Oregon.
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Goal 2 (Overdose Prevention): Expand, strengthen, and increase access to overdose prevention supplies, resources, education, and technical assistance in Oregon.
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Goal 3 (Harm Reduction): Expand, strengthen, and increase access to harm reduction resources and services in Oregon.
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Goal 4 (Treatment): Expand the statewide SUD treatment system to increase treatment access for individuals with opioid and stimulant use disorders.
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Goal 5 (Recovery Support): Expand the statewide recovery support services framework for individuals with opioid and stimulant use disorders.
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Goal 6 (Workforce Development): Expand and enhance the statewide SUD workforce.
Oregon aims to serve a wide cross-section of the state’s population over the course of SOR 4, serving approximately 9,000 unique individuals (approximately 3,000 each year), including an estimated 7,500 unduplicated individuals through prevention services, 300 unduplicated individuals through treatment services, and 1,200 unduplicated individuals through recovery support services.