Nevada State Opioid Response FY 2024 (SOR 4) Application - The Nevada State Opioid Response (SOR) program aims to combat the opioid and stimulant crisis by expanding treatment access, enhancing prevention strategies, strengthening harm reduction efforts, and supporting long-term recovery. Targeting high-risk populations, including racial and ethnic minorities, LGBTQ+ individuals, and residents of rural areas, the program will serve 10,000 individuals annually, totaling 30,000 over three years. Population to be Served: The program focuses on young adults aged 25-34, males, racial and ethnic minorities (White, Hispanic, and Black populations), and sexual and gender minorities. These groups are disproportionately affected by opioid and stimulant use disorders and overdose deaths, necessitating targeted and culturally competent interventions. Strategies/Interventions: 1. Expand Access to Evidence-Based Treatment: o Fund Opioid Treatment Programs (OTPs) and Office-Based Addiction Treatment (OBOTs) to serve 4,000 individuals over three years. o Increase treatment utilization among pregnant and postpartum persons by 15%. o Enhance comprehensive case management and supportive services for 200 individuals annually. 2. Enhance Overdose Prevention Strategies: o Implement a pilot screening project for middle or high school students at risk for opioid use disorder (OUD), ensuring 90% of identified students are connected to support services. 3. Strengthen Harm Reduction Efforts: o Expand naloxone distribution by 10%, training 200 community members and first responders annually. o Increase access to syringe services programs (SSPs), supporting existing sites and establishing new ones. o Partner with the Nevada State Immunization Program to increase vaccine access for uninsured individuals, administering at least 200,000 doses annually. 4. Support Long-Term Recovery: o Increase peer recovery support services (PRSS) by 10%, training 30 new peer recovery specialists annually. Project Goals and Measurable Objectives: The Nevada SOR program will: • Serve 10,000 individuals annually, totaling 30,000 over three years. • Fund and enhance the services of three OTPs and/or OBOTs, serving 4,000 individuals. • Develop and distribute outreach materials, and establish support groups for pregnant and postpartum persons. • Partner with local agencies to provide holistic support for individuals in treatment. • Conduct continuing education workshops for healthcare providers to improve competency in health equity and trauma-informed care. • Implement MOUD programs in two Nevada prisons, serving 100 incarcerated individuals annually. • Conduct a Problem Gambling Opioid Treatment Integration Project (PG-OTIP) to address co-occurring gambling issues in opioid treatment programs. Evaluation and Performance Measurement: The program will use a Plan-Do-Check-Act (PDCA) continuous quality improvement model to regularly review data, adjust strategies, and achieve desired outcomes. Data collection will be managed by the Nevada Department of Public and Behavioral Health (DPBH) in collaboration with the University of Nevada, Reno's Center for the Application of Substance Abuse Technologies (CASAT). Conclusion: The Nevada SOR program is dedicated to addressing the opioid and stimulant crisis through targeted, culturally competent, and inclusive interventions. By focusing on high-risk and underserved populations, the program aims to reduce overdose deaths and support long-term recovery for individuals across Nevada.