FR CARA for Substance Abuse and Mental Health of Tulsa, OK - The Tulsa Fire Department will expand its Overdose Response Team into a seven-day Mobile Integrated Health program for adults at highest overdose risk in Tulsa. The project will continue providing field MOUD, post-overdose outreach, peer support, case management, warm handoffs, naloxone distribution, first-responder training, and data-guided outreach, serving 1,500 community members annually and 6,000 over four years. Project Name and Service Area. The Tulsa Fire Department Overdose Response Team Expansion Project will serve the City of Tulsa, Oklahoma, population 416,850. Direct services will be available to adults aged 18 and older who reside in or are encountered within Tulsa. Most participants are expected to be working-age adults ages 25-54, with smaller proportions ages 18-24 and 55 and older; both male and female adults will be served. All sworn TFD personnel will receive standardized overdose-response education through the mandatory EMS refresher program. Population Characteristics. Community participants will include people with SUD, survivors of nonfatal overdose, and people at elevated overdose risk. Common needs include illicit fentanyl exposure, methamphetamine or other stimulant co-use, recurrent overdose, opioid withdrawal, co-occurring mental illness, wounds or infections related to substance use, chronic medical conditions, and limited connection to primary, behavioral health, or addiction treatment. Many participants are experiencing housing instability or at-risk of experiencing housing instability, uninsured or underinsured, justice-involved, or connected to emergency departments, shelters, and social services. Family members and support persons will receive naloxone and overdose-response education when appropriate. Strategies and Interventions: Staggered staffing will establish seven-day coverage. Services will include rapid post-overdose outreach; clinical and withdrawal assessment; field initiation of buprenorphine under medical oversight when appropriate; peer recovery engagement; case management; closed-loop warm handoffs to treatment; naloxone distribution; targeted community outreach; and coordination with CREOKS, Grand Mental Health, Family & Children's Services, OSU Addiction Medicine Clinic, and other local providers. A Ford F-150 Crew Cab 4x4, four laptops, and four smartphones will support mobile service delivery. Julota, ESO, FirstWatch, and CSAP CORT/SPARS reporting procedures will support referral tracking, hotspot identification, performance measurement, and continuous quality improvement. Goals and Measurable Objectives. The project goal is to reduce substance-related illness and death by strengthening first-responder education, expanding access to high-quality treatment and recovery services, and delivering targeted post-overdose support. Objectives are to begin required prevention services within four months of award; achieve seven-day ORT coverage by the end of Year 1; serve 1,500 unduplicated community members annually and 6,000 over four years; purchase and distribute 1,000 boxes of naloxone annually; train 100 percent of the 740 sworn TFD personnel annually through approximately 19 EMS refresher offerings; complete community resource mapping within six months; and improve timely outreach, MOUD assessment and initiation, seven-day treatment linkage, completed warm handoffs, and 30- and 90-day treatment engagement. These objectives advance SAMHSA priorities related to recovery, innovation, data, gold-standard science, and access to high-quality services for all.
