The overarching goal of the Maricopa County Department of Public Health Overdose Data to Action project is to increase access to prevention activities and to coordinate and integrate Opioid Use Disorder (OUD) care utilizing high quality, complete, and timelier data on opioid prescribing and overdoses in several targeted underserved populations. The project approach includes developing and supporting regional and local level collaborations and implementing evidence-based strategies to support enhanced surveillance and prevention activities. The proposed activities for this project will work together with the existing efforts to reduce OUD and OUD deaths currently underway in Arizona by: (1) developing two innovative surveillance projects; (2) providing analytical support to the Prescription Drug Monitoring Program; (3) creating a Regional Maricopa County Substance Exposed Newborns (SEN) Prevention Taskforce that will focus on reducing the incidence of SEN in Maricopa County and can function as the Steering Committee for the development of the Children and Recovering Mothers (CHARM) collaborative; (4) continuing to work collaboratively with the Arizona Department of Health Services on prevention and response strategies at the state and local level on efforts including facilitation of targeted Naloxone distribution and data surveillance; (5) expanding navigation and care coordination within the Maricopa County adult jail system; (6) developing system-level supports to link incarcerated children at high risk for opioid misuse with care both inside and outside of the juvenile justice system; (7) supporting our faith-based community with evidence-based training and resources to better serve individuals and families struggling with OUD; (8) working with community providers to identify mechanisms to reach more people with Hepatitis C; and (9) assisting community providers and organizations with planning training programs for opioid use treatment in un
derserved populations. Measureable surveillance objectives to reduce OUDs and opioid-related deaths will include: developing and implementing investigation protocols for Hepatitis C virus (a proxy for injection drug use) and suspect opioid overdose and assessing the health and experience of people who use opioids and other drugs by conducting a series of community surveys within hi-risk populations. Surveillance activities will be used to identify gaps in linkages to care, inform prevention outreach efforts, and increase understanding of the impact of linkage to care initiatives on health outcomes. Measurable prevention objectives to reduce OUDs and opioid-related deaths will include: Increasing the capacity of the PDMP to increase application of data to drive prevention and response activities between state and local efforts; establishing a local, Substance Exposed Newborns (SEN) Prevention taskforce to increase understanding of context, resources, and needs in Maricopa County to reduce incidence of SEN; increasing local and state capacity for sustainable surveillance and prevention efforts; increasing awareness and coordination of linkages to care, and increased referrals to and engagement in evidence-based treatment, originating from Faith Based Organizations (FBOs), the Juvenile Justice System, and Correctional Health Services; increasing understanding of context, resources, and needs for HCV treatment in Maricopa County; and increasing the number and proportion of locally trained providers on opioid related topics. Target populations for this funding opportunity will include, at minimum: individuals with OUD (children and adults involved in the justice system, those in the faith-based community); pregnant and parenting women with OUD; families whose loved ones are struggling with OUD; and providers serving residents with OUD.