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State Opioid Response (SOR) GrantBuilding a Strategy for
West Virginia
Christina Mullins CommissionerElliott Birckhead Acting Deputy Commissioner
Rebecca Roth Office DirectorNikki Tennis Office Director
Beth Morrison STR Program ManagerBureau for Behavioral Health
November 2018
West Virginia Versus United States
115129
151
188223 204 224
257 259289
363
320 322355
415
520
6882 89 94 101
115 119 119 119 123 132 131 138147 163
198
00
100
200
300
400
500
600
2001200220032004200520062007200820092010201120122013201420152016
Per
100000
2001-2016 Resident Drug Overdose Mortality RatesWest Virginia and United States
WV
Source WV Department of Health and Human Resources Health Statistics Center Vital Surveillance System and CDC WonderRates are age-adjusted to the 2000 US Standard Million
1
Overdose Rates by County
2Source httpsopioidmisusetoonorcorgutm_source=amputm_medium=emailamputm_campaign+18356
Vulnerable Counties At-Risk of Outbreaks
3Source httpswwwcdcgovpwidvulnerable-counties-datahtml
Findings from Fatality Analysis
4
Challenges of the Opioid Epidemic
5
255 million adults have pain every day Opioids are overprescribed not effective for chronic pain More than 2 million Americans are addicted to opioids Most started with prescription medicines
Medication Assisted Treatment (MAT) is available for opioid use disorders andto preventreverse overdose MATs are drastically underutilized Duration of treatment needed is not well understood
Research has revolutionized our understanding of addiction and pain Alternatives to treat addiction and overdose are limited New non-addictive pain medicines are urgently needed
Nora D Volkow MD DirectorNational Institute on Drug Abuse
Source httpswwwnichdnihgovsitesdefaultfiles2018-01201801_volkow_nichd_opioidspdf
Three Major Categories of Response
6
Prevention amp Early
InterventionTreatment Recovery
Supports
Stakeholder Collaboration
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
West Virginia Versus United States
115129
151
188223 204 224
257 259289
363
320 322355
415
520
6882 89 94 101
115 119 119 119 123 132 131 138147 163
198
00
100
200
300
400
500
600
2001200220032004200520062007200820092010201120122013201420152016
Per
100000
2001-2016 Resident Drug Overdose Mortality RatesWest Virginia and United States
WV
Source WV Department of Health and Human Resources Health Statistics Center Vital Surveillance System and CDC WonderRates are age-adjusted to the 2000 US Standard Million
1
Overdose Rates by County
2Source httpsopioidmisusetoonorcorgutm_source=amputm_medium=emailamputm_campaign+18356
Vulnerable Counties At-Risk of Outbreaks
3Source httpswwwcdcgovpwidvulnerable-counties-datahtml
Findings from Fatality Analysis
4
Challenges of the Opioid Epidemic
5
255 million adults have pain every day Opioids are overprescribed not effective for chronic pain More than 2 million Americans are addicted to opioids Most started with prescription medicines
Medication Assisted Treatment (MAT) is available for opioid use disorders andto preventreverse overdose MATs are drastically underutilized Duration of treatment needed is not well understood
Research has revolutionized our understanding of addiction and pain Alternatives to treat addiction and overdose are limited New non-addictive pain medicines are urgently needed
Nora D Volkow MD DirectorNational Institute on Drug Abuse
Source httpswwwnichdnihgovsitesdefaultfiles2018-01201801_volkow_nichd_opioidspdf
Three Major Categories of Response
6
Prevention amp Early
InterventionTreatment Recovery
Supports
Stakeholder Collaboration
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Overdose Rates by County
2Source httpsopioidmisusetoonorcorgutm_source=amputm_medium=emailamputm_campaign+18356
Vulnerable Counties At-Risk of Outbreaks
3Source httpswwwcdcgovpwidvulnerable-counties-datahtml
Findings from Fatality Analysis
4
Challenges of the Opioid Epidemic
5
255 million adults have pain every day Opioids are overprescribed not effective for chronic pain More than 2 million Americans are addicted to opioids Most started with prescription medicines
Medication Assisted Treatment (MAT) is available for opioid use disorders andto preventreverse overdose MATs are drastically underutilized Duration of treatment needed is not well understood
Research has revolutionized our understanding of addiction and pain Alternatives to treat addiction and overdose are limited New non-addictive pain medicines are urgently needed
Nora D Volkow MD DirectorNational Institute on Drug Abuse
Source httpswwwnichdnihgovsitesdefaultfiles2018-01201801_volkow_nichd_opioidspdf
Three Major Categories of Response
6
Prevention amp Early
InterventionTreatment Recovery
Supports
Stakeholder Collaboration
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Vulnerable Counties At-Risk of Outbreaks
3Source httpswwwcdcgovpwidvulnerable-counties-datahtml
Findings from Fatality Analysis
4
Challenges of the Opioid Epidemic
5
255 million adults have pain every day Opioids are overprescribed not effective for chronic pain More than 2 million Americans are addicted to opioids Most started with prescription medicines
Medication Assisted Treatment (MAT) is available for opioid use disorders andto preventreverse overdose MATs are drastically underutilized Duration of treatment needed is not well understood
Research has revolutionized our understanding of addiction and pain Alternatives to treat addiction and overdose are limited New non-addictive pain medicines are urgently needed
Nora D Volkow MD DirectorNational Institute on Drug Abuse
Source httpswwwnichdnihgovsitesdefaultfiles2018-01201801_volkow_nichd_opioidspdf
Three Major Categories of Response
6
Prevention amp Early
InterventionTreatment Recovery
Supports
Stakeholder Collaboration
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Findings from Fatality Analysis
4
Challenges of the Opioid Epidemic
5
255 million adults have pain every day Opioids are overprescribed not effective for chronic pain More than 2 million Americans are addicted to opioids Most started with prescription medicines
Medication Assisted Treatment (MAT) is available for opioid use disorders andto preventreverse overdose MATs are drastically underutilized Duration of treatment needed is not well understood
Research has revolutionized our understanding of addiction and pain Alternatives to treat addiction and overdose are limited New non-addictive pain medicines are urgently needed
Nora D Volkow MD DirectorNational Institute on Drug Abuse
Source httpswwwnichdnihgovsitesdefaultfiles2018-01201801_volkow_nichd_opioidspdf
Three Major Categories of Response
6
Prevention amp Early
InterventionTreatment Recovery
Supports
Stakeholder Collaboration
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Challenges of the Opioid Epidemic
5
255 million adults have pain every day Opioids are overprescribed not effective for chronic pain More than 2 million Americans are addicted to opioids Most started with prescription medicines
Medication Assisted Treatment (MAT) is available for opioid use disorders andto preventreverse overdose MATs are drastically underutilized Duration of treatment needed is not well understood
Research has revolutionized our understanding of addiction and pain Alternatives to treat addiction and overdose are limited New non-addictive pain medicines are urgently needed
Nora D Volkow MD DirectorNational Institute on Drug Abuse
Source httpswwwnichdnihgovsitesdefaultfiles2018-01201801_volkow_nichd_opioidspdf
Three Major Categories of Response
6
Prevention amp Early
InterventionTreatment Recovery
Supports
Stakeholder Collaboration
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Three Major Categories of Response
6
Prevention amp Early
InterventionTreatment Recovery
Supports
Stakeholder Collaboration
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Prevention
7
bull Increase access to and utilization of preventionintervention strategies to reduce the impact of opioid use disorder
Initiation of use
Misuse
Related Harm
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Substance Use Prevention
8
bull Six regional Prevention Lead Organizations (PLOs) and 55 county coalitionsdevelop and implement prevention strategies using SAMHSArsquos StrategicPrevention Framework (SPF)
bull Examples of prevention work Coalition Meetings Evidence-based programs in schools (eg Too Good for Drugs) Support and expansion of student leadership groups such as Students
Against Destructive Decisions (SADD) Help and Hope WV and Stigma Free WV websites and social marketing
campaigns and Work to change community norms and local and state policies to prevent
substance use and stigma (eg promotion of harm reduction initiatives)
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
9
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
10
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Training and Professional Development
Examplesbull Physician education about opioid prescribing via ldquoacademic
detailingrdquo as well as several conference presentationsbull Conferences Annual Appalachian Addiction and Prescription Drug Abuse
Conference Annual WV Addiction Training Institute Caring for Pregnant amp Parenting Women with Opioid Use
Disorder and Their Infantsbull Addiction medicine and response incorporated into curricula of
students in medicine nursing psychology counseling socialwork
11
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Harm Reduction Strategies
12
bull Harm Reduction Clinics Informational brochures Syringe Exchange programs Referral to resources and treatment
bull Naloxone Deployment Naloxone covered by Medicaid Naloxone Training Naloxone for emergency responders treatment providers
etcbull Quick Response Teams (QRT)bull Long Acting Reversible Contraception (LARC)
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Treatment
13
bull Increase access and utilization of high quality evidence-basedtreatment services
Treatment on demand
Systems of Care
Evidence-based
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Increased Access and Utilization of Evidence-Based MAT
14
bull Medication Assisted Treatment (MAT) Access to all three types of medication Combined with counseling case management mutual
support groups
bull Emergency Room induction of Buprenorphinebull Office Based MATbull Hub and Spoke expansionbull Integrated obstetrics programsbull Residential Treatment programs
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Access to Evidence Based Treatment
15
bull Linkage to treatment through QRTs and Law EnforcementAssisted Diversion (LEAD) programs
bull Buprenorphine (Suboxone) access with DATA 2000 Waiverbull Naltrexone (Vivitrol) accessbull Methadone clinics (Opioid Treatment ProgramOTP) now
providing buprenorphine and naltrexonebull ASAM levels of care introduced through Medicaid
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Recovery
16
bull Increase access and utilization of MAT-friendly recoverysupport services to promote long term recovery
Continuing Care
Recovery Support Services
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Select Recovery Support Strategies
17
bull Peer Operated Recovery Residencesbull Peer Recovery Coaches
Justice-involved individuals re-entering the community PregnantPostpartum Women Overdose survivors
bull Mutual support groupsbull Expand workforce of Peer Support SpecialistsRecovery Coaches and
Community Engagement Specialists and their supervisors who havespecialized training in working with the Opioid Use Disorder (OUD)population
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Experience to Build On
18
bull Cabell County experiencebull OUD prevention in Strategic Planning Frameworkbull MAT Hub and Spoke including COATbull QRT and LEADbull PROACT Project ENGAGEbull Motivational Interviewing skills (MI) Trauma-responsive Care amp
Systems Mental Health First Aid (MHFA)bull Peers
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Current Capacity ndash Emergency Response
19
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Current Capacity ndash BBH Detoxification and Treatment
20Not confirmed MAT providers
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Current Capacity ndash BBH Recovery Residences
21Not confirmed ldquoMAT friendlyrdquo
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Ryan Brown Programs
22
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Services for PregnantPostpartum Women
23
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Veterans Administration ndash WV SUD Managers
24
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Distribution of MAT by County
25
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
State Opioid Response Grant (SOR)
26
How the Funds Can Be Usedbull Increase access to MAT (methadone
buprenorphine naltrexone)bull Reduce unmet treatment need (medication and
psychosocial interventions)bull Reduce opioid overdose-related deaths through
prevention treatment and recovery activities for OUD
WV has been awarded $28 million per year for 2 years
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Federal Funding to Expand the OUD System of Care
27Source httpswwwrdusdagovfilesRuralResourceGuidepdf
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Integrating Multiple Resources
28
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
SOR Implementation Timeline
29
9302018Funds
Received
10152018SAMHSA Response Submitted
10192018 PDs
Submitted
1152018 -112012018
Regional Meetings
11302018 Target Date for Medical Schools
and DMAPs
1212018Target Date for
AFA Release
12302018Select Services
Begin (Med Schools DMAPs
etc)
10312018 Revised Budget
Submitted
1112018AFAs Drafted
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
SOR Required Activities - Part 1
30
bull Implement service delivery models that enable a full spectrum of treatment and recovery services that result in Positive treatment outcomes Long-term recovery
bull Implement community recovery support services Peer supports Recovery coaches Recovery housing
bull Implement prevention and education services including Training of peers and first responders on recognition and response to
overdose Community preventions efforts through messaging Purchase and distribution of naloxone with training on usage
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
SOR Required Activities ndash Part 2
31
bull Ensure that all applicable practitioners obtain a DATA waiver
bull Develop strategies to eliminate or reduce the treatment costs for the uninsured and underinsured
bull Provide treatment transitions and coverage for patients reentering the community from criminal justice or rehabilitative settings
bull Provide SAMSHA-funded Opioid Technical Assistance and Training (TAT) on evidence-based practices to healthcare providers in the state who render services
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
SOR Allowable Activities
32
bull Address the barriers to receiving MAT by Reducing cost of treatment Developing innovative systems of care to expand access to
treatment engage and retain patients in treatment Addressing discrimination associated with accessing
treatment or limiting treatment Supporting long term recovery
bull Support innovative telehealth strategies in rural and underserved areas
bull Develop and implement tobacco cessation programs activities and other strategies
bull Collaborate and coordinate with Ryan White HIVAIDS Program to coordinate for provision of HIV care and treatment services
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
SOR Data Requirements
33
bull Report client-level data (GPRA) on elements including but not limited todiagnosis demographic characteristics substance use services receivedtypes of MAT received length of stay in treatment employment statuscriminal justice involvement and housing
bull Data will be collected via a face-to-face interviews using this tool at four datacollection points intake to services three months post intake six months post intake and at discharge
bull Recipients will be expected to do a GPRA interview on all clients in theirspecified unduplicated target number and are also expected to achieve athree-month follow-up rate of 80 percent and a six-month follow-up rate of80 percent
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
SAMHSArsquos SOR Statement on Detox
34
bull The only time in which detox is indicated for Opioid UseDisorder is when an individual is ldquoaccompanied byrdquonaltrexone (Vivitrol)
bull Per SAMHSA ldquoMedical withdrawal (detoxification) is not thestandard of care for OUD is associated with a very highrelapse rate and significantly increases an individualrsquos riskfor opioid overdose and death if opioid use is resumedrdquo
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
SOR Evidence-Based Practice
35
bull Confirm access to Buprenorphine Naltrexone and Methadone
bull ldquoGrantees must assure that clients will not be compelled to nolonger use MAT as part of the conditions of any programming ifstopping is inconsistent with a licensed prescriberrsquosrecommendation or valid prescriptionrdquo
bull ldquoIn selecting an EBP be mindful of how our choice of an EBP orpractice may impact disparities in service access use andoutcomes for our population(s) of focus While this is importantin providing services to all populations it is especially critical forthose working with underserved and minority populationsrdquo
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Evidence-Based Practices Resource Center (SAMHSA)
36Source httpswwwsamhsagovebp-resource-center
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
MAT Overview (SAMHSA)
37Source httpswwwintegrationsamhsagovclinical-practicematmat-overview
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
MAT Overview - Trainings (SAMHSA)
38Source httpswwwintegrationsamhsagovclinical-practicematmat-overviewtrainings
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Person-Centered Care Priority Populations
39
bull Injection Drug Usersbull Pregnant and Postpartum Women (and their children)bull Justice-involved Individuals returning to the communitybull Individuals who identify as LGBTQbull Veterans
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Meeting Grant Timeframes
40
Initiating services within three months of grant award (Oct 1)
bull Award to WVU and Marshall to enhance capacity to support MAT Hub ampSpoke models across the state
bull Award to WV Medical Schools to expand clinical capacity to implementMAT statewide including therapists across settings
bull Award to DMAPS to initiate MAT in regional jails and facilitate continuityof treatment and recovery supports upon community re-entry
bull Awards to prevention coalitions to initiate and sustain selected andindicated OUD prevention strategies for priority populations
bull Award for stigma reduction campaign using evidence-based socialmarketing strategies
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
And now for the rest of the story
41
bull Opportunities to support priority populations through access to MAT and MAT-friendly recovery supports
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Increasing Access to MAT
42
Whatrsquos the path to access evidence-based opioid use disorder care county by county
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Building on Three Major Categories of Response
43
Prevention amp Early
InterventionTreatment Recovery
Supports
bull Using the lens of the individuals described earlier (prioritypopulation examples)
bull Focusing on high need geographic areasbull Building on existing evidence-based MAT capacitybull Addressing gaps in servicebull Assuring formal agreements for referrals and ldquowarm handoffsrdquo
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Improving Access Opportunities for Partnership
44
Since its launch the hotline has
received
23252calls
The HELP4WV Call Line launchedon September 9 2015 to supportcallers seeking assistance withsubstance use or mental healthissuesbull 8354 AccessNavigation
Intakesbull 7615 Selfbull 463 Familybull 276 Third-Party
bull 14898 General Information
Data as of 6418
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Potential Partners (Examples)
45
bull MAT Programs in Emergency Departments Urgent Care CentersMedExpress Inpatientresidential treatment programs
bull Federally and state regulated Opioid Treatment Programs (methadone clinics)
bull Pharmaciesbull Intensive outpatient programsbull Primary care bull Fairness WV (LGBTQ population)bull WV Perinatal PartnershipWV ACOG (pregnant women)bull Local Public Health Departmentsbull Statewide Harm Reduction Coalition bull Veteranrsquos Administrationbull Ryan White HIVAIDS Programs
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Next Steps
46
bull Announcements of Funding Availability
Source httpsdhhrwvgovbhhfAFAPagesdefaultaspx
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Next Steps
47
bull Process for Submitting QuestionsCommentsSubmit questions in writing to DHHRBHHFAnnouncementwvgovSubject Line SOR Grant
bull Optional Networking Time
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Planning Groups
48
Some ideas for discussion ndash
bull What can you and others working with you do toassure an integrated system response to OUD inyour area to address opioid use disorder withinthe parameters of the SOR grant
bull How can you assure access to evidence-based MATtreatment and recovery services
bull Consider target population geography fillingservice gaps etc
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
Contact
Beth Morrison Program ManagerBureau for Behavioral HealthWest Virginia Department of Health and Human Resources 350 Capitol Street Room 350Charleston WV 25301Email BethJMorrisonwvgov
49
