H79SP082723

Puerto Rico Prevent Prescription Drug/Opioid Overdose-Related Deaths (PR-PDO) - The Mental Health and Anti-Addiction Services Administration of Puerto Rico will implement a Preventing Prescription Drug/Opioid Overdose-Related Deaths (PR-PDO) project to reduce overdose deaths among at-risk adults. The project aims to achieve this by training traditional and new first responders (FR) and key community sectors on prevention strategies, including the management and use of naloxone. Additionally, a stakeholder advisory council will be created. Trainings of trainers (TOT) will be conducted to reach a broader audience. The project will be implemented territory-wide, with an emphasis on areas of high overdose prevalence.

The goals and objectives of the project demonstrate the annual and project lifetime numbers of persons to be served:

Goal 1 - Prevent prescription drug/opioid overdose deaths by preparing FR and service providers of community sectors (elderly caregivers, pre-service clinicians, school and university counselors and social workers, among others) to recognize symptoms and administer naloxone injections.

Objective 1.1 - Train 750 individuals in year 1 and 1,000 FR and key sectors representatives in years 0-04 in areas of need identified in a needs assessment to be carried out in the first quarter of year 1.

Objective 1.2 - Provide 40 trainings annually to behavioral health and medical professionals, pre-service clinical students, state security and corrections officials, municipal emergency management staff, school and university counselors, elderly home staff, and community-based organization staff who work with at-risk populations.

Objective 1.3 - Provide TOT to 12 professionals a year in settings serving prescription drug/opioid users.

Objective 1.4 - Achieve that 85% of trainees report knowledge and skill increases on naloxone use.

Objective 1.5 - Distribute 1,500 naloxone kits a year to trained FR in targeted communities of high need.

Goal 2 - Reduce the number of overdose deaths of individuals who misuse medications by educating individuals, families, and associates on risks, treatment alternatives, and intervention strategies.

Objective 2.1 - Educate, through community outreach, 200 family members and caregivers of populations at risk per year about overdose prevention and response using naloxone kits.

Objective 2.2 - Achieve linkage to substance abuse treatment of 25% of FR-identified persons with an opioid drug addiction.

Objective 2.3 - Develop a service navigation unit to receive referrals and connect persons to substance abuse treatment.

Goal 3 - Strengthen prevention capacity and infrastructure at the state and community levels.

Objective 3.1 - Disseminate culturally/linguistically appropriate protocols for overdose interventions.

Objective 3.2 - Create and facilitate a PDO advisory council of governor-appointed members.

Objective 3.3 - Achieve, by year 3, legislation permitting distribution of naloxone by local pharmacies.

Objective 3.4 - Provide capacity building services to community-based organizations starting their own overdose education and naloxone administration programs.

Objective 3.5 - Monitor and update the current surveillance system, including the number of fatal and non-fatal opioid events by municipality, number reversed, and referrals for and use of substance abuse treatment after events.

Objective 3.6 - Identify alternate and stable funding sources to ensure program sustainability.

The project is for five years and requests $850,000 per year for contracted staff and supplies.

Administracion De Servicios De Salud Mental Y Contra La Adiccion

NOT APPLICABLE

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Puerto Rico United States

State-Wide

Grants to Prevent Prescription Drug/Opioid Overdose-Related Deaths (SP-21-002)

Amendment Since initial award the total obligations have increased 302% from $850,000 to $3,415,381.