H79SP082726

PDO - Missouri's PDO 2.0 Project will prevent overdoses by training and equipping overdose first responders - primarily peer specialists and community health workers - to administer naloxone, interact compassionately and effectively with people who use drugs, and connect people to appropriate treatment and recovery services. This project will also expand a novel mail-based naloxone program, reaching high-need individuals in Missouri's rural and low-resourced areas.

In 2018 and 2019, more than 60% of Missouri's overdose deaths occurred in one of three metropolitan regions (St. Louis, Kansas City, and Springfield). An additional 25% occurred in a high-need predominantly rural corridor running along Missouri's Interstate-44. Initial figures suggest COVID-19 has caused a devastating 30% increase in overdose deaths from 2019 to 2020.

The proposed project, PDO 2.0, will reduce the number of fatal opioid overdoses in Missouri and facilitate treatment and recovery service referrals for overdose survivors. The primary population served will be individuals who use opioids and are most at risk of experiencing or witnessing an overdose. In Missouri, this highest risk group includes people who are Black (particularly Black males who have the highest overdose rates of any group in Missouri), those living in one of the six urban or 11 rural counties with the most overdose deaths, and people who lack access to financial, housing, healthcare, and transportation resources.

We plan to reach these individuals largely by working through the expanding workforce of peer specialists and community health workers, hiring expert consultants with lived substance use experience to train others and conduct street outreach work, and expanding a mail-based naloxone program.

The five primary goals of the PDO 2.0 program are to:

1) Identify Gaps: Assess and identify existing infrastructure and gaps, referral capacity, and training needs of overdose first responders and frontline workers in Missouri, especially in regions with the largest number of overdose deaths;

2) Create New Training: Develop and implement new in-person and virtual drug user health, harm reduction, and skills training for peer specialists and community health workers;

3) Disseminate Existing Training: Expand dissemination of existing in-person and virtual OEND training curriculum for broad audiences of overdose first responders;

4) Distribute Naloxone: Increase naloxone distribution in high-need areas with insufficient access through direct supplies and a mail-order program;

5) Facilitate Service Referrals: Increase knowledge and capacity for referrals to appropriate treatment and recovery services for overdose survivors and others at risk of adverse events.

Per year, we plan to train over 1,950 people (9,400 total), distribute over 4,200 naloxone kits (22,000 total), contribute to over 600 naloxone administrations (3,000 total), and refer 135 people to substance use services (675 total).

The Missouri Department of Mental Health will lead this program in partnership with the University of Missouri-St. Louis-Missouri Institute of Mental Health, PREVENTED, the Missouri Network for Opiate Reform and Recovery, and community partners across the state.

Missouri Department Of Mental Health

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

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

Division of Grants Management [HHS - SAMHSA]

Jefferson City, Missouri 65101 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 402% from $850,000 to $4,265,381.