H79TI084168

Project Colorado Opioid Synergy-Larimer and Weld (CO-SLAW) - Project Colorado Opioid Synergy - Larimer and Weld (COSLAW), is a network of seven OUD treatment providers and a team of integrated care coordinators who support client engagement in MAT and psychosocial treatment across Northern Colorado.

Over 5 years, 600 clients (120 per year) will be served through cross-site collaboration and intensive care coordination. The population of focus is Black, Indigenous, and People of Color (BIPOC) aged 18 and over with OUD, and adults living in rural areas seeking or currently receiving MAT.

COSLAW's geographic catchment area is Larimer and Weld counties, covering 6,651 square miles along Colorado's northern border and home to a growing BIPOC population. Over 20% of people in Larimer identify as BIPOC, while in Weld County, 38.3% identify as BIPOC.

Providers work under a shared care compact and treatment philosophy, and clients can access COSLAW services in many ways, including through an 800 number staffed 24/7/365, Larimer and Weld criminal justice systems, and two area hospital systems.

All clients will receive MAT, evidence-based psychosocial treatment including motivational interviewing, cognitive-behavioral therapy, empowered relief pain management, intensive case management, recovery support services, and peer coaching. They will also be paired with a care coordinator who is reflective of the community. Services are available in person and through telehealth options.

Driven by a racial equity strategy to be developed by Year 2, Month 1, COSLAW will launch an outreach and engagement campaign designed to reach the BIPOC community and educate community organizations about stigma and racism as it relates to substance use treatment.

COSLAW will support the region's capacity to provide high-quality care and improve client outcomes through data waiver trainings. Over the five-year funding period, COSLAW aims to attain the following goals:

1) Increase capacity to provide MAT for people with OUD in Northern Colorado through collaboration and coordination among COSLAW treatment sites and shared care coordination.
2) Initiate MAT and concurrent evidence-based psychosocial (EBP) and recovery support services (RSS) treatment for 600 individuals (120 per year).
3) Initiate MAT in persons experiencing transitions of care from hospital emergency departments (ED), Larimer and Weld County jails, and withdrawal management programs with formal referral into COSLAW.
4) COSLAW leadership will develop, implement, and sustain a regional MAT care coordination center of excellence and innovation to support the care coordination workforce, ensure quality care, and improve client outcomes.

Key outcomes include a 10% increase in enrollment of clients who identify as BIPOC, consistent retention rates of 80% or higher regardless of racial/ethnic group identification, a 60% decrease in the use of illicit drugs and opioids, a 20% decrease in mental health symptoms, a 30% reported improvement in housing, employment, and quality of life as measured by the CSAT GPRA, and a 30% improvement in client satisfaction and perceptions of care as measured by a perceptions of care survey.

North Colorado Health Alliance

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]

Colorado United States

State-Wide

Medication Assisted Treatment - Prescription Drug and Opioid Addiction (TI-21-006)

Amendment Since initial award the total obligations have increased 400% from $524,738 to $2,623,515.