H79TI084538

IN_FR CARA - The Indiana First Responder - Comprehensive Addiction and Recovery Program will:

1) Provide resources through the Indiana Naloxone Distribution Program for the first responders in rural communities.

2) Train and provide resources to rural first responders and other identified key community sectors on carrying and using naloxone.

3) Expand the Regional Recovery Hub Project for referral to appropriate treatment in recovery communities, including 49 rural counties that represent 22.3% of Indiana's total population. These rural counties account for 18.1% of all opioid overdose deaths in Indiana.

Various social determinants of health demonstrate the increasing need for support in these counties, with many rural counties experiencing higher rates than the Indiana average of the percent of population living in poverty, percent of the population without a high school diploma, and higher proportions of underserved populations. Higher rates of naloxone use are also seen in these rural counties according to EMS registry reports. In 2020, 20% of naloxone uses that were reported through the EMS registry occurred in rural counties.

Goal 1: The Naloxone Distribution Program for first responders aims to expand capacity by distributing naloxone in rural areas to first responders through a grants process. Applications will be collected on a rolling basis through the online program REDCap. Applicants will be required to report data through the Indiana Department of Health (IDOH) and Emergency Medical Services (EMS) registry. IDOH will partner with Indiana University to include a postcard survey that must be returned after an overdose event. The measurable objectives include expanding naloxone distribution/use and increasing program capacity by promoting the program across multiple platforms.

Goal 2: The IDOH will train first responder agencies on naloxone administration, stigma, Indiana naloxone legislation, and the risks of illicit/prescription opioids. The measurable objectives include the number of naloxone trainings to first responders and attitudes/behaviors around naloxone through the pre/post questionnaire. The IDOH plans to train 800 unduplicated first responders over the entire four years of the grant.

Goal 3: The Regional Recovery Hub Project will focus on expanding current referral to appropriate treatment programs in recovery communities in the identified catchment area. These expansion efforts also include, but are not limited to, receiving referrals from community partners as well as making referrals to community supports and services, increasing connections and partnerships with community corrections county jails, substance use and/or mental health treatment providers, opioid treatment providers, and obtaining and distributing naloxone. The measurable objectives include the number of referrals and expansion projects successfully completed, and the number of responses to requests for services.

Indiana Department Of 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]

Indiana United States

State-Wide

First Responders-Comprehensive Addiction and Recovery Act Grants (TI-21-009)

Amendment Since initial award the total obligations have increased 300% from $800,000 to $3,200,000.