NH28CE003540

Overdose prevention and surveillance activities driven by data, community partnerships, and a focus on health equity. - Applicant organization: Maricopa County Department of Public Health. Address: 4041 N. Central Ave, Phoenix AZ 85012. Program director: Earl Harris. Phone: 602-526-5822. Email: EARL.HARRIS@MARICOPA.GOV. Website: www.maricopa.gov/publichealth.

Maricopa County is the fourth largest and fastest growing county in the United States, with a population of 4.4 million residents. In 2021, Maricopa County reported 1,963 overdose deaths and 12,167 nonfatal overdoses.

The component a goal of the Maricopa County Department of Public Health’s Overdose Data to Action Project is to use data to drive actions decreasing nonfatal and fatal drug overdoses, overall and especially among disproportionately affected and underserved populations within the community, public safety and healthcare system settings.

The proposed activities for this project will build on existing local and state efforts to reduce OUD/SUD, overdoses and deaths by: deploying peer navigators in community (homeless service centers and OUD focused settings), public safety jail settings, and community health care center healthcare systems; establish and implement an Opioid Fatality Review Board; expand use of Journey.Do storytelling and linkage to care web application; within community, public safety and healthcare systems settings, MCDPH will expand harm reduction and overdose prevention education including use of harm reduction vending machines to distribute harm reduction items to people who use drugs; continue to work collaboratively with the Arizona Department of Health Services and Arizona Medicaid Program to facilitate data surveillance and targeted naloxone distribution, particularly among people who use drugs and are at high risk for overdose; reduce stigma with evidence-based and trauma informed training and education for faith based communities; public safety juvenile probation settings and among obstetrician (OB) and family practitioners that are part of the healthcare system to better support individuals and families struggling with OUD; support implementation of evidence-based care aligned with CDC clinical practice guidelines for prescribing opioids for pain and the evidence based 4P’s+ screening tool in clinical settings and healthcare systems; and improve drug overdose surveillance morbidity and mortality infrastructure through automation and increased reporting frequency.

Evaluation outcomes include: (1) decrease fatal and non-fatal overdoses; (2) increase use of navigators to link PWUD/SUD to care, services and harm reduction; (3) increase equitable delivery and improved access to services for overdose prevention. Enhance ability of programs to respond to overdose trends for groups disproportionately affected by overdose; (4) improve identification, outreach, and engagement of individuals in need of SUD services; increase data sharing and data use that informs overdose prevention and response effort; (5) increase the number of sustainable partnerships mobilized to prevent drug overdoses as evidenced by consistent bidirectional referrals, resource sharing, or data sharing; (6) increase the number of PWUD in care and harm reduction, decrease illicit opioid and stimulant use, including polysubstance, decrease prevalence of OUD and SUD.

Target populations for this funding opportunity include, at minimum: individuals with SUD & OUD (children and adults); people involved in the justice system; those in faith-based communities; unstably housed individuals with OUD; LGBTQ+; pregnant and parenting people with OUD; and families whose loved one struggle with OUD.

County Of Maricopa

NOT APPLICABLE

93.136 - Injury Prevention and Control Research and State and Community Based Programs

CDC Office of Financial Resources (OFR) [HHS - CDC]

Center for State, Tribal, Local, and Territorial Support (CSTLTS) [HHS - CDC]

Maricopa, Arizona United States

County-Wide

Overdose Data to Action: Limiting Overdose through Collaborative Actions in Localities (OD2A: LOCAL) (CDC-RFA-CE-23-0003)

Amendment Since initial award the total obligations have increased 200% from $2,892,500 to $8,677,500.