Kentucky

Purchase District Health Department

Project Summary

Purchase District Health Department (PDHD) is located in far western Kentucky and will serve all eight counties (Ballard, Carlisle, Calloway, Graves, Hickman, Fulton, Marshall, and McCracken) of the region through the RCORP-Overdose grant. Far western Kentucky has counties with poorer health outcomes, higher rates of poverty, lower educational attainment, is a health professional shortage area, has limited access to care and transportation, and higher rates of STDs/STI and drug arrests than the state of Kentucky. To address these barriers and needs PDHD will create a Harm Reduction Integrated Community Hub that will serve those with an SUD/OUD through wrap around services which include STD/STI testing and counseling, referral for treatment of STD/STIs and prevention of STDs/STIs, assistance in accessing treatment for SUD/OUD through an onsite telehealth hub and when need for in person and/or inpatient SUD/OUD , coordination for Medicaid applications for the uninsured, access to harm reduction supplies including overdose reversal supplies, and access to a Peer Support Specialist (PSS) for both individual and group services. The PSS will provide community outreach and education, and travel to areas where the need is greatest when not at the Harm Reduction Integrated Community Hub. Purchase District Health Department (PDHD) is part of a greater network and the backbone of the Purchase Area Health Connections. Through these established relationships PDHD has partnered with 2 local regional hospital, a sheriff's department, a community mental and behavioral health center, a Ryan White provider, and a recovery community center to implement this project.

Intended Audience

Race/Ethnicity

White
Black/African-American

Health Status

People with/at risk for OUD or SUD
People who inject drugs
People with/at risk for co-occurring conditions (mental illness, eating disorders, etc.)
People in recovery from OUD/SUD

Health Access

Uninsured or underinsured
Medicaid or Medicare recipients
Medically underserved

Special Populations

People Who Use Drugs

Activities

Activities

Community-Based Screenings

Providing community-based screenings for SUD/OUD and related infectious disease

Harm Reduction

Purchasing and distributing naloxone, fentanyl test strips or other relevant supplies within the target rural service area

Infectious Disease Services

Establishing services to reduce transmission of infectious diseases, such as, but not limited to, hepatitis A and B vaccinations, pre- and post-exposure prophylaxis for HIV, hepatitis C treatment, etc.

Peer Recovery Supports

Training peer recovery support specialists and coordinating placements in local SUD/OUD service delivery sites, such as emergency departments, primary care, jails/prisons, behavioral health care clinics, etc.

Social Services

Establishing social services to support individuals in recovery, such as childcare services during doctor’s appointments, transportation to treatment and counseling, connections to recovery friendly employment opportunities, etc.

SUD/OUD Care Delivery Sites

Establishing, improving, or expanding physical SUD/OUD care delivery sites, including through, but not limited to, conducting minor renovations, purchasing a mobile unit for providing/expanding access to treatment, etc.

Telehealth

Improving capacity for and access to telehealth treatment services for SUD/OUD

Training: Behavioral & Non-Behavioral Health Providers

Offering certification, formalized training programs, and/or professional mentorship to enhance providers' ability to care for individuals with SUD/OUD, such as, Peer Recovery Coach certification, Medication Assisted Treatment waiver training, and Project ECHO

Counties Served

Counties Served
Ballard County, KY
Calloway County, KY
Carlisle County, KY
Fulton County, KY
Graves County, KY
Hickman County, KY
Marshall County, KY
McCracken County, KY