California

The goal of Reach Out's RCORP MAT Access Morongo Basin Project is to improve health care in the Morongo Basin of San Bernardino County, California by establishing three new MAT access points and increasing the capacity for sustainable MAT service provision. The target population for this grant is Morongo Basin residents with low socioeconomic status and high housing insecurity. These problems, while already prevalent in the region, have been exacerbated by the economic effects of COVID-19 and the increasing cost of living due to National Park tourism.

Our project will leverage the resources of core community institutions to reduce the incidence and impact of Neonatal Abstinence Syndrome (NAS) on the rural Northern California coast. Humboldt County's reported NAS rate of 13.5 per 1,000 is over five times as high as the state (2.5 per 1,000), and the County has the highest number of adults reporting adverse childhood experiences (ACEs). Additionally, the reported rate of perinatal SUD in Humboldt County is 3.7 times the state average.

CORE aims to stem the proliferation of opioid use and opioid-related deaths in Robeson County by enhancing community awareness regarding harm reduction and increasing access to Naloxone and referral services. This approach seeks to support changes in individual, interpersonal, community-based, and structural factors influencing overdose causes and access and proper use of Naloxone.

This proposed project would increase community members’ access to substance use treatment, behavioral health treatment, and group therapy support. A licensed clinical social worker (LCSW) will lead billable clinical groups, with the goal of progressively increasing services to ultimately provide intensive outpatient programming (IOP). Groups and peer interactions will promote a philosophy of hope & healing, aim to reduce stigma, honor the lived experience, and promote the formation of supportive relationships that may continue outside the clinical setting.

Ampla Health's CSOE will provide access to prevention, intervention, treatment, and recovery resources/services for individuals who are at risk for, have been diagnosed with, and/or are in treatment and/or recovery for SUD or OUD who reside in HRSA-designated rural areas. The target population is 3,758 current patients, 20-75 years of age that have been diagnosed and/or prescribed opioids on the electronic health record (EHR) of the 84,195 unduplicated patients.

The Safe Communities Coalition will focus on serving individuals who are at risk for, have been diagnosed with, and/or are in treatment and/or recovery for psychostimulant disorders; their families and/or caregivers; and chronically marginalized and underserved populations, including but not limited to: Racial and ethnic minorities; low-income populations; pregnant women; transition age youth; and people experiencing homelessness.

Leverage reestablished relationships to address the disparity of how many people are reaching out to the Native Exchange; the native exchange is a consortium with in the tribes that provides resources i.e. health insurance, resource expansion etc., these exchanges are Pinoleville Pomo Nation, Sherwood Band of Pomo Indians with assistance from MCAVHN Care and Prevention, Mendocino County Behavioral Health and Recovery Services, and Arlene and Michael Rosen Foundation.

Our OPIOID Addiction and NAS Project proposes that our perinatal, neonatal, and OUD specialists at UC Davis (the hub of our ECHO Clinical model), collaborate with the consortium of community partners and five rural hospitals (the spokes in the ECHO model).