CJOW Updates 10.31.19 State Opioid Workgroup 10/31/2019 1

Criminal Justice Opioid Workgroup (CJOW) State Opioid Response workgroup- quarterly meeting, Oct 31, 2019

Legislative initiatives supportive of strategies under the State Opioid Response Plan

HB 1767- Alternatives to Arrest and Jail (Activity 2.4.4)

One-time funding is provided to create a grant program to support local initiatives to develop or enhance diversion or jail treatment programs for persons who come in contact with the criminal justice system. The Health Care Authority (HCA) has developed a memorandum of understanding with the Criminal Justice Training Commission and the Washington Association of Sherriff’s and Police Chiefs (WASPC) to provide funding for community grants to provide treatment services pursuant to the program.

SB 5380- Opioid Response Bill (Activities 2.4.4, 3.1.8, 2.4.7)

Sec. 27- Criminal Justice Treatment Account (CJTA) Strategic Plans will now have to specifically address the use of Evidence-Based Practice (EBPs), and a region or county must allow the use of any and all Food and Drug Administration (FDA) Approved Medications for the treatment of opioid use disorder if they use CJTA funds to support a Therapeutic court.

Sec. 28- HCA must partner with the Department of Health (DOH) and other State Agencies to replicate effective approaches that will expand access to treatment by connecting certified peer counselors with individuals who have had a nonfatal overdose.

Sec. 29- Funding has been appropriated to the HCA for implementation of a pilot project for a law enforcement assisted diversion (LEAD) expansion project. Under the pilot project, the HCA must partner with the LEAD national support bureau (NSB) to award grant for two or more geographic area in the state of Washington for LEAD Expansion. The pilot projects must provide for comprehensive technical assistance from the NSB and shall adhere to LEAD core principles, the efficacy of which have been demonstrated in peer-reviewed research studies.

Jail Transitional Services (Activities 2.4.3 and 2.4.5)

Funding is provided for mental health services for individuals while they are confined in a city or county jail, and for facilitating access to programs that offer mental health services upon release from confinement. It is the responsibility of the Behavioral Health Organization (BHO)/Administrative Services Organization (ASO) to allocate this funding within their region. The ultimate goal is to develop lines of communication in hopes of better coordinating jail mental health services and Substance Use Disorder (SUD) services.

Criminal Justice Treatment Account (Activity 2.4.7)

Since 2002 the CJTA has provided SUD treatment and Recovery Support Services (RSS) for individuals who have criminal charges filed upon them by a prosecutor or who are in a Drug Court program. Recent efforts are to expand uses to

CJOW Updates 10.31.19 State Opioid Workgroup 10/31/2019 2

include: Medication Assisted Treatment (MAT) in Jail and Recovery Support Services.

Same Day MAT Visit and Transportation from Local Jails (Activities 2.4.3 and 2.4.5)

Funding has been appropriated for incentive payments and transportation funds to help provide immediate access to MAT in the community for previously incarcerated individuals through transportation to a same day appointment. Funding has been appropriated to the HCA to develop a process that will leverage existing Medicaid funding to ensure that there is both transportation from jail to a standing appointment at a community treatment provider. Services are to begin by July 1, 2020.

Law Enforcement, Correctional, and Public Health Collaboration

Sharing Resources and Strategies to Make Communities Safer (Activities 2.4.1 and 2.4.2)

The HCA, in coordination with Washington Association of Sherriff’s and Police Chiefs, has been providing relevant information regarding Medicaid Suspension, grant opportunities, best practices, community resources, technical assistance, and training to Jail Administrators, Chief Deputies, correctional staff, and Problem Solving Courts. In addition, the CJOW frequently identifies areas in which current criminal statutes are preventing accurate response to the needs of the legally involved population.

Technical Assistance for Jails and Law Enforcement (Activities 2.4.1 and 2.4.2)

UW-ADAI and the AIMS Center provide technical assistance to sites participating in the SAMHSA-funded State Opioid Response grant, including five jails across Washington State and the Department of Corrections. Technical assistance can include support for increasing availability of medications for opioid use disorder, the provision of trainings for staff, on-site visits, and ongoing consultation on special topics. In addition, DSHS Office of Forensic Mental Health Services, in support of the Trueblood Settlement, launched a Jail Technical Assistance Program.

Data Collection and Analysis

Research and Data Analysis Collaboration (Goal 4)

Research and Data Analysis Division (RDA) will be expanding the scope of the previously developed Drug Court Dashboard to include all individuals who were booked as a result of criminal activity and have an SUD diagnosis. Some of the outcome measures that will be analyzed are criminal recidivism, employment, and other measures of social determinants of health. In addition, HCA will be working with RDA to develop a plan in support of the various LEAD programs across the state.

CJOW Updates 10.31.19 State Opioid Workgroup 10/31/2019 3

Substance Abuse and Mental Health Services Administration (SAMHSA) WA-PDO Grant

Technical assistance, Overdose training, and Naloxone distribution for law enforcement

WA-Prescription Drug Overdose efforts under Goal 3 of the State Opioid response Plan:

Provided Technical Assistance (TA) to over 80 Law enforcement organizations (LEO) to help them develop and institute naloxone protocols.

More than tripled the number of LEO units in WA State equipped with naloxone. Trained over 1,300 officers and distributed over 3,600 new and refill naloxone kits to 93 LEO units across 35 counties.

o Those 93 units include 84 county sheriffs and municipal police departments, 5 tribal police departments, 2 state agencies, and 2 university police departments.

Maintain the most comprehensive database of law enforcement training and naloxone distribution in WA State with over 1,300 officer surveys and over 100 reports of successful naloxone administrations by law enforcement.

In 2017 and early 2018, UW-ADAI provided technical assistance and training work with the National Association of Drug Court Professionals and countless local drug courts on OD prevention and naloxone distribution programs.

Outcome data:

Grant 2018 2019 (Jan-September)

# officers trained in OD response

578 399

# LEO units 33 23

# counties 14 16

# new kits distributed

691 612

# refill kits distributed

325 1023

Substance Abuse Block Grant (SABG) Funded Naloxone Program

Department of Health’s Naloxone Program

The following efforts support Goal 3 of the State Opioid response Plan:

Maleng Regional Justice Center (MRJC) has distributed 74 naloxone kits and trained 74 individuals on overdose response protocol.

The Swedish Edmonds Emergency Department (ED) had distributed six naloxone kits and trained eight individuals on overdose response protocol.

Cowlitz Fire and Rescue has distributed two naloxone kits and trained two individuals on overdose response through their leave behind program.

Chelan County Regional Justice Center distributed five naloxone kits and trained five individuals on overdose response protocol.

CJOW Updates 10.31.19 State Opioid Workgroup 10/31/2019 4

Mason County Community Services’ Public Health Department has received naloxone for their county jail and other areas in the county.

Department of Health is also partnering with the Public Health Youth Service Center in King County to provide support to incarcerated youth, and are about to implement services in Juvenile Rehabilitation detention facilities (Green Hill School, Echo Glen, et al).

State Opioid Response Grant-

City, County, and Regional Jails in WA Opioid Treatment Networks (OTN).

Benton County Jail

620 Market Street

Prosser, WA 99350

Lt. Joshua Combs,

Joshua.combs@co.benton.wa.us

Number Served: 1023

Franklin County Jail

1016 North 4th Avenue

Pasco, WA 99301

Commander Stephen Sultemeier, ssultemeier@co.franklin.wa.us,

(509) 344-9026

Number Served: 116

Jefferson County Jail

Port Hadlock, WA 98339

David Fortino, Jail Superintendent,

dfortino@co.jefferson.wa.us (360) 344-9743

Number Served: 45

Kitsap County Jail

614 Division Street MS #33

Port Orchard, WA 98366

Lt. Penelope Sapp, psaap@co.kitsapwa.us

(360) 337-4514

Number Served: 113

SCORE

Des Moines, WA 98198

Lt. Jeff Gepner, jgepner@scorejail.org,

(206) 257-6216

Number Served: 74

For more information Contact:

Tony Walton

Criminal Justice Behavioral Health Administrator

Division of Behavioral Health and Recovery

Washington State Health Care Authority

tony.walton@hca.wa.gov

360-725-9992