Driving Under the Influence (DUI)
Medication Assisted Treatment (MAT)
Integration/Outreach Pilot Project
Stakeholder Informing Webinar
February 2019
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Webinar Guidelines
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The DUI MAT Project Team
� Barbara Aday-Garcia, Executive Director
� Janice Forbes, DUI MAT Project Manager
� Michealine Flower, DUI MAT Program Liaison
� CADTP Executive Board Oversite� Craig French� Laura Kantorowski� Karla Hendrix� Jaime Campos
� DHCS� Tracy Langlands� Michelle Meza� Kelly Cowger
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What is the DUI MAT Integration & Outreach Pilot Project?
� One of 26 Projects included in the Medication Assisted Treatment (MAT) Expansion Project 2.0 – managed by The Department of Health Care Services (DHCS)
� Funded through State Opioid Response (SOR) grant made possible through a grant by The Substance Abuse and Mental Health Administration (SAMHSA)
� DHCS released an RFA last October to select a Contractor to develop and manage the project
� CADTP applied and was awarded the contract, effective January 1, 2019� The length of the contract is fixed and will end September 29, 2020
� CADTP will work with DHCS to select up to 27 DUI Program Subcontractors with a projected start date of May 1, 2019
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DUI MATInforming Webinar
Table of Contents
BACKGROUND AND OVERVIEW
THE DUI MAT PILOT PROJECT
THE APPLICATION PROCESS
PROJECT TIMELINES
RESOURCES Q & A
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Background and Overview
The Big Picture
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A National Crisis
47,600 opioid related deaths in 2017, nationwide
Currently an average of 130 people per day die of an opioid related cause
*Source: Center for Disease Control
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• 38% tested positive for some form of marijuana
• 16% tested positive for opioids
• 4% tested positive for both marijuana and opioids
The publication also highlights the frequency of poly-drug use
Funded by the Foundation for Advancing Alcohol Responsibility (Responsibility.org), the report found that among drug-tested fatally-injured drivers in 2016:
The Opioid Crisis and DUI
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Opioid Epidemic in
California
In 2017 California had…
� 2,196 opioid overdose deaths
� 429 fentanyl overdose deaths
� 4,281 opioid overdoes ED visits (excluding heroin)
� 21,787,042 opioid prescriptions
Source: California Opioid Overdose Surveillance Dashboard
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California DeathsTotal Population – 2017
Source: California Opioid overdose Dashboard
County Rates Counts
1 Modoc 23.58 3
2 Humboldt 21.03 28
3 Mendocino 19.34 17
4 Lake 17.02 13
5 Shasta 14.06 24
6 Lassen 13.91 5
7 Yuba 13.15 9
8 Del Norte 12.56 4
9 Siskiyou 9.97 4
10 Ventura 9.8 85
11 San Francisco 9.62 99
12 San Benito 9.47 6
13 Tuolumne 9.47 5
County Rates Counts
14 San Joaquin 9.18 69
15 Kern 8.45 75
16 San Diego 7.84 285
17 San Luis Obispo 7.77 21
18 Butte 7.57 17
19 Orange 7.5 255
20 Santa Barbara 7.48 32
21 Marin 6.59 15
22 Santa Cruz 6.59 18
23 Sonoma 5.99 30
24 Riverside 5.67 140
25 Mariposa 5.51 1
26 Nevada 5.5 6
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California’s Mission to Reduce Opioid Death and Addiction
Reduce Opioid Prescribing
Increase Availability of Naloxone (Narcan)
Increase Access to Medication Assisted Treatment (MAT)
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DHCS MAT 2.0 Objectives
Develop additional MAT locations with a focus on rural locationsDevelop
Provide MAT access to specialized and underserved communitiesProvide
Transform entry points for individuals with opioid use disorders and create effective referrals into treatmentTransform
Develop coordinated referral processes to manage high-risk transitionsCoordinate
Engage current and potential MAT prescribersEngage
Enact overdose prevention activities to prevent opioid misuse and overdose deathsEnact
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MAT 2.0 Projects
Builds upon the foundation created by the California Mat Expansion Project 1.0
which created the Hub & Spoke System
An estimated 270,000 people will benefit from this program which will run for two
years through September 2020
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MAT ACCESS POINT EXPANSION
• MAT Access Points
• Access Point Transitions
• Counselors in Rural Eds
• Tribal MAT
• Special Populations
• Media Campaign
PRIMARY CARE
• Treating Addiction in Primary Care
HOSPITALS
• ED Bridge Program
• Project SHOUT
SUD PROVIDERS
� Toolkits
� NTP Treatment Capacity
� DUI MAT Integration
JUSTICE INVOLVED
� County Touchpoints
� MAT in Criminal Justice Settings
MENTORING RESOURCES
� 24/7 MAT Coaching
� CSAM Mentoring
� Waivered Prescriber Support
� MAT Workforce
� Academic Detailing
OVERDOSE PREVENTION
� Naloxone Distribution
� Fentanyl
� Drug Take-Back
� CURES PDMP
TECHNICAL ASSISTANCE
� SOR Consulting
� Evaluation
� DHCS Staff
MAT 2.0 Projects (26)
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Funding and Accountability
SAMHSA $1 billion - Nationwide
California SOR Receives $140 million for MAT 2.0
DHCS to Issue and Oversee SOR Contracts – 26 Projects
DUI MAT Integration Pilot Project - One of 26 Projects
CADTP awarded contract to develop and manage DUI MAT
Up to 27 DUIP Subcontractors for DUI MAT Pilot Project
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Expanding Access to MAT
The successful completion of the DUI MAT Pilot Project will help to fulfill the MAT 2.0 objective of:
“Transform entry points for individuals with opioid use disorders and create effective referrals into treatment”
and the supporting goal of
“Adding 200+ new MAT access points throughout California.”
MAT Access Points
� Primary Care
� Hospitals / Eds
� Medication units
� Jails
� Residential treatment centers
� Tribal health centers
� DUI providers
� Community mental health providers
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The Hub & Spoke System
� The 19 Hubs are located all over the state of California.
� In addition to providing MAT services to patients in their clinic, the Hubs can also provide an array of services varying from onsite urine testing, to transportation, to counseling.
� The Hubs have a responsibility to serve as referral centers for the Spokes in the region and provide consultation services as needed to their spokes.
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The Hub & Spoke System (H&SS)
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Medication Assisted
Treatment
Medication Assisted Treatment (MAT), including opioid treatment programs (OTPs), combines behavioral therapy and medications to treat Substance Use Disorders (SUD)
� Buprenorphine
� Naltrexone
� Methadone
https://www.dhcs.ca.gov/individuals/Pages/State-Targeted-Response-to-Opioid-Crisis-Grant.aspx
To learn more about the California MAT Expansion Project:
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DUI MAT Integration/Outreach
Pilot Project Project Details
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DUI MAT Pilot Project
Purpose
� To expand access to Medication Assisted Treatment (MAT) options through the DUI Treatment Program network
Project Overview
� Up to 27 DUI Treatment Program Subcontractors will work with the DUI MAT Project Team to develop, implement and report on programs and processes to identify and refer those with OUD to MAT treatment options
Project Timeline
� DUI Program Subcontractors participation - May 1, 2019 to September 29, 2020
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The DUI MATPilot Project
Identification of Polysubstance Abuse•Screening
•At enrollment•At a face-to-face•Attends under-the-influence
Case Management Framework•Screening Instrument•Assessment •Linkage to Treatments•Monitor
Data Collection and Best Practices
Technical Calls and Visits
Virtual Training Sessions
Touch Base Program Project Website
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CADTP
Key Functions as Project Contractor
Recruit, select, and support DUI program
subcontractors
Lead project teams to develop programs and processes for the pilot
program
Facilitate webinars, online training, conference calls,
and program materials
Collect, parse, and report project data
Analyze and report project results
Liaison with DHCS, DUI programs, court and
County representatives
Manage project funds including payments to
subcontractors
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DUI Program Subcontractor
Responsibilities
IMPLEMENT PROCESSES TO
IDENTIFY OUD IN DUIP
ADHERE TO A CASE MANAGEMENT FRAMEWORK
UTILIZE MAT TOOLKITS
COLLECT AND REPORT DATA
TECHNICAL CALLS AND ONSITE VISITS
ATTEND ALL TRAININGS
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RFA/SOWDeliverablesQuarterly Report
� Attend DUI MAT Project meetings
� Identification of Undiagnosed/Unmet Polysubstance Addiction
� Implement Case Management Framework
� Submit monthly Subcontractor Data Reporting
� Attend Required Trainings
� Technical Assistance Calls with CADTP
� Host Technical Assistance Subcontractor Visits
� Create invoice and forward to CADTP
� A standardized report will be provided
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CHP 2-Day Workshop
Required for Subcontractors
CHP 2-day Workshops are intended for professionals working in DHCS licensed programs with the goal of establishing a systematic approach to recognizing and evaluating drug use and impairment, in order to establish early recognition and intervention opportunities.
The CHP is providing a total of eight (8), two-day long training workshops (16-hours total) throughout the state, designed for a maximum of 60 attendees each workshop session.
CEUs will be provided for CADTP and CCAPP Counselors.
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Benefits of Becoming a DUI MAT Subcontractor
Provide treatment options for clients with OUD:• Identification and Case Management Framework• Integration into County treatment systems and MAT• Potential sobriety and recovery
DUIP receives $$ for Participation, paid quarterly upon successful completion of deliverables report
Comprehensive support from the DUI MAT Project Team
Stronger visibility and relationships with County administrators, Courts, and Probation departments
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SubcontractorApplication Process
How to Apply
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Application Requirements
DUI Treatment Program licensed in
the State of California
A business in good standing and
qualified to do business in California
Complete a Request for Application (RFA)
Agree to the Scope of Work (SOW)
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The Request for Applications(RFA)
The Scope of Work (SOW)
Request for Applications
� Purpose/Background
� Time Schedule
� Qualification Requirements
� Content Requirements
� Evaluation and Scoring
� Selection
� Staffing Budget Example
� Budget Example
� Deliverables
Scope of Work
� Services Overview
� Description of Services to be Performed
� Deliverables Schedule
� Contract Requirements
� Federal Requirements
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Your Application Will
Include:
� Statement of Interest – 1 Page Max
� Organizational Chart – 1 Page Max
� Plan of Operations –3 Pages Max
� Budget and Budget Narrative – 3 Pages Max
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Each Subcontractor Will Receive:
$115,000 over the course of the project • $19,166.66 per quarter
Guidance, support, training from CADTP’s DUI MAT Project Team
Pilot Program framework and materials • Project website
Virtual training sessions
Technical assistance calls
Onsite technical visits
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Scoring and Selection
� CADTP shall score applications and submit a written summary of scores and award recommendations to DHCS
� DHCS will confer final award decisions
� CADTP shall notify each DUI program of award decision
� CADTP will create and issue subcontracts to the awardees
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Project TimelinesImportant dates!
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Important Dates
FEBRUARY 14, 2019 RFA AND SOW RELEASED
1MARCH 14, 2019
APPLICATIONS DUE BY 11:59 PM
2APRIL 7, 2019
SUBCONTRACTORS SELECTED
3MAY 1, 2019
PROPOSED START DATE OF AGREEMENT
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Resources For Additional Information
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Resources
CADTP (For RFA, SOW and Webinar Recording – Available 2/14� https://www.CADTP.org
� DHCS MAT 2.0 Web Page� https://www.dhcs.ca.gov/individuals/Pages/State-Targeted-
Response-to-Opioid-Crisis-Grant.aspx
� California’s Hub & Spoke System� https://www.dhcs.ca.gov/individuals/pages/ca-hub-and-spoke-
system.aspx
� SAMHSA Pocket Guide to MAT� https://store.samhsa.gov/system/files/sma16-4892pg.pdf
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DUI MAT Project Team
Contact Information
� Janice Forbes, Project Manager� 760-316-3003
� Michealine Flower, Program Liaison� 760-960-2397
� Barbara Aday-Garcia, Executive Director� 800-464-3597
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? Questions and Answers
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