The proposed project, a category 1A application, will expand and enhance multnomah countys continuum of support for justice-involved individuals with opioid and other substance use disorders (SUD)

The proposed project bolsters the care continuum between the jail and post-release settings, aimed at increasing the likelihood of medication assisted treatment (mat) (also known as medication supported recovery or MSR) initiation and maintenance between jail and community settings. If implemented, this project will increase overall effectiveness of support service provision and sustainability for justice-involved individuals experiencing SUD, improve access for marginalized populations to SUD supports, and ensure smooth transitions to community supports for individuals with SUD being discharged from jail. Primary activities and associated outcomes include: (1) work with multnomah county sheriffs office to increase ability to administer MSR more efficiently to clients in custody. (2) provide access to low-barrier MSR at mchds harm reduction clinic (HRC), CO-located with syringe services in the community. (3) provide additional social worker/case manager support at SSP sites and the HRC. (4) promote education and prevention activities at SSP sites and the HRC. (5) strengthen multidisciplinary oversight and coordination. (6) work with the BJA evaluation team to create an evaluation plan (including process, impact, output measures, as appropriate).