Project colorado opioid synergy - larimer and weld (coslaw), is a network of seven OUD treatment providers and a team of integrated care coordinators who support client engagement in mat and…

Project colorado opioid synergy - larimer and weld (coslaw), is a network of seven OUD treatment providers and a team of integrated care coordinators who support client engagement in mat and psychosocial treatment across northern colorado. Over 5 years, 600 clients (120 per year) will be served through cross-site collaboration and intensive care coordination. The population of focus is black, indigenous and people of color (bipoc) aged 18 and over with OUD and adults living in rural areas seeking or currently receiving mat. Coslaw's geographic catchment area is larimer and weld counties, covering 6,651 square miles along colorado's northern border and home to a growing bipoc population. Over 20% of people in larimer identify as bipoc while in weld county 38.3% identify as bipoc. Providers work under a shared care compact and treatment philosophy, and clients can access coslaw services many ways, including through an 800 number staffed 24/7/365, larimer and weld criminal justice systems, and two area hospital systems. All clients will receive mat, evidence-based psychosocial treatment including motivational interviewing, cognitive behavioral therapy, empowered relief pain management, intensive case management, recovery support services and peer coaching and are paired with a care coordinator who is reflective of the community. Services are available in person and through telehealth options. Driven by a racial equity strategy to be developed by year 2, month 1, coslaw will launch an outreach and engagement campaign designed to reach the bipoc community and educate community organizations about stigma and racism as IT relates to substance use treatment. Coslaw will support the region's capacity to provide high-quality care and improve client outcomes through data waiver trainings. Over the five year funding period, coslaw will attain the following goals: 1) increase capacity to provide mat for people with OUD in northern colorado through collaboration and coordination among coslaw treatment sites and shared care coordination; 2) initiate mat and concurrent evidence-based psychosocial (EBP) and recovery support services (RSS) treatment for 600 individuals (120 per year); 3) initiate mat in persons experiencing transitions of care from hospital emergency departments (ED), larimer and weld county jails, and withdrawal management programs with formal referral into coslaw; and 4) coslaw leadership will develop, implement and sustain a regional mat care coordination center of excellence and innovation to support the care coordination workforce, ensure quality care and improve client outcomes. Key outcomes include a 10% increase in enrollment of clients who identify as bipoc; consistent retention rates of 80% or higher regardless of racial/ethnic group identification; a 60% decrease in the use of illicit drugs and opioids; a 20% decrease in mental health symptoms; a 30% reported improvement in housing, employment and quality of life as measured by the csat gpra; and a 30% improvement in client satisfaction and perceptions of care as measured by a perceptions of care survey.