Integrated mat for families affected by opioid use disorder - project name: integrated mat for families affected by opioid use disorder

Summary: the OASIS center of the rogue valley (OASIS) proposes a family-centered program of integrated primary care, behavioral health, and recovery support services for parenting adults with opioid use disorder (OUD) and their children in southern oregon. Targeted outreach will be provided to high-risk populations including unhoused, hospitalized, and recently incarcerated individuals. A majority of OASIS families live in poverty, and approximately one-third are child welfare involved and one-third are community justice involved. Oregon is ranked first nationally for illicit drug abuse in the past year, and last in the nation in residents needing, but not receiving, substance use disorder treatment (mhacbo). 18.6% of OASIS clients identify ethnicity as other than white. OUD and overdose deaths are severe problems in oregon and in the OASIS service area in particular. The oregon health authority (OHA) reports (2018, the most recent county-specific data) overdose hospitalizations in jackson and josephine counties were 112.0 and 136.2 per 100,000 compared to 97.0 per 100,000 for the state. The 3-year (2016-2018) drug overdose death rates for the counties were 30.5 and 27.5 per 100,000 residents respectively, almost three times higher than the statewide rate of 13.2 per 100,000. There is a spike in overdose deaths attributed to greater danger from fentanyl in the drug supply. In jackson county fatal overdoses increased 115% from 2020 to 2021 (jcme). This project responds to urgent needs in jackson county: to increase community OUD recovery capacity, mitigate the impacts of substance use and overdose on individuals and families, support children's healthy development, and reduce the negative intergenerational impacts of OUD. The project goals are 1) decrease illicit opioid use, 2) increase access and engagement with medication for opioid use disorder (moud), 3) reduce overdose and diversion risk by adults with OUD, 4) reduce the impact of addiction on family members of clients with OUD, 5) increase treatment retention through integrated primary and behavioral health care, wellness activities, and employment and housing support, 6) increase long-term funding mechanisms for clinic sustainability. Strategies and inventions include hiring an additional physician to manage medication and to support patients with opioid use disorder (moud for OUD) and their young children, hire a community health coordinator to support harm reduction activities, care coordinate for large OASIS hepatitis c cohort, and facilitate a high-system involved multi-disciplinary team (MDT) of community partners. Additionally, OASIS proposes hiring a children's coordinator to provide targeted parenting support and to ensure children of parents with OUD receive full array of supportive and health-related services. OASIS will also hire a bilingual peer support specialist for outreach, engagement, and recovery support and will embed an employment support specialist within the clinic to support parents with barriers to employment. This five-year project will serve 50 unduplicated adults and their families during each year of the project for a total unduplicated number served of 250 adults. This proposal has a strong focus on improving access to diverse populations, providing trauma-informed care, and working closely with community partners to serve families impacted by OUD. Services will be provided by OASIS or onsite through embedded providers from ontrack rogue valley, nathan beard job development, max's mission, and other community providers.