Westbrook mat initiative - the westbrook mat initiative expands/enhances moud access by increasing westbrook mat mobile clinic capacity to serve wood, tyler, pleasants, ritchie, wirt, jackson, roane &…

Westbrook mat initiative - the westbrook mat initiative expands/enhances moud access by increasing westbrook mat mobile clinic capacity to serve wood, tyler, pleasants, ritchie, wirt, jackson, roane & calhoun counties in west virginia, thus decreasing target area illicit/improper opioid use. The target population suffers from high rates of opioid overdose deaths, poor social determinants of health & limited transportation capability. The project will serve 1,250 clients (250 clients/year). Project goals (interventions/strategies) include: (1) expand access to moud for individuals with OUD by increasing comprehensive integrated mat/OUD & mental health workforce capacity by (a) expanding workforce capacity by hiring/training 1 project director, 1 evaluator, 2 case managers, 2 peer recovery support specialists (prss), 1 LPN, 1 therapist & 1 physician's assistant; (b) expanding WHS medical director time dedicated to serving mat clients & (c) expanding evidence based OUD training & EBP provision. (2) expand access to moud for those with OUD by increasing access to the WHS mat mobile unit by (a) increasing mat mobile unit availability in rural northern (Y2-Y3) & southern (Y4-Y5) counties from 1/2 day to 1 day and from 1 to 2 days in wood county; (b) reducing the wood county mat wait list time from 1-month to open access by increasing mat provider capacity; (c) conducting community outreach to increase community knowledge of the mobile mat unit & reduce stigma; (d) partnering with culturally specific groups to identify referral pathways & (e) partnering with rural mat providers to deliver a robust suite of recovery support services. (3) enhance the mat service array for individuals with OUD by (a) expanding rural narcan/fentanyl test strip/kit education/provision; (b) distributing dental kits to all agency clients being prescribed sublingual buprenorphine; (c) expanding contingency management to clients with CO-occurring OUD & meth use to wirt, tyler, pleasants, roane, ritchie & calhoun counties; (d) adding a sublocade prescription option; (e) expanding services to criminal justice involved individuals by creating a smooth transition from incarceration to mat treatment; (f) providing transportation to the mobile unit for rural & verifiably unemployed clients & (g) implementing a tobacco cessation program for mat mobile unit clients. (4) improve outcomes for adults with OUD receiving mat from the westbrook mat initiative by (a) serving a total of 250 clients annually; (b) empowering clients to achieve a statistically significant decrease in illicit opioid use & RX opioid misuse at 6-month gpra follow-up; (c) empowering clients to achieve a statistically significant decrease in tobacco use at 6-month gpra follow-up; (d) empowering clients to achieve a statistically significant improvement in gpra mental health outcomes at 6-month gpra follow-up; (e) retaining 80% of clients in treatment for 6-months & (f) monitoring disparity group data to ensure equal access/use/outcomes/retention for all groups. (5) sustain initiative services beyond grant funding to continue service provision to adults with OUD by initiating an advisory board to create a sustainability plan for each budget line item to ensure sustainability.