Opioid, Region 19, Reporting Template.xlsx

	A	B	C	D	E
1	All
2	COST Approved Use	Description	Description of Services	2024/Expenditures	2025/Expeditures
3	COST Approved Use	Description
4	TREATMENT
5	ADDRESS THE NEEDS OF CRIMINAL JUSTICE-INVOLVED PERSONS
6	Services for people involved in criminal justice system (general)	Address the needs of persons with OUD and any co-occurring SUD/MH conditions who are involved in, are at risk of becoming involved in, or are transitioning out of the criminal justice system through evidence-based or evidence-informed programs or strategies. For use only when a more specific approved purpose category is not available.
7	Pre-arrest diversion strategies	Support pre-arrest diversion and deflection strategies for persons with OUD and any co-occurring SUD/MH issues.
8	Self-referral strategies such as Angel/PAARI	Self-referral strategies such as the Angel Programs or the Police Assisted Addiction Recovery Initiative (“PAARI”)
9	Drug Abuse Response Team (DART) or Quick Response Teams (QRT)	Active outreach strategies such as the Drug Abuse Response Team (“DART”) model.
10	“Naloxone Plus” strategies	“Naloxone Plus” strategies, which work to ensure that individuals who have received naloxone to reverse the effects of an overdose are then linked to treatment programs or other appropriate services.
11	Law Enforcement Assisted Diversion (LEAD)	Officer prevention strategies, such as the Law Enforcement Assisted Diversion (“LEAD”) model.
12	Officer intervention strategies	Officer intervention strategies such as the Leon County, Florida Adult Civil Citation Network or the Chicago Westside Narcotics Diversion to Treatment Initiative.
13	Co-responder programs	Co-responder and/or alternative responder models to address OUD-related 911 calls with greater SUD expertise.
14	Pre-trial services	Support pre-trial services that connect individuals with OUD and any co-occurring SUD/MH conditions to evidence-informed treatment, including MAT, and related services.
15	Treatment and recovery courts with MAT	Support treatment and recovery courts that provide evidence-based options for persons with OUD and any co-occurring SUD/MH conditions.
16	Jail-based treatment, recovery or harm reduction services	Provide evidence-informed treatment, including MAT, recovery support, harm reduction, or other appropriate services to individuals with OUD and any cooccurring SUD/MH conditions who are incarcerated in jail or prison.
17	Re-entry from jail treatment, recovery or harm reduction services	Provide evidence-informed treatment, including MAT, recovery support, harm reduction, or other appropriate services to individuals with OUD and any cooccurring SUD/MH conditions who are leaving jail or prison or have recently left jail or prison, are on probation or parole, are under community corrections supervision, or are in re-entry programs or facilities.
18	Critical time interventions	Support critical time interventions (“CTI”), particularly for individuals living with dual-diagnosis OUD/serious mental illness, and services for individuals who face immediate risks and service needs and risks upon release from correctional settings.
19	Training on best practices for criminal justice involved persons	Provide training on best practices for addressing the needs of criminal justice involved persons with OUD and any co-occurring SUD/MH conditions to law enforcement, correctional, or judicial personnel or to providers of treatment, recovery, harm reduction, case management, or other services offered in connection with any of the strategies described in this section.
20	ADDRESS THE NEEDS OF PREGNANT OR PARENTING WOMEN AND THEIR FAMILIES
21	Pregnant or parenting women support (general)	Address the needs of pregnant or parenting women with OUD and any co-occurring SUD/MH conditions, and the needs of their families, including babies with neonatal abstinence syndrome (“NAS”), through evidence-based or evidence-informed programs or strategies. For use only when a more specific Approved Purpose category is not available.
22	Treatment, recovery, prevention for pregnant women	Support evidence-based or evidence-informed treatment, including MAT, recovery services and supports, and prevention services for pregnant women—or women who could become pregnant—who have OUD and any co-occurring SUD/MH conditions, and other measures to educate and provide support to families affected by Neonatal Abstinence Syndrome.
23	Treatment and recovery for post-partum women	Expand comprehensive evidence-based treatment and recovery services, including MAT, for uninsured women with OUD and any co-occurring SUD/MH conditions for up to 12 months postpartum.
24	Healthcare worker training on treatment for pregnant women with OUD	Provide training for obstetricians or other healthcare personnel who work with pregnant women and their families regarding treatment of OUD and any co-occurring SUD/MH conditions.
25	Neonatal abstinence syndrome prevention, treatment, and care	Expand comprehensive evidence-based treatment and recovery support for NAS babies; expand services for better continuum of care with infant-need dyad; and expand long-term treatment and services for medical monitoring of NAS babies and their families.
26	Training on NAS (Neonatal Abstinence Syndrome) and plans of safe care	Provide training to health care providers who work with pregnant or parenting women on best practices for compliance with federal requirements that children born with NAS (Neonatal Abstinence Syndrome) get referred to appropriate services and receive a plan of safe care.
27	Child and family supports for women with Opioid Use Disorder (OUD)	Provide child and family supports for parenting women with OUD and any co-occurring SUD/MH conditions.
28	Child care services	Provide enhanced family support and child care services for parents with OUD and any co-occurring SUD/MH conditions.
29	Trauma-informed behavioral health treatment	Provide enhanced support for children and family members suffering trauma as a result of addiction in the family; and offer trauma-informed behavioral health treatment for adverse childhood events.
30	Home-based wrap-around services	Offer home-based wrap-around services to persons with OUD and any co-occurring SUD/MH conditions, including, but not limited to, parent skills training.
31	Services for children impacted by caregiver use	Provide support for Children’s Services—Fund additional positions and services, including supportive housing and other residential services, relating to children being removed from the home and/or placed in foster care due to custodial opioid use.
32	TREAT OPIOID USE DISORDER (OUD)
33	Treatment of Opioid Use Disorder (OUD) - (general)	Support treatment of Opioid Use Disorder (“OUD”) and any co-occurring Substance Use Disorder or Mental Health (“SUD/MH”) conditions through evidence-based or evidence-informed programs or strategies. For use only when a more specific approved purpose category is not available.
34	Treatment, including Medications for Opioid Use Disorder (MOUD)	Expand availability of treatment for OUD and any co-occurring SUD/MH conditions, including all forms of Medication-Assisted Treatment (“MAT”) approved by the U.S. Food and Drug Administration.
35	Treatment services adhering to ASAM continuum of care	Support and reimburse evidence-based services that adhere to the American Society of Addiction Medicine (“ASAM”) continuum of care for OUD and any co-occurring SUD/MH conditions.
36	Telehealth services	Expand Telehealth to increase access to treatment for OUD and any co-occurring SUD/MH conditions, including MAT, as well as counseling, psychiatric support, and other treatment and recovery support services.
37	Opioid treatment programs (OTP) oversight	Improve oversight of Opioid Treatment Programs (“OTPs”) to assure evidence-based or evidence-informed practices such as adequate methadone dosing and low threshold approaches to treatment.
38	Mobile intervention, treatment, and recovery services	Support mobile intervention, treatment, and recovery services, offered by qualified professionals and service providers, such as peer recovery coaches, for persons with OUD and any co-occurring SUD/MH conditions and for persons who have experienced an opioid overdose.
39	Trauma-informed care	Provide treatment of trauma for individuals with OUD (e.g., violence, sexual assault, human trafficking, or adverse childhood experiences) and family members (e.g., surviving family members after an overdose or overdose fatality), and training of health care personnel to identify and address such trauma.
40	Withdrawal management services	Support evidence-based withdrawal management services for people with OUD and any co-occurring mental health conditions.
41	Training on Medication Addiction Treatment (MAT)	Provide training on MAT for health care providers, first responders, students, or other supporting professionals, such as peer recovery coaches or recovery outreach specialists, including telementoring to assist community-based providers in rural or underserved areas.
42	Workforce development - addiction professionals	Support workforce development for addiction professionals who work with persons with opioid use disorder and any co-occurring substance use or mental health conditions.
43	Fellowships for addiction medicine specialists	Offer fellowships for addiction medicine specialists for direct patient care, instructors, and clinical research for treatments.
44	Workforce development - behavioral health workers	Offer scholarships and supports for behavioral health practitioners or workers involved in addressing OUD and any co-occurring SUD/MH or mental health conditions, including, but not limited to, training, scholarships, fellowships, loan repayment programs, or other incentives for providers to work in rural or underserved areas.
45	Waiver training to prescribe MAT for OUD	Provide funding and training for clinicians to obtain a waiver under the federal Drug Addiction Treatment Act of 2000 to prescribe MAT for OUD.
46	Web-based training curricula	Disseminate web-based training curricula, such as the American Academy of Addiction Psychiatry’s Provider Clinical Support Service–Opioids web-based training curriculum and motivational interviewing.
47	Dissemination or development of provider curricula	Develop and disseminate new curricula, such as the American Academy of Addiction Psychiatry’s Provider Clinical Support Service for Medication–Assisted Treatment.
48	RECOVERY
49	CONNECT PEOPLE WHO NEED HELP TO THE HELPTHEY NEED (CONNECTIONS TO CARE)
50	Connection to care (General)	Provide connections to care for people who have—or are at risk of developing—OUD and any co-occurring SUD/MH conditions through evidence-based or evidence-informed programs or strategies. For use only when a more specific approved purpose category is not available.
51	Substance use screening and referral	Ensure that health care providers are screening for OUD and other risk factors and know how to appropriately counsel and treat (or refer if necessary) a patient for OUD treatment.
52	Screening, Brief Intervention and Referral to Treatment (SBIRT)	Fund SBIRT programs to reduce the transition from use to disorders, including SBIRT services to pregnant women who are uninsured or not eligible for Medicaid.
53	SBIRT for young adults in schools, criminal justice, probation etc.	Provide training and long-term implementation of SBIRT in key systems (health, schools, colleges, criminal justice, and probation), with a focus on youth and young adults when transition from misuse to opioid disorder is common.
54	SBIRT automation and technology	Purchase automated versions of SBIRT and support ongoing costs of the technology.
55	Emergency department navigators and on-call teams	Expand services such as navigators and on-call teams to begin MAT in hospital emergency departments.
56	Training for emergency room staff	Provide training for emergency room personnel treating opioid overdose patients on post-discharge planning, including community referrals for MAT, recovery case management or support services.
57	Hospital linkage to care programs	Support hospital programs that transition persons with OUD and any co-occurring SUD/MH conditions, or persons who have experienced an opioid overdose, into clinically appropriate follow-up care through a bridge clinic or similar approach.
58	Crisis stabilization centers	Support crisis stabilization centers that serve as an alternative to hospital emergency departments for persons with OUD and any co-occurring SUD/MH conditions or persons that have experienced an opioid overdose.
59	Post-overdose Emergency Medical Systems (EMS) and peer support	Support the work of Emergency Medical Systems, including peer support specialists, to connect individuals to treatment or other appropriate services following an opioid overdose or other opioid-related adverse event.
60	Peer support specialists and recovery coaches	Provide funding for peer support specialists or recovery coaches in emergency departments, detox facilities, recovery centers, recovery housing, or similar settings; offer services, supports, or connections to care to persons with OUD and any cooccurring SUD/MH conditions or to persons who have experienced an opioid overdose.
61	Expand warm hand-off services to transition to recovery services	Expand warm hand-off services to transition to recovery services.
62	School-based supports for parents	Create or support school-based contacts that parents can engage with to seek immediate treatment services for their child; and support prevention, intervention, treatment, and recovery programs focused on young people.
63	Recovery-friendly workplaces	Develop and support best practices on addressing OUD in the workplace.
64	Employee assistance for healthcare workers with OUD	Support assistance programs for health care providers with OUD.
65	Non-profit and community - outreach for treatment	Engage non-profits and the faith community as a system to support outreach for treatment.
66	Centralized call centers	Support centralized call centers that provide information and connections to appropriate services and supports for persons with OUD and any co-occurring SUD/MH conditions.
67	SUPPORT PEOPLE IN TREATMENT AND RECOVERY
68	Recovery services (general)	Support people in recovery from OUD and any co-occurring SUD/MH conditions through evidence-based or evidence-informed programs or strategies. For use only when a more specific approved purpose category is not available.
69	Full continuum of care of recovery services	Provide the full continuum of care of treatment and recovery services for OUD and any co-occurring SUD/MH conditions, including supportive housing, peer support services and counseling, community navigators, case management, and connections to community-based services.
70	Comprehensive wrap-around services	Provide comprehensive wrap-around services to individuals with OUD and any co-occurring SUD/MH conditions, including housing, transportation, education, job placement, job training, or childcare.
71	Counseling, peer-support, recovery case management, and residential treatment	Provide counseling, peer-support, recovery case management and residential treatment with access to medications for those who need it to persons with OUD and any co-occurring SUD/MH conditions.
72	Supportive/recovery housing and other housing assistance	Provide access to housing for people with OUD and any co-occurring SUD/MH conditions, including supportive housing, recovery housing, housing assistance programs, training for housing providers, or recovery housing programs that allow or integrate FDA-approved mediation with other support services.
73	Community support services, including social and legal services	Provide community support services, including social and legal services, to assist in deinstitutionalizing persons with OUD and any co-occurring SUD/MH conditions.
74	Peer-recovery centers, and events	Support or expand peer-recovery centers, which may include support groups, social events, computer access, or other services for persons with OUD and any cooccurring SUD/MH conditions.
75	Transportation to treatment or recovery programs	Provide or support transportation to treatment or recovery programs or services for persons with OUD and any co-occurring SUD/MH conditions.
76	Job services training	Provide employment training or educational services for persons in treatment for or recovery from OUD and any co-occurring SUD/MH conditions.
77	Recovery program expansion	Identify successful recovery programs such as physician, pilot, and college recovery programs, and provide support and technical assistance to increase the number and capacity of high-quality programs to help those in recovery.
78	Non-profit, community, and coalition - support for families	Engage non-profits, faith-based communities, and community coalitions to support people in treatment and recovery and to support family members in their efforts to support the person with OUD in the family.
79	Stigma education - government staff	Provide training and development of procedures for government staff to appropriately interact and provide social and other services to individuals with or in recovery from OUD, including reducing stigma.
80	Community-wide stigma reduction	Support stigma reduction efforts regarding treatment and support for persons with OUD, including reducing the stigma on effective treatment.
81	Culturally appropriate services	Create or support culturally appropriate services and programs for persons with OUD and any co-occurring SUD/MH conditions, including new Americans.
82	Recovery high schools	Create and/or support recovery high schools.
83	Hiring or training of behavioral health workers	Hire or train behavioral health workers to provide or expand any of the services or supports listed above.
84	PREVENTION
85	PREVENT MISUSE OF OPIOIDS
86	Substance use prevention (general)	Support efforts to discourage or prevent misuse of opioids through evidence-based or evidence-informed programs or strategies. For use only when a more specific approved purpose category is not available.
87	Media prevention campaigns	Funding media campaigns to prevent opioid misuse.
88	Evidence-based public education campaigns	Corrective advertising or affirmative public education campaigns based on evidence.
89	Education on safe drug disposal	Public education relating to drug disposal.
90	Drug take-back disposal programs	Drug take-back disposal or destruction programs.
91	Substance abuse prevention coalitions	Funding community anti-drug coalitions that engage in drug prevention efforts.
92	Community coalitions	Supporting community coalitions in implementing evidence-informed prevention, such as reduced social access and physical access, stigma reduction—including staffing, educational campaigns, support for people in treatment or recovery, or training of coalitions in evidence-informed implementation, including the Strategic Prevention Framework developed by the U.S. Substance Abuse and Mental Health Services Administration (“SAMHSA”).
93	Non-profit and community - prevention support	Engaging non-profits and faith-based communities as systems to support prevention.
94	School and community prevention and education programs	Funding evidence-based prevention programs in schools or evidence-informed school and community education programs and campaigns for students, families, school employees, school athletic programs, parent-teacher and student associations, and others.
95	School-based or youth-focused programs to prevent drug misuse	School-based or youth-focused programs or strategies that have demonstrated effectiveness in preventing drug misuse and seem likely to be effective in preventing the uptake and use of opioids.
96	Community-based education or intervention services for at-risk youth & families	Create or support community-based education or intervention services for families, youth, and adolescents at risk for OUD and any co-occurring SUD/MH conditions.
97	Evidence-informed youth mental health curricula and programs	Support evidence-informed programs or curricula to address mental health needs of young people who may be at risk of misusing opioids or other drugs, including emotional modulation and resilience skills.
98	Support greater access to mental health services and supports	Support greater access to mental health services and supports for young people, including services and supports provided by school nurses, behavioral health workers or other school staff, to address mental health needs in young people that (when not properly addressed) increase the risk of opioid or another drug misuse.
99	PREVENT OVERPRESCRIBING AND ENSURE APPROPRIATE PRESRIBING AND DISPENSING OF OPIOIDS
100	Safe opioid prescribing (general)	Support efforts to prevent over-prescribing and ensure appropriate prescribing and dispensing of opioids through evidence-based or evidence-informed programs or strategies. For use only when a more specific approved purpose category is not available.