Description of original award (Fiscal Year 2021, $5,751,772)
The Nevada Office of the Attorney General (NOAG) is applying for funding in the amount of $5,751,772 to serve seven sites from the 16 counties and one independent city in Nevada: Carson City, Churchill, Douglas, Lincoln, Lyon, Nye, and Storey. The main purpose of the project is to address substance misuse in Nevada through either the enhancement of existing or the implementation of drug deflection/diversion programs of Mobile Outreach Safety Teams (MOST) or Forensic Assessment Services Triage Teams (FASTT), provision of naloxone, and drug take back days to address drug/mental health crisis situations. The allowable usage categories will focus on three categories; 1) law enforcement and other first responder diversion programs, 2) naloxone for law enforcement and other first responders, and 3) identifiable and accessible take-back programs for unused controlled substances found in the home and used by hospitals and long-term care facilities. The project includes partnerships between NOAG, Nevada Department of Health and Human Services (DHHS), Northern Regional Behavioral Health Coordinator (RBHC), Community Coalitions, and the seven previously named counties.
Priority considerations addressed in this application is under the high rates of overdose deaths and a lack of accessibility to treatment providers and facilities and to emergency medical services categories. Fourteen (82.5%) of Nevada’s 16 counties and one independent city are rural or frontier counties. Three of Nevada’s 17 counties (17.5%) are designated rural and 11 of the 17 counties (65%) are designated frontier counties. The subaward sites consist of three designated rural, three designated frontier, and one is the smallest urban area in Nevada. In addition, nearly half (49.8%) of the state’s rural and frontier population lives in primary care Health Professional Shortage Areas (HPSAs), 80% of Nevada's population resides in a mental health service shortage area which is inclusive of rural and frontier regions, and more than half (53%) of the state’s rural and frontier populations do not have a substance abuse certified treatment facility.
Funding would support 10% of the Management Analyst IV/Grants Manager’s time for grant compliance, 15% of the Grants and Projects Analyst III/Program Coordinator for project coordination, and 5% of the Administrative III to review monthly sub-grantee reimbursement reports. A temporary Administrative Assistant will assist with project tasks and deliverables.
NOAG agrees to work with a researcher selected by BJA who may conduct a site-specific visit or cross-site visit and to conduct an evaluation of the MOST/FASTT.