Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program

Dallas County Health District dba Parkland Health is devoted to serving the health care needs of its surrounding communities. Parkland Health has more than 165 outpatient specialty and sub-specialty clinics on its main campus, operates an extensive mobile health van program to care for the underserved and homeless in Dallas County, and serves as the medical provider for the Dallas County Jail through its Correctional Health Department.  The Correctional Health Department has provided health care services at the Dallas County Jail and Juvenile Justice Centers since 2006.The Correctional Health Department endeavors to offer evidence-based medication assisted treatment to adults and juveniles who present upon intake with substance use disorder.  The program’s goals are to provide MAT service with counseling and rehabilitative groups, advance racial equity, support evidence-based prevention for youth substance use and assist all patients with social determinants of care during their transition back to the community.The proposed project will provide evidence-based substance use disorder treatment, following the Medication Assistance Treatment program. The project will also collaborate with the courts and probation services to facilitate the release and provide resources in the community to support the individual after release. Using the Sequential Intercept Model, MAT-trained Social workers and peer-lived mentors will partner with service providers for assistance with supportive services such as transitional housing, health insurance, healthcare home placement, pharmacy assistance, career planning and placement, and the identification of a peer with lived experienced for discharge. Peer mentors will receive training via webinars from the National Reentry Resource Group and the Substance Abuse and Mental Health Services Administration (SAMHSA) Resource Center. Expected outcomes will demonstrate a need for the program, show racial inequities as it relates to the background of patients participating, and show a decrease in recidivism. This data should drive processes and contribute to supportive funding.Parkland Health is applying for priority consideration for Priority 1(A). Please see page 9 for a response to the priority consideration. Evidence-based substance use disorder treatment related to opioids, stimulants, and other illicit drugs, such as MAT, as well as harm reduction activities and recovery support services. 34% Embedding social workers, peers, and/or persons with lived experience at any intercept of the Sequential Intercept Model 33% Indirect cost and benefits 33%