Multnomah County COSSUP Initiative

The proposed project, a Category 1a application, will expand and enhance
Multnomah County’s continuum of support for justice-involved individuals with opioid and
other substance use disorders (SUD). The proposed project bolsters the care continuum between
the jail and post-release settings, aimed at increasing the likelihood of Medication Assisted
Treatment (MAT) (also known as Medication Supported Recovery or MSR) initiation and
maintenance between jail and community settings. If implemented, this project will increase
overall effectiveness of support service provision and sustainability for justice-involved
individuals experiencing SUD, improve access for marginalized populations to SUD supports,
and ensure smooth transitions to community supports for individuals with SUD being discharged
from jail. Primary activities and associated outcomes include: (1) Work with Multnomah County
Sheriff’s Office to increase ability to administer MSR more efficiently to clients in custody. (2)
Provide access to low-barrier MSR at MCHD’s Harm Reduction Clinic (HRC), co-located with
syringe services in the community. (3) Provide additional social worker/case manager support at
SSP sites and the HRC. (4) Promote education and prevention activities at SSP sites and the
HRC. (5) Strengthen multidisciplinary oversight and coordination. (6) Work with the BJA
evaluation team to create an evaluation plan (including process, impact, output measures, as
appropriate).