Increase and expand behavioral health supports in the County Jail including hiring a Mental Health Nurse Practitioner, increasing wrap around supports including re-entry housing and transportation.

Grays Harbor Public Health proposes to continue, expand, and enhance access to the established substance use disorder (SUD) System of Care in the Grays Harbor County Jail. The purpose is to identify and address all underlying mental health and SUD conditions and provide wrap-around care for historically marginalized and underserved individuals with criminal-justice involvement, and to facilitate successful recovery and reintegration into positive community life after incarceration. Project activities include developing a mental health/co-occurring path to the established SUD System of Care; providing all three forms of medications for opioid use disorder (MOUD) as clinically indicated; implementing evidence-based mental health screening, assessment and medication management; engaging with re-entry peer counselors in identifying social supports for return to the community including housing and stabilization; and providing access to therapeutic programming, SUD assessments, and individual interventions based on criminogenic risks. The county’s reentry provider, Coastal Community Action Program, is a proposed subawardee and will provide mental health assessments and treatment, linkage to social and housing supports upon re-entry, and therapeutic programming during incarceration to bolster recovery skills and address reentry goals. Expected outcomes include development of an expanded Behavioral Health System of Care (BHSoC); provision of evidence-based services; reduction in recidivism and subsequent increase in public safety in Grays Harbor County; increased quality of life and health outcomes for participants served; and systemwide quality improvement through quarterly partner meetings.