Opioid Abatement for Law Enforcement Agencies

• Section 1: Program design, 35
• Section 2: Capacity, 25
• Section 3: Experience and knowledge, 20
• Section 4: Grant priority for MOUD, 10
• Section 5: Documents, 5
• Section 6: Sustainability, 5

• Section 1: Program design, 35
• Section 2: Capacity, 25
• Section 3: Experience and knowledge, 20
• Section 4: Grant priority for education, 10
• Section 5: Documents, 5
• Section 6: Sustainability, 5

Maximum points available for this section: 35

Funding may be used for personnel, employee benefits, travel/training, equipment, supplies and operating expenses, and consultants/contracted services. Funds spent on personnel must be spent on hiring new staff, providing coverage (backfilling posts and/or overtime) for training attendance, establishing treatment services, or implementing a peer support network. All expenses must be new and cannot replace existing state or local government funding.

MOUD
Agencies must make methadone, buprenorphine, and naltrexone available to all jail residents with opioid use disorder.

Funding can be used to support jails in maintaining the safety and security of the facility and community. This includes:

• Covering staff salaries to provide a new service.
• Purchasing equipment needed to maintain the program.
• Covering medication costs.
• Covering costs related to providing counseling/therapy services, and medical appointments.
• Providing naloxone to all releasing jail residents with opioid use disorder.

Provide the following information:

• Describe your current MOUD program.
• Describe how this funding would sustain or enhance/grow your existing MOUD program.
• If your agency is continuing medications for individuals who are incarcerated, identify partnerships needed to support the MOUD program.
• Describe the support services of the medical provider. A letter of commitment must be provided showing the support of the opioid treatment program, medical provider, or county board member, etc.

Education
Provide the following information:

• Describe your current MOUD education program.
• Training/education costs must be MOUD-focused. Describe the training costs that will be covered. Education/training held in any state is allowable.

Maximum points available for this section: 25

The capacity to do the work and meet the program requirements is different from the experience doing the work.

Describe capacity to implement the program design.

• New or existing staff positions, and any professional licenses they hold, that will work under this grant and the anticipated number of hours per week for each position.
• Recruitment process and the anticipated timeline if hiring new positions.
• Continuation of the program if there is turnover in staff.
• Resources or partnerships and their role in ensuring success of this program.

If subcontractor(s) will be used to perform activities to achieve program goals, describe:

• The extent of the relationship.
• How the subcontractor(s) capacity relates to the overall ability to implement this program.
• Roles, responsibilities, and expectations of the subcontractor(s).
• Experience managing and monitoring subcontractor(s).

Maximum points available for this section: 20

Describe experience with, and/or knowledge similar to, this program.

• Providing services, conducting activities, and/or fulfilling requirements.
• Building relationships with and/or working with the population(s) of focus or similar population(s).
• Collecting and using data or other information to determine if efforts had an impact.
• Hiring and supervising staff with specialized knowledge or licensure.

If you will be using subcontractor(s) to perform activities to achieve program goals, describe their experience with, and/or knowledge similar to, this program:

• Providing services, conducting activities, and/or fulfilling requirements.
• Building relationships with and/or working with the population(s) of focus or similar population(s).
• Collecting and using data or other information to determine if efforts had an impact.
• Hiring and supervising staff with specialized knowledge or licensure.

Maximum points available for this section: 10

Funds may be requested for one or both of the priorities below.

For each priority, describe the:

• Objectives: Measurable and time-bound efforts to achieve the priority.
• Activities: Specific steps you will take to meet the objectives.
• Timelines: When you anticipate starting and finishing each activity.
• Measurable impact: Describe how you will measure or demonstrate a desirable outcome is being achieved for the priority (for example, data source(s) or measurements that will be used, surveys of clientele, etc.).

Maximum points available for priority two: 10

Treatment services for incarcerated people with opioid use disorder
To receive this funding:

• Jails must demonstrate a plan to continue providing all three forms of medications with the goals sustaining and/or enhancing services.
• All jail residents must be screened for opioid use disorder.
• All jail residents must be assessed for opioid overdose risk factors and educated on the signs of an opioid overdose.
• All three forms of MOUD (methadone, buprenorphine, and naltrexone) must be provided for continuation of treatment.
• Certified peer specialists and recovery coaches must be available to support jail residents and staff.
• Staff must coordinate with community partners to ensure releasing jail residents are connected to ongoing care. This work may include medication refills and/or needs related to counseling and housing.
• Naloxone, the opioid overdose reversal medication, will be offered at no cost to all released jail residents with opioid use disorder.
• Collaboration and support from a jail medical provider must be established.

Applicants must select one of the models below:

• Model 1: Off-site medication administration by partner agency(s). Patients are transported to community opioid treatment programs, hospitals, or other medical providers for medication.
• Model 2: On-site medication administration by partner agency(s) and on-site providers, if available. Methadone must be provided by an opioid treatment program. The opioid treatment program may also provide buprenorphine and naltrexone. Correctional health care providers or licensed correctional prescribers can administer naltrexone and buprenorphine on-site.
• Model 3: A jail operated by the law enforcement agency becomes a licensed opioid treatment program permitting the use of methadone, as well as the use of buprenorphine and naltrexone. Opioid treatment programs are required to be licensed and certified under Wis. Admin. Code §§ DHS 75.50 and DHS 75.59 .

Describe the activity to be done, including:

• The model being used.
• How the services will operate.
• The screening and assessment processes used to determine eligibility.
• The role of staff and/or contracted partners.
• How the program will ensure best practices will be used to integrate counseling services.
• How methadone, buprenorphine, and naltrexone will be offered.
• How program participation will be monitored and who will be responsible for tracking program compliance for participants.

Maximum points available for priority one: 10

MOUD education and awareness training
Funding for this activity can be used to:

• Cover overtime and backfill staffing costs. The overtime and backfill staffing costs must be connected to staff attending a training or conference or staff coverage to allow another person to attend a training or conference.
• Train and educate law enforcement officers and other staff on MOUD as it relates to the criminal justice system. This can be done through in-state or out-of-state training and conferences.

Describe the training plan, including:

• Who will provide the training,
• The topic(s) of the training,
• Who will attend (position titles), and
• Expected outcomes of providing the training.

Maximum points available for this section: 5

The following documents must be submitted with the narrative response. These documents do not count toward the narrative response page limit:

• IRS Form W-9 (PDF) .
• DCTS Summary Line item Budget: Condensed, F-01601-C (Excel) outlining the costs for the first year.

If applying for the MOUD activity, include a letter of commitment from the medical provider, opioid treatment program, or county board member. Do not include letters of support; they will not be considered.

Maximum points available for this section: 5

Describe your sustainability plans when the contract term ends. Include how you will ensure services and supports continue long term.