Western Maine Addiction Recovery Initiative

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION - 1. PROJECT TITLE: PROJECT SAVEME 2. REQUESTED AWARD AMOUNT: $1,000,000 3. APPLICANT: WESTERN MAINE ADDICTION RECOVERY INITIATIVE 4. ADDRESS: 235 MAIN STREET, BOX 3, NORWAY, MAINE 04268 5. ORGANIZATION TYPE: COMMUNITY-BASED ORGANIZATION 6. PROJECT DIRECTOR: KARI TAYLOR 7. PHONE: 207-450-5578 EMAIL: KARITAYLOR@WMARI.ORG WEBSITE: WWW.WMARI.ORG 8. CURRENT FY20 OR FY21 RCORP RECIPIENT? NO 9. EIN EXEMPTION REQUEST: NO 10. HOW APPLICANT LEARNED OF FUNDING OPPORTUNITY: GRANTS.GOV 11. CONSORTIUM MEMBERS: 7 (INCLUDING APPLICANT), WESTERN MAINE ADDICTION RECOVERY INITIATIVE; MAINEHEALTH DBA STEPHENS MEMORIAL HOSPITAL; RIVER VALLEY HEALTHY COMMUNITIES COALITION; COMMON GROUND COUNSELING; OXFORD COUNTY SHERIFF’S OFFICE; OXFORD HILL SCHOOL DISTRICT-MSAD 17; LARRY LABONTE RECOVERY CENTER 12. PREVIOUS OR CURRENT RCORP AWARD RECIPIENT: NO 13. TARGET POPULATION: INCLUDES 1) INDIVIDUALS WHO ARE AT RISK FOR, HAVE BEEN DIAGNOSED WITH, AND/OR ARE IN TREATMENT AND/OR RECOVERY FOR OUD/SUD; 2) THEIR FAMILIES AND/OR CAREGIVERS-PRIMARILY AFFECTED CHILDREN; AND 3) PREGNANT WOMEN AND EXPECTANT PARENTS WITH OUD/SUD; AND 4) AFFECTED YOUTH. 14. TARGET SERVICE AREA: ALL OF OXFORD COUNTY, MAINE, IS DESIGNATED BY HRSA AS BEING RURAL. MUCH OF THIS POPULATION FACES SOCIOECONOMIC VULNERABILITIES THAT INCLUDE POVERTY, POOR HEALTH STATUS, SOCIAL ISOLATION, LIMITED EDUCATIONAL ATTAINMENT, AND INADEQUATE OR AFFORDABLE HEALTH INSURANCE OPTIONS. THERE IS A NOTABLE CULTURAL DISTINCTION AMONG SOCIAL CLASSES AND DEEP-ROOTED GENERATIONAL POVERTY ACROSS THE REGION; ECONOMIC HARDSHIP IS ONE OF THIS REGION’S MOST CRITICAL ISSUES AND CONTRIBUTES TO THE RURAL OPIOID CRISIS. ADDITIONAL SOCIAL DETERMINANTS OF HEALTH (SDOH) IMPACTING THE CURRENT OPIOID CRISIS INCLUDE ISOLATION, INADEQUATE TRANSPORTATION, ADVERSE CHILDHOOD EXPERIENCES, AND ADOLESCENT HOPELESSNESS. THE REGION ALSO HAS ONE OF THE HIGHEST PER-CAPITA RATES OF SUBSTANCE-AFFECTED INFANTS IN THE STATE OF MAINE; ALMOST DOUBLE THE STA TE AVERAGE. 15. DOES THE TARGET SERVICE AREA OVERLAP WITH AN EXISTING FY20 OR FY21 RCORP IMPLEMENTATION AWARD RECIPIENT’S SERVICE AREA? NO 16. PROPOSED SERVICES: THE PROJECT WILL IMPLEMENT FOUNDATIONAL, PREVENTION, AND TREATMENT AND RECOVERY STRATEGIES INCLUDING, BUT NOT LIMITED TO: TRACKING AND COLLECTING AGGREGATED DATA TO SUPPORT CONTINUOUS IMPROVEMENT SERVICES AND ACTIVITIES; PARTNERING AND STRENGTHENING COLLABORATION WITH LAW ENFORCEMENT, FIRST RESPONDERS, HEALTHCARE PROVIDERS, FAITH-BASED LEADERS, AND TREATMENT PROVIDERS; EDUCATING THE COMMUNITY ON PREVENTION STRATEGIES, HARM REDUCTION, STIGMA, ADVERSE CHILDHOOD EXPERIENCES, AND RESILIENCY; INCREASING ACCESS TO NALOXONE AND PROVIDING OVERDOSE EDUCATION; LINKING PROGRAMMING TO MIDDLE AND HIGH SCHOOLS; ESTABLISHING A PEER RECOVERY CENTER; EXPANDING THE PEER SUPPORT WORKFORCE; INCREASING THE NUMBER OF MAT PROVIDERS AND ACCESS TO MAT; TRAINING THE COMMUNITY ON SAFE STORAGE AND DISPOSAL OF PRESCRIPTION DRUGS; REFERRING INDIVIDUALS WITH OUD/SUD TO SUPPORTIVE RECOVERY SERVICES; AND SCREENING FOR HIV/HCV.