FUNDING OPPORTUNITIES

BACKGROUND New category of funding in the FY13 Harold Rogers Prescription Drug Monitoring Program Official title is “Category 3: Data-Driven Multi-Disciplinary Approaches to Reducing Rx Abuse” grants Developed out of recognition that opiate abuse is a multi-faceted problem that requires strong partnerships

SAMPLE FOCUS AREAS Enhance capacity of state and local organizations to analyze and use data from diverse sources to monitor drug abuse trends and identify sources of diversion. Increase PDMP utilization to improve decision making and help communities address challenges. Strengthen collaborations between law enforcement, prosecutors, treatment professionals, the medical community, pharmacies, and regulatory boards to establish a comprehensive response to opiate abuse. Identify high-risk scenarios with the greatest need for proactive education, outreach, treatment, and enforcement strategies. Promote data-driven solutions that drive policy and practice within local and state communities.

ELIGIBLE APPLICANTS States and units of local governments with an existing and operational PDMP. Eleven grantees, to date. Of the existing projects, four are statewide projects and seven are local or regional projects.

PILOT SITES – FY13 ($2.4 MILLION) Fairfield County, Ohio Florida Department of Health Jackson County, Oregon Maryland Department of Health & Mental Hygiene New York County, New York Norfolk District Attorney’s Office, Massachusetts

PILOT SITES – FY14 ($2.1 MILLION) Arizona Criminal Justice Commission Executive Office of the Governor of Delaware New York County, New York Northwestern District Attorney’s Office, Massachusetts University of Kentucky Research Foundation Washington State Department of Health

SUPPORT FOR OVERDOSE PREVENTION ACTIVITIES Established Overdose Fatality Review (OFR) teams at three pilot sites across the state. The Maryland Alcohol & Drug Abuse Administration worked with the Office of the Chief Medical Examiner and Vital Statistics Administration to develop an overdose death data file for use by local OFR teams, as well as a data manual to assist local teams in understanding the data provided. The local OFR teams meet monthly to review medical examiner data as well as other data available at the local level to identify overdose risk factors, identify missed opportunities for prevention/intervention, and make recommendations for policies or programs to prevent future deaths. Development of Substance Abuse Coalitions: Both the Northwestern District (MA) Attorney’s Office and the Norfolk County (MA) District Attorney’s Offices have supported the development of new substance abuse coalitions in communities that do not currently have coalitions

EXPANDING THE USE OF PDMP DATA Prescriber Outreach: Two sites (Arizona and Jackson County, Oregon) have worked to implement a system that allows prescribers to see their prescribing patterns relative to other prescribers within their discipline. Data Integration and Analysis: A number of sites (Kentucky, Delaware, Washington, and two sites in Massachusetts) are linking PDMP data with various public health and criminal justice data sets to better identify patterns of prescribing and drug use by county, demographic groups, and drug types. The New York City RxStat Program has been on forefront of this work and has developed a technical assistance manual which has been distributed widely at national conferences and made available on the BJA website and through technical assistance providers. This manual provides a clear roadmap that can be used by communities interested in replicating this model to facilitate accurate and timely analysis of public health and public safety data and target resources to provide the most efficient responses.

STRENGTHENING PROVIDER EDUCATION Provider Education: In addition to your summit, both the Northwestern District (MA) Attorney’s Office and the Norfolk County (MA) District Attorney’s Offices as well as Arizona have planned Prescription Drug Abuse Summits for pharmacists and health care professionals.

INCREASING ACCESS TO TREATMENT Inmate Screening for Substance Abuse: Fairfield County, Ohio implemented substance abuse screening of all inmates booked into the local jail in the hopes of identifying and engaging at-risk individuals in treatment services prior to release back into the community. Fairfield County is using the data collected from this process, in conjunction with data from the state PDMP, treatment providers, the courts and child protective services, to identify gaps in the existing system and “hot spots” where interventions could have the most effective impact, and develop an action plan to address these gaps. Access to Treatment: The Maryland Department of Health & Mental Hygiene established rapid response teams to provide emergency referrals to patients left without care as a result of a provider’s loss of license or arrest.

WHERE ARE WE HEADED? Introduced new funding this year ($700,000/year three year projects) to support researcher/practitioner projects. The goal is to strengthen PDMP efforts to develop and test innovative strategies and to implement evidence-based approaches that demonstrate the impact of expanded use of PDMP data to support decision-making. Co-hosted a Researcher summit with Pew in May 2015.

BJA CONTACTS Chris Traver, Senior Policy Advisor Tara Kunkel, Visiting Fellow