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NJ Discretionary Funding Fiscal Year 2020

Center: SP

Program: Sober Truth on Preventing Underage Drinking Act Grants
State: NJ
Grant Award Number: 1 H79 SP081137-01
Congressional District: 10
FY 2020 Funding: $50,000
Project Period: 2020/04/30 - 2024/04/29

Through the STOP Act Grant Prevention Links proposes to expand our youth group initiative by continuing to provide the evidence based program that has been listed in SAMHSA's National Registry of Evidence Based Programs, Lead and Seed. It is provided to youth leaders and their adult mentors and uses an environmental approach to drug and alcohol prevention which targets middle and high school-age youth. The program can be implemented in a school setting or any recurring group situation where the same youth and adults come together on a regular basis, (coalitions, law enforcement, faith community, YMCA, etc.) Elementary-age youth teams, (Wee Lead & Seed), can also participate in their schools or community, if mentored and guided by older youth and adults. This program allows for needed flexibility to accommodate local conditions and maintain program fidelity. The goal of the Lead & Seed program is behavioral change. The program is designed to build human, technical and financial capacities, encourage intergenerational involvement, increase knowledge of the effects of substance use, develop problem-solving skills and change attitudes for preventing and reducing alcohol, tobacco, and other drug (ATOD) use. College and university student involvement with the program can also be also encouraged. The OCOF would collaborate with Union County College in order to have a group of college students trained to work with the younger middle school and high school students as their adult group leaders.

Grantee: PROCEED, INC.
Program: The Substance Abuse and HIV Prevention Navigator Program
State: NJ
Grant Award Number: 1 H79 SP082176-01
Congressional District: 8
FY 2020 Funding: $200,000
Project Period: 2020/08/31 - 2025/08/30

Puerto Rican Organization for Community Education and Economic Development (herein called PROCEED) is a multicultural, not-for-profit organization with a 50-year history of providing community-based health, human, and capacity building services. For 40 years PROCEED has provided substance use prevention and treatment and HIV prevention to residents of Union and Essex Counties, NJ. In response to SAMHSA FOA No. SP-20-001 - Substance Abuse and HIV Prevention Navigator Program for Racial/Ethnic Minorities Ages 13-24 (Short Title: Prevention Navigator) PROCEED proposes Power of Prevention (PROCEED POP) – a youth-informed, empowerment and prevention program that combines best evidence HIV and substance use prevention interventions with case management and navigation services by “Promotoras” (Lead. Navigator) that will link participants and their families to other health, education, employment, and social support services. 2017 data from the NJ Substance Abuse and Monitoring System reports an increase in substance use in Essex and Union County; these two counties rank numbers 1 and 3 in HIV incidence among NJ’s counties. PROCEED will use its experience in HIV prevention, substance use, and training/workforce development to implement PROCEED POP with Latino and African-American youth, ages 13-18 years in Union (Elizabeth) and Essex (Irvington, Newark) Counties, NJ. The population of focus reflect the majority Latino and African-American residents in Essex (65%) and Union (56%) counties; persons age 18 years and younger comprise approximately 24% of the population. PROCEED POP will partner with various community sectors to engage youth for bilingual HIV and substance use prevention education. Through training, PROCEED POP also aims to build the competencies of health care providers to routinely screen for HIV and link participants to HIV testing, treatment, or PrEP services. Program Components include: 1. Partnership Development, Outreach and Engagement 2. HIV Prevention Evidence-Based Intervention (HIV Navigation Services) 3. Substance Use Prevention Evidence Based Practices (ARISE Life Skills, Motivational Interviewing) 4. Youth-led and Informed Public Awareness Campaigns on HIV and Substance Use Risks 5. HIV Testing and Linkage to HIV Medical Treatment or Pre-Exposure Prophylaxis 6. Case Management/Navigation Services 7. Provider Education and Training on HIV/Substance Use Prevention Best Practices PROCEED POP will serve 280 unduplicated participants during the 5-year project period: 50 in Year 1, 60 in Years 2-4 and 50 in Year 5. Numbers reflect the project scope and intensity, as well as the anticipated funding award, as per SAMHSA SP-20-001.

Program: The Substance Abuse and HIV Prevention Navigator Program
State: NJ
Grant Award Number: 1 H79 SP082257-01
Congressional District: 1
FY 2020 Funding: $200,000
Project Period: 2020/08/31 - 2025/08/30

The Division of Infectious Disease at Rowan School of Osteopathic Medicine proposes a partnership with the Atlantic County Sheriffs Office and other community sectors in 8 high-risk counties of New Jersey to provide prevention navigation services to 300 predominantly African American and Hispanic males, ages 13-24 at highest risk for substance use and HIV. Services include prevention planning, HIV and hepatitis testing, referral to treatment, and HIV care. Rowan School of Osteopathic (RowanSOM) proposes a Prevention Navigator Program for High-Risk Young Men of New Jersey. The population of focus will be predominantly African-American and Hispanic youth ages 13 to 24 who engage in high-risk sex while under the influence of drugs and alcohol and are living with or at high risk for HIV. The project will target a sub-population of young men in New Jersey who simultaneously inject opiates (to relieve pain) and inhale crack cocaine (to increase sexual arousal) and participate in unprotected, receptive anal sex with other youth or with older men in exchange for money or drugs. The geographic catchment area for the project will be eight counties in New Jersey with the highest opiate overdose deaths and highest HIV rates in the state. In 2017, the drug overdose death rate in New Jersey increased 29%, the largest in the nation. In the same year, New Jersey ranked eighth in the nation with 37,411 people living with HIV. These counties include Essex, Hudson, Union, Passaic, Mercer, Camden, Atlantic, and Cumberland. Of New Jerseys 21 counties, these counties accounted for 49% of all drug overdose deaths, 48% of all admissions to substance use disorders treatment, and 45% (16,800) of all people living with HIV in New Jersey including 37% of all African American and Hispanic men and 76% of all youth living with HIV. Recruitment for the project will occur within the Division of Infectious Disease at RowanSOM and at high schools, churches, and other sectors in the catchment area. Street outreach will also be conducted in Atlantic County, New Jersey through a partnership with the Atlantic County Sheriffs Office which operates a mobile Hope One Recovery Unit. Navigators will engage low income, young Hispanic men who work as migrant farmers in western Atlantic County who exchange sex for drugs or money with gamblers in nearby Atlantic City. The goals of the project are aligned with the five required activities listed on page 6 of the RFA and include: 1) development of partnerships with 15 community-based organizations each year to ensure youth at highest risk for substance use and HIV have access to services; 2) engage youth into services by implementing prevention messages that build awareness of the link between problematic substance use and high-risk sex; 3) provide HIV and hepatitis counseling and testing to 300 young men; 4) engage 300 young men in prevention navigation services that includes follow-up for up to one year in the community; and 5) provide education on the importance of HIV testing to 500 physicians who serve youth with opiate use disorders. The Center for Prevention Science at Rutgers University will be the evaluator for the project.

Program: Drug-Free Communities Support Program-Competing Continuation
State: NJ
Grant Award Number: 2 H79 SP020331-06
Congressional District: 9
FY 2020 Funding: $125,000
Project Period: 2019/10/31 - 2024/10/30

The Secaucus Coalition was awarded a FY 2019 Drug-Free Communities Support Program grant in the amount of $125,000 by the White House Office of National Drug Control Policy, in cooperation with the Substance Abuse and Mental Health Services Administration. The Coalition serves Secaucus, New Jersey, a community of 16,436. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance use. The coalition’s strategies/interventions include developing and implementing a comprehensive Action Plan using the seven CADCA Strategies for Community Change: Modifying/Changing Policy, Changing Consequences, Providing Information, Enhancing Skills, Providing Support, Enhancing Access and Reducing Barriers, and Physical Design. DFC Goal One: Increase community collaboration Objective 1: Increase coalition membership by recruiting and/or training ten adult members and ten youth members (age 12-18) as measured by coalition membership database; and increase capacity (knowledge/abilities) of coalition members as evidenced by an increase in those who say they have the right knowledge to make informed decisions as measured by the annual coalition survey. Objective 2: As per the Strategic Prevention Framework, review needs assessment data, implement biennial youth survey, and update the coalition’s logic model/action plan and as measured by the successful completion of these required documents DFC Goal Two: Reduce youth substance use Objective 1: By October 30, 2020, reduce access to alcohol among youth ages 12-18 from 44% reporting it is easy/somewhat easy to obtain alcohol to 39% (short term); by October 30, 2024, reduce past 30-day alcohol use among youth ages 12-18 from 10% to 7.5% (long term) - as measured by the Secaucus Coalition Communities that Care youth survey data. Objective 2: By October 30, 2020, maintain current rate for perception of risk (reporting moderate/great risk - 89%) for tobacco use among youth ages 12-18 and establish perception of risk baseline data for vaping (short term); by October 30, 2024, reduce past 30-day tobacco use (including vaping/JUULing) among youth ages 12-18 from 13.5% to 10% (long term) - as measured by the Secaucus Coalition Community that Cares youth survey data.

Program: Drug-Free Communities Support Program-New
State: NJ
Grant Award Number: 1 H79 SP081985-01
Congressional District: 5
FY 2020 Funding: $125,000
Project Period: 2019/12/31 - 2024/12/30

Upper Saddle River - Allendale DFC Project to reduce youth substance use

Center: TI

Program: Building Communities of Recovery
State: NJ
Grant Award Number: 1 H79 TI082381-01
Congressional District: 4
FY 2020 Funding: $200,000
Project Period: 2020/04/30 - 2023/04/29

This program is to expand the services offered by CFC Loud N Clear Foundation to additional regions in New Jersey. The foundation currently operates in Howell/Farmingdale and the surrounding areas. This grant will allow CFC to open full programs in the Toms River, Ocean County, New Jersey and Asbury Park, Monmouth County, New Jersey areas. Asbury Park and neighboring Neptune City and Long Branch were ranked 1st, 2nd and 3rd highest substance abuse admissions and over doses in Monmouth County according to Toms River ranks 1st in substance abuse admissions and over doses in Ocean County nearly double any other town in the county.

Program: State Opioid Response Grants
State: NJ
Grant Award Number: 1 H79 TI083317-01
Congressional District: 12
FY 2020 Funding: $65,969,842
Project Period: 2020/09/30 - 2022/09/29

The goal of the New Jersey State Opioid Response (NJ-SOR) is to address the opioid crisis confronting the state using a variety of strategies. The key objectives are to increase access to medication assisted treatment (MAT), reduce unmet treatment need and reduce opioid related deaths. To address these objectives, the New Jersey Division of Mental Health and Addiction Services (DMHAS) will develop infrastructure support to provide buprenorphine in standard outpatient and intensive outpatient substance use disorder (SUD) treatment as well as a low-threshold buprenorphine induction program. A new mobile van pilot program will be developed to facilitate low induction medication, case management and other ancillary services for individuals with an opioid use disorder (OUD) in communities with low access to MAT and high rates of homelessness. Additionally, a program will be developed to enhance overall recovery in stimulant use disorders utilizing contingency management. A public information, education, and training campaign will be launched to reduce discrimination and promote MAT as the evidence-based practice (EBP) for OUD. Additionally, opportunities for training, professional development and wellness services will be developed for OUD treatment professionals, as well as, recovery service workers. Prevention efforts will include expanding the target groups that receive naloxone training and kits through the Robert Wood Johnson Medical School and Opioid Overdose Prevention Program (OOPP), as well as, expanding the availability of naloxone kits to high risk populations through partnerships with New Jersey's seven Harm Reduction Centers and statewide distribution events. Recovery activities will include a continuation of the Opioid Overdose Recovery Programs (OORP) and the Support Team for Addiction Recovery programs (STAR). Anticipated outcomes of the SOR include: reduction/abstinence from drugs and alcohol, increase in employment, reduced criminal justice involvement, increased social connectedness, and increased percentage of individuals completing treatment at the recommended level of care. Additional outcomes include: reducing opioid overdoses, increasing retention in treatment, reducing the length of time to relapse and prolonging recovery, and increasing number of individuals receiving MAT. It is estimated that SOR will serve 34,178 individuals during the first year and 68,356 individuals over the two-year project.

Program: Emergency Department Alternatives to Opioids Demonstration Program
State: NJ
Grant Award Number: 1 H79 TI083110-01
Congressional District: 11
FY 2020 Funding: $500,000
Project Period: 2020/08/31 - 2023/08/30

Saint Barnabas Medical Center (SBMC) Emergency Department (ED) will partner with the RWJBarnabas Health (RWJBH) Institute for Prevention and Recovery (IFPR) to implement the Required Activities by using two evidence-based practices, Enhanced Recovery After Surgery (ERAS) and Traditional Pain Service (TPS), to implement alternatives to opioids for pain management beginning in the ED. Services will be delivered to SBMC's ED patients, uninsured or underinsured, with a diagnosis of renal colic or calculus, back pain, dental pain, fracture, or abdominal pain. The grant-funded activities will spur additional, unfunded efforts throughout RWJBH, including creation of a system-wide Pain Collaborative, collaboration with Corporate and Local Tackling Addiction Task Forces, and adoption of best practices at additional facilities. In 2019 alone, 2,476 visits to the SBMC ED resulted in patients receiving an opioid prescription at discharge. While the number of ED discharges at SBMC was essentially unchanged from 2018 to 2019, there was a nearly 20% year-over-year decrease in the number of discharges with an opioid prescription. Despite this shift in prescribing practices, patients continue to receive opioids in situations when their use runs contrary to best practices (Krebs et al., 2018). In fact, the most common diagnoses for patients discharged from the SBMC ED with an opioid prescription are renal colic or calculus, back pain, dental pain, fracture, and abdominal pain. To encourage use of opioids and opioid alternatives for these common pain-related diagnoses in accordance with best practices, an interdisciplinary committee of RWJBH staff conducted literature reviews and created system-wide order sets emphasizing pharmacologic and non-pharmacologic alternatives to opioids. However, uptake of these order sets is limited due to inadequate staff training on best practices and protocols for opioid use and alternatives to opioids for pain management, underdeveloped referral networks for primary care and specialty pain management, and fragmented processes for consultation and cooperation between ED, hospital, and other staff. The proposed approach is designed to implement evidence-based, structural solutions to these barriers by providing patients and clinical staff with a Patient Navigator responsible for ensuring utilization of and referral to alternative to opioids. The goals of the ED-ALT program are to: (1) Develop and implement novel, evidence-based approaches to treat painful conditions frequently diagnosed in the SBMC ED; (2) Institute a comprehensive education and training program to disseminate information and educate clinical staff and patients on the protocols and best practices related to the use of opioid prescriptions and alternatives to opioids; and (3) Identify, grow, and utilize consultation and referral networks and protocols for primary care, specialty pain management, and ED- and hospital-based treatment, communication, and collaboration. SBMC's ED-ALT program proposes to serve 3,000 unduplicated individuals over the entire project period with grant funds.

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