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Frequently Asked Questions

Questions can be submitted to
MATinCountyCJ@healthmanagement.com

Who would typically be on a county team?

Typical teams will have five to eight people who work with the issues of addiction treatment in jails and criminal justice systems. The program description outlines the mandatory and optional members.

Can all team members come from one department (i.e. Jail Health)?

There can be more than one representative from one department, so long as the mandatory entities are represented. However, the goal of the program is to increase access to MAT in jail and across the criminal justice continuum, so it will be beneficial to counties to have representatives from as many entities in the continuum as possible.

Who decides who will be on the county team?

This should be a collaborative decision across the interested parties within a county.

Can a county have more than one team?

No – there should be a single approach that addresses all the jails and/or drug courts in a county system.

How will the decision about which counties get awards be decided?

DHCS holds the authority to decide project awards. DHCS has funded this project to support up to 20 counties. All counties that meet the application criteria of establishing an appropriate team and completing the project application will be considered eligible.

To whom will the funds be awarded?

The grant award of $25,000 will be awarded and disbursed to the lead agency identified in the proposal. Decisions about how the funds are used should be made in collaboration with all the involved parties.

If additional grants are made, they will be awarded to the applicant agency from the county, which may be different from the lead agency.

What can project funds award be used for?

The $25,000 award to each county is intended to cover travel expenses for team members to participate in the four Learning Collaborative sessions held in Northern and Southern California. County teams in the first cohort did not need the full $25,000 for this purpose, and also used funds for the following:

  • Attendance at opioid treatment-related session at conference offered by American Correctional Association, National Sheriffs Association, California Society for Addiction Medicine, and National Commission on Correctional Health Care
  • Purchasing materials on ASAM criteria
  • Travel to other jails to observe their programs
  • Developing detainee training materials on addiction and treatment
  • Hosting trainings for community leaders and other stakeholders
  • Covering staff time to develop policies and procedures, data collection templates, etc.
  • X-waiver training
  • Cost of Sublocade in a pilot project

How can my county be sure an expense is an appropriate use of project funds?

Each team will be required to submit a brief spending plan describing the intended use of funds and how expenses will be tracked. Your team coach will work with you to be sure funds are used appropriately.

Are there requirements for receiving the funds?

Yes. Teams must participate in each Learning Collaborative and monthly coaching calls in order to receive the full $25,000.

Are there reporting requirements involved in this project?

Yes. Beginning in the third month, jails must collect and report basic, monthly, de-identified data on the number of detainees detoxing, entering the jail on MAT, treated in the jail with MAT, and the number of overdoses in the jail. This will be used to track change over time in the aggregate, and no jail identifiers will be used.

Later in the project, each team will work on data measures to track the engagement of persons released from jail on MAT in community treatment and recidivism and overdose data for this population.

Your team coach will work with your team on identifying and collecting these measures.

When will the counties be notified if they are receiving a grant?

Awards will be announced on or before Friday, March 22, 2019.

Can counties change representatives and/or add new ones once the grant has been awarded?

If a county team needs to change its membership over the course of the project, it can propose the change to the project team for approval, so long as project requirements continue to be met.

What do you mean by “teams will begin at different points and not end at the same point”?

The goal of this project is to move counties forward in expanding access to all forms of MAT in jails and criminal justice settings. Some counties may already be providing some form MAT and not others. Other counties may be working on adding access to MAT to drug courts (and even have funded projects underway.) Still others may have taken no organized steps toward these objectives. All counties are equally eligible to apply for this project, even though they are beginning at different points. Likewise, counties are expected to move forward toward project goals during the project, but because the starting points will differ across the counties, their progress and end points are not expected to be the same.

What happens if a county is unable to expand access to at least two forms of MAT once it has been awarded the grant?

DHCS respects local decisions and the need for county-based autonomy in treating addictions, but wishes county criminal justice systems to make decisions in light of a thorough understanding of best practices and emerging medical standards of care. Participating counties will have had the chance to learn from one another to reduce barriers to using multiple forms of MAT. There will not be penalties imposed based on county decisions.

How many hours of commitment are required of the teams?

In general, county teams should expect that the full team meets at least monthly in the county and also participates in monthly coaching calls. The full team must also participate in the on-site Learning Collaboratives. In addition, individuals and/or sub-committees will conduct project work on policies, procedures, and other local activities. Team members should expect to spend an average of 7 – 8 hours a month on this project across its 9 months (including the Learning Collaborative sessions). Team Champions should expect to spend an addition 3-5 hours per month coordinating activities and working with the project team.