The California Department of Public Health (CDPH) has three MAT Expansion projects:
Opioid Safety Coalitions
CDPH is funding Opioid Safety Coalitions throughout California to reduce opioid and other drug-related overdoses and deaths in California counties. A number of these Coalitions represent the northern region of California which continues to have the highest rates of non-fatal and fatal overdoses statewide. The Coalitions are focusing efforts on multiple program objectives, including promoting safe prescribing, expanding access to MAT, naloxone distribution, and public education.
Public Health/First Responder Pilot Collaborations
CDPH is working with Contra Costa County’s Public Health Department, EMS Agency, and 911-transport provider agency to engage in opioid prevention and treatment during EMS calls. This effort includes three components:
- EMS agency will provide “leave behind” naloxone kits to individuals who survive an opioid overdose (with family members and friends);
- 911 responders will identify patients who are in acute withdrawal, administer a first dose of buprenorphine to these patients in the field, and transport them to an opioid receiving center designated by the county EMS agency; and
- EMS agency will provide a referral (“warm handoff”) of 911 patients to a public health outreach coordinator/intervention team, which will involve a data linkage between the 911-transport provider and the public health agency. Once this warm handoff occurs, the public health agency team will contact the patient to further assist enrollment in MAT programs and access to county services.
Single Room Occupancy (SRO) Overdose Prevention Pilot
CDPH is contracting with the San Francisco Department of Public Health (SFDPH) on the SRO pilot project, a replicable model to address opioid overdoses in SRO hotels in larger cities across California. SFDPH is collaborating with the DOPE (Drug Overdose Prevention Education) Project to:
- Develop agreements with building management of SROs (with high frequency of overdose);
- Recruit and train tenants at each SRO to be trained on naloxone overdose reversal skill training, strengthening knowledge and understanding of behavioral health issues and resources, how to train others in naloxone use, provision of naloxone, use and promotion of NaloxBoxes, and self-care to avoid burnout; and
- Install “NaloxBoxes” on each floor of the selected SROs. NaloxBoxes are transparent surface mounted boxes that contain naloxone, gloves, alcohol pads, a rescue-breathing device, and multilingual instructions.
For additional information on any of these CDPH projects, please contact OPI@cdph.ca.gov.