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Ohio Medication Assisted Treatment-Prescription Drug and Opioid Addiction (MAT-PDOA) Program

Ohio ranks second nationally in opioid overdose deaths, surpassed only by the state of California. The number of drug overdose deaths and the proportion of opioid-involved deaths have both steadily increased over the decade. From 2006 until 2015, opioid-involved overdose deaths increased from 43.7 percent of all unintentional poisonings to 84.9 percent, while total opioid deaths increased by a factor of 4.7 during this same period from 551 to 2,590. The trajectory seems to be escalating, with annual opioid-related deaths increasing by 31.3% between 2013 and 2014 and 28.2% between 2014 and 2015.

The Ohio MAT-PDOA Project is an opportunity to further expand access to medication assisted treatment beyond the 27 Alcohol, Drug Addiction and Mental Health (ADAMH) Service Boards covering 47 counties that were specifically targeted by Ohio’s 21st Century Cures Act Opioid STR grant application. The Ohio MAT-PDOA Project will provide resources to nine additional ADAMH Boards encompassing 17 of Ohio’s 88 counties in order to implement locally-determined high priority opioid use disorder treatment and recovery services projects.

Ohio’s proposed MAT-PDOA project is aimed at enhancing access to medication assisted treatment and reducing the number of overdose deaths associated with Ohio’s opioid epidemic. The approach to meeting these goals is to implement high-priority MAT projects identified by nine Alcohol, Drug Addiction and Mental Health Services boards. Strategies and activities undertaken for this effort build upon Ohio’s on-going efforts to address the opioid epidemic using evidence-based approaches.

The MAT-PDOA boards will have access to prevention services and on-line training/workforce development components of Ohio Opioid STR that were designed to be implemented statewide. This includes prescriber access to the ECHO model support that will be developed as part of the Opioid STR grant. In addition, as with the rest of the state, these boards can access training and technical assistance through the Ohio SBIRT grant.

Board projects focus on treatment and recovery support efforts that will contribute to the desired outcomes of this grant. Projects include:

  1. The development of quick/crisis response teams.
  2. Using funds to on-board prescribers.
  3. Paying for medications where no other source of funding is available.
  4. Utilizing recovery supporters to improve treatment access and retention.
  5. Expanding treatment services for OUD clients such as ambulatory detox and residential treatment, where that expansion demonstrates greater access to MAT.
  6. Partnering with facilities such as a hospital, community health center, FQHCS that enhance integrated care.

An evaluation is being conducted to assess both the process and impact of the MAT-PDOA project, and provide stakeholders with information needed to ensure continuous quality improvement.