Substance Use Disorder Leadership Initiative
The Be Well OC Substance Use Disorder (SUD) Leadership Initiative was established as part of the Be Well OC movement to bring together public, private, academic, faith-based organizations and others to align efforts to create a coordinated, accessible system of substance use disorder treatment and support for all Orange County residents.
The group includes representatives from multiple County departments including Public Health, Jail Mental Health, Behavioral Health Services and Social Services, as well as representatives from the OC Department of Education, our Federally Qualified Health Center (FQHC) partner KCS and Community-based Organization (CBO) outreach partner MECCA, CalOptima, behavioral health plans (Beacon and Magellan), hospital systems, universities, and the Coalition of OC Community Health Centers.
Be Well OC SUD Leadership Initiative
Long Term Outcome
Create a coordinated, accessible system of SUD treatment and support for all Orange County residents.
Strategies and Outcomes
Increase Outreach, Education, and Opioid Use Disorder (OUD) Prevention Efforts for Youth, Families, Schools and Communities
- Develop Youth Advisory Council
- Disseminate educational resources in school and community settings across geographic regions in OC
- Incorporate OUD prevention materials into community MH forums including where and how to access MAT (Medication Assisted Treatment)
- Create a coordination workflow between outreach/prevention and clinical treatment components
Short Term Outcomes
Form a Leadership Coalition of SUD Stakeholders to Align Prevention and Treatment Efforts
- Identify & engage leaders from public, private, faith-based academic, payer, health care (clinics, hospitals), community-based sectors, and youth representatives
- Map out MAT access points and identify critical referral pathways across care transitions (jail/hospital to community)
- Create coordination workflows between clinical and community-based psycho-social supports
- Create a plan to expand to other populations/initiatives (MBSE, Peri-natal population, etc.)
Short Term Outcomes
Increase Countywide Capacity for Medication Assisted Treatment (MAT)
- Develop a MAT provider outreach, recruitment, training and supervision plan
- Increase the number of MAT providers for youth aged 16-24
- Create an accessible network/directory to public/private system
Short Term Outcomes
OC Medication Assisted Treatment for Youth (OCMAT4Y)
In August 2019, Mind OC was awarded a California Youth Opioid Response (YOR) Grant from the Department of Health Care Services for the OCMAT4Y care project. The Be Well OC SUD Leadership Initiative members provide strategic guidance and support for the implementation of this grant project which aims to build capacity and expand MAT clinical services for youth aged 14-24 experiencing Opioid Use Disorder.
Facilitated by Mind OC, OCMAT4Y is committed to coordination and integration of the County’s adolescent Drug Medi-Cal Organized Delivery System and the FQHC Safety Net, thereby enhancing access to MAT for the targeted youth group of adolescents and transition aged youth (TAY).
OCMAT4Y is building clinical capacity by increasing the number of providers who are trained, certified and able to provide MAT, while simultaneously creating referral pathways between the juvenile justice system, hospitals and community providers to improve continuity of care for vulnerable, at-risk youth in Orange County.
Dr. Mario San Bartolome, MD serves as the Medical Director for the MAT program at KCS Health Center. Dr. San Bartolome is a nationally recognized substance use disorder and MAT expert who has been the past president of the California Society of Addiction Medicine and also serves in a leadership role at Be Well OC.
In addition to building clinical capacity to provide MAT in community settings, the OCMAT4Y project is also advancing systems change across the broader SUD treatment continuum by creating intentional partnership and linkage between community prevention and education activities and clinical treatment.
Mind OC facilitates this multi-stakeholder collaboration to align clinical training efforts, streamline and improve referral pathways for clinical and crisis services, address reimbursement and sustainability challenges and eliminate the stigma that exists around substance use and opioid use disorders, so that youth and families can access care when needed.
Community-based partner MECCA, is leading OCMAT4Y outreach, prevention and education activities aimed at increasing knowledge among teens and parents about these disorders and how to access MAT and other resources in Orange County.
Results through August 2020
- 611 youth served – exceeding clinical service & prevention / education goals
- 38 youth provided MAT
- 25 providers trained for x-waiver
- 49,562 people reached through social media
- 1,387 reached through prevention events in 7 different languages
- 1,377 received group education (outside of schools)
- 888 providers and professionals reached through prevention and education events
- 289 units Narcan distributed, with 41 provided to individuals
- 20 SUD clinical and prevention trainings in 7 different languages to over 220 participants
- 135 activities with a SUD/MAT awareness component conducted
- Launched “Destigmatizing Recovery” social media campaign focused on sharing human stories and education
- Over 45,000 social media impressions, across 5 platforms achieved
- 480 youth screened
- 28 youth provided MAT
- MECCA led two informative, interactive trainings – one for parents, one for youth, which were translated, interpreted and recorded to be used to educate multicultural teens and parents on SUD/OUD and MAT services
- MECCA developed six handouts shared with youth-serving agencies and community education, social service and health partners through online toolkits and social media
In Response to COVID-19
- Entire MAT program at KCS Health Center shifted to telehealth
- Adapted and reformatted in-person trainings to a virtual setting that meets the cultural and linguistic needs of our communities
- Leveraged essential businesses and practices, including drive-thru food and resource banks, to share messaging, handouts, and invitations to trainings
- Created opportunities for digital outreach and engagement including video making contests for teens and transitional aged youth, engaging social media postings, and virtual learning games including trivia and virtual board games