The California MAT Expansion Project is composed of many projects led by a diverse team of stakeholders and partners throughout the state. To learn more about implementation efforts and to access additional resources and information, visit the California MAT website. To learn more about each project listed below, click the plus sign icon to the left of the project name.
The Naloxone Distribution Project aims to reduce opioid overdose deaths through the provision of free naloxone, in its nasal spray formulation.
To educate and train health care professionals about addiction medicine, the California Academy of Family Physicians is leading a project to develop and implement curriculum about addiction medicine and MAT into California residency programs.
This effort includes California Highway Patrol trainings to increase awareness of drug use and impairment and support the creation of linkages to resources and referral options to MAT in order to reduce opioid overdoses, opioid related traffic fatalities, and curb recidivism amongst DUI program participants.
The California Consortium for Urban Indian Health (CCUIH) works with Urban Indian health organizations in support of health promotion and access for American Indians living in California cities. Under the Tribal MAT Project, CCUIH is launching a community opioid campaign, distributing and training on naloxone, serving as MAT Champions, and supporting Opioid Safety Coalitions.
CCHCS goals are to provide MAT and enhanced addiction treatment (psychosocial treatment and medication) across our prison system.
The California Department of Public Health (CDPH) is incorporating academic detailing into health plans and health payer systems and conducting up to four academic detailing training sessions to train new health care professional detailers within health plan and payer systems to systematically implement academic detailing.
The California Department of Public Health (CDPH) is establishing a fentanyl reporting system, improving detection of fentanyl outbreaks, improving the opioid surveillance dashboard for poly drug use, and expanding the dashboard to include social determinants of health.
California’s Prescription Drug Monitoring Program: The Controlled Substance Utilization Review and Evaluation System (CURES) is a database of Schedule II, III and IV controlled substance prescriptions dispensed in California serving the public health, regulatory oversight agencies, and law enforcement. CURES is committed to the reduction of prescription drug abuse and diversion without affecting legitimate medical practice or patient care.
CHCF is working to promote safer opioid prescribing and increase access to addiction treatment across California. CHCF works with purchasers, health plans, providers and policy-makers on a multi-pronged strategy: decrease new starts on long-term opioid therapy, manage chronic pain safely, treat addiction effectively, and deploy harm reduction tactics to lower overdose deaths. CHCF’s goal is to decrease opioid-related deaths 20% by 2020. See the CHCF website for more information.
This program aims to increase access through expansion of current and new services for MAT and OUD prevention for youth and families.
The California Product Stewardship Council supports statewide drug take-back programs in approved locations.
The California Rural Indian Health Board (CRIHB) is a network of Tribal Health Programs, which are controlled and sanctioned by Indian people and their Tribal Governments, formed to provide a central focal point in the Indian health field in California for planning, advocacy, funding, training, technical assistance, coordination, fund raising, education, development and for the purpose of promoting unity and formulating common policy on Indian health care issues. Under the Tribal MAT Project, CRIHB is launching a community opioid campaign, distributing and training on naloxone, serving as MAT Champions, and supporting Opioid Safety Coalitions.
This project is an expansion of the mentored learning project. Funding supports an additional 80 slots over a two-year period.
California State University, Sacramento, is hosting two convenings about MAT (in the northern & southern regions of the state) for addiction counselors, mental health professionals, and social workers.
The Center for Care Innovation’s Addiction Treatment Starts Here program includes three learning collaboratives designed to strengthen multi-sector partnerships between health care providers and community-based partners to increase access points to MAT for OUD and to reduce the number of opioid-related overdoses and deaths. CCI is offering three learning collaboratives designed to increase MAT in primary care sites, behavioral health sites, and through cross-sector community partnerships.
PHI is included in the Treatment Starts Here Advisory Group due to their important work to connect and support opioid coalitions around the state through the CA Opioid Safety Network’s Accelerator Program. The California Opioid Safety Network provides support including technical assistance, coaching and customized learning opportunities to opioid safety coalitions working throughout California on both coalition building and opioid safety strategies.
The goal of this project is supporting MAT start-up activities and/or MAT enhancement efforts in at least 200 MAT Access Points throughout urban and rural areas. Grants will be awarded statewide.
Continuity Consulting is establishing an initiative with the California Conservation Corp and the California Department of Corrections and Rehabilitation Division of Juvenile Justice to perform initial assessments to determine the activities that can address the opioid crisis through prevention, treatment and/or recovery.
Harbage Consulting is supporting the development of informational toolkits aimed at a variety of stakeholders and target audiences. They are also providing technical assistance and support to DHCS in efforts to coordinate and implement SOR projects.
Health Right 360 is providing recovery residence transitional housing and peer support for homeless individuals with OUD in San Francisco to facilitate continued engagement in SUD treatment and related recovery support services.
Media Solutions is leading an effort to design a statewide, multi-media campaign targeted at individuals with OUD and their families, with an emphasis on making connections to treatment.
The California Bridge Program develops hospitals and emergency departments throughout California into primary access points for the treatment of acute symptoms of SUDs, including developing and implementing plans for 24/7 access to buprenorphine for patients with opioid use disorder.
Public Health Institute (PHI) is working with hospitals in rural areas that have limited access to OUD treatment services. Funding will be used to increase referrals into treatment for patients with OUD and to test the concept of rural hospital’s being a primary MAT location.
The Tribal MAT Program aims to improve MAT access for urban and tribal communities by increasing the total number of waivered prescribers certified and providing expanded MAT services that incorporate the values and culture of the communities being served.
TeleWell Behavioral Medicine provides psychiatric and addiction medicine services using telehealth technology. Their mission is to offer high quality specialty services to rural and other underserved communities, especially tribal and urban Indian health programs. Under the Tribal MAT Project, TeleWell is delivering tele-MAT services, offering webinars and clinical consultation, and providing MAT practice transformation support.
Two Feathers – Native American Family Services (Two Feathers) is a tribally chartered organization in Humboldt County providing Native American based mental health and child welfare services through a comprehensive continuum of school, community-based and family focused treatment services for children and families experiencing high levels of trauma and oppression, and who are at risk for family disruption or institutional care for the children. Under the Tribal MAT Project, Two Feathers is developing a Tribal Youth and Family Services Consortium and evaluating culturally-appropriate service modalities.
The California Hub and Spoke System consists of narcotic treatment program (Hubs) and office-based treatment settings (Spokes) that provide ongoing care and treatment. The program aims to increase the number of providers prescribing buprenorphine for opioid use disorder.
The University of California, Los Angeles is surveying 1,000+ waivered prescribers. Based on the results, they will provide support to waivered prescribers via “physician champions” who will be hired to travel throughout California to provide on-site support.
Using the Project Extension for Community Healthcare Outcomes (ECHO) model, a distance-based learning method that links specialists at an academic medical center with primary care clinicians in local communities, UCLA is implementing the Tribal MAT ECHO Project to support health providers in Indian Country to deliver MAT. UCLA offers monthly 60-minute virtual Tribal MAT ECHO clinics, which begin with a didactic presentation on a topic relevant to MAT care delivery and predominantly feature a de-identified case presentation and facilitated discussion.
The University of California, San Francisco is leading an effort to build in new expertise in the areas of opioid overdose, opioid withdrawal, and initiation of buprenorphine for the pharmacists and physicians staffing the California Poison Control Center (CPCS), leveraging the existing scope, ease of access, and current CPCS/emergency department consultation relationships.
The primary goal of this project is to establish a new, easy-to-access free telephone consultation service to provide evidence based clinical support for clinicians to address addiction and substance use in primary care, emergency departments, and other critical settings.
Young People in Recovery is partnering with the DHCS to launch YPR chapters and life-skills curriculum programs to individuals in recovery from opioid use and substance use disorders.