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File #: 24-0083    Version: 1
Type: Bill Status: Passed
File created: 1/19/2024 In control: Safety, Housing, Education & Homelessness Committee
On agenda: 2/12/2024 Final action: 2/21/2024
Title: A bill for an ordinance approving a proposed Agreement between the City and County of Denver and Denver Health and Hospital Authority, to provide the expansion of Medication Assisted Treatment (MAT) services in Denver County Jail and Downtown Detention Center, in Council Districts 8 and 10. Approves an intergovernmental agreement with Denver Health and Hospital Authority for $1,650,000 with and end term date of 12-31-2026 to provide the expansion of Medication Assisted Treatment (MAT) services in Denver County Jail and Downtown Detention Center, in Council Districts 8 and 10 (SHERF-202371581). The last regularly scheduled Council meeting within the 30-day review period is on 3-4-2024. The Committee approved filing this item at its meeting on 1-31-2024.
Indexes: Anne Wallace
Attachments: 1. BR24-0083_DOS_DHHA MAT Expansion Services Bill Request, 2. 24-0083 Filed Bill_Denver Health and Hospital Authority, 3. 24-0083_DHHA MAT Expansion_Signed Contract, 4. 24-0083 Filed Bill_Denver Health and Hospital Authority, 5. 24-0083_signed, 6. 24-0083 For an ordinance approving a proposed Agreement between the City and County

Contract Request Template (Contracts; IGAs; Leases)

 

Date Submitted: 1-29-2024

 

Requesting Agency: Dept. of Safety

                               Division:

 

Subject Matter Expert Name: Emily Lauck
Email Address: Emily.lauck@denvergov.org
Phone Number:

 

Item Title & Description:

(Do not delete the following instructions)

These appear on the Council meeting agenda. Initially, the requesting agency will enter a 2-3 sentence description. Upon bill filling, the City Attorney’s Office should enter the title above the description (the title should be in bold font).

 

Both the title and description must be entered between the red “title” and “body” below.  Do not at any time delete the red “title” or “body” markers from this template.

title

A bill for an ordinance approving a proposed Agreement between the City and County of Denver and Denver Health and Hospital Authority, to provide the expansion of Medication Assisted Treatment (MAT) services in Denver County Jail and Downtown Detention Center, in Council Districts 8 and 10.

Approves an intergovernmental agreement with Denver Health and Hospital Authority for $1,650,000 with and end term date of 12-31-2026 to provide the expansion of Medication Assisted Treatment (MAT) services in Denver County Jail and Downtown Detention Center, in Council Districts 8 and 10 (SHERF-202371581). The last regularly scheduled Council meeting within the 30-day review period is on 3-4-2024. The Committee approved filing this item at its meeting on 1-31-2024.

body

 

Affected Council District(s) or citywide?

8, 10

Contract Control Number:

SHERF-202371581

Vendor/Contractor Name (including any “DBA”):

Denver Health and Hospital Authority

Type and Scope of services to be performed:

Medication Assisted Treatment (MAT) is a treatment regimen for individuals with substance use disorders (SUD), specifically OUD (opiate use disorder) or alcohol use disorder (AUD), that combines medications such as methadone, buprenorphine, or naltrexone with counseling and behavioral therapies.  DSD in partnership with DHHA manage a MAT Program for individuals in DSD custody and medication therapies include: the use of buprenorphine for patients in acute opiate withdrawal; the continuation of MAT (buprenorphine, naltrexone, Vivitrol, or methadone) for patients with an active prescription in the community; and the induction of MAT (buprenorphine, naltrexone, and Vivitrol) for patients identified with OUD and/or AUD in custody. In addition to MAT medications DHHA also staffs two MAT housing units-one for females and one for males-that offer a Therapeutic Community-like treatment environment for individuals struggling with SUD. Patients housed in the dedicated MAT housing units receive the benefits of group therapy, one to one therapy, and case management.

 

The grant funding will support the MAT Expansion Program to increase the number of individuals with access to MAT induction while incarcerated at the Downtown Detention Center or Denver County Jail, increase the number of individuals receiving therapy, increase intakes or connections to MAT and other clinically indicated SUD treatment after release from DSD custody, increase access to housing, transportation upon release and a coordinated hand-off to providers to continued MAT services in the community. DHHA plans to post the three MAT nursing positions, the Therapeutic Case Manager position and the Assistant Case Coordinator position as soon as possible and will likely hire these positions by January or February 2024. 

 

 

 

 

Performance Metrics are listed below:

 

Metrics from screening process

                     How many individuals were referred to the program

                     The primary referral source of those individuals

                     Does the individual claim to be on MAT

                     Was the individual put on the opiate withdrawal protocol

                     Was the individual screened

                     Reason why the individual was not screened

                     What, if any, resources were provided to the individual during the screening process

                     Is the individual eligible for the program (verified OUD and/or verified AUD)

                     Reason why the individual was not eligible

 

Metrics of eligible individuals in custody

                     Did the eligible individual enter the MAT program

                     Reason why the eligible individual did not enter the MAT program

                     Medication induction date

                     Individual has been diagnosed with any of the following

o                     OUD

o                     AUD

o                     Amphetamine Use Disorder

o                     Cannabis Use Disorder

                     Has an intake been completed

                     Reason why no intake was completed

                     Has the DACOD been completed

                     Had the GPRA been completed

                     Has patient diverted their medication

                     How many individual therapy sessions has the individual completed

                     How many group therapy sessions has the individual attended

o                     What were the topics of each session

                     How many case management visits has the individual completed

                     Was the individual discharged from the program

o                     Reason why individual was discharged from the program

                     What, if any, resources were provided to the individual while eligible and in custody

                     Date of release (date completed the program)

 

Metrics of post release process

                     SAMHSA survey information

o                     Abstained from SU

o                     Housing stability

o                     Employment status

o                     Social connectedness

o                     Access to treatment

o                     Retention in treatment

o                     Criminal justice involvement

                     What, if any, resources were provided to the individual after their release date

                     Which clinic was the individual referred to

                     How many times did staff attempt to reach out to the individual after their release date

                     Did the staff member successfully reach out to the individual

                     Did the individual make contact with the clinic they were referred to (or any other clinic)

 

 

Location (if applicable):

 

WBE/MBE/DBE goals that were applied, if applicable (construction, design, Airport concession contracts):

N/A

Are WBE/MBE/DBE goals met (if applicable)?

 

Is the contract new/a renewal/extension or amendment?

NEW

Was this contractor selected by competitive process or sole source?

Sole source

For New contracts

 

Additional Funds (B)

Total Contract Amount (A+B)

$1,650,000

$1,650,000

 

Added Time

New Ending Date

39 Months

12/31/2026