The Camellia Foundation Inc

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - PROPOSED PROJECT AND DESIRED OUTCOMES CAMELLIA FOUNDATION, THROUGH MEDICOS CLINIC TIPTON, PROPOSES THE CAMELLIA RURAL MATERNAL AND FAMILY RECOVERY ACCESS NETWORK, A COMPREHENSIVE, FOUR-GOAL RCORP-IMPACT PROJECT IN TIPTON COUNTY, TENNESSEE, QUALIFYING FOR ALL FOUR PRIORITY FUNDING POINTS AS A NEW SERVICE AREA AND FIRST-TIME RCORP-IMPACT RECIPIENT. EXPECTED OUTCOMES BY AUGUST 31, 2030: 30 OR MORE NEW MOUD PATIENTS ENROLLED IN YEAR 1, SUSTAINING 100 OR MORE ACTIVE PATIENTS BY YEAR 4 (300 TOTAL ACROSS ALL SUBSTANCE USE AND CO-OCCURRING DISORDER PATIENTS NOT USING BUPRENORPHINE); 70% OR GREATER MOUD RETENTION AT 6 MONTHS; 200 OR MORE INDIVIDUALS LINKED TO PEER RECOVERY SUPPORT; 1,000 OR MORE NALOXONE KITS DISTRIBUTED; 80 OR MORE COMMUNITY PROVIDERS TRAINED IN SBIRT AND OVERDOSE PREVENTION; 8-12 RURAL NPS AND PAS COMPLETING THE CAMELLIA RURAL ADDICTION MEDICINE FELLOWSHIP; 70% OR MORE OF UNINSURED PARTICIPANTS LINKED TO COVERAGE WITHIN 6 MONTHS; AND 12 OR MORE ACTIVE TIPTON SDOH PARTNERSHIPS. LONG-TERM SUSTAINABILITY IS ANCHORED BY FQHC LOOK-ALIKE DESIGNATION (SUBMITTED YEAR 1, DESIGNATION EXPECTED YEAR 2) AND CCBHC CERTIFICATION (YEAR 3). TARGET RURAL SERVICE AREA TIPTON COUNTY IS A FEDERALLY DESIGNATED, FULLY RURAL COUNTY IN TENNESSEE'S MISSISSIPPI DELTA REGION, 35 MILES NORTH OF MEMPHIS. THE COUNTY'S 62,200 RESIDENTS FACE A SUSTAINED OVERDOSE CRISIS, FATAL DRUG OVERDOSE RATES PEAKED AT 49 PER 100,000 IN 2021, 50% ABOVE THE NATIONAL RATE. TIPTON CARRIES A PRIMARY CARE HPSA DESIGNATION, HAD FEWER THAN THREE OFFICE-BASED MOUD PRESCRIBERS AS RECENTLY AS 2022, AND HAS NO PRIOR RCORP-IMPACT AWARD. CONCENTRATED POVERTY, HIGH ACE RATES, AND GEOGRAPHIC ISOLATION COMPOUND TREATMENT ACCESS BARRIERS. DIRECT SUD AND SUPPORTIVE SERVICES GOAL 1: MEDICOS CLINIC TIPTON WILL PROVIDE MOUD (BUPRENORPHINE, EXTENDED-RELEASE NALTREXONE, AND METHADONE BRIDGE REFERRAL), UNIVERSAL SBIRT, INTEGRATED BEHAVIORAL HEALTH, AND TELEHEALTH FOLLOW-UP FOR STABLE PATIENTS. SUBSIDIZED BUPRENORPHINE WILL SERVE UNINSURED PATIENTS. BAPTIST MEMORIAL HOSPITAL, TIPTON WILL CONDUCT ED AND OB-BASED SBIRT AND BRIDGE BUPRENORPHINE PRESCRIBING, PRIORITIZING PREGNANT AND POSTPARTUM PATIENTS. THE UTHSC MOBILE HEALTH CLINIC WILL DELIVER SBIRT AND TREATMENT LINKAGE ACROSS RURAL TIPTON SITES. A BETOR WAY WILL DISTRIBUTE 200 NALOXONE KITS IN YEAR 1 (300 ANNUALLY THEREAFTER) AND LEAD YOUTH PREVENTION OUTREACH. GOAL 2: SUPPORTIVE SERVICES INCLUDE CASE MANAGEMENT, PEER RECOVERY SUPPORT, TENNCARE ENROLLMENT ASSISTANCE, TRANSPORTATION COORDINATION, CLOSED-LOOP EHR REFERRAL TRACKING, SDOH NAVIGATION, AND A QUARTERLY PARTICIPANT ADVISORY COUNCIL. WORKFORCE DEVELOPMENT GOAL 3: THE CAMELLIA RURAL ADDICTION MEDICINE FELLOWSHIP, A HYBRID, ON-THE-JOB COMPETENCY PATHWAY FOR RURAL NPS AND PAS, WILL ENROLL FOUR ANNUAL COHORTS (8–12 FELLOWS OVER FOUR YEARS). BAPTIST MEMORIAL HOSPITAL WILL HOST A DEDICATED FM-OB FELLOW, TRAINED IN ADDICTION MEDICINE, FOR SBIRT AND BRIDGE PRESCRIBING IN OB AND ED SETTINGS. UTHSC WILL PLACE NURSING STUDENTS AT TIPTON CLINICAL SITES, SCALING TO 8 ANNUALLY BY YEAR 4. NETWORK PARTNERS GOAL 4: FOUR-PARTNER NETWORK WITH MOUS EXECUTED WITHIN 90 DAYS OF AWARD: (1) CAMELLIA FOUNDATION / MEDICOS CLINIC TIPTON, LEAD APPLICANT AND MOUD HUB; (2) BAPTIST MEMORIAL HOSPITAL FAMILY MEDICINE CLINIC, TIPTON, CO-LOCATED FM-OB AND ED PARTNER; (3) UTHSC SCHOOL OF NURSING MOBILE HEALTH CLINIC, MOBILE OUTREACH AND NURSING WORKFORCE TRAINING; (4) A BETOR WAY, OVERDOSE PREVENTION, PEER RECOVERY SUPPORT, AND SDOH COORDINATION.

PROJECT BRIDGE-MEMPHIS: BUPRENORPHINE, REENTRY, INTEGRATED DELIVERY, GUIDANCE, AND ENGAGEMENT - THE CAMELLIA FOUNDATION WILL IMPLEMENT PROJECT BRIDGE-MEMPHIS, A FIVE-YEAR MEDICATION FOR OPIOID USE DISORDER (MOUD) INITIATIVE EXPANDING ACCESS TO EVIDENCE-BASED TREATMENT FOR ADULTS WITH OPIOID USE DISORDER IN MEMPHIS AND SHELBY COUNTY, TENNESSEE, THROUGH THREE COORDINATED PATHWAYS: AN OBSTETRICS-BASED PATHWAY ADDRESSING NEONATAL OPIOID WITHDRAWAL SYNDROME, A REENTRY PATHWAY SERVING INDIVIDUALS WITHIN FOUR MONTHS OF RELEASE FROM THE SHELBY COUNTY JAIL AND PENAL FARM, AND A COMMUNITY OUTREACH PATHWAY SERVING INDIVIDUALS NOT CONNECTED TO FORMAL TREATMENT. THE PROJECT WILL SERVE APPROXIMATELY 140 UNDUPLICATED INDIVIDUALS IN YEAR 1, GROWING TO 210 ANNUALLY, WITH A FIVE-YEAR TOTAL OF APPROXIMATELY 980 INDIVIDUALS RECEIVING MOUD, INCLUDING BUPRENORPHINE/NALOXONE AND OTHER FDA-APPROVED OPTIONS, INTEGRATED BEHAVIORAL HEALTH AND PRIMARY CARE, PSYCHIATRIC CARE, INFECTIOUS-DISEASE SCREENING, TOBACCO CESSATION, AND OVERDOSE REVERSAL MEDICATION AND EDUCATION. GOALS INCLUDE EXPANDING MOUD ACCESS THROUGH THREE REFERRAL PATHWAYS, RETAINING INDIVIDUALS IN INTEGRATED TREATMENT TO SUPPORT LONG-TERM RECOVERY, AND REDUCING OVERDOSE RISK THROUGH PREVENTION EDUCATION AND CLINICAL SERVICES. MEASURABLE OBJECTIVES INCLUDE ACHIEVING 70% THIRTY-DAY RETENTION, 65% SIX-MONTH RETENTION, UNIVERSAL INFECTIOUS-DISEASE SCREENING, AND TOBACCO CESSATION PROGRAM PARTICIPATION FOR ALL TOBACCO-USING ENROLLEES.