Drug Addiction Prevention & Treatment

JSI has helped states, communities, and workplaces address substance misuse for over 25 years. Now, as the opioid crisis grows—with a disproportionate effect on underserved communities—there is an increased need for support. 

JSI takes a comprehensive, integrated approach across the continuum of prevention, early identification, treatment, and recovery support services relative to substance use disorders including opioid addiction. We also help policymakers improve substance use treatment and prevention policies so that those policies may better meet the needs of their populations.

PREVENTION

JSI has helped states plan and execute several activities focused on substance misuse prevention, such as these efforts in New Hampshire:

  • SBIRT: Implemented screening, brief intervention, and referral to treatment (SBIRT) in all community health centers to identify problem alcohol and drug use.
  • Supported legislation to allow physicians to prescribe naloxone (Narcan) to anyone who may be in a position to help someone experiencing an opioid-related overdose.
  • Raised awareness about the state’s opioid crisis through a statewide multimedia health communications campaign under the Anyone.Anytime.NH. project.
JSI is working with more than a dozen hospitals in Massachusetts and beyond supporting community health needs assessment and planning projects. The opioid crisis has been identified as a priority in nearly all of these assessments and JSI has been helping develop strategic plans to address this issue. Plans have focused primarily on community-based efforts to educate and raise awareness, reach out to those most at-risk, and promote evidenced-based outreach and community prevention programs, including programs with law enforcement, primary care, and other community-based service providers. In addition to hospitals, we have worked with community health coalitions, primary care medical clinics, and behavioral health providers to help them to assess need, develop and evaluate programs designed to address the opioid crisis.

Training and Technical Assistance

JSI has trained health center staff across the country on a range of issues from prevention and early identification of fetal exposure to alcohol and other drugs through the national HRSA-funded Healthy Start Capacity Building project.

JSI provides training and technical assistance to community health centers, prevention providers, and state health departments, including New Hampshire and Rhode Island JSI is implementing statewide resource centers for evidence-based practice in substance use and mental health promotion services.

JSI's Rhode Island office is also working with the MA Bureau of Substance Abuse Services (MSAS) in partnership with the Massachusetts Behavioral Health Partnership (MBPH) to evaluate a recovery coach pilot program in 11 MA emergency departments. The evaluation tracks client demographic & behavioral data as well as processes and outcomes related to the intervention. Deploying recovery coaches to an emergency departments to meet with people who have just overdosed is a new and innovative response to the Opioid crisis. JSI is excited to work with our partners to evaluate and improve the program. Read more on JSI’s blog, The Pump: Proving the Value of Peer Recovery Services in Rhode Island.

TREATMENT & RECOVERY

JSI assists New Hampshire with several early identification and overdose prevention initiatives, and is expanding the availability of addiction treatment through medication assisted treatment (MAT) for opioid use disorders (OUDs). We produced a new compendium, Guidance Document on Best Practices: Key Components for Delivering Community-Based Medication Assisted Treatment Services for Opioid Use Disorders in New Hampshire for health care and behavioral health professionals who are initiating or expanding MAT services for OUDs for patient populations in a variety of service settings.

The NH Alcohol and Drug Treatment Locator is a GIS-based website directory for locating alcohol and drug treatment service providers in NH who offer evaluations, withdrawal management, outpatient counseling, residential treatment, recovery supports, and other services. The site enables visitors to search a wide range of programs in the state by location, type of service, population of interest and insurance type.

JSI helped the Portland Community Health Center, Maine, in a successful application and award of a grant from HRSA to provide treatment for those with opioid and other addictions. The grant will enable the center to expand its substance-use services to meet the growing demand due to increases in opiate use, declining services in the community, and growing uninsured adult population.


Quality of Care

Ensuring quality of care is also a crucial issue—if services delivered are not acceptable, people who need them will drop out or not attend in the first place. In Massachusetts, JSI is implementing a survey of the quality of care in state-funded substance abuse centers for the state Bureau of Substance Abuse Services. Since the initiative began in 2013, more than 11,000 clients of various substance use disorder treatment facilities have been surveyed.

JSI provides technical assistance in the selection and implementation of evidence-based practices in prevention and treatment of and recovery from alcohol and other drug use disorders. JSI also facilitates learning collaboratives and communities of practice to bring practitioners together to support systems change that promote effective adoption of evidence-based practices.

Evaluation

JSI has customized its HealtheLink module-based data system to serve as the state of Washington's main data collection and reporting system for substance misuse-prevention services and efforts. The system, developed for the Department of Social and Health Services, provides a multi-tiered approach to data collection for contract management, strategic prevention framework logic modeling, SAMHSA/CSAP reporting requirements, partner engagement, staff and coalition coordination tracking, evaluation, and communication functions for multiple funding sources, prevention activity types, and provider types.

JSI expanded the services of the NH Center for Excellence to include evaluation of the state's Regional Network System in response to an articulated capacity gap relative to evaluation and assessment activities including data collection and analysis. JSI provides training and technical assistance services to facilitate capacity building among New Hampshire’s 13 regional network organizations to help determine the effectiveness of strategies being implemented by NH communities to prevent and reduce the harm and burden caused by alcohol and other drug misuse.

JSI is supporting evaluation of a program at Boston Children’s Hospital to support early screening and treatment of youth with addiction in Massachusetts, funded by the Blue Cross Blue Shield Foundation of Massachusetts.

Learn about our work on a program evaluation of a community re-entry and outpatient SUD/COD treatment project (funded by SAMHSA/CSAT) for adult women released from incarceration. Evaluation of Project RENEW (ReEntry Network for Empowering Women).

POLICY DEVELOPMENT

In Massachusetts, JSI supported the MA Health Policy Commission (HPC) as they developed an opioid policy to include long-term reduction of incidence of opioid abuse and dependence and improved access to opioid use disorder treatment and recovery supports. JSI gathered and reviewed data to support the HPC’s development of policy recommendations.

In New York, the Using New Media to Prevent Substance Abuse and HIV for Populations at High Risk project helped to create a greater awareness about substance use and mental health issues, particularly as they relate to HIV and AIDS. The project developed targeted communications outreach materials and opened lines of communication between groups of individuals that helped keep them engaged, educated, and up-to-date on topics that impact them, their peers, and the community.

In December 2016, JSI's work was featured in the first-ever Surgeon General's report on substance abuse, Facing Addiction in America. The New Hampshire Anyone.Anytime media campaign was highlighted as an effective education campaign that is targeting the public to improve general understanding about addiction, community health and safety risks, and how to access available treatment services.