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Day 1 - Forums - 2023 COSSUP National Forum - Tuesday, August 29, 2023

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Tuesday, August 29, 2023

9:00 a.m. – 10:30 a.m.

Welcoming Plenary


Tim Jeffries, MSW
Senior Policy Advisor, Comprehensive Opioid, Stimulant, and Substance Use Program, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

Senior Policy Advisor, Policy Division, Bureau of Justice Assistance

Tim Jeffries serves as a Senior Policy Advisor at the Bureau of Justice Assistance (BJA), coordinating all BJA drug policy-specific programming. He has provided drug policy services for the last 22 years at the Office of Justice Programs through the Drug Court and Residential Substance Abuse Treatment programs and now assists in the delivery of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) site-based training and technical assistance program. Mr. Jeffries holds a master’s degree in social work and a bachelor’s degree in psychology.


Presentation of the Colors

Arlington County, Virginia, Police Department


Tribal Blessing and Honor Song


Shawn Ironmaker
Capture and Proposal Development Manager, Buffalo Horse Inc. , Fort Belknap Indian Community, Hays, Montana

Capture and Proposal Development Manager, Buffalo Horse Inc., Fort Belknap Indian Community, Hays, Montana

Shawn Ironmaker (wamni gichianga “sits with eagle”) works for Buffalo Horse Inc. (BHI) as a capture and proposal development manager, providing contract services to the federal government and the U.S. Department of Defense. BHI is a tribally owned small business serving as a government contracting vehicle providing economic development to the Aaniiih and Nakoda Nations. Mr. Ironmaker is an enrolled member of the Aaniiih (Gros Ventre/White Clay) Tribe. He is also a descendant of the Nakoda (wakpa wicasa/Stoney) and Rocky Boy Chippewa Cree/Pembina Chippewa Tribes from the Fort Belknap Indian Community, located in northeastern Montana.

Gregorio Kishketon, MS
Native American/Alaska Native Liaison, Center for Minority Veterans, Department of Veterans Affairs, Washington, DC

Native American/Alaska Native Liaison, Center for Minority Veterans, U.S. Department of Veterans Affairs, Washington, DC

Gregorio Kishketon serves as the Native American/Alaska Native liaison at the U.S. Department of Veterans Affairs (VA), Center for Minority Veterans. He also serves on the Promise to Address Comprehensive Toxics (PACT) Act and Strong Act Committees as well as the White House Committee on Native American Affairs. Mr. Kishketon previously worked with the Bureau of Indian Affairs and the Bureau of Indian Education for the Assistant Secretary for Indian Affairs and served as a contracting officer with the U.S. Department of the Interior. He has also worked in the field for the VA North Texas Health Care System and the VA Texas Valley Coastal Bend Health Care System. Mr. Kishketon served in the United States Marine Corps in several roles and was honorably discharged in 1991. He is a lifetime member of the Marine Corps League and Disabled American Veterans. Mr. Kishketon is a Tribal Elder with the Water Clan – Kickapoo Tribe of Oklahoma and a member of the Comanche and Lipan Apache Tribes. He also serves on the board of trustees for Saint Augustine’s University in Raleigh, North Carolina. Mr. Kishketon earned his master of science degree from the University of Texas and his bachelor of science degree from the University of Oklahoma.


The Power of Recovery and Hope


Siobhan A. Morse, MHSA, CRC, CAI, MAC
Product Director, Addiction Services, Behavioral Health Division, Universal Health Services, Inc.

Product Director, Addiction Services, Universal Health Services, Inc.

As product director for addiction services at Universal Health Services, Inc., a Fortune 300 health care company, Siobhan A. Morse is charged with spearheading the research, clinical operations management, and new product development focusing on substance use disorder (SUD) treatment. She regularly presents original research worldwide, has published multiple articles in peer-reviewed scientific journals, and conducts education within the addiction services network. She contributed a chapter highlighting her lived experience with SUD, trauma, and mental health to the book Breakthrough, which won a Book Excellence Award. She is also currently the chairperson of the Washington, DC-based Partners in Care Network and on the Residential Substance Abuse Treatment (RSAT) Advisory Panel addressing equity, diversity, and inclusion in the nation’s correctional drug treatment programs. In recognition of her dedicated work to support Americans who are in or seeking recovery, Ms. Morse was presented a Presidential Proclamation in 2020 by the White House Office of National Drug Control Policy and Bureau of Justice Administration. Ms. Morse holds a master’s degree in health services administration and is certified as a Master Addiction Counselor, Clinical Research Coordinator, and ARISE Interventionist.


Welcoming Remarks From U.S. Department of Justice Leadership


Amy Solomon, MPP
Assistant Attorney General, Office of Justice Programs, U.S. Department of Justice

Assistant Attorney General, Office of Justice Programs, U.S. Department of Justice

Amy Solomon serves as the Assistant Attorney General of the Office of Justice Programs (OJP), U.S. Department of Justice (DOJ). Nominated by President Joseph R. Biden and confirmed by a bipartisan vote of the Senate on April 18, 2023, Ms. Solomon leads DOJ’s principal funding, research, and statistical component, overseeing about $5 billion annually in grants and other resources to support state, local, and tribal criminal and juvenile justice activities and victim service programs. Prior to her confirmation, she served as OJP’s Principal Deputy Assistant Attorney General since May 2021. Before 2021, Ms. Solomon was vice president of criminal justice at Arnold Ventures, where she launched and led a corrections reform portfolio that aimed to transform the culture of prisons; spark a fundamental shift in the focus of community supervision from catching failure to promoting success; and expand economic opportunities for people with a criminal record. She actively collaborated with other philanthropies, serving on the Executive Committee of the Criminal Justice Funders Forum and the founding Clean Slate Advisory Board. From 2010 to 2017, Ms. Solomon served as director of policy for OJP and as a senior advisor to OJP’s Assistant Attorney General. She worked to shape, launch, and implement a broad range of domestic policy initiatives focused on criminal justice reform, urban policy, and building trust between the justice system and communities of color. She was also executive director of the Federal Interagency Reentry Council, a cabinet-level body established by President Barack Obama comprising more than 20 federal agencies. The council spearheaded the federal Ban the Box rule, fair housing guidance, the Second Chance Pell initiative, and Medicaid guidance for the justice-involved population. Ms. Solomon previously spent 10 years at the Urban Institute, directing projects relating to prisoner reentry and public safety. She also worked at OJP’s National Institute of Justice, where she developed community crime reduction and reentry initiatives. In addition, she managed a community service program for justice-involved individuals; developed reentry strategies for a state department of correction; and worked with juveniles in probation, halfway house, and school settings. Ms. Solomon has served on numerous advisory councils and boards, helping shape innovative approaches to criminal justice challenges in collaboration with policymakers and practitioners, nonprofit and philanthropic leaders, and the advocacy community. She holds a master’s degree in public policy from the Harvard Kennedy School of Government and a bachelor’s degree in English from the University of Michigan.


COSSUP Vision—The Power of Hope: Preventing Overdose and Supporting Communities and Those in Recovery


Karhlton Moore
Director, Bureau of Justice Assistance, U.S. Department of Justice

Director, Bureau of Justice Assistance, U.S. Department of Justice

Karhlton Moore was appointed by President Joseph R. Biden as Director of the Bureau of Justice Assistance (BJA), effective February 28, 2022. Prior to joining BJA, Director Moore served as the executive director of Ohio’s Office of Criminal Justice Services, where he oversaw state and federal grants for law enforcement, victim assistance, juvenile justice, crime prevention courts, anti-trafficking efforts, reentry, corrections programs, and traffic safety. In that role, he led Ohio’s grant-making operations, advising the governor and the director of the Department of Public Safety on criminal justice strategies. He also served as the facilitator for former Ohio Governor John Kasich’s Task Force on Community-Police Relations, precursor of the Ohio Collaborative Community-Police Advisory Board, a multidisciplinary panel that establishes standards for law enforcement agencies as part of the state’s effort to strengthen community-police relations. Director Moore served on the National Criminal Justice Association (NCJA) Advisory Council and Executive Committee and was president of NCJA’s board of directors. He also served on the steering committee of the Justice Counts initiative.


Introduction to the Office of Justice Programs


Karhlton Moore
Director, Bureau of Justice Assistance, U.S. Department of Justice

Director, Bureau of Justice Assistance, U.S. Department of Justice

Karhlton Moore was appointed by President Joseph R. Biden as Director of the Bureau of Justice Assistance (BJA), effective February 28, 2022. Prior to joining BJA, Director Moore served as the executive director of Ohio’s Office of Criminal Justice Services, where he oversaw state and federal grants for law enforcement, victim assistance, juvenile justice, crime prevention courts, anti-trafficking efforts, reentry, corrections programs, and traffic safety. In that role, he led Ohio’s grant-making operations, advising the governor and the director of the Department of Public Safety on criminal justice strategies. He also served as the facilitator for former Ohio Governor John Kasich’s Task Force on Community-Police Relations, precursor of the Ohio Collaborative Community-Police Advisory Board, a multidisciplinary panel that establishes standards for law enforcement agencies as part of the state’s effort to strengthen community-police relations. Director Moore served on the National Criminal Justice Association (NCJA) Advisory Council and Executive Committee and was president of NCJA’s board of directors. He also served on the steering committee of the Justice Counts initiative.

Nancy La Vigne, MPA, PhD
Director, National Institute of Justice, Office of Justice Programs, U.S. Department of Justice

Director, National Institute of Justice, Office of Justice Programs, U.S. Department of Justice

In March 2022, Nancy La Vigne was appointed by President Joseph R. Biden to be director of the Office of Justice Programs’ (OJP) National Institute of Justice (NIJ). As head of NIJ, she leads the U.S. Department of Justice’s research, technology, and evaluation agency, overseeing a wide array of social science research projects, technology initiatives, and forensic activities focused on improving public safety and ensuring the fairness and effectiveness of the justice system. Dr. La Vigne is a nationally recognized criminal justice policy expert and former nonprofit executive whose expertise ranges from policing and corrections reform to reentry, criminal justice technologies, and evidence-based criminal justice practices. Her previous position was senior fellow at the Council on Criminal Justice (CCJ), where she served as executive director of CCJ’s Task Force on Policing. Prior to joining CCJ, she served as vice president of justice policy at the Urban Institute, a nonprofit social policy research organization based in Washington, DC. Over the course of a decade, she directed Urban Institute’s Justice Policy Center and, from 2014 to 2016, also served as executive director of the congressionally mandated bipartisan Charles Colson Task Force on Federal Corrections Reform. Before being appointed as director of the Justice Policy Center in 2009, Dr. La Vigne served for 8 years as a senior research associate at Urban Institute, leading groundbreaking research on prison reentry. Prior to joining Urban Institute, she was the founding director of the Crime Mapping Research Center at NIJ and was special assistant to OJP’s Assistant Attorney General. She previously served as research director for the Texas sentencing commission. Dr. La Vigne holds a doctor of philosophy degree in criminal justice from Rutgers University-Newark, a master’s degree in public affairs from the Lyndon B. Johnson School at the University of Texas-Austin, and a bachelor’s degree in government and economics from Smith College.

Kristina Rose, MS
Director, Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice

Director, Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice

Kristina Rose is the director of the Office for Victims of Crime (OVC) at the U.S. Department of Justice (DOJ), where she oversees programs and services that support crime victims and survivors. Ms. Rose was appointed to this position by President Joseph R. Biden and sworn in on July 12, 2021. At OVC, she oversees nearly $9 billion in grant funding to provide vital compensation and assistance to persons impacted by crime. OVC invests in new and innovative approaches to improving the criminal justice and community response to crime victimization and raises awareness of crime victim rights. Prior to her OVC appointment, Ms. Rose was selected to serve on the U.S. Department of Defense’s Independent Review Commission on Sexual Assault in the Military, where she led the Victim Care and Support line of effort. She spent nearly 20 years at DOJ serving in numerous roles, including deputy director at OVC, acting director and deputy director for the National Institute of Justice, and chief of staff for the Office on Violence Against Women. In 2016, Ms. Rose had the distinct privilege of working at the White House on detail as a senior policy advisor on violence against women in the Office of Vice President Biden. As senior policy advisor, she provided expert advice and guidance on domestic violence, sexual assault, and stalking. In 2013, Ms. Rose spent 8 months as a victim advocate in the U.S. Attorney’s Office in Washington, DC, working hands-on with victims of all violent crimes. At DOJ, Ms. Rose spearheaded many large-scale federal projects, including the first national survey to measure the crime of stalking in the United States; an action research project on untested sexual assault kits that produced national models for jurisdictions around the country; and a virtual training on sexual assault forensic exams with Dartmouth Medical School. She also led the development of the first National Sexual Assault TeleNursing Center, which provides virtual guidance to medical personnel conducting sexual assault forensic exams in rural and isolated areas. Between her periods of federal service, Ms. Rose served in the nonprofit sector as the director of strategic partnerships for Healing Justice and as the executive director for End Violence Against Women International. Ms. Rose holds a master of science degree in criminal justice from Northeastern University and a bachelor of arts degree in sociology from George Mason University.

Liz Ryan, MS
Administrator, Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice

Administrator, Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice

Liz Ryan became the administrator of the Office of Juvenile Justice and Delinquency Prevention (OJJDP) on May 16, 2022, following her appointment by President Joseph R. Biden. Prior to leading OJJDP, she served as president and chief executive officer (CEO) of the Youth First Initiative, a national campaign focused on ending the incarceration of youth by investing in community-based alternatives. Ms. Ryan founded the Youth First Initiative in 2014; under her leadership, it achieved the closure of youth prisons in six states and redirected more than $50 million to community-based alternatives to incarceration. Ms. Ryan founded the Campaign for Youth Justice in 2005 and served as its president and CEO until 2014. The national, multistate initiative sought to end the prosecution of youth in adult criminal courts and the placement of youth in adult jails and prisons. During Ms. Ryan’s tenure, the campaign’s work led to legislative and policy changes in more than 30 states, a 60 percent decrease in the number of youth in adult courts, and a greater than 50 percent decrease in the number of youth placed in adult jails and prisons. A staunch advocate for youth, Ms. Ryan cofounded and cochaired Act 4 Juvenile Justice, a campaign to reauthorize the Juvenile Justice and Delinquency Prevention Act. She also served as advocacy director for the Youth Law Center, national field director for OJJDP’s Juvenile Court Centennial Initiative, and an advocate for the Children’s Defense Fund. She has written extensively about juvenile justice reform, including articles, editorials, reports, and book chapters. Since 2020, Ms. Ryan has worked as a student investigative journalist with the Louisiana State University Cold Case Project, focusing on the murders of African Americans by the Ku Klux Klan during the civil rights era. She collaborated with other Cold Case Project students on “Killings on Ticheli Road,” a four-part narrative investigating the murders in 1960 of four Black men in Ouachita Parish, Louisiana. The reporters reconstructed the day of the murders and questioned local authorities’ failure to prosecute the killer: the murdered men’s employer, a white man who later became a statewide Klan leader. For their work, Ms. Ryan and the other Cold Case Project reporters were named semifinalists for the 2022 Goldsmith Prize for Investigative Reporting, an award by the Harvard Kennedy School for reporting that impacts U.S. public policy. They were the only students recognized. Ms. Ryan also worked with families of the Martinsville Seven and other advocates to obtain posthumous pardons for seven young Black men who were executed in Virginia in 1951 for the alleged rape of a white woman. Ms. Ryan and her colleagues revisited the convictions, ultimately asserting that they were tinged by systemic racism, a rush to judgment, and a lack of due process. The Virginia governor issued posthumous pardons in 2021, saying that the men did not deserve the death penalty. Ms. Ryan earned a master’s degree in international studies from The George Washington University and a bachelor’s degree from Dickinson College.

Kevin M. Scott, PhD
Principal Deputy Director, Bureau of Justice Statistics, Office of Justice Programs, U.S. Department of Justice

Principal Deputy Director, Bureau of Justice Statistics, Office of Justice Programs, U.S. Department of Justice

Kevin M. Scott is the principal deputy director of the Bureau of Justice Statistics (BJS). In that role, he oversees all the statistical collections undertaken by BJS and serves as a member of the agency’s senior leadership team. Dr. Scott has been with BJS since July 2017 and was its deputy director of statistical operations from 2021 to 2023. From 2017 to 2022, he was chief of the Law Enforcement Statistics Unit and chief of the Courts Statistics Unit. In those roles, he supervised data collections that covered federal, state, and local law enforcement agencies and training academies, forensic laboratories, medical examiners’ and coroners’ offices, prosecutors, indigent defense providers, and courts. Before joining BJS, Dr. Scott was a professor of political science at Texas Tech University, worked for the Congressional Research Service and the Administrative Office of the U.S. Courts, and served as director of the Policy Analysis Unit in the U.S. Department of Justice’s Office of Legal Policy. Dr. Scott earned his doctor of philosophy and master of art degrees in political science at The Ohio State University.


Welcoming Remarks From U.S. Department of Justice Leadership


Vanita Gupta, JD
Associate Attorney General, U.S. Department of Justice

Associate Attorney General, U.S. Department of Justice

Vanita Gupta is the 19th United States Associate Attorney General and serves as the third-ranking official at the U.S. Department of Justice (DOJ). She supervises multiple litigating divisions within DOJ, including the Civil Division, the Civil Rights Division, the Antitrust Division, the Tax Division, and the Environmental and Natural Resources Division. She also oversees the grant-making components of DOJ—including the Office of Justice Programs, the Office on Violence Against Women, and the Office of Community Oriented Policing Services—and supervises the Office for Access to Justice, the Office of Information Policy, the Community Relations Service, the Executive Office for United States Trustees, the Foreign Claims Settlement Commission, and the Servicemembers and Veterans Initiative. Associate Attorney General Gupta previously served as the president and chief executive officer of the Leadership Conference on Civil and Human Rights, the nation’s oldest and largest coalition of nonpartisan civil rights organizations in the United States. Before serving in that capacity, from October 15, 2014, to January 20, 2017, she served as Acting Assistant Attorney General and head of DOJ’s Civil Rights Division. Appointed by President Barack Obama as the chief civil rights prosecutor for the United States, Associate Attorney General Gupta advanced a wide range of civil rights enforcement matters. Prior to her tenure leading the Civil Rights Division, she served as deputy legal director and the director of the Center for Justice at the American Civil Liberties Union (ACLU). In addition to managing litigation, Associate Attorney General Gupta created and led the ACLU’s Smart Justice Campaign aimed at promoting bipartisan justice reform while keeping communities safe. She began her legal career as an attorney at the National Association for the Advancement of Colored People (NAACP) Legal Defense and Educational Fund. Associate Attorney General Gupta earned her law degree from New York University School of Law, where later she taught a civil rights litigation clinic for several years. She graduated magna cum laude with a bachelor of arts degree from Yale University.

10:30 a.m. – 10:45 a.m.
Break

10:45 a.m. – 12:00 Noon
Breakout Session A

Combatting Fatal Overdoses: A Data-Driven and Multidisciplinary Approach to All Six Deflection Pathways

Deflection | First Responder


In 2017, Hamilton County, Ohio, suffered 570 overdose deaths. As of April 2023, the county has witnessed a 24 percent decrease. This decrease is, in large part, attributable to the work of the Hamilton County Office of Addiction Response’s strategic deflection programming. The Office of Addiction Response combats overdoses and overdose deaths by utilizing cross-sector planning and collaboration.

In October 2022, Hamilton County was awarded a Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grant to launch a first-of-its-kind pilot to involve all six Police Treatment and Community Collaborative (PTACC) deflection pathways as a referral source to a single, co-responder program: (1) self-referral, (2) active outreach, (3) intervention, (4) prevention, (5) post-overdose response, and (6) community-based response. Hamilton County’s Co-responder Deflection Pilot (HC CORE) is a collaborative, co-responder intervention to assist individuals with substance use disorder, mental health disorder, or co-occurring disorders, or who are experiencing homelessness, with a specially trained team of law enforcement and peer navigators who create community-based pathways to treatment, recovery support services, housing, case management, or other needs-based services. In this session, presenters will highlight the innovative method to identify and catalog services in target areas and how to create a coordinated pathway to care by sharing and maximizing outreach data. The presenters will discuss the development of the initiative, data collection, sharing mechanisms, and the key metrics of success for the work.

Learning Objectives

  1. Identify and describe the six PTACC deflection pathways that were utilized as referral sources and demonstrate how this collaborative approach helped to create community-based pathways to treatment.
  2. Analyze the key metrics of success for Hamilton County’s deflection programming and create a data collection and sharing plan to track the success of the participants’ own community-based intervention programs.
  3. Explain the strategic deflection programming approach used by the Hamilton County Office of Addiction Response to decrease overdose deaths by 24 percent.

Director, Hamilton County Office of Addiction Response, Cincinnati, Ohio

Meagan Guthrie is the director of the Hamilton County, Ohio, Office of Addiction Response. As the director, she is responsible for overseeing the day-to-day work of the Hamilton County Addiction Response Coalition and its 20-member steering committee; supports the work of the regional and local OneOhio opiate settlement; and oversees the county’s deflection programming. Ms. Guthrie has served as the project director for nine federal and state-funded grants. She earned her master’s degree in private interest and the public good and her bachelor’s degree in philosophy, politics, and the public honors program from Xavier University in Cincinnati, Ohio. Ms. Guthrie is grateful to be a part of an organization and a community that are focused on innovative and collaborative strategies to assist individuals and their families on their journeys to long-term recovery.

Captain Tom Fallon
Commander, Hamilton County Heroin Coalition Task Force, Cincinnati, Ohio

Commander, Hamilton County Heroin Coalition Task Force, Cincinnati, Ohio

Thomas M. Fallon, captain of the Amberley Village, Ohio, Police Department (PD), is the commander and a founding member of the Hamilton County, Ohio, Heroin Coalition Task Force. Commander Fallon has served as the commander of this task force since its inception in June 2015. Under his command, the task force has investigated more than 1,100 opioid-related overdose deaths and more than 60 nonfatal overdoses. On October 5, 2016, the Hamilton County Heroin Coalition Task Force was given the award for “Ohio Distinguished Law Enforcement Group Achievement” by then-Ohio Attorney General Mike DeWine. In September 2019, this task force was named “Ohio Task Force of the Year” by the Ohio Narcotics Association Regional Coordinating Officers (NARCO). Ohio NARCO is a not-for-profit law enforcement association serving Ohio’s law enforcement community. In his role with the task force, Commander Fallon initiated the Quick Response Team (QRT) in Norwood, Ohio, in 2016 and is currently leading a multijurisdictional, countywide QRT in Hamilton County. In early 2021, he was the law enforcement lead and program coordinator of one of the largest QRT expansion projects in the nation. He is also the law enforcement policy advisor for the Law Enforcement Assisted Diversion (LEAD) program in Hamilton County, currently serving three jurisdictions. Commander Fallon began his law enforcement career in 1989 at the Wilmington, Ohio, PD. In July 1990, he moved to the Norwood PD in Hamilton County, where he was supervisor of the Criminal Investigation Section and commander of the Norwood Drug Task Force. In 2015, after noticing a steep increase in heroin-related overdoses and heroin-related deaths in Norwood, Commander Fallon helped create the Hamilton County Heroin Coalition Task Force, with a mission to investigate overdoses and overdose deaths back to the supplier of the deadly drug. In November 2017, he left the Norwood PD to join the Amberley Village PD. Commander Fallon has an associate of science degree in criminal justice from the University of Cincinnati.


It Takes a Village…To Serve the People of St. Louis County, Minnesota

Jails | Medication-assisted treatment | Parole | Probation | Reentry


St. Louis County, Minnesota, created an innovative cross-system collaboration to support individuals experiencing substance misuse, co-occurring mental health issues, and barriers to social determinants of health. To better serve people incarcerated in St. Louis County, the St. Louis County Jail collaborates with community partners to build wraparound care in the jail setting and transitions upon reentry. Instead of jail staff providing all services, the St. Louis County Jail works with community partners. A local hospital system is contracted to provide medical systems within the jail, including medication for opioid use disorder treatment (both induction and continuation) and mental health services. The Center for Alcohol and Drug Treatment, the only certified opioid treatment center within 200 miles, provides methadone treatment and peer navigation to ensure that people have access to social determinants of health upon reentry. Recovery Alliance Duluth, a community-based recovery community organization, provides peer recovery services to people in jail and upon reentry into the community. A probation liaison officer and a jail administrative sergeant are the core of a jail team that provides case management services to people screened for behavioral health issues on booking. Another probation officer liaison works closely between the jail and arraignment courts. In addition to these contracted collaborations, the jail team works with community partners, as needed, to get access to needed services while a person is in jail and on transition back into the community or to another institution.

Learning Objectives

  1. Describe St. Louis County’s innovative cross-system collaboration to provide services for individuals with substance misuse, co-occurring mental health issues, and barriers to social determinants of health.
  2. Assess the challenges and benefits to providing collaborative jail services.
  3. Apply wraparound person-centered care to an underserved population.
Jennifer Swanson, MPA
COSSUP Program Coordinator, Recovery Alliance Duluth, Duluth, Minnesota

COSSUP Program Coordinator, Recovery Alliance Duluth, Duluth, Minnesota

Jennifer (Jenny) Swanson is a Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grant program coordinator for Recovery Alliance Duluth. The grant project is focused on providing medication-assisted treatment and recovery services for justice-involved individuals in St. Louis County, Minnesota. Ms. Swanson’s broader focus is on network and coalition building for systems change to help Minnesota communities become recovery-oriented systems of care.

Jessica Pete
Jail Administrator, St. Louis County Sheriff’s Department, Duluth, Minnesota

Jail Administrator, St. Louis County Sheriff’s Department, Duluth, Minnesota

Jessica Pete is the jail administrator for the St. Louis County, Minnesota, Sheriff’s Department. She started her career in corrections working for the Wadena County, Minnesota, Sheriff’s Office and a halfway house from 2000 to 2002. She began working at the St. Louis County Jail in 2003 as a corrections officer and, in 2010, was promoted to corrections sergeant and worked as the field training commander. In September 2010, she was promoted to captain. In 2020, she was assigned as interim jail administrator and was officially promoted to her jail administrator role in July 2021. Ms. Pete built and implemented a full in-house training program for the jail in 2012; rebuilt a stronger field training program, which won a state award; and built and implemented a medication-assisted treatment program in 2019. She also was awarded the Patriotic Employer Award through the Department of Defense in 2019 for her work with military employees. Ms. Pete attended the University of Minnesota Duluth and graduated in 2002 with a degree in criminology and anthropology.

Jason Ringdahl
Sergeant, St. Louis County Jail, Duluth, Minnesota

Sergeant, St. Louis County Jail, Duluth, Minnesota

Jason Ringdahl is the administrative sergeant for the St. Louis County, Minnesota, Jail. He began his career in corrections in July 2001. As a corrections officer, he worked as a field training officer, taught several jail academy classes, and completed background investigations. In January 2017, he was promoted to corrections sergeant. In this role, he took over the field training program as the field training commander. In January 2023, he began work under a Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grant. The grant’s focus is on responding to illicit substance use, promoting public safety, and supporting access to treatment and recovery services. Prior to becoming a corrections officer, Mr. Ringdahl taught in the fifth grade for 8 years. He holds a bachelor’s degree in elementary education from the University of North Dakota.


Alabama’s Substance Use Data Repository

Data sharing | State and local coordination


Alabama has had a very successful experience bringing agencies and partners across the state together to address the devastating impact of opioid misuse. By bridging political and jurisdictional barriers, Alabama has developed a robust venue for sharing data county-level data across a broad spectrum of partners: providers and payers, justice entities, and public health surveillance programs. The goal is to provide timely data to the public and the many programs that serve the public so that they may better respond to the ever-changing needs that Alabama’s communities face.

Learning Objectives

  1. Access and interpret statewide and county-level substance use data.
  2. Use statewide and county-level substance use data to allocate and support community resources.
  3. Justify funding requests to support community projects to prevent, treat, and reduce the impact of substance use disorder.
Christopher Sellers, MPH
Director of Analytics, Alabama Department of Mental Health, Montgomery, Alabama

Director of Analytics, Alabama Department of Mental Health, Montgomery, Alabama

Christopher Sellers is an epidemiologist with the Alabama Department of Mental Health. His prior work includes being an early adopter of the Centers for Medicare & Medicaid Services core set of quality of health care measures. Having specialized in analysis of claims data, he was selected to lead the development of Alabama’s Community Health Assessment, which collected data from a broad spectrum of agencies and health interests to provide a comprehensive perspective on the current state of population health. Mr. Sellers also spearheaded an innovative research collaboration between the University of Alabama School of Public Health and Alabama’s Children’s Health Insurance Program that spawned more than 20 peer-reviewed publications that provided timely and relevant information used to develop and refine program policies. His current work involves co-chairing the Alabama Opioid and Addiction Council’s Data Committee, which has led to exciting work such as the establishment of a centralized repository for data related to the addiction crisis. Partners include entities from the justice community, health care providers and payers, and public health surveillance. “I have been fortunate to see how powerful data can be used when made available to all stakeholders—decision makers and non-decision makers alike.” Mr. Sellers looks forward to making statewide data accessible to better inform state agencies and community partners as they continue collaborations to prevent and treat substance misuse in Alabama.


Increasing Peer Recovery Support Services (PRSS) Retention Through Promoting Organizational Wellness

Peer support services


Peer recovery support services are increasingly offered across diverse community, criminal justice, and health care settings to address opioid, stimulant, and other substance use disorders. Supporting wellness and self-care is becoming increasingly important as peer specialists are faced with challenging situations and experiences in the workplace. This session will explore the importance of peer wellness to the retention of service providers and how to implement effective policies and practices to promote self-care in the workplace, as well as techniques and tools to support ongoing wellness for all staff members.

Learning Objectives

  1. Describe peer wellness and its relevance to program development and workforce retention.
  2. Identify the Eight Dimensions of Wellness, along with techniques and tools to support each dimension.
  3. Identify effective policy and practice implementation for promoting wellness and self-care within the workplace.
Tiffany Lombardo, MA, LISW-S, LICDC-CS
Project Director, Altarum

Project Director, Altarum

Tiffany Lombardo is a project director and senior substance use recovery specialist in Altarum’s Community Health practice area. She has more than 18 years of experience in the behavioral health field managing large-scale projects, partnership development, and collaboration. Her expertise includes implementing programs and services for substance use disorder within community and justice settings. Ms. Lombardo currently leads Altarum’s Training and Technical Assistance Center for Peer Recovery Support Services funded by the Bureau of Justice Assistance, including leading the Peer Recovery Support Services Mentoring Initiative.

Joseph Hogan-Sanchez
Director of Programs, Faces and Voices of Recovery, Austin, Texas

Director of Programs, Faces and Voices of Recovery, Austin, Texas

Joseph Hogan-Sanchez has worked as a recovery coach since 2006 and currently works in this role for Faces and Voices of Recovery in Austin, Texas. Finding his passion in facilitating recovery-based solutions, he began training other recovery coaches. In addition to his work within the recovery community, he is committed to reaching out to the LGBTQIA community to help eliminate homophobia and heterosexism. Mr. Hogan-Sanchez has tested HIV-positive since 2003, and his courage lends a positive face and voice to individuals living with HIV and AIDS. He appeared in the 2009 December/January issue of Instinct magazine, briefly sharing his experience and strength with readers across the nation. Mr. Hogan-Sanchez is currently the director of accreditation services for the Council on Accreditation of Peer Recovery Support Services (CAPRSS), an accrediting body for recovery community organizations and other programs offering addiction peer recovery support services. He is also a cofounder of a recovery community organization in Austin that provides recreational and educational events and activities for the community. A passionate and positive advocate for recovery, Mr. Hogan-Sanchez’s personal mission statement is “To Inspire Positive Thinking and Forward Movement Through Motivation, Education, and Empowerment.”

Sadie Thompson, CPSS
Chief Implementation Officer, Wellbeing Initiative, Inc., Lincoln, Nebraska

Chief Implementation Officer, Wellbeing Initiative, Inc., Lincoln, Nebraska

Sadie Thompson, chief implementation officer of Wellbeing Initiative, Inc., has been working in the wellness and recovery fields for 17 years. She is the author of the state-certified and nationally certified PEERiodical Peer Support Training; The Wellbeing Initiative, Inc., Provider Employee Training Manual; and The Whole Health Employment Support and Training Program. She has experience in clinical and nonclinical direct behavioral health service delivery, executive leadership, nonprofit development, facilitation of professional education, federal grant management, legislative advocacy, curriculum development, organizational culture assessment, and integration of recovery-oriented systems of care. Her lived experience with mental health, substance use, homelessness, overdose, and suicide fuels her passion in supporting organizations’ transition to true recovery-oriented systems of care that provide strengths-based, low-barrier services and employee satisfaction. Ms. Thompson serves on several advisory committees and recovery-focused boards; as vice president of consumer affairs for the Nebraska Association for Behavioral Health Organizations (NABHO); and as the Region 7 Director for the National Council on Mental Wellbeing’s Board of Directors representing Nebraska, Iowa, Kansas, and Missouri.


Leveraging Partnerships to Inform Prevention: Strategic Use of Overdose Fatality Review and Prescription Drug Monitoring Program Data

Prescription drug monitoring programs


This session will present a comprehensive overview of the functions and features of prescription drug monitoring programs (PDMPs). PDMPs are tailored to the specific needs and challenges of their jurisdictions regarding prescription drug use and misuse. Each PDMP has its own unique characteristics and capabilities, and this session will highlight the commonalities and differences among them at a high level, focusing on the general policies and practices across the nation. The devastating consequences of overdose deaths necessitate a comprehensive response involving multiple levels of governance. Overdose fatality reviews (OFRs) provide an opportunity for jurisdictions to investigate overdose fatalities from a granular perspective, offering insights that can inform targeted and contextually relevant interventions. Local OFRs typically involve collaborative efforts among stakeholders, including medical examiners, law enforcement agencies, public health departments, health care organizations, and community organizations. These reviews delve into the circumstances and contributing factors surrounding overdose deaths, examining drug types, demographic patterns, socioeconomic influences, and gaps in service provision. This session will explore the significance of integrating local OFRs into a broader prevention framework, illustrating how the insights derived from local reviews can inform prevention activities and set priorities at the local, state, and national levels.

Learning Objectives

  1. Illustrate the evolution of PDMPs and OFRs.
  2. Understand the policies and capabilities of PDMPs.
  3. Understand how these processes can complement and support each other to prevent overdose.
Patrick Knue
Director, Prescription Drug Monitoring Program, Institute for Intergovernmental Research

Director, Prescription Drug Monitoring Program, Institute for Intergovernmental Research

Patrick Knue is a senior project coordinator with the Institute for Intergovernmental Research (IIR). He works on the Bureau of Justice Assistance (BJA) Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP), serving as the director for the Prescription Drug Monitoring Program (PDMP) Training and Technical Assistance Center (TTAC). In this capacity, he oversees daily operations and administration of the PDMP TTAC services for the field; in addition, he provides expert assistance to PDMPs, oversees the implementation of national and regional meetings, provides assistance to the new data-driven pilot grantees, and maintains communication with national and federal partners. He also assists in the development of PDMP TTAC website content, supports the development of a library of training/education curricula and resources, participates in the production of the COSSUP newsletter, and assists in the update of PDMP grantee profiles. Mr. Knue holds a bachelor of arts degree in sociology/psychology from the University of Texas.

Melissa Heinen, RN, MPH
Senior Research Associate/Manager, Overdose Fatality Review, Institute for Intergovernmental Research

Senior Research Associate/Manager, Overdose Fatality Review, Institute for Intergovernmental Research

Melissa Heinen is a senior research associate/manager with the Institute for Intergovernmental Research (IIR). She works on the Bureau of Justice Assistance’s (BJA) Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP), providing day-to-day oversight of staff members, programmatic activities including coordination and provision of support to overdose fatality review teams, information sharing/privacy issues, and harm reduction initiatives, as well as assistance with document development, project evaluation, and provision of training and technical assistance (TTA) to COSSUP grantee sites. Ms. Heinen has expertise in facilitating meetings; data analysis; program design, implementation, and evaluation; strategic planning; grant writing; and TTA delivery. She has more than 20 years of experience working in injury and violence epidemiology and prevention at the local, state, regional, and national levels. Previously, she was a senior epidemiologist with the Minnesota Department of Health, where she led the analysis and project coordination of the Minnesota Violent Death Reporting System, including facilitating suicide, homicide, and overdose fatality reviews. Ms. Heinen earned her master of public health degree in epidemiology from the University of Minnesota School of Public Health and her bachelor of science degree in nursing, with a minor in psychology, from Winona State University.


The Justice Community Opioid Innovation Network (JCOIN): Partnering to Support Practice Change

Research


Supported by the National Institute on Drug Abuse and the National Institutes of Health Helping to End Addiction Long-term (HEAL) Initiative, the Justice Community Opioid Innovation Network (JCOIN) engages researchers and practitioners in partnerships to build the evidence base for the treatment of opioid use disorder (OUD) within criminal-legal systems and populations; test strategies for effectively implementing these practices; and build capacity among criminal-legal staff and systems to integrate these practices into routine use. This session will provide an overview of JCOIN’s research-to-practice model and resources available to Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grantees, followed by three examples of JCOIN research projects supporting the uptake of innovations and interventions: • A case study using innovative modeling techniques to develop local estimates of unmet needs and service gaps along the opioid cascade of care, including efforts to create output to help inform local decision making. • Establishment of a statewide learning collaborative in Maryland, through which jail staff members share experiences and engage in problem solving around state-required efforts to implement comprehensive medications for OUD. • An extended test of an innovative mobile recovery support app (built on the evidence-based Addiction–Comprehensive Health Enhancement Support System [A-CHESS] program) for use by probation and court-referred persons with OUD. Ample time will be left for audience discussion and questions and answers.

Learning Objectives

  1. List the key steps in the Cascade of Care framework and describe the value of using local data to quantify agency benchmarks for each step.
  2. Assess the utility of learning collaboratives to promote practice change across diverse settings.
  3. Describe the potential benefits of mobile recovery support services for individuals involved in the criminal-legal system.
Tisha Wiley, PhD
Chief, Services Research Branch, National Institute on Drug Abuse

Chief, Services Research Branch, National Institute on Drug Abuse

Tisha Wiley serves as the National Institute on Drug Abuse’s (NIDA) associate director for justice systems and director of the Justice Community Opioid Innovation Network (JCOIN). As chief of NIDA’s Services Research Branch, she manages a staff of program officials and a broad scientific portfolio of research and training grants seeking to improve the availability, accessibility, efficiency, effectiveness, quality, cost, and outcomes of substance use disorder treatment services in health care systems, community-based settings, and criminal legal systems. Dr. Wiley previously served as NIDA’s science officer on earlier justice initiatives, including the Juvenile Justice Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) and Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) cooperative research programs. Before joining the National Institute on Drug Abuse, she was the assistant director of research at the Juvenile Protective Association, a nonprofit social service agency in Chicago, Illinois, focusing on child welfare. Dr. Wiley has served as a consultant for the Chicago Children’s Advocacy Center and the Illinois Department of Child and Family Services.

Ariel Roddy, PhD
Assistant Professor of Criminology and Criminal Justice, Northern Arizona University, Flagstaff, Arizona

Assistant Professor of Criminology and Criminal Justice, Northern Arizona University, Flagstaff, Arizona

Ariel Roddy is an assistant professor of criminology and criminal justice at Northern Arizona University and a member of the Sault Ste. Marie, Michigan, Ojibwe Tribe. She is a community-based researcher whose work explores the effects of gender-responsive and culturally relevant treatment for Indigenous populations. Dr. Roddy’s work with the Justice Community Opioid Innovation Network (JCOIN) has included an evaluation of the Intensive Methamphetamine Treatment Program operating through the Pennington County, South Dakota, Sheriff’s Office, which has contributed to the development of the Cascade of Care planning tool.

Shannon Gwin Mitchell, PhD
Senior Research Scientist, Friends Research Institute, Baltimore, Maryland

Senior Research Scientist, Friends Research Institute, Baltimore, Maryland

Shannon Gwin Mitchell is a senior research scientist at the Friends Research Institute in Baltimore, Maryland, and a community psychologist specializing in health services research. Her work focuses not just on individuals but the systems in which they work and live, and how those systems impact individual and organizational functioning. Dr. Mitchell has participated as a lead or co-investigator on numerous clinical trials addressing treatments for opioid use disorder as well as issues associated with treatment entry for people involved with the criminal justice system. She is the multiple principal investigator of the Justice Community Opioid Innovation Network (JCOIN) Research Hub at the Friends Research Institute, which is conducting a comparative effectiveness trial of extended-release naltrexone versus the Brixadi formulation of extended-release buprenorphine for individuals at the point of release from jail. Dr. Mitchell also has collaborated on several studies examining the use and implementation of screening, brief intervention, and referral to treatment in rural and urban community health centers and schools.

Jessica Hulsey
Founder and Chief Executive Officer, Addiction Policy Forum, Bethesda, Maryland

Founder and Chief Executive Officer, Addiction Policy Forum, Bethesda, Maryland

Jessica Hulsey is the founder and chief executive officer of Addiction Policy Forum, a nonprofit organization headquartered in Bethesda, Maryland, and dedicated to helping patients and families struggling with the disease of addiction. Since 2019, Ms. Hulsey has served as lead of the Dissemination and Stakeholder Engagement Core of the Justice Community Opioid Innovation Network (JCOIN) Coordination and Translation Center. In that role, she leads efforts to translate JCOIN research results into actionable information for individuals working in community-based treatment and criminal-legal settings. She also leads engagement activities with JCOIN’s Practitioner Board and Stakeholder Board, building essential feedback loops between the research and practice worlds. Ms. Hulsey has previously served on the national Drug Free Communities Commission, as a legislative aide in the U.S. House of Representatives, and as a member of the National Institute on Drug Abuse’s National Advisory Council.


Community Corrections Alternative Program: An Alternative to Incarceration for Those With Substance Use Disorder

Deflection/diversion | Prisons | Parole | Probation


The Community Corrections Alternative Program (CCAP) is a viable alternative to incarceration for those currently on community supervision in Virginia struggling with substance use disorder (SUD). In 2017, the Virginia Department of Corrections (DOC) modified the existing detention and diversion program to the CCAP, giving the judiciary an option other than prison for those struggling with addiction and addressing the growing opioid and substance use epidemic occurring in the state. During the program, probationers and parolees first engage in evidence-based SUD treatment and cognitive behavioral programs, along with educational and vocational training based on assessed needs. Once their treatment needs are addressed, probationers and parolees can engage in employment within the community, gaining income and valuable work skills. Virginia DOC conducted preliminary research during Fiscal Year (FY) 2018 and FY2019 that found that probationers who graduated from at least one CCAP program during the fiscal year were less likely to be incarcerated 6, 12, and 18 months post-release from the CCAP than supervisees who were removed from the program. In addition, they found, during FY2020, that in the 6 months after program completion, 76 percent of CCAP graduates had no positive drug tests. While 23 percent of CCAP graduates did have a positive drug test, only 12 percent had a positive test for opioids. While these findings are preliminary in nature, they demonstrate that the opportunity to successfully complete a program such as CCAP can lead to an individual avoiding incarceration and achieving recovery.

Learning Objectives

  1. Describe the CCAP as an alternative to incarceration and how the variety of treatments and opportunities for probationers and parolees struggling with SUD address recidivism and recovery needs.
  2. Assess what areas of the CCAP have contributed to the preliminary findings of success, and analyze what future data points will assist in supporting the effectiveness of the program.
  3. Assess CCAP future directions to continue to be an innovative solution for the judiciary as an alternative for incarceration and improved outcomes for probationer and parolee success in the community.
Hannah White, MA
Program Manager, Community Corrections Alternative Program, Virginia Department of Corrections, Richmond, Virginia

Program Manager, Community Corrections Alternative Program, Virginia Department of Corrections, Richmond, Virginia

Hannah White began her career with the Virginia Department of Corrections in September 2015 as a cognitive counselor with the Cognitive Therapeutic Community (CTC) at the Virginia Correctional Center for Women (VCCW). In September 2018, she was hired as the program director of the CTC with Spectrum Health Services at VCCW. In January 2021, she returned to the Virginia Department of Corrections as the program manager for the Community Corrections Alternative Program. Ms. White holds a master of arts degree in forensic psychology from The George Washington University and bachelor of science degrees in criminal justice and psychology from Appalachian State University.

Joseph P. Owen
Superintendent, Brunswick Community Correctional Alternative Program, Lawrenceville, Virginia

Superintendent, Brunswick Community Correctional Alternative Program, Lawrenceville, Virginia

Joseph P. Owen is the superintendent at the Brunswick Community Correctional Alternative Program (CCAP) in Lawrenceville, Virginia. The Brunswick CCAP is a residential program that offers intensive substance use treatment, cognitive-based programming dealing with life skills, and academic and vocational courses to a population of adult male probationers who have been sentenced to the program by a circuit court in the state of Virginia. Mr. Owen started his career with the Virginia Department of Corrections in 1990, when he was hired as a correctional rehabilitation counselor at the Greensville Correctional Center in Jarratt, Virginia. He worked in that capacity until being promoted to probation officer in District 27 Probation and Parole in Chesterfield, Virginia, in 1993. Mr. Owen transferred to District 38 Probation and Parole in Emporia, Virginia, in 1994. He was promoted to senior probation officer in District 38 in 2003 and to deputy chief probation officer in 2007. In 2013, he was promoted to chief probation officer in District 38, where he served for more than 7 years as the unit head overseeing the probation supervision responsibilities of a staff that covered a jurisdiction that included five counties and two cities in southside Virginia. He left this position in 2020 for his current position. Mr. Owen completed the Workforce Development Specialist Training and the Orientation for Probation and Parole Executives through the National Crime Information Center as well as completed the Virginia Department of Corrections Executive Leadership Academy in 2017. Mr. Owen has a bachelor of arts degree from the University of Richmond with a major in sociology and a minor in criminal justice.

12:00 p.m. – 1:15 p.m.
Lunch on Your Own

1:15 p.m. – 2:30 p.m.
Breakout Session B

Law Enforcement Assisted Diversion in New Mexico: A Tale of Two Programs

Deflection/diversion | First responders


Law Enforcement Assisted Diversion (LEAD) program managers Elizabeth Peterson and Jessica Owen, along with their law enforcement colleagues, Captain Michael Delgado and Sergeant Matthew Burleson, will present on the dynamics of operating LEAD with fidelity in rural, village, small town, and city environments. The presenters will explain the geographic diversity of where their programs are located and how law enforcement and case managers partner to work in their unique settings. The presenters will discuss the diverse membership and dedication of their operational workgroup and policy coordinating group and the critical role these groups play in supporting operations. In addition, the presenters will highlight how their programs expanded to incorporate referrals and diversions from law enforcement agencies located in smaller jurisdictions throughout their county and the impact on law enforcement and the community at large. Methods that case managers use to engage LEAD participants in these unique circumstances will be described. Lastly, the presenters will discuss how real-time evaluation data informs program implementation. Case studies will illustrate the myriad of factors that impact a participant’s path of behavior change and how the breadth of case management services often includes children and the extended family. This panel presentation is relevant for deflection programs using the first responder and officer referral and officer intervention pathways operating in rural and small-town jurisdictions.

Learning Objectives

  1. Explain the critical role that key stakeholders play in supporting LEAD program growth, expansion, and sustainability.
  2. Discuss the complexity of LEAD case management.
  3. Describe the value of LEAD from the law enforcement perspective.
Elizabeth Peterson, MPH
COSSUP Administrative Program Manager, Santa Fe County Community Services Department, Santa Fe, New Mexico

COSSUP Administrative Program Manager, Santa Fe County Community Services Department, Santa Fe, New Mexico

Elizabeth Peterson is the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) administrative program manager for the Santa Fe County, New Mexico, Community Services Department. She has worked in public health for more than 30 years, with an emphasis on public policy, systems change, and advocacy, in New Hampshire and New Mexico, where she has worked for the last 20 years. She is passionate about systems development that melds innovation and local expertise and creating new programs, community services, and resources that promote better quality of life and well-being for New Mexicans. Ms. Peterson earned a master of public health degree from the French School of Public Health, where she attended with an interest to gain insight from an international perspective.

Michael Delgado
Captain, Santa Fe County Sheriff’s Office, Santa Fe, New Mexico

Captain, Santa Fe County Sheriff’s Office, Santa Fe, New Mexico

Michael Delgado is a captain with the Santa Fe County, New Mexico, Sheriff’s Office (SFCSO), which he joined in 2003 at the age of 23. After 4 years of patrol work, he became a detective in the Criminal Investigations Division. Four years later, he was promoted and returned to the Patrol Division. He worked his way up the ranks and supervised patrol teams for several years until being promoted to the rank of captain. He also served on the SFCSO SWAT Team for more than 10 years. Captain Delgado has worked with the Law Enforcement Assisted Diversion (LEAD) program from its inception in Santa Fe County, assisting in policy implementation and continued coordination with LEAD program manager Elizabeth Peterson. One of his career highlights was receiving the Harry Neal Award, presented for his exceptional heroism in the pursuit and apprehension of an armed and dangerous felon on July 25, 2017. Captain Delgado was born and raised in Santa Fe, New Mexico.

Jessica Owen
Law Enforcement Assisted Diversion Program Manager, Guidance Center of Lea County, Hobbs, New Mexico

Law Enforcement Assisted Diversion Program Manager, Guidance Center of Lea County, Hobbs, New Mexico

Jessica Owen is the Law Enforcement Assisted Diversion (LEAD) program manager for the Guidance Center of Lea County in Hobbs, New Mexico. She has dedicated her career to being a champion for those who are most often championless. By choosing the role of social services in prisons, juvenile corrections, and youth residential settings, Ms. Owen is helping create a world where all people have a voice. It is with such purpose that she developed and guides the Lea County LEAD program with her tireless commitment to making “Hobbs America” a place to be proud to call home.

Becca Titus, MCJ
Chief Executive Officer, United Way, Hobbs, New Mexico

Chief Executive Officer, United Way, Hobbs, New Mexico

Becca Titus is the Chief Executive Officer of United Way of Lea County, New Mexico, where her responsibilities include helping the indigent and misplaced population better their lives by connecting them to available community resources. She also works part-time at New Mexico Junior College. Prior to these roles, Ms. Titus worked full-time in the criminal justice field for 16 years, first as a legal assistant to the District Attorney’s Office and then in the employment of a highly acclaimed criminal defense lawyer in New Mexico. She realized her passion was in prosecution and returned to the District Attorney’s Office as the victim coordinator. She then moved into the nonprofit field at United Way of Lea County and is a part of law enforcement assisted diversion (LEAD). Ms. Titus graduated from New Mexico State University with a master’s degree in criminal justice.


Creating Access to Reentry and Recovery Support Services in Transylvania County Detention Center: First-year Findings

Jails | Reentry


Transylvania County, North Carolina (total population 34,385) is nestled in a rural mountainous area that is currently facing the challenges experienced by similar small communities that have high rates of substance use disorder among adults who are admitted to the county’s detention center. With the support of Fiscal Year 2021 Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP)—recently renamed the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP)—site-based funding, the county’s Community Awareness Recovery Effort (CARE) Coalition has partnered with the Transylvania County Sheriff’s Office to develop an innovative approach to expand access to pre- and post-release substance use recovery services in the detention center. This project has provided trauma-informed behavioral health services and coordinated recovery services to people who are reentering the community from the jail, both of which were previously unavailable. This has been accomplished by adding a full-time behavioral health therapist and a full-time reentry specialist to the detention center staff. People who are detained in the county detention center have been receiving substance use-related services and case management for more than 6 months. Project staff members have also been working closely with the research team to collect and analyze a variety of key performance indicators, including substance-specific service needs, prevalence rates of mental health conditions, reentry support factors, and recidivism. This presentation will provide an overview of the implementation of the program, the development of the data collection procedures, and empirical findings from the first year of the project. The presentation will also highlight the ways in which pre-release behavioral health services can diminish staff-detainee conflict within the detention center, improve the likelihood of substance use recovery, and reduce recidivism in an understudied rural community.

Learning Objectives

  1. Describe the process used to implement an innovative care coordination model in a rural detention center.
  2. Assess the primary pre- and post-release substance use-related needs among adults detained in a rural detention center.
  3. Apply this information to the replication and assessment of similar programs in comparable rural settings.
Albert M. Kopak, PhD
Research Scientist, University of North Carolina Health Sciences at the Mountain Area Health Education Center, Sylva, North Carolina

Research Scientist, University of North Carolina Health Sciences at the Mountain Area Health Education Center, Sylva, North Carolina

Albert M. Kopak, PhD, is a research scientist at the Mountain Area Health Education Center (MAHEC) in Asheville, North Carolina. Prior to joining the center, he was a faculty member in the Department of Criminology and Criminal Justice at Western Carolina University, where he held the rank of professor. Dr. Kopak specializes in research design, data collection methods, and advanced statistical modeling. These skills are the foundation of his work, which is dedicated to addressing substance use disorders in marginalized populations.

Kristen Gentry, MA
Program Director, Community Awareness Recovery Effort (CARE) Coalition, Brevard, North Carolina

Program Director, Community Awareness Recovery Effort (CARE) Coalition, Brevard, North Carolina

Kristen Gentry is the program director of the Community Awareness Recovery Effort (CARE) Coalition of Transylvania County in Brevard, North Carolina. In this role, she oversees community-based projects related to substance misuse, from primary prevention with youth through recovery support services. Ms. Gentry’s academic background is in applied medical anthropology, and she has a special interest in addressing social determinants of mental health among marginalized groups. Prior to her work in Brevard, she managed an ethnographic research project in rural Nepal that focused on the connections among social status, mental health, and resilience.

Becky Harris
Reentry Specialist, Transylvania County Sheriff’s Office, Brevard, North Carolina

Reentry Specialist, Transylvania County Sheriff’s Office, Brevard, North Carolina

Becky Harris is a reentry specialist at the Transylvania County Sheriff’s Office in Brevard, North Carolina. In this position, she works with people who are admitted to the correctional facility to address reentry needs as they prepare for release into the community. This includes connecting them with a behavioral health provider and other services to promote successful recovery from substance use disorders.


Court-based Recovery Support Navigation in Massachusetts

Courts | Peer support services


This session will highlight Project NORTH (Navigation, Outreach, Recovery, Treatment, and Hope), a recovery support navigation program administered by the Massachusetts Trial Court. Project NORTH partners with licensed treatment providers to embed recovery support navigators in courthouses in 13 high-need regions across the state. The locations for Project NORTH were selected by an analysis of court and community-level data. The target population for the project is court-involved individuals impacted by substance use disorder as well as family members. The project includes four main pillars: recovery support navigation; access to transportation to services; short-term financial support for certified sober housing; and data collection and evaluation by The University of Massachusetts (UMass) Chan Medical School’s Center of Excellence for Specialty Courts. Additional partners on the project include the state Medicaid office, the Bureau of Substance Addiction Services, the Massachusetts Department of Mental Health, the Committee for Public Counsel Services (public defender’s office), and the Massachusetts Alliance for Sober Housing. This presentation will review lessons learned, recommendations for starting a court-based navigation program, and next steps for the project.

Learning Objectives

  1. Describe court-based recovery support navigation.
  2. Assess data points to inform project development and those used to evaluate the project.
  3. Analyze lessons learned and consider applications for participants’ states.
Marisa Hebble, MPH
Project Co-Director, Massachusetts Trial Court, Boston, Massachusetts

Project Co-Director, Massachusetts Trial Court, Boston, Massachusetts

Marisa Hebble is a public health professional and project manager in the Massachusetts Executive Office of the Trial Court. She manages the statewide Sequential Intercept Mapping project, which supports communities in addressing the behavioral health needs of people in, or at risk of, contact with the criminal justice system. Ms. Hebble is the project co-director for Project NORTH (Navigation, Outreach, Recovery, Treatment, and Hope), the court-based navigation-to-treatment initiative focused on court-involved persons impacted by substance use disorder (SUD). She is also the project director for the Juvenile Court Department’s Upstream-Prevention and Treatment for Health and Stability of Children and Families (PATHS) initiative, a child welfare mapping and family treatment court project focused on vulnerable children and families impacted by parental SUD. Ms. Hebble serves on multiple trial court, state, and regional workgroups and committees. She holds a master’s degree in public health with a concentration in community health from the University of Massachusetts Amherst and an undergraduate degree in political science from Rutgers University.

Judy Bazinet, LICSW
Program Manager, Project NORTH, Massachusetts Trial Court, Boston, Massachusetts

Program Manager, Project NORTH, Massachusetts Trial Court, Boston, Massachusetts

Judy Bazinet is a Licensed Independent Clinical Social Worker and the program manager for Project NORTH (Navigation, Outreach, Recovery, Treatment, and Hope). Project NORTH embeds recovery support navigators who work for licensed treatment providers in 13 high-need locations across the state of Massachusetts. Recovery support navigators meet with clients and family members impacted by substance use disorder and facilitate ultra-warm handoffs to treatment, recovery support, and overdose prevention and naloxone distribution resources in the community. Project NORTH also supports clients with access to transportation services as well as short-term financial support for certified sober housing. Ms. Bazinet has significant experience as a drug court clinician and as a clinician in the Suffolk County, Massachusetts, House of Corrections. She also serves on multiple trial court committees and working groups.


Supporting the Bereaved After Overdose Loss: Initial Findings From a Novel Pilot Program in New York City

Community outreach | Families


People who have lost a friend or family member to an overdose have unique and complex needs. They are more likely than other bereaved populations to experience posttraumatic stress disorder (PTSD), depression, and anxiety; develop prolonged or disenfranchised grief; and attempt suicide. The stigma of drug use and overdose can result in isolation and a lack of community support for those grieving an overdose loss.

In 2022, the New York City, New York, Office of Chief Medical Examiner (OCME) received Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP)—recently renamed the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP)—funds to develop a program to support New Yorkers who have lost a loved one to overdose. OCME started piloting this program in September 2022. In this session, the presenters will share findings and lessons learned from the implementation of this novel pilot program.

The presenters will also share insights into the specific challenges and opportunities associated with serving this population, including: • An overview of the ways in which overdose loss can lead to isolation, shame, and complicated grief. • How pre-existing complex needs can be exasperated by losing a loved one to overdose. • How engagement with families after an overdose death can lead to meaningful policy change.

Many attendees of the 2023 COSSUP National Forum work with individuals who have experienced overdose loss. This presentation will provide a broad range of participants with information about how they can better support patients, clients, or colleagues who have lost someone to overdose.

Learning Objectives

  1. Characterize the needs of a broad range of overdose-bereaved populations.
  2. Describe how to effectively engage and support overdose-bereaved individuals.
  3. Adapt the program development process used by OCME to develop overdose-bereavement engagement and support programs locally.
Hannah Johnson, MPH
Program Manager, Drug Intelligence and Intervention Group, New York City Office of Chief Medical Examiner, New York, New York

Program Manager, Drug Intelligence and Intervention Group, New York City Office of Chief Medical Examiner, New York, New York

Hannah Johnson is the program manager for the Drug Intelligence and Intervention Group at the New York City, New York, Office of Chief Medical Examiner (OCME), where she oversees overdose surveillance and bereavement support programming for the agency. Prior to her role at OCME, she worked for 6 years with the High Intensity Drug Trafficking Area (HIDTA) program and the Centers for Disease Control and Prevention on the Overdose Response Strategy, a national public health/public safety partnership initiative to reduce overdose deaths nationally. Ms. Johnson was a Bloomberg Fellow in Addiction and Overdose at the Johns Hopkins Bloomberg School of Public Health from 2018 to 2020.

Vanessa Gamarra, LMSW
Senior Social Worker, New York City Office of Chief Medical Examiner, New York, New York

Senior Social Worker, New York City Office of Chief Medical Examiner, New York, New York

Vanessa Gamarra is a senior social worker at the New York City, New York, Office of Chief Medical Examiner (OCME). Throughout her career, she has worked in a variety of social service settings, such as city and state inpatient psychiatric units, outpatient facilities, and adult/family shelters. Before joining OCME in December 2022, she spent 8 years working as a social worker on Rikers Island in the Intimate Partner Violence program. While at Rikers, she conducted individual risk and safety assessments, provided brief individual therapy, linked clients to community services and programs, and trained New York City Department of Correction officers and civilian staff on a broad range of topics, such as working with criminalized trauma survivors, LGBTQIA populations, and mentally ill and chemically Abusing (MICA) populations. Ms. Gamarra has a master of social work degree from Fordham University and a bachelor of arts degree in psychology from City University of New York–Queens College.

Megan Brown, MPH
Data Manager, Drug Intelligence and Intervention Group, New York City Office of Chief Medical Examiner, New York, New York

Data Manager, Drug Intelligence and Intervention Group, New York City Office of Chief Medical Examiner, New York, New York

Megan Brown is the data manager for the Drug Intelligence and Intervention Group at the New York City, New York, Office of Chief Medical Examiner. She came to public health after several years of working in fashion development and production in New York City. Ms. Brown graduated with honors from New York University with a master of public health degree in epidemiology and earned her bachelor of arts degree in English literature from the University of Washington.


A Public Health and Public Safety Success Story of Partnerships and Complementary Best Practices

Data sharing | First responders | Overdose fatality reviews


Understanding the evolving nature of the overdose epidemic is a significant challenge for public health and public safety. Multisector collaboration and information sharing are proposed as best practices to mitigate community drug harm. The Overdose Detection Mapping Application Program (ODMAP), overdose fatality reviews (OFRs), and the Overdose Response Strategy (ORS) can be complementary practices for partnership and information sharing. Within New Jersey, collaborative efforts in OFRs, robust utilization of ODMAP, and leveraging the ORS network have led to improved overdose response and access to treatment and recovery services. ODMAP provides near-real-time suspected overdose surveillance data across jurisdictions to support public safety and public health efforts by mobilizing an immediate response to a sudden increase in overdose events. OFRs have been established to effectively identify system gaps and innovative, community-specific overdose prevention and intervention strategies. The ORS is designed to help communities reduce fatal and nonfatal drug overdoses by connecting public health and public safety agencies, sharing information, and supporting evidence-based interventions. All three best practices can be integrated, contributing community context and situational awareness, systems-level thinking, and information sharing across a network. This session features multisector and multilevel panelists providing an overview of ODMAP, OFR, and the ORS. Panelists will spotlight a success story integrating the three cross-sector collaboration strategies, describing New Jersey’s OFR teams’ experience using ODMAP to inform their prevention planning and implementation, leveraging the ORS network to bring success to their state, and implementing a response plan to notifications of a marked increase in overdoses within their jurisdiction.

Learning Objectives

  1. Describe how ODMAP, OFR, and the ORS can identify system gaps, along with opportunities for prevention, intervention, and program planning.
  2. Design innovative, community-specific prevention and response strategies through cross-sector collaboration.
  3. Describe how public safety and public health can collaboratively provide innovative strategies for overdose prevention.
Jason Piotrowski, MPH (Candidate)
Captain, Office of Drug Monitoring and Analysis, New Jersey State Police, Trenton, New Jersey

Captain, Office of Drug Monitoring and Analysis, New Jersey State Police, Trenton, New Jersey

Captain Jason Piotrowski began his career in law enforcement in 1995 as a local police officer before joining the New Jersey State Police in 2001. He was an original member of the state fusion center in 2006. He also represented New Jersey at the National Operations Center in Washington, DC, serving multiple tours. In 2014, Captain Piotrowski helped develop the New Jersey Drug Monitoring Initiative, currently leading the drug environment information sharing network, specifically focused on the overdose epidemic. Captain Piotrowski is a Bloomberg American Health Initiative Fellow and a master of public health degree candidate at Johns Hopkins University, where he is focusing on overdose, addiction, and health disparities.

Kimberly L. Reilly, MA, LPC
Alcohol and Drug Coordinator, Ocean County Health Department, Ocean County, New Jersey

Alcohol and Drug Coordinator, Ocean County Health Department, Ocean County, New Jersey

Kimberly Reilly is the alcohol and drug coordinator at the Ocean County, New Jersey, Health Department, where she oversees the Department of Substance Abuse, Addiction, and Opioid Dependency. She has been working in public health for the past 11 years. Ms. Reilly has a master’s degree in counseling psychology and is a Licensed Professional Counselor for New Jersey.

Sarah Ali, MPH
Senior Program Coordinator, Overdose Response Strategy, Centers for Disease Control and Prevention Foundation, Annapolis, Maryland

Senior Program Coordinator, Overdose Response Strategy, Centers for Disease Control and Prevention Foundation, Annapolis, Maryland

Sarah Ali is the Overdose Response Strategy (ORS) senior program coordinator with the Centers for Disease Control and Prevention (CDC) Foundation. She joined the ORS in 2018 as the public health analyst for Connecticut with the New England High Intensity Drug Trafficking Area. After serving in that role for 2 years, she joined the ORS coordination team through the CDC Foundation in October 2020. Ms. Ali has a master of public health degree in chronic disease epidemiology from Yale University and a bachelor of science degree in public health from the University of South Carolina.

Nava Bastola, MPH
Program Coordinator and Overdose Fatality Review Specialist, Overdose Response Strategy, Centers for Disease Control and Prevention Foundation, Hillsborough, New Jersey

Program Coordinator and Overdose Fatality Review Specialist, Overdose Response Strategy, Centers for Disease Control and Prevention Foundation, Hillsborough, New Jersey

Nava Bastola is a public health professional skilled in health education and behavioral health sciences. Ms. Bastola is the program coordinator and overdose fatality review (OFR) specialist for the Overdose Response Strategy (ORS). She supports agencies and organizations in building partnerships and developing overdose data sharing and response efforts. As an OFR specialist, she supports overdose prevention by promoting national standards and supporting training initiatives across sectors. Prior to this role, Ms. Bastola was a program analyst at the Institutional Review Board of Rutgers University. She has worked with maternal and child health agencies, locally and globally, in reducing health disparities.


Prevention in Youth and Families

Community outreach | Families | Juveniles


School and family-based programs have been shown to be effective in preventing substance misuse by reducing risk factors and strengthening protective factors. Community-based organizations have seen success using programs with content focused on providing information, developing skills, structural strategies, and providing services. The Prevention in Youth and Families Community of Practice is a broad category working group that meets bimonthly. Attendees include state-based and local recipients of Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funding. These meetings have shown that while everyone is implementing a wide array of content and strategies, their work is yielding positive results. This session will present strategies to support youth and their families. Speakers will discuss their experiences, including their biggest successes and biggest challenges when planning, implementing, and evaluating youth prevention programming and strategies. This session will spark conversations to further improve the lives of youth affected by substance use.

Learning Objectives

  1. Identify strategies to prevent substance use in youth.
  2. Recognize potential challenges when implementing youth programming.
  3. Develop steps to start and/or progress prevention initiatives in local communities.
Jackie Mungo
Public Health Analyst and Implementation Specialist, Community Health Implementation and Research Program, RTI International

Public Health Analyst and Implementation Specialist, Community Health Implementation and Research Program, RTI International

Jackie Mungo is a public health analyst and implementation specialist in the Community Health Implementation and Research Program at the Research Triangle Institute (RTI International). She has been a training and technical assistance (TTA) liaison on the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) project since May 2022. Ms. Mungo has 10 years of public health experience, with 9 of those years including TTA and substance use prevention and intervention. She has worked with numerous community organizations through roles in both higher education and nonprofit sectors. Ms. Mungo has a passion for improving the overall health and well-being of at-risk and disadvantaged populations. Her research interests include substance use prevention and early intervention, violence prevention, school-based health, health education and promotion, and evidence-based programming.

Timothy J. Cruz
District Attorney, Plymouth County District Attorney’s Office, Brockton, Massachusetts

District Attorney, Plymouth County District Attorney’s Office, Brockton, Massachusetts

Timothy J. Cruz has served as the Plymouth County, Massachusetts, District Attorney since November 2001. During his tenure, he has aggressively prosecuted crime in Plymouth County. Working closely with federal, state, and local law enforcement agencies, his office has taken guns, drugs, violent felons, sex offenders, and drunk drivers off the streets. Most recently, Mr. Cruz has focused his office’s efforts on battling the opioid crisis at all levels. Through specialized units in his office, he has worked to protect children, the elderly, domestic violence victims, and the disabled from abuse. His office also works collaboratively with local law enforcement, social service agencies, health care professionals, the faith community, and educators on crime prevention initiatives throughout the county.

Margaret Kursey, MA
Director, The Martinsburg Initiative, Martinsburg, West Virginia

Director, The Martinsburg Initiative, Martinsburg, West Virginia

Margaret Kursey is the director of The Martinsburg Initiative—a police, school, community, health, and education partnership with the mission of preventing substance use, building strong families, and empowering the community. Following a career in public education that included working as a teacher, principal, and administrator, Ms. Kursey led The Martinsburg Initiative to become a respected, evidence-based program for community use that promotes healthy development; supports children, youth, and their families; and increases their resilience. Ms. Kursey earned a master of arts degree in education administration and a bachelor of science degree in elementary education, both from West Virginia University.

Katie Burns, MPH
Manager, Adverse Childhood Experiences Response Team, Amoskeag Health, Manchester, New Hampshire

Manager, Adverse Childhood Experiences Response Team, Amoskeag Health, Manchester, New Hampshire

Katie Burns works for Amoskeag Health, a nonprofit 501(c)(3) Federally Qualified Health Center located in Manchester, New Hampshire, in her role as the Adverse Childhood Experiences Response Team (ACERT) manager. She oversees the partnerships between the Manchester Police Department, the YWCA of New Hampshire, and various community mental health and family-serving agencies that make up the original ACERT collaboration. In addition, she is leading the development of the ACERT Technical Assistance Center, which has been built to provide coaching, guidance, training, and other resources to communities that are in the process of replicating the model. Ms. Burns has her master’s degree in public health from the University of Massachusetts Amherst.


Residential Substance Abuse Treatment (RSAT) Training and Technical Assistance Meeting for State Administrative Agencies and Subawardees (Attendance is limited to RSAT representatives only)

(Attendance is limited to RSAT representatives only)


This session will serve as the annual meeting for residential substance abuse treatment (RSAT) grant administrators from State Administrative Agencies (SAAs) as well as RSAT program leadership from subawardees. Bureau of Justice Assistance (BJA) advisors will share information regarding RSAT funding and administration, and the RSAT-Training and Technical Assistance (TTA) team will provide updates about TTA services and opportunities, including fidelity assessments. Fidelity assessments were initiated by BJA and RSAT-TTA to assess prison and jail substance use disorder (SUD) programs’ adherence to nationally recognized promising and evidence-based practices. The presenters will analyze the lowest and highest aggregate scores and reveal the most common challenges and greatest strengths found in 88 prison and jail SUD program assessments completed in 41 states. This session is intended for an RSAT-only audience.

Learning Objective

  1. This workshop will serve as the annual meeting for RSAT grant administrators from SAAs as well as RSAT program leadership from subawardees.
Roberta C. Churchill, MA, LMHC
Senior Justice Associate, Advocates for Human Potential

Senior Justice Associate, Advocates for Human Potential

Roberta C. Churchill is a senior justice associate at Advocates for Human Potential (AHP) with more than 35 years of experience working with individuals living with the effects of trauma, substance use, and co-occurring mental health disorders. Since 1996, she has worked with justice-involved individuals who have multiple needs, developing and supervising medication-assisted treatment, educational, and gender-specific programming. She has worked with various jails and prisons, community correction sites, and treatment courts facilitating, supervising, and implementing substance use and co-occurring mental health disorder treatment programs. Ms. Churchill worked with a treatment specialist and program officers to develop one of the first Residential Substance Abuse Treatment (RSAT) programs in Massachusetts, which is still operating after 25 years. Since coming to AHP, she has assisted Dr. Andrew Klein in developing publications and presentations on medication for opioid use disorder and withdrawal guidelines for jails and the pretrial population. Ms. Churchill has also helped research and co-present with Dr. Klein on the prevention of suicide among people with substance use disorder. She was responsible for the two revisions of the Promising Practices Guidelines for Residential Substance Abuse Treatment, is revising and developing toolkits on the topics of integrated treatment for co-occurring disorders and trauma-responsive care, and is currently working on the development of a diversity, equity, and inclusion manual that will help explore disconnections that exist between needs and services due to inequity, lack of diversity, and lack of inclusion.

Samatha Kossow
Research Associate, Advocates for Human Potential

Research Associate, Advocates for Human Potential

Samatha Kossow is a research associate at Advocates for Human Potential (AHP). She has more than 10 years of experience working with a wide array of populations, including older adults and justice-involved individuals. Before joining AHP, she was the assistant director overseeing the implementation of clinical services and program evaluation at the Beverly Council on Aging in Massachusetts. Ms. Kossow has experience providing training on the implementation of evidence-based practices (EBPs) with drug courts, substance use treatment providers, behavioral health providers, and law enforcement. She has also worked on regional public health planning to address substance use prevention, treatment, intervention, and harm reduction using EBPs.

Andrew Klein, PhD
Senior Justice Scientist, Advocates for Human Potential

Senior Justice Scientist, Advocates for Human Potential

Andrew Klein is a senior scientist for criminal justice at Advocates for Human Potential. His areas of expertise include criminal justice, court administration, institutional and community corrections, substance use disorder treatment, domestic violence, medication-assisted treatment, and victim services. Since 2010, he has served as the project director for providing training and technical assistance for the U.S. Department of Justice, Bureau of Justice Assistance, prison and jail drug treatment initiative, the Residential Substance Abuse Treatment (RSAT) for State Prisoners Program. Dr. Klein earned his doctor of philosophy degree in law, policy, and society from Northeastern University.

Cedric Love
Research Associate, Advocates for Human Potential

Research Associate, Advocates for Human Potential

Cedric Love is a research associate at the Advocates for Human Potential Center for Research and Evaluation. He previously worked as a drug and alcohol therapist for juvenile boys and as a service coordinator helping at-risk youth in school systems get access to mental health treatment and navigate their way through the juvenile justice system. Mr. Love currently assists the Residential Substance Abuse Treatment (RSAT) team by providing summaries for recent medication-assisted treatment studies.


First Responder Deflection Affinity Group Networking

Deflection/diversion | First responders


Practitioners from the fields listed below will meet with their colleagues for peer-to-peer discussion on their work regarding deflection and pre-arrest diversion efforts and their roles in those efforts. This session is designed to encourage and promote cross-site collaboration, provide new knowledge, and support peer-to-peer learning. Colleagues who currently work in these areas will facilitate the discussions.

  1. Public Safety
  2. Behavioral Health and Support Service
  3. Community
  4. Program Management/Administration
  5. Research
  6. Policymaking/Elected Officials

2:30 p.m. – 2:45 p.m.
Break

2:45 p.m. – 4:00 p.m.
Breakout Session C

Tennessee’s First Responder Resource Engagement Specialty Team: Supporting the Opioid Crisis’ Front-Line Responders

First responders | Trauma


The Tennessee First Responder Resource Engagement Specialty Team (REST) is a grant-funded program under the Tennessee Department of Mental Health and Substance Abuse Services, operated by a nonprofit community coalition. First Responder REST covers a 14-county, mostly rural area in south-central Tennessee using a deflection model to connect individuals to the behavioral health care system, provide peer support, and provide harm reduction resources. First Responder REST utilizes care coordinators, who provide peer support and work with a wide variety of service providers to best meet the needs of each individual referred. Qualitative data received from responders during initial implementation highlighted a need to expand on addressing the mental health needs of the responders themselves, and the training was revised to be more in-depth on compassion fatigue, burnout, and stigma specific to first responders. The trainings are conducted by a peer, a licensed paramedic, who shares professional and personal experiences. The success is two-fold. Independent care coordinators can cover multiple counties and build relationships with a variety of services to connect individuals struggling with substance use disorder. The impact on first responder mental health and high workload are important to consider and address. As a result, interactions with highly stigmatized populations, such as those in need of behavioral health care services, improve. Program referrals have progressively increased since implementation, and most agencies volunteered to be proactive in allowing their personnel to distribute harm reduction resources. The positive outcomes of First Responder REST have spawned expansion into additional regions of the state.

Learning Objectives

  1. Describe the role of peer support in increasing access to behavioral health and recovery supports.
  2. Describe the importance of addressing the mental health of first responders, the frontline response to the opioid crisis.
  3. Describe the benefits of partnerships between first responder agencies and community organizations in rural areas.
Sarah Murfree, PhD, CPS
Executive Director, Prevention Coalition for Success, Murfreesboro, Tennessee

Executive Director, Prevention Coalition for Success, Murfreesboro, Tennessee

Sarah Murfree is the executive director of Prevention Coalition for Success (PC4S), a nonprofit organization primarily grant-funded by the Tennessee Department of Mental Health and Substance Abuse Services, in Murfreesboro, Tennessee. PC4S is a substance abuse prevention coalition providing prevention and recovery resources to Middle Tennessee. PC4S services include programs supporting first responders; the Rutherford County, Tennessee, Juvenile Court; and prevention for youth and young adults. After more than 10 years in the pharmaceutical clinical research industry, Dr. Murfree returned to academia at Middle Tennessee State University’s (MTSU) Community and Public Health program. She holds a doctoral degree in human performance specializing in health and a master’s degree in health. She serves as adjunct professor for the Drugs and Violence in Health Education class at MTSU. Dr. Murfree’s community involvement and professional affiliations include the Tennessee Public Health Association, Prevention Alliance of Tennessee, MTSU’s Public Health Community Advisory Board, and Rutherford County’s Regional Health Council Representative.

Joshua Crews
Resource Engagement Specialist, First Responder Resource Engagement Specialty Team, Prevention Coalition for Success, Murfreesboro, Tennessee

Resource Engagement Specialist, First Responder Resource Engagement Specialty Team, Prevention Coalition for Success, Murfreesboro, Tennessee

Joshua (Josh) Crews serves as the resource engagement specialist and primary educator for the Tennessee First Responder Resource Engagement Specialty Team. He began his emergency medical technician studies in 2003, when he was 17 years old, before becoming a paramedic. During his career, Mr. Crews has worked as an officer in two volunteer fire departments, a countywide rescue squad, and a cave and high-angle rescue team. He has taught fire, rescue, and emergency medical services (EMS) education to professionals all over the Southeast. He worked full-time as a paramedic in Huntsville, Alabama, until a significant injury occurred, after which he transitioned to emergency medical dispatch in 2014. Mr. Crews started working in community overdose education and prevention in 2018 and went back to college, obtaining his bachelor of science degree in criminal psychology.


Post-arrest Diversion: Highlighting Successes and Overcoming Challenges

Deflection/diversion | Pre-trial


Diversion programs have the potential to reduce incarceration and criminal justice involvement of individuals with substance use disorders (SUDs) and mental health disorders (MHDs) by providing pathways out of traditional arrest, prosecution, and sentencing. The most common type of diversion program in the United States is post-arrest diversion, which allows individuals who have already been arrested to avoid prosecution and conviction by engaging with community-based services and treatment programs. Post-arrest diversion programs can be run by courts, law enforcement agencies, community-based organizations and nonprofits, or prosecutor’s offices and are typically designed with the goals of reducing collateral consequences, increasing accountability and community engagement, and saving costs of prosecution and incarceration. Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) sites that are involved in different post-arrest diversion programs will discuss their screening strategies and eligibility criteria, their involvement of agency staff and collaboration with community partners, and their program policies that prioritize participant treatment and recovery. In addition, they will discuss their approaches to avoiding common pitfalls of diversion programs, such as increasing surveillance of individuals with SUDs/MHDs, overcoming stigma to enroll potential participants, avoiding costs to participants, and perpetuating racial disparities that already exist in the criminal justice system.

Learning Objectives

  1. Present a range of post-arrest diversion strategies and understand differences and commonalities across programs.
  2. Understand techniques to reach and engage target populations of arrested individuals with SUDs and MHDs.
  3. Identify successes and challenges that post-arrest diversion programs currently face.
  4. Identify strategies to sustain diversion efforts.
Kristina Varela
Trauma Support Specialist, Cumberland County Prosecutor’s Office, Bridgeton, New Jersey

Trauma Support Specialist, Cumberland County Prosecutor’s Office, Bridgeton, New Jersey

Kristina Varela is a trauma support specialist at the Cumberland County, New Jersey, Prosecutor’s Office, tasked with implementing community justice prevention and intervention initiatives. Her work focuses on developing programmatic responses to emerging needs in the county impacting crime and public safety. Her major projects include coordinating the prosecutor-led diversion program Fighting Relapse Effort Employing Drug Offense Monitoring Plus (FREEDOM+), coordinating positive youth development strategies for justice-involved and at-risk youth, assisting in a violence reduction initiative, and developing judicious mental health supports. Her work is informed by her experience working within the criminal justice system specific to reentry preparation and evidence-based practices. Prior to working at the prosecutor’s office, Ms. Varela worked in the fields of reentry and mental health. Ms. Varela holds a master’s degree in administration of justice and a bachelor’s degree in criminal justice, both from Wilmington University.

Daniel S. Fiore II
Judge, 17th Judicial Circuit, Arlington, Virginia

Judge, 17th Judicial Circuit, Arlington, Virginia

Daniel S. Fiore II is a presiding circuit court judge for the 17th Judicial Circuit of Virginia, a position he has held since 2012. Before his investiture, he had a distinguished 31-year career as a trial attorney and held various leadership roles, including president of the Arlington County, Virginia, Bar Association; chairman of the Arlington County Human Rights Commission; and chairman of the Arlington County Bar Foundation. He also served as a commissioner in chancery of the 17th Judicial Circuit and spent more than a decade as a substitute judge of the Arlington County General District Court. Since becoming a circuit court judge, he has actively participated in panels addressing legal education, presided over moot court competitions, and served on various committees related to the Virginia Supreme Court, including the Office of the Executive Secretary’s Education Committee and the Working Interdisciplinary Networks of Guardianship Stakeholders (WINGS) Committee. Currently, Judge Fiore is an esteemed adjunct professor of law at George Mason University Scalia School of Law, where he earned his juris doctorate degree in 1981. He is also involved in planning the first judicially sponsored Commonwealth of Virginia Mental Health Summit, scheduled for October 2023.

Molly Roffers-Susa, MS
Special Programs Coordinator, Winnebago County District Attorney’s Office, Oshkosh, Wisconsin

Special Programs Coordinator, Winnebago County District Attorney’s Office, Oshkosh, Wisconsin

Molly Roffers-Susa is the current special programs coordinator for the Winnebago County, Wisconsin, District Attorney’s Office (WCDAO). Starting as an administrative assistant, she carved out this new role for herself in the WCDAO after discovering her passion for working in a position that truly makes a difference. Using her background in medicolegal death investigation and anthropology, Ms. Roffers-Susa focuses much of her work on creating and implementing new alternative-to-incarceration programs for defendants in Winnebago County, securing grant funding for these programs, and connecting agencies in these efforts. Currently, she oversees all grant-related activity for the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP)-funded Stimulant and Opioid Addiction Recovery (SOAR) Program, as well as co-manages a prosecutor-led data transparency grant with evaluation partner New York University to update the WCDAO data infrastructure. Ms. Roffers-Susa earned her master of science degree from the University of Edinburgh in Scotland and her bachelor of science degree from the University of Wisconsin Oshkosh.

Caitlin Weihing, MS
Crime Data Analyst, Winnebago County District Attorney’s Office, Oshkosh, Wisconsin

Crime Data Analyst, Winnebago County District Attorney’s Office, Oshkosh, Wisconsin

Caitlin Weihing is the crime data analyst for the Winnebago County, Wisconsin, District Attorney’s Office (WCDAO). She is the first to hold the position since its approval in 2020. Although the WCDAO has long valued the importance of data, this position serves as the next step toward improving the data-driven decision making within the WCDAO. In this position, Ms. Weihing serves as data wrangler, data analyst, and data communicator. She oversees data connected to program evaluation, grant management, collaborative research projects, and evaluation of performance for the WCDAO as a whole. She thoroughly enjoys the challenges that accompany working with public sector data. Ms. Weihing earned both her master of science and bachelor of science degrees in psychology from the University of Wisconsin Oshkosh.

Amanda Folger
Assistant District Attorney, Winnebago County District Attorney’s Office, Oshkosh, Wisconsin

Assistant District Attorney, Winnebago County District Attorney’s Office, Oshkosh, Wisconsin

Amanda Folger has been an assistant district attorney with the Winnebago County, Wisconsin, District Attorney’s Office since 2010. She has had a drug caseload for more than 6 years and is presently the Drug and Property Unit’s team captain. Ms. Folger’s focus is on evidence-based prosecution and collaborating with multiple local governmental and nongovernmental agencies in reducing recidivism among community members with a substance use disorder.

Alexia Walker
Public Health Analyst, RTI International

Public Health Analyst, RTI International

Alexia Walker is a public health analyst within the Research Triangle Institute’s (RTI International) Justice Practice Area and brings to her role in project management her experience gained throughout her academic career. Ms. Walker uses her skills in data analysis, problem solving, decision making, communication, and strategic planning to diligently deliver well-organized and high-quality events that accurately portray the mission of a project. Her work as part of the RTI Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) Training and Technical Assistance team is to lead the Post-arrest Diversion Community of Practice and provide support to grantees.


New England Regional Judicial Opioid Initiative (NE RJOI): Addressing Substance Use/Opioid Use Disorder in the New England Region

Data sharing | State and local coordination


Poverty, trauma, mental illness, and abuse. These are the challenges that New England communities are facing, and substance use disorder (SUD) plays a pivotal role in this endless cycle of despair. Recognizing that the judicial system cannot solve these complex issues alone, the New England Regional Judicial Opioid Initiative (NE RJOI) has joined forces with professional and medical experts to employ effective strategies for reducing SUD in New England communities. This collaboration is increasing the region’s data-gathering practices, education, and training capacities and bringing together the energy, intelligence, and passion of six committed states, judicial systems, and partners to confront this complex disease and improve the lives of justice-involved individuals suffering from SUD, their families, and their communities.

NE RJOI has: • Assessed the opioid epidemic in the region using the Sequential Intercept Model. • Created data maps to identify hot spots. • Conducted data analyses to identify and document best practices to inform ongoing decision making. • Employed recovery support navigators in the courthouse in four of the six states in opioid hot-spot areas. Navigators connect individuals to treatment services and are a resource for all justice system stakeholders. • Completed Project ECHO (Extension for Community Healthcare Outcomes)—a partnership with the judiciary and six prestigious medical centers in New England to offer SUD/opioid use disorder (OUD) training, case-based learning, and sharing of best practices to reduce disparities. • Developed Communities of Practice in the areas of advancing pretrial services and utilizing remote/virtual environments in treatment courts to build relationships, improve collective knowledge, and share promising and evidence-based practices throughout the region.

Learning Objectives

  1. Describe the benefits of a regional approach to addressing SUD/OUD.
  2. Understand the ECHO model and the application to the judiciary in training judges in SUD/OUD.
  3. Analyze how recovery court navigators could be utilized beyond substance use or behavioral health with a more explicit focus on overdose prevention.
Abby Kuschel
Senior Court Management Consultant, Court Consulting Services Division, National Center for State Courts, Williamsburg, Virginia

Senior Court Management Consultant, Court Consulting Services Division, National Center for State Courts, Williamsburg, Virginia

Abby Kuschel works as a senior court management consultant for the National Center for State Courts’ Court Consulting Services Division in Williamsburg, Virginia. Her work is focused primarily in the areas of court governance, leadership, case flow management, and problem-solving courts. Ms. Kuschel previously worked as a supervisor of the Programs Unit at the State Court Administrator’s Office in Minnesota. In this role, she oversaw statewide program staff in the areas of court interpreter programs, psychological services, treatment courts, jury management, and the Children’s Justice Initiative. Ms. Kuschel’s career with the Minnesota Judicial Branch began in 2008 working with treatment courts at the state and local levels, including work with tribal nations for 15 years. Ms. Kuschel earned her bachelor of science degree in community health education and psychology from the University of Minnesota Duluth.

Brad Ray, PhD
Senior Justice and Behavioral Health Researcher, Research Triangle Institute, Duluth, Minnesota

Senior Justice and Behavioral Health Researcher, Research Triangle Institute, Duluth, Minnesota

Brad Ray is a senior justice and behavioral health researcher who has expertise in multiple methodologies, including record linkage among sizeable administrative data sets, randomized controlled trials development within criminal-legal systems, and qualitative and survey research with difficult-to-reach populations. His current work includes ethnographic interviews with persons who use drugs to understand the iatrogenic effect of law enforcement disruptions to the illicit drug market, a project funded by the Centers for Disease Control and Prevention. He also leads a randomized controlled trial of a police-mental health co-response unit, a study funded by Arnold Ventures, and previously developed peer-recovery support models for returning citizens, funded by the National Institute on Drug Abuse. His most recent project is part of the National Institutes of Health (NIH) Helping to End Addiction Long-term (HEAL) Initiative data-to-action program and involves creating real-time dashboards that identify touchpoints, along with training, for overdose fatality review teams.


Integrating Peers With Law Enforcement to Enhance Crisis Intervention

First responders | Peer support services


The Rimrock Foundation, a drug and alcohol addiction treatment center in Billings, Montana, utilized a Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grant to partner with the Billings Police Department to develop and implement a homeless outreach team. This team integrates two peer support specialists with downtown Billings police officers to connect unhoused individuals at risk of substance use to treatment and housing to divert them from jail.

Learning Objectives

  1. Assess the readiness of individual communities for integration of peer support with law enforcement.
  2. Apply strategies learned in the session to develop a client-centered approach to building relationships with community partners that benefits the client, while addressing the stigma within the community.
  3. Learn how to utilize program data from multiple partners to identify program benefits and gaps in services.
Coralee Schmitz, MS, MBA, MAC
Chief Operations Officer, Rimrock Foundation, Billings, Montana

Chief Operations Officer, Rimrock Foundation, Billings, Montana

Coralee Schmitz has been in the substance use disorder (SUD) treatment field for more than 20 years and is currently the chief operations officer at the Rimrock Foundation in Billings, Montana. She is responsible for managing the general operations at Rimrock, including a full continuum of SUD and mental health services. Ms. Schmitz holds accreditation from the National Association for Alcoholism and Drug Abuse Counselors (NAADAC) as a Master Addiction Counselor and is certified by the Commission on Accreditation of Rehabilitation Facilities (CARF) as a surveyor. She holds master’s degrees in psychology and business administration.

Annette Redding, CBHPSS
Director of Peer Support Services, Rimrock Foundation, Billings, Montana

Director of Peer Support Services, Rimrock Foundation, Billings, Montana

Annette Redding has been a Certified Behavioral Health Peer Support Specialist (CBHPSS) with the Rimrock Foundation since 2018 and the director of peer support services since 2020. She graduated from felony drug court in 2016 and immediately began advocating within the recovery community. She has been essential in the development of the peer support services at Rimrock as well as throughout the Billings community, including integrating peers into the Yellowstone County, Montana, Detention Center; the Billings Clinic Psychiatric Center; the Department of Family Services; and local sober-living programs. Ms. Redding has led the initiative to implement a peer outreach program assisting local law enforcement in addressing chronic homelessness in the community and expanding to include a Mobile Crisis Unit in partnership with area first responders. She is a coordinator for the Yellowstone County Crisis Intervention Team.

Brad Mansur
Patrol Sergeant, Billings Police Department, Billings, Montana

Patrol Sergeant, Billings Police Department, Billings, Montana

Brad Mansur is a patrol sergeant and an 8-year veteran of the Billings, Montana, Police Department. Following the COVID-19 pandemic, Sergeant Mansur was integral in the reimplementation of the downtown Motivated Addiction Alternative Program, serving inebriate unhoused individuals in downtown Billings. He also served as the primary partner and liaison with the homeless outreach team and the Billings Police Department. Sergeant Mansur began his career in law enforcement in 2011.


Emerging Public Health and Safety Research on the Impact of Prescription Drug Monitoring Programs (PDMPs)

Prescription drug monitoring programs


Prescription drug monitoring programs (PDMPs) are state-level systems that collect, analyze, and report data on the prescription, dispensation, and consumption of controlled substances. PDMPs have become one of the most valuable and reliable tools in the fight against prescription drug misuse and diversion. The main goal of PDMPs is to improve patient care and support the development of prevention and treatment interventions for substance use disorders. This session will present three research studies that examine the usability and effectiveness of PDMPs.

Learning Objectives

  1. Assess potential supplementary benefits of PDMPs on health outcomes.
  2. Learn about PDMP clinical decision support tools.
  3. Evaluate the effectiveness of PDMP data use.
Sonam Delvadia, MPH
Epidemiology Research Associate, Office of Drug Surveillance and Misuse Prevention, Pennsylvania Department of Health, Harrisburg, Pennsylvania

Epidemiology Research Associate, Office of Drug Surveillance and Misuse Prevention, Pennsylvania Department of Health, Harrisburg, Pennsylvania

Sonam Delvadia is an epidemiology research associate at the Office of Drug Surveillance and Misuse Prevention (ODSMP) at the Pennsylvania Department of Health and has served in this role for 3 years. In this position, she has conducted several analyses examining opioid, benzodiazepine, and carisoprodol prescription combination (“Holy Trinity”) trends in Pennsylvania and temporal changes in stimulant prescribing trends among different age groups in Pennsylvania and has developed an interactive dashboard displaying Pennsylvania controlled substance prescribing trends per various prescriber categories. Before joining the ODSMP, Ms. Delvadia served as an HIV surveillance analyst at the Pennsylvania Department of Health. Ms. Delvadia holds a master of public health degree with a concentration in epidemiology from Emory University and a bachelor of science degree in public health sciences from the University of California, Irvine.

Jason Hoppe, DO
Associate Professor, University of Colorado School of Medicine

Associate Professor, University of Colorado School of Medicine

Jason Hoppe is a clinician-researcher, medical toxicologist, and associate professor of emergency medicine at the University of Colorado School of Medicine. His clinical work, research, and public health efforts are aimed at addressing the complicated decision-making process regarding the safe prescribing of opioid analgesics and effectively initiating treatment for patients with an opioid use disorder (OUD). Dr. Hoppe is a national expert in prescription opioid safety, prescription drug monitoring programs (PDMPs), and emergency department buprenorphine use. He is interested in using clinical decision support as an implementation strategy to deliver evidence-based practices. Dr. Hoppe is a founding member of the Colorado Consortium for Prescription Drug Abuse Prevention and has assisted with multiple public health efforts, education programs, and successful legislative changes in Colorado regarding PDMP access, opioid prescribing, and medications for OUD.

Chelsey Richwine, PhD
Economist, Office of Technology, Office of the National Coordinator for Health Information Technology The George Washington University

Economist, Office of Technology, Office of the National Coordinator for Health Information Technology The George Washington University

Chelsea Richwine is an economist in the Office of Technology at the Office of the National Coordinator for Health Information Technology (IT). Her work is focused on the intersection between public health and health IT, including health information exchange, patient access to electronic health information, and public health reporting. Dr. Richwine earned a doctor of philosophy degree in public policy and public administration with an emphasis in health policy from The George Washington University and a master of economics degree from Duke University.


Paying It Forward: Multigenerational Interventions Through the Office for Victims of Crime’s Response to the Substance Use Disorder Crisis

Families | Trauma


The Office for Victims of Crime’s response to the opioid and substance use disorder crisis funding throughout the United States took a multigenerational approach to intervention. This approach recognized not only the complex intersections between trauma, mental health, and substance use but also the family systems that children impacted by substances were a part of. This presentation will discuss the numerous individual, family, and system interventions that sought to help children and families impacted by substance use heal and to prevent future substance use. The grantees in this programming took a multipronged approach through individual services that were trauma-informed, culturally appropriate, and informed by local data and encouraged the community to take on the issue of substance use in their local area. The service delivery and the data-responsive and community-driven work were focused through a multidisciplinary lens to ensure that all of those systems, both formal and informal, as well as community entities increased their awareness of the impact of substance use on children with the aim to provide communities that are safer and recovery-oriented.

Learning Objectives

  1. Identify specific needs of families and the children in them impacted by substance use.
  2. Describe multigenerational interventions.
  3. Describe ways that the participants can engage their own communities in the work of helping all children and families who may be at risk of substance use.
Jennie Cole-Mossman
Technical Expert Lead, JBS International

Technical Expert Lead, JBS International

Jennie Cole-Mossman is a technical expert lead for JBS International, serving both the Office for Victims of Crime (OVC) Training and Technical Assistance project and the Health Resource and Services Administration Rural Communities Opioid Response Program project. She is a mental health specialist whose expertise spans child-parent relationships, family drug courts, dependency court system work, opioid and other drug use disorders, and trauma screening and treatment for young children (aged 0 to 5). Ms. Cole-Mossman is a specialist in the use of reflective practice to decrease secondary trauma and assist with implementation of trauma-informed care for judges, attorneys, and a range of victim service providers. She is also a trained mediator and collaborative divorce child specialist.

Karen Yost, MA, LSW, LPC, NCC, ALPS, MAC, CCDVC, CSOTS
Technical Expert Lead, JBS International, North Bethesda, Maryland

Technical Expert Lead, JBS International, North Bethesda, Maryland

Karen Yost is a technical expert lead for JBS International, serving both the Office for Victims of Crime (OVC) Training and Technical Assistance project and the Health Resource and Services Administration Rural Communities Opioid Response Program project. She has more than 30 years’ experience providing, developing, and overseeing services for individuals with behavioral health and substance use disorders and intellectual/developmental disabilities. Ms. Yost is a Licensed Social Worker, Licensed Professional Counselor, Nationally Certified Counselor, Approved Licensed Professional Supervisor, Master Additions Counselor, Clinically Certified Domestic Violence Counselor, Certified Sex Offender Treatment Specialist, and Certified School Counselor for grades K–12. She has extensive experience in leadership, training, trauma-informed practice, multisystem collaboration, working with first responders and law enforcement, and working with rural and economically challenged communities. Ms. Yost was appointed to serve on the West Virginia Governor’s Advisory Committee on Substance Abuse, which has been a leader in framing statewide and community responses to the opioid crisis, and the West Virginia Governor’s Indigent Defense Commission. She brings the frontline perspective and experience of program directors across a range of clinical settings as well as expertise in service integration at local, state, and regional levels.


Culturally Responsive Recovery-based Reentry Services for People of Color

Community Outreach | Jails | Reentry


This workshop features presentations from the Legendary Legacies and Nueva Vida programs, providing culturally responsive reentry services to individuals leaving correctional facilities in Massachusetts. Legendary Legacies, Inc., based in Worcester, has created an inspiring program called Legacy Links, which fosters brotherhood and addresses addiction through a compassionate lens, focusing on the dislocation theory. This theory suggests that social isolation and a lack of connection to a supportive community contribute to substance use disorders. Legacy Links is designed by and for Black, Indigenous, and People of Color (BIPOC) individuals to provide a culturally sensitive, empathetic space for those navigating the transition from incarceration back into society. Participants in the program are surrounded by a network of compassionate support, receiving personalized services such as case management, mentorship, education and employment assistance, housing support, and access to health care and behavioral health services. The program’s success lies in its holistic and human-centered approach to addressing the complex challenges faced by formerly incarcerated individuals and those recovering from addiction.

The Nueva Vida (New Life) program, implemented by New North Citizens’ Council, Inc. (NNCC), provides recovery-based reentry services for Black and Latino men in Holyoke and Springfield with funding from the Department of Public Health. NNCC has executed a preliminary memorandum of understanding with the Hampden County, Massachusetts, Correctional Center that delineates how Nueva Vida will provide culturally responsive pre-release reentry support services and post-release recovery services, care coordination, overdose prevention, vocational services, HIV/AIDS prevention and education, and family support services. The Nueva Vida project builds on NNCC’s (1) partnership with the Hampden County Sheriff’s Department, (2) status as a respected Latino-governed and -operated nonprofit, (3) experience with supporting both people in recovery and those reentering the community, and (4) commitment to achieving equity and social justice for underserved and marginalized populations.

Learning Objectives

  1. Describe the dislocation theory of addiction and its significance in the development and implementation of the Legacy Links program for formerly incarcerated individuals and those recovering from addiction.
  2. Examine the components and structure of the Legacy Links program, focusing on the holistic approach, culturally sensitive interventions, and the importance of camaraderie and brotherhood in promoting long-term recovery and reintegration success.
  3. Identify strategies for implementing and adapting the principles and practices of the Legacy Links program in other communities and settings, emphasizing the value of community-driven, empathetic, and culturally responsive approaches to supporting individuals impacted by incarceration and addiction.
  4. Apply Nueva Vida’s culturally responsive and collaborative approach to jail-based and community-based interventions.
  5. Apply the principles of social justice, social determinants of health, and cultural responsiveness to reentry services for individuals with a history of incarceration and substance use disorder.
Ron Waddell
Executive Director, Legendary Legacies, Inc., Worchester, Massachusetts

Executive Director, Legendary Legacies, Inc., Worchester, Massachusetts

Ron Waddell is the executive director and cofounder of Legendary Legacies, Inc. Legendary Legacies is a nonprofit organization dedicated to interrupting cycles of incarceration, racism, and poverty among Black, Indigenous, and People of Color (BIPOC) males. Mr. Waddell is a Certified Transformational Life Coach through the Association for Christian Character Development, a Certified Gang Specialist through the National Gang Crime and Research Center, a Certified Youth Mental Health Specialist, and a Certified Recovery Coach. He was one of Worcester Business Journal’s (WBJ) 40 under 40 in 2021 and WBJ Power 50 in 2022. He also serves as a board member of the Greater Worcester Community Foundation and Worcester Education Collaborative. Mr. Waddell has completed and cofacilitated multiple reentry trainings inside Massachusetts House of Corrections facilities. He is present at a number of community and state events and speaks passionately and eloquently about issues affecting marginalized communities. Mr. Waddell holds a certificate in nonprofit management and leadership from Boston University.

Orlando Mercado
Program Director, Nueva Vida Program, New North Citizens’ Council, Inc.

Program Director, Nueva Vida Program, New North Citizens’ Council, Inc.

Orlando Mercado has served as the program director for Nueva Vida since July 2021. He has 14 years’ experience working with the substance-using population in mental health and 9 years’ experience in case management. He is bilingual/bicultural. Mr. Mercado holds a bachelor’s degree in social work from Elms College and an associate degree in business administration from Springfield Technical Community College.


Providing Medication-assisted Treatment (MAT) in Jails: COSSUP’s Jail-based MAT Peer Mentor Initiative

Jails | Medication-assisted treatment


As a training and technical assistance provider for the Bureau of Justice Assistance’s (BJA) Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP), Advocates for Human Potential, Inc. (AHP) operates the Jail-based Medication-assisted (MAT) Peer Mentor Initiative. The mentor initiative offers jails across the country interested in providing or enhancing their MAT services a unique opportunity to observe and learn from established programs that have demonstrated success in meeting the treatment needs of individuals with opioid use disorders. Each mentor site represents an example of a variety of programs found in diverse settings across the nation.

This session will be a facilitated discussion with a mentor site representative who will talk about their program and what the site offers as a mentor. Representatives from three grantee sites that have been mentees will discuss their sites’ experiences as mentees and what they learned from their onsite visit. The discussion will outline how attendees can apply to become mentor sites and/or mentees and attend site visits. The session will allow time for participant discussion and questions and answers.

Learning Objectives

  1. Describe COSSUP’s Jail-based MAT Peer Mentor Initiative.
  2. Discuss the benefits of peer-to-peer learning.
  3. Apply to participate in the initiative as either a mentor or mentee.
Edmond Hayes
Assistant Superintendent, Director, Opioid Treatment Program, Franklin County Sheriff’s Office, Greenfield, Massachusetts

Assistant Superintendent, Director, Opioid Treatment Program, Franklin County Sheriff’s Office, Greenfield, Massachusetts

Ed Hayes is an assistant superintendent at the Franklin County, Massachusetts, Sheriff’s Office (FCSO), located in rural Western Massachusetts. During Mr. Hayes’ 10-year tenure as treatment director, the FCSO has been recognized nationally as a demonstration site by the Substance Abuse and Mental Health Services Administration (SAMHSA) as well as the Bureau of Justice Assistance for its work with incarcerated co-occurring clients. The FCSO treatment program was the first in Massachusetts and one of the first in the nation to offer a comprehensive treatment approach for incarcerated clients living with opioid use disorder by becoming a fully licensed opioid treatment program. Mr. Hayes was a 2020 National Institute of Health Learning Experiences to Advance Practice (LEAP) Scholar and has a background in clinical social work and provision of special education for adult learners.

Levin Schwartz, MSW, LICSW
Assistant Superintendent, Director, Reentry Services, Franklin County Sheriff’s Office, Greenfield, Massachusetts

Assistant Superintendent, Director, Reentry Services, Franklin County Sheriff’s Office, Greenfield, Massachusetts

Levin Schwartz is the assistant superintendent of clinical and reentry services at the Franklin County, Massachusetts, Sheriff’s Office (FCSO). He is the implementation specialist for FCSO special projects, including the FCSO’s federally licensed opioid treatment program; behavioral health grants, including the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Medication-assisted Treatment (MAT)-Prescription Drug and Opioid Addiction (PODA) grants (2018 and 2021); and Bureau of Justice Assistance/U.S. Department of Justice Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP), Justice and Mental Health Collaboration Program, and Second Chance Act grants. Mr. Schwartz has co-developed and implemented what has become a nationally recognized mindfulness-based opioid treatment and reentry program at the FCSO. Mr. Schwartz earned his master’s degree from Smith College School for Social Work and his bachelor’s degree from the University of Massachusetts.

Jessica Perillo, MS, CADC
Program Manager, Boone County Health Department, Belvidere, Illinois

Program Manager, Boone County Health Department, Belvidere, Illinois

Jessica Perillo is the program manager at the Boone County, Illinois, Health Department and leads the Community Outreach, Advocacy, and Recovery (COAR) Team by directly supervising the staff as well as managing the grants and contracts. She has 10 years of experience in the field of addictions and has experience supervising a substance use treatment program and a problem-solving court. Ms. Perillo holds a master’s degree in forensic psychology and is a Certified Alcohol and Drug Counselor.

Stephanie Ruane, MS, LCADC, CCS
Supervisor, Social Services and Substance Abuse Services, Monmouth County Correctional Institution, Freehold, New Jersey

Supervisor, Social Services and Substance Abuse Services, Monmouth County Correctional Institution, Freehold, New Jersey

Stephanie Ruane is the supervisor of social services and substance abuse services for the Monmouth County Correctional Institution in Freehold, New Jersey. As part of those departments, she also directs the reentry program and is the clinical supervisor of the medication-assisted treatment (MAT) program within the correctional institution. Ms. Ruane has worked in the jail for more than 15 years and has developed a multitude of classes and programs based on the current population and the needs of the population at that particular time. During the pandemic, she developed a creative outlet for the inmates by starting an inmate newsletter. The inmates named the newsletter The SMART Way Newsletter, with SMART being an acronym for Streets Making A Right Turn. The newsletter was incredibly successful within the correctional institution and was even featured in American Jails magazine. Before coming to work in corrections, Ms. Ruane worked for a community-based methadone clinic for approximately 6 years. Ms. Ruane earned a master’s degree in psychology in 2014 from California Coast University and obtained her Certified Clinical Supervisor certification in 2020.

Holly Taylor, CADC
Reentry Coordinator, Pulaski County Sheriff’s Office, Little Rock, Arkansas

Reentry Coordinator, Pulaski County Sheriff’s Office, Little Rock, Arkansas

Holly Taylor works as the reentry coordinator for the Pulaski County Sheriff’s Office (PCSO) in Little Rock, Arkansas. She oversees programming for the reentry program at the Pulaski County Regional Detention Facility for incarcerated individuals. Once individuals complete the reentry program, Ms. Taylor helps them transition to treatment or transitional living. Another component of this program is helping incarcerated individuals with their criminal cases. Ms. Taylor and her staff work with public defenders, prosecutors, judges, and probation/parole officers to ensure that the best interests of the individuals are met. The hope is to prevent people from going to prison and pursue treatment instead. While working at the PCSO, Ms. Taylor became a Certified Alcohol and Drug Counselor. Prior to working at the PCSO, she worked at Hoover Treatment Center in Little Rock. She started out as an AmeriCorps Volunteers in Service to America (VISTA) volunteer and transitioned into a full-time position as the health and wellness coordinator. Her passion for working in this field stems from her own history with incarceration and substance use disorder. She hopes to encourage others to see the same light that helped her through her own battles.

4:00 p.m. – 4:15 p.m.
Break

4:15 p.m. – 5:30 p.m.
Breakout Session D

The Process and Power of Collaboration: Uniting the Behavioral/Substance Use Health Care and Criminal Justice Systems in Order to Provide Necessary Services to Individuals Pre-arrest

Deflection/diversion | First responders


The common challenges that entities encounter when first implementing Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP)-funded programs are coordination and collaboration with multiple organizations and agencies in the community. The specific challenge of gathering community members and stakeholders to form committees or the rapid implementation of services are consistent barriers. Agencies may have differing ideas or competing interests regarding the provision of services to individuals struggling with mental health and/or substance use who commit low-level crimes. Ultimately, all community collaborators and partners must agree on the shared goals for the communities to become safe and healthy. This session will utilize the experience of two COSSUP-funded programs—Law Enforcement Assisted Diversion (LEAD) and Supporting the Pathway to Recovery (SPR)—to highlight how this work can be implemented in a timely manner. Coordination started early, upon receipt of the request for proposal. Numerous organizations/agencies that Rutgers University Behavioral Health Care (UBHC) had previously collaborated with were an integral part of the LEAD/SPR programs’ success. Most of these agencies responded positively and quickly, enabling UBHC to implement the three LEAD work groups (Policy Coordinating Group, Operational Work Group, and Community Leadership Team) quickly and maintain steady engagement of key stakeholders. Meaningful conversations, polite disagreement, and ensuring that no individuals felt ignored were critical to maintaining collaboration and moving the process forward. Building on prior collaborations improves the speed with which a team works together and problem-solves. This leads to innovation, efficient processes, increased success, and improved communication. Through listening to and learning from community collaborators, entities can reach their goals and implement COSSUP-funded programs in a timely manner.

Learning Objectives

  1. List five steps to coordinate meetings among numerous stakeholders.
  2. Discuss the importance of allowing all stakeholders to have a voice.
  3. Examine three ways to build collaborative relationships.
Stephanie Evans, MS
Program Manager, Rutgers University Behavioral Health Care, Piscataway, New Jersey

Program Manager, Rutgers University Behavioral Health Care, Piscataway, New Jersey

Stephanie Evans has worked in the mental health field for 28 years, including 22 years with Rutgers University Behavioral Health Care (UBHC). She started at UBHC as a counselor at its partial hospital program and, after 12 years, moved to the case management department. Ms. Evans is currently a program manager within the community-based service department. This department provides outreach services to individuals with mental health/substance use disorders. These services include assessment of the individual’s needs, planning, and implementation through linkages and referrals. In her role, Ms. Evans has overseen various case management programs, including Justice Involved Services (JIS), the Project for Assistance in Transition from Homelessness (PATH), Specialized Case Management and Outreach Services (SCMOS), the Support Team for Addiction Recovery (STAR), R-HOME, and Supported Employment. Ms. Evans is a member of several committees, including the Middlesex County, New Jersey, Behavioral Health Justice Involved Task Force; Built for Zero (committee to end homelessness in Middlesex County); the Middlesex County Prosecutor’s Office Veterans Diversion Program; and the Crisis Intervention Team Middlesex County Planning Committee.

Micah Hillis, DSW, LCSW
Program Director, Rutgers University Behavioral Health Care, Piscataway, New Jersey

Program Director, Rutgers University Behavioral Health Care, Piscataway, New Jersey

Micah Hillis is a program director for Rutgers University Behavioral Health Care and has extensive experience providing services and managing programs that focus on outreach, peer support, and case management services in the community and incarcerated settings. The focus of these programs has been to provide services to at-risk populations, including incarcerated persons, the chronically homeless, veterans, and individuals struggling with mental illness and substance use. Many of these services have been provided through programs utilizing the Critical Time Intervention Model. Dr. Hillis is currently focused on services addressing the ongoing opioid/fentanyl epidemic in New Jersey through multiple partnered programs with the Division of Mental Health and Addiction Services, the New Jersey Department of Corrections, and the New Jersey State Parole Board. He is also a part-time lecturer for the Rutgers School of Social Work and the chief executive officer of Illuminate Behavioral Health Care.

Nicole M. Swiderski, PhD
Supervisor, Research and Grants Unit, New Jersey State Parole Board, Trenton, New Jersey

Supervisor, Research and Grants Unit, New Jersey State Parole Board, Trenton, New Jersey

Nicole M. Swiderski is the supervisor of the Research and Grants Unit and co-coordinator of the New Jersey State Parole Board (NJSPB) Internship Program. She serves as lead researcher and grant program manager of the agency’s Fiscal Year 2021 Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) award, and she previously served as a research assistant for the NJSPB’s Second Chance Act Reentry Program and research consultant to evaluate the effectiveness of the Level of Service Inventory-Revised (LSI-R) in predicting supervised offender recidivism. Dr. Swiderski is dedicated to interdisciplinary research, particularly at the intersection of criminal justice and psychology. Her primary lines of research include offender reentry, cognitive consequences of victimization, domestic violence and sports, and media and crime. Dr. Swiderski is the registered agent, treasurer, and a board member of the Living in New Directions Assistance (LINDA) Organization, which helps justice-involved women struggling with homelessness, mental health, and/or substance use regain their freedom and redefine their future. She is also on the board of trustees in an at-large capacity of the Middle Atlantic States Correctional Association. In addition to her work at the NJSPB, Dr. Swiderski teaches as an adjunct professor at several New Jersey colleges and universities. She has published articles in several interdisciplinary journals and recently co-authored a book, Crime in TV, the News, and Film: Misconceptions, Mischaracterizations, and Misinformation, published by Rowman & Littlefield.


Franklin County, Ohio: Supporting Access to Treatment and Recovery Services Across the Justice Intercepts

Jails | Medication-assisted treatment | Reentry


Local jail data confirm that one of every four individuals booked into the Franklin County, Ohio, Correctional Center requires medical detox from opioids and that an annual average of 21 percent of those who fatally overdose in the county were incarcerated in the jail within 1 year prior to their date of death. The Franklin County Office of Justice Policy and Programs (OJPP) has leveraged Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP)—formerly known as the Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP)—funding since 2017 to create evidence- and outcome-based interventions across the justice intercepts to support access to treatment and recovery services for the justice-involved community. A panel from OJPP will provide brief overviews of this continuum of care staffed by multidisciplinary teams, including first responder community deflection; expanding access to harm reduction vending machines through public health partnerships; pre-release cognitive behavioral therapy programming with post-release case management and peer support; jail-based medication-assisted treatment with support groups and discharge planning; distribution of naloxone upon release from jail; two rapid resource centers located in post-custody portions of the local jails to increase access to treatment and reentry services; and a post-release housing respite program for those booked into the jail as homeless. The panelists will discuss successes, challenges, and future goals of each program while opening the floor to attendees to ask questions related to braided funding, program design and operations, incorporation of peer support across the justice intercepts, data collection and analysis, and sustainability.

Learning Objectives

  1. Describe qualitative and quantitative lessons learned from programs applied across the Sequential Intercept Map (SIM).
  2. Apply funding braiding and data collection techniques to increase project sustainability.
  3. Identify and apply innovative solutions to common barriers in program implementation for the justice system.
Caitlin Looney, LISW-S
Grants Administrator, Franklin County Office of Justice Policy and Programs, Columbus, Ohio

Grants Administrator, Franklin County Office of Justice Policy and Programs, Columbus, Ohio

Caitlin Looney, a Licensed Independent Social Work-Supervisor, has worked in the justice field for 15 years and currently serves as the grants administrator for the Franklin County, Ohio, Office of Justice Policy and Programs. This role combines her extensive knowledge in program development and implementation, funding administration, data collection, community partnership procurement, and direct service provision to the justice-involved residents. Current areas of focus for Ms. Looney’s work include jail-based medication-assisted treatment and harm reduction; jail-based programming to reduce recidivism; community deflection for first responders; and the role of peer support across the justice intercepts.

Ryan Newsome, MSW, LISW
Social Services Coordinator, Franklin County Office of Justice Policy and Programs, Columbus, Ohio

Social Services Coordinator, Franklin County Office of Justice Policy and Programs, Columbus, Ohio

Ryan Newsome is a Licensed Independent Social Worker and currently serves as the social services coordinator for the Franklin County, Ohio, Office of Justice Policy and Programs, where he manages the Male Pathways Program and the rapid resource centers for the agency. In 1995, Mr. Newsome was sentenced to 24 years in federal prison. After 17 years of incarceration, he has worked diligently in the field of reentry since 2013. Mr. Newsome earned a master of social work degree from The Ohio State University in 2019, a bachelor of science degree in social work from Capital University in 2016, and a bachelor of arts degree in criminology and criminal justice studies from The Ohio State University in 2013. As an independent contractor, he also provides counseling services for the justice-involved population and their families.

Token Carter, MS, LPC, DEI
Discharge Planner, Franklin County Office of Justice Policy and Programs, Columbus, Ohio

Discharge Planner, Franklin County Office of Justice Policy and Programs, Columbus, Ohio

Token Carter is a Licensed Professional Counselor (LPC) and currently serves as a discharge planner for the Franklin County, Ohio, Office of Justice Policy and Programs in the jail-based medication-assisted treatment (MAT) program, linking clients who received pre-release MAT to community treatment providers post-release. Ms. Carter’s experience as an LPC includes trauma-informed practices, crisis intervention, and foster care placement disruptions. She has worked in mental health, justice, and substance use systems for 5 years, assisting the justice-involved community with navigating probation, workforce development, and collateral sanctions. Ms. Carter holds a master’s degree in counseling.


Learning to Love Puzzles When the Pieces Don’t Fit: Connecting Entities to Enable Effective Diversion/Deflection

Deflection/diversion | First responders | State and local coordination


As police, treatment providers, and other agencies attempt to divert or deflect more people from formal justice system involvement, the importance of partnerships and proper data tracking becomes paramount. No one entity can address the needs of those requiring help, but the proper cooperative net of interlocking agencies can ensure that frontline actors have the necessary resource kit available to them. In addition, field personnel need to have fast and efficient data tracking available to organize cases and conduct reporting and evaluation in order to see the overall picture. This presentation utilizes a case study of Delaware Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) sites in rural and suburban areas to demonstrate how efforts in Delaware have meshed the multitude of entities, conflicting policies, practices, and common methods to divert people effectively. A locally developed toolkit will be presented as well as how local police have implemented a crisis response report into their statewide reporting system. Delaware has also utilized the same data collection system among partners to coordinate case care and conduct statewide surveys. The panel will draw on the experiences of those in the field to address what barriers exist and how people have worked to improve communication between agencies and to track data to provide adequate care to those in need.

Learning Objectives

  1. Learn how to identify and overcome barriers concerning cross-agency communication.
  2. Learn how to utilize learning collaboratives to improve deflection and service provision.
  3. Describe how to utilize data tracking and reporting using a common data system.
Daniel J. O’Connell, PhD
Senior Scientist and Assistant Professor, Center for Drug and Health Studies, University of Delaware Newark, Delaware

Senior Scientist and Assistant Professor, Center for Drug and Health Studies, University of Delaware Newark, Delaware

Daniel J. O’Connell is the senior scientist with the Center for Drug and Health Studies and an assistant professor in the Department of Criminal Justice at the University of Delaware, where he teaches criminology. His research specialties are research design and methodologies, intervention development, and project management. He is currently the principal investigator on an evaluation of both the statewide Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) 2019 and 2022 grants as well as the Hero Help program, all supported by the Bureau of Justice Assistance.

Valarie Tickle
Grant Coordinator, Delaware Criminal Justice Council, Wilmington, Delaware

Grant Coordinator, Delaware Criminal Justice Council, Wilmington, Delaware

Valarie Tickle is the grant coordinator for the Delaware Criminal Justice Council (CJC), where she has been employed for more than 25 years and has managed more than 20 different block and discretionary grants. As a criminal justice coordinator, her responsibilities include directing management studies, analyzing data, drafting statewide policy, conducting strategic planning, writing federal grants, and ensuring compliance with grant regulations and reporting requirements. She began her career with the Delaware CJC as a grant monitor and progressed to her current level. Ms. Tickle earned a bachelor’s degree in criminal justice with a minor in psychology from the University of Delaware.

Elizabeth Romero, MBA, MS
Executive Director, Consultant, Rosmaris Group, Warrenton, Virginia

Executive Director, Consultant, Rosmaris Group, Warrenton, Virginia

Elizabeth Romero is the executive director of Rosmaris Group in Warrenton, Virginia, and has more than 20 years of experience in building and leading systems change initiatives to improve health across the life span. She previously served as the director of the Delaware Division of Substance Abuse and Mental Health, where she oversaw and managed Delaware’s state hospital and behavioral health agency. Ms. Romero implemented a statewide health informatics strategy for behavioral health to address value-based care, connectivity and collaboration, referral management, and analytics. She also created a multiagency initiative for high-risk youth in transition, improved behavioral health services for those leaving prison, and led the development of a pre-arrest diversion program with law enforcement. Ms. Romero also served as the senior director for health improvement with the Association of State and Territorial Health Officials, where she provided oversight of behavioral health, injury, and substance misuse and chronic disease health teams with a focus on building systems of care to improve population and community health outcomes.


Achieving Long-term Recovery and Reducing Recidivism Through Social Capital Enhancement

Community outreach | Harm reduction | Peer support services


Palm Beach County, Florida, has been disproportionately impacted by the misuse of illicit opioids and prescription drugs and is considered the “epicenter” of the deadly opioid crisis in Florida. The board of county commissioners subsequently identified the opioid epidemic, behavioral health, and substance use disorder (SUD) as a high strategic priority and adopted a strategic goal to establish a system of care that was person-centered and recovery-oriented. Palm Beach County had the highest number of overdose deaths in the state 2 years in a row (Van Arsdale et al., 2022a). In 2021, there were 8,827 emergency department visits for suspected overdoses (Van Arsdale et al., 2022b). Opioids were suspected in 3,099 (35.1 percent) overdose events, stimulants in 926 (10.5 percent) overdose events, and benzodiazepines in 514 (5.8 percent) overdose events (Van Arsdale et al., 2022b). Palm Beach County recognizes that the road to recovery for its community requires a coordinated network of community-based services that are person-centered and recovery-oriented and that build on the strengths and resiliencies of individuals, families, and communities to achieve long-term recovery. These services also improve the health, wellness, and quality of life for those with, or at risk of, alcohol and substance use, including opioid use disorder. Best practice programming includes peer recovery support services that incorporate a full range of social, legal, and other resources that facilitate recovery and wellness and work together to reduce or eliminate environmental and personal barriers to recovery. Also, stable housing plays a vital role in a person’s road to recovery from an SUD. The inability to afford housing costs and the possibility of eviction are stressors that often lead to the misuse of substances, including opioids, thus contributing to a reoccurrence of use and recidivism. Establishing recovery supports that may include housing, employment, treatment, social, and prevention services will assist individuals in achieving recovery and remaining out of the criminal justice system. This presentation will present quantitative and qualitative data collected within a 2-year period through a Florida Atlantic University and Palm Beach County Community Services partnership. This demonstration project seeks to define and measure housing stability standards and other recovery support interventions in the recovery residence environment to determine their impact on long-term recovery outcomes.

Learning Objectives

  1. Identify barriers to long-term recovery and factors that may contribute to recidivism.
  2. Determine the impact of social capital, housing stability, and a recovery-oriented system of care on individuals with criminal justice involvement and substance use histories.
  3. Provide evidence of peer support specialists’ intervention in long-term recovery and recidivism reduction.
  4. Provide evidence of housing stability in long-term recovery and recidivism reduction.
Heather Howard, PhD, LCSW
Associate Professor, Florida Atlantic University, Boca Raton, Florida

Associate Professor, Florida Atlantic University, Boca Raton, Florida

Prior to her current, tenured position at Florida Atlantic University, Heather Howard was a perinatal social worker specializing in perinatal mental health and maternal substance use for more than 20 years. Her clinical and research expertise focused on the treatment of grief and loss, trauma, shared-decision-making training for perinatal providers, and prevention and treatment of substance use disorders at a Brown University-based birthing hospital. Ms. Howard’s recent peer-reviewed publications focus on factors associated with adherence to standard of care and the use of shared decision making with pregnant women presenting with opioid use disorder. These publications emphasize the importance of decreasing stigma for perinatal women who are opioid-dependent and of utilizing interprofessional approaches involving clinicians, social workers, and health educators, focusing primarily on health disparities and public health responses to maternal substance use. Ms. Howard is active in the peer recovery-oriented community in South Florida and created the trauma-informed care learning module for the Florida Perinatal Quality Collaborative Neonatal Abstinence Syndrome Initiative. Her current research is a community-based, mixed-methods study examining the impact of recovery capital on housing stability, recovery, and recidivism reduction.

Christina Mitchell, CRPS-A
Care Coordinator, Rebel Recovery, West Palm Beach, Florida

Care Coordinator, Rebel Recovery, West Palm Beach, Florida

Christina Mitchell has been a Certified Recovery Peer Support Specialist for the last 5 years. She is the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) care coordinator for Rebel Recovery’s related program. In this position, she completes the intakes, data collection, and data management for the program. In addition, Ms. Mitchell provides care coordination in improving the personal, social, and cultural capital of the COSSUP participants. She also provides training in harm reduction, Self-Management and Recovery Training (SMART) Recovery, motivational interviewing, mental health first aid, and helping others heal.

Faith Montoya, CRPS
Community Case Manager, Rebel Recovery Florida, West Palm Beach, Florida

Community Case Manager, Rebel Recovery Florida, West Palm Beach, Florida

Faith Montoya is a community case manager at Rebel Recovery Florida, where she has been a Certified Recovery Peer Specialist for 4 years. She is long-term recovery and helps others with her own lived experience, and she is dedicated to harm reduction and social justice issues. Before becoming a case manager, Ms. Montoya was the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) Peer Navigator. While in this role, she was inspired by all the people she worked with and saw this program make a positive difference in the community. Ms. Montoya is currently a student at Palm Beach State College working toward her bachelor’s degree in social work.

Nancy McConnell, MSW, MCAP, CRPS
Chief Executive Officer/Co-founder, Rebel Recovery Florida, West Palm Beach, Florida

Chief Executive Officer/Co-founder, Rebel Recovery Florida, West Palm Beach, Florida

As co-founder and chief executive officer of Rebel Recovery Florida, Nancy McConnell has been on the forefront of creating hybrid organizations that combine the values of harm reduction, syringe service programs, and increasing access to peer support services through recovery community organizations. Her passion is reducing stigma and barriers for returning citizens and expanding incarceration alternative programs. As a queer woman and former sex worker, Ms. McConnell is a devoted advocate for sex workers’ rights and members of the LGBTQI+ community. She is an advanced-level facilitator of evidence-based practices such as wellness recovery action plans (WRAP), whole health action management (WHAM), and motivational interviewing. She is a founding board member of Florida Harm Reduction Collective, for which she serves as president and chair, and a board member of Floridians for Recovery, the Florida Certification Board, the Behavioral Health Advisory Board, and the Palm Beach County, Florida, HIV Care Council. Ms. McConnell is a Master’s Level Certified Addiction Professional and a Certified Recovery Peer Specialist. She holds a master of social work degree from Florida Atlantic University and is currently completing her second master’s degree in nonprofit management.


State and Local Overdose Fatality Review Implementation and Enhancement

Overdose fatality reviews


Overdose fatality reviews (OFRs) are being used by state and local jurisdictions to assist with understanding substance use and overdose trends and review individual overdose cases using a problem-solving framework to increase collaboration among stakeholders, identify opportunities to prevent future overdoses, and provide recommendations for change in policies and services. This session will highlight how the OFR framework has been implemented at the state and local levels and how this implementation has evolved over time and will share some recommendations identified and implemented to prevent future overdoses.

Learning Objectives

  1. Identify effective approaches to establishing and enhancing an OFR.
  2. Understand how an OFR generates and implements recommendations.
  3. Describe the value of an OFR and the positive benefit to overdose prevention.
Carina Havenstrite
Program Manager, Lackawanna County District Attorney’s Office, Scranton, Pennsylvania

Program Manager, Lackawanna County District Attorney’s Office, Scranton, Pennsylvania

Carina Havenstrite currently serves as the program manager at the Lackawanna County, Pennsylvania, District Attorney’s Office. Over the last 3½ years, she has effectively developed the Lackawanna County Overdose Fatality Review (OFR) Team, which is now a Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) OFR mentor site providing mentorship to developing OFR teams throughout the country. Ms. Havenstrite has also successfully obtained and implemented several other successful grant-funded initiatives in the law enforcement and opioid space during this time. Before her role with the District Attorney’s Office, she gained experience working in case management, harm reduction, grant management, and innovative program implementation in the HIV field.

Kelsey Tambasco
Data and Fiscal Analyst, Lackawanna County District Attorney’s Office, Scranton, Pennsylvania

Data and Fiscal Analyst, Lackawanna County District Attorney’s Office, Scranton, Pennsylvania

Kelsey Tambasco currently serves as the data and fiscal analyst for the Lackawanna County, Pennsylvania, District Attorney’s Office. She brings a young, fresh energy and perspective to the team and the various innovative initiatives they are implementing within the local community. Ms. Tambasco has previous professional experience in the data and finance fields, which she is leveraging to improve and maximize the efficiency of these initiatives, particularly the Lackawanna County Overdose Fatality Review Team and the recommendations being generated and implemented by this team.

Heather Coia, MSW, LICSW
Overdose Fatality Review Coordinator, Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, Rhode Island

Overdose Fatality Review Coordinator, Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, Rhode Island

Heather Coia is a Licensed Independent Clinical Social Worker who serves as Rhode Island’s overdose fatality review (OFR) coordinator under the Drug Overdose Prevention Program at the Rhode Island Department of Health. She has been supporting the Rhode Island OFR Team since 2020 and offers a collaborative, strategic approach to ensuring that the team is impactful in driving public health decision making amidst the overdose crisis. Ms. Coia has worked in the behavioral health field for 16 years, providing clinical services for adolescents and adults in residential programs, inpatient units, outpatient settings, emergency departments, police departments, and private practice settings. She has developed and implemented a pilot post-overdose outreach program in a police department and understands the valuable role that collaboration across public health, public safety, and behavioral health systems can play in effective overdose response. Ms. Coia holds master’s and bachelor’s degrees in social work from Rhode Island College.


Grants Management: A Discussion With the Office of Justice Programs

Grant management


A critical element of grants management is documentation – if it’s not documented, it didn’t happen! During this session, representatives from OJP will discuss keeping grant contact information up to date, when and how prior approvals need to be requested, what internal controls should be in place, and how to report on grant progress and activities.

Learning Objectives

  1. Cover JustGrants entity management requirements and resources.
  2. Provide information on grant award modification types and processes.
  3. Provide guidance on prior approval requirements and internal controls necessary for grants.
  4. Highlight COSSUP grant performance reporting requirements.
Erin Pfeltz, MA
Division Chief, Programs Office, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

Division Chief, Programs Office, Bureau of Justice Assistance, Office of Justice Programs, Office of Justice Programs, U.S. Department of Justice

Erin Pfeltz is a Division Chief with the Programs Office in the Bureau of Justice Assistance (BJA), within the U.S. Department of Justice, Office of Justice Programs. In that capacity, she supervises a team that manages grants and cooperative agreements for the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP); the Prescription Drug Monitoring Program; the Byrne State Crisis Intervention Program; and the Regional Information Sharing Systems (RISS) Program, among others. Before joining BJA in 2016, Ms. Pfeltz worked in grants management at the U.S. Department of Education for more than 10 years. Ms. Pfeltz holds a master of arts degree in international economic affairs from The George Washington University and a bachelor of arts degree in economics from St. Mary’s College of Maryland.

Jocelyn Linde
State Policy Advisor, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

State Policy Advisor, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

Jocelyn Linde is the State Policy Advisor at the Bureau of Justice Assistance (BJA), Office of Justice Programs, U.S. Department of Justice. Before joining BJA in 2020, Ms. Linde worked at the Justice Programs Office at American University’s School of Public Affairs Research Center.

Janai Jenkins, MS
State Policy Advisor, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

State Policy Advisor, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

Janai Jenkins is a State Policy Advisor for the U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Assistance (BJA). Her current focus is collaborating with and providing support to organizations that receive funding for the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grant and justice assistance grant. Prior to joining BJA, Ms. Jenkins was employed as a grant monitor at the Howard County, Maryland, Health Department, where she monitored grant programs under the state opioid response grant. Prior to her role as a grant monitor, she served as a drug and alcohol program representative for Allegheny County, Pennsylvania, where she monitored grants and provided technical assistance to state-contracted drug and alcohol treatment providers. She has also served as a behavioral specialist consultant, an intake coordinator, and an addictions counselor. Ms. Jenkins holds a master of science degree in mental health counseling and a bachelor of science degree in psychology from Nova Southeastern University.

Edith Faith Sunga, MSA
Financial Monitoring Manager, Grants Financial Management, Office of Justice Programs, U.S. Department of Justice

Financial Monitoring Manager, Grants Financial Management, Office of Justice Programs, U.S. Department of Justice

Edith Faith Sunga is a financial monitoring manager at the Grants Financial Management Division in the Office of Justice Programs, bringing more than 30 years of accounting and financial management experience with government, nonprofit, for profit, and international organizations. In addition to managing a team of staff accountants conducting financial monitoring reviews on U.S. Department of Justice (DOJ) grants, she has been conducting various grant financial management trainings tor the DOJ grantees. Ms. Sunga holds a master of science degree in accounting and a bachelor’s degree in business economics. She also holds a certificate in federal grants management.

Robin LaVallee, MPP
Deputy Project Director, Planning, Performance, and Impact Team, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

Deputy Project Director, Planning, Performance, and Impact Team, Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice

Robin LaVallee (she/her) serves as the deputy task lead on the Bureau of Justice Assistance’s (BJA) Performance, Planning, and Impact contract team. She oversees a team of analysts supporting the performance measurement and performance management of BJA grant recipients. Ms. LaVallee has a background in research, evaluation, and policy analysis in the criminal justice and public health arenas. She holds a master’s degree in public policy and program evaluation from The George Washington University and a bachelor’s degree in policy studies from Syracuse University.


Virtual Reality as a Tool to Deliver Treatment Components for Substance Use Disorder

Prisons | Residential substance abuse treatment (RSAT)


The Ohio Department of Rehabilitation and Correction is conducting a randomized controlled trial of an innovative intervention for incarcerated people with substance use disorders (SUDs). The intervention uses a virtual-reality (VR) platform, funded by a Fiscal Year 2018 Comprehensive Opioid Abuse Program (recently renamed the Comprehensive Opioid, Stimulant, and Substance Use Program [COSSUP]) grant, to provide participants with a series of 15 informational and skills-building modules. This program aims to increase participants’ ability to navigate the psychological and behavioral pitfalls associated with SUDs. VR modules were created with the input of staff members and incarcerated people to include topics such as coping strategies and asking for help and to allow participants to practice abstinence-focused skills. Incentive videos are provided after each skill has been practiced and mastered. To assess the program’s feasibility, sustainability, and effectiveness, data is being collected on each participant, including misconducts and self-reported perspectives before and after completing the program. Analysis describes the participants and provides a preliminary view of the study findings.

Learning Objectives

  1. Explore VR for providing support to incarcerated people with SUDs.
  2. Describe how a VR-based intervention supports perceptions and expectations of recovery.
  3. Assess how VR affects the conduct of incarcerated people.
Janelle Prueter, MS, CRADC
Research Scholar, Marron Institute of Urban Management, New York University, Brooklyn, New York

Research Scholar, Marron Institute of Urban Management, New York University, Brooklyn, New York

Janelle Prueter is a research scholar in the Litmus program at New York University’s (NYU) Marron Institute of Urban Management. Her work focuses on supporting public safety organizations, agencies, and nonprofits to safely reduce prison populations and improve reentry and services to individuals in the justice system with substance use and behavioral health disorders through technical assistance, evaluation, and research. Ms. Prueter works with several sites in NYU’s Comprehensive Opioid, Stimulant, and Substance Use Program (COSSAP) Collaborative to develop and test innovative strategies to counter the opioid and stimulant crises. She co-directed the Graduated Reintegration pilot, a proof-of-concept reentry program implemented in partnership with the Illinois Department of Corrections, and is an advisor to the Swift Certain Fair Resource Center. Ms. Prueter holds a master of science degree in public services management from DePaul University and a bachelor of arts degree in psychology and sociology from Beloit College.

Shayne Willis
COSSUP Grant Coordinator, Ohio Department of Rehabilitation and Correction, Columbus, Ohio

COSSUP Grant Coordinator, Ohio Department of Rehabilitation and Correction, Columbus, Ohio

Shayne Willis is a grant analyst for the Ohio Department of Rehabilitation and Correction (ODRC) governing the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grant, which aims to study the implementation of virtual reality-led substance use treatment for both inmates and those on community supervision. Mr. Willis began his career with ODRC as a Franklin County parole officer. He is a certified trainer in multiple evidence-based practices curricula provided by ODRC. Mr. Willis is a graduate of Otterbein University.

Stephanie Starr, MS
Parole Program Administrator, Ohio Department of Rehabilitation and Correction, Columbus, Ohio

Parole Program Administrator, Ohio Department of Rehabilitation and Correction, Columbus, Ohio

Stephanie Starr is a program administrator for the Ohio Department of Rehabilitation and Correction and currently oversees the Quality Assurance section. She has approximately 30 years of correctional experience with positions that included case management in halfway houses, reentry coordination, parole officer, parole board hearing officer, and quality analyst. Ms. Starr coordinated the implementation of the Ohio Risk Assessment System (ORAS) throughout the state. She has written and managed multiple grants to explore, pilot, and implement various emerging best practices and strategic initiatives. She has trained extensively on evidence-based practices, and her trainer certifications include ORAS Master Trainer, Thinking for a Change, Decision Points, Core Correctional Practices, Anger Control, Case Conference Review, Correctional Program Checklist, Cognitive-Behavioral Interventions for Employment, and Trauma-Informed Care. Ms. Starr obtained a master of science degree in criminal justice from Tiffin University.

Maureen Hillhouse, PhD
Senior Research Scholar, Marron Institute of Urban Management, New York University,Brooklyn, New York

Senior Research Scholar, Marron Institute of Urban Management, New York University,Brooklyn, New York

Maureen Hillhouse is a senior research scholar in the Litmus program at New York University’s (NYU) Marron Institute of Urban Management. She manages BetaGov, working with criminal justice, health, education, and social service agencies to plan and implement randomized controlled trials aimed at making improvements in process and outcomes. She also works with several Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) grantees as part of the NYU research team. Dr. Hillhouse completed her doctor of philosophy degree in the Department of Psychology at the University of California, Los Angeles (UCLA). She remained at UCLA as a research psychologist at the Drug Abuse Research Center and its successor, the Integrated Substance Abuse Programs, for almost 20 years. Her research included the implementation of clinical trials on the medical and behavioral treatment of substance use disorders.


Peer Recovery Support Services Mentoring Initiative (PRSSMI): Learning From Others to Enhance Peer Services

Peer-to-peer learning opportunities allow communities and organizations to learn from others and discover innovative ideas that may work in their own programs. The Peer Recovery Support Services Mentoring Initiative (PRSSMI) was established in 2018 as a way to facilitate connecting programs to promote best practices in peer support implementation. In 2023, the PRSSMI has 10 mentor sites from across the country that work with peers through a variety of different settings. This session will introduce preliminary evaluation results from the 2023 PRSSMI cohort, as well as allow current mentor sites to discuss their experiences. In addition, participants will learn the process for applying to be a mentor/mentee for the upcoming cycles.

5:30 pm
Adjourn

5:30 p.m. – 6:30 p.m.
Peer Recovery Support Specialist Networking Opportunity Led by Altarum

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