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Kittitas County is currently experiencing a shortage of providers for primary,mental,and <br />dental healthcare.The ratio of Kittitas County residents to primary care physicians is 1570:1. <br />This is higher than the state's ratio of 1190:1.2 The ratio of residents to mental health providers <br />is 710:1.That is more than twice as many residents per mental health provider as the state ratio <br />of 360:1."The ratio of residents to dentists is 2,700:1.Again,this is nearly twice the state ratio of <br />1250:l. <br />Due to the shortage of primary and mental health care providers,residents are unable to <br />receive the necessary medical attention to treat substance abuse disorders.According to the NIH, <br />individuals who use illicit drugs are more likely to commit crimes,and it is common for many <br />offenses,including violent crimes,to be committed by individuals who had used drugs or alcohol <br />prior to conunitting the crime,or who were using at the time of the offense.'°Once in the Kittitas <br />County Jail,due to limited budgets and staff,unfortunately inmates can only receive minimum <br />care for their addictions.To address the provider shortage and other rural challenges Kittitas <br />County Sheriff's Office proposes to expand and enhance evidence-based treatment as well as <br />recovery support services within the Kittitas County Jail and it has been determined to a <br />contractor should be used to deliver services to best serve the inmates at Kittitas County Jail.By <br />identifying a provider group that can provide both jail full-time on-site MAT services and <br />establish a local presence the proposed project will impact the inmates upon release and the <br />greater commuinty. <br />2University of Wisconsin Population Health fastitute.County Heahh Rankings and Roadmaps.2018.Available <br />at:http://www.countyhealthrankings.orglapp/washington/2018/rankings/kittilas/county/factorslaverallisnapshot (Accessed January 22,20]8),*University of Wisconsin Population Health Institute.County Health Rankings and Roadmaps.20I8.Available <br />at:http://www.countyhealthrankíngs.org/app/washington/2018/rankings/kittilas/county/factorsloverallisnapshot (Accessed January 22,2018)."University of Wisconsin Population Health Institute.County Health Rankings and Roadmaps.2018.Available <br />at:http://www.countyhealthrankings.orglapp/washington/2018/rankings/kittitas/county/factorsloverallisnapshot (Accessed January 22,2018).10 NIDA.(2014,April 18)Prmeiples ofDrug Abuse Treatment for Criminal Justice Populations -A Research-Based Guide.Retrieved from <br />https://www.drugabuse.gov/pubheations/principles-drug-abuse-treatment-crirninal-justice-populations-research-based-guideon2020,May 17 <br />4 of 20