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Spoke model connect a network of community providers around a central hub,curently located <br />in Yakima,Washington,offering a MAT component to all patients seeking treatment.Kittitas <br />County Jail participates in this program as a Spoke,providing treatment referrals to the state- <br />funded Hub entity.While participation in this program has created an avenue for access where <br />one did not previously exist the Hub entity can only provide minimal services in the Jail on a <br />part-time basis.Currently the program serves approximately 12-19 inmates on a part-time basis, <br />but a full-time program is needed to adequately address the needs of the estimated 30%of <br />inmates (28+inmates based on the average daily population)in need of treatment.A full-time <br />Nurse Care Manager (NCM)and peer support specialist on-site would allow for adequate <br />coverage of MAT treatment,care coordination,and community referrals to support services. <br />Kittitas County Jail is located in Ellensburg,Washington.As of July 2019,Kittitas <br />County has an estimated population of 47,9351.A comparison of demographics between our <br />larger community and the jail population we intend to serve is illustrated in the Table 1 below. <br />Table 1.Kittitas County and Jail Population Demographics <br />County Population Jail Average Daily Population <br />Total 47,935 95 <br />White non-Hispanic 83.8%69.82% <br />Hispanic or Latino 8.9%17.59% <br />Asian 2.3%0.39% <br />Mrican American 1.2%3.85% <br />American Indian 1.3%1.69% <br />i U.S Census Bureau.(20 IS).Quickfacts:Kittitas County.In U.S Census Bureau .Retrieved from <br />https://www.census.gov/quickfacts/fact/table/kittitascountywashington/BZA010217 <br />2 of 20