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specifically with those who are out of state residents or who have complex health needs <br />upon release. The Hub and Spoke Navigator, KCHN Care Coordinator, Merit Peer <br />Support Specialist, and HopeSource Case Manager services are all provided in-kind by <br />the partner organizations and do not need to be funded through this proposal. <br />Coordinate the Transition Plan <br />Upon release from jail, care coordination services that suppod adherence to treatment <br />plans will continue to be provided by the Hub and Spoke Navigator and the Nurse Care <br />Managers, Additionally, the KCHN Care Coordinator will assist or take the lead on <br />individuais with complex health needs, potentially enrolling them in Care Coordination <br />services through the community para-medicine and A-Team programs. Merit's Peer <br />Suppotl Specialist will ensure that any patients continuing in Merit's treatment programs <br />have the support they need and barriers to treatment are addressed. HopeSource's <br />Case Manager will ensure all people being released have transportation directly from <br />jail to appointments, and support in addressing their social determinants of health such <br />as housing, transportation, financial planning, employment support, and educational <br />needs upon release. A major component of maintaining positive momentum will be the <br />work of support staff to help individuals apply for, or be reinstated into insurance <br />programs (i.e., Medicaid). <br />This cross-sector collaboration embodies the mission of the Kittitas County Health <br />Network to improve health through systems integration. Through initiatives like this, the <br />Network works to establish holistic approaches to addressing health and well-being <br />through coordinated strategies, increased communication across agencies, and <br />encouraging innovative strategies through cross sector education, A component of this <br />is to educate all facets of our community on Opioid Use Disorder and resource for <br />prevention, treatment, and recovery. Educational events to inform and address stigma <br />associated with drug use are currently supported through the Network's RCORP <br />lmplementation grant. This project will leverage existing presentations and contracts <br />with Dr. John Asriel of Kittitas Valley Healthcare to inform jail staff on the MAT program <br />and the ongoing efforts to address opioid use in our community. <br />Anticipated Outcomes <br />Through implementation of a collective impact model and proving warm handoffs <br />between agencies for needed services, it is anticipated that the proposed program will <br />reduce recidivism of the clients served, Furthermore, it is anticipated that the clients <br />served will have reduced frequency of relapse and sustained sobriety. Additionally, <br />through the proposed program it is anticipated that clients served will be able to have <br />stable housing and work towards stable employment upon release" <br />Sustainability <br />The Kittitas County Health Network and the partner organizations have been champions <br />for increased access to Medication Assisted Treatment and Substance Use Disorder <br />counseling in the Kittitas County Jailthrough the proposalfor a 1110"' of 1o/o sales tax to <br />Professional Services Agreement (r ev . 09 1241 2A ft) <br />Page17 of23