TITLE
title
DHHS-PUBLIC HEALTH: DAYMARK RECOVERY SERVICES - MEDICATION ASSISTED TREATMENT - ($533,925)
end
SPONSOR
sponsor
Anita Ramachandran
end
BACKGROUND
background
Guilford County Commissioners and staff, in cooperation with Daymark Recovery Services, have identified a need for an opportunity to provide low barrier medication assisted treatment induction at the facility at Gibson Park operated by Daymark. Public Health is seeking the Board of Commissioners' approval for a contract with Daymark Recovery Services to continue funding the Medication-Assisted Treatment (MAT) program at Gibson Park. This contract extends the Board’s previous commitment, initially approved and signed on November 2, 2023, to allocate Opioid settlement funding to support this critical program. The MAT program is a key component of the county’s Low Barrier Support for Recovery Services strategy, as detailed in Exhibit A of the Opioid Settlement Memorandum of Agreement (MOA). This activity is also one of the recommendations from the Opioid strategic planning process that the Board approved in March 2024.
The low-barrier medication assisted treatment (MAT) will be provided in addition and will be complementary to the existing residential recovery program operated at Gibson Park by Daymark and will allow individuals who need to start medication-assisted treatment (MAT) or who are already on MAT to do so while also participating in the residential recovery programs on-site.
Daymark currently operates forty (40) beds at the Gibson Park site, due to staffing and patient ratio requirements. Based on this capacity, they estimate that they can serve up to 360 persons per year in this MAT service, assuming a minimum stay of thirty (30) days each and 75% of the beds being used by MAT participants. Longer average stay lengths and a lower percentage of bed usage by MAT participants will change this service number.
The use and effectiveness of MAT for opioid use disorder (OUD) is recommended and supported by leading substance abuse and medical organizations including the Substance Abuse and Mental Health Services Administration (SAMHSA), the American Society of Addiction Medicine (ASAM) and the National Academies of Sciences, Engineering and Medicine. The use of MAT alongside other recovery supports was recommended by the U.S. Surgeon General in 2016. The National Academies of Sciences, Engineering and Medicine also published a report in 2019 showing the effectiveness of MAT in a wide variety of treatment settings and concluding that long-term use of MAT is associated with improved outcomes for individuals with opioid use disorder. SAMHSA and ASAM have both published guidelines documents on the administration of MAT in for OUD, including as a low barrier solution.
While the service will promote low barrier access, individuals with complex medical histories, acute medical needs or who have more complex needs will need to be referred to other acute care service providers They may, however, return once they are medically stable and stabilized on MAT to participate in the residential programs.
The contract will cover one full year at a cost of $533,925.
$195,000 for 0.6 FTE advance practice provider
$63,000 for 1.0 FTE nurse (RN)
$64,500 for fringe employee benefits
$150,000 for pharmacy costs (MAT medication and pharmacy consulting)
$61,425 for administrative expenses and overhead
end
BUDGET IMPACT
budget impact
NO ADDITIONAL COUNTY FUNDS REQUIRED
NO COUNTY MATCH REQUIRED
end
REQUESTED ACTION
requested action
Approve Daymark Recovery Services Contract, in substantial form, in the amount of $533,925 to be effective July 1, 2024 for a term of one (1) year.
end