Learn More About ISAP Projects

SUD Implementation Support/Technical Assistance

CA Hub and Spoke Project

CA Hub and Spoke LogoAs part of the MAT Expansion Project funded through SAMHSA State Targeted and State Opioid Response grants, the CA Dept of Health Care Services is implementing the California Hub & Spoke System (CA H&SS).  The CA H&SS aims to combat the opioid crisis in California through a collaborative effort of relevant stakeholders and increase access to MAT services throughout the state, particularly in counties with the highest overdose rates.  The project design is an adaptation of the successful model used in Vermont, called the Hub and Spoke Model. The CA H&SS consists of narcotic treatment programs which are referred to as "Hubs" and serve as experts in treating OUD as well as office-based treatment settings which are referred to as "Spokes" and provide ongoing care and maintenance treatment. The CA H&SS is composed of 18 Hub and Spoke networks and over 200 Spoke locations. CA H&SS is actively increasing the availability of MAT for patients with OUD by increasing the total number of physicians, physician assistants and nurse practitioners prescribing buprenorphine, while working to develop a sustainable system of care using evidence based practices for patients with opioid use disorders.

UCLA ISAP is contracted to provide statewide implementation support through regionalized Learning Collaboratives and ongoing training and mentorship opportunities. Visit UCLA's California Hub & Spoke System project page to learn more, participate in upcoming learning opportunities, including monthly MAT ECHO clinics, access resources, and request free technical assistance.

Project Website: http://www.uclaisap.org/ca-hubandspoke/

Project Contact: Christian Frable: Cfrable@mednet.ucla.edu

Waivered Prescriber Support Initiative (WPSI)

Waivered Prescriber Support Initiative LogoAs part of the MAT Expansion efforts combating the opioid crisis across the state of California, UCLA ISAP launched a statewide training initiative to provide customized technical assistance specifically to support and expand the impact of waivered prescribers to treat patients struggling with opioid use disorder. The objective of the MAT Waivered Prescriber Support Initiative is to identify the barriers to prescribing buprenorphine and provide the targeted mentorship, training, and technical assistance to address those barriers. Prescribers will connect with experienced buprenorphine providers throughout California to access direct consultation. Services offered may include direct mentorship by phone or video, on-site or off-site TA (e.g., program/provider visits, prescriber shadowing), and in-person or virtual training activities related to treating patients with OUD. UCLA conducted a statewide survey to assess treatment needs of waivered prescribers which served as the basis of the training/technical assistance plans.

Monthly WPSI webinars occur on the 2nd Tuesdays of each month 12-1PM (PT). Visit the WPSI project page to request free direct technical assistance, find self-paced and upcoming learning opportunities offering CE/CME continuing education credits, and more.

Project Website: http://uclaisap.org/MATPrescriberSupport/

Project Contact: Christian Frable: Cfrable@mednet.ucla.edu

Tribal MAT Project ECHO

Tribal MAT Echo logoAs part of the state's effort to improve MAT access for tribal communities, a Tribal MAT ECHO Clinic launched in January 2019. Using the Project Extension for Community Healthcare Outcomes (ECHO) model, distance-based learning method that links specialists at an academic medical center with primary care clinicians in local communities, UCLA is implementing the Tribal MAT ECHO Project to support health providers in Indian Country to deliver MAT. UCLA is offering a monthly 1-hour virtual Tribal MAT ECHO clinics, which begin with a didactic presentation on a topic relevant to MAT care delivery and predominantly feature a de-identified case presentation and facilitated discussion. To inform this work, UCLA performed a needs assessment to determine the specific MAT technical assistance needs of Urban Indian and tribal health providers. CEs and CMEs available for certified and licensed participants.

Tribal MAT ECHO Clinic clinics occur every 3rd Tuesday of each month from 12-1PM (PT). Visit the project website to attend clinics, request a case to be reviewed, and access materials from all MAT ECHO clinics.

Project Website: http://www.uclaisap.org/ca-hubandspoke/html/training-activities.html#tribalEcho

Project Contact: Christian Frable: Cfrable@mednet.ucla.edu

Opioid Response Network (ORN)

Opioid Response Network LogoIn response to the nation's opioid crisis, SAMHSA awarded a two-year grant to provide technical assistance (TA) to states and territories to the American Academy of Addiction Psychiatry (AAAP) with a coalition of 27 national professional organizations, forming the Opioid Response Network (ORN). These TA activities are designed to enhance efforts already underway throughout the United States and territories. ORN provides training and technical assistance via local experts across the country, focusing on applying evidence-based practices in prevention, treatment and recovery to meet locally identified needs.

Each TA team assigned to every state and territory has a prevention, treatment (physician with two years' experience treating opioid use disorders with medications), and recovery consultant. These consultants have been identified and vetted by ORN. All consultants provide evidence-based practices and resources as defined by the consortium. The goal of ORN is to streamline efforts to fill all gaps where needed and as defined by states. UCLA ISAP oversees ORN TA requests covering SAMHSA Region 9 (Arizona, California, Hawaii, Guam, Nevada, New Mexico, American Samoa, CNMI, FSM, Marshall Islands, Palau).

Project Website: https://opioidresponsenetwork.org/

Project Contacts:

NTP Reach

NTP Reach LogoCalifornia's Narcotic Treatment Programs (NTPs) are ideally positioned to continue their pivotal role in expanding access to the full array of medications available to treat opioid use disorder. Through expanded and enhanced collaboration with community clinics, outpatient treatment programs, corrections departments, hospitals, and primary care providers, NTPs can continue to move California closer to its goal of dramatically increasing the availability of all opioid use disorder treatment medications throughout the state.

The NTP REACH project is designed to support NTPs in this endeavor by providing $1.5 million in subgrant funds for up to a dozen subgrantees. This funding will be awarded for the purposes of:

  • collaboration, infrastructure, and personnel development;
  • regional coordination; and
  • referral network and capacity building to increase access to all life-saving opioid treatment medications at NTPs and promote continuum of care development.

Advocates for Human Potential, Inc. (AHP) in partnership with UCLA-ISAP is funded by DHCS to implement NTP REACH in FY 2019-20 to achieve these goals.

Project Website: http://uclaisap.org/ntpreach/

Project Contact: Elizabeth Teshome eteshome@mednet.ucla.edu

Evaluation of Peer-Supported Pathways to Care (PSPC)

With support from SAMHSA's Center for Substance Abuse Treatment, Skid Row Housing Trust is implementing its Peer-Supported Pathways to Care (PSPC) program. PSPC is developing an integrated care model using peer specialists with lived experience with homelessness to enhance its permanent supportive housing program for individuals with substance use disorders or co-occurring substance use and mental health disorders. UCLA-ISAP is providing Skid Row Housing Trust with evaluation and technical assistance services to support PSPC project implementation and quality improvement activities.

Project Contact: Howard Padwa, Ph.D., hpadwa@mednet.ucla.edu

Evaluation of Proyecto Creer/Project Believe (PC/PB)

With support from SAMHSA's Center for Substance Abuse Prevention, Sunrise Community Counseling Center's Projecto Creer/Project Believe is offering substance use, HIV, and hepatitis prevention services to improve behavioral health and clinical outcomes for racial/ethnic minority young men who have sex with men (YMSM) in Los Angeles. Through a blend of clinical and peer supports, PC/PB is designed to improve community capacity to deliver effective prevention services for YMSM in Los Angeles' most underserved communities. UCLA-ISAP is providing Sunrise Community Counseling Center with evaluation and technical assistance services to support the implementation of PC/PB.

Project Contact: Howard Padwa, Ph.D., hpadwa@mednet.ucla.edu

Evaluation of People Recovering in Mutual Engagement (PRIME)

With support from SAMHSA's Center for Substance Abuse Treatment, St. Joseph Center is integrating substance use disorder treatment with a Housing First model of care to improve clinical outcomes and housing stability for individuals who are experiencing homelessness or are at risk for homelessness in Los Angeles County. UCLA-ISAP is providing St. Joseph Center with evaluation and technical assistance services to support the implementation of PRIME and facilitate ongoing quality improvement activities.

Project Contact: Howard Padwa, Ph.D., hpadwa@mednet.ucla.edu

SUD Evaluation Projects

CA Hub and Spoke Evaluation

CA Hub and Spoke LogoAs part of the MAT Expansion Project funded through SAMHSA State Targeted and State Opioid Response grants, the CA Dept of Health Care Services is implementing the California Hub & Spoke System (CA H&SS). The CA H&SS aims to combat the opioid crisis in California through a collaborative effort of relevant stakeholders and increase access to MAT services throughout the state, particularly in counties with the highest overdose rates. The project design is an adaptation of the successful model used in Vermont, called the Hub and Spoke Model. The CA H&SS consists of narcotic treatment programs which are referred to as "Hubs" and serve as experts in treating OUD as well as office-based treatment settings which are referred to as "Spokes" and provide ongoing care and maintenance treatment. The CA H&SS is composed of 18 Hub and Spoke networks and over 200 Spoke locations. CA H&SS is actively increasing the availability of MAT for patients with OUD by increasing the total number of physicians, physician assistants and nurse practitioners prescribing buprenorphine, while working to develop a sustainable system of care using evidence based practices for patients with opioid use disorders.

UCLA ISAP is contracted to provide evaluation services for the MAT Expansion Project including the CA H&SS. Visit UCLA's California Hub & Spoke System project page to find Evaluation Reports and other resources.

Project Website/Reports: http://www.uclaisap.org/ca-hubandspoke/html/reports.html#evaluationRpts

Project Contact: Kendall Darfler, MS: kdarfler@mednet.ucla.edu

California's Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver

DMC-ODS LogoThe California Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver is a 5-year demonstration project designed to establish how organized substance use disorder care can increase the success of Drug Medi-Cal beneficiaries.

The waiver amendment was submitted by the Department of Health Care Services (DHCS) to the Centers for Medicare & Medicaid Services (CMS) in November 2014 and approved in August 2015. With implementation scheduled through 2020, the DMC-ODS waiver is anticipated to expand services available to Drug Medi-Cal beneficiaries, enhance care coordination, and support the development of an organized system of care for substance use disorders in participating California counties.

UCLA is contracted to assess the DMC-ODS waiver's success through various evaluation activities. Results and recommendations are then summarized and documented in reports and presentations. In addition, find information about the Treatment Perceptions Survey and the Brief Questionnaire for Initial Placement (BQuIP).

Project Website/Reports: http://www.uclaisap.org/dmc-ods-eval/

Project Contact: Valerie Antonini, MPH vpearce@mednet.ucla.edu

Developing a Vision for A Youth Centered System of Care in Los Angeles County

Policymakers in California have long been aware of the pressing need to expand and modernize SUD services for young people, and have concluded that increased services and regulatory reforms are sorely needed. Recent policy developments such as the Drug Medi-Cal Organized Delivery System (DMC-ODS) Demonstration Waiver and the Adult Use of Marijuana Act of 2016 (Proposition 64, which will generate funding for youth services) have created the potential for new services and resources. To help California seize these opportunities, the California Community Foundation (CCF) established a youth-first initiative focused on substance use, with an emphasis on underserved and high-risk communities in Los Angeles County (LAC). As part of this initiative, researchers from UCLA-ISAP and Azusa Pacific University are partnering with CCF to help develop a vision for a youth-centered system of SUD care in LAC. Through structured group exercises, group discussions, and interviews with LAC youth SUD providers, key stakeholders, and youth themselves, UCLA-ISAP and APU is creating a youth-centered vision that will be used to inform public education, system planning, and advocacy efforts in LAC and across California.

Project Contact: Sherry Larkins, Ph.D. slarkins@mednet.ucla.edu

Research Projects

Traditions and Connections for Urban Native Americans (TACUNA)

Traditions and Connections for Urban Native Americans (TACUNA) LogoTACUNA is a UG3/UH3 research project funded under the National Institutes of Health (NIH) Helping to End Addition Long-term (HEAL) Initiative through the National Institutes on Drug Abuse (NIDA). Dr. Daniel Dickerson is co-Principal Investigator with Dr. Elizabeth D'Amico (RAND) on this project that focuses on the development and analysis of TACUNA, an opioid prevention program for urban American Indian/Alaska Native (AI/AN) young adults. The first phase of this project consists focus groups in 3 large urban areas of California in order to finalize the development of TACUNA, a program that combines motivational interviewing and AI/AN traditional practices, while focusing on social network factors. Phase two consists of analyzing the benefits of TACUNA in a randomized controlled trial by comparing AI/AN young adults who receive TACUNA to AI/AN young adults who receive opioid education. This project will also develop and test strategies to facilitate sustainability of TACUNA and will conduct an economic evaluation to quantify programmatic costs and cost-effectiveness of the TACUNA program.

Project Contact: Daniel Dickerson, D.O., M.P.H. ddickerson@mednet.ucla.edu

Native American Youth, Sleep, Health, and Wellness (NAYSHAW)

Native American Youth, Sleep, Health, and Wellness (NAYSHAW) LogoDr. Daniel Dickerson is co-Principal Investigator with Drs. Elizabeth D'Amico and Wendy Troxel from RAND on this research project funded by National Institute on Minority Health and Health Disparities (NIMHD). This study examines individual factors (cultural identity, American Indian/Alaska Native (AI/AN) historical loss, discrimination, and mental health), family-level factors (family cohesion and conflict, and racial socialization), and community-level factors (perceived safety, cohesion, sense of community, and socioeconomic disadvantage) that may be associated with heightened risk for sleep disturbances among urban AI/AN adolescents. This project examines proximal (night-to-day) and longitudinal (over two waves) associations among sleep disturbances and cardio metabolic [higher levels of central adiposity, blood pressure, glycosylated hemoglobin (HbA1c) and lower levels of high density lipoprotein cholesterol (HDL-c)] and behavior health risk factors [alcohol and other drug use, tobacco use, caffeine intake, sedentary behavior, and electronic media use]. This project also uses qualitative methods to gain an understanding of the social and cultural context of sleep among urban AI/AN youth.

Project Contact: Daniel Dickerson, D.O., M.P.H. ddickerson@mednet.ucla.edu

Patient-Centered Assessment of Substance use disorder Treatment (PCAST) Study.

UCLA-ISAP is partnering with RTI International on the Patient-Centered Assessment of Substance use disorder Treatment (PCAST) study, which is funded by the Patient-Centered Outcomes Research Institute (PCORI). PCAST is evaluating the impact of different assessment and level-of-care decision tools on patient-centered outcomes for Medicaid beneficiaries receiving specialty substance use disorder treatment across California. UCLA-ISAP is leading the stakeholder engagement and qualitative components of the PCAST study, and is also partnering with RTI International on other data collection and analysis activities related to the project. UCLA-ISAP and RTI International are also collaborating on a supplemental study examining the impact of the COVID-19 pandemic on Medicaid-supported substance use disorder treatment services in California.

Project Contact: Howard Padwa, Ph.D., hpadwa@mednet.ucla.edu

International Projects

International Projects LogoUCLA ISAP has had the opportunity to lead and participate in multiple International collaborations and projects conducting research and building capacity. Visit the International Projects webpage to learn more.

Project Website: http://www.uclaisap.org/InternationalProjects/index.html

Project Contact: Sherry Larkins, Ph.D SLarkins@mednet.ucla.edu

Past Updates, Reports, and Manuals

(Note: Reports and manuals are Adobe PDF files. Some files are over one megabyte in size. Please be patient during download.)


UCLA ISAP, Substance Abuse and Mental Health Services Administration (SAMHSA) and the SAMHSA Grantee Data Technical Assistance (GDTA) Team Collaboration

Staying in Touch: A Fieldwork Manual of Tracking Procedures (Third Edition)

California Drug Medi-Cal Organized Delivery System Evaluation Reports

2016-2017 - California's Drug Medi-Cal Organized Delivery System
2015-2016 - California's Drug Medi-Cal Organized Delivery System

The Annual Evaluation and Technical Assistance Reports to the State of California's Department of Alcohol and Drug Programs (ADP) and Department of Health Care Services (DHCS)

2014-2015 - Annual State Evaluation Report to CA’s Dept. of Health Care Services (ETTA contract)

2013-2014 - Annual State Evaluation Report to CA’s Dept. of Health Care Services (ETTA contract)

2012-2013 - Annual State Evaluation Report to CA’s Dept. of Alcohol and Drug Programs/Health Care Services (ETTA contract)

2011-2012 – Annual State Evaluation Report to CA’s Dept. of Alcohol and Drug Programs (EnCAL contract)

2010-2011 - Annual State Evaluation Report to CA’s Dept. of Alcohol and Drug Programs (EnCAL contract)

2009-2010 - Annual State Evaluation Report to CA’s Dept. of Alcohol and Drug Programs (EnCAL contract)

2008-2009 – Annual State Evaluation Report to CA’s Dept. of Alcohol and Drug Programs (COSSR contract)

2007-2008 – Annual State Evaluation Report to CA’s Dept. of Alcohol and Drug Programs (CalOMS contract)

Proposition 36 buttonISAP was chosen by the State of California to evaluate the implementation and outcomes of Proposition 36, a 2000 law mandating that nonviolent drug possession offenders be given the choice of substance abuse treatment in the community in lieu of incarceration. ISAP reports on the proposition's implementation, costs and cost-savings, and influence on offender behavior are available here.

2014

2011

2007

Methamphetamine Treatment: A Practitioner's Reference 2007

Methamphetamine Treatment: A Practitioner's Reference 2007
Produced by the California Department of Alcohol and Drug Programs and UCLA ISAP, this free guide is a compilation of information on meth, including its effects, guidelines for assessment, treatment, and recovery, and its impact on special populations.

Treating Addicted Offenders: A Continuum of Effective Practices

Treating Addicted Offenders: A Continuum of Effective Practices
The second volume of Treating Addicted Offenders: A Continuum of Effective Practices, edited by Kevin Knight, Ph.D., and ISAP's David Farabee, Ph.D., and published by Civic Research Institute.