State targeted response to the opioid Crisis grants (opioid STR) program: Preliminary findings from two case studies and the national cross-site evaluation

Patrick M. High, Katherine Marks, Vestena Robbins, Rachel Winograd, Teresa Manocchio, Thomas Clarke, Claire Wood, Mark Stringer

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Opioid misuse is a national health crisis that requires sustained treatment, prevention, and recovery efforts. This study evaluates the innovative treatment approaches that two states – Kentucky and Missouri – implemented in their states using State Targeted Response to the Opioid Crisis Grant (Opioid STR) program funds from the Substance Abuse Mental Health and Services Administration (SAMHSA), as well as preliminary findings from the Opioid STR national, cross-site evaluation that is funded and managed by SAMHSA. The Kentucky approach discusses the Emergency Department (ED) bridge model, which links patients discharged from EDs to appropriate professional treatment and recovery services. Missouri implemented the Medication First (MedFirst) model, an evidence-based treatment for individuals with opioid use disorder (OUD). These states highlight novel approaches likely being implemented throughout the country to combat the opioid epidemic. Findings from the case studies and supported by the national evaluation indicate that key factors to successful program implementation – supportive state policies, partnerships and collaborations, and sustainability – facilitated the implementation of planned interventions. The novel approaches discussed combined with care across the continuum (prevention, treatment and recovery) and continued federal support is likely to have an impact on reducing opioid misuse across the U.S.

Original languageEnglish
Pages (from-to)48-54
Number of pages7
JournalJournal of Substance Abuse Treatment
StatePublished - Jan 2020

Bibliographical note

Funding Information:
This article was written by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the states of Kentucky and Missouri. The views expressed represent the analyses and conclusions of the individual authors and may not reflect the opinions, official policy, or position of the SAMHSA or the states of Kentucky and Missouri. The SAMHSA authors would like to acknowledge Mathematica Policy Research and JBS International (two independent companies) for their work, analysis and submission of analytical quarterly reports under SAMHSA's, United States, contract #HHSP233201500035I/HHSP23337020T. SAMHSA would also like to thank Missouri and Kentucky for their willingness to participate in this research article and provide case studies of their Opioid STR program implementation.

Publisher Copyright:
© 2019 Elsevier Inc.


  • Implementation
  • Innovation
  • Medication-assisted treatment (MAT)
  • Opioid
  • Opioid use disorder (OUD)
  • State targeted response (STR)

ASJC Scopus subject areas

  • Psychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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