ASAP COALITION BACKGROUND
The 2015 Bartholomew County Community Health Needs Assessment indicated that substance misuse was the most critical community health issue. In response, in November 2015, Columbus Regional Health’s Healthy Communities Initiative formed a new Mental Health and Substance Abuse Action Team with start-up funding provided by the CRH Foundation. This team sponsored an Opioid Summit at CRH in the spring of 2016, where leaders and elected officials from the City of Columbus, Bartholomew County, CRH, Centerstone, the court system, local funders, school systems, and social service providers came together to discuss the crisis. All agreed that a comprehensive community-wide response was required.
In the fall of 2016, City of Columbus Mayor Jim Lienhoop, Bartholomew County Commissioner Carl Lienhoop, and CRH CEO Jim Bickel, agreed to work collaboratively to develop a community-wide response, with CRH and the CRH Foundation committing $500,000 to fund the initial work. It was decided that the community would embark on an intensive, all-in effort to address the crisis, with CRH Healthy Communities as the supporting organization for this initiative during 2017-2018.
The initial strategy was based on four cornerstones: prevention, intervention, treatment and recovery. An Executive Leader, Jeff Jones, was recruited in early 2017 and volunteered his services, and a Program Manager, Rhonda Fischer, was hired. Each sponsoring stakeholder assigned key executives to lead efforts in the cornerstone areas: Julie Abedian, CRH VP of Community Partnerships agreed to lead the Treatment and Recovery Team, Beth Morris, CRH Director of Healthy Communities Initiative, was chosen to lead the Prevention Team, and Judge Kelly Benjamin, Bartholomew County Circuit Court Judge, accepted the leadership role for the Intervention Team. The organization operated with a public health crisis mentality, set out to develop a comprehensive community strategy and achieve significant progress within an ambitious two-year period. The City of Columbus donated office space at City Hall and the leadership team branded the initiative the Alliance for Substance Abuse Progress of Bartholomew County (ASAP).
The Alliance for Substance Abuse Progress formally launched and was introduced to the community in April 2017 at a community meeting at The Commons, attended by over 500 people.
In order to sustain the ASAP coalition for years to come, in late 2018, ASAP leadership and partners set up a nonprofit corporation, Alliance for Substance Abuse Progress Inc. This not for profit designation allows ASAP to accept funding from a variety of sources and apply for state and federal grants. ASAP’s expenses for staffing and operations are jointly funded by the City of Columbus and Bartholomew County. ASAP has pursued and received multiple grants from the state and other organizations and continues to pursue more. ASAP has a board of directors, including an executive committee.
SUBSTANCE ABUSE PUBLIC FUNDING PROCESS
THE MODEL
The Substance Abuse Public Funding process is a unique public funding model which guides elected officials in the City of Columbus and Bartholomew County on which intervention, treatment and recovery projects and programs have priority for funding, and which will produce the best results for the community. The guiding principles for public funding include:
Seek external funding first.
Do not duplicate services.
Fund evidence-based programs.
The Substance Abuse Advisory and Accountability Committee (SAAAC) is made up of city administrators, city and county law enforcement, CRH officials, Bartholomew County court personnel, and representatives from the prosecutor's office, probation department, substance abuse treatment providers, criminal defense attorneys and members of the public. These content experts assess programs requesting funding and make recommendations to the Substance Abuse Public Funding Board (SAPFB) on the viability of the program. The SAPFB votes on whether to recommend funding to city and county council members, and how the funding should be split between the city and the county. Based on this recommendation, requests then go to the city and/or county councils for approval of funds.
SUBSTANCE ABUSE ADVISORY & ACCOUNTABILITY COMMITTEE
SUBSTANCE ABUSE PUBLIC FUNDING BOARD
BARTHOLOMEW COUNTY COUNCIL
COLUMBUS CITY COUNCIL
THE PREVENTION RECOVERY SYSTEM
The ASAP leadership conducted research in other communities, received input from local partners and sought feedback from those in recovery. ASAP had broad community consensus for a proposed strategy to address the crisis, which was unveiled at the Community Progress Report Event in October 2017. The 10 critical elements of a community prevention and recovery system, including the ASAP Hub, were explained. The asapbc.org website and Facebook page were also launched. More than 40 improvement projects aimed at closing gaps and optimizing the community's Prevention and Recovery System were launched in 2017- 2018 with more planned for 2019-2020.