Findings

Opioid STR/SOR has implemented a rigorous evaluation plan to assess the outcomes of the Medication First Approach in Missouri. Several of our recent works are below, and more findings - including findings focusing on Recovery Support services - will be posted soon as they develop.

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SOR Treatment Outcomes Fiscal Year 2019-2020

The Missouri Department of Mental Health, in partnership with the University of Missouri St Louis - Missouri Institute of Mental Health, releases periodic outcomes evaluations for OUD treatment provided through SOR grants at treatment programs across Missouri. Click here to access the 12-month outcomes report comparing fiscal years 2019 and 2020

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STR/SOR Treatment Data Brief: Statewide, System-Wide Results

Medication utilization and treatment retention for uninsured individuals with Opioid Use Disorder at STR/SOR-funded agencies from 2017-2019 are presented. Episode of Care (EOC) data was analyzed at the level of the client (not the agency), using a cutoff of a 180-day gap in service to constitute a new EOC.

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12-Month Treatment Outcomes

The Missouri Department of Mental Health, in partnership with the University of Missouri St Louis - Missouri Institute of Mental Health, releases periodic outcomes evaluations for OUD treatment provided through STR/SOR grants at treatment programs across Missouri. Click here to access the 12-month outcomes report.

Key Themes from CSTAR Listening Session Pre-Survey

This document highlights the results of a pre-survey from the CSTAR Listening Session. The session covered the challenges and successes of the first year of the implementation of the STR grant.

Did Medication First treatment practices extend outside of the STR program during the first year of implementation? Click here for a brief report summarizing our findings.

Grant Outcomes - By the Numbers

updated February 27, 2024

Treatment

  • Number of individuals treated with STR/SOR grant funds from May, 2017: 13,387

  • Number of individuals outreached through EPICC: 14,705

  • Number of treatment sites implementing OUD treatment with MedFirst Principles: 69

Prevention

  • Number of Missouri youth who have received primary prevention services since May 2017: 54,155

  • Number of youth served in mentor matching and the Bright Futures program with Big Brothers Big Sisters: 375

Recovery

  • Number of recovery houses that have been accredited through NARR: 257

  • Number of beds available in NARR accredited recovery housing: 2,314

  • Number of unduplicated individuals served by RCCs since October 2018: 97,084

Harm Reduction

  • Number of naloxone kits distributed through MO-HOPE and SOR since July 2017: 256,934

  • Number of overdose reversals reported through SOR, MORE, and MO-HOPE: 12,744

  • Number of fentanyl test strips (FTS) distributed since June 2021: 359,873

Grant Deliverables changed and we are no longer tracking:

  • Number of trainings and technical assistance sessions since May 2017: 465 (grant deliverables have changed and we will no longer be tracking such trainings)

  • Number of OUD ECHO sessions since May, 2017: 101 (grant deliverables have changed as of September 30th, 2022 and we no longer track such sessions)

  • Number of OUD ECHO unique participants since May, 2017: 907 (grant deliverables have changed as of September 30th, 2022 and we no longer track these participants)

  • Number of Pain Management ECHO sessions since May 2017: 90 (grant deliverables have changed as of September 30th, 2022 and we no longer track such sessions)

  • Number of Pain Management ECHO unique participants since May 2017: 555 (grant deliverables have changed as of September 30th 2022 and we no longer track these participants)

Pre-Waiver Elimination Act MOUD trainings

  • Number of individuals who have attended waiver training sessions since May 2017: 467

  • Number of providers trained by the training team since May 2017: 991

Recent Publications

The Missouri Opioid STR/SOR has written several published publications on the Medication First Approach. Click on the paper references below to read the abstracts for each publication.

  1. The case for a medication first approach to the treatment of opioid use disorder. (2019). Winograd, Presnall, Stringfellow, Wood, Horn, Duello, Green, & Rudder. American Journal of Drug and Alcohol Abuse.

  2. Implementation and evaluation of Missouri's Medication First treatment approach for opioid use disorder in publicly-funded substance use treatment programs. (2019). Winograd, Wood, Stringfellow, Presnall, Duello, Horn, & Rudder. Journal of Substance Abuse Treatment.

  3. State targeted response to the opioid crisis grants (Opioid STR) program: Preliminary findings from two case studies and the national cross-site evaluation. (2019). High, Marks, Robbins, Winograd, Manocchio, Clarke, Wood, & Stringer. Journal of Substance Abuse Treatment.

  4. Addressing stimulant use disorder through state opioid response grants from the Substance Abuse and Mental Health Services Administration: Missouri’s initial approach. (2022). Winograd, Weinstock, Ruiz, Coffey, Brown, Kondai, Connors, Smith. The American Journal of Drug and Alcohol Abuse.

  5. Peers helping peers: Development and evaluation of a peer support worker training series. (2023) Coffey, Vondras, Ruiz, Blanchard, Brown, Watson, Hampton, Collins, Hosto, Burns, Budesa, Anderson-Harper, Winograd. Journal of Substance Use.

Recent Presentations: