State v. Blake: ESB 5476 and behavioral health expansion

State v. Blake (ESB 5476) addresses justice system responses and expands behavioral health prevention, treatment, and services.

Who is leading the work?

The following agencies and organizations are collaborating on the work of ESB 5476.

Deliverables and timeline

Substance Use Recovery Services Advisory (SURSA) Committee and plan

The Substance Use Recovery Services Advisory Committee will develop measures to help individuals with substance use disorder (SUD) access outreach, treatment, and recovery support services. Services will be:

  • Low barrier.
  • Person-centered.
  • Informed by people with lived experience.
  • Culturally and linguistically appropriate.

The committee will include a panel of individuals with lived experience, legislative representation, and local and national experts.

How to offer public comment during SURSA committee meetings:

  • If you want to provide feedback during the meeting, mention this in the chat at the beginning of the meeting.
  • There will be designated time for public feedback in the last 5-20 minutes of the meeting, depending on how many people want to share
  • Each person will have 3 minutes to provide their feedback.
  • Non-committee members will remain muted during the meeting until it is time for them to share feedback, if requested.
  • Feedback that is not provided during the meeting can be submitted via email to hcaesb5476@hca.wa.gov.

SURSA committee meeting schedule

Date

How to join

Meeting materials

December 6, 2021

 

View the meeting agenda (12/06/2021)

View the meeting notes (12/06/2021)

View the meeting recording (12/06/2021)

January 3, 2022

 

View the meeting agenda (01/03/2022)

View the meeting notes (01/03/2022)

View the meeting recording (01/03/2022)

February 7, 2022

 

View the meeting agenda (02/07/2022)

View the meeting notes (02/07/2022)

View the meeting recording (02/07/2022)

March 7, 2022

 

View the meeting agenda (03/07/2022)

View the meeting notes (03/07/2022)

View the meeting chat log (03/07/2022)

View the meeting recording (03/07/2022)

April 4, 2022

 

View the meeting agenda (04/04/2022)

View the meeting notes (04/04/2022)

View the meeting recording (04/04/2022)

May 2, 2022

 

View the meeting agenda (05/02/2022)

View the meeting notes (05/02/2022)

View the meeting recording (05/02/2022)

June 6, 2022

 

View the meeting agenda (06/06/2022)

View the meeting notes (06/06/2022) 

View the meeting recording (06/06/2022)

July 11, 2022

 

View the meeting agenda (07/11/2022)

View the meeting recording (07/11/2022)

August 1, 2022

 

View the meeting agenda (08/01/2022)

View the meeting recording (08/01/2022)

SURSAC special meeting

September 9, 2022

 

View the meeting agenda (09/09/2022)

View the meeting notes (09/09/2022)

View the meeting recording (09/09/2022)

Sept 12, 2022

  View the meeting agenda (09/12/2022)

SURSAC 5-hour Ad-Hoc Meeting

September 26, 2022 

12 - 5 p.m. 

Join TEAMS meeting 

View the meeting agenda (09/26/2022)

Plan Recommendation 4 (Training Foster Parents of Children with SUD)

Plan Recommendation 5 (Paraphernalia Law)

Plan Recommendation 6 (BHASO RNP data)

Plan Recommendation 7 (Health Hubs) 

Plan Recommendation 8 (Education/Employment Support)  

Plan Recommendation 9 (WRHL and asset mapping)

Plan Recommendation 10 (Diversion Referral programs) 

Plan Recommendation 11 (Initial SUD Engagement and Measurement) 

Plan Recommendation 14 (Safe Supply workgroup)  

October 3, 2022
​9-11 a.m.

Join TEAMS meeting  

November 7, 2022
​9-11 a.m.

Join TEAMS meeting  

December 5, 2022
​9-11 a.m.

Join TEAMS meeting  

Jan 2, 2023
​9-11 a.m.

   

Substance use recovery services plan

The plan includes measures to assist individuals with substance use disorder (SUD) in accessing outreach, treatment, and recovery support services that are low barrier, person centered, informed by people with lived experience, and culturally and linguistically appropriate.

Medication for Opioid Use Disorder (MOUD) in jails program 

A full MOUD in jails program will provide incarcerated individuals the opportunity for an opioid use disorder (OUD) assessment, evidence-based medication for OUD, sustained treatment throughout incarceration, and connection to continue treatment upon release or transfer. Overall benefits may include reduction in morbidity and mortality due to overdose, reduced reoffenses, reduced complications during withdrawal, improved jail staff safety, cost savings, reduced transfers to emergency departments, custodial costs, and overall improved relationships.

The MOUD in jails program contributes to the Washington State Opioid and Overdose Response Plan under goal 2 by expanding low-barrier access to MOUD in state jails (2.2.1), providing alternative funding to address the Medicaid gap for incarcerated individuals (2.2.10), and expanding access to and utilization of behavioral health services, including opioid use disorder medications in the criminal legal system, and improve effectiveness and coordination of jail reentry services across the state (strategy 2.4).

Clubhouse services

In response to State V. Blake, HCA has started efforts to expand Clubhouse International and Peer Run organizations. The expansion will include organizations who incorporate evidence-based practice models such as Clubhouse International, Recovery Community Organizations, and Recovery Cafe.

Contact: lauren.robbins@hca.wa.gov for more information.

Peer Run organizations funding opportunities 

Applications are available to assist HCA expand Clubhouse International organizations. Expansion will occur across all regions based on evidence-based or other practice models including Peer Run models such as Recovery Cafes, recovery community organizations, or other psychosocial rehabilitation program models. 

Contact: lauren.robbins@hca.wa.gov for more information.

Homeless Outreach Stabilization Transition (HOST) expansion

The Blake Bill (ESB 5476) established a plan for recovery services to assist persons with substance use disorder in accessing outreach, treatment, and support services that are low barrier, person-centered, informed by people with lived experience, and culturally and linguistically appropriate.  HOST is designed to serve people who cannot access conventional physical and behavioral health services. HCA will expand HOST programs with the goal of increasing access to modified assertive community treatment delivered by multidisciplinary teams.  

Read the Homeless Outreach Stabilization Transition (HOST) fact sheet. 

Contact Meta.hogan@hca.wa.gov for more information.

Recovery Navigator program 

The Recovery Navigator program (RNP) is a statewide effort, in partnership with Behavioral Health Administrative Organizations (BHASOs), to provide community-based outreach, intake, assessment, and connection to services. These services support youth and adults with substance use disorder (SUD), including individuals with co-occurring substance use disorders, mental health conditions, and others who are referred from community sources.