REQUEST FOR APPLICATIONS: California Bridge Program

The Public Health Institute seeks to identify up to 30 hospital/healthcare sites to apply to be participate in the California Bridge Program. This program will allow each participating site to receive funding to support rapid access to buprenorphine and methadone in the acute care setting including in the ED, inpatient, and obstetrics. Funding may cover clinician time, referral navigator staff, or the operation of a bridge clinic to facilitate linkage for patients started in the acute care setting. The project also provides extensive technical support, a toolkit for implementation, and statewide in-person trainings based on the work of ED-Bridge and Project SHOUT.

Answers to frequently asked questions can be found in the RFA Q&A Support Document.

Deadline for submission: Monday, December 17, 2018, 5:00pm PST



California Bridge Program Overview

Program Aim

The California Bridge Program is an accelerator program for access points to evidence-based treatment for substance use disorders with the aim of 24/7 access to treatment for patients suffering from substance use disorders in every California community.

The program intends to enhance the ability for hospitals and emergency rooms to be primary access points for the treatment of acute symptoms of substance use disorders by way of motivation, resources, and encouragement for patients to enter and remain in treatment.

Site Expectations

Hospitals/healthcare entities participating in the California Bridge Program will perceive substance use disorder as a treatable chronic illness, leveraging the healthcare system to begin treatment for patients with substance use disorder rather than looking outside of the standard medical facility for the initiation of evidence-based treatment. Successful and sustainable treatment is using emergency rooms and acute care hospitals to meet patients where they are.

Program Features

  • Individualized training and technical assistance

  • Tools to establish treatment protocols in the Emergency Department (ED) and throughout the hospital

  • Funding to support, enhance, and accelerate the establishment of the culture and practice of evidence- based medicine to treat substance use disorders via essentials such as:

    • Program champion time that may be necessary to build a robust system (quantity and type of program champion support will vary by site)

    • Treatment counselor training and time to provide support for patients and treatment teams with the goal of initiating and connecting patients to treatment from within the hospital setting

    • Bridge clinic support that may cover items such as clinician time for establishing a routine, low-threshold, extension of care for patients entering into treatment and help to facilitate transitions into the community