New report highlights impact of Texas Targeted Opioid Response program

A new report out of the Texas Health and Human Services Commission (HHSC) highlights the impact of grant money implemented through the Texas Targeted Opioid Response (TTOR) program.

TTOR encompasses four different grant opportunities from the federal Substance Abuse and Mental Health Services Administration (SAMHSA) – State Opioid Response funds ($92,458,184), State Targeted Response funds ($54,724,714), the Texas Strategic Prevention Framework for Prescription Drugs ($1,858,080), and the Texas First Responders – Comprehensive Addiction and Recovery Act grant ($3,200,000).

All four grants aim to prevent opioid-related overdose, misuse, and death through a variety of services targeting prevention, treatment, and recovery.


Image: HHSC


The TTOR program was created in May 2017, after SAMHSA first awarded the state $27.4 million in State Targeted Response funds. According to the report: “To date, 122,579 individuals have received TTOR program services.”

The following numbers are taken directly from the report and reflect the most recent impacts of the grant money.

Goal Outputs:

To date, approximately 122,579 individuals have received TTOR program services:

Prevention Services:

  • 104,948 people have participated in opioid misuse prevention activities;
  • 2,409 individuals have received overdose prevention training;
  • 73,780 medication disposal pouches have been distributed;
  • 1,742 medical and behavioral health professionals have received overdose prevention online continuation education;
  • 21,750 pounds of prescription drugs were disposed; and
  • More than 49,000 naloxone kits (98,000 2mg doses) have been distributed.

Treatment Services:

  • 5,409 individuals have received treatment in the clinic setting;
  • 540 individuals have received treatment services in the office setting, and
  • 3,059 individuals with opioid use disorder (OUD) have been treated for comorbid conditions.

Recovery Support Services:

  • 2,379 individuals with OUD have received peer coaching services;
  • 159 individuals with OUD have been authorized to receive employment services;
  • 46 individuals with a history of opioid use have received recovery support services including overdose prevention services prior to and upon release from jail; and
  • 159 individuals with OUD have entered recovery housing.

Integrated Services:

  • 433 individuals have received overdose-related emergency response services;
  • 318 individuals with OUD have received overdose-related services through Mobile Crisis Outreach Teams; and
  • 978 individuals with OUD have accessed treatment services through OSAR Priority Admission Counselors within three days of screening.


Goal Outcomes:

Through evidence-based strategies implemented with STR funding, HHSC has seen the following outcomes:

  • Reported overdose reversals increased from 82 in year 1 to 155 in year 2; an 89 percent increase; Almost 100 percent increase in the proportion of OUD admissions admitted to MAT from year 1 to year 2;
  • Increased the proportion of people served in evidence based treatment for OUD from 16 percent to almost 35 percent;
  • Identified over 225 lives saved as a direct result of these efforts; and
  • 110 Recovery Coaches have directly facilitated access to MAT services