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(viii) Training and technical assistance for the implementation 1 of evidence-based, research based, and promising programs which 2 prevent or reduce substance use disorder; 3 (ix) Expenditures into the home visiting services account; and 4 (x) Grants to community-based programs that provide prevention 5 services or activities to youth. 6 (b) The authority must allocate the amounts provided in (a) of 7 this subsection amongst the specific activities proportionate to the 8 fiscal year 2021 allocation. 9 (24)(a) $1,125,000 of the general fund—state appropriation for 10 fiscal year 2022 and $1,125,000 of the general fund—state 11 appropriation for fiscal year 2023 is provided solely for Spokane 12 behavioral health entities to implement services to reduce 13 utilization and the census at eastern state hospital. Such services 14 must include: 15 (i) High intensity treatment team for persons who are high 16 utilizers of psychiatric inpatient services, including those with co- 17 occurring disorders and other special needs; 18 (ii) Crisis outreach and diversion services to stabilize in the 19 community individuals in crisis who are at risk of requiring 20 inpatient care or jail services; 21 (iii) Mental health services provided in nursing facilities to 22 individuals with dementia, and consultation to facility staff 23 treating those individuals; and 24 (iv) Services at the sixteen-bed evaluation and treatment 25 facility. 26 (b) At least annually, the Spokane county behavioral health 27 entities shall assess the effectiveness of these services in reducing 28 utilization at eastern state hospital, identify services that are not 29 optimally effective, and modify those services to improve their 30 effectiveness. 31 (25) $1,850,000 of the general fund—state appropriation for 32 fiscal year 2022, $1,850,000 of the general fund—state appropriation 33 for fiscal year 2023, and $13,312,000 of the general fund—federal 34 appropriation are provided solely for substance use disorder peer 35 support services included in behavioral health capitation rates in 36 accordance with section 213(5)(ss), chapter 299, Laws of 2018. The 37 authority shall require managed care organizations to provide access 38 to peer support services for individuals with substance use disorders 39 p. 1010 ESSB 5187.SL