LifeStream Behavioral Center, Inc., a comprehensive mental health and substance abuse treatment facility located in Central Florida, proposes to increase residential treatment services for low income, substance misusing women, age 18 and over, who are pregnant or postpartum and their minor children (age 17 and under) in Central Florida. The population of focus will be traditionally underserved populations, especially racial and ethnic minority women. Due to the high morbidity and mortality rates of pregnant women and their infants among African Americans, focused outreach efforts towards this population will be included in the program design. The requested 524,000 per year will purchase an additional 9 residential treatment beds to treat 18 women and their minor children each year of the grant. Over the life of the project, LifeStream proposes to serve 90 women, 180 children and 180 family members. In the targeted area that LifeStream serves, access to specialized residential treatment services is severely limited due to inadequate capacity and the lack of specialized gender specific care. Women are faced with long wait lists to be accepted into residential treatment. In addition, all residential treatment programs in the area that serve the target population have age restrictions on the children that can reside with their mothers or limit the services to infants and/or toddlers. In most cases, pregnant and postpartum women are placed into a less restrictive modality that cannot accommodate their needs, or not placed into appropriate treatment resulting in continued use and unnecessary societal costs. It is critical to secure this funding to better serve the women and their children in Central Florida.By providing a comprehensive array of culturally sensitive and gender specific services to meet the multiple needs of this population, LifeStream’s existing Anthony House Pregnant and Post-Partum Women’s Program will decrease the incidence and prevalence of substance use among women, provide a safe and stable environment for both the mother and child/ren, provide linkages to needed medical services, and provide housing placements, thus, in turn, reducing the likelihood of return episodes. The program will also enhance the healthy development of children. The goals of the program include: 1) Expand the community’s capacity to provide a comprehensive array of culturally appropriate, gender specific treatment services for the pregnant and/or postpartum substance abusing women and their children; 2) Decrease unstable environments among women and their children by providing housing, employment and other critical service linkages; and 3) Improve the overall behavioral and physical health. The following outcomes have been identified: 1) decrease use and/or abuse of prescription drugs, alcohol, tobacco, illicit and other harmful drugs; 2) increase safe and healthy pregnancies; improve birth outcomes and reduce related effects of maternal drug abuse on infants and children; 3) improve mental and physical health of women and children; and 4) improve family functioning, economic stability and quality of life.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI080328-01 LIFESTREAM BEHAVIORAL CENTER, INC. LEESBURG FL HANKEY RICK $524,000

The purpose of this project is to enhance the service delivery system at Isaiah House, Inc. (IH) by developing our existing Community Creche Project to address the unique life circumstances and needs of pregnant and postpartum women and their children in residential substance abuse treatment. The Community Creche Expansion Project will attend to trauma, parenting, as well as reunification and reconciliation with family members in conjunction with intense chemical dependency treatment, to develop a family system model of care that will incorporate the whole family unit, and not just the individual, as the focus of care. We will implement a full continuum of existing best-practice interventions for two targeted substance abusing populations, which often encounter barriers preventing access to care: pregnant and postpartum women (defined as having given birth in the previous twelve months). The targeted geographic areas the we propose to serve are New Jersey communities located in Essex County. The goal of CCEP is to strengthen the instrumental and social functioning of Project participants by enhancing current services provided with evidenced-based practices of Family Behavioral Therapy (FBT), and Seeking Safety (SS) group therapy, Motivational Enhancement Therapy (MET) and Case Management. Facilitated access and retention support delivered via peer mentors will maximize our tailored menu of wraparound services, while the proposed evidence-based practices delivered within a trauma-informed context will address issues key to retaining the targeted women in treatment. Goals to be achieved through the CCEP include: (1) decrease the misuse of prescription drugs, alcohol, tobacco, illicit and other harmful drugs among pregnant and postpartum women; (2) increase safe and healthy pregnancies and improve birth outcomes; (3) reduce perinatal and environmentally related effects of maternal and/or paternal drug abuse on infants; and children; (4) prevent mental, emotional, and behavioral disorders among the children; (5) improve the mental and physical health of the women and children; (6) improve parenting skills, family functioning, economic stability, and quality of life; and (7) decrease involvement in and exposure to crime, violence, sexual and physical abuse, and child abuse and neglect. In partnership with Urban Life Wellness and Counseling Center (a New Jersey licensed treatment facility), we plan to provide in-kind services and service enhancements within our existing New Jersey State Residential Child Care Facility (licensed) to serve 200 individuals over the life of the 5-year project.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI080329-01 ISAIAH HOUSE EAST ORANGE NJ COPPAGE CROIX $516,750

SAMHSA TI-17-007 Pregnant and Postpartum Women To address the rise in opiate abuse and addiction among pregnant and postpartum (having had children within the past 12 months) women (PPW) residing in the greater Cleveland Metropolitan Ohio counties of Lorain and Medina. The Lorain County Alcohol & Drug Abuse - Way (LCADA-WAY) will re-tool, expand and enhance its Residential Treatment Center and recovery support services. The project Providing Access to Treatment for Indigent Pregnant and Postpartum Addicted Women–II (PATIPPAW-II) which address co-occurring substance abuse and mental health disorders. The KEY program specifically targets the high-risk populations of indigent pregnant and postpartum women, as well as their minor children, affected by maternal substance use and abuse. LCADA began providing residential treatment to women and children in 2004 and in 2009 received a CSAT PPW grant that targeted alcohol dependent women PATIPPAW-II and their minor children. The one-hundred women and their minor children to be served by the residential program are Caucasian (70%); and will be between 18 and 35 years of age. Data from the current Program indicates that this population is at special risk for substance use problems and co-occurring disorders, and has a variety of barriers to perinatal and postpartum care, and to family health and well-being. An estimated 50% of the women to be served will have less than a high school education and 80% will live below the federal poverty level. More than 60% are expected to have co-occurring mental health disorders. These indicators have prompted LCADA to enhance its cultural competence and responsiveness in order to most effectively address specific issues that may be perceived as barriers to the recovery process. The purpose of the Program expansion is to increase access to treatment and recovery support services for women in the greater-Cleveland area (Lorain and Medina Counties) who are pregnant or postpartum, their children, and their partners and families. Project Goals include to decrease barriers to accessing substance abuse treatment for women in first trimester of their pregnancy, resulting in early entry into evidence-based treatment and recovery support, to reduce substance use and severity of co-occurring disorders among pregnant and postpartum women, and to increase the coordination of services and enhance long-term recovery supports for pregnant and postpartum women in new recovery, their children and families.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI080349-01 LORAIN COUNTY ALCOHOL AND DRUG ABUSE SERVICES, INC. LORAIN OH STEVENS LISA $524,000