TI-19-007 Individual Grant Awards

Center Point, Inc. (CPI) is requesting 375,000 per year for up to three years from SAMHSA CSAT to establish Recovery Residences where people who are transitioning out of CPI's adult residential treatment programs can live with their peers while attending outpatient counseling services and support groups, learning and practicing life skills, and implementing their individual recovery plans with the support of Recovery Coaches. Project activities will take place in Marin County, CA. The population of focus for CPI's ""Targeted Transitional Services: From Treatment to Recovery"" is low-income and indigent CPI clients who lack access to affordable housing, employment and a living wage, recovery supports, and a supportive peer network when they leave the residential treatment environment. The goal of the project is to help people in early recovery not only obtain housing, employment, stability and sobriety, but also develop positive relationships and social networks that offer hope, purpose and community. CPI's project will serve 20 unduplicated individuals per year and 60 unduplicated individuals total. This targeted Special Project will leverage private, state and federal funding to help bridge the gap in supports and services for low-income and indigent people who are in the earliest stages of recovery and at greatest risk of relapse. CPI is participating in California's new Recovery Residence program, which allows counties to use SABG funds to pay room and board for people living in peer-run and/or monitored sober living homes, so long as they are also participating in medically necessary substance use disorder (SUD) treatment services. CPI will lease 5 scattered sites housing units in San Rafael, CA, to provide 10 Recovery Residence beds for clients of the CPI adult residential program who transition into outpatient and IOP programs. SAMHSA Special Projects funding will be utilized to hire one Recovery Support Manager and two Recovery Coaches who will provide case management, job and life skills building, and individualized recovery planning focused on helping Recovery Residence participants gain long-term financial security, stable housing, better health, and a supportive social network. The goals for the project are to provide housing and peer support that helps participants avoid relapse and develop stability in early recovery; provide comprehensive case management and supportive services; and enhance the community's recovery-oriented system of care to improve treatment outcomes, reduce recidivism, and increase participants' physical and emotional well-being. Outcomes for the 60 participants will include increased rates of stable housing, financial literacy, employment, health care access, abstinence from substance use, and participation in IOP, outpatient, or Recovery Support services. CPI is a CARF Accredited DHCS licensed and certified program (DHCS designated ASAM Level of Care 3.1 and 3.5; 1.0 and 2.1 outpatient programs) and is a DMC Certified provider. Special Projects services will be coordinated with psychosocial therapies, case management, and wraparound services, and clients will be directly linked into primary care in partnership with local Federally Qualified Health Centers (FQHCs).

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI081976-01 CENTER POINT, INC. SAN RAFAEL CA TAYLOR SUSHMA $375,000

St. John’s Well Child and Family Center’s TransYouthConnect program (TYC) will integrate, enhance, and expand screening, assessment, evidence-based clinical and nonclinical treatment services, and recovery support services for substance use disorder and co-occurring mental disorders (SU/coMD) among transgender/gender non-conforming (TGNC) young adults ages 18-25 (TGNCY) in South Los Angeles. This program will be the youth-specific offshoot of St. John’s Trans Health Program which has been in operation for more than 6 years. More than 75% of TYP will be people of color; approximately 15% are homeless and 27% are immigrants; 47% are transmen, 47% transwomen and 6% nonbinary. All are low-income. TGNCY experience SU/coMD at disproportionately high rates compared to the general population, with extremely high rates of posttraumatic stress, as a result of experiences of poly-victimization, discrimination, and depression and anxiety due to struggles with gender dysphoria. Serving younger TGNC people provides an opportunity to interrupt SUD and support them to improve their health, functioning and stability through collaborative, comprehensive, trauma-informed and recovery-based treatment and peer-driven wraparound services. Strategies include incorporating SU/coMD treatment into a menu of trans-specific services that TCNGY actively seek, such as name/gender change services and surgery referrals, providing services in a safe, welcoming ‘medical home’ setting, coordinating and systematizing care in ways that support retention, providing incentives and assistance with transportation, and incorporating economic/professional development services. St. John’s will continue its success of implementing the EBP Seeking Safety with the TGNC community. Objectives include: ensuring that staff have all training they need to conduct services in a way that is trans-affirming and culturally competent; linking positive screens immediately into care coordination services, where TGNCY will work with a provider on a treatment and recovery plan; ensuring high rates of retention in Seeking Safety and clinical services; and increasing a sense of hope, functioning, self-efficacy, social connection/inclusion among participants. A total of 1,000 unduplicated TGNCY will be served by TYC. Annually, TYC will screen 875 unduplicated patients, and 350 will access one or more SU/coMD services.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082116-01 ST JOHN'S WELL CHILD CENTER, INC. LOS ANGELES CA RIZI TIMANE $375,000

Hillsides is proposing to develop a Peer Engagement and Entry to Recovery (PEER) program for transitional-aged youth, ages 16-25, who are experiencing homelessness and have a substance use and/or co-occurring mental health disorder in Los Angeles County, CA. The PEER program will provide socially and culturally relevant street-based recovery support services to some of the most vulnerable homeless youth in LA County, including runaways, former foster and juvenile detention youth, dropouts, victims of sexual abuse, and LGBTQ. The PEER program will deploy mobile teams of county-wide Peer Support Specialists who will help youth become and stay engaged in the recovery process from substance use and mental illness. The goals of the program are as follows: (1) Increase peer-led street outreach services for homeless TAY; (2) Increase access to socially and culturally relevant recovery support services for homeless TAY; (3) Decrease the prevalence of substance use amongst homeless TAY; (4) Increase the social and emotional well-being of homeless TAY. The PEER program aligns with Hillsides’ mission to heal children and young adults, strengthen families, and transform communities through quality comprehensive services and advocacy. The PEER program will enhance and expand county, state and federal efforts to improve comprehensive treatment, early intervention and recovery support services for youth and young adults, while also extending support for recovery beyond the traditional treatment system and out into the communities where youth reside.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082158-01 HILLSIDES LOS ANGELES CA PERKINS CORRENDA $374,785

The HealthRIGHT 360 (HR360) Project Rainbow Screening and Providing Connections to Treatment (RSPCT) will improve access to substance use disorder (SUD) treatment for LGBTQ adults in the San Francisco Bay Area, California, by providing SUD screening for patients seen at Lyon Martin Health Services (LMHS), the foremost healthcare provider for LGBQ women and transgender/gender non-binary individuals in San Francisco. The primary strategy of Project RSPCT will be the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model, an evidence-based practice that enables clinicians to screen for SUD in a clinical setting, and, if necessary, engage the patient in a brief conversation and refer them to further treatment. SAMHSA currently estimates that between 20% and 30% of LGBTQ people will experience substance abuse at some time in their lives; the 2015 National Survey on Drug Use and Health found that 39.1% of sexual minority adults had used an illicit drug within the past year, compared to 17.1% of heterosexual adults. In the Bay Area, 10% of LGBTQ individuals surveyed said they needed SUD services in the past year, but only 6% were able to access them. The goal of Project RSPCT is to increase the capacity of community-based providers in San Francisco to remove common barriers to SUD treatment for LGBTQ individuals struggling with substance use. The six objectives that will demonstrate success are as follows: 1. offer SBIRT to 100% of new LMHS patients. (If consent is granted, screenings will be done once or twice yearly, as clinically appropriate); 2. implement systems to offer SBIRT to 80% of existing LMHS patients by the end of the three-year project period (30% by the end of the first year, 60% by the end of the second year, and 80% by the end of the third year); 3. train primary care and behavioral health staff in HR360's San Francisco-based SUD treatment programs on LGBTQ cultural competency in SUD treatment within three months of program implementation, with annual refreshers; 4. train primary care staff at LMHS to deliver brief interventions and necessary SUD treatment that can be delivered in a primary care setting, such as medication-assisted treatment (MAT) for opiate use disorders and other SUDs; 5. collaborate with at least four (4) external providers in annual providers' meetings to improve the system of referral between LMHS, SUD treatment services, and other human services agencies that are culturally competent to work with LGBTQ individuals; and 6. twenty five percent (25%) of LGBTQ clients who screen positive for SUD/COD will be engaged with appropriate services, determined via follow up appointments, client self-report, and/or communication with referred service providers. Project RSPCT will serve a total of 4,471 unduplicated individuals over the three-year project period (1,490 unduplicated clients per year).

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082288-01 HEALTHRIGHT 360 San Francisco CA DO TRI $375,000

Centerstone REACH Florida (Reach-FL) will develop/implement targeted strategies for substance use disorder (SUD) treatment provision for 200 unduplicated adults (18+) with SUD and/or co-occurring substance use/mental disorders (COD) in the catchment area (Yr 1: 50; Yrs 2-3: 75, annually). Reach-FL will expand/enhance areas of focus to provide comprehensive, evidence-based services, including screening/assessment, outpatient/telehealth treatment, ECHO-based model of care, peer supports, care coordination, wraparound/recovery support services, etc. Reach-FL’s catchment area includes DeSoto, Manatee and Sarasota counties in Central Florida. Reach-FL’s focus population encompasses an anticipated 48,000 catchment area adults (18+) with SUD, including 22,700 with COD. Focus population demographics are expected to mirror those of the catchment area, with 48% male, 52% female, 90% White, 6% African American, 11% Hispanic, and 6% unemployed individuals; 22% are expected to lack health insurance. Reach-FL’s subpopulations include the 12% who are Veterans, 1% with OUD, 11% from racial/ethnic minorities, and/or 8% from rural areas. Of those in the focus population with COD, only 7% will receive both substance use and mental health services. In 2015, the catchment area region had the state’s highest number of opioid-caused deaths (710), and from 2012-2017, heroin related deaths increased by 855% (18 to 172). Reach-FL will deliver evidence-based SUD treatments/interventions according to NIDA’s Principles of Drug Addiction Treatment and SAMHSA’s Treatment Improvement Protocol (TIP) 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders, integrating evidence-based techniques/therapies (e.g., Motivational Interviewing, Cognitive Behavioral Therapy, 12-Step Facilitation), plus relapse prevention, skills development, peer recovery supports, individual/family/group therapy, etc. Clients will be provided/referred to MAT as appropriate according to SAMHSA’s TIP 63: Medications for Opioid Use Disorder. Key Reach-FL strategies/interventions include community collaborations; assembly of Advisory Council; development of program policies/procedures; provision of teleECHO training/resources, enhancement/implementation of telehealth and related technologies; outreach/engagement; screenings/assessments; development of Individual Treatment Plans; provision of outpatient/telehealth SUD/COD treatment, medication delivery/management, care coordination, recovery coaching/peer recovery support services (e.g., housing/employment, benefits enrollment, transportation); monitoring/tracking participant health status; completion/dissemination of comprehensive evaluation; and implementation of a sustainability plan and marketing campaign. Reach-FL goals include: Increase access to SUD/COD treatment to address need among underserved adults; Develop infrastructure/capacity to expand, enhance, and sustain a comprehensive continuum of evidence-based treatment and recovery support services for adults experiencing SUD/COD; Improve clients’ health status and outcomes; and Develop/disseminate a replicable service model. Reach-FL will achieve the following measurable objectives: Conduct outreach/engagement to 1,000 individuals to recruit clients/promote buy-in; Provide training/workforce development (e.g., teleECHO) for 100 staff/community providers; Increase substance use abstinence by 60%; Reduce mental health symptomatology by 50%; Assist 100% in need with recovery support/resources (e.g., employment, housing support); Increased social connectedness by 70%; and Achieve 80% client retention. Reach-FL has secured commitments from partners dedicated to the project’s success, and will collaborate with community providers, law enforcement/courts, coalitions, social service agencies, key stakeholders, etc.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI081990-01 CENTERSTONE OF FLORIDA, INC. BRADENTON FL ROSEBORO JANE $375,000

The goals of the Catholic Charities Targeted Capacity Expansion Program are to serve 100 unduplicated court-mandated adults annually, whose health and lives are negatively impacted by substance use disorders. Catholic Charities of the Archdiocese of Miami, Inc. is proposing to serve court mandated adults from Miami-Dade County with substance use disorders by expanding our current outpatient services at St. Luke’s Center for Alcohol and Substance Abuse to include Medication Assisted Treatment, in addition to group and individual therapy, weekly urine testing, and recovery coaching. Catholic Charities will also enhance our residential services at St. Luke’s to include case management and care coordination to provide a comprehensive approach to comprise primary care coordination, life skills training for job readiness, mental health services when indicated, Medication Assisted Treatment when applicable and ultimately expanded discharge planning for court-ordered adults in Miami-Dade, Broward and Monroe Counties. Over the three (3) years of these Substance Abuse and Mental Health Services Administration resources, 300 court-mandated adults will be screened and assessed with appropriate evidence-based tools (ASAM, Clinical Opiate Withdrawal Scale, Drug Abuse Screening Test, Texas Christian University Trauma Form) to assure they are receiving the appropriate treatment approaches for substance use disorder and/or mental health disorders. St. Luke’s residential and outpatient programs utilize Cognitive Behavioral Therapy, Motivational Interviewing, Living in Balance and Twelve Step Facilitation. These treatment modalities all are appropriate for the high-risk population this program is targeted to serve. For this project, St. Luke’s will continue to partner with Miami Beach Community Health Center who provides quality, primary care and outpatient services to uninsured and underinsured residents; and Miami-Dade Adult Health Education Center, who works in every county of the state to help reduce the use of tobacco by delivering effective evidence-based tobacco cessation services for those addicted to nicotine. Collaborating with the Eleventh Judicial Circuit of Florida, Adult Drug Court will be the priority for this special project due to the rising need of substance use and mental health disorder treatment and recovery supports reported in justice involved individuals entering the court system. This population has shown to require longer residential treatment stays and more intense outpatient monitoring which St. Luke’s is qualified to deliver given their 40+ years of providing this expertise as a fully accredited (by the Council on Accreditation) facility.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082159-01 CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MIAMI, INC. WILTON MANORS FL VALDES SANDRA $375,000

ABSTRACT Fulton County Sheriff’s Office FULTON PROJECT 2019 SAMHSA Targeted Capacity Expansion-Special Projects The Fulton County Sherriff’s Office’s (FCSO) FULTON project will treat young adults in the Fulton County Jail with Substance Use Disorder (SUD) followed by community-based treatment after release. Untreated substance abusing offenders are more likely than treated offenders to relapse to substance abuse and return to criminal behavior, which can lead to re-arrest and re-incarceration, jeopardizing public health and public safety. Treatment is the most effective course for interrupting this cycle. FULTON will target individuals in the Fulton County Jail ages 18-26 returning to zip codes 30310, 30314, and 30318 within the City of Atlanta. There was an average daily population of 2,401 inmates in 2018 and the jail’s baseline recidivism rate was 47%. The targeted neighborhoods had an estimated 14,706 residents in 2017 (85% Black, 13% White, 2% Other), of which 20.2% were unemployed (compared to 7% nationally) and 29.0% were living below poverty (compared to 14.6% nationally). FCSO will partner with CHRIS 180 (a mental health community service provider specialized in trauma and substance abuse treatment) to screen Fulton County Jail inmates for SUD; provide evidenced-based, population appropriate treatment approaches such as Thinking for a Change and The Matrix Model; provide recovery support services such as life skills and targeted referrals to community-based service providers; and employ the Transition from Jails to Community model for recruiting, engaging, and treating clients with the greatest criminogenic needs while incarcerated followed by community-based treatment after release. FCSO expects to serve a total of 175 individuals over the three-year grant period. In Year 1, FCSO expects to serve 55 individuals after a four-month start-up phase and 60 individuals each in Years 2 & 3. Project goals and objectives include the following: 1. Increase participants’ abstinence from the use of alcohol and illicit drugs by implementing evidence-based programs in the Fulton County Jail that address behaviors that may lead to substance use:175 jail inmates with SUDs initiate treatment; 50% remain engaged in treatment for at least 6 months from intake; 80% will become abstinent/reduce their use of drugs/alcohol by program exit; and 50% improve anxiety, depression severity, and other underlying causes of SUD 2. Reduce barriers to successful community reentry by addressing inmates’ criminogenic needs: 70% of engaged participants will show reduced criminogenic needs by program discharge; 50% complete Thinking for a Change curriculum; 50% complete the Early Recovery portion of the Matrix Model before program exit; and 30% attend ongoing treatment sessions and care coordination meetings post-release 3. Reduce jail recidivism rates among young adults released from the Fulton County Jail: 40% of participants remain free from criminal justice involvement for three years post release resulting in a 50% reduction in the participants’ recidivism rate

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082030-01 COUNTY OF FULTON ATLANTA GA MATTHEWS MATTE $375,000

CADA Prevention and Recovery Center, a substance use treatment, mental health and HIV provider with 59 years of experience and a 13-year proven track record of serving the population of focus, respectfully submits this proposal to implement Reconnect & Recover to expand trauma informed, culturally and linguistically appropriate substance abuse and/or related co-occurring mental health disorder treatment services and related peer recovery support services for 150 adult males over the 3-year grant period, doubling existing treatment capacity. Reconnect & Recover addresses a statewide and parish need to strengthen criminal justice coordination in partnership with the New Orleans Reentry Task Force, the La. Dept. of Public Safety & Corrections, New Orleans District Probation/Parole and the La. Council of Resources (LACOR). Project Name: Reconnect & Recover. Population to be served: Male adults (ages 18+) who have SUD and/or COD treatment needs based on ASAM criteria; 100% trauma-involved and who are at risk for HIV and hepatitis; 40% COD; 50% Black; 5% Hispanic; 10% Multi-racial; 100% criminal justice involved. Strategies: The underserved adult male criminal justice involved population will be served through expanded treatment and community-based criminal justice systems coordination: 1) Behavioral Health Disparities Impact Statement/Targeted Outreach Plan/Strategic Plan within first 60 days; 2) Expanded formal agreements with MAT, housing and employment providers, as prioritized in the New Orleans Reentry Task Force Strategic Plan. Provide SUD and/or COD evidence-based treatment and recovery support services; HIV/AIDS testing, case management, linkage, care and treatment; housing supports; outreach; and capacity enhancements ensuring treatment retention. Evidence based practices: Trauma-informed SUD/MH standardized screening/assessment (PCL-CV, COJAC, ASI); Strengths-based Case Management; MI; Seeking Safety; MATRIX; and SMART Recovery. Goals: Aligned with the New Orleans Reentry Task Force Strategic Plan: 1) ensure criminal justice systems coordination and SUD screening/assessment diagnosis for COD, trauma and HIV; 2) increase substance use abstinence; 3) increase recruitment/access/engagement/retention in treatment; 4) improve employment status; 5) improve housing stability; 6) decrease criminal justice involvement; 7) improve social connectedness through recovery support services; and 8) improve access/availability, reducing disparities. Objectives: Years 1-3 to 6/30/2022: 1) 100% of 150 participants will receive SUD screening/assessments diagnosis for COD, trauma, HIV and hepatitis; 2) 80% will achieve abstinence; 3) 80% will increase recruitment/access/engagement/retention in treatment; 4) 80% will improve employment status; 5) 80% will improve housing stability; 6) 80% will decrease criminal justice; 7) 80% will improve social connectedness; and 8) 65% of participants are racial and/or ethnic underserved adult male, criminal justice involved special populations. # served: 50 Year(s) 1-3, totaling 150 in three years.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082124-01 COUNCIL ON ALCOHOL AND DRUG ABUSE FOR GREATER NEW ORLEANS (CADA) NEW ORLEANS LA BRACEY JOYCE $375,000

Casa Esperanza Inc.’s proposed “Salud Al Momento: A behavioral health urgent care model for Latinos” program will establish a bilingual/bicultural, urgent care model to provide addiction assessment, triage, and facilitated referrals to inpatient and outpatient addiction treatment to Latinos to reduce unnecessary use of emergency care and reduce health disparities. Over 3 years, Salud Al Momento will serve 320 individuals (80 in YR1; 120/yr for Years 2 & 3). Based on current demographics, we anticipate 97% of clients will have a co-occurring mental illness in addition to their SUD; 64% of our clients will identify as male, 35% as female, and less than 1% as transgender; 40% will be monolingual Spanish speakers with limited or no English skills, and limited written literacy in either English or Spanish; 93% lack a source of income, 95% are homeless or under-housed, and 61% lack a GED. More than 95% have been court involved, with 79% incarcerated in the past five years. Nearly all (96%), have at least one significant medical condition, with 25% having HIV/AIDS. Based on data from previous SAMHSA-funded projects we anticipate only 54.3% have received MAT and only 31% received mental health treatment previously, despite 97.7% reporting at least one co-occurring mental health disorder. Of these, 98% will meet criteria for serious mental illness; 55.2% will report recent depression, 61.4% will report recent anxiety, 15% will report recent thoughts of suicide, and 3% will have recently attempted suicide. Project goals are: 1) Expand access to MAT for Latinos with co-occurring disorders; 2) Improve access to and increase utilization of integrated mental health, opioid use treatment, and primary care for Latinos with co-occurring disorders; 3) Provide case management services to support clients’ full engagement in the development, implementation and completion of goals in their care plan; and 4) Provide recovery support services to help increase knowledge of communityvcresources; increase capacity for self-management; and identify and reduce risky behavior.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082188-01 CASA ESPERANZA, INC. ROXBURY MA PLOTKIN CECILIA $375,000

Expand community -based system planning, outreach-based services and trauma-informed SUD/MH treatment and enhances treatment dosage and intensity via state-of-the science approaches, parenting education, peer recovery support services and family therapy to meet the individualized needs of adult women and their children promoting safe and stable families. Participants will receive comprehensive screening, assessments, intensive case management, day treatment, family therapy ans system linkages to wraparound recovery supports. Trauma-informed treatment, coupled with strengths-based case management, peer recovery support services, and linkages to recovery housing, education/employment, healthcare and social supports.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082209-01 COMMUNICARE OXFORD MS MADARIS MELODY $375,000

The Delta Opioid Treatment Network-Rural Rapid Response (DOT-R3) project will enhance and expand screening, assessments, comprehensive treatment, early intervention, and recovery support services for individuals with opioid use disorders and co-occurring mental health disorders living in four rural counties of the Mississippi Delta. DOT-R3 is a collaborative effort of health / mental health providers, law enforcement and a recovery-oriented system of care. Delta Health Alliance (lead applicant), owner of the Leland Medical Center, is joined by partners Region One Mental Health – Fairland Treatment Center, Desoto Family Counseling Center, the Universal Parenting Place, law enforcement, district drug court systems, and over 20 different recovery support service providers. The population to be served is uninsured and underinsured adults (18+) living in extremely rural Bolivar, Leflore, Sunflower and Washington counties, in which 35.8% of individuals live below the federal poverty level, 24% of adults lack basic literacy skills, and 70.7% of residents are Black/African American. The uninsured rate of 17.7% (equating to 24,452 residents) is higher than the state average and 20.8% of residents of our public health district in 2017 reported being unable to see a doctor in the past 12 months due to cost. In 2017, this service area reported 82.3 opioid prescriptions per 100 residents, a rate that is 40% higher than the U.S. average. Evidence-based models include Cognitive Behavioral Therapy and Recovery-Oriented Systems of Care (ROSC) model, which offers choice by providing a flexible menu of evidence-based services and recovery supports to meet the specific needs of individuals seeking treatment for addiction to remain engaged in treatment and support long-term recovery. Goals are to: (1) Increase the number of adults screened for opioid use disorder (OUD) in rural primary care and law enforcement settings; (2) Increase the number of adults referred and engaged in evidence-based OUD treatment services; (3) Increase the number of adults accessing integrated care practices to support recovery and reduce reliance on opioids for pain management; and (4) Increase the number of adults receiving coordinated, wraparound recovery support services that are specifically tailored to the target population and designed to mitigate the risk of relapse. Strategies include: observation and referral to screening from law enforcement and primary care settings; screening for OUD in clinical or home setting and then using that information to develop appropriate treatment plans; mechanisms to involve patients in the development of their own care plans; evidence-based treatment approaches customized to the individual, which may include detoxification, inpatient or residential care, recovery housing, 12-week intensive outpatient counseling, and follow-up care; access to integrative, nonpharmacologic methods of pain management; guided linkages and case management to navigate and access recovery support services (e.g., job training, child care, transportation, housing); and connection to existing Mississippi state tobacco cessation programs. DOT-R3 will serve a minimum of 50 unduplicated individuals each year for a total of 150 individuals over a three-year period.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082311-01 DELTA HEALTH ALLIANCE, INC. STONEVILLE MS WOOD ANTHONY $374,106

The proposed program, Project Uplift, seeks to reduce barriers to behavioral health screening and treatment and improve health outcomes and life quality and stability for 80 LGBTQ young in two metropolitan areas in North Carolina, Charlotte and Durham, through provision of intensive case management, evidence-based behavioral health services, and peer support services. Substance use and mental health concerns are highly prevalent among young LGBTQ individuals, exceeding the levels in similarly aged individuals in the general population. Culturally competent treatment options are often lacking for young LGBTQ adults, particularly in the US South where resources for behavioral health are often scarce. Stigma regarding mental health and gender identity and expression is high in the South, which contributes to substance use and mental illness and their resulting negative health outcomes and further complicates obtaining treatment. Through our 20- year experience of providing behavioral health services for LGBTQ individuals, the lack of comprehensive case management and substance use screening and treatment for this population has been clearly evident. This experience and our strong partnerships with organizations working with LGBTQ individuals well-positions our center for implementing this program. The intensive case management services proposed for Project Uplift includes in-depth assessment of goals, resource needs and barriers to goal achievement; provision of services such as financial planning, GED preparation, and obtaining legal documents, and connection to more in-depth services including job training, housing, PrEP, and psychiatric care; and provision of the evidence based Screening, Brief Intervention and Referral to Treatment (SBIRT) services for 80 young adults (18-35; 20 in year 1 and 30 in years 2-3). The case manager, with assistance from the peer specialist, will also facilitate Seeking Safety, an evidence-based group education program addressing trauma among individuals using substances. Counseling services through Project Uplift will involve assessment, trauma-informed care and evidence-based treatment including Motivational Enhancement, Cognitive Behavior Therapy and Dialectical Behavioral Therapy. The two peer support specialists will offer street outreach and outreach to community-based organizations providing services for young adults to recruit for the program and to attempt to reengage clients that have dropped out of care. In addition, the peers will assist in recruiting and training 4-5 additional LGBTQ peers and community knowledge and experience to further enhance recruiting and retention. Project Uplift staff will also create a community advisory group of local organizations working with the LGBTQ population to facilitate a more seamless service system for these individuals. To examine the effectiveness of the comprehensive care model, outcomes including mental health, substance use, housing stability, employment, social support and quality life of will be examined by surveying participants at baseline and at the end of the 6-month program.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI081999-01 DUKE UNIVERSITY DURHAM NC LEGRAND SARA $375,000

Through the Targeted Capacity Expansion: Special Projects program, Harbor Homes, Inc. (HHI) proposes to create and implement an evidence-based methamphetamine use disorder (MUD) treatment and recovery support services program (MUD Program) for two high-risk, priority populations that misuse methamphetamines: (1) adults who are homeless or at risk of homelessness, and (2) adults who receive Medication Assisted Treatment (MAT) for Opioid Use Disorders (OUD) or alcohol. The geographic service area for this grant includes the cities and towns within Hillsborough County, New Hampshire, with a focus on its Greater Nashua region. The goal is to increase the target area’s capacity to reduce its most vulnerable community members’ use of methamphetamines while facilitating self-sufficiency, through implementation of evidence-based programming and integrated primary/ behavioral health care throughout the public and private sector that addresses the target population’s whole health and wellness, social determinants of health (housing, employment/ income, benefits, nutrition, etc.) and substance use/ CODs. HHI’s long track record of implementing complex and holistic services for homeless/ at-risk individuals, as well as their state of the art federally qualified healthcare for the homeless clinic and evaluation partnership with JSI, Inc. ensures a rapid start-up within four months of grant award and a high quality implementation and evaluation process. Over three years, HHI proposes to: 1) build a comprehensive recovery-oriented system of care that is team-based and coordinated through all stages of recovery by integrating recovery housing, behavioral health, primary and oral health care, and supportive services; 2) provide outreach to 350 (100 in year one; 150 in year two; 100 in year three) homeless/at-risk individuals with MUDs and/or MAT patients with OUDs/alcohol use disorder also using methamphetamines, to connect them with the MUD program; 3) provide integrated primary/ behavioral/ oral health care and SUD treatment, intensive case management, and individualized long-term recovery-oriented supports to 165 (50 in year one; 65 in year two; 50 in year three) individuals who enroll in HHI’s MUD Program; 4) train and/or educate 200 (50 in year one; 50 in year two; 100 in year three) of the Greater Nashua community’s first responders; medical, behavioral, and peer workforce; and health and human service providers to increase their capacity to apply EBPs to reduce the rise in MUDs. Grant-funded staff will utilize evidence-based practices including Housing First/ recovery housing, Matrix Model, Contingency Management, Integrated Dual Diagnosis Treatment, Medication Assisted Treatment, Recovery Support Services, and Critical Time Intervention through a trauma-informed, harm-reduction model to meet the needs of the population of focus. HHI will collaborate with Keystone Hall, NH's premier substance use disorder treatment, prevention, and recovery support services center for the provision of intensive outpatient and residential treatment; Revive Recovery Organization for enhanced RSS; and the City of Nashua.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI081975-01 HARBOR HOMES, INC. NASHUA NH LAVALLEY MARY BETH $375,000

Care Plus NJ's Northeastern NJ Recovery and Individualized Support Expansion (RISE) will enhance and expand comprehensive treatment, care coordination, community outreach, and recovery support services for high school adolescents and young adults (ages 14-30) who are struggling with substance use disorders (SUD's) and/or co-occurring substance use and mental health disorders in Bergen County, NJ. The target population includes adolescents and young adults who have the highest prevalence and fastest growing rates of substance use, major depression, serious mental illness, and suicidality. Rising overdose rates related to the burgeoning opioid crisis have given a specific urgency to addressing these needs, particularly in NJ where the drug overdose rate increased 29.3% from 2016 to 2017, higher than the national average. Bergen County's overdose rate has nearly doubled from 2016-2018, and 52% of opioid overdoses were for individuals ages 18-31. Bergen County is assessed to have the highest percentage of unmet demand for substance use treatment in the state at 58.4%. Access to services and retention in treatment is often poor due to cost, inadequate insurance, lack of transportation, fractured continuity of care for adolescents graduating into the adult system of care, and a dearth of developmentally appropriate treatment options. there are currently not enough specialized services in Bergen County for the population of focus that support their recovery based on age, drug of choice, and level of support needed to complement clinical interventions. The RISE program will provide evidence-based screening, assessment, treatment, and recovery support to 700 unduplicated adolescents and young adults throughout the grant lifecycle. Medication Assisted Treatment, ambulatory withdrawal management, outpatient and intensive outpatient individual, group, and family therapy, transportation assistance, and wraparound case management services will be offered to engage this population with the highest need but the least engagement. The goals are to provide care coordination and linkage to services to high risk high school youth to prevent or reduce the progression of a SUD, and to provide evidence-based, developmentally appropriate treatment services to young adults to increase retention in treatment and improve recovery outcomes. Care Plus NJ's extensive network of intersystem relationships and acute insight into the population of focus will ensure that services are fully integrated, developmentally appropriate, and seamlessly coordinated between the children's and adult's systems of care. The RISE program will increase access to lifesaving services for the adolescents and young adults at highest risk of overdose, first episodes of psychosis, and escalating rates of substance use establish meaningful recovery.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082048-01 CARE PLUS NJ, INC. PARAMUS NJ ZIHAL ANN MARIE $374,639

In response to the Substance Abuse and Mental Health Services Administration’s request for applications under FOA No. TI-19-007--Targeted Capacity Expansion- Special Projects, PROCEED, Inc., proposes to implement Juntas/Together (English/Spanish)—a comprehensive, woman-centered and trauma-informed substance use disorder/ co-occurring disorder (SUD/COD) treatment program for Latina and African-American women experiencing intimate partner violence (IPV) and their children, in the City of Elizabeth and broader Union County, NJ. Juntas/Together integrates best evidence supported SUD/COD treatment practices, with IPV safety planning, case management and navigation services, peer support, and age-appropriate counseling and referrals for the children of women enrolled in the program. Research has shown that survivors of IPV may use substances at higher rates than people who have never been abused; it has also been suggested that people accessing SUD treatment experience high rates of IPV. PROCEED has also seen an increase in IPV among our mostly Latina clientele who are especially vulnerable due to language barriers, immigration status and racial discrimination. Addressing IPV and providing substance use treatment are priority areas for Union County, NJ. The strength of Juntas/Together is that it addresses the interaction and duality of IPV and SUD/COD in the misuse, treatment and long-term recovery of substances in a supportive, trauma and woman-centered manner, inclusive of children. Program strategies are multi-pronged and will include: 1. SUD/COD treatment using a) Seeking Safety – an evidence-based, present-focused, intervention to help people address and overcome trauma and addiction; combined with b) Motivational Interviewing- a client-centered, clinical method of counseling and communication used to help motivate and elicit behavior change by helping clients to explore and resolve ambivalence. 2. IPV Safety Planning: universal IPV screening, resource identification, safety planning 3. Psychiatric/Mental Health Services: to address clients’ multiple traumas and substance use 4. Case Management/Navigation services: includes legal, health, education and human services 5. Referral/Provision of age-appropriate counseling services for the children of enrolled women 6. Peer support: cohort of women in recovery trained to provide emotional support to their peers 7. Universal HIV testing and Viral Hepatitis (VH) screening; VH testing offered based on risk It is anticipated that up to 75 women and 20 children will be served in year 1 of Juntas/Together, and 100 women and 30 children in years 2 and 3, for a lifetime project total of 275 women and 80 children.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082128-01 PROCEED, INC. ELIZABETH NJ PINEROS ELIZABETH $375,000

Integrity, Inc., primarily recognized as Integrity House or Integrity, proposes to establish a Women’s Recovery Center that will provide recovery support services for women and pregnant women with substance use disorder (SUD), including opioid use disorder (OUD), and their families. The Women’s Recovery Center will serve adults (individuals 18 years old and older) in Essex County with a focus on the City of Newark. The Women’s Recovery Center will function as an inclusive, trauma-informed hub for recovery from and education on substance use disorder. Integrity will draw on evidence-based and promising practices to provide a breadth of recovery services, including peer support. Its goal is to help women in recovery avoid relapse, empower women on the brink of recovery to continue their progress, and educate families and the community on the realities of addiction and recovery. Keeping in line with Integrity’s comprehensive care model, the Center will collaborate with various community-based agencies to provide: outreach and assessment; recovery services, including case management and care coordination, family services. housing assistance, peer support, support groups and life skills development, opportunities for community-building, wellness, and recreational activities, education and employment readiness activities; and tobacco cessation services. Integrity proposes the following objectives: Serve 50 individuals, including ten (10) pregnant women, each year for three (3) years, for a total of 150 women and 30 pregnant women served over the grant period. 100% of participants without a primary care provider (PCP) will be referred to a PCP. 100% of women who are pregnant will be connected with prenatal medical care. 80% of participants referred to treatment will attend an intake appointment. 100% of homeless participants will be referred to safe, temporary or permanent housing. 70% of participants will be employed, volunteer, or be enrolled in a vocational or training program. 100% of participants that are eligible for some form of public assistance will complete the appropriate application. 80% of women will participate in gender-specific support groups 100% will have access to family therapy. 100% of participants will receive peer support. 100% of women in the program will have access to fully-funded SUD treatment through Integrity or another provider.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082301-01 INTEGRITY INC NEWARK NJ KELLY CYNTHIA $375,000

Summary of your project: TCE-Special Projects will provide behavioral health services and the T-SISTA and Seeking Safety interventions to LGBT adults, with a focus on Black and Latino men who have sex with men (MSM) and transgender populations who gather in Midtown Manhattan in New York City (NYC), often hailing from Harlem and Washington Heights in Manhattan, and Northern Queens. The proposed project recruit clients through the peer-led Social Network Strategy (SNS) and will be implemented at Housing Works’ 37th Street (designated Federally Qualified Health Center (FQHC)) which also houses Positive Health Project (PHP), a subsidiary of Housing Works, located in Midtown Manhattan. Population(s) to be served: LGBT adults who reside or visit the proposed service area who contend with disproportionately high rates of substance use and mental health issues, poverty, unemployment, and incarceration. LGBT individuals used illegal drugs in the past year at double the rate of heterosexual individuals (39% compared to 17%), including prescription pain medication misuse (10% compared to 5%). LBGT individuals are also more likely to have mental health issues, especially depression, than heterosexual adults. Transgender individuals experience higher rates of depression, suicide ideation, and self-harm than those who identify as cis-gender. Strategies/interventions: The proposed project will implement three evidence based practices: 1) SNS, a peer-led outreach strategy; 2) Seeking Safety, a 25-session evidence-based counseling model to help people attain safety from trauma and/or substance use; and 3) T-SISTA, a 5-session peer-led , to prevent HIV infection among transgender women, with the goal of increasing access, engagement, and retention in behavioral health services for the target population. Project goals and measurable objectives: The proposed project will: 1) enhance the continuum of care for substance use disorder services; 2) reduce alcohol and other drug consumption and its negative health impact; 3) increase rates of retention in behavioral healthcare Objective 1: By the end of the program, 85% of enrolled clients (from baseline) will have increased knowledge on how to manage their behavioral health conditions; Objective 2: 75% of enrolled clients (from baseline) will report increased confidence in their ability to manage their behavioral health conditions.; Objective 3: 75% of enrolled clients (from baseline) will report increased retention in behavioral health care as applicable; and Objective 4: Substance use among enrolled clients will be reduced by 10% each program year (from baseline). The number of people to be served: Project Link will enroll a total of 525 clients over the course of the project. 50 clients will participate in Seeking Safety and 80 clients will participate in T-SISTA, over the life of the project.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082154-01 HOUSING WORKS, INC. BROOKLYN NY GUAYLUPO JOHNNY $375,000

The purpose of this project is to expand the service delivery system at Odyssey House, Inc. (OH) by developing the Residential Treatment Services for Ex-Offenders to increase access and availability of trauma-informed substance use disorder (SUD) treatment and related recovery support services to adult ex-offenders with a SUD and/or co-occurring substance use and mental disorders (COD), who are in residential SUD treatment. The Residential Treatment Services for Ex-Offenders program will use a coordinated, risk-need based approach designed to combine effective community-based treatment, recovery and reentry-related services and discharge planning to break the cycle of criminal behavior, alcohol and/or drug use and incarceration or other penalties. We will implement a full continuum of best-practice interventions for 150 adults with a SUD or COD. The goal of Residential Treatment Services for Ex-Offenders is to improve the behavioral health of the population of focus by providing comprehensive SUD treatment, addiction medicine when indicated, and recovery support services. Evidence-based interventions will be used, including Moral Reconation Therapy, Motivational Interviewing (MI), Men's Trauma Recovery Empowerment (M-TREM) Group Intervention and access to Medication Assisted Treatment for opioid and alcohol use disorders. The proposed evidence-based practices, delivered by credentialed alcohol and substance abuse counselors, address issues key to engaging the targeted ex-offenders completing residential treatment and reentering the community. Goals to be achieved through the Residential Treatment Services for Ex-Offenders program include: stabilizing participants in recovery from SUD/COD; assisting participants to become fully functioning parents, employees and citizens; transitioning individuals out of residential SUD care back to the community; and strengthening partnerships and systems of care for the reentry population. Program services will include: outreach, screening, coordination with corrections, CBT-based groups, vocational rehabilitation, referrals to other services, including mental health, health care, education, housing, and family services, and appropriate discharge planning. Key outcomes include 150 individuals served over three years (50 per year); 80% of individuals served will be abstinent at discharge; 80% of individuals served will report stable housing at discharge; 75% of individuals served will report improved employment at discharge; 80% of individuals served will report improved social connectedness at discharge; 100% of individuals served will have a treatment plan with goals and aftercare plans; 75% of individuals served will participate in >1 evidence-based practice; 80% of individuals served will have reduced criminal justice involvement at discharge; 90% of individuals served will not be re-arrested while in treatment at OH; and 50% of individuals served will show reduction in posttraumatic stress symptoms at discharge.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082157-01 ODYSSEY HOUSE, INC. NEW YORK NY RAMIREZ GABRIEL $375,000

The Lesbian, Gay, Bisexual & Transgender Community Center (The Center), located in Manhattan in New York City (NYC), will implement a targeted capacity expansion project, “Reaching Out,” to expand its capacity to provide substance use disorder (SUD) treatment, prevention, and recovery services to LGBT young adults ages 13-30, and transgender and gender non-conforming (TGNC) people, including adults, in NYC. TGNC is a subgroup of LGBT. LGBT young adults and TGNC people experience high rates of substance use and mental health issues. Of young adults ages 30 and underserved by The Center in 2018, 23% (LGBT) and 26% (TGNC) identified substance use as a concern at intake, of whom, 60% (LGBT) and 71% (TGNC) also identified mental health disorders or conditions and/or expressed suicidality. Comparatively, of all clients served in 2018, 33% (LGBT) and 30% (TGNC) identified substance use as a concern, of whom, 52% (LGBT) and 31% (TGNC) also identified mental health disorders or conditions and/or expressed suicidality. LGBT/TGNC people face unique barriers to accessing and completing SUD treatment. LGBT-focused service providers in NYC are not addressing SUD issues. The Center provides SUD services for the LGBT community, but lacks the capacity to provide a complete spectrum of SUD services or to target underserved populations. Like other LGBT-focused providers, The Center does not yet provide services geared specifically to the unique needs of TGNC people. Additionally, The Center is not reaching LGBT individuals outside of its core service area; specifically, the outer boroughs. The goal of Reaching Out is to decrease substance use among LGBT young adults ages 13-30 and TGNC people ages 13+ in NYC through capacity expansion and increased SUD service provision. To achieve this goal, Reaching Out will meet three objectives: Objective 1. Expand treatment, prevention, and recovery support services for LGBT youth with Substance Use Disorder; Objective 2. Provide specialized treatment, prevention, and recovery support services for TGNC people with Substance Use Disorder; and Objective 3. Increase engagement of LGBT young adults and TGNC people from three of NYC’s outer boroughs of the Bronx, Queens, and Brooklyn in Substance Use Disorder services. Multiple performance measures for each of these three objectives can be found in the Program Narrative. As a targeted capacity expansion project, Reaching Out will include newly offered SUD services and expanded targeted outreach to connect more people to The Center’s existing SUD services. Reaching Out will serve 180 individuals annually and 540 individuals over the entire 3-year project period. These targets represent the increase in clients that will be served in the SUD programs as a result of new services and the expanded outreach.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082312-01 THE LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITY CENTER NEW YORK NY RUBERTO ANTONIO $375,000

ABSTRACT Enhanced Care for Pregnant and Post -Partum Women is a collaborative project lead by Addictions Recovery Center (ARC) in Jackson County, Oregon. ARC, along with community partners in medicine, child welfare, child development and criminal justice, will follow SAMHSA’s Collaborative Approach to PPW treatment to implement the NCASW Substance Exposed Infants (SEI) framework (SAMHSA, 2016). Southern Oregon suffers under the nationwide opioid crisis, which has had especially devastating effects on pregnant and post-partum women (PPW) in our community. The overall project goal is to develop and implement comprehensive, evidence based treatment and recovery support strategies for PPW with substance use disorder (SUD) and/or co-occurring substance use and mental health disorders (COD). The SEI Framework focuses on immediate and ongoing services for infants, mothers, and families, including screening pregnant women for substance use as part of routine prenatal care, testing newborns for prenatal substance exposure, conducting a developmental assessments of newborns. Services will be geared toward promoting the long-term recovery for the entire family, including medical care for drug affected infants and toddlers, classes on parenting a drug affected or medically fragile infant and parent-child bonding, and child care. Community partners will serve on a multidisciplinary team (MDT) that meets weekly to coordinate care. The MDT will be housed in the Oasis Center of the Rogue Valley, a medical care home that provides primary care specific to families struggling with Opioid addiction. ARC’s partnership with Oasis will be geared toward promoting the long-term recovery for the entire family, including MAT for PPW, medical care for drug affected infants and toddlers, classes on parenting a drug affected or medically fragile infant and parent-child bonding, and child care. The ARC will provide coordinated evidence-based behavioral health treatment for all adult family members, including SUD and COD screenings, assessment, treatment, and peer-lead recovery supports. ARC will also provide MAT for the adult partners of the PPW. Over the course of the grant, time unlimited services will be provided to 105 PPW, their children up to age six, and 115 adult family members. In year 1, 20 PPW and 25 adult family members will be enrolled, followed by an additional 30 PPW and 40 adult family members in year 2 and 45 PPW and 50 adult family members in year 3. The 105 PPW and their 115 adult family members make up the combined target population of 220 adults with SUD or COD to be served over the 3 year grant period. The Regional Research Institute at Portland State University will provide a comprehensive evaluation to track outcomes and inform project implementation.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082264-01 ADDICTIONS RECOVERY CENTER MEDFORD OR OLSON NATHAN $293,240

The Council of Southeast PA Inc. will implement a TCE Special Project grant to serve 300 adolescent and transitional aged youth ages 12-25 and their families/primary caregivers at risk for or experiencing substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) over three years. The Project will utilize evidence-based practices and programs to improve substance use outcomes and increase recovery support services. Population of Focus (POF): The POF for this project is 300 adolescents and young adults (12-25) with a substance use disorder (SUD) and/or co-occurring substance use and mental disorders that are experiencing significant unmet needs for SUD/COD treatment and recovery support services and their families. On Year 1, 75 adolescents and young adults will be served and a total of 225 in Years 2 and 3 all unduplicated. The geographic location for this project implementation is Central and Upper Bucks County. Interventions: All strategies/interventions employed are evidence-based practices (EBP). The primary EBP is The Matrix Model for Teens and Young Adults, that will integrate a comprehensive, organized set of evidence-based therapeutic interventions considering the complex social environment that exists for this age group. In addition, the project will include a constellation of EBP including, evidence-based screening and assessment, motivational intervention counseling, individual and family substance use disorder treatment and recovery support services (RSS). Goal: Increase, enhance and expand substance use disorder services in the community to reduce the impact of substance use disorders for adolescent and transitional aged youth ages 12-25 and their families/primary caregivers. • Objective #1: Provide screening programs and assessments (75 in year 1 and a total of 225 in years 2 and 3 all unduplicated) to determine level of care and refer 100% of participants to appropriate level of care. • Objective #2: Increase by 75% abstinence from substance use, employment status, housing status, and social connectedness and reduce criminal justice involvement. • Objective #4: Provide substance use disorder treatment to 100% of participants and families/primary caregivers referred through assessment process. • Objective #5: Provide recovery support services to 100% of participants and their families/primary caregivers and retain a minimum of 80% in services for 6-months. • Objective #6: Assist 100% of uninsured individuals with applying for and obtaining Medicaid benefits, if applicable.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082342-01 COUNCIL OF SOUTHEAST PENNSYLVANIA, INC. DOYLESTOWN PA GORDON HEIDI $375,000

Recovery Resource Council, a nonprofit, Joint Commission Accredited, State Licensed Outpatient Treatment site, will provide evidence-based therapies for up to 80 parents, grandparents or guardians annually (up to 240 throughout the 3 year grant cycle) involved with the Department of Family and Protective Services. The goal of Recovery Now is to support the stabilization of families facing termination of parental rights, precipitated by Substance Use Disorders, co-occurring mental health disorder, PTSD, and/or trauma. Services will be provided by licensed master's level therapists, Licensed Chemical Dependency Counselors, Peer Support Specialist, and Case Managers. Depending on the client's level of need, Recovery Now will offer up to 10 hours a week of evidence based group services for up to 24 weeks; weekly individual counseling; and parenting classes. Supportive Outpatient Treatment Services will offer up to 6 hours a week for those who require a less intensive treatment plan. The impact of Recovery Now is expected to be reductions in substance use, reduced risk for relapse, decline in trauma related symptoms, and improved family functioning.

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI081973-01 RECOVERY RESOURCE COUNCIL FORT WORTH TX GARRETT KIM $375,000

Recovery Opportunities and Reentry Services Plus (ROARS+) will expand and enhance substance abuse treatment and recovery support services for 300 adult racial/ethnic minority offenders with substance use/co-occurring disorders, in Bexar County, Texas who are reentering the community from the Bexar County Adult Detention Center (BCADC) through the use of screening, assessment, Cognitive Behavior Therapy, Brief Strength Based Case Management, and Recovery Support Services. Population: ROARS+ will serve 300 adult racial/ethnic minority offenders, aged 18 and older, who have substance use (SUD) or co-occurring substance use and mental health disorders (COD) and are reentering the Bexar County, Texas community. In YR01, 100 offenders will be enrolled, 150 in YR02, and 50 in YR03. Recruitment will take place through screening, assessment, and referral from BCADC. Interventions: All offenders in BCADC are screened for SUD and COD using the validated Screening Form for Suicide and Medical/Mental and Developmental Impairments required by Texas Jail Standards. Prospective clients will be offered a more detailed screen for SUD using the Texas Christian University Drug Screener 5. If an offender screens positive on the TCU-DS5, he/she will be offered the opportunity to enroll in ROARS+ and given a comprehensive intake assessment, utilizing the Structured Clinical Interview for DSM-5 (SCIDS-5), the GPRA tool, and other local measures. After intake, participants will be eligible to receive a multicomponent, culturally competent, and supportive services from University Health System staff and partner organizations, namely Crosspoint and Rosetta’s Key, PllC. The integrated continuum of services includes Cognitive Behavior Therapy, Brief Strength-Based Case Management, and Recovery Support Services. Clients will complete 6- and 12-month follow-up assessments and receive a 25 gift card for completing each follow-up. Goals and Objectives: The primary goal of ROARS+ is to prevent/reduce the use of substance use among ROARS+ clients (Goal #1). It is expected that at 6- and 12-month follow-up a significantly lower proportion of offenders will report risk behaviors associated with binge drinking and illegal drug use as well as report fewer episodes of binge drinking and drug use compared to baseline (Obj. 1). Goal #2 is to increase access to and retention in substance use treatment and recovery support services. By 6- and 12-month follow-up it is expected that clients will report increased access to recovery supportive services and improved quality of life compared to baseline (Objective 2.1-2).

Award Number Grantee Organization Name Grantee City Grantee Statesort descending Project Director Last Name Project Director First Name Award Amount
TI082261-01 UNIVERSITY HEALTH SYSTEM SAN ANTONIO TX SCOTT ANTHONY $371,088