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SRC will provide direct services to the recovery community through ongoing evidence-based program implementation, statewide training, and statewide outreach efforts. SRC will expand and enhance their existing Justice Programs which are the unification of ongoing services for justice involved individuals with SUD in need of recovery support services. This includes the 4th Judicial District Problem Solving Courts, El Paso County (EPC) Sheriff's Department - Behavioral Health Connect Unit (BHCON) and the El Paso County Criminal Justice Center (CJC) Jail Reintegration and Recovery Program. BCOR funds will allow SRC to continue to offer direct RSS and PRSS, which are core competencies of SRC and offered at no cost to the client, removing the financial barrier. SRC’s Training Institute is expanding by offering higher level specialized training modules through the Jordan Training Institute (NAADAC certified) to other RCO’s, peer coaches and professionals across the state of Colorado. These trainings are credited as CEUs and can be used for Colorado recertification of peer coaches every two years. In addition, partnerships with state level organizations such as Colorado Behavioral Health, the Colorado Opioid Consortium and the Colorado Provider Association (COPA) will support SRC in expanding their Stigma Reduction Campaign with Hero stories and education through social media and newsletter outreach statewide.

Summary. Exponents, Inc. (EXP) is proposing a program to increase the prevalence and quality of long-term recovery support from substance abuse and addiction in NYC by supporting the enhancement, expansion, and delivery of recovery support services (RSS) as well as promotion of and education about recovery. EXP will serve 200 unduplicated individuals annually and 600 over the project period and will provide trainings 45 agencies over the project period. Project name. Communities of Recovery NYC Populations to be served. EXP’s population of focus (POF) will be individuals in need of long-term recovery support services, including men and women currently in recovery from substance use disorder, as well as those who operate and work within RSS organizations. The catchment area is NYC, with a focus on Upper Manhattan, Central Brooklyn, and the South Bronx. Strategies/interventions. EXP’s program activities will include: 1) Peer Recovery Support Services (PRSS), which will be designed and delivered by people who have experienced both drug/alcohol addiction and recovery; EXP will utilize one recovery coach and one trained peer to implement PRSS; services will include monthly recovery coaching sessions, and access to internal harm reduction and medication-assisted treatment services, workforce development, peer accompaniment, and ongoing support; 2) RSS, which will include non-clinical services (case management, non-clinical individual and group sessions, and reSET, a prescription digital therapeutic program to improve outcomes in the treatment of substance use disorders); 3) the evidence-based Moral Reconation Therapy (MRT) EBP; and 8) implement the Supported Employment EBP; 4) build connections through infrastructure building between recovery networks, between RCOs, and with other RSS; 5) provide activities designed to reduce stigma and resultant discrimination and/or negative attitudes concerning people with addiction and in recovery from drug/alcohol addiction; 6) conduct public education, training (including addiction peer recovery coach training) and outreach; and 7) tobacco cessation programming. Project goals and measurable objectives. The program’s goal is the enhancement, expansion, and delivery of recovery support services (RSS) as well as promotion of and education about recovery. The program’s objectives include: Provide PRSS to an additional 200 persons from the POF per year; Provide RSS to an additional 200 persons from the POF per year; Build connections and collaborations among substance use and mental disorder treatment programs through at least 12 networking/training/TA presentations per year to promote PRSS to program participants and other stakeholders, referring at least 20 individuals in need of recovery to PRSS per year; Conduct a social marketing campaign designed to reduce discrimination and negative attitudes concerning people with addiction and in recovery, reaching at least 7,500 persons annually; Increase access to addiction peer recovery coach training for 30 individuals per year in efforts to increase the peer specialist workforce; and provide tobacco cessation programs, activities and strategies, reaching 200 persons from the POF per year.

North Suffolk Mental Health Association (NSMHA), the host agency for STEPRox Peer Recovery Support Center (PRSC), proposes a three-year Building Communities of Recovery (BCOR) initiative aimed at expanding program offerings to its newly established Recovery on the Harbor (ROH) PRSC, primarily serving Chelsea, East Boston, and Revere, Massachusetts. The NSMHA/STEPRox BCOR Initiative includes: 1) establishing a 24/7 Recovery Support Hotline aimed at engaging and connecting individuals to Recovery Coaches (RC) and recovery support services (RSS); and 2) developing a RC and RSS training center at ROH. In the 2019 Collaborative Community Health Needs Assessment, 74% of respondents reported alcohol/drug use/addiction/overdose as the top health concern. The pandemic has further exacerbated existing gaps in addictions treatment and recovery services and supports, underscoring the urgent need to better serve an already vulnerable, underserved population. This BCOR initiative will help fill this gap in RC and RSS services in the North Suffolk area, while also expanding services throughout the NSMHA/STEPRox service area.

The Midlands Communities of Recovery (MCOR) project activities will serve substance misusing adolescents and emerging adults, and their family members, in Lexington County, South Carolina (SC). The Courage Center (TCC) will serve 380 participants in year 1 and 475 in year 2 and 600 in year 3 for a total of 1455.

The Chris Atwood Foundation seeks to expand our Revive to Thrive peer support continuum that currently serves individuals and families impacted by substance use disorder (SUD) throughout Northern Virginia, with a particular focus on low income and underserved populations. By utilizing our evidence based, best practice model of peer-to-peer outreach we serve individuals in all stages of substance use disorder, from active and chaotic substance use to long term recovery. The Revive to Thrive program manages the entire recovery journey of persons with substance use disorder. Through a variety of field-based, flexible community outreach tactics, our certified peer support specialists reach out to high-risk individuals with substance use disorder where they are in the community to offer our services. A team of certified peer support specialists counsel individuals regarding treatment options, harm reduction principles, and recovery support. If appropriate, immediate enrollment in a medication assisted treatment (MAT) program will be initiated through one of our community partners. From there, the peer support specialist will guide program participants through the following services provided by The CAF as they fit that individual’s unique needs: disease testing, treatment referrals and resource navigation with warm handoffs and enrollment support, assistance enrolling in healthcare, relapse prevention and recovery support, recovery housing assistance, employment and transportation assistance, the creation of customized wellness plan, family support group, linkage and scholarships to online family education academy, and linkage to private peer family recovery coaches. This highly personalized and peer-centered approach is an evidence-based method that prevents overdose and the spread of disease, reduces recidivism and substance use, and increases rates of recovery and other positive health outcomes. Over the next three years our goal is to reach 1,500 unduplicated individuals (500 annually), providing (1) increased access to Peer Recovery Support Services and (2) increased health and recovery literacy, completing the following measurable objectives: 1. By the end of the three year grant period, The CAF will provide Peer Recovery Support Services to 1,500 individuals with SUD in Northern Virginia. 2. By the end of the three year grant period, The CAF will provide 3,000 overdose reversal kits to individuals in Northern Virginia with SUD. 3. By the end of the three year grant period, 300 individuals in Northern Virginia with SUD will be placed in recovery housing. 4. By the end of the three year grant period, 80%, or 1,200 Revive to Thrive members will demonstrate increased knowledge to promote optimal health.

The Center for the Advancement of Rural Living, on behalf of Recovery Aroostook, proposes a project to expand and enhance services for people in recovery from substance use disorder in frontier and remote Aroostook County, Maine. Major partners include Cary Medical Center and the Aroostook Mental Health Center. Interventions will be evidence-based, guided by recent needs assessments, and, most importantly, by people with lived experience in addiction and recovery. Peer recovery services will be enhanced, community recovery supports expanded, and stigma and shame reduced. Partners plan to establish a recovery community in the most northern, remote part of the region.

The Sober Life Project will serve North Central Montana and provide more than 1,550 people struggling with substance abuse issues with desperately needed Recovery Support Services, care coordination and peer recovery coaching to help them find connection, purpose and a sense of individual agency. The Project will also provide trainings and public events to promote awareness and understanding of and support for people struggling with substance abuse issues. The Sober Life Project will serve Cascade County, including Great Falls (county seat and urban hub), as well as 8 rural counties in North Central Montana, Blaine, Choteau, Glacier, Hill, Liberty, Pondera, Teton and Toole, and three Indian Reservations, Blackfeet, Fort Belknap and Rocky Boy. While Substance Use Disorders (SUDs) are prevalent across all demographics in the area served by the Project, the Project will focus on the most severely impacted and vulnerable populations, namely, Native Americans, Veterans, transition-aged youth (ages 16-20) and single parent households, with an emphasis on reaching rural areas. Recovery Support Services (RSS) are scarce in the Project area, and the dearth of services is particularly acute in rural areas. In addition to the lack of RSS, there is an acute lack of care coordination among and between healthcare, addiction treatment and social services providers. The main barriers to expanding RSS in the Project area are funding shortages and the logistical challenges, e.g., transportation and access to childcare, presented by the area's low population density. The main barrier to care coordination is distrust among providers driven by perceived client "stealing." BCOR funding would address these barriers by providing the Sober Life with the resources needed to : (1) expand the number and geographic reach of our family friendly events, fitness activities, recovery tool programming and volunteer opportunities: (2) overcome logistical barriers by providing transport to and childcare at Sober Life programming; (3) provide peer recovery coaching and serve as an honest broker in coordinating care with service providers; and (4) ensure the sustainability of RSS in the Project area by catalyzing community support through holding events and trainings aimed at increasing awareness of and reducing the stigma around addiction. The Project will serve 450 people in year one, 525 in year two and 625 in year three, and will achieve the following goals: (1) 60% of participants receiving care coordination/peer recovery coaching (CC/PRC) will maintain sobriety during their first year in the program, 55% after year two and 50% after year three: (2) 80% of CC/PRC participants will report improved well-being; (3) CC/PRC participant ER visits during first year in program reduced by 50% compared to prior year; (4) Child & Family Services removals of CC/PRC participants' children during first year in program reduced by 50% compared to prior year; (5) Sober Life members in Adult and Veterans Treatment Court will graduate at a 25% higher rate than non-members; and (6) 80% of community members who attend a SUD awareness/stigma reduction event or training will report an increased awareness of addiction and great willingness to support those in recovery.

Face It TOGETHER (FIT) is an addiction wellness nonprofit that offers compassionate, data-driven peer coaching to those impacted by addiction, including loved ones. Though FIT provides services nationwide, Face It TOGETHER Colorado Springs Expansion is focused within Colorado Springs, CO. FIT will serve persons with addiction and loved ones 18 years and older within the Colorado Springs area by providing evidence-based peer coaching. Within the last several years, El Paso County has reported high levels of drug overdose deaths and alcohol-related driving deaths. The state of CO is also struggling with high rates of drug overdoses and has experienced a high rate of unemployment since mid-2020. FIT coaching uses strategies and interventions such as motivational interviewing and leveraging their shared lived experience to guide a path of wellness. Coaches create a safe and nonjudgmental space for those impacted to seek support. Coaches educate loved ones on the disease of addiction, how to create healthy boundaries and how to motivate change. FIT has four primary goals: Improve the wellbeing of people impacted by addiction in Colorado Springs; ensure FIT peer coaches are highly trained in current evidence-based techniques; create partnerships throughout Colorado Springs to expand FIT’s reach and increase member engagement; and reduce the stigma surrounding addiction in Colorado Springs. Within the first year of this project, FIT will engage 85 individuals impacted by addiction (including LOs) in peer coaching and increase by 10 individuals each subsequent year for a total of 285 individuals. Additional objectives include: • After at least 60 days of peer coaching, members will demonstrate a 10% increase in their wellbeing from baseline to final assessment. • By end of Y1, FIT’s website will be translated and accessible to Spanish-speaking individuals. • Obtain 300,000 impressions during FIT’s Recovery Month campaign (Y1). • By end of Y1, FIT coaches will be fully trained, tested and credentialed through NAADAC, with a two-year renewal occurring by the end of Y3. • Enlist a licensed professional to provide ongoing clinical oversight of coaches by end of Y1. • FIT coaches will participate in targeted professional development opportunities on a monthly basis. • Develop five referral relationships with community nonprofits by end of Y1. • Increase connections in multiple sectors of the community (e.g., military, healthcare, Hispanic community) by end of Y2. • By end of Y2, produce three to five high-quality testimonial videos with a focus on destigmatizing addiction and encouraging people to seek help. • Monthly marketing will raise awareness and generate at least 2,500 impressions monthly.

MCPIK’s CARES Recovery Corps will serve individuals and families seeking or in recovery from substance use disorder in Morris and Passaic County New Jersey through Peer Recovery Support Services and training. Project goals and objectives include Goal 1. Build a CARES Recovery Corps, which will foster local relationships between recovery networks and other recovery support services (RSS).Objective 1. By May 30, 2024 recruit and train 120 individuals from Morris and Passaic Counties in the Certified Peer Recovery Specialist (CPRS) training. Objective 2. By May 30, 2024 provide 500 internship hours to the trainees to meet the requirements for CPRS certification through the Addiction Professionals Certification Board of NJ, as measured by sign in sheets and/or activity logs. Objective 3. By May 30, 2024 provide 25 supervision hours to the trainees to meet the requirements for CPRS certification through the Addiction Professionals Certification Board of NJ, as measured by supervision logs. Goal 2. Organize a team of Recovery Ambassadors that will focus on stigma reduction associated with substance use disorder (SUD). Objective 1. By May 30, 2024, provide 12 stigma reduction education trainings in professional settings, providing one training per quarter. Objective 2. By May 30, 2024, provide 12 stigma reduction education trainings in community settings, providing one training per quarter. Objective 3. By May 30, 2024, increase knowledge on the negative impacts of stigma on individuals with a substance use disorder (SUD), as measured by results of a pre and posttest. Goal 3. Enhance and increase access to Recovery Support Services tailored to the needs of the targeted communities. Objective 1. By May 30, 2024, survey 300 individuals using the Recovery Support Services (RSS) Strengths and Needs Assessment. Objective 2. By May 30, 2024 expand RSS within the communities by establishing five new recovery support meetings representing multiple pathways to recovery. Objective 3. By May 30, 2024 implement one new recovery support programming in each county, influenced by the results of the Needs Assessment. Goal 4. Build and sustain a knowledgeable, volunteer-driven community to provide education and outreach on issues related to SUD to enhance the recovery ecosystems in the targeted communities. Objective 1. Create and foster collaborative relationships to develop, build and expand recovery capital within the targeted communities, evidenced by survey results from the Recovery Data Platform (RDP) and the Brief Addiction Recovery Capital (BARC) scale, with a 40% increase in recovery capital and outcomes by May 30, 2024. Objective 2. Enhance the local recovery ecosystem by strengthening access to Peer to Peer Recovery Support to anyone in need, observed by providing recovery support services to 300 unduplicated individuals by May 30, 2024. The project will serve 140 people annually and 420 over the lifetime of the project.

Peer Washington is proposing to improve behavioral health outcomes for adults with substance use disorder (SUDs) and co-occurring mental health and SUDs through our "Launch of Peer Recovery Services in Washington State's South Puget Sound Region" project. This project will provide new, evidence-based peer recovery services in an underserved, predominantly rural region, integrating RCO-provided peer services into the continuum of care. This project will open a new service site, to be called Peer Olympia, to serve adults in Thurston County, and extending to reach residents of neighboring Mason, Lewis, and Grays Harbor counties. Peer services at the new site will be open to all adults in recovery, with a particular focus on two special populations: 1) veterans, active-duty military, and their families; 2) adults who are unhoused. These populations are both disproportionately represented in Thurston County and disproportionately impacted by behavioral health issues. Yet the South Puget Sound region has a major gap in treatment and recovery services, with RCO-provided peer recovery services currently nonexistent. SAMHSA BCOR funding will directly support new access to evidence-based RCO-provided peer recovery services through 1) the opening of a new location for the provision of services including peer coaching; socialization, education, and support groups; resource referral; supported employment; supportive housing; and crisis intervention and support; and 2) partnering with local organizations that serve our focus populations to foster peer services workforce capacity development. The overall project goal is to improve behavioral health outcomes in the South Puget Sound region. Key programmatic objectives for participants in recovery include: 1) 75% of participants remain active in recovery support services after six months; and 2) 65% of participants report they have maintained their recovery goals over the previous 30 days after six months. This project will serve a total of 268 people: 70, 88, 110 respectively in project years one through three. Peer Washington is a Recovery Community Organization (RCO) with a 37-year history of service to adults with behavioral health issues.

The Georgia Council on Substance Abuse (GCSA) Building Communities of Recovery (BCOR) grant project will expand peer recovery support services to individuals presenting to the rural Northeast Georgia Health System emergency department in Lumpkin County Georgia. The BCOR grant program will also allow GCSA to enter formal partnerships with the Hall County Family Treatment Court and Division of Family and Children Services to provide services to pregnant mothers with substance use disorder(SUDs). In addition to peer services, GCSA will facilitate trainings to educate Hall County DFCS staff on the recovery process and the importance of minimizing stigma when working with families. With a population of approximately 33,000 people, Lumpkin County residents often experience challenges when accessing recovery support services. Communities across Georgia have been negatively impacted by the opioid epidemic, especially in rural areas and locations where trust, stigma, and language are major barriers for individuals in and seeking recovery from SUD. The goals of the project are to: increase the number of individuals served in rural communities by providing peer recovery coaching and support to Northeast Georgia Health System's (NGHS) Lumpkin County emergency department; increase the number of pregnant mothers served, specifically those enrolled in Hall County Family Treatment Court, by providing quality peer recovery coaching and support; increase the number of pregnant mothers served, specifically those with active/ongoing cases at Hall County DFCS, by providing quality peer recovery coaching and support; and improve outcomes for DFCS staff and peers by developing and implementing trainings related to recovery from substance use disorder and peer recovery support services. A primary component of this program includes tracking data and outcomes through implementing Plans of Safe Care (POSC) with new and expecting mothers as well as using GPRA measurement tools. Utilizing POSC will allow pregnant women and recovery coaches to work together to identify supports needed to find and maintain recovery from SUD before giving birth to their infants. In addition to serving peers with SUD in a rural emergency department, the overarching goal of the proposed program is to keep mothers, infants, and families healthy and united. Peer coaches will serve as advocates and peers will be connected to recovery supports in the local community. The BCOR program will expand and enhance peer recovery support services in Northeast Georgia. This program is designed to become a model for Peer Recovery Support programs across the United States. Number of individuals to be served: Year 1-50, Year 2-64, Year 3-69. Total served (minimum) = 183.

The Don’t Judge Me, Help Me Recovery Community Organization (DJM-RCO or just RCO) will provide recovery support services (RSS) in three counties in North Carolina. No less than 1,550 persons will be served, primarily those in or seeking recovery. Peer Support Specialists (PSS) will be hired for the grant and other PSS’s specific to substance use will be trained in the community. The RCO will also focus on outreach, education forums and anti-stigma events. The population to be served will not be limited by race, ethnicity or other factors. Intensive PSS will be offered to 250 enrolled consumers over the three years as well as 1,300 family members, friends and stakeholders supported by outreach and resource linkage. For Year 1, 400 individuals will be served. This will increase to 500 in Year 2 and 650 in Year 3. Those enrolled will be served for up to one-year with an additional 90-days of follow-up. A substance use community treatment partner will work with the RCO for those needing substance use treatment. To foster sustainability, volunteers will be recruited, supported and hours tallied. Participation and attendance in events as well as satisfaction and perception of the impact of the training/events and education forums will be used to assess community impact and acceptance of RCO’s and PSS. Specifically, the RCO will engage in the following activities: (1) an initial and follow-up need assessment in the catchment area; (2) quarterly Peer Support Training to increase the number of certified PSS in the catchment area; (3) Training and technical assistance (T/TA) support for other RCO’s to develop policies, practices and sustainability plans while integrating RCO networks to provide needed PSS and education services across the entirety of the catchment area; (4) quarterly WRAP training to increase the number of PSS’s with WRAP capacity; (5) ongoing outreach to referred persons with substance use issues; (6) assessment and provision of RSS via PSS for those enrolled; (7) outreach events to educate the public; (8) T/TA in the form of individual RCO support and education forums or anti-stigma events quarterly; (9) ongoing referral and follow-up to RSS, SDOH and clinical needs contacts and those enrolled into DJM-RCO; and, (10) sustainability planning to include a sustainability plan draft by the end of Year 1 with updates each subsequent year; and, (11) evidence-based treatments via the partnering treatment organization. The goals of the project are to: (1) Consumers will receive appropriate recovery-based services and support for developing a recovery identify; (2) Improve consumer community stability and resources; (3) Systematically engage in outreach to improve knowledge of community stakeholders and reduce stigmatizing beliefs; and (4) Improve understanding and integrated infrastructure related to recovery, stigma and related content for community stakeholders. Objectives and data tracking for counts of activities and other outputs to fully evaluate the project are linked to each goal. A comprehensive evaluation including process, outcome and impact components will be completed by a professional external evaluation organization with experience with RCO’s, substance use programs, and federal grants.

Detroit Recovery Project (DRP) is a Recovery Community Organization (RCO) and a Certified Community Behavioral Health Clinic (CCBHC) which provides substance use prevention, treatment, and recovery support services as well as crisis intervention services for individuals with serious mental illness. DRP is seeking funding to enhance the Building Communities of Recovery (BCOR) initiative to include the expansion of recovery support services to individuals affected by substance use disorder (SUD), opioid use disorder (OUD) and/or those exiting treatment or the correctional system in Detroit and bordering city, Highland Park within Wayne County, Michigan both cities with majority minority populations (78% are Black/African American and 35% live in poverty) and 10% of the population suffer from SUD/OUD. Racial and health disparities abound in the target area, which has also been impacted substantially by the COVID-19 pandemic. If funded, the DRP Building Communities of Recovery project (DRP BCOR) will endeavor to decrease substance use within the City of Detroit and Highland Park, Michigan among individuals exiting SUD treatment and the Michigan Department of Corrections (MDOC) by removing barriers to a crime free, drug free lifestyle. DRP BCOR will impact the lives of 100 individuals in Year 1 and 150 in subsequent years, totaling 400 individuals over the lifespan of the project. If funded, DRP will utilize proven Recovery Support strategies as established by SAMHSA and evidence-based interventions to facilitate long-term recovery and the achievement of a crime free lifestyle for individuals at-risk for recidivism within the target cities. increase Recovery Support Services (RSS) to the target community by: 1) expanding the recovery workforce; 2) decrease barriers to achieving and sustaining recovery utilizing evidence-based interventions to enhance the likelihood of achieving long-term recovery; 3) Decrease contact with the criminal justice system by addressing practical needs that prevent recidivism; 4) Improve overall health and wellness outcomes by increasing access to behavioral health, physical health care and wellness services through DRP CCBHC and collaborative partners and; 5) Enhance the functioning of Recovery Community Organizations Statewide by providing technical support, educational trainings and one-on-one assistance.

Utah Support Advocates for Recovery Awareness proposes to build communities of recovery in rural communities by expanding the delivery of Peer Recovery Support Services in the Southwest and Four Corners (Southeast) Regions. This will be accomplished through the establishment of a Recovery Community Center in Grand County and the expansion of recovery networks into rural areas surrounding Washington County, Utah. Population served: 40 unduplicated people will be served annually, with 120 being served over the life of the project, as evidenced by GPRA completion. Project participants are adults 18 and older who have experienced misusing substances or have an SUD/OUD and want to voluntarily engage with Peer Recovery Support Services (PRSS). Strategies and Interventions: The FY21 BCOR project will allow for USARA to enhance and expand non-clinical peer-led RSS that we originally established through our FY17 BCOR grant in St. George, located in Washington County. Our strategic focus will be to increase the infrastructure through, 1) expansion of PRSS and building recovery networks into more rural areas, 2) build partnership development and enhance connections with existing community and social services, courts, health care entities, and the SUD treatment provider, and 3) establish Regional Peer Recovery Coalitions in both Southwest and Four Corners Regions. Regional Peer Recovery Coalitions will be representative of the ethnic, cultural, and social diversity found within each region. Through these efforts, we plan to conduct public education, training (including peer recovery coach training), and outreach on issues relating to SUD/OUDs and recovery.

The ACTION Coalition/ACTION Addiction Recovery Resource Center (AARRC) and its partner, Families Free will serve over 100 families by establishing the AARRC “Bridging the Gap” Recovery Community (AARRC RC). The AARRC RC aims to foster a recovery culture and community of professional and peer support to engage individuals in the recovery process, and to build new infrastructure supporting a continuum of coordinated, evidence-based PRSS and RSS services that addresses the complex service needs of system-involved individuals and families. The program will be implemented through a formal partnership between AARRC and Families Free with commitments from key partners, including the Ballad Perinatal Center, the Department of Children’s Services, the Johnson County Sheriff’s Department, the Johnson County Jail, and the Carter County Detention Center. The project will also engage other collaborating organizations including government and civic leaders, community-based organizations, and faith communities. The population of focus will include Johnson and Carter county residents 18-60 years of age who have a history of substance use disorder (SUD) and who are at-risk for, or are currently involved with, the judicial or child welfare systems. The program aims to address the more complex recovery support needs of these system-involved adults to help them successfully navigate challenging life transitions, such as the perinatal period, family separation or reunification related to CPS involvement, or reentry into the community following incarceration. The program will establish identification and referral systems to recruit clients through partnerships with healthcare providers and county government systems. Clients will receive comprehensive case management services to help them navigate recovery services and resources. The project identifies four overarching goals and related objectives that focus on maximizing treatment effectiveness, preventing relapse or recidivism, helping individuals achieve stability and meaningful, long-term recovery. The core goals are to: (1) foster a recovery culture and social support network to raise awareness about addiction and recovery, reduce stigma, increase visibility of resources, and build networks of social support, (2) build local capacity and infrastructure to increase availability of Peer Recovery Support Services (PRSS) for at least 110 clients, (3) expand the continuum of coordinated Recovery Support Services (RSS) addressing the complex needs of at least 110 system involved adults, and (4) establish a sustainability and replication plan to sustain the AARRC RC beyond the life of grant. The project targets a 20% increase in past-month abstinence and 30% increase in access to social support among case managed recovery clients, a 20% decrease in justice system involvement and 20% increase in rates of employment or education for justice involved clients, and a 10% reduction in DCS actions among DCS involved parents. The ACTION Recovery Community is anticipated to reach approximately 110 unduplicated individuals over the 3-year grant funded period, enrolling 30 clients in Year 1, 40 clients in Year 2, and 40 clients in Year 3.

Unity Recovery is a peer-based, recovery community organization and center that is instrumental in providing recovery support services in the Philadelphian metropolitan area for individuals with opioid use disorder (OUD) and other substance use disorders (SUD), family members, and the community at large. We serve several of the communities most disenfranchised and at-risk members, including those experiencing co-occurring behavioral health disorders, criminal justice involvement, and homelessness. In Philadelphia, we have faced mounting concerns as the opioid and overdose crisis has expanded in the city. The current project, Recovery For All (R4A): Expanding Peer-based Recovery Support Services in Philadelphia, intends to serve those Philadelphians, aged 18 and over, that have a current or past SUD in need of peer-based recovery support services. We anticipate that we will provide services to 60 unduplicated individuals per project year, for a total of 180 during the project period.

Voices of Recovery, a RCO in San Mateo County, [SMC] CA, will implement an intensive outreach recovery coaching intervention delivered by WRAP-certified peers with lived experience for adults with major barriers to accessing resources and SUD treatment, providing individualized recovery coaching using motivational enhancement and recovery skills development, linkage with vocational, education, housing, and other resources, and culturally appropriate self-care education. SMC’s population is 59.5% white, 2.8% African-American, 30.6% Asian, and 24% Hispanic/Latino, with 6.1% of the population living in poverty. Thirty-four percent of residents are foreign-born, and 45.7% speak a language other than English at home. The Project will target persons with a history of significant substance abuse who are likely experiencing a life crisis or pattern of chronic instability. They may be involved in multiple local systems: criminal justice, homeless services, mental health, veterans’ assistance, and child welfare. Although they have a serious SUD, clients may not identify substance abuse as a primary issue or disrupter in their lives or express a motivation to address their use directly. Many have not been able to sustain relationships with helpful community resources, and most likely experience a history of trauma, emotional difficulty, depression, anxiety, relationship violence, school failure, unemployment or underemployment, and current medical problems. Strategies include developing a recovery coaching manual, using motivational interviewing and Community Reinforcement Approach materials to structure interactions between coaches and clients, and developing referral criteria that reflect the need to identify persons overwhelmed by the SMC service system who can readily benefit from improved recovery support. The engagement philosophy of the Project will be that effective intervention demonstrates to clients a sense that there is a community that cares about the quality of life for them. The basic questions coaches will use to help adults, who may currently be outside the treatment system, will be: "What steps can you take now to improve your recovery, and how can I help with that?" Project goals are to implement the individualized recovery coaching service, and to improve the SMC recovery infrastructure. Objectives include: Train 4 experienced WRAP facilitators in the recovery coaching model, implement 3 MOUs each project year with SUD treatment agencies that detail the role of VOR in providing individualized aftercare recovery support for clients at significant risk of relapse, implement MOU agreements with at least 2 SMC vocational services providers each project year to facilitate entering employment for consumers in RSS, provide 24 yearly presentations on RSS services, wellness, and self-care to SMC government and community agencies, and publish 2 monthly messages across 3 social media platforms aimed at reducing stigma associated with addiction and promoting the effectiveness of recovery services. Fifty people will be served year 1, 60 in year 2, and 75 in year 3, for a total of 185 unduplicated clients.

Prevention links building inclusive communities of recovery in Hudson county and throughout NJ will increase the cultural-responsiveness and equity of recovery support in NJ through both direct recovery support services and through state and community infrastructure development. The BCOR project seeks to: (1) Increase the prevalence and quality of recovery support services that are responsive to diverse cultural, linguistic, and safety needs of underserved populations; (2) Increase coordination between and among key stakeholders in driving recovery outcomes; AND (3) Increase the capacity of grassroots recovery community organizations in NJ. Prevention Links (PL) is a recovery community organization based in Central NJ providing an array of peer-based recovery support services to people impacted by addiction and their loved ones. Through BCOR grant funds awarded in 2017, PL launched the NJ Coalition for Addiction Recovery Support (NJ-CARS), a statewide recovery community organization whose mission is to increase the prevalence and quality of recovery support services in NJ.

The MO-KAN Building Communities of Recovery project, to provide mentoring, support, case management, and recovery services for peers ages 14 – 65 with substance use issues in Kansas and Missouri counties identified as hot spot counties and neighboring counties. Poetry for Personal Power (P3) is a nationally recognized expert on trauma and resilience, incorporated and headquartered in Kansas City, KS. In Missouri, targeted counties will include the counties of St. Louis, Cass, Clay, Lafayette, Jackson, and Boone. In Kansas, the targeted counties will include the counties of Johnson, Shawnee, Wyandotte, Seward, Ford, Finney, Sedgwick, Allen, and Leavenworth. Based on the demographics of these counties, P3 anticipates that this population will be 55% African American, 15% Hispanic/Latino, 25% Caucasian, with 5% Asian, Native American, or Other races/ethnicities. A growing number of Kansas and Missouri residents have a substance use disorder. An estimated 388,000 Missouri residents had a substance use disorder during the past year. They included 21,000 adolescents, 98,000 young adults, and 269,000 adults older than 25. The five-year trend data and annual hospital or facility admissions data indicate that methamphetamine remains the primary illicit substance of abuse in patients admitted for treatments ages 12 and older in Kansas. It was about triple (26.5%) the national average of 8.8% in 2015 and increased to 34.1% in 2016. The goal for this project is to create a larger community of recovery throughout Kansas and Missouri through peer recovery programming, case management, and a variety of group, workshop, and certification course offerings. Throughout the grant period, P3 will serve approximately 8,500 individuals: 2,500 in year one and 3,000 per year in years two and three. Individuals participating in this program will receive one-on-one peer support and mentoring from lived-experience peer experts. Critical objectives of this project include: 1) engage peers struggling with substance use issues in 1:1 peer support services including case management and connection to community resources for peers struggling with substance use issues; 2) decrease hospitalizations and increase individual resilience; 3) stabilize peers in their respective communities including lower arrest rates, progression or stabilization in employment or education, and resources to help secure their environment; 4) increase the # of peer recovery coaches per targeted county; and 5) host peer outreach events to connect peers struggling with substance use to services, resources, and support.

The Community Recovery Center Project will develop a peer-run recovery center that will offer one-on-one peer support; peer support groups and workshops; application assistance for jobs, rental housing, Medicaid and public benefits; referrals to mental/behavioral health and other community services; and a resource room with a computer lab. The project will serve adults living with substance use and co-occurring mental health and substance use challenges in the City of Harrisonburg and Rockingham County, Virginia. This population is about 90% white, 5% black, 2% Asian, 2% multi-racial, and 1% other. It is also 51% female and 49% male. The most commonly abused substances are alcohol and methamphetamines, although opiates are on the rise. The project will serve people at all stages of recovery and will provide person-centered services that meet people where they are and are tailored to their personal needs and preferences. The goal of the project is to build a community of recovery that people trust and will turn to when they need help, support, advocacy, and connections to community services and resources. The project will achieve the following measurable objectives: 1) Develop program policies and procedures, data collection forms, and participant resources by September 31, 2021. 2) Reach at least 200 referral sources and 1,000 members of the target population with print and digital marketing materials by May 30, 2024. 3) Enroll at least 100 individuals in the Community Recovery Center Program through May 30, 2024, including 24 in year one and 38 in each of years two and three. 4) Provide 100% of participants one-on-one peer support services through May 30, 2024. 5) Provide at least four weekly peer-led support groups and workshops through May 30, 2024. 6) Provide at least 50% of participants referrals to mental/behavioral health and other community services through May 30, 2024. 7) Provide at least 50% of participants application assistance for jobs, rental housing, Medicaid, and public benefits through May 30, 2024.

Building Community Connections will serve individuals experiencing substance use, addiction and co-occurring mental health disorders who live with financial hardship, are uninsured or underinsured, and have experienced homelessness. We will provide peer recovery supports and services to build and strengthen a collaborative network with organizations who serve these individuals, provide education on addiction and recovery, expand services to a rural county, and help build the recovery workforce. In Travis County alone, there are over 164,000 people under the age of 65 living without health insurance and 2,255 individuals were homeless in Travis County on a single day. The rate of poverty in Travis County is 10.8 % and 14 % in Bastrop County. Communities for Recovery has five goals; 1) Increase the recovery capital of individuals with a history of substance use disorder (SUD) living at Community First! Village (CFV) by expanding recovery support and service programs. Measurable objectives for Goal 1 are 80 individuals attending recovery support groups, 120 receiving PRSS, and 60 individuals attending sober social events. 2) Increase recovery capital of underserved individuals with SUD in Travis County by expanding recovery support services through building and strengthening collaboration with the Travis County Emergency Services (TCEMS) Community Health Paramedics (CHP), Integral Care, Downtown Austin Community Court (DACC), Dell Medical Center and the Support Hospital Opioid Use Treatment (SHOUT), the Texas Harm Reduction Alliance (THRA), the Sobering Center (SC), Blue Bonnet Trails Community Services Outreach Screening, Assessment and Referral program (OSAR) and CFV. Outreach measurable objectives for Goal 2 are 45 individuals will receive peer recovery coaching, outreach activities will reach 150 individuals, and 90 individuals will participate in recovery education. 3) Increase recovery support services through the implementation of a Telephonic Recovery Support Check-In Program (TRSCIP) and expand opportunities for individuals new to the peer workforce to obtain work experience hours. Measurable objectives are 300 people will receive telephonic recovery support. 4) Increase knowledge of and access to recovery support services for individuals with SUD and their families in Bastrop County through quarterly recovery educational classes, telephonic recovery check-ins, and weekly recovery support group. Measurable objectives are 60 people will participate in educational classes, 80 people will attend the recovery support group, and 75 will receive telephone recovery supports. 5) Evaluate the project to assess progress toward reaching project goals and objectives and participant outcomes related to recovery and various life domains associated with improved quality of life.

The overall purpose of BCOR for MADRES (Mothers Alcohol and Drug Recovery Essential Support) is two-fold; (1) deliver culturally responsive, long-term SUD recovery services for underserved women and (2) to target public awareness and outreach efforts on stigma-reduction within both the community-at-large and targeted to health care and social service settings. The experience of women with substance use disorders is unique, and leaves them often underserved, with serves as the justification for the targeted services. BCOR for MADRES will provide culturally appropriate, individually responsive, peer-led recovery support services in the Texas county with the highest rates of Neonatal Abstinence Syndrome (NAS) for the past 10 years; Bexar County (Texas Department of State Health Services, 2019). Our Peer Recovery Coaches (PRCs) will provide trauma-informed peer-to-peer services utilizing Motivational Interviewing and Seeking Safety curriculum, which is designed to treat post-traumatic stress disorder (PTSD) and/or trauma-related stress and SUD. Additionally, our program's wrap-around comprehensive case management will connect women with local organizations and resources to support their recovery journey. We will serve at least 175 pregnant/parenting women and women veterans aged 18 years and older who are seeking to initiate or maintain their recovery from substance use. First-year of the program we will serve 50 women; year two 60, and year three 65. Another purpose of the project is to promote and educate the community about recovery and remove negative attitudes and stigma against individuals struggling with the disease of addiction. Misinformation and stigmatizing beliefs among health care and social service workers remain one of the largest barriers to timely and effective care among women and mothers with SUD. BCOR for MADRES will mobilize recovery education within and outside of the recovery community to expand connections between local, regional, and statewide recovery networks, recovery community organizations (RCOs), and other recovery support services (RSS). The San Antonio Council on Alcohol and Drug Awareness (SACADA) will be the lead organization on this project. BCOR for MADRES utilizes a peer model to capitalize on the expertise of persons with lived experience. Services will be delivered by people in recovery, such as PRCs, who can convey resiliency skills across the different economic, gender, and age categories, and understand the role of culture, religion, ethnic identity, and family to provide peer support and education. BCOR for MADRES will utilize a multi-agency recovery web portal as a resource-sharing platform to disseminate training and tools on best practices to provide to existing ROSCs and other recovery organizations. It will facilitate recovery symposiums and host several recovery events, including the Big Texas Rally for Recovery during the month of September's National Recovery Observance. It will also partner with media outlets to conduct public education through media as well as submit editorials and develop blog content in Spanish and English to promote recovery and remove stigma.

Prevention Resources, Inc.’s application for the Hunterdon County Building Communities of Recovery will provide services in Hunterdon County, a rural area with a population under 125,000, an area in need of prevention and treatment services. Hunterdon has the fourth highest rise in per capita death rates for overdoses in New Jersey. The overall goal of the project is to improve long term recovery for persons with substance use disorder and addiction by building connections throughout Hunterdon County. Through these efforts the stigma associated with drug/alcohol addiction will be reduced and there will be improved public education and outreach on issues relating to drug/alcohol addiction and recovery by people in recovery in English and Spanish. This program will provide education programs about recovery to increase the utilization of peer recovery support programs. The program will also provide prevention education programs focused on helping friends, family, and loved ones understand more about the disease through evidenced based practices to successfully navigate the pathways to recovery. The program also focuses on addressing the uneven recovery in the community specifically for the low income and Latino Communities reducing any language barriers and focusing on bilingual peer recovery specialists. The program will also collaborate with the medical community and professionals to address the shortage of medical resources for individuals in recovery through quarterly education and informational sessions resulting in a more integrated network of resources. The program will also train the medical community on SBIRT, Screening Brief Intervention and Referral to Treatment training and will deliver 12 trainings to health providers to prevent the onset and / or reduce the progression of alcohol, opioid and /or marijuana use. 400 individuals in the Hunterdon County community will be directly impacted from these new peer recovery support services and prevention education reducing relapse and improving recovery pathways.

New Directions Addiction Recovery Services (NDARS) Peer Support Services for Communities of Recovery in Rural Northern Illinois Project will address service gaps that exist in the region by utilizing Peer Recovery Support Services (PRSS) to address Substance Use Disorders (SUD). Target population to benefit from these services are individuals and families seeking SUD recovery support, especially those aged 18-30. This population has been increasing affected through opioid overdose in rural McHenry County in recent years, as evidenced by the average age of overdose which dropped sharply in 2020. Goal I of this project is to expand capacity for recovery housing through increasing peer recovery support (PRSS) staff at The New Directions Retreat. Goal II is to instigate professional growth and workforce development of peers through providing training, mentorship and certification in CCAR peer recovery coaching (RC). Goal III is to expand community integration of PRSS services with a particular focus on facilitating weekly family support groups using Community Reinforcement and Family Training (CRAFT) methods. Objectives to meet these goals are as follows. I-a increasing recovery housing capacity, 51 total unduplicated residents will be served in year 1, 61 total unduplicated residents in year 2, and 72 total unduplicated residents in year 3. I-b increasing rates of resident abstinence in recovery housing, 97.5% to demonstrate abstinence in year 1, 98% in year 2, and 98.5% in year 3. I-c improving social connectedness through 12-step meeting participation, requirements of NDARS residents is 5 meetings per week and this goal will be met 99% of the time. II-a additional training and certification for PRSS staff, during project year 1 there will be two PRSS staff trained in CRAFT methods, by the end of year 2 no less than 3 PRSS staff will be certified with CCAR RC credentials with an additional 2 PRSS staff also having received CRAFT trainings, by the end of year 3 a total of 5 PRSS staff will have been certified with CCAR RC credentials and an additional 2 PRSS staff having received CRAFT training. II-b employing additional PRSS staff, Year 1 there will be 4 additional PRSS staff hired on, one additional PRSS staff hired in Year 2, and another one additional PRSS staff hired in Year 3. II-c improved employment rates for recovery housing residents through PRSS Case Management, no less than 83% of residents will report being employed at the time of Case Management session, with the target measurable increasing to 85% in year 2, and 87% in year 3. III-a community integration through PRSS resources to Family Support Group participants, PRSS staff will link 100% of support group participants to both formal and informal community resources throughout the project period. III-b increasing attendance at PRSS Family Support Groups, baseline of 36 unduplicated participants per year will increase by 50% to 54 total unduplicated participants for year 1, increase by 120% from baseline to 79 total unduplicated participants in year 2, and 175% from baseline to 99 unduplicated participants in year 3.

CARE of Southeastern Michigan’s proposed CARE-Communities of Recovery (CARE-COR) program will provide peer recovery support services to homeless veterans and individuals in the justice system while creating a more robust and comprehensively trained peer workforce for the community and State. The program will be peer-run out of the CARE Recovery United Community Center (RUCC) in Southeastern Michigan. This program structure includes (1) delivering peer recovery coach services to veterans and people justice involved through a supervised, apprentice-style work experience in non-clinical settings (2) education/training to peers, the community, and the population of focus on recovery-based topics, and (3) assisting with the peer certification process that allows for Medicaid reimbursable services. Michigan has an age-adjusted rate of drug overdoses well above the national average, and Southeastern Michigan was significantly above both the national and Michigan’s averages. Nearly seven percent of Michigan’s homeless population are veterans. Southeastern Michigan (Region 10) has the highest prevalence of homelessness and accounts for 26 percent of the state’s total literally homeless population. It estimated that 70 percent of homeless veterans have a substance use disorder. For incarcerated individuals, 85 percent have an active substance use disorder or were incarcerated for a crime involving drugs or drug use. Yet, only 5 percent of individuals with opioid use disorder in jail and prison settings receive treatment and are at a higher risk for overdose following release. CARE-COR will provide peer recovery coaching services to two hundred (200) homeless veterans and justice involved individuals with substance use disorders in Southeastern Michigan by May 30, 2024. The program will serve forty (40) individuals in year one, and eighty (80) individuals in each subsequent year of the three-year grant. The goals and outcomes of the proposed CARE-COR peer run program are to increase the rates of abstinence for alcohol or illegal drugs, reduce arrests, increase permanent housing, and decrease engagement in risky behavior. Peer recovery coaches will employ motivational interviewing techniques, SBIRT, and trauma-informed principles to support the delivery of recovery support services. The program will also add forty (40) trained peer recovery coaches to the workforce to increase the recovery community infrastructure.