SAMHSA Grants Dashboard

The purpose of the Street to Home program is to end the cycle of homelessness for households currently experiencing long term unsheltered homelessness in Tucson and Pima County through the expansion, integration, and coordination of local community behavioral health, physical health and housing support systems. We will provide behavioral health and other recovery-oriented services to those experiencing long term unsheltered homelessness through (1) intensive street outreach, (2) navigation designed to rapidly connect individuals with substance use disorder and or co-occurring disorders to mainstream treatment and recovery services, and (3) coordinate housing and services that support sustained recovery and wellness within permanent housing. Our goal is to move 150 of the most vulnerable unsheltered homeless individuals into permanent housing, while increasing their wellness, to include their ability to manage their addictions, mental health symptoms, and acute and chronic physical conditions. This will be accomplished through expansion of the OPCS Outreach Teams, creating an integrated multidisciplinary community team, including a Family Nurse Practitioner, Navigator, and Peer, and coordinating the provision of mainstream services through collaboration with emergency shelter providers, and mainstream Medicaid funded health and wellness providers. This team will initiate approximately 200 contacts with unsheltered homeless individuals each year, offering non-emergency medical assistance, screening for the presence of addiction and mental health concerns, and immediate enrollment into mainstream benefits, such as Medicaid, TANF, and SNAP. This initial interaction will be brokered through the employ of local peers who are currently or recently homeless from this same geographical area. All staff will be guided by Motivational Interviewing and trauma informed practices. Additionally, we will provide intensive navigation assistance to a minimum of 60 individuals per year, to include same-day transportation to benefits offices, enrollment/intake offices of mental health providers, non-emergency medical appointments, and appointments with potential landlords. This navigation assistance will include assistance with completion of documentation and applications needed to gain housing, benefits, and treatment for mental health, addiction, and physical health conditions. This will result in 30 individuals entering permanent housing per year, or a total of 150 persons over the five year period. As a result, at follow-up, we expect 45% of participants to experience a reduction in days using drugs or alcohol, 50% a reduction in criminal activity, 75% increase in social connectedness, 40% reduction in emergency room usage, and a 50% increase in income from all sources.

Liberty Partnership Kino Neighborhoods Council - Town Meetings & Talk, They Hear

The coalition will prevent and reduce youth substance use by implementing the following strategies: Create a multicultural community assessment plan; form a new multi-cultural task force to monitor local ordinances and recommend policy; draft a 3 year underage drinking plan with a focus on multicultural youth & young adults; host 3 town hall meetings at local college campuses; create a bilingual PSA media campaign; distribute social host, STOP Act materials, and SAMHSA's substance abuse /mental health information to 150 local elected officials; disseminate 5,000 of the Surgeon General's guide to action for families, communities, & educators; distribute SAMHSA's "Talk. They Hear You." Campaign materials; establish collaborative network of "on-the-ground" partnerships to engage in policy advocacy; monitor alcohol density and outdoor signage ordinance; and submit 3-year plan and recommend social host ordinance policy changes to the City Council and County Supervisors.

The Pima Prevention Partnership (PPP) Building Bridges program will strategically apply the proposed funding to enhance its existing Medicaid-supported outpatient treatment services with needed wrap around and intensive case management services using an integrated care model for 300 adolescents, 13 – 21 years old with co-occurring serious emotional and substance use disorders who are experiencing homelessness to improve their health and housing outcomes. Youth who have been diagnosed with a life-altering and potentially long-term chronic functional impairment (SED) are one of our most vulnerable citizen groups and have a high likelihood of poor life outcomes without meaningful, sustained support. Building Bridges will be used to systematically pilot individualized sets of wrap around services above what is possible with Medicaid funding alone to address this adolescent population’s complex needs and low treatment completion rates. Building Bridges is a program of Sin Puertas, PPP’s state-licensed Sin Puertas behavioral clinic focused on serving court-involved adolescents and their families since 1991. The program will enroll and serve 300 adolescents, 13-21 years old, over five years (60 per year) with a combination of intensive outpatient treatment services utilizing an evidence-based COD treatment model, Adolescent – Community Reinforcement Approach (A-CRA) and evidence-based trauma curricula, Structured Sensory Interventions for Children, Adolescents and Parents (SITCAP-ART) delivered by certified behavioral health technicians. Pathways Coaches will provide case management services, averaging 4 hours per month, following the Assertive Continuing Care model and an integrated care focus. The course of treatment will be six months with after-care group supports to be available indefinitely. PPP receives referrals from the Pima County Juvenile Court Center and from local health homes operated through the regional behavioral health authority, which manages the integrated care (primary and behavioral health) needs of Medicaid-insured adults and children. All referred youth have a substance use diagnosis and approximately 80% have a co-occurring serious emotional disturbance. On average participants report having experienced 14 traumatic events, with a range from zero to 40 incidents. The ethnic/racial composition of participants is 65% Latino/a, 5% African American, 5% American Indian, and 25% Caucasian; these percentages indicate an over-representation of Latinos and American Indians compared to Tucson’s general population. Building Bridges program completers will demonstrate a) increased safety and security by completing the program and by taking steps toward meeting basic needs and developing a community safety net; b) reductions in general life problems and substance use; and c) increased community re-engagement as evidence by school attendance and/or employment.

The OneLife Project

The proposed Community Pathways to Recovery (CPR) program will effectively address the substance use treatment, transitional housing, physical and mental health, and recovery support needs of adults who are re-entering Pima County, Arizona following a sentence of six or more months at the Arizona Department of Corrections (ADC). Participants who complete the 6-month program will achieve positive, sustainable treatment outcomes and reduced criminality. Old Pueblo Community Services (OPCS) will operate the following services to assist program participants with effectively re-entering the community: (1) Assessment and Transition Planning with inmates in all five of the Arizona State Prisons to ascertain their individual needs; (2) Transitional Housing through HUD funding; (3) Licensed intensive outpatient substance abuse treatment (3 months) using evidence-based models: Motivational Interviewing, Cognitive Behavioral Therapy, and the Community Reinforcement Approach; (4) Mental Health problem identification and intervention: using the Critical Time Intervention; (5) Trauma Interventions: using the Trauma, Addiction, Mental Health, and Recovery educational intervention and the Seeking Safety treatment model; (6) Case management and Recovery Services, including access to medical and psychiatric exams and follow-up; (7) Jobs Support, including assessment, employability training and job finding support; and (8) Peer Recovery Support Services using trained peer recovery support specialists to engage participants in their pathway to recovery. As a result of program completion, participants will achieve significant gains in alcohol/drug abstinence; lowered criminality; increased economic self-sufficiency; and 70% will have gained stable housing. OPCS will initiate the proposed three-year CPR project to serve 150 adult men and 72 adult women returning to the federally designated high intensity drug trafficking area of Tucson/Pima County, Arizona.

The Pima Prevention Partnership (PPP) coordinated the Pima County Teen Court (PCTC) in Tucson/Pima County, Arizona for youth up to 17 years of age. The Teen Court serves youth referred by Pima County Juvenile Court Center (PCJCC) as a sentencing option for a diversion eligible crime. PCTC enrolled youths complete an average of 20 hours of knowledge and skill-building workshops and community service learning activities to satisfy Pima County Juvenile Court's requirements. PCTC provides a robust series of peer sentencing options for youths, who pled guilty to first, second or third time misdemeanors and/or felonies. Over the past 13 years, the number of annual PCJCC referrals to be processed by the applicant's Teen Court almost doubled. The increased number has been complemented by an increase in severity of cases. PPP will use the Teen Court Program funding to enhance the services provided by PCTC to include substance abuse and co-occurring disorder screening, assessment, referral, treatment and recovery support services. Juries of peers will determine the extent of substance abuse-related prevention and assessment services to be completed during each youth's sentencing, which is monitored by a Pima County Juvenile or Superior Court judge.

The "Engaging, Motivating & Providing Options Within Recovery"("EMPOWR") Project is a local Recovery Oriented System of Care (ROSC) dedicated to providing integrated evidence-based substance abuse treatment, transitional housing, and supportive services with a focus on homeless veterans with substance abuse/co-occurring disorders in Tucson, AZ. The program expands services for 70 unduplicated individuals per year utilizing a ROSC framework which connects community-based peer recovery services to medical and behavioral health treatment services. All clients are provided evidence-based substance abuse treatment, guided by clinical assessment to include trauma and co-occurring disorders.

Liberty Partnership/Kino Neighborhoods Council

Graham County Substance Abuse Coalition

Arizona Youth Partnerships (AzYP) collaboration with Young Adult Development Ass

The coalition will prevent and reduce youth substance use by implementing the following strategies: The Coalition will work in the Amado community to both establish additional community partnerships and build on existing relationships in the community to further the capacity and youth substance abuse prevention efforts in the local area; the Coalition will work with local law enforcement and DEA to assist in limiting access to and availability of Rx Drugs by conducting community take back efforts (of unused and expired medications), promoting the existing RX drop box in nearby Sahuarita, conducting a 2-hour training on the harms and consequences of Rx Drug misuse and providing, through its relationship with AZDrugFree.org tagged PSAs promoting RX Drug misuse prevention in the local area; and the Coalition will work with the Pima County Commission on Addiction Prevention and Treatment and Task Force to Reduce Underage Drinking to support local residents to advocate for the passing of an amendment to the existing Social Host Ordinance to include and specifically name and hold liable all 18 to 20 year old's who provide alcohol to minors or allow for the consumption of alcohol by minors on property within their control; the Coalition will seek to educate the local community about the harms and consequences of marijuana use (including impact on brain development) and encourage local residents to write letters to the Editor advocating for the enforcement of federal laws on marijuana.

29th Street Coalition Drug Free Communities Program

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Implement the Parents Against Drugs by Reporting, Enforcement, and Surveillance (PADRES) advocacy group to monitor alcohol outlet (on-premises and off-premises outlets) density issues such as pending liquor license applications, negative outdoor alcohol-impaired driving, and motor-vehicle crashes) in the Flowing Wells community. (2) Conduct an education and enforcement campaign to promote policy change efforts designed to reach 2,000 adults to facilitate the implementation of the Social Host Ordinance and Unruly Gatherings Ordinances to reduce underage drinking in the Flowing Wells community. (3) Reach 3,000 high school age youth by implementing a traditional public awareness/media based prevention including social media bilingual (English and Spanish) campaign aimed at developing public policy that targets the negative marijuana influence due to changing legal views and mixed attitudes about medical marijuana and marijuana legalization issues in the Flowing Wells community. (4) Implement components of the CADCA & King Pharmaceuticals, Inc. prescription abuse prevention toolkit to reduce teen prescription drug use in the Flowing Wells community.