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Phoenix House’s Brooklyn Community Recovery Center is proposing to implement an evidence-based program increase the prevalence and quality of long-term recovery support services for persons suffering from substance abuse disorders (SUD) and co-occurring substance use and mental disorders (COD) New York City by supporting the expansion, enhancement and delivery of recovery support services (RSS) as well as promotion of and education about recovery using art. BKCRC will serve a total of 450 unique individuals over the course of the performance period. A total of 100 individuals will be served in the first year; 150 in the second year; and, 200 in the third year. The proposed name of the project is Building Communities Of Recovery Through Peer Recovery Support Services And The Art Of Advocacy. The population of focus for the proposed project will be adults aged 18 years and older in recovery from SUD and COD within New York City, with a focus on Brooklyn The goal of the proposed program is to expand and enhance recovery support service capacity within New York City through the provision of peer recovery support services (PRSS) for persons with SUD and co-occurring COD and promote and provide education about recovery through art. The proposed project aims to implement and achieve activities that will support eight objectives required to achieve the project goal. The objective of the project are: (1) Objective 1: Provide PRSS to an additional 100 unique individuals in year one; 150 unique individuals in year two; and, 200 additional unique individuals in year 3; (2) Objective 2: Provide recovery support services (RSS) to an additional 100 unique individuals in year one; 150 unique individuals in year 2; and, 200 additional unique individuals in year 3; (3) Objective 3: Develop memorandum of understanding with regional and local harm reduction partners to provide harm reduction services to referred program participants by quarter one of the performance period; (4)Objective 4: Refer at least 20 individuals per year in need of harm reduction services to regional and local harm reduction partners; (5) Objective 5: Provide Opioid Naloxone Education and Distribution (OEND) to 25 program participants every year; (6) Objective 6: Host a yearly art festival in the fourth quarter of the performance period in collaboration with Friends of Recovery – New York and OnPoint NYC to educate the public about recovery and reduce discrimination and negative attitudes concerning people with addiction and in recovery, reaching at least 1,000 persons annually; (7) Objective 7: Develop a feature length documentary on recovery by quarter two of year 3 to educate the public about recovery and reduce discrimination and negative attitudes concerning people with addiction and in recovery, reaching at least 1,000 persons annually; and, (8) Objective 8: Provide access to peer recovery coach training for 20 individuals per year in efforts to increase the peer recovery specialist workforce in New York City.

Rockingham County Bridging the Gap Program Granite Pathways’ Safe Harbor Recovery Center (SHRC) provides peer recovery support Services (PRSS) primarily to residents of Rockingham County. The strength of this small RCO is amplified through close partnerships with a broad base of community-based resources that produce an increase in the level and quality of long-term recovery support. Solidifying collaborative relationships to provide fully integrated recovery supports is critical to achieve our goals to immediately assist individuals to achieve and sustain recovery, to achieve economic wellbeing, to impact the future course of substance misuse, and to mitigate the long-term effects on children of living with a parent with SUD. In NH, the biggest gap in service is encountered when individuals leave intensive treatment or correctional settings. While substance use disorder (SUD) is a chronic, relapsing disorder, “much of existing SUD care remains based in an acute care model that focuses on clinical stabilization and discharge, failing to address the longer-term needs of people in recovery. . .” 8 With a treatment dropout rate from intensive services and outpatient care varying from 30 to 60%, prescribed aftercare is not enough to keep people engaged. Varied, flexible Peer Recovery Support Services can play a key and integral role in bridging the gap between intensive treatment and working on recovery day to day. Our service array is intended to focus on developing recovery capital to build resilience and to address critical social determinant of health (SDOH) needs through assessment, wraparound support, and targeted care coordination. Expansion will also include evidence-based parenting education. Staff capacity will be increased to provide assessment of social determinant of health needs as an important enhancement to focused recovery support and targeted care coordination. Career planning and employment services will continue as a key component of the service array. Nonetheless, the need for a strong and formal network of community providers is greater than ever. If better articulated and structured, current inter-agency collaboration could come closer to achieving maximum impact. An effective resource network will increase the capacity of each entity to meet the needs of individuals with SUD and co-occurring mental health concerns. Using resources of this grant, we will convene a project Steering Committee to both oversee grant activities and to formalize collaborative community relationships. With a well-coordinated network, SHRC will be best positioned to help individuals achieve and maintain recovery. Our network capacity to offer a broader array of services at the necessary level of intensity to meet individual needs at every stage of recovery will be game-changing. We endorse harm reduction for those not ready to stop using substances. Through outreach and education, we initially try to simply reduce risks individuals face. Through relationships with community providers, we distribute Narcan, Harm Reduction Kits, and provide referrals for medical, mental health, SUD, sexual and domestic violence, housing, and food resources.

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Friends of Recovery of Delaware and Otsego Counties, Inc. (FOR-DO) will establish a Recovery Community Center (RCC) in Chenango County in a highly rural, under-resourced, and economically depressed area of New York State. The Recovery Center, to be known as "The Turning Point of Chenango County" will be centrally located in the county seat and serve at least 1500 unduplicated individuals over 3 years through providing evidence-based practices for recovery support services. The population to be served includes individuals 18 and up that reside in Chenango County, NY who are personally impacted by Substance Use Disorder(SUD) and/or addiction. The goal is: to significantly increase the availability of recovery support services that increase access, resources and retention in services for those impacted by SUD in Chenango County. Objective #1-operationalize a full-service Recovery Community Center in Chenango County offering a comprehensive spectrum of recovery support services within the first 4 months. Objective #2-to increase access to services and appointments with providers that address social determinants of recovery and wellness by 50%. Objective #3-to reach a total of 250, 500, and 750 unduplicated individuals in years 1,2, and 3 respectively. Objective #4-to decrease the number of people in recovery from SUDs from relapsing and maintain sobriety by 25%. Life skills education, recovery support services, peer support groups, social and recreational activities, and transportation will be offered weekdays, weekends, and nights. FOR-DO currently operates two recovery centers in counties neighboring Chenango County. The organization has ample experience and expertise in recovery services adapted to the rural region, solid experience in administering federal grants, and in-depth familiarity with the area and its referral partners.

The Phoenix will serve people by helping them overcome substance use disorder in Wichita, Kansas, providing recovery support services designed and implemented by peers in recovery; programs include fitness, wellness, and social events where staff and trained volunteer peer mentors will cultivate an environment designed to be fun, emotionally and physically safe, inclusive, and accessible. The only requirement for entry is 48 hours of continuous sobriety. All events are free to participants and open to individuals from all pathways of recovery. Some participants join The Phoenix’s programs after completing formal substance use disorder treatment, but others have never attended formal treatment programs. Some have participated in recovery groups such as 12-step programs and Recovery Dharma meetings. This project will primarily serve the Wichita metropolitan area, though some participants come from rural areas surrounding Wichita. Program activities include yoga, meditation, CrossFit, group fitness, arts, social events, and more. These events bring people together, but the core of Phoenix programs is the explicit focus on cultivating a psychologically safe environment where peers can gather in recovery to heal. This model was developed based on academic research around recovery capital. Phoenix programs encourage growth in five key areas of recovery capital that help individuals build the inner resources to stay sober and thrive in recovery. These five areas are connectedness, hope, identity, meaningful life, and empowerment. This first goal of the program — to increase the size and connectedness of the recovery community in Wichita through the provision of community-based activities to improve long-term recovery support — will be achieved by serving 1,300 individuals in year one; 1,950 in year two; 2,925 in year three; and a total of 6,175 participants in total during lifetime of the project. The second goal — to reduce the levels of stigma experienced by people with substance use disorder and those in recovery, as well as reducing stigma within the broader community, with the role of meaningful activity and social connection acting as a catalyst for positive change — will be achieved by hosting two or more large-scale events for families and supporters of people in recovery during each year of the grant award, for a total of at least six such events. Another objective in alignment with this goal is the formation of at least five new community partnerships with value-aligned organizations during the lifetime of the project. The third goal — to increase the number of volunteer peer mentors who will lead meaningful activities, improve connection amongst the people and places within the locale, and fuel the recovery movement in Wichita — will be achieved by recruiting, training, and activating 25 volunteer peer mentors in year one, 40 in year two, and 60 in year three, for a total of 125 new volunteer peer mentors during the lifetime of the project. This project will serve primarily serve adults in recovery from substance use disorder. The Phoenix provides an inclusive environment that welcomes people of all races, genders, and sexual orientations. Community standards prohibit any discriminatory language or behavior; all participants are informed of these standards at the beginning of every program event, and both staff and volunteer peer mentors help ensure adherence to the standards throughout. Phoenix events are free to anyone with 48 hours of sobriety, which helps reach people of all socioeconomic groups, ensuring that those living in poverty have access to high-quality recovery support programs. A secondary demographic that will be targeted is supporters and allies of people in recovery. This focus helps reduce stigma around recovery in the broader community.

McShin's Intensive Peer Recovery Supports (IPRS) will primarily serve persons with co-occurring conditions and a history of incarceration in their home communities upon release from RSW jail. This project will also focus on training the peer work force and provide on the job training opportunities for those who wish to become certified peers in Virginia. Finally, McShin will work with the certified harm reduction sites in the service area to assure access to peer supports and services.

Lighthouse Recovery Community Center (LRCC) is requesting funds to increase recovery capital and measure whether the changes engage and retain more peers in the recovery community thereby improving the infrastructure of long-term recovery support. LRCC will serve 50 adults annually at each location, 300 adults during the life of the project, affected by substance use over the life of the grant. The geographic catchment area is Manitowoc & Sheboygan County, Wisconsin and the population of focus are adults ages 18 and older who are affected by substance use and seeking to establish or maintain recovery. Goal 1: Reduce substance use and related health consequences by increasing the prevalence and quality of long-term recovery support from substance use. Objective 1a: LRCC will increase the delivery of unduplicated PRS services for 300 people by September 30, 2025 as measured by GPRA and monitored through the data dashboard. Objective 1b: LRCC will implement ongoing professional development for recovery coaches and/or certified peer support, educating a minimum of 19 peer providers each grant year, 57 total, by September 30, 2025 as measured by training logs and monitored through the data dashboard. Objective 1c: LRCC will increase the rate of PRS professionals retained in the recovery community from 30% to 45% by September 30, 2025 as measured by LRCC enrolled peer professionals and monitored through the data dashboard. Goal 2: LRCC will strengthen the connection between community agencies and the recovery community in an effort to destigmatize substance use disorders (SUD). Objective 2a: LRCC will establish a Recovery Resource Council that meets a minimum of eleven times per grant year to discuss service coordination across agencies, as measured by meeting minutes and monitored through a data dashboard. Objective 2b: LRCC will provide ten recovery education events to community businesses, service groups, or the general public by September 30, 2025. LRCC will track events through board meeting minutes recording event summary and monitor events hosted through a data dashboard.

The Purpose of Recovery is applying to offer the Bridging the Gap to Recovery Program, a comprehensive array of recovery support services for vulnerable young people and adult men and women, family, friends and allies seeking support for substance use disorders in Orange County, California. Services will include evidenced and peer-based recovery support services, such as one-on-one recovery coaching, telephone recovery support, leadership/life skills training, harm reduction community collaboration and workshops, recovery support groups, family education, and sober social activities for 300 uninsured or underinsured high-risk individuals over a three-year period. These services will be offered to individuals transitioning from recovery residences, criminal justice settings, primary care settings, perinatal clinics, MARS/MAT, inpatient and outpatient treatment programs. This project also aims to increase access to family group support for 60 friends, family or allies of individuals with SUDs per year. The Purpose of Recovery (TPOR) is a nonprofit Recovery Community Organization (RCO) based in Anaheim and provides recovery support services for individuals and families facing challenges related to SUD and co-occurring mental health problems. As a grassroots, peer-led organization, TPOR’s staff and volunteers are composed of individuals with lived experience, including those in recovery, their family, friends and allies. Through this program, TPOR will mobilize resources within Orange County’s recovery community to increase the prevalence and quality of long-term recovery support from substance misuse and addiction by collaborating with regional and local harm reduction community partner efforts and providing educational programs to the community at large. Additionally, TPOR will host positive social activities, develop a Peer Leadership Council, and an annual Recovery Rally all designed to raise awareness and reduce stigma across the regions for an additional 1,000 people over a three-year period. Measurable goals include: enhancing recovery outcomes for individuals by 40%; improved SUD family communication by 40%; increasing positive association and referrals of peer recovery support services in the region by 40%.

PROJECT ABSTRACT Project Title: Macon County Recovery Community Program The Community Health Improvement Center dba Crossing Healthcare (Crossing) is a 501(c)(3) Section 330 funded Community Health Center organization providing comprehensive primary and preventative medical services, nutrition services, outreach and enabling services, behavioral health services, substance use disorder (SUD) treatment including Medication Assisted Treatment, transitional housing, and recovery living, in Decatur, Macon County, in east central Illinois. Through this initiative, Crossing Healthcare and the Macon County Recovery Community (MCRC) seek to improve long-term recovery for persons with substance use disorder through purposeful supportive connections with peers in recovery, family and community education, and community-based collaborations. The population of focus includes individuals aged 18 and older with SUD and families of individuals with SUD. Demographics of the service area document increasing rates of heavy drinking and opioid use among adults of all ages, racial and ethnic groups, as well as pregnant women. Project goals include: Expand access to coordinated Peer Recovery Support Services for persons with SUD and their families to increase the likelihood of long-term sobriety. Increase the capacity of the catchment area to provide safe, healthy, family-like substance free living environments for persons in recovery. Increase family and community awareness of SUD and its long-term implications through the development of the Macon County Recovery Community. To achieve these goals, a formal peer recovery support program will be developed, with clients screened for unmet needs when entering the program and offered weekly recovery support services by trained peer recovery staff. The MCRC will work together to identify sources and services for addressing identified client needs. Monthly social events will be conducted with clients to promote meaningful connections and positive social interventions. The MCRC will also work to expand area-wide harm reduction efforts, provide SUD education to family members of persons with SUD, youth education at schools, and general community education. The project will also focus on expanding the availability of recovery housing in the community by partnering with two local landlords. Project partners in the MCRC including Crossing Healthcare, Baby TALK, the Empowerment Opportunity Center, Workforce Investment Solutions, and Project Read Plus. Together, the partners offer a menu of individualized, person-centered, and strength-based services for persons in recovery. Peer Recovery Support Services will be directly provided to 40 unique individuals in Year 1, 60 in Year 2, and 80 in Year 3, for a total of 180 persons. Moreover, over 200 persons annually will receive some type of SUD training and/or education services.

The Washington Recovery Alliance is proposing to build infrastructure for expanded and enhanced peer recovery support services (PRSS) and recovery support services (RSS) in Washington state, targeting rural and under-served communities in three regions of the state where the WRA has previously established regional recovery coalitions with SAMHSA support. Goal 1: Expand access to PRSS by increasing proliferation of PRSS within the Medicaid-billable SUD treatment system and embedding recovery coaches within labor unions and EAPs to reach commercially insured individuals. This goal will be achieved by working with the state’s Health Care Authority and with other key stakeholders (including treatment and recovery support agencies) to develop the structures needed to increase saturation of SUD peers in the publicly funded SUD treatment system. In addition, WRA will work with building trades unions and EAPs to incorporate recovery coaching in their services and benefits. Goal 2: Increase accessibility of recovery housing in Washington through capital investments and expanded early recovery housing voucher programs. This goal will be achieved by: advocating for increased use of councilmatic taxing authority to support recovery housing; advocating for the inclusion of people in recovery in the state’s Housing Trust Fund; working with correctional settings to create partnerships with recovery housing; developing a pilot project for Managed Care Organizations to offer recovery housing vouchers for people exiting residential treatment; and increasing representation of recovery housing advocates on statewide and regional planning groups related to affordable housing and homelessness. Goal 3: Expand employment opportunities for individuals in recovery. Strategies to achieve this goal include: establishing a resume database to match job seekers in recovery with employers; providing training to employers on the benefits of hiring people in recovery; creating and promoting a recovery friendly business designation; and creating a career networking program to link people in early recovery with people in long-term recovery for networking. Goal 4: Improve public understanding about recovery and erode stigma associated with substance use disorders. WRA will achieve this goal through a combination of earned media and social media messaging; support for high profile events celebrating recovery; and working with Latinx community organizations to mount a culturally specific strategy to combat SUD stigma and education on treatment access. In this project, WRA will work with partners including three regional recovery coalitions: Central Washington Recovery Coalition; North Sound Recovery Coalition; and Benton/Franklin Recovery Coalition; with several labor unions and Employee Assistance Programs (EAPs); with Oxford House of Washington and the WA Alliance for Quality Recovery Residences; and with Peer Washington as the direct service provider partner. Total persons served during grant period: 1,500

L.A. County was ranked as #1 in California for the number of overdose deaths in 2021 during the pandemic – 3,172 fatalities. This represents a staggering 63% rise in overdose deaths here between January 2020 and March 2021. The Homeless Mortality Report released by the Department of Public Health (DPH) in December 2020, found that drug and alcohol overdose is the leading cause of death among People Experiencing Homelessness (PEH) in L.A. County. Our Building Communities of Recovery catchment area includes Metro Los Angeles which includes Skid Row -- the area with the highest homelessness rate in L.A. County at 37% and a poverty level of 79%, as well as South Los Angeles -- home to 16% of the county’s homeless, with the densest homeless population in L.A. outside of downtown.. Homeless people color and/or LGBTQ+ persons in these areas are the most isolated by drug/alcohol addiction and co-occurring mental health disorders -- and the most in need of recovery support. Los Angeles Centers for Alcohol and Drug Abuse (L.A. CADA) is a nonprofit behavioral healthcare agency operated by peers on every level since 1971. Our project will serve 75 homeless adults with substance use disorder (SUD) or co-occurring SUD and mental health disorders BCOR each year for three years, specifically those who are LGBTQ+ and/or persons of color in the Metro L.A. Area. Most will participate for a period of six months or more. Los Angeles is ranked Category 4 of 10 as an under-resourced community, and there is no entity uniting providers, stakeholders, and peers in recovery here. L.A. CADA will create a Community Advisory Board comprising peers in recovery to mobilize and connect a broad base of community-based resources to increase the prevalence and quality of long-term recovery support for homeless persons at highest risk for substance use disorders (SUD) and co-occurring substance use and mental disorders (COD) in Metro L.A. The CAB will advise and guide L.A. CADA’s BCOR project: The Body, Mind, and Spirit Center. This project will enhance/expand recovery support services (RSS) for our population of focus, including promotion and education focused on recovery. L.A. CADA will implement the program from our Metro L.A. (Skid Row) and Hollywood facilities to serve as a base for delivery of needed Peer Recovery Support Services (PRSS). Peers graduates of L.A. CADA treatment programs with lived experience in SUD/COD and recovery will: 1) Design and deliver street-based outreach to PEH, with brief risk assessment and education on harm reduction and recovery; 2) Provide referral and transportation to L.A. CADA facilities where participants will access direct services for: social support, linkage to allied service providers, participation in a network of community/human services that facilitate a full array of human services for recovery, wellness, and, education on stigma-reduction; and 3) Facilitate peer participation in recovery support groups and psycho-education activities.

Abstract Building Communities of Recovery (BCOR) Faces and Voices of Recovery TriCounty, Inc. dba FAVOR Piedmont Faces and Voices of Recovery TriCounty (dba FAVOR Piedmont) proposes to connect and mobilize Certified Peer Support Specialists (CPSS) delivering PRSS and RSS to underserved populations in under resourced agencies, private treatment providers, treatment centers, emergency departments, recovery houses, and recovery community organizations (RCOs). For more than two years, FAVOR Piedmont has presented a weekly virtual Peer Support for Peer Support (PS4PS) program that connects CPSS around the state with free relational support and continuing education with subject matter experts. An important lesson learned is that many of our peerforce are filling gaps in the continuum of care for others while, themselves, receive only clinical supervision and no Peer-to-Peer Supervision. In our Building Communities of Recovery project FAVOR Piedmont is prepared to provide evidence based, trauma informed Peer-to-Peer Supervision to individuals in these various settings where this essential support is inadequate or non-existent. FAVOR Piedmont provides off-reservation PRSS to our recognized Indigenous population – Catawba citizens -- and is a contributing member of the Catawba Drug Action Task Force. Our proposed harm reduction services of opioid overdose reversal training and weekly Narcan distribution on the reservation saves lives. Funding for these initiatives by the Department of Alcohol and Other Drug Abuse Services (DAODAS) ends September 2022. Catawbas and other natives also receive culturally congruent recovery support at our facility through a weekly off-reservation native American 12-step-based Wellbriety meeting. The South Carolina Association of Recovery Residence (SCARR) reports that fewer than 60 beds are available in certified houses. In communities devoid of adequate recovery housing, individuals or churches take the initiative to meet this essential need. With BCOR funding, in our Recovery Housing Initiative, we will discover and collaborate with these providers and develop a resource directory and referral system. For more than eight years, FAVOR Piedmont has provided PRSS to criminal justice involved individuals in the 16th and 6th Judicial Circuit Adult Drug Courts. With BCOR funding we will be able to continue this unfunded, unsustainable program we provide weekly individual peer recovery coaching sessions, weekly peer-led recovery groups, and treatment team staffing. Working with priority population referrals by Rock Hill Treatment Specialists, an opioid treatment provider (OTP) we will provide PRSS, resource brokering with warm handoffs where possible, and SUD and MH counseling.