Institute For Health And Recovery Inc

FAMILY RECOVERY PROJECT CENTRAL

BUILDING RESILIENCE THROUGH INTERVENTION: GROWING HEALTHIER TGTHR (PROJ BRIGHT)

PROJECT RISE

A BRIGHT APPROACH (TO EARLY CHILDHOOD, PARENTING, AND SUBSTANCE USE) - ABSTRACT: A BRIGHT APPROACH TO EARLY CHILDHOOD, PARENTING, AND SUBSTANCE USE THE INSTITUTE FOR HEALTH AND RECOVERY, INC (IHR), IN COLLABORATION WITH BOSTON UNIVERSITY SCHOOL OF SOCIAL WORK (BUSSW) AND THE SUPPORTING OUR FAMILIES THROUGH ADDICTION AND RECOVERY (SOFAR) CLINIC AT BOSTON MEDICAL CENTER (BMC), PROPOSE “A BRIGHT APPROACH TO EARLY CHILDHOOD, PARENTING, AND SUBSTANCE USE” TO ADDRESS THE NEEDS OF YOUNG CHILDREN SUFFERING FROM TRAUMA AND GRIEF RESULTING FROM PARENTAL SUBSTANCE AND OPIOID MISUSE. THE PROGRAM WILL SERVE 180 CHILDREN (24% BLACK; 49% WHITE; 12% LATINO/A; AND 15% AS MIXED RACE) BIRTH THROUGH AGE 6, (30 IN YEAR 1, 40 ANNUALLY IN YEARS 2-5) AND THEIR PARENTS IN RECOVERY FROM SUD AT THE SOFAR CLINIC. CLINICIANS AND A PEER RECOVERY MENTOR WILL OFFER BRIGHT AND OTHER EVIDENCE-BASED INTERVENTIONS THAT WILL RESULT IN FAMILIES AFFECTED BY SUBSTANCE USE AND THEIR CHILDREN AFFECTED BY THE TRAUMAS OF GRIEF, LOSS, AND SEPARATION FROM PARENTS, TO EXPERIENCE INCREASED ENGAGEMENT AND JOY IN THE PARENT-CHILD RELATIONSHIP, WHILE BUILDING RESILIENCE, MITIGATING TRAUMATIC GRIEF, AND OPTIMIZING CHILD DEVELOPMENT. OVER 50% OF THE FAMILIES SERVED BY SOFAR ARE INVOLVED WITH THE CHILD WELFARE SYSTEM IN MA DUE TO SUBSTANCE USE. BRIGHT (BUILDING RECOVERY THROUGH INTERVENTION: GROWING HEALTHIER TOGETHER), IS A UNIQUE INTERVENTION DEVELOPED IN MASSACHUSETTS OVER FIFTEEN YEARS THAT BUILDS RESILIENCE, RECOVERY AND RELATIONSHIP BETWEEN PARENTS AFFECTED BY SUBSTANCE USE DISORDERS (SUD) AND TRAUMA, AND THEIR YOUNG CHILDREN, AGE NEWBORN THROUGH 6. SOCIAL-EMOTIONAL COMPETENCE, BUILT IN YOUNG CHILDREN THROUGH DEVELOPMENT OF A STRONG CAREGIVER-CHILD RELATIONSHIP, HAS BEEN IDENTIFIED AS THE SINGLE MOST SIGNIFICANT COMPONENT UNDERLYING THE DEVELOPMENT OF RESILIENCE IN CHILDREN. SIMULTANEOUSLY WE WILL OFFER TRAINING IN THE COMPONENTS OF THE BRIGHT INTERVENTION (SCORED AS AN EMERGING PRACTICE BY THE ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS) TO BUILD THE CAPACITY OF SOFAR STAFF, AND STAFF WITHIN BOSTON MEDICAL CENTER, AS WELL AS OUR REFERRAL SOURCES AND CHILD WELFARE STAFF, TO UNDERSTAND, LEARN, AND REPLICATE KEY COMPONENTS OF THE INTERVENTION WITHIN THEIR PRACTICE WITH RECOVERING FAMILIES. GOALS FOR THIS PROJECT INCLUDE: 1) INCREASE CHILDREN’S STRENGTHS AND MITIGATE EFFECTS OF PARENTAL SUD/MH AND TRAUMA; 2) DECREASE CHILD TRAUMA BY ENHANCING THE QUALITY OF THE PARENT-CHILD RELATIONSHIP; 3) BUILD THE CAPACITY OF SOFAR CLINIC AND OTHER BMC STAFF TO PROVIDE FAMILY-CENTERED, GRIEF FOCUSED, TRAUMA-INFORMED CARE THAT MITIGATES THE EFFECTS OF TRAUMATIC GRIEF AND OPTIMIZES CHILD DEVELOPMENT; 4) BUILD UNDERSTANDING IN THE CHILD WELFARE SYSTEM OF A RELATIONSHIP-BASED, TRAUMA-INFORMED APPROACH TO WORKING WITH FAMILIES AND YOUNG CHILDREN WITH HISTORIES OF SUBSTANCE USE, CO-OCCURRING DISORDERS AND TRAUMA CAN IMPROVE OUTCOME FOR CHILDREN; 5) COLLABORATE WITH NCTSN- CATEGORY II, TREATMENT AND SERVICE ADAPTATION CENTERS, TO DEVELOP, ADVANCE, OR ADAPT INTERVENTIONS TO IMPROVE ENGAGEMENT AND OUTCOMES FOR TRAUMATIZED YOUNG CHILDREN, INCLUDING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES.

GROVE HALL GETTING HEALTHIER

PROJECT YESS (YOUTH ENHANCED SERVICES AND SUPPORT) - THE INSTITUTE FOR HEALTH AND RECOVERY INC. (IHR), IN PARTNERSHIP WITH LUK INC. (LUK), PROPOSES TO ENHANCE AND EXPAND COMPREHENSIVE TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES FOR UNDERSERVED ADOLESCENTS AND TRANSITIONAL AGED YOUTHS WHO ARE AT RISK FOR OR WHO HAVE SUBSTANCE USE DISORDER (SUD) OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS (COD) AND THEIR FAMILIES IN WORCESTER COUNTY, MASSACHUSETTS. PROJECT YESS (YOUTH ENHANCED SERVICES AND SUPPORT) WILL PROVIDE A COMPREHENSIVE, FAMILY-CENTERED, TRAUMA- INFORMED, EVIDENCE-BASED, COORDINATED, AND INTEGRATED OUTPATIENT SYSTEM OF CARE TO SUPPORT YOUTH AGES 12 - 20. THE GOAL IS TO INTERVENE EARLY AND REDUCE THE DEVELOPMENT OF AND PROGRESSION OF SUBSTANCE USE AND ITS RELATED PROBLEMS WITH A FOCUS ON POPULATIONS THAT HAVE HISTORICALLY LACKED EQUAL ACCESS TO SERVICES OR HAVE HAD MORE SEVERE CONSEQUENCES FROM THEIR SUBSTANCE USE: YOUTH OF COLOR, BILINGUAL YOUTH, FEMALES, AND LGBTQ YOUTH. SUD AND COD ARE A PRESSING PROBLEM FOR WORCESTER COUNTY WITH PREVENTION AND TREATMENT SERVICES FOR YOUTH LACKING. THE COUNTY HAS DIVERSE URBAN AND RURAL COMMUNITIES. WORCESTER COUNTY HAS HIGHER RATES OF EXCESSIVE DRINKING AND ALCOHOL IMPAIRED DRIVING DEATHS AND ONE OF THE HIGHEST OPIOID-RELATED OVERDOSE DEATH RATES IN THE STATE. WHILE DATA ON YOUTH SUD IS LIMITED FOR THE COUNTY, CERTAIN RISK FACTORS FOR YOUTH ARE HIGHER WITH 20% THE STATE’S CHILD WELFARE CASES COMING FROM THE COUNTY DESPITE CONTAINING ONLY 12% OF THE POPULATION. IN 2019, AN ESTIMATED 9,540 YOUTH, AGES 12-20, IN WORCESTER COUNTY NEEDED SUBSTANCE USE TREATMENT, BUT APPROXIMATELY 1,300 ACTUALLY RECEIVED IT. ONCE TREATMENT ENDS, YOUTH FIND FEW ON-GOING SUPPORTS AVAILABLE AS FEW MENTAL HEALTH PROVIDERS IN THE AREA ARE TRAINED ON SUBSTANCE USE. USING EVIDENCE-BASED AND EVIDENCE-INFORMED STRATEGIES, PROJECT YESS WILL PROVIDE A COORDINATED MULTI-SYSTEM FAMILY-CENTERED APPROACH TO 450 YOUTH AND THEIR FAMILIES. PROJECT YESS WILL OUTREACH TO AREA SCHOOLS, COMMUNITY SERVICE AGENCIES, COALITIONS, PROVIDERS, AND STATE AGENCIES TO INCREASE SUD AWARENESS AND ACCESS TO THE PROGRAM. YOUTH INTERESTED IN THE PROGRAM WILL BE SCREENED USING CRAFFT 2.1+ N THAT SCREENS FOR DRUG, TOBACCO/NICOTINE, AND ALCOHOL USE AND PLACED INTO EARLY INTERVENTION/BRIEF COUNSELING, FOR YOUTH WHO SCORE AS LOW OR MODERATE RISK OF SUD/COD, OR ASSESSMENT AND TREATMENT, FOR YOUTH WHO SCORE AS HIGH RISK. CAREGIVERS WILL BE ENGAGED AT EVERY STEP IN THE PROCESS. EARLY INTERVENTION/BRIEF COUNSELING INCLUDES “IDECIDE,” A MASSACHUSETTS-DEVELOPED EARLY INTERVENTION CURRICULUM AND PROJECT AMP, A BRIEF COUNSELING PROGRAM THAT PAIRS YOUTH WITH YOUNG ADULTS WHO SHARE LIVED EXPERIENCE OR NEAR LIVED EXPERIENCE. ASSESSMENT AND TREATMENT INCLUDES ADOLESCENT COMMUNITY REINFORCEMENT APPROACH (A-CRA), A BEHAVIORAL FAMILY-CENTERED THERAPY INTERVENTION THAT FOCUSES ON INCREASING THE FAMILY, SOCIAL, AND EDUCATIONAL/VOCATIONAL REINFORCERS THAT SUPPORT RECOVERY AND WRAP AROUND SERVICES ALONG WITH ASSERTIVE CONTINUING CARE (ACC) RECOVERY SUPPORT INCLUDING WRAP AROUND SERVICES.

BUILDING RESILIENCE THROUGH INTERVENTION: GROWING HEALTHIER TOGETHER

REENTRY NETWORK FOR EMPOWERING WOMEN (RENEW) PROJECT

YOUNG ADULT RECOVERY DESTINATION (YARD)

THE LADDER PROJECT: BUILDING RECOVERY ONE STEP AT A TIME

HEALTHY MALDEN AND EVERETT (HEALTHY ME) PROJECT

TREATMENT FOR HOMELESS FAMILIES LIVING TOGETHER

BUILDING RESILIENCE THROUGH INTERVENTION: GROWING HEALTHIER TOGETHER

HEALTHY MALDEN AND EVERETT (HEALTHY ME) PROJECT

ASSERTIVE ADOLESCENT AND FAMILY TREATMENT

OLDER WOMEN'S SERVICES PROGRAM