Casa Esperanza Inc

CASA CARE IS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) INITIATIVE PROVIDING CULTURALLY FOCUSED, COMPREHENSIVE, COORDINATED HEALTH CARE TO LATINX INDIVIDUALS AND FAMILIES IN GREATER BOSTON - CASA CARE IS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) INITIATIVE PROVIDING CULTURALLY FOCUSED, COMPREHENSIVE, COORDINATED HEALTH CARE TO LATINX INDIVIDUALS AND FAMILIES IN GREATER BOSTON, HOME TO MASSACHUSETTS’S LARGEST LATINX POPULATION. THE POPULATION OF FOCUS FOR CASA CARE IS LOW-INCOME LATINXS EXPERIENCING SUBSTANCE MISUSE OR MENTAL ILLNESS, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESSES (SMI). ABOUT 700 PEOPLE WILL BE SERVED BY THE PROJECT (100 IN YEAR 1; 200 IN YEARS 2-4). THE INTERSECTION OF THE MENTAL HEALTH CRISIS, OPIOID EPIDEMIC, AND HOMELESSNESS CRISIS IN GREATER BOSTON HAS BEEN DEEPLY EXACERBATED BY THE COVID-19 PANDEMIC AND STRUCTURAL FACTORS (E.G., RACISM AND CLASS INEQUALITY), PARTICULARLY FOR THE LARGELY HOMELESS AND/OR RECENTLY INCARCERATED LATINX PATIENTS CASA SERVES. DUE TO THE BARRIERS LATINXS FACE WHEN ACCESSING SUD AND COD TREATMENT, THEY ARE LESS LIKELY TO HAVE ACCESS TO TRAUMA-INFORMED, CULTURALLY COMPETENT, EVIDENCE-BASED CARE; LESS LIKELY TO REMAIN IN CARE IF THEY RECEIVE IT; AND ARE MORE LIKELY TO OVERDOSE AND DIE THAN THEIR WHITE COUNTERPARTS. MINDFUL OF ROBUST RESEARCH DEMONSTRATING THAT LATINX PATIENTS ARE TREMENDOUSLY MORE LIKELY TO BENEFIT FROM CARE IF IT IS ATTUNED TO THEIR CULTURAL NEEDS, CASA CARE IS A STRATEGICALLY DESIGNED TO ADDRESS TREATMENT DISPARITIES FACING GREATER BOSTON’S LOW-INCOME, LATINX RESIDENTS. SINCE OPENING ITS DOORS IN 1984, CASA ESPERANZA HAS WORKED CLOSELY WITH LEADING ACADEMICS, POLICYMAKERS, ADVOCATES, AND SERVICE PROVIDERS TO DEVELOP AN INTRICATE NETWORK OF EVIDENCE-BASED RECOVERY PATHWAYS LEADING PATIENTS TO HEALTHY AND INDEPENDENT LIFESTYLES. RELYING ON ESTABLISHED MEDICAL AND SOCIAL SCIENCE RESEARCH, CASA CARE IS CENTERED ON FIVE GOALS THAT WILL FACILITATE COMMUNITY PUBLIC HEALTH. EACH OF THESE GOALS IS INFORMED BY THE INTEGRATED DUAL DISORDER TREATMENT (IDDT) MODEL, A WIDELY TESTED SET OF INTERVENTIONS SUITABLE FOR LONG-TERM USE. CASA CARE’S FIVE GOALS ARE: (1) CONDUCTING A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT TO IDENTIFY EXISTING COMMUNITY NEEDS AND INCREASE AVAILABILITY OF SERVICES FOR LATINX WITH SUD, SMI, OR COD; (2) IMPROVING ACCESS TO AND UTILIZATION OF CULTURALLY FOCUSED, BILINGUAL, TRAUMA-INFORMED, INTEGRATED SUBSTANCE USE, MENTAL HEALTH, AND PRIMARY CARE FOR LATINXS; (3) DEVELOPING A ROBUST HEALTH NETWORK AND CLINICAL OPERATIONS INFRASTRUCTURE TO SUPPORT THE EXPANSION OF CASA’S COMPREHENSIVE CONTINUUM OF TRAUMA-INFORMED, EVIDENCE-BASED, INTEGRATED OUTPATIENT BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES; (4) ENHANCING HIT INFRASTRUCTURE DEVELOPMENT TO SUPPORT ALIGNMENT WITH CCBHC CRITERIA; AND (5) DEVELOPING A ROBUST PLAN FOR STAFFING, ONGOING TRAINING AND DELIVERY OF EVIDENCE-BASED PRACTICES. BY DELIVERING QUALITY SCREENING AND ASSESSMENT, TREATMENT PLANNING, OUTPATIENT SERVICES, TARGETED CASE MANAGEMENT, RESIDENTIAL TREATMENT SERVICES, CRISIS STABILIZATION SERVICES, PEER SUPPORT SERVICES, REENTRY SERVICES, AND PRIMARY MEDICAL CARE, AND OTHER SERVICES, CASA CARE ACTIVELY STRIVES TO BRIDGE THE TREATMENT GAP.

MI CAMINO-MY PATHWAY TO ECONOMIC INDEPENDENCE PROGRAM

CASACARE-OBOT:OFFICE-BASED OPIOID TREATMENT FOR LATINOS WITH CO-OCCURRING DISORDERS - CASA ESPERANZA INC.’S PROPOSED “CASACARE-OBOT: OFFICE-BASED OPIOID TREATMENT FOR LATINOS WITH CO-OCCURRING DISORDERS” PROGRAM WILL REDUCE ILLICIT OPIOID DRUG USE AND RELATED OVERDOSES FOR INDIVIDUALS WITH CO-OCCURRING OPIOID USE AND MENTAL HEALTH DISORDERS (CODS) BY EXPANDING ACCESS TO MAT AND USING IDDT TO PROVIDE INTEGRATED CULTURALLY-COMPETENT AND TRAUMA-INFORMED SUBSTANCE USE DISORDER AND MENTAL HEALTH TREATMENT AND RELATED RECOVERY SUPPORT SERVICES, AS WELL AS ON-SITE PRIMARY CARE SERVICES. CASACARES’ GOALS ARE: 1) EXPAND ACCESS TO MAT FOR LATINOS WITH CO-OCCURRING DISORDERS; 2) IMPROVE ACCESS TO INTEGRATED MENTAL HEALTH, OPIOID USE TREATMENT, AND PRIMARY CARE FOR LATINOS; 3) PROVIDE CASE MANAGEMENT SERVICES TO SUPPORT CLIENTS’ FULL ENGAGEMENT IN THE DEVELOPMENT, IMPLEMENTATION AND COMPLETION OF GOALS IN THEIR CARE PLAN; AND 4) PROVIDE RECOVERY SUPPORT SERVICES TO HELP INCREASE KNOWLEDGE OF COMMUNITY RESOURCES; INCREASE CAPACITY FOR SELF-MANAGEMENT; AND IDENTIFY AND REDUCE RISKY BEHAVIOR. OVER 5 YEARS, CASACARE-OBOT WILL SERVE 340 INDIVIDUALS (40 IN YR 1; 60 IN YR 2; 80/YEAR IN YRS 3-5). OUR PATIENTS OFTEN LACK THE LIFE SKILLS, INTERPERSONAL SKILLS, AND HEALTH LITERACY NECESSARY TO KEEP APPOINTMENTS, COMMUNICATE EFFECTIVELY WITH PROVIDERS, AND STAY CONNECTED TO CARE. MONOLINGUAL SPANISH SPEAKERS AND LATINX WITH LIMITED OR NO ENGLISH REPRESENT 80% OF OUR CURRENT PATIENTS, 95%) ARE HOMELESS OR UNDER-HOUSED, AND 71% HAVE RECEIVED PRESCRIBED MEDICATIONS FOR PSYCHOLOGICAL/EMOTIONAL PROBLEMS. ONLY 31% RECEIVED PRIOR TREATMENT FOR MENTAL HEALTH. OF THESE, 98% MEET CRITERIA FOR SERIOUS MENTAL ILLNESS; 95% HAVE A PTSD DIAGNOSIS; 55% REPORT RECENT DEPRESSION, 61.4% REPORT RECENT ANXIETY, 15% REPORT RECENT THOUGHTS OF SUICIDE, AND 3% RECENTLY ATTEMPTED SUICIDE. ALL STRUGGLE WITH SOCIAL DETERMINANTS OF HEALTH SUCH AS LINGUISTIC BARRIERS, POVERTY, INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM, AND CHRONIC MEDICAL CONDITIONS. THIS PLACES OUR PATIENTS AT GREATER RISK OF RELAPSE AND OVERDOSE.

CASACARE: AN INTEGRATED DUAL DISORDER TREATMENT MODEL FOR LATINOS EXPERIENCING HOMELESSNESS

TU BIENESTER PROGRAM (YOUR WELLNESS PROGRAM)

TRANSCEND: EMPOWERMENT, RECOVERY, AND REENTRY

CULTIVATING MOMS: MITIGATING OBSTACLES TO MULTIGENERATIONAL SUCCESS - CULTIVATING MOMS – MITIGATING OBSTACLES FOR MULTIGENERATIONAL SUCCESS IS A BOSTON-BASED PROGRAM FOCUSING ON IMPROVING ACCESS TO CULTURALLY AND LINGUISTICALLY ACCESSIBLE RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM LATINX MOTHERS WITH CO-OCCURRING SUBSTANCE USE DISORDERS AND MENTAL ILLNESS. MOMS LEVERAGES THE HOST ORGANIZATION'S ROBUST HEALTHCARE INFRASTRUCTURE TO ADDRESS THE TREATMENT NEEDS OF 80 WOMEN AND 240 CHILD AND ADULT FAMILY MEMBERS OVER A FIVE-YEAR TERM. FUNDING COVERS STAFF, INCLUDING A CLINICIAN AND NURSE PRACTITIONER, COORDINATION SPECIALISTS, AN OUTREACH SPECIALIST, INTENSIVE CASE MANAGEMENT, AND MORE. IT ALSO FACILITATES THE IMPLEMENTATION OF SEVERAL CUTTING-EDGE TREATMENT STRATEGIES IDENTIFIED BY THE HOST ORGANIZATION'S LEADERSHIP AND UNIVERSITY COLLABORATORS. INFORMED BY EXPERT ADVICE, SOCIAL SCIENCE, AND MEDICAL RESEARCH, THE PROJECT EMPLOYS SEVERAL EVIDENCE-BASED PRACTICES TO STRATEGICALLY ADDRESS SERVICE GAPS FACED BY LATINX MOTHERS AND MOTHERS-TO-BE IN GREATER BOSTON. MOMS PROPOSES TO ACCOMPLISH THE FOLLOWING GOALS: STABILIZING PARENTAL RECOVERY BY PROVIDING TRAUMA-INFORMED MENTAL HEALTH AND SUBSTANCE USE TREATMENT AND PRIMARY CARE. PROVIDE RECOVERY SUPPORT SERVICES TO INCREASE PARTICIPANTS' KNOWLEDGE OF COMMUNITY RESOURCES, CAPACITY FOR SELF-MANAGEMENT, AND ABILITY TO HEAL FAMILY TRAUMA. IMPROVE OVERALL HEALTH AND WELL-BEING VIA CASE MANAGEMENT SUPPORTING PATIENTS' ENGAGEMENT IN THE DEVELOPMENT, IMPLEMENTATION, AND COMPLETION OF TREATMENT GOALS. PROMOTE THE STABILIZATION, REUNIFICATION, AND RECOVERY OF LATINX FAMILIES BY EMPOWERING THEM WITH THE TRAINING, SUPPORT, AND RESOURCES THEY NEED TO BREAK CYCLES OF ADDICTION AND ABUSE. DELIVERING LINGUISTICALLY AND CULTURALLY COMPETENT HEALTHCARE AND FLEXIBLE SERVICES IS CRITICAL FOR DIMINISHING THE IMPACTS OF SUBSTANCE USE DISORDERS, MENTAL ILLNESS, AND COVID-19 ON GREATER BOSTON'S LATINX COMMUNITIES AND IS ESPECIALLY CRITICAL FOR LATINX MOTHERS, AS THIS SUB-GROUP OFTEN FACES COMPLICATED PATHWAYS TO RECOVERY. WHEN THESE PATHS ARE TRAVERSED, HOWEVER, MOTHERS CAN BE EMPOWERED TO MITIGATE THE DOWNSTREAM CONSEQUENCES CYCLES OF ADDICTION AND TRAUMA HAVE ON THEMSELVES, THEIR CHILDREN, AND THEIR FAMILIES. LATINX PERSONS WITH CO-OCCURRING DISORDERS IN GREATER BOSTON HAVE LIMITED ACCESS TO CULTURALLY ATTUNED CARE, EVEN THOUGH IT IS MORE LIKELY EFFECTIVE THAN STANDARD PROTOCOLS. DECADES OF RESEARCH INDICATE THAT MOMS'S STRATEGIES ARE AMONG THE MOST EFFICACIOUS AVAILABLE, ESPECIALLY WHEN APPLIED TO LATINX POPULATIONS. IT IS, THEREFORE, REASONABLE TO PREDICT THAT THIS PROJECT WILL HELP MITIGATE DOWNSTREAM CONSEQUENCES ASSOCIATED WITH RELAPSE FOR PARTICIPANTS, THEIR FAMILIES, AND SOCIETY MORE BROADLY. THESE COSTS INCLUDE AN INCREASED BURDEN ON THE HEALTHCARE INFRASTRUCTURE; A HIGHER LIKELIHOOD FOR CHILDREN OF ADDICTED PARENTS TO DEVELOP PHYSICAL, MENTAL, OR EMOTIONAL DISORDERS; AND HIGHER PUBLIC HEALTH AND CRIMINAL JUSTICE EXPENDITURES ASSOCIATED WITH BOTH MOTHERS EXPERIENCING CODS AND THEIR FAMILIES. THESE BENEFITS ARE ALL IN ADDITION TO THE INCREASED WELLNESS EXPERIENCED BY CLIENTS WHEN THEY END ADDICTIONS, AVOID RELAPSE, AND (RE)COMMIT TO HEALTHY LIFESTYLES.

TU BIENESTAR- COMMUNITY, HEALTH, AND EMPOWERMENT

MI CAMINO: YOUR PATHWAY TO CAREER SUCCESS - MI CAMINO: YOUR PATHWAY TO CAREER SUCCESS WILL BE A BILINGUAL/BICULTURAL SUPPORTED EMPLOYMENT PROGRAM INTEGRATED WITH BEHAVIORAL HEALTH TREATMENT THAT SEEKS TO ADDRESS THE EDUCATIONAL AND VOCATIONAL NEEDS OF LATINX INDIVIDUALS WITH SUBSTANCE USE DISORDERS OR CO- OCCURRING MENTAL HEALTH DISORDERS IN ORDER TO ENTER THE WORKFORCE, MAINTAIN EMPLOYMENT, AND DEVELOP CAREER PATHWAYS THAT SUPPORT LONG-TERM SUCCESS IN RECOVERY. MI CAMINO INTEGRATES EMPLOYMENT SUPPORT SERVICES INTO EACH JOB SEEKER'S PERSONAL CARE PLAN. JOB SEEKERS WORK WITH THEIR CARE TEAM TO MAP OUT THEIR SKILLS, STRENGTHS, INTERESTS, AND NEEDS, AND MEET CAREER GOALS. MI CAMINO WILL SERVE 40 UNDUPLICATED CLIENTS IN YEAR 1 AND 70/YEAR FOR YEARS 2-5, FOR A TOTAL OF 320 UNDUPLICATED CLIENTS OVER FIVE YEARS. CASA ANTICIPATES 100% OF CLIENTS WILL HAVE A SUBSTANCE USE DISORDER AND 70% WILL HAVE A CO- OCCURRING MENTAL HEALTH CONDITION; 40% WILL BE MONOLINGUAL SPANISH SPEAKERS AND ALL WILL BE BELOW THE NATIONAL POVERTY LINE. THE GOALS OF THIS PROJECT ARE: 1. COMPLETE VOCATIONAL/EDUCATIONAL ASSESSMENT AND SERVICE PLANNING FOR LATINX WITH SUDS AND CODS; 2. CREATE AND DELIVER A CULTURALLY-FOCUSED LEADERSHIP DEVELOPMENT PROGRAM THAT SUPPORTS LATINX WITH CODS IN BECOMING LEADERS AND WORKING IN THE LATINO RECOVERY COMMUNITY; 3. INCREASE ACCESS TO EDUCATIONAL AND VOCATIONAL OPPORTUNITIES THROUGH THE ESTABLISHMENT OF COMMUNITY PARTNERSHIPS; 4. IMPROVE ACCESS TO INTEGRATED MENTAL HEALTH AND SUBSTANCE USE TREATMENT AND PRIMARY CARE FOR LATINOS WITH SUD AND COD ENTERING THE WORKFORCE, AND 5. ENHANCE ORGANIZATIONAL TRAINING PLAN TO ENSURE THE SUCCESSFUL IMPLEMENTATION OF PROJECTS BY REINFORCING EXISTING COMPETENCIES AND DEVELOPING NEW SKILLS. MI CAMINO'S SUCCESS WILL BE MEASURED THROUGH THE NUMBER OF ASSESSMENTS COMPLETED, DEVELOPMENT OF PEER SUPPORT PROFESSIONALS, VOCATIONAL TRAINING SERVICES PROVIDED, TRAINING PEER RECOVERY PROFESSIONALS ON CULTURALLY FOCUSED LEADERSHIP DEVELOPMENT PROGRAM, AND ENGAGEMENT IN OUR SUPPORTED EMPLOYMENT SERVICES, SUCH AS INDIVIDUAL VOCATIONAL ASSESSMENT AND SUPPORT, JOB SEARCH BASED ON INDIVIDUAL STRENGTHS, SKILLS, AND PREFERENCES, HELP WITH RESUMES, COVER LETTERS, AND INTERVIEW SKILLS. CLINICAL STAFF WILL UTILIZE EVIDENCE-BASED PRACTICES TO ADMINISTER SUD AND MENTAL HEALTH TREATMENT, SUCH AS INTEGRATED DUAL DISORDER TREATMENT, MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, MEDICATION-ASSISTED TREATMENT, INTENSIVE CASE MANAGEMENT, SUPPORTED EMPLOYMENT, AND ASSERTIVE OUTREACH. ADDITIONALLY, MI CAMINO STAFF RECEIVES ONGOING PROFESSIONAL DEVELOPMENT TRAINING TO REINFORCE EXISTING COMPETENCIES AND DEVELOP NEW SKILLS.

TU BIENESTAR - TU BIENESTAR: CULTURE, HEALTH, AND EMPOWERMENT IS DEDICATED TO FOSTERING CONNECTIONS BETWEEN LATINXS WITH SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH DISORDERS (CODS) WHO ARE AT RISK FOR OR LIVING WITH HIV AND OTHER INFECTIONS AND THE HEALTHCARE THEY NEED. PATIENTS IN THIS BOSTON-BASED PROGRAM OFTEN EXPERIENCE SOCIAL OR ECONOMIC ISSUES ASSOCIATED WITH HIV AND SUBSTANCE MISUSE (E.G., POVERTY OR TRAUMA) WHICH CREATE SIGNIFICANT BARRIERS TO RECOVERY AND VIRAL SUPPRESSION. THESE ISSUES CONTRIBUTE TO INCREASED RISKS FOR HIV INFECTION OR COMPLICATIONS; RELAPSES OR OVERDOSES; AND THE ONSET OF CONCURRENT MENTAL OR BEHAVIORAL HEALTH ISSUES. PATIENTS WITH CODS, ESPECIALLY LINGUISTICALLY AND CULTURALLY UNDERSERVED INDIVIDUALS, ARE FURTHER OBSTRUCTED FROM COMPREHENSIVE CARE BY SILOS BETWEEN SUD SERVICES, MENTAL HEALTH TREATMENT, AND HIV MEDICAL CARE. TU BIENESTAR IS A BRIDGE LINKING ALL THREE SERVICE TYPES. TU BIENESTAR’S PATIENT POPULATION IS EXCLUSIVELY 18 YEARS OF AGE AND OLDER, WITH MOST PATIENTS BETWEEN 35-44. ABOUT 75% OF PATIENTS IDENTIFY AS MALE AND ABOUT 25% IDENTIFY AS FEMALE, WITH A SMALL NUMBER IDENTIFYING AS TRANSGENDER OR GENDER NON-BINARY. ABOUT 90% OF PATIENTS ARE HISPANIC/LATINX AND MOST ARE BILINGUAL (ENGLISH/SPANISH). ROUGHLY HALF OF THE PATIENT POPULATION LACKS A COMPLETE HIGH SCHOOL EDUCATION AND ABOUT HALF ARE UNEMPLOYED, WITH ROUGHLY 75% OF PATIENTS UNABLE TO MEET ALL THEIR FINANCIAL NEEDS. OVER ONE-THIRD OF PATIENTS ARE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM AND BETWEEN 10-20% ARE HIV POSITIVE AT INTAKE. TU BIENESTAR ASSERTIVELY IDENTIFIES AND ENGAGES HARD-TO-REACH INDIVIDUALS IN CULTURALLY COMPETENT HIV/VH/STI PREVENTION, EDUCATION, SCREENING, TESTING, AND CONNECTION TO CARE AND IS CHIEFLY CONCERNED WITH FOUR RELATED GOALS: (1) IMPROVING ACCESS TO CULTURALLY FOCUSED, TRAUMA-INFORMED, INTEGRATED MENTAL HEALTH, OPIOID USE TREATMENT, AND PRIMARY CARE FOR LATINXS; (2) PROVIDING CASE MANAGEMENT SERVICES TO SUPPORT PATIENTS’ FULL ENGAGEMENT IN THE DEVELOPMENT, IMPLEMENTATION, AND COMPLETION OF GOALS IN THEIR CARE PLAN; (3) PROVIDING RECOVERY SUPPORT SERVICES TO HELP INCREASE KNOWLEDGE OF COMMUNITY RESOURCES, INCREASE CAPACITIES FOR SELF-MANAGEMENT, AND IDENTIFY AND REDUCE RISKY BEHAVIORS; AND (4) DESIGNING AND PROMOTING A PUBLIC AWARENESS CAMPAIGN TO ADDRESS THE STIGMA, DISCRIMINATION, AND BARRIERS TO CULTURALLY AND LINGUISTICALLY PROFICIENT TREATMENT AND RECOVERY SUPPORT SERVICES FACED BY LATINXS. TU BIENESTAR WILL PROVIDE INTEGRATED SERVICES TO 300 PEOPLE OVER FIVE YEARS, EMPOWERING THEM TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH, INCLUDING TRAUMA- AND SUBSTANCE USE-RELATED HIV RISK-BEHAVIORS.

SALUD & ESPERANZA (HEALTH & HOPE): TREATMENT WHEN YOU NEED IT, WHERE YOU NEED IT - CASA ESPERANZA INC.’S PROPOSED SALUD Y ESPERANZA (HEALTH & HOPE): TREATMENT WHEN YOU NEED IT, WHERE YOU NEED IT WILL DEVELOP A BILINGUAL/BICULTURAL, BEHAVIORAL HEALTH URGENT CARE PROGRAM AT CASA ESPERANZA THAT CAN SERVE AS A FRONT DOOR FOR LATINX WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS TO GET CONNECTED TO THE RIGHT TREATMENT IN REAL TIME. IN ADDITION TO PROVIDING CRITICAL IN-PERSON SERVICES, THE PROJECT WILL HELP EXPAND OUR TELEHEALTH CAPACITY TO ALLOW CASA TO FILL STATE-WIDE GAPS IN ADDICTION AND MENTAL HEALTH TREATMENT IN COMMUNITIES THAT DO NOT CURRENTLY HAVE ADEQUATE ACCESS TO SPANISH-LANGUAGE AND CULTURALLY RESPONSIVE TREATMENT. WE AIM TO SERVE 200 ADULTS PER YEAR FOR THE TWO YEARS OF THE GRANT. GOALS OF SALUD &ESPERANZA INCLUDE: (1) EXPAND CLINIC HOURS TO IMPROVE ACCESS TO, AND INCREASE UTILIZATION OF, MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT, AND PRIMARY CARE FOR LATINXS WITH CO-OCCURRING DISORDERS ; (2) PROVIDE CASE MANAGEMENT SERVICES TO SUPPORT CLIENTS’ FULL ENGAGEMENT IN THE DEVELOPMENT, IMPLEMENTATION AND COMPLETION OF GOALS IN THEIR CARE PLAN; (3) PROVIDE RECOVERY SUPPORT SERVICES TO HELP INCREASE KNOWLEDGE OF COMMUNITY RESOURCES; INCREASE CAPACITY FOR SELF-MANAGEMENT; AND IDENTIFY AND REDUCE RISKY BEHAVIOR; (4) PARTNER WITH LOCAL LAW ENFORCEMENT AND HOSPITALS TO DEVELOP A MULTIPLE INTERCEPT MODEL THAT PROMOTES ALTERNATIVES TO HOSPITALIZATION AND INCARCERATION. CASA IS THE ONLY PROVIDER IN EASTERN MASSACHUSETTS TO OFFER A FULL CONTINUUM OF INTEGRATED, EVIDENCE-BASED, SPANISH-LANGUAGE BEHAVIORAL HEALTH SERVICES INCLUDING RECOVERY SUPPORT SERVICES AND TELEHEALTH. CASA FILLS AN URGENT GAP IN LINGUISTICALLY AND CULTURALLY ACCESSIBLE SUD AND COD TREATMENT FOR LATINX PATIENTS. OUR PATIENTS EXPERIENCE HARDSHIP FROM LIFELONG TRAUMA, HOMELESSNESS, POVERTY, AND SYSTEMIC DISCRIMINATION. MANY ARE MEDICALLY FRAIL, FACING A GREATER RISK OF INFECTION FROM DISEASES LIKE COVID-19. MOST (80%) OF OUR PATIENTS ARE MONOLINGUAL SPANISH SPEAKERS OR INDIVIDUALS WITH LIMITED OR NO ENGLISH. NEARLY ALL (95%) ARE HOMELESS OR UNDER-HOUSED. MOST (71%) HAVE RECEIVED PRESCRIPTIONS FOR PSYCHOLOGICAL/EMOTIONAL TREATMENT. OF THE 31% WHO RECEIVED PRIOR TREATMENT FOR MENTAL HEALTH, 98% MEET CRITERIA FOR SERIOUS MENTAL ILLNESS: PTSD (95%), DEPRESSION (55%), ANXIETY (61.4%), SUICIDAL IDEATION (15%), AND 3% HAVE MADE A SUICIDE ATTEMPT. ALL STRUGGLE WITH SOCIAL DETERMINANTS OF HEALTH SUCH AS LINGUISTIC BARRIERS, POVERTY, INVOLVEMENT WITH THE CRIMINAL JUSTICE SYSTEM, AND CHRONIC MEDICAL CONDITIONS. THESE ONGOING BARRIERS, COMPOUNDED BY PHYSICAL DISTANCING AND SOCIAL ISOLATION DUE TO COVID-19, PLACE OUR PATIENTS AT AN EVEN GREATER RISK OF RELAPSE AND OVERDOSE.

CITA

?CASACARE-OBOT: OFFICE-BASED OPIOID TREATMENT FOR LATINOS WITH CO-OCCURRING DISORDERS?

SALUD Y SUSTENTO (HEALTH AND WELLNESS) PROJECT

"TU BIENESTAR (YOUR WELLNESS): HEALTH HOME FOR AT-RISK LATINAS"

PROYECTO REDES (NETWORKS): RECOVERY & EARLY DIVERSION ENGAGEMENT SERVICES - CASA ESPERANZA'S PROYECTO REDES (NETWORKS): RECOVERY & EARLY DIVERSION ENGAGEMENT SERVICES PROGRAM WILL SERVE LATINOS WITH SUBSTANCE USE OR CO-OCCURRING MENTAL HEALTH DISORDERS AT RISK OF INCARCERATIONWITHIN MIDDLESEX AND ESSEX COUNTY. THROUGH THIS DIVERSION GRANT OPPORTUNITY, THE MOST VULNERABLE INDIVIDUALS WITH COD AND SMI WILL EXPERIENCE INCREASED ACCESS TO BEHAVIORAL HEALTH SERVICES, LEADING TO REDUCED SYMPTOMATOLOGY AND IMPROVED HEALTH OUTCOMES, AND AVOID LONG-TERM SOCIOECONOMIC ISSUES RESULTING FROM JUSTICE INVOLVEMENT AND INCARCERATION. CONNECTING INDIVIDUALS WITH APPROPRIATE PROGRAMMING IN LIEU OF ARREST AND INCARCERATION REDUCES THE BURDEN ON THE COURT SYSTEM TO PROCESS NEW ARRESTS AND REDUCES THE JAIL POPULATION WITH SMI AND COD. CASA EXPECTS OVER 40% OF CLIENTS TO BE MONOLINGUAL SPANISH SPEAKERS AND ALL TO BE BELOW THE NATIONAL POVERTY LINE. CASA ANTICIPATES SERVING 40 INDIVIDUALS IN YEAR 1 AND 50 INDIVIDUALS PER YEAR THEREAFTER FOR A TOTAL OF 240 INDIVIDUALS SERVED THROUGHOUT THE PROJECT'S LIFESPAN. LATINOS RECEIVING DIVERSION SERVICES THROUGH PROYECTO REDES WILL HAVE ACCESS TO MENTAL HEALTH SERVICES, RESIDENTIAL TREATMENT, MEDICATION-ASSISTED THERAPY, CLINICAL STABILIZATION SERVICES, AND RECOVERY SUPPORT SERVICES. ADDITIONALLY, A BEHAVIORAL HEALTH PARTNERSHIP WORKGROUP WILL PROVIDE PROJECT OVERSIGHT AND CASE CONFERENCING. PROYECTO REDES PROPOSES TO ACCOMPLISH THE FOLLOWING GOALS: STRENGTHEN THE EXISTING INFRASTRUCTURE RESPONSIBLE FOR COORDINATING, DEVELOPING, PLANNING, SUPPORTING, AND PROVIDING EFFECTIVE EARLY INTERVENTION SERVICES FOR LATINE WITH SMI OR COD WHO ARE AT RISK OF DETENTION DUE TO BEHAVIORAL HEALTH DISORDERS. REDUCE THE NUMBER OF ARRESTS FOR LATINE WITH MI/COD BY DIVERTING THEM FROM JUSTICE SYSTEMS TO COMMUNITY-BASED BEHAVIORAL HEALTH TREATMENT AND RECOVERY SUPPORTS THAT REDUCE RISK, IMPROVE HEALTH OUTCOMES, AND SUSTAIN RECOVERY. ADDRESS THE STIGMA, HEALTH DISPARITIES, AND BARRIERS TO CULTURALLY AND LINGUISTICALLY APPROPRIATE TREATMENT AND SUPPORT SERVICES FOR LATINE THROUGH EDUCATION AND TRAINING THAT REINFORCES EXISTING COMPETENCIES AND DEVELOPS NEW SKILLS. PROYECTO REDES' SUCCESS WILL BE MEASURED THROUGH THE NUMBER OF ASSESSMENTS COMPLETED, CASE MANAGEMENT SERVICES PROVIDED, TRAINING STAFF ON CLAS STANDARDS, TRAINING LAW ENFORCEMENT AND COMMUNITY PARTNERS, COMPLETING SEQUENTIAL INTERCEPT MAPPING, AND THE NUMBER OF REFERRALS TO CRISIS INTERVENTION AND PSYCHIATRIC REHABILITATION SERVICES. CASA'S PROYECTO REDES TEAM WILL RIDE ALONG WITH LAW ENFORCEMENT OFFICERS TO DIRECTLY INTERCEPT AND ASSESS INDIVIDUALS. ADDITIONALLY, HIGHLY TRAINED CLINICAL STAFF WILL UTILIZE EVIDENCE-BASED PRACTICES TO ADMINISTER MENTAL HEALTH TREATMENT, SUCH AS INTEGRATED DUAL DISORDER TREATMENT, MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, MEDICATION-ASSISTED TREATMENT, INTENSIVE CASE MANAGEMENT, AND ASSERTIVE OUTREACH. PROYECTO REDES STAFF RECEIVES ONGOING TRAINING TO REINFORCE EXISTING COMPETENCIES AND DEVELOP NEW SKILLS.OUR PROPOSED PROYECTO REDES WILL ADDRESS THE INTERCONNECTED PROBLEMS LATINOS FACE WORKING WITH CURRENT DIVERSION MODELS, OFFER CLIENTS A RESOURCE FOR INDIVIDUAL/FAMILY RECOVERY MANAGEMENT, EMPHASIZE LONG-TERM RECOVERY, ADDRESS STIGMA, AND BUILD COMMUNITY CONNECTION BEFORE ARREST AND BOOKING.

RUMBO A CASA (THE WAY HOME)

PATHWAYS TO RECOVERY PROGRAM

CASA PALS-PROMOTORES AMPLIFICANDO LA SABIDURIA - CASA ESPERANZA’S PROGRAM, PALS: PROMOTORES AMPLIFICANDO LA SABIDURÍA, WILL ADDRESS TWO SOCIAL DETERMINANTS OF HEALTH (SDOH) DOMAINS: HEALTHCARE ACCESS AND QUALITY, AND SOCIAL AND COMMUNITY CONTEXT, FOCUSING ON LEADING HEALTH INDICATORS (LHI) OF DRUG OVERDOSE DEATHS AND SUICIDE. PALS IS AN INNOVATIVE PROMOTORES MODEL COLLABORATIVE THAT INCORPORATES CULTURALLY APPROPRIATE AND LINGUISTICALLY ACCESSIBLE COMMUNITY HEALTH WORKERS INTO A TRAUMA-INFORMED CONTINUUM OF CARE TO DELIVER COMPREHENSIVE SUPPORT FOR LATINES WITH MENTAL HEALTH AND SUBSTANCE USE NEEDS. PALS WILL SERVE 462 UNDUPLICATED INDIVIDUALS IN MASSACHUSETTS THROUGHOUT THE DURATION OF THE FUNDING OPPORTUNITY, WITH 50% FROM GREATER BOSTON AND THE OTHER HALF FROM ACROSS THE STATE. OF THESE INDIVIDUALS, 40% WILL BE MONOLINGUAL SPANISH SPEAKERS AND 70% WILL BE HOMELESS OR UNDER-HOUSED. THE GOAL OF PALS IS TO PROMOTE HEALTH EQUITY, EMPOWER COMMUNITIES, AND IMPROVE HEALTH OUTCOMES BY ADDRESSING THE UNIQUE NEEDS AND CHALLENGES OF LATINES THROUGH A CULTURALLY COMPETENT AND COMMUNITY-DRIVEN PROMOTORES PROGRAM. THIS PROGRAM AIMS TO BUILD THE CAPACITY OF LATINES TO ADDRESS HEALTH QUALITY PROBLEMS IN THEIR COMMUNITIES. PROGRAMMATIC GOALS INCLUDE: ASSESS THE HEALTH STATUS AND NEEDS OF LATINES WITH SUD AND EXISTING RESOURCES TO GUIDE EQUITABLE PROGRAM PLANNING AND PROMOTE COMMUNITY ENGAGEMENT IN REDUCING OVERDOSE RATES AMONG LATINES. ENHANCE THE CAPACITY OF COMMUNITY HEALTH WORKERS/PROMOTORES TO IDENTIFY OVERDOSE RISK BEHAVIOR AND SUICIDAL IDEATION THROUGH CULTURALLY-TAILORED TRAINING, MENTORSHIP, AND PROFESSIONAL DEVELOPMENT OPPORTUNITIES. EMPOWERING LATINES BY ADDRESSING HEALTH DISPARITIES, PROMOTING EQUITABLE ACCESS TO CULTURALLY FOCUSED, TRAUMA-INFORMED, INTEGRATED MENTAL HEALTH, SUBSTANCE USE TREATMENT, AND PRIMARY CARE, AND ENABLING INFORMED DECISION-MAKING ABOUT THEIR HEALTH. PARTNERS FOR THE PALS PROGRAM INCLUDE; BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM (BHCHP), VICTORY PROGRAMS, ST. FRANCIS HOUSE, AND ACCESS HARM REDUCTION OVERDOSE PREVENTION AND EDUCATION (AHOPE). ALSO, CASA WILL LEVERAGE EXISTING PARTNERSHIPS AND MEETINGS, SUCH AS THE BHCHP CONSORTIUM PROGRAM, TO EXPAND ACCESS AND SERVICES THROUGHOUT THE FUNDING OPPORTUNITY. THIS COLLABORATIVE NETWORK WILL ADDRESS HEALTH DISPARITIES THROUGH PREVENTATIVE EDUCATION AND REDUCED STIGMA, AS WELL AS REDUCE SUICIDALITY AND OVERDOSE DEATH RATES FOR LATINES IN GREATER BOSTON, WITH AN ANTICIPATED OUTCOMES OF CREATING A NETWORK OF PROMOTORES.

TRANSCEND-EMPOWERMENT RECOVER AND REENTRY

SALUD AL MOMENTO-A BILINGUAL/BICULTURAL BEHAVIORAL HEALTH URGENT CARE CENTER

MI CAMINO PEER SUPPORT SERVICES - CASA ESPERANZA’S MI CAMINO PEER RECOVERY SUPPORT SERVICES PROJECT WILL ENHANCE AND STRENGTHEN A LATINE COMMUNITY OF RECOVERY IN THE GREATER BOSTON AND SURROUNDING AREAS BY PROVIDING CULTURALLY FOCUSED, TRAUMA-INFORMED, PEER RECOVERY SUPPORT SERVICES INTEGRATED WITH SUBSTANCE USE AND MENTAL HEALTH TREATMENT AND PRIMARY CARE SERVICES. THE PROJECT WILL SERVE 90 CLIENTS IN YR1 AND 130 PER YEAR AFTERWARD FOR A TOTAL OF 350 CLIENTS. PROJECT STAFF WILL CONTINUE TO UTILIZE CASA’S TELEHEALTH PROGRAM TO EXPAND ACCESS TO SUPPORT SERVICES TO LATINES ACROSS THE STATE AND FOR INDIVIDUALS IN BOSTON WHO MAY BE IMMUNE-COMPROMISED AND PREFER TO RECEIVE SERVICES VIRTUALLY. MI CAMINO WILL (1) CONDUCT A COMMUNITY NEEDS ASSESSMENT TO IMPROVE ACCESS TO RECOVERY SUPPORT SERVICES FOR LATINES WITH SUD. SURVEYS, INTERVIEWS, AND FOCUS GROUPS WILL BE CONDUCTED TO PROVIDE INSIGHT INTO BARRIERS AND ENGAGEMENT OPPORTUNITIES. (2) DELIVER A WIDE RANGE OF BILINGUAL/BICULTURAL TRAUMA-INFORMED PEER RECOVERY SUPPORT SERVICES TO LATINES WITH SUD AND/OR CODS. PEER RECOVERY COACHES (PRC) WILL CONDUCT ASSESSMENTS OF COMPREHENSIVE RECOVERY NEEDS (I.E. HOUSING, EMPLOYMENT, HEALTH AND WELLNESS, TRANSPORTATION, LEGAL, CHILDCARE, PEER SUPPORT) TO DEVELOP INDIVIDUAL RECOVERY PLANS, FACILITATE INDIVIDUAL AND GROUP SKILLS BUILDING TO CLIENTS THROUGH PEER RECOVERY COACHING AND PEER-LED GROUPS (THINKING FOR A CHANGE, ADDICTION RECOVERY EDUCATION ACCESS SERVICES (AREAS), AND HEALTH AND RECOVERY PEER PROGRAM (HARP)). IN ADDITION, PRCS WILL CONNECT CLIENTS TO COMMUNITY-BASED HEALTH AND WELLNESS PROGRAMS, INCLUDING BACK ON MY FEET, A NATIONAL SOBER RUNNING GROUP. (3) IMPLEMENT AND STRENGTHEN OUR CULTURALLY-FOCUSED PEER LEADERSHIP DEVELOPMENT PROGRAM TO PROVIDE TRAINING AND MENTORSHIP TO STRENGTHEN THE RECOVERY AND ECONOMIC INDEPENDENCE OF LATINES IN RECOVERY AND INCREASE THE BILINGUAL/BICULTURAL PEER WORKFORCE. (4) IMPROVE ACCESS TO INTEGRATED MENTAL HEALTH AND SUBSTANCE USE TREATMENT AND PRIMARY CARE FOR LATINES WITH SUD AND/OR CODS. PRCS AND RECOVERY SPECIALIST WILL PROVIDE REFERRALS AND SCHEDULING SUPPORT TO CASA’S OUTPATIENT PROGRAM, INCLUDING INDIVIDUAL AND GROUP COUNSELING; PSYCHIATRIC AND PSYCHO-PHARMACOLOGY CONSULTATIONS; MAT; STRUCTURED OUTPATIENT BEHAVIORAL ADDICTION PROGRAM (SOAP); HIV TESTING AND COUNSELING; CASE MANAGEMENT SERVICES; AND ON-SITE PRIMARY CARE SERVICES. ADDITIONALLY, PRCS WILL PROVIDE REFERRALS TO INSURANCE COUNSELING TO HELP CLIENTS UNDERSTAND, APPLY, AND ENROLL FOR HEALTH INSURANCE/MEDICAID. PRCS WILL PROVIDE CLIENTS ASSISTANCE IN APPLYING FOR BENEFITS SUPPORT, INCLUDING SSI/SSDI, TANF, SNAP, ETC. (5) ADDRESS THE STIGMA, DISCRIMINATION, AND BARRIERS TO CULTURALLY AND LINGUISTICALLY PROFICIENT TREATMENT AND RECOVERY SUPPORT SERVICES FOR LATINES THROUGH EDUCATIONAL PRESENTATIONS AT LATINO-SERVING ORGANIZATIONS, COMMUNITY GROUPS, AND EVENTS PERTAINING TO SUBSTANCE ABUSE AND MENTAL ILLNESS. STAFF WILL ALSO SUPPORT CLIENT PARTICIPATION IN STATEWIDE ADVOCACY EVENTS AND IMPLEMENT FAMILY GROUP SESSIONS TO HELP FAMILIES SUPPORT THEIR LOVED ONE IN CARE, IMPROVE FAMILY FUNCTIONING, AND REDUCE SHAME AND STIGMA.

TU BIENESTAR--MI VIDA, MI HISTORIA

MI CAMINO PROJECT

CASA ESPERANZAS TRANSCEND: EMPOWERMENT, RECOVERY AND RE-ENTRY PROGRAM WILL SERVE LATINE RETURNING CITIZENS WITH SUBSTANCE USE OR CO-OCCURRING MENTAL HEALTH DISORDERS IN MASSACHUSETTS. BY DELIVERING INTEGRATED RECOVERY-ORIENTED SERVICES IN CULTURALLY APPROPRIATE SPANISH LANGUAGE, PARTICIPANTS WILL HAVE ACCESS TO EXPANDED SERVICES FOCUSED ON REINTEGRATION AND REDUCED RECIDIVISM. CASA EXPECTS OVER 40 PERCENT OF CLIENTS TO BE MONOLINGUAL SPANISH SPEAKERS AND ALL TO BE BELOW THE NATIONAL POVERTY LINE. CASA WILL SUBCONTRACT WITH AN INDEPENDENT EVALUATOR (TRX DEVELOPMENT SOLUTIONS LLC) TO MEASURE THE PROGRAMS SUCCESS THROUGH THE NUMBER OF ASSESSMENTS COMPLETED, CASE MANAGEMENT SERVICES PROVIDED, AND STAFF TRAINING. CASAS TRANSCEND TEAM WILL ADMINISTER PRERELEASE SCREENINGS FOR SERVICES DIRECTLY IN THE CORRECTIONAL FACILITIES TO SUPPORT SUCCESSFUL TRANSITIONS FROM INCARCERATION TO REINTEGRATION. CASA ANTICIPATES COMPLETING 200 SCREENING ASSESSMENTS THROUGHOUT THE PROJECTS LIFESPAN, WITH 125 RECEIVING PRERELEASE SERVICES AND 100 CONTINUING TO ENGAGE THROUGH POST-RELEASE. EXPECTED OUTCOMES INCLUDE REDUCED RECIDIVISM, SIGNIFICANT DECREASES IN SUBSTANCE USE AT THE SIX-MONTH FOLLOW-UP, REDUCTION IN FEELINGS OF DEPRESSION AND ANXIETY, INCREASED RATES OF SUSTAINED EMPLOYMENT, AND INCREASES IN PERMANENT OR LONG-TERM TRANSITIONAL HOUSING.

CROSSROADS: THE INTERSECTION OF PERSON-CENTERED RECOVERY AND COMMUNITY

MI CAMINO - MI CAMINO: ESTABLISHING A PATH TO CREATE A COMPREHENSIVE PEER ADDICTION RECOVERY SPECIALIST PROGRAM WILL ENHANCE AND STRENGTHEN A LATINX COMMUNITY OF RECOVERY IN THE GREATER BOSTON AREA AND BEYOND. WE WILL ACHIEVE THIS BY PROVIDING CULTURALLY FOCUSED, TRAUMA-INFORMED, PEER RECOVERY SUPPORT SERVICES INTEGRATED WITH SUBSTANCE USE AND MENTAL HEALTH TREATMENT AND PRIMARY CARE SERVICES, AS WELL AS BY DEVELOPING AN EDUCATION AND OUTREACH CAMPAIGN TO ADDRESS STIGMA. THE PROJECT WILL SERVE 80 CLIENTS IN YR1 AND 110 PER YEAR AFTERWARDS FOR A TOTAL OF 300 CLIENTS. PROJECT STAFF WILL LEVERAGE CASA’S NEWLY LAUNCHED TELEHEALTH PROGRAM TO EXPAND ACCESS TO SUPPORT SERVICES TO LATINXS ACROSS THE STATE AND FOR INDIVIDUALS IN BOSTON WHO MAY BE IMMUNE-COMPROMISED AND PREFER TO RECEIVE SERVICES VIRTUALLY. MI CAMINO WILL (1) DELIVER A WIDE RANGE OF BILINGUAL/BICULTURAL TRAUMA-INFORMED PEER RECOVERY SUPPORT SERVICES TO LATINX INDIVIDUALS LIVING WITH CODS. PEER RECOVERY COACHES (PRC) WILL CONDUCT ASSESSMENTS OF COMPREHENSIVE RECOVERY NEEDS (INCLUDING HOUSING, EMPLOYMENT, HEALTH AND WELLNESS, TRANSPORTATION, LEGAL, CHILDCARE, PEER SUPPORT) TO DEVELOP INDIVIDUAL RECOVERY PLANS, FACILITATE INDIVIDUAL AND GROUP SKILLS BUILDING TO CLIENTS THROUGH PEER RECOVERY COACHING AND PEER-LED GROUPS (INCLUDING DOUBLE TROUBLE IN RECOVERY AND HEALTH AND RECOVERY PEER PROGRAM), CONNECT CLIENTS WITH HOUSING AND HOUSING SUPPORT SERVICES AND CULTURALLY FOCUSED SUPPORTED EDUCATION/EMPLOYMENT SERVICES TO BUILD INDEPENDENCE AND SUPPORT RECOVERY. IN ADDITION, PRCS WILL UNITE CLIENTS TO COMMUNITY-BASED HEALTH AND WELLNESS PROGRAMS, INCLUDING THE PHOENIX, A NATIONAL SOBER ACTIVE COMMUNITY SPORTS CENTER, AND BACK ON MY FEET, A NATIONAL SOBER RUNNING GROUP. (2) CREATE A CULTURALLY-FOCUSED PEER LEADERSHIP DEVELOPMENT PROGRAM THAT PROVIDES TRAINING AND MENTORSHIP TO STRENGTHEN THE RECOVERY AND ECONOMIC INDEPENDENCE OF LATINOS IN RECOVERY AND INCREASE THE BILINGUAL/BICULTURAL PEER WORKFORCE. (3) IMPROVE ACCESS TO INTEGRATED MENTAL HEALTH AND SUBSTANCE USE TREATMENT AND PRIMARY CARE FOR LATINXS WITH CO-OCCURRING DISORDERS. PRCS AND RECOVERY SPECIALIST WILL PROVIDE REFERRALS AND SCHEDULING SUPPORT TO CASA’S OUTPATIENT PROGRAM INCLUDING: INDIVIDUAL AND GROUP COUNSELING; PSYCHIATRIC AND PSYCHO-PHARMACOLOGY CONSULTATIONS; MAT; STRUCTURED OUTPATIENT BEHAVIORAL ADDICTION PROGRAM (SOAP); HIV TESTING AND COUNSELING; CASE MANAGEMENT SERVICES; AND ON-SITE PRIMARY CARE SERVICES. ADDITIONALLY, PRCS WILL PROVIDE REFERRALS TO INSURANCE COUNSELING TO HELP CLIENTS UNDERSTAND, APPLY, AND ENROLL FOR HEALTH INSURANCE/MEDICAID. PRCS WILL PROVIDE CLIENTS ASSISTANCE IN APPLYING FOR BENEFITS SUPPORT, INCLUDING SSI/SSDI, TANF, SNAP, ETC. (4) DEVELOP AND LAUNCH A “TIME TO END THE STIGMA” PUBLIC AWARENESS CAMPAIGN TO ADDRESS THE STIGMA, DISCRIMINATION, AND BARRIERS TO CULTURALLY AND LINGUISTICALLY PROFICIENT TREATMENT AND RECOVER SUPPORT SERVICES FOR LATINXS LIVING WITH CODS. THIS CAMPAIGN WILL DEVELOP AND DELIVER EDUCATION PRESENTATIONS AT LATINO-SERVING ORGANIZATIONS, COMMUNITY GROUPS, AND EVENTS PERTAINING TO SUBSTANCE ABUSE AND MENTAL ILLNESS. THE CAMPAIGN WILL COLLABORATE WITH POLICE, COMMUNITY CORRECTIONS, AND NEIGHBORHOOD ASSOCIATIONS TO ADDRESS ISSUES AT THE INTERSECTION OF SUBSTANCE USE AND PUBLIC SAFETY TO REDUCE STIGMA, WHILE PROMOTING ACCESS TO TREATMENT.

TU BIENESTAR- COMMUNITY, HEALTH, AND EMPOWERMENT

MI CAMINO (MY PATH) PEER RECOVERY SUPPORT SRVCS. & LEADERSHIP DEV.

RELAPSE PREVENTION INITIATIVE

CULTURALLY-SPECIFIC VICTIM SERVICES FOR LATINAS WITH SUBSTANCE USE DISORDERS

MI CAMINO (MY PATH) PEER RECOVERY SUPPORT SRVCS. & LEADERSHIP DEV.

TU BIENESTAR--MI VIDA, MI HISTORIA

CROSSROADS: THE INTERSECTION OF PERSON-CENTERED RECOVERY AND COMMUNITY

RUMBO A CASA (THE WAY HOME)

SALUD Y SUSTENTO (HEALTH AND WELLNESS) PROJECT

CITA