Los Angeles Centers For Alcohol And Drug Abuse

CCBHC-IA: THE WELLNESS CENTER, SANTA FE SPRINGS, CA - LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE (L.A. CADA) IS THE BEHAVIORAL HEALTHCARE SAFETY NET FOR VERY LOW-INCOME RESIDENTS OF L.A. COUNTY. USING THE SCOPE OF EXPERIENCE GAINED IN THE 2021 DEVELOPMENT OF OUR CCBCH IN SANTA FE SPRINGS -- THE WELLNESS CENTER -- TOGETHER WITH OUR COMMUNITY PARTNERS AND A LOCAL CONSUMER ADVISORY BOARD, L.A. CADA WILL USE THE IA GRANT TO IMPROVE AND ADVANCE CCBHC SERVICES IN L.A. COUNTY SERVICE PLANNING AREA (SPA) 7. THE IA GRANT WILL ALLOW US TO DOUBLE CURRENT CAPACITY FROM 150 TO 300 PATIENTS SERVED ANNUALLY, INCLUDING ADDITION OF TWO SATELLITE OFFICES TO SERVE YOUTH AND FAMILIES AND LGBTQ+ CONSUMERS. THE IA GRANT WILL ALSO FACILITATE DELIVERY OF CRISIS SERVICES IN FULL ALIGNMENT WITH 2023 CCBHC CERTIFICATION CRITERIA. THE CATCHMENT AREA OF L.A. COUNTY SPA 7 HAS THE LARGEST LATINO POPULATION IN L.A. COUNTY (74% LATINO OVERALL AND UP TO 96% IN SOME SPA 7 CITIES). WE ARE ALSO HOME TO 03% BLACK; 09% ASIAN/PI; AND 14% WHITE RESIDENTS. OVER 33% OF OUR POPULATION OF 1.3 MILLION HAVE LESS THAN A HIGH SCHOOL DIPLOMA (COMPARED TO 24% IN L.A. COUNTY); 17% LIVE BELOW THE POVERTY LEVEL; AND 30% ARE FOOD-INSECURE. OTHER TREATMENT BARRIERS FACED BY OUR COMMUNITY ARE FRAGMENTED SERVICES DELIVERED IN MULTIPLE SYSTEMS, LACK OF HEALTH EQUITY, AND LONG WAIT TIMES FOR TREATMENT. PEOPLE WITH LITTLE MEANS HAVE VASTLY REDUCED ACCESS TO EVIDENCE-BASED BEHAVIORAL HEALTHCARE, PARTICULARLY PEOPLE OF COLOR. A STUDY FOUND THAT 39% OF L.A. COUNTY LATINOS COULD NOT ACCESS MENTAL HEALTHCARE AT ALL, AND ONLY ONE IN THREE BLACK PEOPLE WHO NEEDS MENTAL HEALTH SERVICES RECEIVES THEM. DISADVANTAGED PEOPLE ARE OFTEN PLACED ON WAIT LISTS FOR PUBLICLY-FUNDED TREATMENT, INCLUDING SERVICES PROVIDED BY THE L.A. COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE DEPARTMENT OF MENTAL HEALTH. WAIT LISTS HAVE LONG BEEN IDENTIFIED AS A SIGNIFICANT BARRIER TO TREATMENT – STUDIES SHOW THAT UP TO 50% OF SUBSTANCE USERS WILL DROP OFF A WAIT LIST BETWEEN ASSESSMENT AND TREATMENT ENTRY. L.A. CADA’S CCBHC ADVANCEMENT AND IMPROVEMENT PROJECT WILL ADDRESS GRASSROOTS NEEDS TO BE IDENTIFIED BY AN UPDATED COMMUNITY NEEDS ASSESSMENT. OUR 2021 ASSESSMENT REVEALED THREE COMMUNITY NEEDS THAT HAVE ANCHORED CCBHC SERVICES: 1) CLOSE LOCAL DISPARITIES; 2) PROVIDE TIMELY ACCESS TO CARE; AND 3) PROVIDE CONSUMER-DRIVEN CARE. WITH IA FUNDING, L.A. CADA WILL ACHIEVE FULL ADHERENCE TO 2023 CCBHC CERTIFICATION CRITERIA BY 9/30/2024.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE (L.A. CADA) WILL ESTABLISH A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IN SANTA FE SPRINGS, CA TO SERVE THE MOST DISADVANTAGED RESIDENTS OF L.A. COUNTY WITH SUBSTANCE USE AND MENTAL HEALTH DISORDERS, SPECIFICALLY: LOW-INCOME PEOPLE OF COLOR; INDIVIDUALS PERSECUTED BY THE LOCAL WAR ON DRUGS; THE HOMELESS; LGBTQ+ PERSONS; VETERANS; AND PERSONS AT HIGHEST RISK FOR HIV/HEPATITIS/OTHER STDS. FROM 8/30/2021 - 8/29/2023, A MINIMUM OF 300 ADULTS, CHILDREN, AND YOUTH WILL BE SERVED BY THE PROJECT. CERTIFICATION AS A CCBHC WILL BE ACHIEVED WITHIN FOUR MONTHS OF AWARD NOTIFICATION, TO BE FACILITATED BY L.A. CADA’S STRONG EXPERIENCE WITH BEHAVIORAL HEALTHCARE LICENSING/CERTIFICATION IN CALIFORNIA, AND CONSULTATION PROVIDED BY THE NATIONAL COUNCIL ON BEHAVIORAL HEALTH CCBHC SUCCESS TEAM. OUR CCBHC DESIGNATED COORDINATING ORGANIZATIONS WILL INCLUDE: L.A. COUNTY SUBSTANCE ABUSE CONTROL AND PREVENTION; ALTAMED HEALTH SERVICES CORPORATION; UNIVERSAL COMMUNITY HEALTH CENTERS; AND PACIFIC CLINICS MENTAL HEALTH SERVICES. L.A. CADA HAS 50 YEARS’ EXPERIENCE WITH THE IMPLEMENTATION AND DELIVERY OF BEHAVIORAL HEALTHCARE FOR LOW-INCOME RESIDENTS OF L.A. COUNTY. ALL DCOS ALSO HAVE THE REQUIRED EXPERIENCE. AN ADVISORY WORK GROUP OF INDIVIDUALS WITH LIVED EXPERIENCE IN RECOVERY WILL PROVIDE THE PROJECT WITH INPUT ON PLANNING, IMPLEMENTATION, AND SERVICE DELIVERY. THE PROPOSED CCBHC WILL DELIVER: SCREENING, ASSESSMENT; DIAGNOSIS; TREATMENT PLANNING; INDIVIDUAL AND GROUP THERAPY AND/OR SUD COUNSELING; PEER RECOVERY SUPPORT; LINKAGE TO COMMUNITY RECOVERY SUPPORTS; CASE MANAGEMENT WITH TRANSPORTATION TO NEEDED SERVICES; AS WELL AS LINKAGE TO PRIMARY CARE AND VOCATIONAL/EDUCATIONAL SUPPORT. THE CCBHC WILL BE PART OF L.A. CADA'S COMPREHENSIVE CONTINUUM OF CULTURALLY RESPONSIVE BEHAVIORAL HEALTH SAFETY NET SERVICES IN LOS ANGELES COUNTY. L.A. CADA PROVIDES: 199 RESIDENTIAL TREATMENT BEDS; 188 RECOVERY BRIDGE HOUSING BEDS; AND OVER 500 SLOTS FOR NONPROFIT OUTPATIENT AND INTENSIVE OUTPATIENT TREATMENT. OUR PROGRAMS ARE BASED IN LOW-INCOME COMMUNITIES, SCHOOLS, THE L.A. COUNTY JAIL SYSTEM, AND CO-LOCATED IN LOCAL COURTS AND THE DEPARTMENT OF CHILDREN AND FAMILY SERVICES.

ASSERTIVE COMMUNITY TREATMENT - ASSISTED BY A STAKEHOLDER’S ADVISORY GROUP, LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE (L.A. CADA) WILL ESTABLISH A HIGH-FIDELITY, FIELD-BASED ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM IN L.A. COUNTY. WE WILL ACCEPT UP TO SIX ADMISSIONS A MONTH FOR A STATIC CAPACITY OF 100 PARTICIPANTS. A RECOVERY-ORIENTED PACKAGE OF INTEGRATED, INDIVIDUALIZED, AND TIME-UNLIMITED SERVICES WILL PROVIDE CONSUMERS WITH APPROXIMATELY FOUR FACE-TO-FACE CONTACTS PER WEEK AND FOUR FAMILY CONTACTS PER MONTH, AS WELL AS 24/7 CRISIS INTERVENTION. A DIVERSE MULTIDISCIPLINARY TEAM WILL DELIVER ACT SERVICES, MEETING DAILY TO REVIEW CONSUMER PROGRESS AND PLAN THE TREATMENT DAY. PARTICIPANTS WILL BE REFERRED FROM THE L.A. COUNTY DEPARTMENT OF MENTAL HEALTH (DMH),LOCAL LAW ENFORCEMENT, AND L.A. CADA TREATMENT PROGRAMS. L.A. CADA WILL SERVE ADULT MEN AND WOMEN (AGE 18+) WITH SEVERE AND PERSISTENT PRIMARY MENTAL ILLNESS (SMI) AND SECONDARY CO-OCCURRING SUBSTANCE USE DISORDERS (SUD), INCLUDING VETERANS. THIS GROUP HAS NOT BEEN WELL-SERVED BY TRADITIONAL SERVICES AND ARE AT HIGHEST RISK FOR TRAUMA, RELAPSE, MORTALITY, AND MORBIDITY DUE TO CHRONIC INCARCERATION, HOSPITALIZATION, AND HOMELESSNESS. OUR CONSUMERS ARE OF VERY LOW INCOME AND PREDOMINANTLY PERSONS OF COLOR (17% AFRICAN AMERICAN; 61% LATINO; 8% OTHER; 14% WHITE). THEY REPORT BEING SUBJECT TO RACIAL DISCRIMINATION, AS WELL AS CULTURAL FEAR AND FAMILY BIAS REGARDING MENTAL ILLNESS – BARRIERS THAT SEPARATE THEM FROM TREATMENT. AMONG THE ACT “FEEDER” PROGRAMS OPERATED BY L.A. CADA IS OUR NEW 10-30-DAY DMH-FUNDED CRISIS RESIDENTIAL TREATMENT PROGRAM FOR PERSONS WITH SMI (OPENING JANUARY 2019 IN SANTA FE SPRINGS, CA). OUR SERVICE GROUP WILL ALSO INCLUDE GAY AND TRANSGENDER INMATES WITH SMI RELEASED TO PROBATION FROM L.A. CADA’S UNIQUE TREATMENT PROGRAM WITHIN MEN’S CENTRAL JAIL IN LOS ANGELES, AS WELL AS CONSUMERS WITH SMI WHO HAVE BEEN RELEASED FROM OUR LOCKED STATE DETENTION TREATMENT FACILITY: THE CUSTODY- TO-COMMUNITY REENTRY TREATMENT PROGRAM FOR WOMEN. OUR SERVICE GROUP IS CHARACTERIZED BY FUNCTIONAL DISABILITY, SOCIAL ISOLATION, MEDICATIONS NON-COMPLIANCE, HEALTH PROBLEMS (INCLUDING HIV), AND OVERUSE OF EMERGENCY SERVICES AND MENTAL HEALTH HOSPITALS. THE ACT MODEL HAS PROVEN EFFECTIVE IN HELPING SIMILAR PEOPLE WITH CONTINUOUS HIGH SERVICE NEEDS TO REDUCE HOSPITALIZATIONS, RETAIN HOUSING, AND REMAIN CONNECTED TO RECOVERY, HEALTHCARE, AND SOCIAL SERVICES. MOREOVER, ACT CAN EMPOWER OUR CONSUMERS TO ACHIEVE THEIR OWN RECOVERY AND SUCCESSFUL COMMUNITY INTEGRATION. WITH 10 MILLION DIVERSE RESIDENTS (72% PERSONS OF COLOR), LOS ANGELES COUNTY IS AN URBAN AREA WITH FEW ACT PROGRAMS,ESPECIALLY PROGRAMS DESIGNED TO COMPETENTLY SERVE PEOPLE OF COLOR. HERE AND THROUGHOUT CALIFORNIA, 10-12% OF ALL ER VISITS ARE A RESULT OF MENTAL HEALTH EMERGENCIES, OFTEN COMPOUNDED BY SUBSTANCE USE(THE PRIMARY REASON FOR ER VISITS IN L.A. COUNTY IS PRESCRIPTION DRUG OVERDOSE. OUR SERVICE AREA INCLUDES 74 CRITICAL CENSUS TRACTS DESIGNATED BY HRSA WITH A SHORTAGE OF MENTAL HEALTH PROVIDERS. IN ADDITION, CALIFORNIA HAS ONLY 17 PSYCHIATRIC BEDS PER 100,000 RESIDENTS WHEN MENTAL HEALTH SPECIALISTS RECOMMEND A MINIMUM OF 50 PSYCHIATRIC BEDS PER 100,000. AN ESTIMATED 25% OF ALL L.A. COUNTY INMATES HAVE A MENTAL ILLNESS -- DOUBLE THE NUMBER IN 2016. AND THE L.A. COUNTY 2017 HOMELESS COUNT FOUND THAT 30% OF OUR HOMELESS POPULATION HAVE A MENTAL ILLNESS AND 18% HAVE A SUBSTANCE USE DISORDER(WITH HOMELESSNESS HERE UP A STAGGERING 23% IN ONE YEAR OVER 2016). CLEARLY, EVIDENCE-BASED ACT PROGRAMS ARE NEEDED IN L.A. COUNTY.

L.A. CADA MEDICATION ASSISTED TREATMENT PROGRAM - LOS ANGELES CENTER ON ALCOHOL AND DRUG ABUSE (L.A. CADA)'S MEDICATION ASSISTED TREATMENT PROGRAM (MAT) SEEKS TO EXPAND AND ENHANCE ACCESS TO MAT FOR UNINSURED AND UNDERINSURED ADULTS WITH AN OPIOID USE DISORDER IN LOS ANGELES' SERVICE PLANNING AREA 7. KEY OBJECTIVES INCLUDE: 1. INCREASING ACCESSING TO MAT THROUGH ENHANCED COLLABORATIONS, 2. DEVELOPING OUTREACH STRATEGIES TO INCREASE PARTICIPATION IN AND ACCESS TO MAT, 3. ENGAGING 90% OF MAT PATIENTS IN CASE MANAGEMENT, 4. CONDUCT 3, 6, AND 12 MONTH FOLLOW UPS, AND 5. PROVIDE RECOVERY SUPPORT SERVICES.

L.A. CADA TREE PROJECT: AN ADOLESCENT TREATMENT AND RECOVERY PROGRAM ON-SITE AT EL RANCHO AND SALAZAR HIGH SCHOOLS IN PICO RIVERA, CA.

TREATMENT FOR PREGNANT AND PARENTING WOMEN - SUBSTANCE USE DURING PREGNANCY AND MOTHERHOOD IS AN ONGOING PUBLIC HEALTH CONCERN IN LOS ANGELES COUNTY. SUBSTANCE-USING PPW HERE, ESPECIALLY POOR WOMEN AND THOSE OF COLOR, ARE SUBJECT TO INCREASED SURVEILLANCE – OFTEN FACING ARREST, PROSECUTION, CONVICTION AND/OR CHILD REMOVAL FOR WHAT IS A HEALTH CONCERN. THESE POLICIES WORK TO CREATE STIGMA AND FEAR WHICH ARE SIGNIFICANT BARRIERS TO TREATMENT. MOREOVER, THERE ARE GRAVE GEOGRAPHIC AND HEALTH DISPARITIES FOR PPW IN L.A. COUNTY. BLACK WOMEN HERE HAD THREE TIMES THE RISK OF INFANT MORTALITY THAN WHITE OR ASIAN WOMEN. FROM 2006-2016, THE GREATEST NUMBER OF MATERNAL DEATHS OCCURRED IN L.A. COUNTY SERVICE PLANNING AREA (SPA) 6 (54 DEATHS) AND NEIGHBORING SPA 7 (30 DEATHS) – THE HIGHEST RATES IN L.A. COUNTY. ONLY 62% OF L.A. COUNTY WOMEN LIVING BELOW THE FEDERAL POVERTY LEVEL HAD A MEDICAL HOME, AS COMPARED WITH 85% OF WOMEN LIVING ABOVE IT. ADDITIONALLY, THE SPA 6 TEEN FERTILITY RATE FOR FEMALES 15-19 WAS 23.9 FOR BLACK TEENS, 31.7 FOR LATINA TEENS, BUT ONLY 4.5 FOR WHITE TEENS. OF SPA 6 RESIDENTS, 28% ARE BLACK AND 68% ARE LATINO (OUR CLIENTS' PREFERRED TERM). TO ADDRESS THESE GEOGRAPHIC AND HEALTH DISPARITIES, LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE (L.A. CADA) WILL CREATE A PPW CONTINUUM OF CARE: 32 RESIDENTIAL TREATMENT BEDS AND A 20-SLOT PPW OUTPATIENT PROGRAM. THE FORMER L.A. CADA PPW FACILITY (WHICH COULD NOT ACCOMMODATE CHILDREN) WILL BE CONVERTED TO 16 BEDS FOR PPW RECOVERY BRIDGE HOUSING, COMPLETING L.A. CADA'S PPW CONTINUUM OF CARE. OUR PROGRAM WILL SERVE L.A. COUNTY SPA 6 AND 7, AND SURROUNDING CITIES. L.A. CADA PROPOSES TO CREATE THIS PROGRAM AT 8919 CALIFORNIA AVENUE IN SOUTH GATE, CA 90280 TO: 1) DOUBLE OUR CURRENT PPW PROGRAM CAPACITY, CREATING 16 BEDS FOR CHILDREN AGES 0-16; 2) PROVIDE ACCESS TO EVIDENCE-BASED TREATMENT FOR SPA 6 – THE AREA OF GREATEST NEED IN L.A. COUNTY; AND 3) ACCOMMODATE THE ADDITION OF OUTPATIENT SERVICES TO PROVIDE A COMPREHENSIVE CONTINUOUS CARE MODEL (FUNDED BY OTHER SOURCES); 4) PROVIDE PPW RECOVERY BRIDGE HOUSING (FUNDED BY OTHER SOURCES). L.A. CADA OWNS THE CLIENT-READY SOUTH GATE FACILITY WHICH IS ALREADY LICENSED BY THE STATE OF CALIFORNIA FOR TREATMENT OF WOMEN AND CHILDREN. THE MOVE AND ALL START-UP ACTIVITIES CAN BE COMPLETED IN FOUR MONTHS, WITH SERVICE DELIVERY BEGINNING ON JANUARY 30, 2022 OR EARLIER. OUTPATIENT FACILITY CERTIFICATION AND SERVICES ARE EXPECTED TO BE COMPLETED WITHIN SIX MONTHS OF FUNDING. THE ALICE'S HOUSE PROGRAM WILL DELIVER A BILINGUAL (ENGLISH/SPANISH) ASAM LEVEL 3.1 PPW TREATMENT PROGRAM THAT IS 60-120 DAYS IN DURATION, BASED UPON INDIVIDUAL NEED. AN OUTPATIENT SERVICES COMPONENT WILL BE CERTIFIED AND INTEGRATED INTO THE PPW PROGRAM TO CREATE A CONTINUOUS CARE MODEL PROVIDING ONGOING SUPPORT FOR PPW. RECOVERY BRIDGE HOUSING WILL BE PROVIDED IN L.A. CADA'S FORMER PPW FACILITY. SERVICES WILL BE GENDER- AND GENDER-IDENTITY SPECIFIC, AS WELL AS CULTURALLY-FOCUSED TO FACILITATE HEALING THROUGH KINSHIP AND COMMUNITY. THE EMOTIONAL AND PHYSICAL SAFETY OF WOMEN WILL TAKE PRECEDENCE OVER ALL OTHER CONSIDERATIONS IN SERVICE DELIVERY. ALICE'S HOUSE SERVICES WILL INCORPORATE A RANGE OF EVIDENCE-BASED PRACTICES ENDORSED BY SAMHSA, INCLUDING SERVICES BASED ON THE STRENGTHENING FAMILIES APPROACH AND PROTECTIVE FACTORS FRAMEWORK. PPW WILL RECEIVE: -- SCREENING, ASSESSMENT, AND TREATMENT PLANNING; -- COMPREHENSIVE SUD/COD TREATMENT ACROSS A RESIDENTIAL, OUTPATIENT, AND RECOVERY BRIDGE HOUSING CONTINUUM; -- HARM REDUCTION SERVICES; -- CASE MANAGEMENT FOR PPW, MINOR CHILDREN, AND FAMILY MEMBERS AS APPROPRIATE; -- SUPPLEMENTAL SERVICES FOR WOMEN; FAMILY SERVICES; -- SERVICES FOR THE MINOR CHILDREN, FATHERS OF THE CHILDREN, PARTNERS OF THE WOMEN, AND THE EXTENDED FAMILY MEMBERS OF THE WOMEN AND CHILDREN, AS REQUESTED BY THE WOMAN AND AS APPROPRIATE; AND -- PEER RECOVERY SUPPORT SERVICES. L.A. CADA EXPECTS TO SERVE AT 480 PPW FROM 2022-2027, PLUS THEIR C

HIV-TCE

L.A. CADA MEDICATION-ASSISTED TREATMENT PROGRAM FOR LOS ANGELES COUNTY, CALIFORNIA

L.A. CADA CARE COUNCIL PARTNERSHIP FOR SUCCESS PROJECT

OFFENDER REENTRY PROGRAM

ADULT REENTRY PROJECT - LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE (L.A. CADA) WILL ESTABLISH ADULT REENTRY (AR) SERVICES IN THREE DISADVANTAGED AREAS OF LOS ANGELES COUNTY: SKID ROW, LOS ANGELES; NORTH LONG BEACH AND; SPA 7 OF L.A. COUNTY (THE AREA WITH THE COUNTY'S LARGEST LATINO COMMUNITY). THE PROJECT WILL SERVE 225 ADULTS ANNUALLY FOR THE FIVE-YEAR PROJECT PERIOD -- A TOTAL OF 1,125 ADULTS WITH BEHAVIORAL HEALTH DISORDERS AND CRIMINAL JUSTICE SYSTEM INVOLVEMENT. A SIGNIFICANT 2.7% OF 547,000 PEOPLE HELD IN AMERICAN JAILS ARE IN THE CUSTODY OF LOS ANGELES COUNTY – THIS CATCHMENT AREA IS HOME TO THE WORLD’S LARGEST JAIL SYSTEM. THE POPULATION OF FOCUS IS PEOPLE WITH BEHAVIORAL HEALTH DISORDERS WHO CONSTITUTE 40-65% OF L.A. COUNTY INMATES, PROMPTING OUR JAILS' REPUTATION AS “AMERICA’S LARGEST MENTAL INSTITUTION”. IN FACT, L.A. COUNTY HAS ONE OF AMERICA’S MOST TROUBLED JAIL SYSTEMS. A 2021 COUNTY REPORT REVEALED THAT “VULNERABLE” INDIVIDUALS; SPECIFICALLY THOSE WITH: 1) MENTAL ILLNESS, 2) SUBSTANCE USE DISORDERS, AND/OR 3) PERSONS EXPERIENCING HOMELESSNESS (PEH) REPRESENT MOST PEOPLE INVOLVED IN OUR JUSTICE SYSTEM – AND THEY EXPERIENCE THE MAJORITY OF RECIDIVISM. OF INMATES RELEASED FROM L.A. COUNTY JAILS, 68-72% ARE SUBSEQUENTLY CONVICTED OF A NEW OFFENSE, AND AT LEAST ONE-THIRD EXPERIENCE HOUSING INSTABILITY. JAIL CONDITIONS HERE ARE STRESSED, AT BEST, AND 57% OF INMATES ARE VIOLENT OFFENDERS. THE COUNTY HOUSED 14,577 INMATES IN 2021 (DOWN FROM 17,000 IN 2020), OVERCROWDING L.A. JAILS BY 114-142%. BLACK AND LATINO ADULTS ARE DISPROPORTIONATELY REPRESENTED IN L.A. COUNTY JAILS; BLACK PEOPLE COMPRISE 31% OF OUR INMATES (BUT ONLY 08% OF THE COUNTY’S POPULATION) AND LATINOS REPRESENT 54% (49% OF COUNTY RESIDENTS). WHILE THROUGHOUT THE NATION ONLY 19% OF JAIL INMATES RECEIVE TREATMENT BEHIND BARS, IN L.A. COUNTY ONLY 03% RECEIVE TREATMENT. L.A. CADA IS ONE OF ONLY FOUR TREATMENT PROVIDERS OPERATING INSIDE OF L.A. COUNTY JAILS. TO ADDRESS INEQUITY IN TREATMENT ACCESS (NOT ONLY FOR OFFENDERS IN GENERAL, BUT FOR INCARCERATED PEOPLE OF COLOR) L.A. CADA'S POPULATION OF FOCUS ARE BLACK AND LATINO ADULTS WITH SUD/COD DISORDERS AND A HIGH RISK OF HOMELESSNESS WHO ARE LEAVING L.A. COUNTY JAILS. WE WILL USE 52 YEARS OF AGENCY EXPERIENCE AS AN L.A. COUNTY BEHAVIORAL HEALTH TREATMENT PROVIDER FOR ADULT OFFENDERS TO DESIGN, DELIVER, AND ASSESS COMPREHENSIVE, EVIDENCE-BASED ADULT REENTRY SERVICES. THE PROJECT WILL INCREASE ACCESS TO CLINICAL AND OTHER NEEDS ASSESSMENT, TREATMENT PLANNING AND PLACEMENT, HOUSING, PEER RECOVERY SUPPORT, AND SOCIAL/FAMILY SERVICES FOR 225 ADULTS OF COLOR ANNUALLY OR 1,125 PARTICIPANTS DURING THE LIFE OF THIS PROJECT. SERVICE IMPLEMENTATION AND DELIVERY WILL BE FACILITATED BY L.A. CADA'S BROAD CONTINUUM OF EVIDENCE-BASED RESIDENTIAL, OUTPATIENT, AND RECOVERY BRIDGE HOUSING SERVICES, TOGETHER WITH OUR POSITION ON L.A. COUNTY'S RE-IMAGINE L.A. COUNTY COALITION, EIGHT CO-LOCATIONS IN L.A. COUNTY COURTROOMS, AND OUR START TREATMENT PROGRAM IN MEN'S CENTRAL JAIL AND TWIN TOWERS IN THE CITY OF IN LOS ANGELES.

L.A. CADA FAMILY H.O.P.E.

L.A. CADA SA-HIV PREVENTION NAVIGATOR PROGRAM

BUILDING COMMUNITIES OF COLOR - 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.

HISTORIAS PARA JOVENES (STORIES FOR YOUNG PEOPLE) - HIV CBI PROJECT

L.A. COUNTY YOUTH OPIOID RESPONSE PROJECT

PROJECT S.T.O.P. (SMART TECHNIQUES OF PREVENTION)

HIV-TCE

PROJECT S.T.O.P. (SMART TECHNIQUES OF PREVENTION)

DFC COALITION STOP PROJECT - LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE (L.A. CADA) ESTABLISHED OUR CARE COALITION DFC PROJECT IN 2013 TO PREVENT AND REDUCE SUBSTANCE USE AMONG YOUTH AGES 18 AND YOUNGER IN THE GREATER WHITTIER COMMUNITY OF SOUTHERN CALIFORNIA (WHITTIER AND NEIGHBORING CITIES OF DOWNEY, NORWALK, MONTEBELLO, PICO RIVERA, AND SANTA FE SPRINGS). OUR STOP PROJECT WILL FOCUS SOLELY ON PREVENTION/REDUCTION OF UNDERAGE DRINKING AMONG YOUTH AGES 12-20. GREATER WHITTIER IS A YOUNG COMMUNITY – 23% OF RESIDENTS ARE 18 OR YOUNGER, AND 10% LIVE IN POVERTY. FROM 75% - 81% OF YOUTH HERE ARE LATINO (OUR PARTICIPANTS’ PREFERRED TERM), AND THEY ARE EXPOSED TO HIGH CULTURAL TOLERANCE OF BINGE OR “FIESTA” DRINKING. RESEARCH SHOWS THAT 33% OF LATINOS WHO BECOME ALCOHOL DEPENDENT HAVE RECURRENT OR PERSISTENT PROBLEMS COMPARED WITH 22.8% OF NON-HISPANIC WHITES. STUDIES ALSO SUGGEST THAT ALCOHOL USE BEHAVIORS OF FAMILY MEMBERS INCREASE THE LIKELIHOOD OF YOUTH DRINKING. THUS, L.A. CADA’S STOP PROJECT WILL ADDRESS FAMILY AND CULTURAL NORMS FOR DRINKING AMONG LOCAL LATINO YOUTH. IT IS EXPECTED THAT 100 UNDUPLICATED YOUTH 12-20 AND 100 UNDUPLICATED FAMILY MEMBERS WILL BE SERVED ANNUALLY VIA: 1) A STOP SUB-COMMITTEE TO ENGAGE DIVERSE STAKEHOLDERS; 2) ANNUAL TOWN HALL MEETINGS AND SMALL FOCUS GROUPS; 3) COMMUNITY UNDERAGE DRINKING AWARENESS PRESENTATIONS; AND 4) A SOCIAL MEDIA CAMPAIGN FOCUSED ON PREVENTION AND REDUCTION OF UNDERAGE DRINKING FOR YOUTH 12-20 IN THE GREATER WHITTIER COMMUNITY.

L.A. CADA FAMILY H.O.P.E.

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM

OFFENDER REENTRY PROGRAM