Gateway Rehabilitation Center

SUPPORTING MEDICATION ASSISTED RECOVERY & TRAUMA (SMART) PROGRAM - GRC SMART - ABSTRACT PROJECT TITLE: SUPPORTING MEDICATION ASSISTED RECOVERY & TRAUMA (SMART) PROGRAM APPLICANT NAME: GATEWAY REHABILITATION CENTER (GRC) GRC-SMART PROGRAM WILL EXPAND AND ENHANCE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) SERVICES FOR INDIVIDUALS 18 YEARS OF AGE OR OLDER WITH AN OPIOID USE DISORDER (OUD) SEEKING OR CURRENTLY RECEIVING MAT THROUGH COLLABORATION WITH OTHER LOCAL AGENCIES AND CORRESPONDING PEER RECOVERY SUPPORTS. THE GRC-SMART PROGRAMS WILL BE ANCHORED AT THE MAIN CAMPUS ALIQUIPPA IN BEAVER COUNTY, LOCATED IN SOUTHWESTERN PENNSYLVANIA APPROXIMATELY 30 MILES FROM PITTSBURGH AND SHARING A BORDER WITH OHIO AND WEST VIRGINIA. IN 2020, GRC SERVED 5324 UNDUPLICATED INDIVIDUALS THROUGHOUT (THEIR ENTIRE FOOTPRINT—IDENTIFY WHAT THIS ENCOMPASSES) AND OF THOSE, 2489 (47% OF TOTAL SERVED) WERE DIAGNOSED WITH AN OUD OF WHICH ONLY 894 (36% OF OUD) PARTICIPATED IN A MAT PROGRAM. GRC CURRENTLY DOES NOT HAVE MAT SUPPORTIVE SERVICES AVAILABLE IN BEAVER COUNTY DESPITE THE NEED. THOUGH BEAVER COUNTY WAS RANKED IN THE TOP 20 (TOP 1%) NATIONALLY FOR OPIOID OVERDOSE DEATHS IN 2016 WITH 102 INCIDENTS, THE RATES HAD DECLINED TO 41 DEATHS IN 2018 BUT 2020 SAW AN INCREASE OF 56% WITH 64 DEATHS (HTTPS://WWW.OVERDOSEFREEPA.PITT.EDU/KNOW-THE-FACTS/VIEW-OVERDOSE-DEATH-DATA/). IN ADDITION, THERE WERE 763 OVERDOSE-RELATED EMERGENCY CALLS IN 2020, AN INCREASE OF 38% FROM 554 IN 2019 (BEAVER COUNTY EMERGENCY SERVICES). ). THESE HIGH RATES OF OVERDOSE COUPLED WITH LIMITED RESOURCES FOR RESIDENTS TO ENGAGE IN TREATMENT OR SUPPORT SERVICES MAKE ADDRESSING THESE NEEDS BOTH TIMELY AND VITAL. THE GRC-SMART PROGRAM EXPECTS TO INCREASE THE OVERALL NUMBER OF INDIVIDUALS RECEIVING MAT BY 116% FROM YEAR 1 (N = 290) TO YEAR 5 (N = 630) AS A PART OF THEIR EFFORTS TO SUPPORT THE FIRST YEAR OF RECOVERY BY EXPANDING AVAILABLE CONJUNCTIVE SERVICES TO INCLUDE RECOVERY HOUSING FOR MEN, AN OUTPATIENT FACILITY OFFERING BOTH IN-PERSON AND TELEHEALTH TREATMENT PROGRAMS SUCH AS INTENSIVE OUTPATIENT (IOP), OUTPATIENT GROUP (OPG) AND OUTPATIENT INDIVIDUAL (OPI) AND FAMILY PROGRAMMING WHILE ALSO INTRODUCING A COMMUNITY-BASED RECOVERY SUPPORT SERVICE (RSS) LED BY PA-CERTIFIED PEER RECOVERY SPECIALISTS. ACROSS THE FIVE YEARS OF THE PROGRAM, THE GRC-SMART PROGRAM WILL UTILIZE ADVANCEMENTS IN TECHNOLOGY TO ENGAGE AND RETAIN 2300 INDIVIDUALS IN SERVICES. THROUGH OFFERING A FULL CONTINUUM OF CARE AND UTILIZING EVIDENCED BASED TREATMENT CURRICULUM FOCUSED ON ADDRESSING BARRIERS TO RECOVERY (I.E., IMPACT OF TRAUMA, CO-OCCURRING MENTAL HEALTH, FAMILY OF ORIGINS ISSUES, ETC.), RESTORING AN INDIVIDUAL’S INNATE RESILIENCY SKILLS AND INTRODUCING STRATEGIES FOR ADAPTING TO THE NEW CHALLENGES OF EARLY RECOVERY. THE GRC-SMART PROGRAM EXPECTS TO PROGRESSIVELY AND ULTIMATELY DECREASE THE OVERALL NUMBER OF INDIVIDUALS MISUSING OPIOID’S, ILLICIT OR PRESCRIPTION. THIS WILL BE MEASURED FOR EVERYONE AT 1, 3, 6 AND 12-MONTH INTERVALS. THE UNDUPLICATED # OF INDIVIDUALS TO BE SERVED EACH YEAR IS NOTED BELOW: SERVICE YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 TOTAL RECOVERY HOUSE FOR MEN 10 15 20 25 30 100 OUTPATIENT FACILITY 240 280 320 360 400 1600 RECOVERY SUPPORT SERVICE 40 80 120 160 200 600