Recovery Centers Inc

ROSECRANCE JACKSON RECOVERY CENTERS WOODBURY COUNTY CCBHC - PDI - ROSECRANCE JACKSON’S CCBHC PLANNING, DEVELOPMENT, AND IMPLEMENTATION (PDI) INITIATIVE WILL SEEK TO IMPROVE ACCESS TO CRITICAL, COMMUNITY-BASED BEHAVIORAL HEALTH (BH) CARE FOR INDIVIDUALS OF ALL AGES WITH MENTAL (MH) CONDITIONS AND SUBSTANCE USE DISORDERS (SUD) IN WOODBURY COUNTY, IOWA. OUR CCBHC’S CATCHMENT AREA IN WOODBURY COUNTY IS APPROXIMATELY 880 SQUARE MILES ON THE WESTERN EDGE OF IOWA, LOCATED IN THE SIOUXLAND REGION. WE ANTICIPATE THAT OUR CCBHC CLIENT POPULATION WILL BE 69.8% WHITE, 9.5% AMERICAN INDIAN OR ALASKAN NATIVE, AND 6.6% BLACK, AND 6% WILL IDENTIFY AS HISPANIC OR LATINO. FURTHER, 56% WILL BE MALE AND 44% WILL BE FEMALE, WITH LESS THAN 1% OF CLIENTS BEING TRANSGENDER. WE EXPECT 3.6% WILL IDENTIFY AS LGBTQ+. MOST (90%) OF OUR CCBHC CLIENTS WILL BE OVER THE AGE OF 18, WITH ONLY 10% BEING MINORS. THE MAJORITY OF CLIENTS (72%) WILL BE MEDICAID ENROLLEES LIVING AT OR BELOW 133% OF THE FEDERAL POVERTY LINE, AND 25% OF OUR CCBHC CLIENT POPULATION IS EXPECTED TO BE EXPERIENCING HOMELESSNESS. BASED ON THEIR LOW ACCESS TO BH CARE AND COMPLEX, INTERSECTING NEEDS, WE WILL SEEK TO REDUCE DISPARITIES FOR TWO PRIORITY POPULATIONS THROUGH OUR CCBHC PROGRAM: 1) WOMEN WITH SUD WHO ALSO HAVE CHILDREN, WHO WE EXPECT TO REPRESENT ABOUT 20% OF OUR CCBHC CLIENTS SERVED; AND 2) INDIVIDUALS OF ANY AGE WITH BH NEEDS AND ARE INVOLVED WITH THE CRIMINAL JUSTICE (CJ) SYSTEM, WHICH WE EXPECT TO BE ABOUT 40% OF OUR CCBHC CLIENTS SERVED. WE WILL SERVE 1,700 INDIVIDUALS OVER THE GRANT PERIOD, INCLUDING 300 IN Y1, 400 IN Y2, AND 500 IN YS 3 AND 4, RESPECTIVELY. THROUGH OUR CCBHC-PDI INITIATIVE, ROSECRANCE JACKSON SEEKS TO ACHIEVE THE FOLLOWING: GOAL 1: BUILD CAPACITY TO ALIGN WITH THE NEWLY REVISED CCBHC CRITERIA WITHIN ONE YEAR OF GRANT AWARD, INCLUDING: 1.A: ONBOARDING TWO CLINICIANS, TWO CASE MANAGERS, TWO PEER SPECIALISTS, AND A MEDICAL ASSISTANT TO SUPPORT OUR CCBHC SERVICES; 1.B: ATTAINING CHAPTER 24 ACCREDITATION FROM IOWA DEPARTMENT OF HEALTH AND HUMAN SERVICES TO DELIVER OUTPATIENT MH SERVICES; 1.C: ENTERING INTO A DCO AGREEMENT WITH SIOUXLAND MH FOR CCBHC MOBILE CRISIS AND SPECIALTY MH SERVICES; AND 1.D: COMPLETING AN ATTESTATION ILLUSTRATING HOW OUR CCBHC MEETS ALL CRITERIA, AS MEASURED BY PROGRAM RECORDS. GOAL 2: INCREASE ACCESS TO INTEGRATED BH CARE FOR INDIVIDUALS WHO ARE INVOLVED WITH THE CJ SYSTEM, INCLUDING: 2.A: ANNUALLY CONDUCTING SIX OUTREACH AND EDUCATIONAL SESSIONS WITH PARTNERS SERVING THE CJ-INVOLVED POPULATION (E.G., PROBATION, DEPT. OF CORRECTIONS, SUD AND JUVENILE COURTS), TO EDUCATE THEM ABOUT OUR CCBHC; AND 2.B: ESTABLISHING AN AGREEMENT WITH THE WOODBURY COUNTY SHERIFF’S DEPARTMENT TO PROVIDE UNIVERSAL MH AND SUD SCREENING AND CONNECTION TO CARE FOR INDIVIDUALS BEING RELEASED FROM THE COUNTY JAIL. GOAL 3: INCREASE ACCESS TO INTEGRATED BH CARE FOR INDIVIDUALS WHO ARE WOMEN WITH SUD, INCLUDING 3.A: ANNUALLY CONDUCTING SIX OUTREACH AND EDUCATIONAL SESSIONS WITH PARTNERS SERVING WOMEN WITH SUD (E.G., HOSPITALS, CHILD WELFARE, HOUSING PROVIDES, WIC), TO EDUCATE THEM ABOUT OUR CCBHC; AND 3.B: ESTABLISHING A PARTNERSHIP WITH SIOUXLAND COMMUNITY HEALTH CENTER TO PROVIDE TRAINING TO THEIR OBGYN AND PRIMARY CARE PROVIDERS TO SCREEN WOMEN FOR SUD AND CONNECT INDIVIDUALS TO OUR CCBHC FOR CARE WHEN RISKS ARE IDENTIFIED. GOAL 4: IMPROVE BH OUTCOMES FOR WOODBURY COUNTY RESIDENTS LIVING WITH BH NEEDS SERVED BY OUR CCBHC, INCLUDING: 4.A: IMPROVING RETENTION IN OUR CCBHC SERVICES; 4.B: OFFERING OVERDOSE RESPONSE TRAINING AND NARCAN TO 100% OF CLIENTS WITH OUD AND THEIR FAMILIES TO REDUCE RISK OF DEATH FROM OVERDOSE; 4.C: SUPPORTING CLIENTS TO DECREASE THEIR DEPRESSION-RELATED RISKS; AND 4.D: SUPPORTING CLIENTS TO IMPROVE THEIR OVERALL QUALITY OF LIFE.

SERENITY RECOVERY CENTERS "BRIDGES TO RECOVERY" IS A PROGRAM THAT BRIDGES INDIVIDUALS STRUGGLING WITH OPIOID USE DISORDER TO RECOVERY THROUGH THE USE OF MEDICATED ASSISTED TREATMENT. - THE BRIDGES TO RECOVERY WILL EXPAND AND ENHANCE SERVICE CAPACITY THROUGHOUT THE MEMPHIS AND SHELBY COUNTY AREA THROUGH THE EXPANSION AND ENHANCEMENT OF MEDICATED ASSISTED TREATMENT FOR ADULT AFRICAN- AMERICAN MEN AND WOMEN STRUGGLING WITH OPIOID USE DISORDERS. SERENITY WILL PROVIDE SUBSTANCE USE DISORDERS TREATMENT, PEER SUPPORT, AND A CONTINUUM OR CARE TO 230 INDIVIDUALS TO WITH THE GOAL OF ENHANCING ACCESS AND ENGAGEMENT FOR THOSE WHO EXPERIENCE BARRIERS TO SERVICES. THE PROJECT WILL SERVE 30 INDIVIDUALS IN THE FIRST YEAR AND 50 INDIVIDUALS IN YEARS TWO- FIVE. THE PROGRAM WILL COLLABORATE WITH COMMUNITY PARTNERS FOR FULL ACCESS TO MEDICAL, PSYCHIATRIST AND ALL FORMS OF MEDICATED ASSISTED MEDICATIONS AS WELL AS FULL CONTINUUM OF CARE FOR SUBSTANCE USE DISORDERS, INCLUDING TELE-HEALTH SERVICES.

HEALTHY LIFERESIDENTIAL, TREATMENT SERVICES FOR PREGNANT AND POSTPARTUM WOMEN, INCLUDING RECOVERY SUPPORT, HARM REDUCTION, MEDICAL CARE COORDINATION, MAT, WITH A COLLABORATION OF PROVIDERS. - TO AMELIORATE BARRIERS TO SERVICE ACCESS FOR SUBSTANCE-USING MINORITY PREGNANT AND POSTPARTUM WOMEN IN THE MEMPHIS AREA, SERENITY RECOVERY CENTERS' HEALTHY LIFE PROJECT WILL CAPITALIZE ON A UNIQUE CITYWIDE COALITION TO EXPAND RESIDENTIAL SUBSTANCE ABUSE TREATMENT FOR LOW-INCOME PREGNANT AND POSTPARTUM WOMEN WITH AN EMPHASIS ON INCREASING ACCESS TO AFRICAN AMERICAN WOMEN AND THEIR MINOR CHILDREN. THIS PROJECT IS A COLLABORATIVE EFFORT DRAWING ON AND EXPANDING, THE SUBSTANCE ABUSE TREATMENT EXPERTISE OF THE LEAD AGENCY, SERENITY RECOVERY CENTERS, WITH CULTURALLY CONGRUENT LINKAGES TO WOMEN'S HEALTH SERVICES PROVIDED BY TRI-STATE COMMUNITY HEALTH CENTER (MEDICAL, OBSTETRICS, AND GYNECOLOGICAL SERVICES, PRENATAL, POSTPARTUM, AND PEDIATRIC HEALTH CARE FOR CHILDREN. ALLIANCE MENTAL HEALTH WILL COLLABORATE WITH SERENITY TO PROVIDE A CARE COORDINATOR TO COORDINATE THE PROVISION OF MENTAL HEALTH SERVICES, MEDICAL DETOXIFICATION, PROVISION OF MAT FOR PREGNANT MOTHERS STRUGGLING WITH OPIOID USE DISORDERS, AND WRAP-AROUND CASE MANAGEMENT. SERENITY WILL REFER MOTHERS AND/OR FAMILY MEMBERS TO ALLIANCE HEALTH CARE FOR CRISIS STABILIZATION AS NEEDED. CHRISTIAN COUNSELING AND CONSULTING WILL PROVIDE EVALUATION, ASSESSMENT, CLINICAL SERVICES, AND CASE MANAGEMENT FOR ALL CHILDREN. LINKED HEARTS AND SYSTEMS WILL PROVIDE COUNSELING AND WELLNESS FOR FATHERS AND/OR PARTNERS. SERENITY'S TREATMENT OPTIONS WILL INCLUDE REFERRAL TO SHELBY COUNTY HEALTH DEPARTMENT FOR SMOKING CESSATION PROGRAMS. PARTICIPANTS WILL HAVE ACCESS TO A FULL ARRAY OF MEDICATED ASSISTED TREATMENT OPTIONS THROUGH REFERRAL TO THE WEST TENNESSEE HUB AND SPOKE MODEL OF CARE AS APART OF THE STATE OPIOID RESPONSE PROGRAMMING THROUGH THE TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE IF APPROPRIATE FOR SERVICES. A BETOR WAY WILL PROVIDE HARM REDUCTION SERVICES AND EDUCATION TO ALL PARTICIPANTS. A HALLMARK OF THE PROGRAM INVOLVES THE DELIVERY AND IMPLEMENTATION OF KEY SERVICES TO PROVIDE A FULL RECOVERY-ORIENTED SYSTEM OF CARE DESIGNED TO THE SPECIFIC NEEDS OF PREGNANT WOMEN AND THEIR CHILDREN, WITH EMPHASIS ON AFRICAN AMERICAN WOMEN WHO USE SUBSTANCES. THESE EFFORTS WILL BE COUPLED WITH WRAP-AROUND CASE MANAGEMENT SERVICES DESIGNED TO INCREASE ACCESS AND ENGAGEMENT WITH A FULL CONTINUUM OF CULTURALLY APPROPRIATE GENDER-SPECIFIC SUBSTANCE ABUSE AND TRAUMA-BASED SERVICES THAT ARE INCLUSIVE OF DETOXIFICATIONS, RESIDENTIAL, OUTPATIENT, SPECIALIZED CO-OCCURRING DISORDERS, AND TRANSITIONAL HOUSING PROGRAMS. CURRENT EVIDENCE-BASED SUBSTANCE ABUSE TREATMENT EFFORTS WILL BE DRAMATICALLY ENHANCED TO MEET THE NEEDS OF THE POPULATION USING NURTURING PARENT, STRENGTHENING FAMILIES, MOTIVATIONAL INTERVIEWING, HAZELTON CO-OCCURRING DISORDERS CURRICULUMS, AND SPECIAL PROGRAMMING FOR FATHERS AND PARTNERS OF THE CHILDREN AND MOTHERS. EXPANSION EFFORTS WILL SERVE APPROXIMATELY 144 MEMBERS OF THE TARGET POPULATION WITH RESIDENTIAL TREATMENT SERVICES OVER THE FIVE-YEAR LIFE OF THIS PROJECT; APPROXIMATELY 306 NEWBORNS, MINOR CHILDREN, AND PARTNERS WILL ALSO BENEFIT FROM ENHANCED SUPPORT SERVICES.

SERENITY'S TREATMENT ENGAGEMENT AND ACCESS FOR MINORITIES AT RISK FOR HIV/AIDS(TEAM) PROJECT IS DESIGNED TO EXPAND ACCESS TO SUBSTANCE USE DISORDER TREATMENT TO MINORITIES AT RISK FOR HIV/AIDS. - TO AMELIORATE BARRIERS TO SERVICES FOR RACIAL/ETHNIC MINORITY POPULATIONS, THE SERENITY RECOVERY CENTERS TREATMENT ENGAGEMENT AND ACCESS FOR MINORITIES AT RISK FOR HIV/AIDS PROJECT WILL SEEK TO IDENTIFY, ENGAGE, AND SUPPORT MINORITY ADULTS WITH SUBSTANCE USE DISORDERS IN ACCESSING THE TREATMENT AND RECOVERY SUPPORT SERVICES NEEDED TO SUCCESSFULLY TRANSITION TO HEALTH AND WELLNESS. THIS PROJECT WILL INVOLVE COMPREHENSIVE SERVICES PROVIDED BY THE LEAD AGENCY SERENITY RECOVERY CENTERS AND COLLABORATION FOR MEDICAL SERVICES WITH TRI-STATE COMMUNITY HEALTH CARE, WHICH WILL COORDINATE CARE WITH RYAN WHITE THROUGH THE LEAD AGENCY. CURRENT EVIDENCE-BASED SUBSTANCE USE DISORDER EFFORTS WILL BE ENHANCED TO MEET THE NEEDS OF THE POPULATION. INDIVIDUALS WILL HAVE ACCESS TO RESIDENTIAL, INTENSIVE OUTPATIENT, AND OUTPATIENT TREATMENT FOR SUBSTANCE USE DISORDERS INCLUDING CO-OCCURRING DISORDERS ASSESSMENT, EVALUATION, AND SERVICES. HIV AND HCV EDUCATION AND TESTING WILL BE PROVIDED THROUGH THE LEAD AGENCY AND IN COORDINATION WITH TRI-STATE HEALTH CARE. EXPANSION EFFORTS WILL SERVE APPROXIMATELY 450 INDIVIDUALS WHO RECEIVE OUTREACH, EDUCATION, RESIDENTIAL TREATMENT, INTENSIVE OUTPATIENT, OUTPATIENT, AND OUTREACH SERVICES ANNUALLY.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - THE STEPWORKS RECOVERY CENTERS' MOBILE PROJECT WILL SERVE ADULTS OVER 18 LIVING IN RURAL AREAS WITHIN CENTRAL KENTUCKY IN HARDIN COUNTY'S REGION. THIS PROJECT WILL PROVIDE BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES TO LOCATIONS IN LARUE, GRAYSON, MARION, BARREN, NELSON, AND PULASKI COUNTIES WITH A TELEHEALTH LINK FOR MEDICATION MANAGEMENT, PRIMARY CARE, MAT, AND INFECTIOUS DISEASE TREATMENT. THE PROJECT'S GOAL IS TO EXPAND BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES TO AREAS THAT HAVE A CRITICAL NEED AND A LACK OF SERVICE PROVIDERS. PEOPLE LIVING IN RURAL AREAS WITH BEHAVIORAL HEALTH NEEDS AND SUBSTANCE USE DISORDERS ARE NOTABLY UNDERSERVED AND DISADVANTAGED. BY COLLABORATING WITH THE SYRINGE SERVICE PROGRAMS (SSPS), OTHER MAT AND ADDICTION SERVICE PROVIDERS, COUNSELING CENTERS, COMMUNITY STAKEHOLDERS, AND THE JUDICIAL SYSTEM, THOSE CLIENTS WHO ARE FREQUENTLY MARGINALIZED OR HAVE ADDITIONAL BARRIERS TO CARE WILL HAVE ESSENTIAL SERVICES. THIS PROJECT WILL PROVIDE TRAUMA-INFORMED CARE FOR SUBSTANCE USE DISORDER AND MENTAL HEALTH ISSUES. THE PROJECT WILL ADDRESS THE SIGNIFICANT PROBLEM OF DIMINISHED ACCESS TO BEHAVIORAL HEALTH CARE FOR VETERANS AND THEIR FAMILIES, HOUSELESS PERSONS, THOSE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM, AND THOSE EXPERIENCING SUBSTANCE USE DISORDER - ALL OF WHOM ARE RURAL RESIDENTS. KEY PRIMARY OUTCOMES WILL INCLUDE: THE TARGETED NUMBER OF PATIENTS WILL ENGAGE WITH THERAPY SERVICES THAT SUPPLEMENT THE SERVICES THEY ARE ALREADY RECEIVING FROM PARTNER ORGANIZATIONS. PATIENTS WHO NEED A HIGHER LEVEL OF CARE WILL RECEIVE REFERRALS. SCREENINGS FOR ADVERSE CHILDHOOD EVENTS AND IMPAIRMENTS IN SOCIAL DETERMINANTS OF HEALTH WILL OCCUR ROUTINELY. SECONDARY OUTCOMES THROUGHOUT THE PROJECT WILL INCLUDE: A DECREASE IN THE NUMBER OF UNDERSERVED PATIENTS IN RURAL TARGET AREAS. A DECREASE IN OVERDOSE FATALITY RATES IN TARGET AREAS. AN INCREASE IN THE NUMBER OF RURAL RESIDENTS CURED FOR HEPATITIS C (HCV) AND ENTERING TRE ATMENT FOR HUMAN IMMUNODEFICIENCY VIRUS (HIV). DATA TO BE TRACKED INCLUDES: THE NUMBER OF INDIVIDUALS REFERRED FOR OR RECEIVING SERVICES ON THE MOBILE UNIT AND THE DEMOGRAPHICS OF EACH. THE NUMBER OF INDIVIDUALS RECEIVING COUNSELING AND PEER SUPPORT SERVICES. NUMBER OF INDIVIDUALS WHO RECEIVE NURSING CARE. THE NUMBER OF RAPID TESTS COMPLETED FOR HIV AND HCV. THE NUMBER OF INDIVIDUALS SUCCESSFULLY LINKED VIA TELEHEALTH TO PRIMARY CARE, MAT, AND OTHER MEDICAL SERVICES. NUMBER AND PERCENTAGE OF INDIVIDUALS REFERRED TO A HIGHER LEVEL OF CARE. THE NUMBER AND PERCENTAGE OF INDIVIDUALS RETAINING SERVICES CONSISTENTLY OVER THREE MONTHS OR MORE. THE NUMBER OF INDIVIDUALS WHO RECEIVE MAT OR MEDICATION MANAGEMENT.

MEMPHIS SUBSTANCE - USING WOMEN'S ACTION TEAM (SWAT)

THE SERENITY WOMENS HEALTHY LIFE PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - GLRC EMBARKED UPON A MULTI-PHASE EXPANSION PROJECT TO ADDRESS THE GROWING NEED FOR BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES IN OUR REGION. A FORMER MEDICAL BUILDING IN NEGAUNEE, MICHIGAN WAS ACQUIRED AND WILL BE TRANSFORMED INTO A NEW FACILITY THAT WILL ALLOW FOR THE STREAMLINING AND INTEGRATION OF GLRC'S ADDICTION MEDICAL CLINIC, TRAUMA SERVICES CLINIC, ISHPEMING BEHAVIORAL HEALTH CLINIC, AND ADOLESCENT PSYCHIATRIC OUTPATIENT CLINIC. ADDITIONALLY, GLRC WILL BE MOVING ITS ADULT RESIDENTIAL TREATMENT CENTER, CURRENTLY LOCATED IN MARQUETTE, TO THIS NEW FACILITY TO CREATE MORE CAPACITY AND ENHANCED SERVICES.

THE SERENITY WOMEN?S HEALTHY LIFE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE - THE STEPWORKS ASSISTING DETENTION CENTERS BRIDGE CLINIC PROJECT WILL PROVIDE 3 NALOXONE-ACCESS BOXES ACROSS BRECKINRIDGE COUNTY AND PROVIDE A RECOVERY SUPPORT PERSON TO SCREEN EVERY RELEASING INMATE FOR SUBSTANCE USE DISORDER WITH THE TOBACCO, ALCOHOL, PRESCRIPTION DRUGS, AND OTHER SUBSTANCES (TAPS) SCREENING TOOL. INMATES WHO SCREEN POSITIVE FOR OPIOID USE DISORDER WILL RECEIVE A BIOPSYCHOSOCIAL ASSESSMENT WITH A NURSE PRACTITIONER AND WILL BE PROVIDED A LONG-ACTING INJECTABLE BUPRENORPHINE ON THE RELEASE DATE AS WELL AS COORDINATION OF CARE AND REFERRAL TO FOLLOW UP CARE INCLUDING MEDICATION, COUNSELING, AND SOCIAL DETERMINANTS OF HEALTH. THE FUNDING WILL BE SPENT ON NALOXONE-ACCESS BOXES, STAFF FUNDING, MILEAGE REIMBURSEMENT., AND MISCELLANEOUS SUPPLIES.

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL