Northern Ohio Recovery Association

NORTHERN OHIO RECOVERY ASSOCIATION CCBHC (N-CCBHC) PROJECT - THE NORTHERN OHIO RECOVERY ASSOCIATION (NORA) PROPOSED NORA CCBHC (N-CCBHC) PROJECT WILL SIGNIFICANTLY EXPAND CAPACITY TO SERVE RESIDENTS OF CUYAHOGA COUNTY WITH SERIOUS MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDERS; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). NORA WILL QUALIFY FOR CERTIFICATION AS A CCBHC. GRANT FUNDS WILL HELP NORA ADDRESS THE SIGNIFICANT SHORTFALL IN CAPACITY OF CUYAHOGA COUNTY’S BEHAVIORAL HEALTH SERVICES DELIVERY SYSTEM TO MEET THE NEEDS OF ITS MOST VULNERABLE CITIZENS WHOSE PLIGHT IS EXACERBATED BY THEIR RESIDENCE IN ONE OF THE MOST ECONOMICALLY DISTRESSED AREAS IN THE NATION. NORA WILL USE GRANT FUNDS TO ADDRESS THIS SITUATION BY EXPANDING ITS EXISTING SERVICE ARRAY TO INCLUDE SMI SERVICES, AS WELL AS SED SERVICES TARGETED TO DIFFERENT AGE LEVELS: YOUNG CHILDREN (AGES 0-6), SCHOOL AGE (AGES 6-12), AND ADOLESCENTS (AGES 12-17). THE N-CCBHC PROJECT WILL SERVE 355 UNDUPLICATED INDIVIDUALS IN YEAR 1 AND 360 IN YEAR TWO. NORA WILL SUBCONTRACT WITH THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH FOR TECHNICAL ASSISTANCE TO MEET ALL CCBHC CRITERIA BY THE 4TH MONTH SUBSEQUENT TO GRANT AWARD. NORA WILL ALSO CONTRACT WITH THE CENTER FOR EVIDENCE-BASED PRACTICES (CEBP) AT CASE WESTERN RESERVE UNIVERSITY (CWRU) TO PROVIDE TRAINING IN ASSERTIVE COMMUNITY TREATMENT (ACT) TO PROJECT STAFF TO SERVE THE SMI POPULATION. NORA WILL IMPLEMENT A CONTINUUM OF AGE-SPECIFIC DEVELOPMENTALLY APPROPRIATE EBPS FOR CHILDREN/ADOLESCENTS WITH SED. THE CENTER FOR INNOVATIVE PRACTICE (CIP), ALSO HOUSED AT CWRU, WILL TRAIN PROJECT STAFF IN INTEGRATED CO-OCCURRING TREATMENT (ICT), TO SERVE ADOLESCENTS (AGES 12-17). NORA WILL IMPLEMENT ALTERNATIVES FOR FAMILIES: A CBT TO TREAT CHILDREN, AGES 6-12, , AND EARLY PATHWAYS WILL BE DELIVERED TO CHILDREN, AGES 0 TO 6. SERVING AS DCOS WILL BE 1) FRONTLINE SERVICE, WHICH WILL PROVIDE CRISIS SERVICES AND THE VA NORTHEAST OHIO HEALTHCARE SYSTEM, WHICH WILL ACCEPT REFERRALS OF VETERANS FOR TREATMENT. PROJECT GOALS ARE: 1) ACHIEVE FULL COMPLIANCE WITH CCBHC STANDARDS; 2) EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES; 3) FILL IN IDENTIFIED GAPS IN PROFESSIONAL STAFF CAPACITY TO SERVE THE NEEDS OF THE TARGET POPULATIONS; 4) EXPAND PROGRAMMING TO SERVE NEW TREATMENT POPULATIONS; 5) PROVIDE CARE COORDINATION FOR EVERY INDIVIDUAL/FAMILY ASSESSED TO BENEFIT FROM THIS SERVICE; 6) IMPROVE PARTICIPANTS' MENTAL HEALTH; 7) DECREASE PARTICIPANTS’ SUBSTANCE USE, AND 9) FOSTER PARTICIPANT SATISFACTION WITH THEIR CARE.

COLLABORATION PUSH: PEOPLE UNITED TO STOP HIV

BRIDGE TO SUCCESS WORKFORCE (BSW) - PROJECT NAME: BRIDGE TO SUCCESS WORKFORCE (BSW) NORA IS A COMMUNITY-BASED SUBSTANCE ABUSE PREVENTION AND PEER RECOVERY SUPPORT ORGANIZATION THAT SEEKS TO REDUCE THE PROGRESSION AND ONSET OF SUBSTANCE MISUSE AND ITS RELATED PROBLEMS. NORA WILL PARTNER WITH WORKFORCE DEVELOPMENT BOARDS, LABOR UNIONS AND ECONOMIC DEVELOPMENT AGENCIES TO PROVIDE A ONE-STOP TREATMENT, RECOVERY, AND WORKFORCE EXPANSION PROGRAM TO ADULT MEN AND WOMEN WHO ARE HAVE BEEN IMPACTED BY OPIOIDS. POPULATIONS TO BE SERVED: BSW WILL TARGET ADULT MEN AND WOMEN, AGE 18 AND OVER, IN CUYAHOGA AND LORAIN COUNTIES. PARTICIPANTS WILL BE MAJORITY WHITE/CAUCASIAN AND BLACK/AFRICAN AMERICAN. UP TO 70% WILL REPORT CURRENT UNEMPLOYMENT. HALF WILL NOT HAVE COMPLETED HIGH SCHOOL. THE MAJORITY WILL BE POLY-SUBSTANCE USERS. IN 2017, OHIO HAD THE 2ND HIGHEST OPIOID DEATH RATE IN AMERICA. IT IS ESTIMATED THAT THE OPIOID CRISIS KILLS 5,000 PEOPLE – MORE THAN THE NUMBER OF PEOPLE 30 BOEING 747 AIRPLANES CAN HOLD - AND COSTS OHIO BETWEEN $4 AND $5 BILLION EACH YEAR. HALF OF OHIO BUSINESSES REPORT SUFFERING CONSEQUENCES DUE TO SUBSTANCE MISUSE, PRIMARILY RELATED TO ABSENTEEISM, DECREASED PRODUCTIVITY, AND SHORTAGE OF WORKERS. STRATEGIES AND INTERVENTIONS: NORA’S BSW PROJECT WILL TARGET LOW INCOME, OPIOID-IMPACTED INDIVIDUALS AND ENROLL THEM IN A ONE-STOP COMPREHENSIVE SYSTEM OF CARE THAT INTEGRATES WRAPAROUND AND CLINICAL SERVICES. ONCE AN INDIVIDUAL HAS COMPLETED TREATMENT, HE WILL PROGRESS TO THE SECOND PHASE OF THE PROGRAM AND RECEIVE CAREER AND EMPLOYMENT TRAINING. THIS PROJECT WILL BUILD ON CURRENT SUBSTANCE ABUSE TREATMENT INFRASTRUCTURE AND IMPROVE OHIO’S INDUSTRY SECTORS IMPACTED BY THE OPIOID CRISIS BY 1) EXPANDING TREATMENT AND PEER RECOVERY SUPPORT SERVICES, 2) PARTNERING WITH LOCAL ORGANIZATIONS TO PROVIDE WRAPAROUND AND CAREER AND EMPLOYMENT SERVICES, 3) DISSEMINATING COMMUNICATIONS MATERIALS TO REDUCE STIGMA AND RAISE AWARENESS OF OPIOID USE TO EMPLOYERS AND WORKFORCE DEVELOPMENT BOARDS ACROSS OHIO, 4) MONITORING BSW BY COLLECTING AND ANALYZING PARTICIPANT DATA. PROJECT GOALS: OVER THE PROJECT’S LIFETIME, NORA WILL REACH 500 ADULT MEN AND WOMEN (100 PER YEAR FOR YEARS 1-5). GOAL 1: REDUCE OVERDOSE DEATHS AND OPIOID DEPENDENCE BY PROVIDING SUBSTANCE ABUSE TREATMENT AND WRAPAROUND SERVICES; GOAL 2: INCREASE EMPLOYMENT OPPORTUNITIES FOR ADULT MEN AND WOMEN IMPACTED BY OPIOIDS BY COORDINATING LOCAL AND STATEWIDE EMPLOYMENT AND TRAINING ACTIVITIES; GOAL 3: REDUCE SUBSTANCE USE, INCLUDING OPIOID USE, BY ORGANIZING A BSW COMMITTEE COMPRISED OF LABOR UNIONS, ECONOMIC DEVELOPMENT AGENCIES, BUSINESSES, AND WORKFORCE DEVELOPMENT AGENICES; GOAL 4: IMPROVE STATEWIDE EMPLOYMENT AND TRAINING STRATEGIES BY COLLECTING AND REPORTING COMMUNITY-LEVEL DATA WITH STAKEHOLDERS THROUGHOUT OHIO. BY APRIL 31, 2024: 70% OF EARLY-RECOVERY PARTICIPANTS WILL HAVE REPORTED REDUCED USE OF OR ABSTINENCE FROM SUBSTANCE USE (INCLUDING TOBACCO) AT SIX MONTHS POST-INTAKE AND 50% OF EARLY-RECOVERY PARTICIPANTS WILL HAVE MAINTAINED OR INCREASED EMPLOYMENT AT SIX MONTHS POST-INTAKE.

PROJECT B.R.I.D.G.E.S.

BRIDGES

RECOVER FROM ADDICTION TO PREVENT AIDS (RAP-AIDS) PROJECT - THE GOAL OF THE NORTHERN OHIO RECOVERY ASSOCIATION (NORA) RECOVER FROM ADDICTION TO PREVENT AIDS (RAP-AIDS) PROJECT IS TO INCREASE ENGAGEMENT IN CARE, IN THE GREATER CLEVELAND, OH METROPOLITAN AREA, FOR 360 RACIAL AND ETHNIC UNDERREPRESENTED ADULTS (60 IN YEAR 1 AND 75 IN YEARS 2-5) WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT. A MAJOR FEATURE WILL BE THE CO-LOCATION OF A NORA SUD TREATMENT CLINIC WITHIN THE MEDICAL FACILITY OF FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND RYAN WHITE HIV/AIDS PROGRAM MEDICAL PROVIDER, CARE ALLIANCE HEALTH CENTER (CAHC). THE PROJECT WILL PROVIDE SUD/COD TREATMENT, HIV RAPID TESTING, AND HIV PREVENTION WHILE CAHC WILL OFFER HIV CONFIRMATORY TESTING, VIRAL HEPATITIS TESTING, LINKAGE TO HIV AND VH CARE, ANTIRETROVIRAL THERAPY (ART), PRE-EXPOSURE PROPHYLAXIS (PREP) SERVICES FOR INDIVIDUALS WHO SCREEN NEGATIVE FOR HIV BUT ARE AT INCREASED RISK OF BECOMING INFECTED WITH HIV, AND REFERRAL FOR HBV AND HCV TREATMENT. RAP-AIDS WILL EMPLOY THE FOLLOWING EVIDENCE-BASED PRACTICES: 1) THE MATRIX MODEL, A FRAMEWORK THAT INTEGRATES ASPECTS OF SEVERAL TREATMENT APPROACHES, 2) SEEKING SAFETY, A MODEL THAT CONSIDERS THE CONTEXT OF HISTORICAL TRAUMA WITHIN WHICH A LARGE PROPORTION OF BOTH MEN AND WOMEN DEVELOP SUD/COD, AND 3) MOTIVATIONAL INTERVIEWING. RAP-AIDS WILL ALSO OFFER TWO CDC-LISTED EVIDENCE-BASED HIV PREVENTION PROGRAMS, ONE FOR MEN (REAL MEN ARE SAFE (REMAS) AND ANOTHER FOR WOMEN: SISTERS INFORMING SISTERS ON TOPICS ABOUT AIDS (SISTA). CLIENTS WILL BE PROVIDED WITH AN ARRAY OF RECOVERY SUPPORT SERVICES (RSS) TO ENHANCE RECOVERY. PROJECT OBJECTIVES ARE 1) PROVIDE 360 INDIVIDUALS OVER THE FIVE-YEAR GRANT PERIOD WITH SUD AND HIV SERVICES. 2) PARTICIPANTS WILL BE RETAINED IN THE PROJECT FOR AN AVERAGE OF 60 DAYS.; 3) PARTICIPANTS WILL DEMONSTRATE A SIGNIFICANT PRE-POST DECREASE IN THEIR SUBSTANCE USE; 4) A SIGNIFICANT PRE-POST DECREASE IN THE FREQUENCY AND/OR SEVERITY OF CLIENTS’ OVERALL MENTAL HEALTH SYMPTOMS; 5) PARTICIPANTS WILL DEMONSTRATE A SIGNIFICANT PRE-POST DECREASE IN FREQUENCY AND/OR SEVERITY OF TRAUMA SYMPTOMS; 6) 80% OF PARTICIPANTS WILL REPORT INTERACTION WITH FAMILY &/OR FRIENDS SUPPORTIVE OF THEIR RECOVERY AT 6 MO. FOLLOW-UP; 7) 100% OF THOSE WHO REMAIN IN THE PROGRAM FOR 15 DAYS WILL COMPLETE THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT; 8) PARTICIPANTS COMPLETING THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT WILL REPORT A PRE-POST DECREASE IN PERCEPTIONS OF CONDOM USE BARRIERS; 9) 80% OF PARTICIPANTS WHO COMPLETE THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT WILL REPORT REFRAINING FROM ENGAGING IN SEXUAL RISK BEHAVIORS AT SIX-MONTH FOLLOW-UP; 10) 80% OF PARTICIPANTS WHO REPORT, AT INTAKE, INJECTION DRUG USE (IDU) IN PAST 30 DAYS, WHO COMPLETE THE HIV PREVENTION /EDUCATION COMPONENT OF THE PROJECT, WILL REPORT (AT THE SIX-MONTH FOLLOW-UP) ABSTINENCE FROM IDU OR HAVING USED A NEW NEEDLE/SYRINGE (IN PAST 30 DAYS); 11) 100% OF HIV-NEGATIVE PARTICIPANTS WHO MEET CDC CRITERIA WILL BE PROVIDED WITH INFORMATION ABOUT PREP AND (IF INTERESTED) REFERRED TO A PREP PROVIDER WITHIN 30 DAYS OF ENROLLMENT; 12) 100% OF PARTICIPANTS WILL BE OFFERED HIV RAPID PRELIMINARY ANTIBODY TESTING AT INTAKE AND (IF NEEDED) REFERRAL FOR CONFIRMATORY TESTING AND TREATMENT FOR THEMSELVES AND THEIR PARTNERS; AND 13) 100% OF PARTICIPANTS WILL BE OFFERED TESTING FOR HEPATITIS B AND C AND REFERRED AS NECESSARY FOR TREATMENT.

SOS (SISTERS OF SOBRIETY)

SISTERS OF SOBRIETY II (SOS II)

NORTHERN OHIO RECOVERY ASSOCIATION SEXUAL RISK EDUCATION AVOIDANCE PROJECT

HEALTH OPPORTUNITY PREVENTION AND EMPOWERMENT (HOPE1)

NORA READY4LIFE PROJECT - NORTHERN OHIO RECOVERY ASSOCIATION WILL IMPLEMENT THE READY4LIFE PROGRAM TO EQUIP YOUTH WITH RELATIONSHIP, COMMUNICATION, DECISION-MAKING, AND GOAL-SETTING SKILLS NEEDED TO ACHIEVE THE SUCCESS SEQUENCE: COMPLETING HIGH SCHOOL, GETTING A FULL-TIME JOB, AND GETTING MARRIED BEFORE HAVING CHILDREN. THE PROJECT WILL SERVE YOUTH IN GRADES 9-12 IN CLEVELAND AND EAST CLEVELAND, OHIO THROUGH A 17.5-HOUR PRIMARY WORKSHOP USING THE EVIDENCE-BASED LOVE NOTES CURRICULUM AND SOFT SKILLS DEVELOPMENT LESSONS. SUPPLEMENTARY WORKSHOPS WILL INCLUDE CAREER SUCCESS SEQUENCE PLANNING AND ENTREPRENEURSHIP ACTIVITIES. THE PROGRAM WILL SERVE 1,800 YOUTH OVER FIVE YEARS, WITH 1,350 COMPLETING 90% OF THE PROGRAM, STRENGTHENING FAMILY FUNCTIONING AND ECONOMIC STABILITY.

THE NORTHERN OHIO RECOVERY ASSOCIATION (NORA)

THE RECOVERY FROM OPIATES THROUGH PEER EMPOWERMENT (ROPE) PROJECT

DAY TREATMENT PROGRAM

CHAT (CONNECTING HEALTH AND TECHNOLOGY)

COLLABORATION PUSH

BUILDING BRIDGES TO RECOVERY

NORA RECOVERY COMMUNITY

JUMPSTART FOR A BETTER TOMORROW (JSBT) AIMS TO EXTEND ITS REACH TO MIDDLE SCHOOL YOUTH IN GRADES 69 IN CUYAHOGA COUNTY, OH, WITH A SPECIAL FOCUS ON THE GEOGRAPHIC REGION OF CLEVELAND EAST: THE CITY OF EAST CLEVELAND, EUCLID-GREEN, GLENVILLE, AND COLLINWOOD-NOTTINGHAM. THE TAILORED APPROACH WILL BENEFIT THESE COMMUNITIES, WHERE NEARLY 100 PERCENT OF THE TARGET POPULATION LIVES IN POVERTY. JSBT WILL ENHANCE COMMUNITY CAPACITY FOR MENTORSHIP PROGRAMS THROUGH COMMUNITYWIDE TRAINING INITIATIVES. JSBT WILL TARGET AFRICAN AMERICANS AGES 11 TO 14 WHO RESIDE IN CLEVELAND EAST COMMUNITIES. JSBT STUDENTS ATTEND SCHOOLS WITH HIGHER SUSPENSION AND CHRONIC ABSENTEEISM RATES AND EXPERIENCE A HISTORY OF FAMILY SUBSTANCE ABUSE. JSBT WILL PROVIDE AFTERSCHOOL GROUP MENTORING SESSIONS TO MIDDLE SCHOOL YOUTH. IN ADDITION, JSBT WILL PROVIDE CASE MANAGEMENT AND WRAPAROUND SUPPORT. JSBT AIMS TO BUILD RESILIENCY SKILLS THAT WILL CARRY YOUTH THROUGH HIGH SCHOOL. THE NORTHERN OHIO RECOVERY ASSOCIATION (NORA) WILL EXPAND JSBT TO MIDDLE SCHOOL STUDENTS, EXPAND COMMUNITY CAPACITY BY TRAINING LOCAL ORGANIZATIONS TO CREATE IN-HOUSE MENTORING PROGRAMS WITH THE BOTVIN LIFESKILLS TRAINING CURRICULUM, AND EXPAND OUTREACH BY HOSTING EVENTS AND ACTIVITIES FOR PARENTS AND INTERESTED COMMUNITY MEMBERS. THE GOALS OF THE PROGRAM ARE TO EXPAND JSBT TO ONE MIDDLE SCHOOL SERVING 150 UNDUPLICATED YOUTH AND COLLABORATE WITH NORAS SUBSTANCE USE TREATMENT DEPARTMENT TO PROVIDE HOLISTIC TREATMENT TO YOUTH WITH A SUBSTANCE USE DISORDER, EXPAND COMMUNITY OUTREACH TO PARENTS AND INTERESTED COMMUNITY MEMBERS BY HOSTING TOWN HALLS AND WORKSHOPS TO BUILD PARENTING SKILLS AND STRENGTHEN FAMILY RELATIONSHIPS, BUILD RESILIENCE AND IMPROVE DECISION MAKING SKILLS THROUGH STRUCTURED AFTERSCHOOL PROGRAMMING UTILIZING EVIDENCE-BASED PRACTICES AND MENTORING, AND EXPAND COMMUNITY CAPACITY THROUGH TRAINING AND COLLABORATION WITH LOCAL ORGANIZATIONS. THE EXPECTED OUTCOMES ARE THAT BY OCTOBER 2027, AT LEAST 90 PERCENT OF THE YOUTH PARTICIPANTS WILL DEMONSTRATE IMPROVED RESILIENCE AND HEALTHIER DECISION MAKING, REDUCE REPORTS OF SUBSTANCE USE AND DELINQUENCY AMONG PARTICIPANTS BY 50 PERCENT, AND IMPROVE ACADEMIC PERFORMANCE AMONG 50 PERCENT OF PARTICIPANTS BY IMPROVING THEIR GRADES BY AT LEAST ONE LETTER GRADE IN ONE CORE SUBJECT.

NORTHERN OHIO RECOVERY ASSOCIATION: JUMPSTART FOR A BETTER TOMORROW PROJECT

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING FOR PROFESSIONALS AND PARAPROFESSIONALS

CIRCLE OF CARE

THIS YEAR?S PROJECT WILL TRAIN 200 CONSUMERS THAT WILL THEN BE QUALIFIED TO SIT ON LOCAL ALCOHOL AND MENTAL HEALTH BOARDS REPRESENTING THE CONSUMER VOICE.

THE NORTHERN OHIO RECOVERY ASSOCIATION'S PROPOSED PROJECT WILL: EXPANDING ACCESS TO MOBILE SUD/COD TREATMENT SERVICES IN HIGH-NEED ZIP CODES VIA MOBILE SERVICES - PROJECT NAME: EXPANDING ACCESS TO MOBILE SUD/COD TREATMENT SERVICES IN HIGH-NEED ZIP CODES VIA MOBILE SERVICES NORA’S PROJECT WILL TARGET ADULT MEN AND WOMEN AGED 18+ RESIDING IN CUYAHOGA COUNTY, OHIO, A COUNTY AREA OF 457.2 SQUARE MILES, WITH A PARTICULAR EMPHASIS ON INDIVIDUALS LIVING IN FIVE HIGH-RISK ZIP CODES: 44127, 44109, 44102, 44135, AND 44111. THESE AREAS HAVE THE HIGHEST CONCENTRATIONS OF UNINTENTIONAL OVERDOSE DEATHS, EMERGENCY DEPARTMENT VISITS FOR SUSPECTED OVERDOSES, AND NALOXONE ADMINISTRATIONS. THE TARGET POPULATION IS LOW-INCOME – 70% WILL FACE FINANCIAL AND HOUSING INSECURITY – AND OVER HALF (>50%) ARE POLY-SUBSTANCE USERS, AND OVER HALF (>50%) WILL HAVE A CO-OCCURRING MENTAL HEALTH DISORDER. STRATEGIES AND INTERVENTIONS 1. MOBILE UNIT EXPANSION: INCREASE MOBILE UNIT OPERATIONS FROM 5 DAYS TO 7 DAYS PER WEEK TO ALLOW MORE TIME TO FOCUS ON SCREENING, ASSESSMENT, AND TREATMENT SERVICES TO HIGH NEED ZIP CODES AND UNDERSERVED COMMUNITIES; 2. EVIDENCE-BASED PRACTICES: INTEGRATING SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) MODEL TO OPTIMIZE THE MOBILE UNIT’S PRODUCTIVITY AND SCREEN MORE INDIVIDUALS; 3. REDUCE WAIT TIMES: REDUCING WAIT TIMES BY DEVELOPING A CENTRALIZED REFERRAL SYSTEM, ADOPTING RAPID SCHEDULING PROTOCOLS AND FORMING NEW PARTNERSHIPS 4. PEER RECOVERY SUPPORT SERVICES: UTILIZE PRSS TO PROVIDE ONGOING SUPPORT, IN-HOME VISITS, AND FOLLOW-UPS FOR AT LEAST 90 DAYS POST-INITIAL ASSESSMENT. PROJECT GOALS GOAL 1: EXPAND ACCESS TO SUD/COD TREATMENT SERVICES AND REDUCE OVERDOSE DEATHS, PRIORITIZING HIGH-NEED ZIP CODES, BY EXPANDING AND OPTIMIZING THE MOBILE UNIT’S SERVICE HOURS. GOAL 2: REDUCE WAIT TIMES FOR SUD/COD TREATMENT BY 40% THROUGH STRATEGIC PARTNERSHIPS, A CENTRALIZED REFERRAL SYSTEM, AND RAPID APPOINTMENT SCHEDULING. GOAL 3: REDUCE SUBSTANCE USE FREQUENCY BY 40% AND DECREASE DRUG OVERDOSES, INCLUDING OVERDOSE DEATHS, BY 20% AMONG INDIVIDUALS ENGAGED WITH THE MOBILE UNIT THROUGH EXPANDED SERVICES MEASURABLE OBJECTIVES 1. EXPANDED SERVICE: EXPAND SERVICE HOURS TO 7 DAYS PER WEEK, WITH A FOCUS ON HIGH-NEEDS ZIP CODES 3 TIMES PER WEEK 2. CLIENT ENGAGEMENT: SCREEN AND ASSESS 1,500 UNIQUE INDIVIDUALS (500 PER YEAR) 3. OVERDOSE DEATH REDUCTION: ACHIEVE A 20% REDUCTION IN DRUG OVERDOSE DEATHS BY THE END OF THE PROJECT, AS MEASURED BY COMPARATIVE ANALYSIS OF CORONER REPORTS AND EMERGENCY ROOM DATA. 4. RAPID TREATMENT ACCESS: ENSURE THAT AT LEAST 80% OF INDIVIDUALS ASSESSED FOR SUD/COD ARE CONNECTED TO APPROPRIATE TREATMENT SERVICES VIA A RAPID REFERRAL PROTOCOL WITH THE MOBILE UNIT. 5. FOLLOW-UP SUPPORT: PROVIDE FOLLOW-UP SUPPORT, INCLUDING IN-HOME VISITS, FOR AT LEAST 60% OF INDIVIDUALS WITHIN TWO WEEKS OF INITIAL CONTACT, SCALING UP TO 80% BY THE END OF THE PROJECT PERIOD. 6. SUBSTANCE USE REDUCTION: ACHIEVE A 70% RATE OF REDUCED SUBSTANCE USE OR ABSTINENCE AMONG INDIVIDUALS ENGAGED IN TREATMENT WITHIN SIX MONTHS OF THEIR INITIAL ASSESSMENT.

EAST CLEVELAND BRIDGES OF HOPE - PROJECT BRIDGES

OHIO ADDICTION RECOVERY PROMOTION NETWORK (OARPN)

SOBER TRUTH ON PREVENTING UNDERAGE DRINKING GRANT (S.T.O.P.) - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION SOBER TRUTH ON PREVENTING UNDERAGE DRINKING GRANT ABSTRACT NORTHERN OHIO RECOVERY ASSOCIATION EAST CLEVELAND YOUTH ARE ALMOST TWICE AS LIKELY TO TRY ALCOHOL BEFORE AGE 13 COMPARED TO THEIR COHORTS THROUGHOUT OHIO. PROJECT BRIDGES OF HOPE GOALS ARE TO DELAY THE ONSET OF DRINKING AND REDUCE AND PREVENT UNDERAGE DRINKING THROUGH A COMPREHENSIVE OUT-OF-SCHOOL TIME PLAN WITH PREVENTION/INTERVENTION ACTIVITIES; LOCAL LEGISLATIVE AMENDMENTS AND ENFORCEMENT EFFORTS; AND INITIATIVES TO MOBILIZE PARENT AND COMMUNITY SUPPORT. PROJECT BRIDGES WILL WORK WITH AT-RISK AFRICAN AMERICAN YOUTH, AGE 12 THROUGH 20, RESIDING IN EAST CLEVELAND EXPANDING TO GLENVILLE AREA. COMPARED TO THE REST OF OHIO, EAST CLEVELAND YOUTH ARE MORE LIKELY TO BE IMPOVERISHED: THE NUMBER OF PERSONS LIVING IN POVERTY IS 2.6 TIMES GREATER IN EAST CLEVELAND THAN STATEWIDE. A RECENT REPORT BY CASE WESTERN RESERVE UNIVERSITY TRIANGULATING ADOLESCENT SURVEILLANCE DATA REVEALED THAT WHILE THE PROPORTION OF HIGH SCHOOL SENIORS WHO HAVE NEVER HAD A DRINK OF ALCOHOL HAS INCREASED, NEARLY 15% OF STUDENTS REPORT THAT THEY HAVE HAD 5 OR MORE DRINKS OF ALCOHOL IN A ROW ON ONE OR MORE DAYS IN THE PAST MONTH. THE REDUCTION OF BINGE DRINKING AMONG ADOLESCENTS IS A PRIORITY IN EAST CLEVELAND. ADDITIONALLY, 62% OF EAST CLEVELAND STUDENTS HAVE BETWEEN 0 AND 3 PROTECTIVE FACTORS PARTICULARLY AMONG BLACK AND HISPANIC STUDENTS. STUDENTS WHO POSSESS LOW PROTECTIVE FACTORS ARE SIGNIFICANTLY MORE LIKELY TO HAVE EVER USED CIGARETTES, ALCOHOL AND OTHER DRUGS. SINCE 2007, THE BRIDGES OF HOPE COALITION’S MISSION HAS BEEN TO FACILITATE THE DEVELOPMENT OF PROTECTIVE FACTORS LEADING TO THE REDUCTION AND PREVENTION OF UNDERAGE DRINKING. BASED ON CADCA’S SEVEN STRATEGIES FOR COMMUNITY CHANGE, PROJECT BRIDGES’ OBJECTIVES INCLUDE: 1) ENGAGING YOUTH AND PARENTS IN COMMUNITY EVENTS THAT PROVIDE ALCOHOL PREVENTION MESSAGES; PROVIDING OPPORTUNITIES TO INTERACT WITH POSITIVE ROLE MODELS. 2) LEARNING FROM YOUTH, PARENTS AND THE LARGER COMMUNITY WHAT UNDERAGE DRINKING ISSUES ARE AND WHAT SHOULD BE DONE TO RESOLVE THEM, 3) PROVIDING YOUTH WITH OPPORTUNITIES TO DEVELOP MORE STRUCTURED TIME AND TO INTERACT WITH RESISTING PEERS, 4) LIMITING THE AVAILABILITY OF ALCOHOL TO MINORS THROUGH LEGISLATIVE AND ENFORCEMENT ACTIVITIES, 5) DEVELOPING A MEDIA CAMPAIGN TO MARKET AND ADVERTISE THE COALITION’S ACTIVITIES, RECRUITING NEW MEMBERS AND PROMOTING PREVENTION MESSAGES, 6) COLLABORATING WITH COMMUNITY ORGANIZATIONS TO PROVIDE OUT-OF-SCHOOL AND SUMMER ACTIVITIES FOR YOUTH AGE 12 -20, 7) ESTABLISHING AND STRENGTHENING COLLABORATION AMONG COMMUNITIES, PRIVATE NONPROFIT AGENCIES, AND FEDERAL, STATE, LOCAL GOVERNMENTS TO SUPPORT THE EFFORTS OF EAST CLEVELAND BRIDGES OF HOPE COALITION TO PREVENT AND REDUCE UNDERAGE DRINKING. PROJECT BRIDGES WILL SERVE UP TO 100 YOUTH IN ANNUAL PREVENTION/INTERVENTION PROGRAMMING FOR A TOTAL OF 400 THROUGHOUT THE LIFE OF THE PROJECT.

CONNECTING HEALTH AND TECHNOLOGY (CHAT-II)

OHIO STATEWIDE NETWORK (OSN)

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

DRUG FREE COMMUNITIES

CIRCLE OF CARE

EAST CLEVELAND BRIDGES OF HOPE