Rolla Mission

THE ROLLA MISSION'S RECOVERY FOR THOSE UNHOUSED PROGRAM - THE ROLLA MISSION (TRM) PROVIDES SERVICES FOR INDIVIDUALS AND FAMILIES WHO ARE EXPERIENCING HOMELESSNESS. SOME OF THOSE INDIVIDUALS HAVE SUBSTANCE USE DISORDERS (SUDS) OR CO-OCCURRING MENTAL HEALTH CONDITIONS AND SUDS (CODS). TRM’S SERVICE AREA INCLUDES DENT AND PHELPS COUNTIES IN MISSOURI, WITH A TOTAL POPULATION OF 59,277. THE POPULATION OF FOCUS IS INDIVIDUALS, INCLUDING YOUTH, AND FAMILIES WHO ARE EXPERIENCING HOMELESSNESS AND HAVE SUDS OR CODS. TRM ALSO PROVIDES SERVICES TO THOSE WHO ARE AT-RISK OF EXPERIENCING HOMELESSNESS, PREVENTING HOMELESSNESS. POVERTY IS A KEY DRIVER FOR THOSE STRUGGLING WITH HOUSING AND IS HIGH IN THE TWO-COUNTY AREA WITH 41.92% OF THE POPULATION LIVING IN HOUSEHOLDS WITH INCOMES UNDER 200% OF THE FEDERAL POVERTY LEVEL, HIGHER THAN MISSOURI AND US RATES. THE RACIAL AND ETHNIC MAKE-UP IS LARGELY HOMOGENOUS: 89.75% OF THE POPULATION IS WHITE. ADDITIONAL DEMOGRAPHIC DATA IS LISTED BELOW IN THE TABLE AND ALL DEMOGRAPHIC DATA IS PROVIDED BY THE US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY 2017-2021 FIVE-YEAR ESTIMATES. GOAL 1: EXPAND LOCAL CAPACITY TO ENGAGE MORE INDIVIDUALS UNSHELTERED OR SHELTERED IN TRM’S PROGRAM THAT PRIORITIZES SECURING STABLE, PERMANENT HOUSING WHILE PROVIDING SUPPORTIVE SERVICES FOR THE SUSTAINABILITY OF LONG-TERM PERMANENT HOUSING. OBJECTIVES: 1A. BY 12/31/23, TRM WILL INCREASE THE NUMBER OF CASE MANAGERS BY 100% (FROM 1.0 TO 2.0). 1B. BY 9/29/24, ENGAGE 50 INDIVIDUALS WHO ARE IDENTIFIED THROUGH THE OUTREACH AND ENGAGEMENT STRATEGIES (VS. BASELINE OF ZERO, SINCE AN OUTREACH PROGRAM CURRENTLY DOES NOT EXIST). AT LEAST 80% OF INDIVIDUALS CONTACTED VIA OUTREACH WILL ENGAGE IN AT LEAST ONE PROGRAM OR SERVICE PROVIDED BY TRM (E.G., EMERGENCY SHELTER, CASE MANAGEMENT, PEER SUPPORT, EMPLOYMENT SERVICES). 1C. BY 9/29/28, AT LEAST 40% OF PATRONS WILL EXIT TRM’S EMERGENCY SHELTER INTO A POSITIVE, STABLE HOUSING DESTINATION MAINTAINED THEIR HOUSING FOR 12 MONTHS, ALIGNING WITH THE HOUSING FIRST MODEL. GOAL 2: EXPAND TRM’S SERVICE DELIVERY MODEL TO DELIVER MORE COMPREHENSIVE SERVICES TO INDIVIDUALS, INCLUDING YOUTH, AND/OR FAMILIES WITH SUDS AND/OR CODS, WHO ARE EXPERIENCING HOMELESSNESS. TRM ALSO PROVIDES SERVICES TO THOSE WHO ARE AT-RISK OF EXPERIENCING HOMELESSNESS. HOLISTIC SERVICES WILL INCLUDE CASE MANAGEMENT, CLINICAL TREATMENT, PEER-BASED RECOVERY SUPPORT SERVICES (RSS), EMPLOYMENT NAVIGATION, AND WRAP-AROUND SERVICES. 2A. BY 12/31/23, HIRE A 1.0 FTE NEW RSS STAFF WITH LIVED EXPERIENCE AND A 1.0 FTE NEW EMPLOYMENT SPECIALIST. 2B. UTILIZING THESE NEW POSITIONS, BY 9/29/28, ENGAGE AT LEAST 500 INDIVIDUALS IN PEER-BASED RSS OR EMPLOYMENT SERVICES ALONGSIDE HOUSING, TREATMENT, AND OTHER WRAP-AROUND SERVICES. 2C. BY 9/29/28, AT LEAST 50% OF PATRONS WILL SET AND ACHIEVE AT LEAST ONE GOAL TIED TO “PURPOSE”. 2D. BY 9/29/28, AT LEAST 30% OF PATRONS WILL GAIN INCOME THROUGH EMPLOYMENT. 2E. BY 9/29/28, 95% OF PATRONS RECEIVING CASE MANAGEMENT SERVICES WILL BE SCREENED FOR ELIGIBILITY FOR INSURANCE AND/OR MAINSTREAM BENEFIT PROGRAMS. OF THOSE ELIGIBLE, AT LEAST 50% WILL ENROLL IN AT LEAST ONE PRODUCT/PROGRAM. 2F. BY 9/29/28, 25% OF INDIVIDUALS ENGAGED IN TRM’S SERVICES WITH A SUD OR COD, WHO ARE NOT CURRENTLY ACTIVE IN TREATMENT, WILL ALSO ACCESS TREATMENT OR RECOVERY SERVICES DELIVERED VIA NEW, FORMALIZED REFERRAL PATHWAYS (CURRENTLY NO FORMAL REFERRAL PATHWAY EXISTS TO LINK PATRONS WITH CLINICAL BEHAVIORAL HEALTH TREATMENT/MOUD). GOAL 3: EXPAND TRM’S ACCESS TO PROGRAMS AND ACTIVITIES THAT HELP PATRONS RE-INTEGRATE INTO THE COMMUNITY WITH RELATIONSHIPS AND SOCIAL NETWORKS THAT PROVIDE HOPE, SUPPORT, FRIENDSHIP, AND LOVE. 3A. BY 09/29/28, 50% OF THE PATRONS WILL ATTAIN ONE GOAL ALIGNED WITH BUILDING A COMMUNITY/SOCIAL NETWORK. THE NUMBER OF PEOPLE TO BE SERVED UNDER THE PROJECT IS YEAR 1: 150; YEAR 2: 200; YEAR 3: 250: YEAR 4: 250; AND YEAR 5: 200, FOR A TOTAL OF 1,050 OVER THE LIFE OF THE FIVE YEAR PROJECT PERIOD.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE - TRAGICALLY, HOMELESSNESS, DISABILITY, AND SUBSTANCE MISUSE GO TOGETHER. THE RESULT OF HOMELESSNESS IS OFTEN THAT INDIVIDUAL USING SUBSTANCES, AND CONVERSELY, USING SUBSTANCES CAN ALSO CONTRIBUTE TO HOMELESSNESS. THE NATIONAL COALITION FOR THE HOMELESS HAS FOUND THAT 38% OF PEOPLE WITHOUT HOUSING ARE ALCOHOL DEPENDENT AND 26% ARE DEPENDENT ON OTHER HARMFUL CHEMICALS. PEOPLE WITH PHYSICAL AND COGNITIVE DISABILITIES HAVE A HIGHER PREVALENCE OF SUBSTANCE USE DISORDER (SUD), AS WELL AS LOWER TREATMENT RATES FOR BOTH CONDITIONS THAN PEOPLE WITHOUT THESE DISABILITIES. MANY UNDERESTIMATE THE BARRIERS OF ACCESSIBILITY TO THEIR PROGRAMS FOR PEOPLE WITH PHYSICAL OR COGNITIVE DISABILITIES, OR THEY MAY HAVE SPECIFIC EXCLUSION CRITERIA FOR SOME PEOPLE WITH DISABILITIES. ALL THESE POPULATIONS, AND OTHERS, ARE INDIVIDUALS THAT CAN RECEIVE SERVICES FROM THE ROLLA MISSION (TRM). TRM IS A LOW-BARRIER SHELTER AND FOLLOWS THE HOUSING-FIRST EVIDENCE-BASED MODEL, TO SERVE PEOPLE WHO ARE EXPERIENCING HOMELESSNESS OR AT RISK OF EXPERIENCING HOMELESSNESS. TRM PROVIDES ADDITIONAL WRAP-AROUND SERVICES SUCH AS CASE MANAGEMENT, HOUSING APPLICATION ASSISTANCE, EMPLOYMENT, MEALS, LAUNDRY, AND SHOWERS. ALL SERVICES PROVIDED ARE CLIENT DRIVEN. TRM SERVES THE FOLLOWING POPULATIONS: WOMEN, MEN, FAMILIES, CHRONICALLY HOMELESS, VETERANS, SENIOR CITIZENS, PERSONS AT-RISK OR EXPERIENCING SUD/OUD. TRM HAS SELECTED THE FOLLOWING SPECIFIC ACTIVITIES FOR THE PROJECT: TIER 1 ALLOWABLE ACTIVITIES • PREVENTION – ACTIVITY 1.1 – TERTIARY PREVENTION • TREATMENT – ACTIVITY 1.1 – SUD/OUD CARE DELIVERY SITES • RECOVERY – ACTIVITY 1.3 – PEER SUPPORT SPECIALIST THE TARGET POPULATION IS INCLUSIVE OF ALL DISABLED INDIVIDUALS AT-RISK, DIAGNOSED WITH, OR IN ACTIVE TREATMENT/RECOVERY FOR SUD/OUD; THEIR FAMILIES AND/OR CAREGIVERS; AND COMMUNITY MEMBERS WHO RESIDE IN THE RURAL TARGET SERVICE AREA. THE GOAL IS TO MEET THE NEEDS OF ALL INDIVIDUALS WITH A DISABILITY AT-RISK OF NEEDING OR IN NEED OF SUD/OUD PREVENTION, TREATMENT, OR RECOVERY SERVICES. THERE IS AN EMPHASIS ON HIGH-RISK SUBPOPULATION OF THOSE AT-RISK OF OR EXPERIENCING HOMELESSNESS. TRM’S TARGET SERVICE AREA IS PHELPS COUNTY, MISSOURI. THE SERVICE AREA IS IN SOUTH CENTRAL MISSOURI AND HAS A TOTAL POPULATION OF 44,948 PEOPLE FOR A POPULATION DENSITY OF APPROXIMATELY 66 PERSONS PER SQUARE MILE, LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 92 PERSONS PER SQUARE MILE. THE SERVICE AREA IS CONSIDERED SOCIOECONOMICALLY DISADVANTAGED, WITH A SUBPOPULATION OF PEOPLE LIVING WITHOUT HOUSING, AND HAS HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES AND DISPARITIES.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE