One World Recovery Network

NATIONAL PEER RUN TRAINING AND TECHNICAL ASSISTANCE CENTER FOR ADDICTION RECOVERY SUPPORT - ONE WORLD RECOVERY NETWORK (OWRN), A PEER-LED, BLACK-LED, WOMAN-LED RECOVERY COMMUNITY ORGANIZATION (RCO), WILL COORDINATE A NATIONAL PEER-RUN TRAINING AND TECHNICAL ASSISTANCE CENTER FOR ADDICTION RECOVERY SUPPORT (CARS) WITH EFFORTS DRIVEN BY A NATIONAL STEERING COMMITTEE COMPOSED OF PERSONS WITH LIVED EXPERIENCE IN RECOVERY FROM SUBSTANCE USE DISORDERS. CARS AIMS TO PLAY A LEADING ROLE IN SUCCESSFULLY INTEGRATING RECOVERY SUPPORT SERVICES INTO A MYRIAD OF TRADITIONAL AND NON-TRADITIONAL ORGANIZATIONAL AND COMMUNITY SETTINGS AND BUILDING LEADERSHIP AND CAPACITY TO IMPLEMENT RECOVERY SUPPORT SERVICES IN UNDERSERVED AND HISTORICALLY EXCLUDED COMMUNITIES. OWRN WILL COLLABORATE WITH SIX SUPPORTING ORGANIZATIONS FROM THE CURRENT PEER RECOVERY CENTER OF EXCELLENCE WITH DEEP EXPERTISE AND EXPERIENCE IN TRAINING AND TECHNICAL ASSISTANCE (TTA) DELIVERY AND RECOVERY SUPPORT SERVICES TO IMPLEMENT THE PROJECT: THE UNIVERSITY OF MISSOURI KANSAS CITY, THE UNIVERSITY OF WISCONSIN, THE UNIVERSITY OF TEXAS, THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH, THE ASSOCIATION FOR RECOVERY SCHOOLS, AND THE ASSOCIATION OF RECOVERY IN HIGHER EDUCATION. SUPPORTING ORGANIZATIONS WILL ALSO MENTOR & BUILD THE CAPACITY OF RCOS AND PEER-RUN ORGANIZATIONS (PROS) WHO ALREADY PROVIDE LOCALIZED, TAILORED TTA IN THEIR GEOGRAPHIC AREAS. OWRN WILL ESTABLISH THESE RCOS/PROS AS REGIONAL RECOVERY HUBS TO PROVIDE CULTURALLY RELEVANT TTA & EXPAND THE ENGAGEMENT OF CARS AT THE GRASSROOTS LEVEL. LEVERAGING THE CAPACITY OF MULTIPLE INSTITUTIONS, THIS PEER-RUN CENTER WILL SERVE FOUR MAJOR GROUPS: A) PEER SUPPORT WORKERS AND NETWORKS, B) RCOS/PROS, C) STATE OFFICIALS, INCLUDING CERTIFICATION BOARDS AND SINGLE STATE AUTHORITIES, AND C) OTHER ORGANIZATIONS IN THE ECOSYSTEM OF RECOVERY. CARS ANTICIPATES SERVING 6,262 INDIVIDUALS OVER 5 YEARS (Y1-1,000; Y2-1,248; Y3-1,298; Y4-1,348; AND Y5-1,368) AND WILL COLLECT PERFORMANCE MEASURES THROUGH SAMHSA’S GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA) AS WELL AS OUTCOME AND PROCESS EVALUATIONS. PROPOSED ACTIVITIES WILL ADDRESS THREE MAJOR SERVICE GAPS: 1) THE DEARTH OF INFRASTRUCTURE AND RESOURCES FOR ROBUST PEER WORKFORCE DEVELOPMENT; 2) THE NEED TO BUILD RECOVERY-RICH COMMUNITIES ACROSS MYRIAD SERVICE SETTINGS AND PURPOSE-FOCUSED SETTINGS; AND 4) THE SHORTAGE OF MECHANISMS TO DISSEMINATE EXISTING AND FUTURE RECOVERY SUPPORT EVIDENCE-BASED PRACTICES. FOUR GOALS FOR ADDRESSING THESE GAPS ARE: 1) TO ENHANCE THE CAPACITY & EFFECTIVENESS OF THE GENERAL PEER WORKFORCE BY DEVELOPING & PROVIDING TARGETED TTA IN PEER SUPPORT CERTIFICATION, DIGITAL RECOVERY, & COMPREHENSIVE PROFESSIONAL SUPPORT INCLUDING FINANCING, SUPERVISION, WORKPLACE CULTURE, & CAREER DEVELOPMENT; 2) TO PROMOTE COMPREHENSIVE RECOVERY SOLUTIONS ACROSS VARIOUS SERVICE SETTINGS BY DEVELOPING & PROVIDING SPECIALIZED TTA FOR COURT, CORRECTIONS, & RE-ENTRY PROGRAMS, CLINICAL TREATMENT, RECOVERY HOUSING, & RCOS/PROS; 3) TO FOSTER & SUPPORT RECOVERY IN PURPOSE-FOCUSED ENVIRONMENTS BY DEVELOPING & PROVIDING SPECIALIZED TTA FOR RECOVERY-READY WORKPLACES, RECOVERY IN HIGHER EDUCATION, & RECOVERY IN HIGH SCHOOLS; AND 4) TO STRENGTHEN THE FOUNDATION OF RECOVERY PRACTICES BY PROVIDING COMPREHENSIVE TTA THAT SUPPORTS BOTH RESEARCH-BASED EVIDENCE & PRACTICE-BASED RESEARCH ACROSS THE CORE TOPIC AREA. KEY ACTIVITIES WILL INCLUDE CONDUCTING CAPACITY/NEEDS ASSESSMENTS AND ENVIRONMENTAL SCANS; DEVELOP AND MAINTAIN A WEB-BASED RESOURCE LIBRARY; PROVIDING TTA TO REQUESTERS; CREATE AND DISSEMINATE TOOLKITS, CURRICULA, PODCASTS, ONLINE COURSES, AND OTHER RESOURCES; HOST WEBINARS, POLICY ACADEMIES, AND OTHER IN-PERSON AND VIRTUAL EDUCATIONAL AND LEADERSHIP DEVELOPMENT EVENTS.

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM - OWRN PROPOSAL ABSTRACT IN TEXAS, DESPITE GOVERNMENTAL EFFORTS TO CURTAIL OPIOID PRESCRIBING, FATALITIES ATTRIBUTED TO OPIOID-RELATED OVERDOSE CONTINUE TO ESCALATE ANNUALLY. RECOGNIZING THE IMPERATIVE FOR RECOVERY SUPPORT SERVICES FOR INDIVIDUALS AND FAMILIES GRAPPLING WITH SUBSTANCE USE DISORDERS, THE LEGISLATIVE BUDGET BOARD STAFF (2019) UNDERSCORED THE NECESSITY FOR ENHANCED SUPPORT STRUCTURES. ACKNOWLEDGING THIS URGENT NEED, THE STATE OF TEXAS HAS EMBARKED ON A TARGETED OPIOID RESPONSE INITIATIVE, SUPPORTED BY FUNDING FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). SINCE 2014, ONE WORLD RECOVERY NETWORK (OWRN) HAS BEEN INTEGRAL TO THIS ENDEAVOR. OWRN HAS SPEARHEADED THE ESTABLISHMENT OF A DEPARTMENT OF LABOR (DOL) CREDENTIALED REGISTERED APPRENTICESHIP PROGRAM (RAP) THAT IS AIMED AT FORTIFYING PEER-BASED RECOVERY SUPPORT SYSTEMS, PARTICULARLY WITHIN UNDERSERVED OR REMOTE COMMUNITIES. THE NEED TEXAS, RENOWNED FOR ITS CULTURAL AND EXPERIENTIAL DIVERSITY, PRESENTS A UNIQUE LANDSCAPE NECESSITATING PEER SUPPORT SERVICES THAT ARE NOT ONLY LINGUISTICALLY BUT ALSO CULTURALLY ATTUNED. WITH A POPULACE SPANNING DIVERSE ETHNICITIES AND ENCOMPASSING RURAL FARMING ENCLAVES, RANCHING COMMUNITIES, AND BUSTLING URBAN CENTERS, THE STATE'S MULTIFACETED DEMOGRAPHICS UNDERSCORE THE IMPORTANCE OF CULTURALLY COMPETENT PEER INTERVENTIONS. FOR THIS EFFORT, OWRN SELECTED THREE COUNTIES WITHIN TEXAS THAT ARE MEDICALLY UNDERSERVED COMMUNITIES, WHERE OPIOID USE IS SIGNIFICANT. POPULATIONS SERVED JEFFERSON COUNTY. CHARACTERIZED AS A BORDER COMMUNITY, THE INFLUX OF ILLEGAL DRUGS NECESSITATES ROBUST INTERVENTION STRATEGIES. CULTURALLY ADEPT AND SPANISH-SPEAKING PROVIDERS ARE IMPERATIVE TO ADDRESS THE EVOLVING DEMOGRAPHIC LANDSCAPE. ADDITIONALLY, THE HIGH PREVALENCE OF PRESCRIPTION PAIN MEDICATION USE UNDERSCORES THE NEED FOR COMPREHENSIVE PRIMARY CARE, BEHAVIORAL HEALTH PROVIDERS, RECOVERY, AND PEER ORGANIZATIONS, ALONGSIDE COL LEGIATE RECOVERY PROGRAMS AND TELEHEALTH SERVICES. GRAYSON COUNTY. HOME TO RURAL FARMERS AND RANCHERS, THE POPULATION EXHIBITS A DISPROPORTIONATE RELIANCE ON OPIOIDS TO MANAGE CHRONIC PAIN RESULTING FROM PHYSICAL LABOR. MOREOVER, THE COUNTY FACES HEIGHTENED RISKS OF HIV AND HEPATITIS C OUTBREAKS ATTRIBUTABLE TO THE OPIOID EPIDEMIC. WITH MULTIPLE SETTLEMENTS REACHED WITH RETAIL PHARMACIES AND MANUFACTURERS, THE NEED FOR PRIMARY CARE, BEHAVIORAL HEALTH PROVIDERS, RECOVERY AND PEER ORGANIZATIONS, AND TELEHEALTH SERVICES REMAINS CRITICAL. LUBBOCK COUNTY. AS AN URBAN CENTER, THE PREVALENCE OF FENTANYL USE AND OVERDOSE RATES IS ALARMINGLY HIGH. PROHIBITED HARM REDUCTION PRACTICES NECESSITATE ALTERNATIVE AVENUES TO ADDRESS OPIOID USE DISORDER (OUD). WHILE MEDICATION-ASSISTED TREATMENT (MAT) FACILITIES EXIST, THE DEARTH OF LONG-TERM ADDICTION TREATMENT SUPPORTS POSES A SIGNIFICANT CHALLENGE. TO CATER TO THE NEEDS OF THIS POPULATION, A COMPREHENSIVE ARRAY OF SERVICES IS INDISPENSABLE, ENCOMPASSING PRIMARY CARE, MAT FACILITIES, BEHAVIORAL HEALTH PROVIDERS, RECOVERY AND PEER ORGANIZATIONS, COLLEGIATE RECOVERY PROGRAMS, SCHOOLS, AND TELEHEALTH SERVICES. PROPOSED OWRN CORE SERVICES OWRN WILL PROVIDE THE FOLLOWING SERVICES THROUGH ITS RAP PROGRAM AND THE SUPPORT OF THE HRSA OIFSP GRANT: CULTURALLY ADAPTED CURRICULUM TO MEET THE CULTURAL AND LINGUISTIC NEEDS IN THE IDENTIFIED COMMUNITIES. TRAINING TO TRAINERS, ENSURING THEY ARE WELL VERSED IN NEW CULTURALLY ADAPTED TRAINING ELEMENTS. MARKETING AND OUTREACH TO RECRUIT TRAINEES AND TO SECURE APPRENTICESHIP EMPLOYMENT OPPORTUNITIES. PEER SUPPORT SUPERVISION AND MENTORING THROUGHOUT THE APPRENTICESHIP PROGRAM TO ENSURE TRAINEE SUPPORT AND PROGRAM SUCCESS. ADVISORY COMMITTEE TO MEET BI-MONTHLY TO DISCUSS PROGRAM OUTCOMES AND WORK TOWARD CONSTANT IMPROVEMENT. DATA ANALYSIS AND EVALUATION TO INFORM PROGRAM DECISIONS AND CHANGES THAT WORK TOWARD CONTINUOUS GROWTH AND POSITIVE PROGRAM OUTCOMES.