Impact Life Inc

THE SANCTUARY AT IMPACT LIFE FARM* - THE SANCTUARY AT IMPACT LIFE FARM PROPOSES TO FILL A CRITICAL TREATMENT GAP FOR PREGNANT, POST-PARTUM, AND PARENTING WOMEN IN DELAWARE BY PROVIDING RESIDENTIAL TREATMENT, RECOVERY SUPPORT SERVICES, CARE COORDINATION, AND HARM REDUCTION INTERVENTIONS BASED ON COMPREHENSIVE, INDIVIDUALIZED SCREENINGS AND ASSESSMENTS, THAT INFORM TREATMENT PLANNING AND SERVICE DELIVERY IN A CONTINUOUS CARE MODEL. IN ADDITION, ALL PROGRAM PARTICIPANTS WILL RECEIVE COMPREHENSIVE SUD TREATMENT SERVICES THROUGH VETTED PARTNERS WITH LONG-STANDING SUCCESS IN THE COMMUNITY. IN 2020, 702 NOTIFICATIONS WERE MADE BY HEALTHCARE PROFESSIONALS IN DE TO THE DIVISION OF FAMILY SERVICES (DFS) OF SUBSTANCE EXPOSED BIRTHS. OF THOSE, 61% OF BIRTH MOTHERS WERE NOT IN TREATMENT. AS OF 2022, THERE ARE ALMOST NO TREATMENT CENTERS (RESIDENTIAL OR OTHERWISE) IN DE THAT SPECIFICALLY CATER TO PREGNANT AND/OR POST-PARTUM WOMEN, AND THERE ARE NONE THAT OFFER A WHOLE-PERSON APPROACH. MANY PREGNANT WOMEN SEEKING TREATMENT MUST LEAVE THE STATE AND THOSE SEEKING SUPPORTIVE HOUSING POST-TREATMENT, GO TO OXFORD HOUSES WHERE THERE ARE NO STRUCTURED SERVICES OR PROGRAMS TO SUSTAIN RECOVERY. THE OVERARCHING GOAL OF THE SANCTUARY IS TO ADDRESS BEHAVIORAL HEALTH DISPARITIES FOR WOMEN, CHILDREN, AND FAMILIES IN DE BY PROVIDING PREGNANT AND POST-PARTUM WOMEN (PPW) SEEKING SUD TREATMENT WITH THE BEST POSSIBLE OPPORTUNITY FOR LONG-TERM RECOVERY. STAFF WILL FOCUS ON AN INTERACTIVE MOTIVATIONAL APPROACH TO PROVIDE INFORMATION, EXPLAIN THE PROGRAM, DISCUSS THE ASSESSMENT PROCESS, ENGAGE THE PERSON IN A POSITIVE MANNER, EXPLAIN THE POTENTIAL BENEFITS OF PARTICIPATION, AND ANSWER QUESTIONS. THE PPW WILL ACTIVELY PARTICIPATE IN THE DEVELOPMENT, IMPLEMENTATION, AND REVIEW OF THEIR TREATMENT PLANS SO THAT THEY GAIN AN UNDERSTANDING OF THE RELATIONSHIP BETWEEN DIFFERENT INTERVENTIONS AND SPECIFIC GOALS. ALTHOUGH THE PROBLEMS PRESENTED WILL VARY BY DEGREE AND INTENSITY, THE SINGLE COMMON PROBLEM UPON ADMISSION IS A SIGNIFICANT PATTERN OF SA THAT OFTEN INTERACTS WITH, AND IS EXACERBATED BY MENTAL HEALTH DISORDERS, HIV/AIDS, AND STDS, AND THE MANY RELATED PHYSICAL, MEDICAL, PEDIATRIC, EMOTIONAL, PARENTING, EMPLOYMENT, HOUSING, LEGAL AND OTHER ISSUES.

PROJECT OPS (OVERDOSE PREVENTION SERVICES). - IMPACT LIFE PROPOSES PROJECT OPS (OVERDOSE PREVENTION SERVICES) TO IMPLEMENT A COMMUNITY-BASED OUTREACH AND EDUCATION PROGRAM THROUGHOUT THE DE TO REDUCE OVERDOSE DEATHS, INCREASE AWARENESS OF THE RISK OF OPIOID USE AND OVERDOSE, INCREASE KNOWLEDGE OF SAFE PRESCRIBING AND SAFE DISPOSAL, REDUCE STIGMA RELATED TO SUD, INCREASE HARM REDUCTION ACTIVITIES AND INCREASE ACCESS TO BEHAVIORAL HEALTH TREATMENT, PREVENTION, AND NAVIGATION TO SERVICES. POPULATION OF FOCUS (POF): OUR POPULATIONS OF FOCUS ARE INDIVIDUALS AGED 13 AND OLDER RESIDING IN RURAL AND URBAN COMMUNITIES, PART OF THE LGBTQI+ COMMUNITY, AND/OR RACIAL AND ETHNIC MINORITIES, INCLUDING AFRICAN AMERICAN AND LATINO WOMEN AND MEN, GAY AND BISEXUAL MEN, TRANSGENDERED PERSONS WITH A SUBSTANCE USE DISORDER (SUD), MENTAL HEALTH (MH) OR CO-OCCURRING SUBSTANCE ABUSE/MENTAL HEALTH (SA/MH) DISORDERS (COD) AND WHO ARE AT RISK FOR, OR HAVE HIV/AIDS AND/OR HEPATITIS. INDIVIDUALS IN RECOVERY AND THOSE WHO ARE RE-ENTERING SOCIETY POST-INCARCERATION OR ON COMMUNITY SUPERVISION WILL ALSO BE INCLUDED. STRATEGIES AND INTERVENTIONS: IMPACT LIFE PROPOSES TO MODEL PROJECT OPS ON PROJECT LAZARUS, AN EVIDENCE-BASED OVERDOSE PREVENTION PROGRAM. PROJECT LAZARUS WAS ESTABLISHED IN 2007 IN RESPONSE TO EXTREMELY HIGH OVERDOSE MORTALITY RATES IN WILKES COUNTY, NC AND UTILIZES A PUBLIC HEALTH APPROACH TO ADDRESSING THE OPIOID EPIDEMIC THROUGH ADDRESSING COMMUNITIES AND INDIVIDUALS BY PROVIDING ACCESS TO THE FOLLOWING SERVICES: COALITION FORMATION, CAPACITY BUILDING, AND SUSTAINABILITY; SAFE PRESCRIBING PRACTICES FOR PROVIDERS; OPIOID OVERDOSE EDUCATION, AWARENESS, AND SAFE MEDICATION USAGE MATERIALS; DISTRIBUTION OF NALOXONE; DRUG TAKE BACK INITIATIVES (COMMUNITY BASED MEDICATION DISPOSAL PROGRAM); PEER-GUIDED RECOVERY SUPPORT SERVICES; CREATING AND MANAGING A SYSTEM FOR DATA COLLECTION INCLUDING LOCAL AND STATE DATA ON OVERDOSE AND POISONING RATES. STAFF WILL BE TRAINED IN CULTURALLY INFORMED, EVIDENCE-BASED PRACTICES FOR ENGAGING WITH THE POF, WILL HAVE LIVED EXPERIENCE AND EMPLOY PEER SUPPORT STRATEGIES TO PROJECT OUTREACH ENDEAVORS. PROJECT GOALS AND MEASURABLE OBJECTIVES: PROJECT GOALS ARE: COLLECTION OF DATA RELATED TO THE DRUG OVERDOSE EPIDEMIC IN DELAWARE; COMMUNITY BASED EDUCATION ABOUT SUBSTANCE USE DISORDER (SUD) AND RESOURCES; CROSS SECTION COLLABORATION AMONG PROJECTS AND EFFORTS; STATE AND COMMUNITY CAPACITY BUILDING. PROJECT OPS WILL MEET PROGRAM OBJECTIVES TO REDUCE DRUG OVERDOSE DEATHS IN DE BY ENGAGING COMMUNITY PARTNERS IN DISCUSSIONS AND PROGRAMS AROUND OVERDOSE PREVENTION SERVICES INCLUDING COMMUNITY-BASED HEALTH FAIRS, NALOXONE DISTRIBUTION, AND EVENTS THAT INCLUDE PERSONS IN RECOVERY, THOSE IN ACTIVE ADDICTION, SCHOOLS, LOCAL BUSINESS OWNERS, FAITH LEADERS, HEALTHCARE AND SOCIAL SERVICE PROVIDERS, LAW ENFORCEMENT, AND ELECTED OFFICIALS. WE PLAN TO BUILD A COALITION OF EXPERTS AND THE INDIVIDUALS LISTED ABOVE, WHO WILL GUIDE THE EFFORTS OF THE PROGRAM INCLUDING THE CREATION OF EDUCATIONAL MATERIALS AND TRAINING PROGRAMS FOR COMMUNITY MEMBERS, MEDICAL PROVIDERS, SCHOOLS AND LAW ENFORCEMENT. A LOCAL NEEDS ASSESSMENT OF EXISTING PROVIDERS WHO SERVE OUR POF AND PEOPLE IN RECOVERY WILL AID IN DATA COLLECTION AND WILL INCLUDE SURVEYS AND FOCUS GROUPS TO DETERMINE WHAT TRAINING WILL BE USEFUL TO THEM. THE PROJECT WILL SERVE A TOTAL OF 3,570 INDIVIDUALS WITH GRANT DOLLARS, AS DEMONSTRATED IN THE TABLE BELOW: PROJECTED NUMBER OF UNDUPLICATED INDIVIDUALS TO BE REACHED WITH GRANT FUNDS YEAR 1 YEAR 2 YEAR 3 TOTAL NUMBER OF SERVICE ENCOUNTERS 790 790 790 2,370 NUMBER OF REFERRALS TO SUPPORT SERVICES 200 200 200 600 NUMBER OF LINKAGES TO SUPPORT SERVICES 200 200 200 600

IMPACT LIFE: BUILDING COMMUNITIES OF RECOVERY - IMPACT LIFE'S (IL) BUILDING COMMUNITIES OF RECOVERY (BCOR) PROGRAM WILL SERVE THE ENTIRE STATE OF DELAWARE (DE), CONSISTING OF THREE COUNTIES: NEW CASTLE (NCC) (HOME TO THE CITY OF WILMINGTON), KENT, AND SUSSEX COUNTIES WITH OUR POF BEING DELAWAREANS AGES 12 YEARS AND OLDER. ALL OF KENT AND SUSSEX COUNTIES ARE CONSIDERED A MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P) AND HEALTH PROFESSIONAL SHORTAGE AS WELL AS SOUTHERN/EASTERN NCC. THOUGH DE IS THE SECOND SMALLEST STATE IN THE US WITH THE 6TH LOWEST STATE POPULATION (US CENSUS), DE RANKS 3RD IN THE NATION IN PER CAPITA OVERDOSE (OD) DEATHS, WITH 55 DEATHS/100,000 INDIVIDUALS (CDC, 2022).DUE TO ITS LOCATION, DE IS A CRITICAL CHOKEPOINT FOR ILLICIT OPIOID TRANSIT ALONG INTERSTATE 95 (DEA, 2020) AS IT IS THE MAIN EAST COAST NORTH-SOUTH HIGHWAY IN THE US, LINKING MAJOR CITIES SUCH AS MIAMI, BALTIMORE, PHILADELPHIA, AND NEW YORK CITY. FROM 2020-23, DE OD DEATH RATES INCREASED BY 16% ANNUALLY WHICH IS 132% ABOVE THE NATIONAL AVERAGE DEATH RATE AND THE HIGHEST ANNUAL OD GROWTH RATE IN THE NATION WITH OPIOIDS ACCOUNTING FOR 84% OF DEATHS (CDC, 2021). IN DE, THERE WERE 47 DRUG OD DEATHS/100,000 PEOPLE IN COMPARISON TO THE REST OF THE US WHO EXPERIENCED 27/100,000 (COUNTYHEALTHRANKINGS.ORG). AS OF EARLY 2024, DE CONTINUES TO FACE SIGNIFICANT PUBLIC HEALTH CONCERNS WITH DRUG OD DEATHS. EARLY DATA SHOWS THAT ALMOST 50% OF ADMISSIONS TO PUBLICLY FUNDED TREATMENT PROGRAMS LISTED HEROIN AS THEIR PRIMARY DRUG. AN ADDITIONAL 7% OF ADMISSIONS WERE PRIMARILY ATTRIBUTED TO USE OF OTHER OPIATES (TEDS, 2019). THE POTENCY OF ILLICIT DRUGS IS A CONTRIBUTING FACTOR TO THE INCREASE IN OD DEATHS AMONG YOUTH. DEATHS INVOLVING FENTANYL INCREASED BY 182% WITH 90% OF OD DEATHS INVOLVING OPIOIDS AND 84% INVOLVED ILLICITLY MANUFACTURED FENTANYL. FROM 2017-19, THE ANNUAL AVERAGE PREVALENCE OF PAST-MONTH MARIJUANA USE IN DE WAS 9%, HIGHER THAN THE REGIONAL (6%) AND NATIONAL (7%) AVERAGES (SAMHSA, 2019). THROUGH IMPLEMENTATION OF BCOR, IL WILL PROVIDE PEER RECOVERY SUPPORT SERVICES (PRSS), A PEER RECOVERY MENTORING PROGRAM, COMMUNITY-BASED HARM REDUCTION SERVICES, RECOVERY HOUSING, TWELVE STEP FACILITATION THERAPY, AND MINDFULNESS BASED RELAPSE PREVENTION (MBPR). THROUGH THE USE OF THESE EBPS, WE HOPE TO ENGAGE 450 UNDUPLICATED INDIVIDUALS IN PRSS, 120 IN PEER MENTORING, 5,280 THROUGH HARM REDUCTION SERVICES, 450 IN RECOVERY HOUSING, AND 300 THROUGH MBRP.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - IMPACT LIFE, A DELAWARE-BASED NONPROFIT BEHAVIORAL HEALTHCARE ORGANIZATION, PROPOSES THE RURAL RECOVERY ECOSYSTEM INITIATIVE (RREI) TO IMPROVE ACCESS TO INTEGRATED, COORDINATED, AND SUSTAINABLE SUBSTANCE USE DISORDER (SUD) PREVENTION, TREATMENT, RECOVERY, AND SUPPORTIVE SERVICES FOR RESIDENTS OF SUSSEX COUNTY, DELAWARE. SUSSEX COUNTY IS A FEDERALLY DESIGNATED RURAL COUNTY EXPERIENCING SIGNIFICANT BEHAVIORAL HEALTH WORKFORCE SHORTAGES, TRANSPORTATION BARRIERS, LIMITED SPECIALTY TREATMENT CAPACITY, AND HIGH RATES OF OPIOID USE DISORDER (OUD), OVERDOSE, CO-OCCURRING MENTAL HEALTH CONDITIONS, AND UNMET SOCIAL DETERMINANTS OF HEALTH. THE PROJECT WILL STRENGTHEN THE COUNTY'S BEHAVIORAL HEALTH INFRASTRUCTURE THROUGH AN INTEGRATED, COMMUNITY-BASED MODEL THAT EXPANDS ACCESS TO EVIDENCE-BASED CARE WHILE BUILDING LONG-TERM SYSTEM CAPACITY. THE PROJECT WILL ESTABLISH AN INTEGRATED CARE COORDINATION MODEL THAT CONNECTS PARTICIPANTS TO PREVENTION, TREATMENT, RECOVERY, AND SUPPORTIVE SOCIAL SERVICES THROUGH MULTIDISCIPLINARY COLLABORATION AND COORDINATED REFERRAL PATHWAYS. SERVICES WILL BE DELIVERED PRIMARILY THROUGH IMPACT LIFE'S GEORGETOWN OUTPATIENT OFFICE AND WILL INCLUDE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT); COMMUNITY PREVENTION AND OVERDOSE EDUCATION; NALOXONE DISTRIBUTION; COMPREHENSIVE ASSESSMENTS; OUTPATIENT AND INTENSIVE OUTPATIENT (IOP) TREATMENT; MEDICATIONS FOR OPIOID USE DISORDER (MOUD); INTEGRATED PRIMARY CARE; BEHAVIORAL HEALTH COUNSELING; NURSING SERVICES; TELEHEALTH; CARE COORDINATION; PEER RECOVERY SUPPORT; RECOVERY COACHING; RECOVERY HOUSING NAVIGATION; TRANSPORTATION ASSISTANCE; EMPLOYMENT AND WORKFORCE REFERRALS; HEALTH INSURANCE ENROLLMENT ASSISTANCE; AND LINKAGE TO HOUSING, FOOD, FAMILY SUPPORT, AND OTHER COMMUNITY RESOURCES THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. THE PROJECT WILL STRENGTHEN SUSSEX COUNTY'S BEHAVIORAL HEALTH WORKFORCE BY RECRUITING AND SUPPORTING KEY CLINICAL PERSONNEL, EXPANDING PROFESSIONAL DEVELOPMENT OPPORTUNITIES, AND PROVIDING EVIDENCE-BASED TRAINING IN SBIRT, MOTIVATIONAL INTERVIEWING, TRAUMA-INFORMED CARE, MEDICATIONS FOR OPIOID USE DISORDER (MOUD), INTEGRATED CARE, AND RECOVERY-ORIENTED SYSTEMS OF CARE. WORKFORCE DEVELOPMENT ACTIVITIES WILL ENHANCE INTERDISCIPLINARY COLLABORATION AMONG HEALTHCARE PROVIDERS, BEHAVIORAL HEALTH PROFESSIONALS, PREVENTION SPECIALISTS, PEER RECOVERY SPECIALISTS, AND COMMUNITY ORGANIZATIONS WHILE INCREASING THE COMMUNITY'S CAPACITY TO DELIVER HIGH-QUALITY, EVIDENCE-BASED SUD SERVICES. IMPACT LIFE WILL LEAD A MULTI-SECTOR NETWORK OF HEALTHCARE PROVIDERS, BEHAVIORAL HEALTH ORGANIZATIONS, RECOVERY SUPPORT ORGANIZATIONS, PREVENTION AGENCIES, CRIMINAL JUSTICE PARTNERS, AND COMMUNITY-BASED ORGANIZATIONS, INCLUDING FACE THE FACTS DELAWARE, FIRST STATE ALLIANCE OF RECOVERY RESIDENCES (FSARR), LOTUS RECOVERY CENTERS, BANYAN TREATMENT CENTERS, AND ADDICTION MEDICAL FACILITY (AMF). TOGETHER, THESE PARTNERS WILL STRENGTHEN REFERRAL PATHWAYS, IMPROVE CARE COORDINATION, EXPAND ACCESS TO INTEGRATED SERVICES, AND SUPPORT LONG-TERM SUSTAINABILITY THROUGH COLLABORATIVE PLANNING, QUALITY IMPROVEMENT, AND SHARED PERFORMANCE MONITORING. OVER THE FOUR-YEAR PROJECT PERIOD, RREI WILL IMPROVE ACCESS TO EVIDENCE-BASED PREVENTION, TREATMENT, RECOVERY, AND SUPPORTIVE SOCIAL SERVICES; STRENGTHEN COORDINATION ACROSS SUSSEX COUNTY'S BEHAVIORAL HEALTH SYSTEM; EXPAND WORKFORCE CAPACITY; INCREASE PARTICIPANT ENGAGEMENT AND RETENTION IN CARE; IMPROVE RECOVERY OUTCOMES; AND ESTABLISH A SUSTAINABLE RURAL RECOVERY NETWORK THAT CONTINUES TO SERVE INDIVIDUALS WITH, OR AT RISK FOR, SUBSTANCE USE DISORDERS LONG AFTER THE CONCLUSION OF FEDERAL FUNDING.