Community Project Funding/Congressionally Directed Spending - Construction - Organization: University Health, 2301 Holmes, Kansas City, MO 64108 Project Director Name: Jim Giles Contact Phone Number: 816-404-2350 Email Address: james.giles@uhkc.org Website Address: www.uhkc.org Grant program funds requested: $2,500,000 Truman Medical Centers (TMC) will create a state-of-the-art substance use disorder treatment center in Kansas City’s UMKC Health Sciences District. TMC will renovate an existing facility (21,591 square feet) to accommodate a fully integrated substance use disorder practice. The Center for Recovery Health will provide new and existing patients with direct care such as psychiatric services and Medications for Addiction Treatment (MAT), as well as case management and peer recovery interventions to address psychosocial determinants of health. This facility will allow TMC to double its provider team, ensuring rapid access to high-quality care for a particularly vulnerable population. Further, it will provide the opportunity to implement new and emergent treatment modalities, including an on-demand consult team delivering care via telehealth, long-acting injectable medications for the treatment of opioid use disorder, transcranial magnetic stimulation (TMS), and esketamine (an emerging care modality for treatment-resistant depression). Investment in this infrastructure project will help to improve the equitable delivery of high-quality care and sends a message of hope and respect to individuals living with substance use disorders. TMC Recovery Health Services currently has the capacity to serve approximately 1,000 patients annually, but the need is significantly higher and growing. TMC offers a wide range of evidence-based interventions through a multidisciplinary team, treating everything from alcohol to intravenous heroin. Telehealth services have allowed us to reach more patients and keep them engaged despite travel and other barriers. In addition to continuing our current operations and serving more people, we want to expand and offer new ways to deliver care and engage those in need. Currently, we are creating a consultation service to provide same day treatment for patients who present in the emergency department, primary care, or women’s health. In addition to the opioid epidemic, rapidly expanding stimulant misuse requires us to implement new approaches, including Contingency Management. TMC works to engage the most marginalized patient populations in Kansas City and Jackson County, including those in the criminal justice system, individuals impacted by homelessness, and pregnant women. Providing behavioral health as part of a hospital system allows us to engage patients in unique ways and follow them across the continuity of care - an essential component to reducing barriers. We collaborate with EPICC (Engaging Patients In Care Coordination) to provide rapid medication and treatment to patients after they present to area emergency departments following a drug overdose. In addition, TMC Recovery Health Services provides intensive case management and outreach services to engage patients impacted by homelessness. The team works closely with housing specialists and utilizes housing options as a primary intervention in treatment of addiction.