Monday, May 19, 2025
5/19/2025
Rural Communities Opioid Response Program-Impact - The Integrated Care of Greater Hickory Impact Project (ICGH-Impact) proposes to provide substance use disorder (SUD), co-occurring mental health (CoC) and trauma treatment, recovery, and resource support for a minimum of 565 individuals in four rural counties in southeastern North Carolina (NC). We will use a system development approach to increase prevention and to ensure sustainability of programs post funding. The target area has large numbers of impoverished individuals, higher than the state average poverty rates, with resource and employment limitations. The rate of SUD related deaths for the target counties are #1, #3, #11 and #22 out of 100 counties in NC. The approach will include Mobile Units for whole person health and a strong Member Network with a multi-sectoral approach including public health, social services, justice involved, education systems, development of supported employment, and others. Synthesizing multiple data sources identified eight (8) needs that ICGH-Impact will address: 1) Lack of integrated and accessible services in all counties for those at risk of and diagnosed with SUD including Opioid Use Disorders (OUD); 2) limited treatment options including MOUD; 3) few options for recovery housing; 4) limited employment options and affects of stigma; 5) barriers to jail based treatment and limited reentry options; 6) increasing number youth using substances; 7) obstacles to harm reduction and prevention issues are exacerbated by stigma; and 8) a fractured and siloed system, turf guarding, and inefficient use of resources hampers improving the treatment and recovery-based service delivery system. The ICGH-Impact program will use a whole person, person-centered ‘recovery, not treatment’ model. Through multiple projects across NC ICGH has helped to develop service delivery systems that focus on the most vulnerable and meet the person where they are, much of our work in facilities, camps and communities. Our systems-based approach focusing on building community capacity is consistent with RCORP-Impact goals. We will develop an Implementation Plan and Timeline (IPT), a Data Management Plan (DMP) to support data-driven decision making at the person, organization, and community level, which will include a Fidelity Management Plan (FMP) for the array of evidence-based practices (EBP) that will be available for persons served. Service delivery will include, but not limited to, MOUD/Medication Assisted Treatment (MAT) including low barrier MAT, behavioral health treatment, comprehensive clinical assessment and treatment planning, cognitive-behavioral treatment for SUD (SUD-CBT), Eye Movement Desensitization and Reprocessing (EMDR) for trauma, Seeking Safety, Peer Support Specialist (PSS) services, Wellness Recovery Action Plans (WRAP), community outreach, telehealth services, etc. New PSS positions will be funded. In addition, PSS services for the area will be enhanced through a state approved PSS Certification Program. Each PSS will be cross-trained for SSI/SSDI Access, Outreach and Recovery (SOAR) and Community Health Worker (CHW), enhancing the workforce. Other objectives for ICGH-Impact to open new ‘brick and mortar’ locations in counties without them, expand recovery/sober housing, implement a Resource Navigation Model, increase resources to address social and economic resources, improve social networking with positive peer support, and System of Care principles, data-driven decisionmaking, and intentional processes, e.g., Results Based Accountability, to integrate resources, services, recovery practices, and social network improvements, for sustainable infrastructure improvements and whole person health approaches.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).