Friday, November 22, 2024
11/22/2024
Casa Esperanza Inc.’s proposed “CasaCare: An integrated dual disorder treatment model for Latinos experiencing homelessness” program will aim to reduce relapse and increase housing stability among Latinos living with co-occurring substance abuse and mental health disorders (CODs) and experiencing homelessness by expanding access to integrated substance use and mental health disorder treatment and related recovery support services, including housing support, psychiatry, and primary care. Over 5 years, CasaCare will serve 560 individuals. CasaCares’ goals are: 1) Improve access to integrated mental health and substance use treatment and primary care for Latinos with co-occurring disorders experiencing homelessness; 2) Provide intensive case management to support clients being fully engaged in the development, implementation and completion of goals in their Person-Centered Care Plan (PCCP); 3) Provide recovery support services to engage clients and help them increase knowledge of community resources; increase client capacity for self-management; and identify and reduce risky behavior to maintain recovery; and 4) Build housing stability for homeless Latin@s with CODs by providing housing search, placement, and retention services, integrated with COD treatment and recovery supports. CasaCare will use Integrated Dual Disorder Treatment (IDDT), an evidence based framework with demonstrated efficacy for individuals with co-occurring disorders and is suitable for long term use. The IDDT model recognizes treatment must address multiple co-occurring disorders, including chronic health problems. Thus, the model includes pharmacological treatment and health promotion. IDDT also aligns with housing stabilization work. Core components of the IDDT model include Multidisciplinary Team (MDT);Assertive Community Treatment; Motivational Interviewing (MI); Cognitive Behavioral Therapy (CBT); Illness Management and Recovery (IMR); Intensive Case Management (ICM); Supported Employment/Education (SE/E); and Self Help/Peer Support. Virtually 100% of the people we serve have a co-occurring disorder and an extensive trauma history, 90% have chronic medical conditions, and nearly 100% have experience homelessness, making IDDT the ideal intervention for our population. However, while some IDDT studies have included Latino participants, IDDT experts acknowledge that more work is needed to evaluate its effectiveness for Latino clients. To advance these efforts, CasaCare will draw on our comprehensive understanding of this population and other EBPs that are strongly aligned with IDDT’s core components and principles to build a culturally-competent IDDT model. Modifications will include Cultural Modifications grounded in Relational Cultural Theory and modifications to help clients develop Vocational Interest, Literacy and Basic Skills.
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).
