Camino Real Community Services SUD and COD Expansion Project. - Camino Real Community Services (CRCS) is a non-profit local mental health authority for a 9 county region in south central Texas. The catchment area covers 11,314 square miles and has a population of 245,660. Each of the targeted counties (Atascosa, Bee, Frio, LaSalle, Karnes, Maverick, McMullen, Wilson, and Zavala) are designated rural and have limited access to services. In 2018 there 486 SUD and COD referrals to CRCS; however, due to limited resources only 136 (27.9%) of these individuals ages 13 and over received SUD or COD Services. The need is apparent in the rural areas due to ease of access and limited protective factors. CRCS has completed the certification process for the state and is awaiting determination of Certified Community Behavioral Health Center. The focus of this CCBHC Proposal is the expansion of SUD and COD services. The Project will utilize MAT and the Matrix Curriculum for Intensive Outpatient Treatment Services. The Project has letters of commitment from service/referral providers in the region, law enforcement, and probation. The Project has identified a full-time director and full-time evaluator for the Project and anticipates no delay in implementation of the expansion project. The Project would expand SUD and COD services across the 9 county region by working with criminal justice settings, youth ages 13-17, and adults. The expansion will increase access to services as qualified credentialed counselors would expand services from the existing clinic location to provide both live and video conference treatment sessions with SUD and COD participants.
The Project has two goals, 12 objectives and 12 measurable outcomes. These are:
Goal One: Reduce alcohol and drug use and abuse in the catchment area.
Goal Two: Reduce alcohol and drug use and abuse in Criminal Justice Settings; and upon release.
Outcome 1: Increase abstinence by 50% in all participants receiving intensive outpatient treatment as measured by participant UAs.
Outcome 2: Reduce, by 15.0%, the number of participants who relapse when receiving services as measured by participants UAs.
Outcome 3. Reduce, by 50.0%, the number of participants who relapse after completing services by monitoring aftercare participants as measured by Participant Interviews.
Outcome 4. Reduce, by 33.0%, the number of participants involved in the Criminal Justice Setting who use within 30 days of release from the Criminal Justice Setting as measured by participant UAs.
Outcome 5. Reduce, by 33.0%, the number of Criminal Justice Setting participants who relapse and/or reoffend as measured by reports from Probation and Law Enforcement.
Outcome 6. Reduce recidivism rates by 33.0% of SUD and Co-Occurring participants who enter treatment from the Criminal Justice Setting as measured by reports from Probation and Law Enforcement.
Outcome 7. Increase the abstinence attempt rate after relapse by participants with SUD or Co-Occurring disorders by 50.0% as measured by participants UAs.
Outcome 8. Increase by 50.0%, the number of MAT recipients who achieve abstinence as measured by UAs.
Outcome 9. Increase, by 50.0%, the number of individuals served that show increased supportive factors as measured by pre- and post-test results on the Brief Addiction Monitor.
Outcome 10. Increase, by 65.0%, the number of individuals that show decreased risk factors as measured by pre- and post-test results on the Brief Addiction Monitor.
Outcome 11. Increase, by 30.0%, the number of individuals who are discharged successfully as measured by client records.
Outcome 12. Increase, by 33.0%, the number of participants who report a high level of satisfaction with the care received as measured by the Patient Experience of Care Survey.