The District of Columbia's Changing and Improving Treatment for our Youth (DC-CITY) initiative will focus on adolescents (ages 12-18), transition-aged youth (TAY; ages 16-25), and their family/caregivers with substance use disorders (SUD) and/or co-occurring mental disorders (COD). DC-CITY will adopt a "Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach" to enhance ongoing youth treatment efforts dramatically increasing: a) access points, b) matched evidence-based practices (EBP) for youth/young adults, and c)engagement of youth/families and peer recovery services. A total of 550 unduplicated youth/young adults will be served over the life of the grant (50 in Y1, 100 in Y2, 150 in Y3, 150 in Y4, and 100 in Y5).
The DC-CITY initiative will support the District's Department of Behavioral Health's (DBH) mission to integrate substance use disorder and mental health services and supports and provide the right services and supports at the right time in the right amount. The goals of the initiative are to: 1) Enhance DBH services for youth(12-18) and TAY (18-25 years) to provide a comprehensive, family-centered, trauma-informed, evidenced based, coordinated system of care from early intervention through recovery; 2) Provide tobacco use counseling and interventions as a standard of practice; 3) Increase access for youth/TAY and their families to co-occurring SUD/mental health services; 4) Develop and implement education and messaging on making healthy choices regarding substance use and emotional wellness.
DBH, the lead on the DC-CITY initiative, will leverage and enhance the system created through the Substance Abuse and Mental Health Service Administration (SAMHSA) State Adolescent Treatment Enhancement and Dissemination (SAT-ED) grant and the Now is the Time, Healthy Transitions grant. Adolescents/TAY/families will systematically be screened across multiple settings including schools, juvenile/criminal justice, and child welfare for SUD/COD and trauma. Dependent on youth/TAY/family needs, providers will deliver Motivational Enhancement Therapy/Cognitive Behavioral Therapy 5 sessions (MET/CBT 5; low-risk); MET/CBT 12 combined with the Family Support Network (if applicable; moderate/severe risk); or the Adolescent Community Reinforcement Approach (A-CRA) moderate/severe risk).