Friday, May 9, 2025
5/9/2025
The Recovery from Opiates through Peer Empowerment (Rope) Project - Abstract The Northern Ohio Recovery Association (NORA), a community-based chemical dependency prevention and peer recovery support organization, is seeking funding to increase its capacity to provide medication assisted treatment using methadone, buprenorphine/naloxone products and injectable naltrexone to adults for the treatment of opioid use disorders in Northern Ohio (Cuyahoga, Erie, Lorain and Ottawa Counties) and to combine this treatment with comprehensive opiate use disorder psychosocial services driven by Recovery Support Services to continue its work to increase Northern Ohio’s efforts to improve the accessibility and effectiveness of treatment services and recovery supports for adults who have an opiate use disorder and/or co-occurring mental health disorders. The Recovery from Opiates through Peer Empowerment (ROPE) Project will target adults over the age of 18 years with primary opiate use disorders and/or co-occurring opiate use and mental health disorders who have received detoxification services from detox centers and hospitals and are in need of maintenance treatment. In 2016, there were a total of 1095 opioid-related deaths in the targeted counties, the leading cause of death in the area. In Cuyahoga County (Cleveland) alone, there are enough people dependent on opioids to fill the 67,895-seat stadium in the city. In the targeted rural communities (Lorain, Erie & Ottawa), there are no methadone treatment centers, leaving consumers without access to medication maintenance following detoxification. While access to prescribers of OUD pharmacotherapy has become a workforce development need in Northern Ohio, detox and medication is not enough to meet treatment needs insofar as 90% of consumers relapse or overdose within a year after discharge from inpatient detoxification with more than two-thirds of consumers failing to engage in outpatient treatment with medication. The overarching purpose of the ROPE Project is to increase access to medication assisted treatment maintenance following detoxification and to integrate comprehensive psychosocial services, thereby facilitating sustained recovery in adults receiving treatment for opiate use disorders (OUD). The number of adults to be served by the system of care will increase through implementation of the ROPE Project by 50 unduplicated adults during the first year of the project and 75 unduplicated adults during years 2 and 3 for a total of 200 consumers to be served. The specific goals and objectives for the project are: 1) Increase the capacity of medication assisted treatment by 200 treatment slots by the end of the project period; 2) To integrate evidence-based psychosocial treatments to address opiate use through the integration of Screening, Brief Intervention, Referral and Treatment (SBIRT), Community Reinforcement Approach (CRA) Plus Vouchers and Recovery Coaching from Peers recovering from opiate use disorders; and 3) Decrease illicit opioid drug use and prescription opioid misuse among project participants.
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).