Summary. Exponents, Inc. is proposing a program to expand/enhance access to medication-assisted treatment (MAT) services for persons with an opioid use disorder (OUD) seeking or receiving MAT; Exponents will focus on incarcerated individuals who are within four months from release from a jail or detention facility and the NYC communities of Harlem, Central Brooklyn, and the South Bronx; these areas have some of the highest rates of OUD in NYC. Exponents will serve 60 unduplicated individuals annually and 180 over the project period.
Project name. Exponents’ MAT-PDOA Program
Populations to be served. Exponents’ populations of focus (POF) will be will be African Africans and Latinos with persons with an OUD seeking or receiving MAT; the agency will focus on incarcerated individuals who are within four months from release from a jail or detention facility. The catchment area will be the NYC communities of East and Central Harlem, Central Brooklyn (Bedford-Stuyvesant, Crown Heights and Brownsville), and the South Bronx (Mott Haven-Hunts Point, Highbridge, and Morrisania-Crotona).
Strategies/interventions. Exponents’ program activities will include: 1) provide MAT in combination with comprehensive OUD psychosocial services; 2) conduct screenings and assessments for OUD, and co-occurring substance use and mental disorders; 3) develop outreach and engagement strategies; 4) Provide RSS, including peer recovery support services; and 5) Use telehealth services, or other innovative interventions, to reach, engage, and retain clients in treatment. Exponents will also provide education, screening, care coordination, risk reduction interventions, screening, testing, and counseling for HIV/AIDS, hepatitis, and other infectious diseases for people with OUD who are receiving MAT. The agency will also implement tobacco cessation programs and conduct outreach and screening to identify incarcerated individuals who are within four months of release. Exponents will implement two EBPs: SBIRT and Cognitive behavioral therapy (CBT).
Project goals and measurable objectives. The program’s goals are 1) Increase in the number of POF with OUD receiving MAT; and, 2) Decrease in illicit opioid drug use and prescription opioid misuse at six-month follow-up. The program’s objectives are to conduct outreach activities, recruiting at least 150 persons from the POF per year; conduct screening and assessments of substance use disorders with 80 persons; provide MAT and comprehensive OUD psychosocial services to 60 enrolled clients; provide CBT to at least 75% of participants; conduct telehealth services with at least 60% of participants; provide recovery support services for at least 75% of participants; provide tobacco cessation programming for at least 80% of participants; and provide education, screening, care coordination, risk reduction interventions, testing, and counseling for HIV/AIDS, hepatitis, and other infectious diseases programming for at least 80% of participants.