Hillsborough County/ Greater Nashua Methamphetamine Use Disorder Treatment and Recovery Program - Through the Targeted Capacity Expansion: Special Projects program, Harbor Homes, Inc. (HHI) proposes to create and implement an evidence-based methamphetamine use disorder (MUD) treatment and recovery support services program (MUD Program) for two high-risk, priority populations that misuse methamphetamines: (1) adults who are homeless or at risk of homelessness, and (2) adults who receive Medication Assisted Treatment (MAT) for Opioid Use Disorders (OUD) or alcohol. The geographic service area for this grant includes the cities and towns within Hillsborough County, New Hampshire, with a focus on its Greater Nashua region. The goal is to increase the target area’s capacity to reduce its most vulnerable community members’ use of methamphetamines while facilitating self-sufficiency, through implementation of evidence-based programming and integrated primary/ behavioral health care throughout the public and private sector that addresses the target population’s whole health and wellness, social determinants of health (housing, employment/ income, benefits, nutrition, etc.) and substance use/ CODs. HHI’s long track record of implementing complex and holistic services for homeless/ at-risk individuals, as well as their state of the art federally qualified healthcare for the homeless clinic and evaluation partnership with JSI, Inc. ensures a rapid start-up within four months of grant award and a high quality implementation and evaluation process. Over three years, HHI proposes to: 1) build a comprehensive recovery-oriented system of care that is team-based and coordinated through all stages of recovery by integrating recovery housing, behavioral health, primary and oral health care, and supportive services; 2) provide outreach to 350 (100 in year one; 150 in year two; 100 in year three) homeless/at-risk individuals with MUDs and/or MAT patients with OUDs/alcohol use disorder also using methamphetamines, to connect them with the MUD program; 3) provide integrated primary/ behavioral/ oral health care and SUD treatment, intensive case management, and individualized long-term recovery-oriented supports to 165 (50 in year one; 65 in year two; 50 in year three) individuals who enroll in HHI’s MUD Program; 4) train and/or educate 200 (50 in year one; 50 in year two; 100 in year three) of the Greater Nashua community’s first responders; medical, behavioral, and peer workforce; and health and human service providers to increase their capacity to apply EBPs to reduce the rise in MUDs. Grant-funded staff will utilize evidence-based practices including Housing First/ recovery housing, Matrix Model, Contingency Management, Integrated Dual Diagnosis Treatment, Medication Assisted Treatment, Recovery Support Services, and Critical Time Intervention through a trauma-informed, harm-reduction model to meet the needs of the population of focus. HHI will collaborate with Keystone Hall, NH's premier substance use disorder treatment, prevention, and recovery support services center for the provision of intensive outpatient and residential treatment; Revive Recovery Organization for enhanced RSS; and the City of Nashua.