Salud Al Momento-A bilingual/bicultural behavioral health urgent care center - Casa Esperanza Inc.’s proposed “Salud Al Momento: A behavioral health urgent care model for
Latinos” program will establish a bilingual/bicultural, urgent care model to provide addiction
assessment, triage, and facilitated referrals to inpatient and outpatient addiction treatment to
Latinos to reduce unnecessary use of emergency care and reduce health disparities. Over 3
years, Salud Al Momento will serve 320 individuals (80 in YR1; 120/yr for Years 2 & 3).
Based on current demographics, we anticipate 97% of clients will have a co-occurring mental illness in addition to their SUD; 64% of our clients will identify as male, 35% as female, and less than 1% as transgender; 40% will be monolingual Spanish speakers with limited or no English skills, and limited written literacy in either English or Spanish; 93% lack a source of income, 95% are homeless or under-housed, and 61% lack a GED. More than 95% have been court involved, with 79% incarcerated in the past five years. Nearly all (96%), have at least one significant medical condition, with 25% having HIV/AIDS. Based on data from previous SAMHSA-funded projects we anticipate only 54.3% have received MAT and only 31% received mental health treatment previously, despite 97.7% reporting at least one co-occurring mental health disorder. Of these, 98% will meet criteria for serious mental illness; 55.2% will report recent depression, 61.4% will report recent anxiety, 15% will report recent thoughts of suicide, and 3% will have recently attempted suicide.
Project goals are: 1) Expand access to MAT for Latinos with co-occurring disorders; 2) Improve access to and increase utilization of integrated mental health, opioid use treatment, and primary care for Latinos with co-occurring disorders; 3) Provide case management services to support clients’ full engagement in the development, implementation and completion of goals in their care plan; and 4) Provide recovery support services to help increase knowledge of communityvcresources; increase capacity for self-management; and identify and reduce risky behavior.
