Reaching Out - The Lesbian, Gay, Bisexual & Transgender Community Center (The Center), located in Manhattan in New York City (NYC), will implement a targeted capacity expansion project, “Reaching Out,” to expand its capacity to provide substance use disorder (SUD) treatment, prevention, and recovery services to LGBT young adults ages 13-30, and transgender and gender non-conforming (TGNC) people, including adults, in NYC. TGNC is a subgroup of LGBT.
LGBT young adults and TGNC people experience high rates of substance use and mental health issues. Of young adults ages 30 and underserved by The Center in 2018, 23% (LGBT) and 26% (TGNC) identified substance use as a concern at intake, of whom, 60% (LGBT) and 71% (TGNC) also identified mental health disorders or conditions and/or expressed suicidality. Comparatively, of all clients served in 2018, 33% (LGBT) and 30% (TGNC) identified substance use as a concern, of whom, 52% (LGBT) and 31% (TGNC) also identified mental health disorders or conditions and/or expressed suicidality. LGBT/TGNC people face unique barriers to accessing and completing SUD treatment. LGBT-focused service providers in NYC are not addressing SUD issues. The Center provides SUD services for the LGBT community, but lacks the capacity to provide a complete spectrum of SUD services or to target underserved populations. Like other LGBT-focused providers, The Center does not yet provide services geared specifically to the unique needs of TGNC people. Additionally, The Center is not reaching LGBT individuals outside of its core service area; specifically, the outer boroughs.
The goal of Reaching Out is to decrease substance use among LGBT young adults ages 13-30 and TGNC people ages 13+ in NYC through capacity expansion and increased SUD service provision. To achieve this goal, Reaching Out will meet three objectives: Objective 1. Expand treatment, prevention, and recovery support services for LGBT youth with Substance Use Disorder; Objective 2. Provide specialized treatment, prevention, and recovery support services for TGNC people with Substance Use Disorder; and Objective 3. Increase engagement of LGBT young adults and TGNC people from three of NYC’s outer boroughs of the Bronx, Queens, and Brooklyn in Substance Use Disorder services. Multiple performance measures for each of these three objectives can be found in the Program Narrative.
As a targeted capacity expansion project, Reaching Out will include newly offered SUD services and expanded targeted outreach to connect more people to The Center’s existing SUD services. Reaching Out will serve 180 individuals annually and 540 individuals over the entire 3-year project period. These targets represent the increase in clients that will be served in the SUD programs as a result of new services and the expanded outreach.