Haymarket Center proposes to secure stable housing for 165 adult men and women experiencing homelessness, substance use disorder, and co-occurring mental disorder. The positive outcome will be achieved through providing integrated residential treatment, year-long recovery supports, medication-assisted treatment, mental health and psychiatric care, and strengths-based case management in Chicago communities most devastated by the opioid crisis.
The project, named GBHI Chicago, will serve 300 adult men and women experiencing homelessness with substance use disorder and a serious mental illness during the five year term. More than half of participants will have an opioid use disorder and be from a minority community from Chicago’s distressed south and west sides. The project will meet an important gap in services by enhancing existing residential programs for individuals with co-occurring SUD and mental disorders with levels of support currently not available through established billing mechanisms for SUD providers in Illinois. These supports include medication education and monitoring support (both psychiatric medications and opioid use disorder (OUD) medications (MAT)), and case management after participants transition into the community.
The project will reduce substance use of 270 homeless individuals living with substance use disorder (54 per year – Goal 1). These individuals will participate in an integrated level III.5 treatment program for SUD and co-occurring mental disorder. Of those with an OUD, at least 90% will receive FDA-approved medications, adherence monitoring and supports for long-term adherence. At least 270 participants will have assistance for up to a year in building social capital and supportive social networks to help maintain recovery.
At least 270 homeless participants will show reduced symptoms of mental disorder (Goal 2). These 270 participants will receive mental health counseling along with their SUD counseling. At least 270 participants will meet with a psychiatrist and have ongoing medication education and supports and monitoring provided by a project registered nurse. The evidence-based curriculum Seeking Safety will help participants address their trauma.
At least 165 participants will have warm hand-off coordination with Chicago House, AMITA/Annixter Center, or other housing providers (Goal 3) and receive up to one year of strengths-based case management using the evidence-based Recovery Coaching and Personal Recovery Plan Development Model (33 per year). At least 270 participants will receive assistance attaining maximum public benefits and internal resources.
Data collection and performance measurement will be overseen by Lighthouse Institute-Chicago, a division of Chestnut Health Systems that has extensive experience evaluating SAMHSA grants, collecting and reporting GPRA data, and following up with clients following discharge from substance use disorders treatment, including individuals experiencing homelessness, ethnic minorities and individuals with mental disorders.