Saturday, November 23, 2024
11/23/2024
Centerstone of Indiana’s Comprehensive Opioid Recovery Center (C-CORC) will ensure operations of a comprehensive center in Southeastern Indiana, providing a full spectrum of treatment and recovery support services to address the catchment area’s opioid epidemic. C-CORC will serve 400 unduplicated adults with opioid use disorder (OUD) and other substance use disorders (SUD), including co-occurring disorders (COD), in 9 predominantly rural counties in southeastern Indiana (Yr 1: 50/yr; Yrs 2-3: 125/yr; Yr 4: 100/yr). C-CORC’s focus population is expected to mirror those of the catchment area counties (Bartholomew, Decatur, Jackson, Jefferson, Jennings, Lawrence, Monroe, Morgan, and Scott), comprising 50% male, 50% female, 89% white, 2% African American, and 4% Hispanic/Latino individuals. The focus population is expected to include pregnant/postpartum women (1.4%) and Veterans (2.7%). The project’s catchment area is among the hardest hit by the opioid crisis. Six of the catchment area counties exceed the state’s average for drug poisoning deaths, 4 counties exceed the state’s average in ED visits for non-fatal opioid overdose, and 2 of the 9 counties (Scott and Jennings) are among the 220 counties at highest risk for an HIV or Hepatitis C outbreak based on the Center for Disease Control’s National Vulnerable Counties list. Approximately 37,712 catchment area individuals have SUD, 4,700 with OUD and 18,457 with COD. An estimated 36,265 individuals in the catchment area need, but did not receive treatment. Opioid users in the catchment area experience Hepatitis C above the state average at 139.9/100,000, with individuals in Scott (242), Jefferson (161.5) and Jennings (152.1) having the highest incident rates. From 200-2014 rates of Neonatal Abstinence Syndrome or neonatal opioid withdrawal syndrome of pregnant women with OUD increased from 1.5/1000 to 8/1000. An estimated 14% of Indiana’s newborns test positive for opioids and 20% for multiple substances. C-CORC will coordinate with other federal and state funding streams/activities in the catchment area to provide a full spectrum of sustainable/comprehensive services for the focus population and strive to eliminate duplication of services and programs. C-CORC’s evidence-based interventions are numerous and include Matrix Model, Motivational Interviewing, Medication Assisted Treatment, Seeking Safety, Helping Men Recover, Living in Balance, and more. C-CORC will accomplish the following goals: 1) Implement/establish a comprehensive project/full spectrum of community-based OUD/SUD/COD treatment and wraparound/recovery support services among the focus population; 2) Develop/enhance a community-based infrastructure/capacity to maintain/sustain a comprehensive continuum of C-CORC care/supports via an individualized, recovery-oriented, participant/family-centered approach; 3) Improve health status and psychosocial outcomes among C-CORC patients; and 4) Develop/disseminate a documented sustainable service model for statewide/national replication/adoption. To support these goals, C-CORC will achieve the following measurable objectives: Decrease substance use by 60%; Decrease mental health symptomatology by 50%; Decrease criminal justice involvement by 50%; Increase social connectedness among 70% of patients; Increase employment skills/readiness by 75%; Assist 100% of patients in need to identify/secure housing; and Achieve 80% patient retention. Key C-CORC strategies include assembling a multidisciplinary/culturally competent treatment team; convening an Advisory Board; expanding/establishing access-to-care linkages with local providers; and conducting a comprehensive evaluation.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
