Friday, December 27, 2024
12/27/2024
Brief Summary: Open Door Family Medical Center (Open Door) will enhance comprehensive bilingual treatment and recovery services for vulnerable adolescents and transitional youth with SUD and/or COD and thus reduce differences in access, use, and outcomes of treatment and recovery services among minority populations, as well s girls and women. "Open Door's Youth and Family TREE" project will ensure youth are supported as they move through recovery, including engaging their families, and providing age-appropriate, technology-based supports that they can access at will, all under a comprehensive Patient Centered Medical Home model. Population to be Served: Open Door will serve vulnerable adolescents and transitional youth ages 12-25 and their families/caregivers, targeted among the organization's 60,000 patients. These patients exhibit significant negative social determinants of health: nine in ten live below 200% FPL while a majority live in outright poverty in a high-cost of living area; 43% are uninsured, more than twice the New York State average for Federally Qualified Health Centers; a majority identify as racial/ethnic minorities (82% as Latinx/Hispanic within the youth cohort); and 71% are best served in a language other than English. Using internal data, we estimate that a majority of patients 12-25 report poly-substance use, including cannabis, alcohol, opioids, and others; among young patients with SUD, 50% have a co-occurring mental health diagnosis. Strategies/Interventions: Open Door will leverage integrated mental health, medical, and wraparound services within six sites to offer an "all under one roof" approach using family-centered comprehensive outpatient care, early intervention, screening and counseling, medication assisted treatment, recovery support, and education on healthy choices. Evidence-based practices will include: Cognitive Behavioral Therapy and Trauma-Focused CBT; Dialectical Behavioral Therapy Groups for SUD; Motivational Interviewing; Seeking Safety; Matrix Model for Teens & Young Adults; Brief Strategic and Multidimensional Family Therapy; and Nurturing Parenting. Goals & Objectives: The proposed project will serve 450 youth over the project lifetime, broken out as 50 served in year one and 100 per year for project years 2-5, and their families. Project goals are as follows: Goal 1 - Increase access to high quality, patient centered SUD and COD services; Goal 2 - Maximize retention in care; Goal 3 - Identify and address elevated health risks by providing specialized care and supports; Goal 4 - Improve self-reported assessment of wellness and functioning among adolescents and transitional youth with SUD, MH, and/or co-occurring disorders. Measurable objectives include 90%-plus screening and documented treatment plan rates; 100% assessment and offering for MAT; 80% retention and digital recovery app enrollment rates; 100% screening for adverse childhood events, assessment for those at risk for STI, pregnancy, and gender specific risks; 70% served with major depressive disorder showing reduction in PHQ-9 scores; 80% achievement of patient-articulated 6-month treatment goals and 80% of patients "feeling better" after six months in the program.
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).