The goal of DRMM's Reaching Out program is to increase access to substance use disorder assessment, brief interventions and brief treatments, and referral to specialty treatment through the addition of SBIRT services in Detroit, Highland Park, Hamtramck, and Western Wayne County, Michigan for adults and older adults (55+) who are housing unstable, food insecure, medically under- or uninsured, or low/no income.
DRMM has developed this proposal and will operate in partnership with St. Mary Mercy Hospital, which will provide Medication Assisted Treatment services to those who need it.
2,800 persons will be served over the life of the project: 360 year 1; 720 year 2; 720 year 3; 720 year 4; 360 year 5.Program objectives are: Project Director will ensure 8 or more Community Service Providers (CSP) (medical clinics, shelters, commodity distribution and senior citizen housing) embed the single question screener questions for alcohol and substances into their intake questionnaires; CSP will annually administer single question screenings of at least 160 adults to identify those in need of follow-up screening for AOD and suicide risk; Peer Recovery Coaches (PRC) will annually administer single question screenings of 200 adults in shelters to id those in need of follow-up screening for AOD and suicide risk; Case Managers, using Motivational Interviewing (MI), will assist at least 250 adults with basic sustenance items such as housing, food, or medical care to remove triggers to substance abuse or barriers to substance abuse treatment; PRC, providing peer support and using MI, will: successfully screen at least 320 adults (of whom 75 will be 55+) using the AUDIT, DAST & ASQ) as a result of referrals from community service organizations and their own outreach to shelters; engage at least 100 adults in one or more Brief Intervention (BI) using FRAMES; engage at least 60 adults in one or more Brief Treatment (BT) using Solution-focused Therapy(SFT) for AUD and SUD; ensure at least 100 adults access to Medication Assisted Therapy (MAT); engage at least 75 individuals in the population of focus group to address concrete needs like housing, food or affiliational connections; ensure at least 50 adults access formal treatment modalities other than BI or BT, including intensive outpatient (with or without domicile) residential treatment, partial hospitalization, day treatment, or withdrawal management services; There will be a 20% reduction in the assessed level[1] of alcohol or substance use from the time of intake to program discharge; There will be a sustained reduction of 10% in the assessed level of alcohol or substance use from the time of intake to 6 months following program discharge.
