Wednesday, April 30, 2025
4/30/2025
Via Care MAT and Recovery - Via Care Community Health Center (Via Care) will provide medically-assisted treatment (MAT) with buprenorphine and comprehensive wraparound recovery support services (RSS) for low-income, primarily Latinx adults diagnosed with an opioid use disorder (OUD) residing in East Los Angeles (East LA) with a focus on reentry individuals many of whom are gang-impacted, people experiencing homelessness (PEH), the undocumented and uninsured, individuals with other illnesses such as HIV and hepatitis C, and pregnant/parenting women. We will provide MAT services to 40 patients in Year 1, 60 in Year 2, 80 in Year 3, 90 in Year 4, and 100 in Year 5, for a total of 370 patients. Via Care will enhance and expand MAT and OUD psychosocial services at our Cesar Chavez Health Center (in East LA) and extend to our two newest clinics: Tweedy Health Center (in South Gate, a city 9 miles away) and the student health center at LA Trade Tech College (in nearby Downtown LA). Via Care is basing our MAT project on Boston Medical Center's "Massachusetts Model," an Office-Based Addiction Treatment (OBAT) program that mirrors the collaborative case management-based model that our clinics employ for other medical conditions including HIV, hepatitis C and diabetes. Our project centers on an RN-level Nurse Care Manager who will provide ongoing medical management, coordination of follow-up care, telehealth monitoring, relapse prevention, overdose education and support for self-management- while effectively coordinating with the multidisciplinary Via Care MAT Team. The Team includes DATA X-waivered prescribing providers, a clinical pharmacist, psychiatric nurse practitioner, licensed clinical social worker, and 2 peer recovery support specialists (PRSS) who will provide psychosocial case management, RSS, peer coaching, and linkage to external resources. Via Care's overarching goal is to mitigate the impact of opioid misuse in the East LA community through increasing access to MAT while decreasing illicit opioid use and prescription opioid misuse at 6-month follow-up and improving the capacity of East LA's MAT/OUD system of care, thereby improving the health and wellbeing of those with OUD. Interventions and project components to be implemented include: outreach, engagement and community involvement (including those directly affected by OUD and overdose), screening and assessment, MAT using buprenorphine, workforce development, RSS, and evidence-based programs such as Cognitive-Behavioral Therapy, the Matrix Model, and peer coaching. Objectives include: (1) establishing the East LA Opioid Response Collaborative comprised of residents impacted by OUD and overdose, Via Care staff, and community partners; (2) enhancing existing and forging new referral and collaborative partnerships to promote patient recovery; (3) increasing the number of DATA X-waivered prescribers in our system and providing professional development education and cultural competency training about SUD issues to clinic personnel (100 persons annually); (4) engaging 75% of MAT patients in RSS to promote long-term recovery; (5) achieving a reduction in illegal drug use by patients by 50%; and (6) succeeding in improving quality of life measures for at least 50% of patients.
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).