Sunday, November 24, 2024
11/24/2024
Mountain Comprehensive Care Center (MCCC) will expand access to the Central KY Medication-Assisted Treatment (MAT) Program for homeless and very low-income persons, ages 18 and over, with an opioid use disorder seeking or receiving MAT in Bourbon, Clark and Harrison counties situated in east central KY with Clark located in Central Appalachia and Bourbon and Harrison adjacent. MAT will be supported by psychosocial services, integrated primary/mental care, and wraparound services to support access to and retention in recovery. Population: MCCC will serve homeless and very low-income persons with an opioid use disorder seeking or receiving MAT at the HomePlace Clinics serving Bourbon, Clark and Harrison counties, a region of significant behavioral health disparities including high rates of opioid overdoses and hospitalizations as compounded by the COVID-19 pandemic. It is anticipated that all clients will be age 18 or older. Within the population, it is anticipated that many clients will have co-occurring mental health disorders and co-morbid medical conditions. Interventions: In addition to MAT using FDA-approved medications, the service model will utilize the Patient Centered Medical Home while adjunct psychosocial services will utilize the evidence-based practices of Comprehensive Opioid Response with Twelve Steps, Cognitive Behavioral Therapy, Motivational Interviewing, and trauma-informed care. These EBPs have been shown to be effective for the targeted population and for addressing SUD/OUD and COD. The project will also integrate primary care, case management/care coordination, and peer supports to ensure a holistic services approach while offering 3 months of follow-up upon exit. Goals & Objectives: MCCC will serve 60 unduplicated participants in Year 1 moving to 120 annually in Years 2-5 for a total of 540 served over the 5-year project period. Goals are to improve the health of the targeted population by expanding access to evidence-based MAT along with comprehensive OUD psychosocial services; improve stability by enhancing access to comprehensive recovery and wraparound support services; and improve effective project implementation and evaluation by conducting CQI. By the end of each project year, program participants of the targeted population will meet the following objectives: 1) 70% will report abstinence from illicit opioid drug use and prescription opioid misuse; 2) 65% will report a stable living arrangement; 3) 60% will report employment, participation in the employment process or receipt of disability benefits; 4) 70% will still be actively participating/retained in services at the 6-month follow-up; and 5) 70% will report positive social connections. Throughout the 5-year grant period, the team will achieve a six-month follow up rate of at least 80%, and the Project Director will conduct at least quarterly Project Management Team meetings with MCCC and community agencies to coordinate and monitor treatment/systems linkages, and goals, objectives, and outcomes. Morehead State University will conduct an independent project evaluation including outcome evaluation and local performance assessment.
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).
