Founded in 1971, Chinatown Service Center (CSC) is one of the largest community-based, Chinese-American organizations in Southern California. CSC, a non-profit community health center with Federally Qualified Health Center (FQHC) designation, operates 5 clinic sites and a mobile unit in Los Angeles County. We are seeking to expand the services available at our Certified Community Behavioral Health Clinic (CCBHC), located at 320 S. Garfield Avenue in Alhambra, through the addition of Medication -Assisted Treatment (MAT) for opioid use disorder (OUD). We project to serve 350 unduplicated clients over the five-year grant period. The population of focus for our MAT program are low-income residents of Los Angeles County’s Services Planning Area (SPA) 3, with a focus on the cities of Alhambra and Monterey Park, who have an opioid use disorder (OUD) diagnosis and/or those with co-occurring mental health and OUD. The majority of clients served will be those from Asian/Pacific Islander (A/PI) populations, many of whom are low-income immigrants and non-English speaking. In Alhambra, the city where the MAT program will be implemented, 53.0% of residents are A/PI. In neighboring Monterey Park, two-thirds (67.0%) of residents are A/PI. Through its participation in a community research group, CSC has identified the primary barriers to serving the A/PI population with substance/opioid use disorders. These barriers include: a) lack of awareness of MAT and other SUD services, b) lack of education around opioid use and its treatment, and c) cultural or spiritual biases/stigma associated with treatment for OUD/SUD. For these reasons, we have included a strong outreach and community education component in our MAT Program.
Our MAT program goals and objectives are as follows: Goal 1: To increase awareness of MAT services available in SPA 3. Objective 1: Conduct targeted outreach to 600 individuals, of which 75 individuals with OUD will attend their first MAT appointment. Objective 2: Conduct targeted in-reach via our EHR for individuals with an opioid prescription, with 100% of those identified being given education and resources. Objective 3: Produce one tv commercial in Chinese to reach 2,000 viewers. Objective 4: Purchase one contract for advertising at physical locations (signs, buses, benches) for OUD awareness and availability of the MAT program. Goal 2: To increase access of MAT services to individuals with OUD in SPA 3. Objective 6: Conduct monthly education, outreach, to include enrollment of 10 clients into MAT services. Objective 7: Reduce transportation barriers by offering 1,000 ‘rides’ via UberHealth with 75% of rides offered yielding a visit to the clinic. Goal 3: To improve the recovery of MAT Clients. Objective 8: 75% of clients inducted into treatment will remain compliant with their treatment plan, as evidenced by rapid, in-house urine screenings. Objective 9: 50% of clients will experience a reduction in depressive and/or suicidal symptoms, as indicated by improved PHQ-9 scores from intake to 6-month reassessment.