Medication-Assisted Treatment – Prescription Drug and Opioid Addiction - Hudson River HealthCare, Inc. (DBA Sun River Health) is a NY State licensed Article 28 Diagnostic and Treatment Center, Article 32 Outpatient Substance Use Treatment Program, and federally qualified health center (FQHC) providing primary, preventive, behavioral and oral health care to 245,000 patients annually. Sun River Health is seeking to expand and enhance its Medication Assisted Treatment (MAT) program for opioid use disorder in Staten Island, NY.
Project Title - Medication-Assisted Treatment – Prescription Drug and Opioid Addiction
Populations to Be Served - Sun River Health’s target populations for the proposed project are those struggling with opioid use disorder (OUD) in the Staten Island borough of New York City, specifically those who are low-income, uninsured, and-or Medicaid enrollees. The Health Center’s services target racially and ethnically diverse, health disparity populations including individuals experiencing homelessness, residents of public housing, new immigrant day laborers, new and expectant mothers, those living with HIV-AIDS, and other persons at-risk.
Strategies/Interventions - Sun River Health will provide MAT for individuals with OUD at the identified project sites through the prescription of FDA-approved pharmacotherapy (buprenorphine). Services also include - Clinical Opiate Withdrawal Scale (COWS) flow sheet assessment, ongoing counseling, case conferencing, care management, ongoing monitoring and drug testing, opioid overdose prevention education, introduction to Naloxone, risk and harm reduction education, and referrals where appropriate. The program also utilizes other evidence-based practices: SBIRT, Motivation Interviewing, Cognitive Behavioral Therapy (CBT), and Stages of Change.
Project Goals and Measurable Objectives - Through the project, Sun River Health seeks to:
- Increase access to Team-based, comprehensive MAT services for persons with an opioid use disorder, using FDA-approved medications – the Health Center, in partnership with Community Health Action of Staten Island (CHASI), will expand and enhance access to MAT services in Staten Island, enrolling 110 individuals in Year 1, and 525 over the entire project period.
- Build a service delivery model with other organizations (hospital EDs, CBOs) to effectively identify, engage, and retain individuals in OUD treatment and long-term recovery – Sun River Health will subcontract with CHASI to provide enhanced access to their low-threshold MAT program delivered in a community-based setting that is collocated with a syringe exchange and harm reduction services. This arrangement will establish county-wide reach for the initiative.
- Establish evidence-based, Peer Recovery Support with trained peer recovery coaches – Sun River Health and CHASI will recruit and hire Peers to assist individuals with OUD in creating and navigating individualized recovery pathways.
- Integrate expanded MAT services into Sun River Health’s QA/QI program, and ensure appropriate monitoring of data collection, program assessment, progress towards goals.