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CasaCare-OBOT:Office-Based Opioid Treatment for Latinos with Co-Occurring Disorders

Award Number: H79TI084419
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2021
PERIOD OF PERFORMANCE END DATE: 09/29/2026

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CasaCare-OBOT:Office-Based Opioid Treatment for Latinos with Co-Occurring Disorders - Casa Esperanza Inc.’s proposed “CasaCare-OBOT: Office-Based Opioid Treatment for Latinos with Co-Occurring Disorders” program will reduce illicit opioid drug use and related overdoses for individuals with co-occurring opioid use and mental health disorders (CODs) by expanding access to MAT and using IDDT to provide integrated culturally-competent and trauma-informed substance use disorder and mental health treatment and related recovery support services, as well as on-site primary care services. CasaCares’ goals are: 1) Expand access to MAT for Latinos with co-occurring disorders; 2) Improve access to integrated mental health, opioid use treatment, and primary care for Latinos; 3) Provide case management services to support clients’ full engagement in the development, implementation and completion of goals in their care plan; and 4) Provide recovery support services to help increase knowledge of community resources; increase capacity for self-management; and identify and reduce risky behavior. Over 5 years, CasaCare-OBOT will serve 340 individuals (40 in YR 1; 60 in YR 2; 80/year in YRS 3-5). Our patients often lack the life skills, interpersonal skills, and health literacy necessary to keep appointments, communicate effectively with providers, and stay connected to care. Monolingual Spanish speakers and Latinx with limited or no English represent 80% of our current patients, 95%) are homeless or under-housed, and 71% have received prescribed medications for psychological/emotional problems. Only 31% received prior treatment for mental health. Of these, 98% meet criteria for serious mental illness; 95% have a PTSD diagnosis; 55% report recent depression, 61.4% report recent anxiety, 15% report recent thoughts of suicide, and 3% recently attempted suicide. All struggle with social determinants of health such as linguistic barriers, poverty, involvement with the criminal justice system, and chronic medical conditions. This places our patients at greater risk of relapse and overdose.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	5	1/13/2026	TERMINATION	$0
2026	2025	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	5	1/15/2026	OTHER REVISION	$0
2026	2025	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	5	12/30/2025	NON-COMPETING CONTINUATION	$0
2026	2025	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	5	5/4/2026	OTHER REVISION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $525,000 )
2025	2025	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	5	9/23/2025	NON-COMPETING CONTINUATION	$525,000
2025	2024	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	4	10/23/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $525,000

Issue Date FY: 2024 ( Subtotal = $525,000 )
2024	2024	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	4	7/2/2024	NON-COMPETING CONTINUATION	$525,000
2024	2023	CASA ESPERANZA INC	245 EUSTIS ST	ROXBURY	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	2/7/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $525,000

Issue Date FY: 2023 ( Subtotal = $525,000 )
2023	2023	CASA ESPERANZA, INC.	245 EUSTIS ST	BOSTON	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	7/7/2023	NON-COMPETING CONTINUATION	$525,000
2023	2022	CASA ESPERANZA, INC.	245 EUSTIS ST	BOSTON	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	8/17/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $525,000

Issue Date FY: 2022 ( Subtotal = $525,000 )
2022	2022	CASA ESPERANZA, INC.	245 EUSTIS ST	BOSTON	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	2	6/28/2022	NON-COMPETING CONTINUATION	$525,000
2022	2021	CASA ESPERANZA, INC.	245 EUSTIS ST	BOSTON	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	3/31/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2022	2021	CASA ESPERANZA, INC.	245 EUSTIS ST	BOSTON	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	10/21/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $525,000

Issue Date FY: 2021 ( Subtotal = $525,000 )
2021	2021	CASA ESPERANZA, INC.	245 EUSTIS ST	BOSTON	MA	02119	SUFFOLK	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/7/2021	NEW	$525,000
														Subtotal = $525,000

Grand Total All Awards = $2,625,000

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CasaCare-OBOT:Office-Based Opioid Treatment for Latinos with Co-Occurring Disorders

Award Number: H79TI084419

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2021

PERIOD OF PERFORMANCE END DATE: 09/29/2026

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