LSA Medication Assisted Treatment " LSA MAT" - In Brooklyn, NY, prescription and illicit opioid use continues to increase as treatment programs struggle to meet this increased need. LSA Recovery will provide MAT and other evidence-based practices to reduce opioid misuse among four currently underserved populations individuals leaving jail, families, Orthodox Jewish individuals, and existing patients with co occurring mental health disorders, serving 60 new patients annually (300 total) over five years. The proposed project will be led by Interborough Developmental and Consultation Center, dba LSA Recovery, referred to as LSA in this proposal). We propose to address the persistently high need for effective opioid treatment in Brooklyn, NY by expanding our existing opioid dependency treatment services to four currently underserved populations. These include expansion of two of our current services: our reentry program for inmates released from NYC jails in collaboration with the Department of Corrections and Community Supervision and our program to serve families with opioid dependent members in collaboration with the NYC Administration for Childrens Services. We also propose two new services: outreach to the Orthodox Jewish community, where MAT engagement is extremely low; and inreach to existing mental health patients with opioid dependence in our licensed mental health clinics where MAT for OUD is not currently provided. Each of these groups are in need of opioid treatment services. Brooklyn has the second highest number of overdose deaths of any NYC borough. Individuals leaving jail are 12 times more likely to overdose compared to the general population. In NYS, 28 of every 1,000 children are affected by the opioid epidemic.
Brooklyn is home to the largest Orthodox Jewish population outside of Israel, and opioid use and overdose are common but under-reported in this community due to the stigma associated with drug use. Our own existing mental health patients also have unmet needs for opioid dependency treatment. Eligible participants will be opioid-dependent adults living in (or planning to live in, for jail prisoners awaiting release) Brooklyn, NY. LSAs catchment area for the proposed project include the Brooklyn neighborhoods of Canarsie, Crown Heights, Coney Island, Flatbush and Williamsburg; all neighborhoods affected by the ongoing opioid epidemic. Project goals include delivering MAT and other evidence-based practices to each of these populations, and to decrease opioid use and prescription opioid misuse within six months for all participants. We propose to engage and screen 900 individuals and provide MAT and other evidence-based services to 300 of these individuals over the course of the five year grant project, increasing our MAT capacity ten-fold. Evidence-based MAT includes Vivitrol and Suboxone, and other evidence-based intervention include Motivational Interviewing, Cognitive Behavior Therapy, Trauma-Informed Care, Community Reinforcement and Family Training, and Recovery Coaching.