Hi-Tech Charities (HTC) – St. Louis MAT-PDOA Expansion Grant project - Hi-Tech Charities (HTC) – St. Louis MAT-PDOA Expansion Grant project Project Abstract Summary Hi-Tech Charities (HTC) – St. Louis, Missouri’s Behavioral Health Clinic, Medication-Assisted Treatment - Prescription Drug and Opioid Addiction (MAT-PDOA) Expansion Grant project is an innovative Home & Community Health Team (HCHT) approach, focused on expanding our existing Home & community based mental health, drug abuse treatment, Recovery Support, and Home Health by expanding access to Medication-Assisted Treatment (MAT) services for persons with an Opioid Use Disorder (OUD) seeking or receiving MAT, focusing mostly on medically uninsured and underinsured individuals in St. Louis City and County, St. Charles, and rural counties of Jefferson, Ste. Genevieve, St. Francois. Target population include Active Military and Veterans and their families; African Americans; Latino-Hispanics; LGBTQ youth and young adults; the homeless; and those suffering serious mental illness (SMI) and/or substance use disorders (SUD), including opioid use disorders; drug users in the street; and individuals with co-occurring mental and substance disorders (COD); all will receive comprehensive, integrated, coordinated, culturally, linguistically appropriate MAT services. We offer MAT in combination with comprehensive OUD psychosocial services, including counseling, behavioral therapies, recovery support services (RSS), and other clinical services that help achieve and maintain abstinence from opioids. Hi-Tech Charities is a 501(c)(3), nonprofit community development corporation that provides employment training, housing assistance, social services and healthcare programs that keep healthy as well as empower individuals, families, businesses and communities. HTC has served over 100,000 individuals and families and over 500 hundred, small rural businesses, women and minority businesses in its 22 years of existence. HTC partners with individuals, families, businesses, governments and communities in the counties we serve. Certified in 2016 by Missouri Department of Mental Health as a community-based Mental Health, Drug and Alcohol Outpatient Clinic, HTC has served the community with dedication, and for this program will implement evidence-based models of care that are less susceptible to diversion for illicit purposes, including Medication-Assisted Treatment (MAT); Targeted Naloxone Distribution; Eliminated Prior-Authorization Requirements for Medications for Opioid Use Disorder; Screening for Fentanyl in Routine Clinical Toxicology Testing; Recovery Support; Supported Employment; Screening, Brief Intervention, Referral, and Treatment (SBIRT); and Housing First. HTC HCHT team include psychiatrist physicians, Nurse/Health Educators, Peer/Recovery Specialists, licensed behavioral health clinicians, case managers, and a medical director psychiatrist, and partners and collaborators. Project Goals are: (1) Increase the number of individuals with OUD receiving MAT; (2) Reduce adverse health outcomes for MAT consumers with behavioral health and co-occurring medical conditions; and (3) Increase capacity to promote consumer-driven recovery goals through the provision of peer support and rehabilitation services. Measurable Objectives are: (1) Engage 150 consumers in MAT; (2) Provide wraparound and peer support services to 150 MAT consumers; (3) Conduct primary health screening, treatment and monitoring for 98% of clients; (4) Provide behavioral health assessments and treatment; and (5) Assist 95% who have the need to obtain permanent housing, employment, and/or enrollment in education programs. HTC will serve minimum of 150 unduplicated clients annually and minimum of 750 over the 5-year grant period. Each patient will receive multiple services.