Through Serenity House, Mountain Comprehensive Care Center (MCCC) will provide comprehensive residential SUD treatment, recovery support and harm reduction services for the population of focus to include low-income pregnant or postpartum women (PPW), ages 18+, who have a SUD or co-occurring substance use and mental health disorder, and have limited access to quality services. Required services will also be provided for minor children, partners and extended family members of PPW and children, as requested by PPW. While Serenity is located in Martin County, KY, the service area will include all of KY’s 120 counties with an emphasis on the 54 rural counties within Appalachia which experience the greatest disparities.
Population: The project will target rural, low-income women, ages 18 and over, who are pregnant or postpartum and have a SUD or COD, their minor children (ages 17 and under) and partners or other family members who choose to participate in services. The project will include all of KY’s 120 counties with an emphasis on serving the 54 rural counties within the Appalachian region. Methamphetamines, marijuana, non-prescription opioids, IDU, and polysubstance use are the drugs of choice while co-occurring issues such as anxiety, depression, and a history of traumatic experiences are also prevalent.
Strategies/Interventions: The project will utilize the evidence-based practices of Motivational Interviewing, Comprehensive Opioid Response with Twelve Steps (as coordinated with the agency’s HomePlace Clinic for MAT), Living in Balance, Seeking Safety, and Cognitive Behavioral Therapy which is prevalent in these interventions as well as in the Matrix Family Program and in addressing co-occurring mental health and trauma. All interventions will be conducted through a trauma-informed care approach and will be culturally and linguistically-competent. Treatment will be integrated with mental health care, victim services, health care, case management, peer and recovery-oriented supportive services, and child and family services.
Goals & Objectives: MCCC will serve 24 PPW, 27 children, and 12 family members for a total of 63 persons annually and 315 persons across the 5-year project period including 120 PPW, 135 children, and 60 family members. Goals include: 1) Improve the health of low-income PPW by expanding access to comprehensive, integrated and evidence-based SUD treatment, mental health and primary health care; 2) Improve stability (of the targeted population) by expanding access to holistic recovery and wraparound supportive services; 3) Reduce health care disparities for minor children, fathers of children, partners or other family members of low-income PPW by integrating evidence-based services; and 4) Improve effective project implementation and evaluation by conducting CQI. Key objectives for PPW served by the end of each project period include: 70% decreased use of prescription drugs, alcohol, illicit and other harmful drugs; 50% decreased psychological/emotional problems; 70% improved health; 50% participated in the workforce or employment/education process and/or received eligible benefits; 70% had positive social connections; 75% developed a PCP to identify/address their ongoing recovery needs/social determinants of health; 27 children of PPW were linked to desired care; 12 fathers of children, partners or other family members of PPW were linked to desired care; 70% improved functioning and/or family reunification, as appropriate; and throughout the 5-year project period MCCC staff will have coordinated with its Quick Response Team to conduct evidence-based harm reduction services and link PPW to the project; and conducted quarterly Project Management Team meetings to coordinate/monitor services, status of goals/objectives/outcomes, and ensured CQI. The University of KY will conduct an independent evaluation of the project.