For the proposed project, La Maestra’s overarching goal is to provide comprehensive substance use disorder (SUD) treatment services, recovery support services, and harm reduction interventions to pregnant and postpartum women across a continuum of specialty SUD levels of care, based on comprehensive, individualized screenings and assessments that inform treatment planning and service delivery in a continuous care model. The organization will accomplish this through the following objectives: 1) Screen a minimum of 800 pregnant and postpartum women annually for SUD and/or COD using evidence-based screening tools or 4,000 patients over the five-year project period; 2) Provide comprehensive substance use disorder (SUD) treatment services, recovery support services, and harm reduction interventions to a minimum of 200 pregnant and postpartum women annually or 1,000 patients over the five-year project period; and 3) Connect 200 pregnant and postpartum women to the full continuum of Circle of Care® services through comprehensive case management.
In 2020, La Maestra served 39,943 patients. According to 2021 Uniform Data System (UDS) numbers clinic data, 86.1% of the organization’s patients served are living at or below 200% of the federal poverty level, 23% of patients are uninsured and 70% are underinsured. In addition, 76% of patients belonged to a racial or ethnic minority group and 48.9% prefer to be spoken to in a language other than English.
According to the 2021 California Health Interview Survey (CHIS), approximately 23.7% of low-income women in La Maestra’s service area indicated that they needed help for use of an alcohol or drug, as opposed to only 20.4% at the County level. Additionally, 6.2% of low-income pregnant women in the service area reported a mental or emotional problem as their reason for seeking treatment from a physician or mental health professional in the last year. This highlights the treatment gap amongst low-income women and suggests a need for increased access to comprehensive behavioral health and SUDS through harm reduction practices in order to respond to health and wellness needs in the service area.
La Maestra will adhere to current Evidence Based Practices (EBP) and expand PPW services to ensure that all patients seeking overdose and other types of prevention activities, including SUDs and MAT services receive the comprehensive, culturally and linguistically competent care they require. Additionally, all performance assessments and evaluations for this program will be conducted by Dr. Andrew Sarkin, Ph.D., an independent, third party evaluator from the University of San Diego’s Health Services Research Center (HSRC). HSRC is a comprehensive research unit that was established in 1991. Dr. Sarkin has over two decades of evaluation experience in behavioral health and clinical psychology.