Village FIT PPW - The Village South Families In Transition (FIT) Program in Broward and Miami-Dade, FL will expand residential substance abuse treatment, prevention, and recovery services to 100 pregnant and postpartum women (PPW) (20 annually). FIT will provide trauma-informed services to stabilize, strengthen, preserve, and reunite families for the women, minor children, fathers of the children, and extended family members. The population focus is underserved low-income, minority PPW, age 18+, and their minor children, age 17 and under.
FIT will implement the following guidelines and practices for treatment: Substance Abuse Treatment: Addressing the Specific Needs of Women; Clinical Guidance for Treating PPW With Opioid Use Disorder and Their Infants; Improving Treatment for Drug-Exposed Infants; Enhancing Motivation for Change in Substance Use Disorder; GOAL 1: Increase the availability of and access to evidence-based SUD treatment, recovery support services, and harm reduction interventions to reduce substance use/misuse the misuse use among pregnant and postpartum women (PPW). Objective 1.1: By 9/2027, provide comprehensive SUD treatment, recovery support services, and harm reduction interventions to 100 PPW. Objective 1.2: By 9/2027, 75% of PPW will complete residential treatment successfully, and 70% of those will complete outpatient treatment. Objective 1.3: By 9/2027, 80% of PPW completing treatment will be substance free during the 30 days prior to discharge, and 70% of those will remain substance free at 6-months post admission. GOAL 2: Increase healthy pregnancies, improve birth outcomes, and reduce related effects of maternal drug use on infants and children. Objective 2.1: By September 2027, 100% of pregnant women will receive prenatal care for the remainder of their pregnancy and attend 100% of their prenatal appointments. Objective 2.2: By 9/2027, 100% of the women delivering while in the program will have drug-free births. Objective 2.3: By 9/2027, 80% of the women completing treatment will decrease the potential for child abuse/neglect at discharge, and 70% will maintain these improvements at 6-months post intake as evidenced by the Child Abuse Potential Inventory. Objective 2.4: By 9/2027, 80% of the children with behavioral problems will decrease symptoms, and 70% will maintain these improvements as evidenced by the Child Behavior Checklist. GOAL 3: Reduce the behavioral, mental health, and social consequences related to substance use/misuse among PPW. Objective 3.1: 9/2027, 80% completing services who have anxiety, depression, or trauma symptoms at intake will exhibit fewer symptoms at discharge, and 70% of those will maintain the improvements or show additional decreases at 6-months post admission assessed by the GPRA and PCL-5. Objective 3.2: By 9/2027, 80% of women completing treatment will have improved parenting attitudes at discharge, and 70% will maintain the improvements at 6-months post intake as evidenced by the Adult Adolescent Parenting Inventory. Objective 3.3: By 9/2027, 80% of PPW completing treatment will have stable permanent housing at discharge, and 70% of those will maintain their living arrangements at 6-months post intake measured by GPRA. Objective 3.4: By 9/2027, 80% completing services will be in an educational/vocational program or employed at discharge, and 70% will continue to remain enrolled, complete their education/training, or remain employed at 6-months post admission measured by GPRA. Objective 3.5: By 9/2027, 80% completing services will increase social connectedness at discharge, and 70% will maintain these improvements at 6-months post intake measured by GPRA. Objective 3.6: By 9/2027, 80% completing services will not engage in new criminal activity at discharge, and 70% will not recidivate at 6-months post intake measured by GPRA.