CCH TCE: Special Project - The proposed 'CCH TCE: Special Project will implement targeted strategies for the provision of substance misuse, abuse, and harm reduction services, facilitated access to treatment, and peer recovery support services for people who are experiencing or at risk of homelessness. All project participants will: (a) be assessed as misusing or abusing drugs and/or alcohol, or have a substance use disorder involving drugs and/or alcohol; (b) not fully engaged in harm reduction, treatment, and/or recovery support services; and (c) all participants will be residing in supportive housing for single adults and adult couples that is operated and managed by CCH in the City & County of Denver, Colorado.
To reduce health and social risks, including risk of death, the project will expand participants' access to evidence-based harm reduction and peer recovery support services, as well as provide facilitated access to treatment. Potential for housing stability will be enhanced by project activities including social community events designed to increase participants' sense of belonging and community support. In year one, the project will enroll 75 participants and 30 additional participants will be enrolled annually in years 2 and 3. Within the first six months of project enrollment, 80% of participants will engage in project services. Thirty percent of participants who engage in the project's peer support services will reduce their substance use from intake to six months of project participation. During project enrollment, 50% of participants will be referred to substance use disorder treatment. In year 1, the project will distribute 850 harm reduction supplies to project participants, including fentanyl test strips and overdose reversal medications; in year 2, 835 harm reduction supplies; and in year 3, 750 harm reduction supplies. Fifty percent of participants will engage in community events within 6 months of project enrollment. A total of 135 participants will be served throughout the 3-year project: 75 in year 1 and 90 in each subsequent year.