CPNJ’s Northeastern NJ Recovery and Individualized Support Expansion Program - CPNJ’s Northeastern NJ Recovery and Individualized Support Expansion (RISE) Program will provide screening, assessment, wellness and recovery planning, linkage to specialized, developmentally appropriate services and ongoing care coordination to individuals at risk of or struggling with substance use disorders. These services will be tailored based on the Initial Assessment and outcomes of evidence-based tools such as the GRPA interview. Specialized evidence-based treatment referrals will be made, including to programming offered at CPNJ, such as Ambulatory Withdrawal Management (AWM), Medication Assisted Treatment (MAT), medication monitoring, outpatient therapy, and intensive outpatient therapy. Clients may be linked within their local community, as needed, as we have secured several partnerships and collaborative agreements to best serve individuals in need. These services will be available to individuals ages 14-35, an age demographic most vulnerable to initiate a new substance use diagnosis (SUD), in the Northern Counties of New Jersey (Bergen, Passaic, Morris, Warren, and Sussex Counties). CPNJ anticipates serving 150 individuals in year 1, and 175 individuals in years 2 and 3, for a total of 500 unduplicated individuals during the project period. The catchment area for this grant is a diverse cross section of rural counties and urban counties with many distinct differences. We aim to serve community members who may be at highest risk of harm due to demographics, including but not limited to, low socioeconomic status, ethnic minorities and/or LGBTQ+ identity. Goals: Goal 1: Provide care coordination and linkage to services to high-risk individuals to prevent or reduce the progression of a SUD. Objective 1.1: Screen 100% of individuals referred to the RISE program to assess for biopsychosocial needs utilizing an evidenced-based model. Objective 1.2: Provide outreach, monitoring, care coordination, and follow up services to 100% individuals enrolled in the RISE program. Objective 1.3: Link 100% of identified individuals to appropriate services to prevent or address the progression of a SUD. Goal 2: Provide wraparound care to individuals engaged in SUD supportive services to increase retention and improve recovery outcomes. Objective 2.1: 100% of participants will be offered peer recovery support. Objective 2.2: Actively engage and retain 65% of enrolled individuals in treatment for at least 90 days as measured by contact logs through the use of recovery support services. Objective 2.3: 100% of RISE participants will be screened for social determinants of health and assigned a case manager to address the barriers to care. Objective 2.4: Outreach and collaborate with 50 organizations annually to provide comprehensive services to recruit and engage individuals in care.
