Saturday, November 23, 2024
11/23/2024
COPE Community Services, Inc. (COPE) proposes to implement the COPE Reentry Program (CRP) in Pima County, AZ. CRP will server 200 adult reentry clients (40 per year) with crucial re-entry care: evidence-based SUD/COD treatment, recovery support, and links to COPE's full spectrum services. CRP will fill a critical treatment gap: rapport and services will begin in jail, bridge clients through the transition, and provide an anchor in the community after release. The reentry population in Pima County experiences a cascade of barriers to SUD and COD care: lack of services in jail, too few providers in the community, little to no established connection/trust between those incarcerated and providers, and too few programs coordinating services during the transition from jail to the community. More than 80% of incarcerate adults screen positive for needing SUD treatment (ADC R&R, 2023), and substance use continues while in jail. In 2022 there were at least 87 incidents of finding narcotics in Pima County Jail (PCJ) (Murillo, 2022). This use has severe consequences; in 2021-2022 there were eleven SUD-related deaths in PJC. Despite this need, only 17% or those needing treatment receive it while incarcerated (AG, 2021). Once release, the target population will find itself in a community where overdose deaths more than doubled between 2018 (175) and 2021 (348) and where nearly all of the primary care areas in Pima County are medically underserved (CHNA, 2022). In response to service gap present in the jail, the community and transition between, COPE proposes to implement the CRP. The CRP will provide much needed services starting in the jail and continuing as the clients integrate into the community. Based on county demographics and previous programming, it is anticipated that clients will identify as approximately 75% men, 25% women; 40% Hispanic/Latino, 10% Black or African American, 6% American Indian/Alaska Native, 40% White, non-Hispanic, and <5% Asian, Pacific Islander, or two or more races. CRP's design will establish rapport, build trust and create continuity of treatment care when clients are released and reenter the community. THE CRP team will work closely with its partner, PCJ, to equitably identify, assess, and enroll adults in need of SUD/COD care who are within four months of release or who are on probation/parole. Three evidence-based treatment practices will be implemented: Motivational Interviewing (MI), SMART Recovery (SR), and team-based Case Management. The combination of experienced providers, COPE's extensive work with the focus population, and the effectiveness of the proposed services will ensure success of CRP's goals: 1) expand SUD treatment and recovery and reentry services for the reentry population; 2) provide evidence-based SUD treatment; and 3) improve substance and recidivism-related outcomes among CRP clients. Research shows that the identified treatment practices demonstrate effectiveness in achieving the targeted measurable outcomes: 80% maintained or improved substance use, social connectedness, and mental health symptoms; and 70% maintained or reduced criminal justice system involvement. The treatment approach will be combined with supportive services (Peer Recovery Support (PRS), benefit eligibility assessment and enrolment, transportation, etc.), and access to higher level care, all designed to increase engagement and better success. COPE and PCJ are ready to expand its current services to include treatment that bridges jail to community for adults who are reentering the community. Implementation of the CRP is crucial to meet the unmet need for evidence-based transitional services in Pima Conty.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
