Monday, November 25, 2024
11/25/2024
Mountain Comprehensive Care Center (MCCC) will implement the Big Sandy Adult Reentry Program to expand SUD treatment and related recovery and reentry services to sentenced adults in the Big Sandy Regional Detention Center (BSRDC) who have been assessed or diagnosed as having a SUD and/or COD and meet project criteria as well as adults at risk of being re-incarcerated due to a probation/parole violation. The catchment area includes Floyd, Johnson, Lawrence, Magoffin, Martin, Morgan, and Pike counties in rural eastern Kentucky. Population: The population is sentenced adults in the BSRDC who have been assessed or diagnosed as having a SUD and/or COD; either sentenced to and serving at least 1 month in the BSRDC or are on probation/parole and at risk of being re-incarcerated due to a probation/parole violation; for those incarcerated, be within 4 months of release to receive services in the BSRDC; and upon immediate release, be linked to community-based treatment. The population will be similar to clients in MCCC’s current ORP with intake data finding 69% had a diploma/higher, 22% employed, 51% housing instability, 68% anxiety, 60% depression, 79% using alcohol/illicit drugs, 19% IDU, and socioeconomic disparities. While a high percentage will be White due to its location in Central Appalachia, the project will ensure equity/inclusion. It is estimated 60% will be men, 40% women, 3.4% LGBTQ+ with 90% arrested on alcohol/drug-related charges. Interventions: In tandem with corrections staff, all clients will be assessed for SUD and/or COD and criminogenic needs per the KyRAS (includes RNR) and Psychosocial Assessment. MCCC will conduct pre/post-release services and coordinate with its array of treatment programs immediately upon release. Evidence-based practices include Motivational Interviewing, Matrix Model for Criminal Justice Populations, Seeking Safety, Living in Balance, and MOUD/MAT with all interventions using trauma-informed care. MCCC will link participants to testing and treatment for infectious diseases through its HomePlace Clinics along with primary care, while also providing case management/transition planning, peer supports, recovery/reentry services, enrollment in benefits/insurance and other needs per Person-Centered Case Management Plans and Person-Centered Treatment Plans with aftercare offered upon discharge from treatment. Goals: MCCC will serve 70 clients annually for a total of 350 over the five-year period. Goals for the targeted population include: 1) Improve health by implementing a continuum of jail and community-based, coordinated, evidence-based, and population-specific SUD/COD treatment and access to primary care; 2) Improve stability by providing and/or coordinating comprehensive case management, recovery, and reentry services; and 3) Improve equitable and effective project implementation and evaluation by conducting CQI. Objectives achieved by end of each project year include: 1.1) provide SUD treatment including FDA-approved medications/medications management so 70% report abstinence from substance use [at 6-month follow-up]; 1.2) integrate mental disorders treatment, for those assessed with COD, so 50% report a reduction in MH symptoms; 1.3) link to integrated primary care, including screening for infectious diseases, referral, and follow-up to treatment, and dental care so 70% report health as “good” or above; 2.1) provide/coordinate access to peer supports so 70% report positive social connections; 2.2) coordinate access to recovery supports so 50% report engagement in employment and/or benefits enrollment; 2.3) provide person-centered case management planning/services so 65% report housing stability and 70% no arrests; 3.1) monitor race, ethnicity, sexual orientation, and gender identity of enrollees quarterly to ensure equity/inclusion among populations; 3.2) conduct PMT meetings quarterly to coordinate services, monitor outcomes, CQI, and adjust. MSU will conduct an independent evaluation.
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).
