The Richmond Behavioral Health Authority (RBHA) seeks funding to transform its residential treatment services for pregnant and postpartum women by expanding the availability of evidence-based services, providing family-centered wrap-around supports and continuing care services.
The five primary goals of the CARE (Creating Access through Recovery & Engagement) Project include: 1) Increase the provision of pre- and post-natal care for pregnant and postpartum women with substance use disorders (SUDs) and/or with SUDs and co-occurring mental health disorders; 2) decrease the incidence of alcohol, tobacco and other drug use among pregnant and postpartum women through the provision of comprehensive treatment, outreach and other harm reduction services; 3) improve family outcomes by providing child and family services in the areas of enhanced residential treatment, comprehensive healthcare, and continuing care; 4) evaluate the effectiveness of the project in achieving the defined goals and objectives.
The target population is adult pregnant and postpartum women who have been diagnosed with SUDs, and with SUDs and co-occurring mental health disorders who reside in the Richmond area. The racial demographics of the target population include: 94% African-American, 5% Caucasian, and 1% Hispanic. 100% indicate English as their primary language. The primary drug of addiction is opioids (61%); followed by cocaine (16%); marijuana (18%); and alcohol (5%). It is estimated that 60% of the target population will be diagnosed with co-occurring mental health disorders. It is estimated that 3-5% of the clients will identify as lesbian, gay, bi-sexual, trans-gendered, or questioning. Histories or current experiences of trauma are present in approximately 90% of current participants; domestic violence is present in approximately 70% of these cases. The target population has had substantial involvement with the criminal justice and social service systems.
The CARE Project aims to serve 150 women over the course of the five-year grant period (30 each year).