The onset of the COVID-19 pandemic perpetuated and magnified another kind of epidemic: the opioid crisis. It has remained one of the leading public health emergencies in the United States, with fatal opioid overdoses increasing over the past decade. The impact of the opioid crisis expands far beyond the individual. Substance use disorders (SUDs) affects the interpersonal relationships of the individual struggling with SUD. With mothers often at the center of families, providing care to a mother can impact not just her, but her children and surrounding family members as well. Furthermore, services provided to the entire family can encircle the mother, generating lasting outcomes for her recovery and sustaining positive relationships.
Evidence demonstrates that wrap-around services have a greater impact on the reduction of substance misuse and increased levels of overall health of participants than services that only interact with an individual. However, the pandemic limited access to these kinds of services. Treatment programs reported a 20 to 60% reduction in attendance as well as delays in initiating treatment, a reduction in treatment options, less frequent services and the prohibition of family visitations (Melamed, 2022).
In the proposed Family Resilience Program (FRP), Public Health Management Corporation (PHMC), a non-profit health and social service agency founded in 1972, will enhance the services provided through a long-term residential substance abuse treatment program for women and their children, Interim House W (IHW) to match or exceed pre-pandemic service levels and increase quality of programming. IHW, located in East Parkside of West Philadelphia, has assisted women and children in maintaining independent and drug-free lifestyles for 26 years. IHW's program philosophy emphasizes empowerment and self-sufficiency, while also encouraging peer support. PHMC is applying to SAMHSA to support additions that will complement and enhance existing services to IHW's mothers, their children, and other adults in their lives. We believe that the addition of the services described in this proposal, including evidence-based practices, will significantly impact not only the health and well-being of low-income families, but the long-term health and reduction of substance misuse among mothers, many of whom are infected with HIV, struggling with co-occurring mental disorders, and face barriers to health and economic advancement.
For this funding period, the goals of the FRP over the 5 years are to: 1) expand the number of pregnant and postpartum women with substance use disorder receiving behavioral health and recovery services by providing services to 200 pregnant and postpartum women with SUD; 2) enhance current service delivery to pregnant and postpartum women in recovery at IHW and their families by providing access to additional EBPs by more staff training and certifications; 3) expand behavioral health and supportive services to family members of pregnant and postpartum women with SUD who are in recovery at IHW by identifying and enrolling 300 non-resident children (between the ages of 13-18) and resident children and 200 other identified adult family members who are not currently receiving behavioral health services.