“Centerstone’s Connections: Connecting with People through Home, Recovery, and Community in Indiana” (Connections) will provide comprehensive, coordinated, and evidence-based treatment and services for 235 unduplicated individuals, including youth, and families with substance use disorders (SUDs) or co-occurring mental health conditions and SUDs (CODs) who are experiencing homelessness in 6 Indiana counties (i.e., Bartholomew, Jackson, Jennings, Lawrence, Monroe, and Morgan) (Yr. 1: 35, Yrs. 2-5: 50 annually).
Connections’ focus population encompasses an estimated 975 persons with SUD and an estimated 867 with COD. Focus population demographics and socioeconomics are expected to mirror those of the 3,688 individuals identified as homeless within IN-502 Continuum of Care (CoC) (e.g., 58% male, 75% ages 25+, 24% Black, 56% unemployed). Connections will serve subpopulations from among an estimated 258 rural residents; 315 Veterans; 1,000+ individuals from minority communities (e.g., 1000+ racial/ethnic minorities, 70+ LGBT adults); and 130+ juvenile system-involved/foster care and /or 1,460 criminal justice-involved adults.
Connections will follow SAMHSA’s Treatment Improvement Protocol (TIP) 59: Improving Cultural Competence to guide integration of culturally- and population appropriate strategies and TIP 55: Behavioral Health Services for People Who Are Homeless to guide/inform delivery of selected evidence-based interventions/models, including a Housing First approach. Connections’ will implement Critical Time Intervention case management to facilitate community integration and provide linkage to needed services. SUD treatment will comprise therapies (e.g., Cognitive Behavioral Therapy, Motivational Interview) and trauma interventions (e.g., Seeking Safety), provided for those with COD as components of an integrated treatment approach, per TIP 42: SUD Treatment for People with COD. Key Connections’ strategies/interventions include community collaborations; in-/outreach; screening/assessment; development of Individual Care Plans; provision of Medications for Opioid Use Disorder (MOUD); harm reduction services/overdose education; tobacco/vaping cessation, care coordination, recovery support services (e.g., peer supports, linkages to housing/employment, benefits enrollment); HIV/hepatitis screening/education/linkages; assembly of a Steering Committee; dissemination of a comprehensive evaluation; and sustainability planning. Connections’ goals are to implement a comprehensive, coordinated, and evidence-based project to support the expansion of a community infrastructure that integrates services; develop/expand a sound infrastructure and capacity to support community systems’ effectiveness in providing integrated SUD/COD treatment, permanent housing, and recovery support services; improve participants’ health status/outcomes; and develop/disseminate a replicable service model. Connections will achieve the following measurable objectives: train 5 project staff in culturally-/linguistically-appropriate care; conduct outreach/engagement among 360; deliver treatment, housing navigation, and wraparound/recovery supports per comprehensive ICPs for an unduplicated in the 235 focus population; provide training/workforce development for 250 staff/community providers; collaborate with 10 local providers/organizations and 2 OTPs; establish a Steering Committee comprising 20% focus population/families, housing authorities, etc.; develop/revise 5 policies; develop linkages with 2 funding mechanisms; reduce substance use among 60%; reduce mental health symptomatology among 45%; reduce criminal justice system involvement among 25%; assist 80% to identify/secure stable housing; increase housing stability for 50%; link 100% with employment/education services; assist 100% to enroll in needed benefits; increase social connectedness among 80%; and reduce health/social consequences of substance use among 75%.