Community Action Council (CAC) will provide critical health and housing services to 250 people experiencing homelessness, substance use disorder, and co-occurring mental disorders through the proposed Coordinated System for Treatment and Services (CSTS). Over the next five years, CAC will serve 50 people per year across 13 counties in Central Kentucky, helping them to achieve permanent housing and access the critical services they may need to build the self-sufficiency required to maintain that housing. Through strong community partnerships, CAC and service partners New Vista, Bluegrass Community Action Program, and Morehead State University will expand the infrastructure, capacity and resources needed to integrate behavioral health and substance abuse treatment services into housing services.
CSTS' focus will be on providing wrap-around support to chronically homeless individuals, families and unaccompanied youth (ages 18-24) households, in which at least one member of the household has a substance use disorder and/or co-occurring mental disorder. Through holistic, culturally appropriate, evidence-based outpatient mental health and substance abuse treatment, CAC and other of local health and housing advocates will work to increase access to services.
CAC and partners will utilize motivational interviewing coupled with trauma-informed care. Interventions will include Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT); the Hazelden Living in Balance Curriculum; and the Partners for Change Outcome Management System, or PCOMS. These interventions will be the catalyst needed to assist 40 to 50 households each year with housing support services, up to five households to receive physical or dental treatments each year, up to 25 households annually to increase their income, and up to 35 households annually to access childcare, transportation, and other services needed.
To ensure optimal program efficiency and partner coordination, CAC will convene at least nine bi-annual regional team meeting to focus on identifying solutions to improve outcomes for high service utilizers as well as bi-monthly meetings to conduct case conferencing and service coordination. Stakeholders will include using CAC's Assertive Street Outreach (ASO) Team, including the Peer Support Specialist with lived experience, harm reduction specialists, case managers, SUD/COD treatment providers, recovery support services, paramedicine teams, and local law enforcement.
CSTS will also monitor and work toward Continuous Quality Improvement (CQI). The Project Director and Principal Investigator will assess interim data reports and input from the Steering Committee meetings to conduct quality improvement activities. Not only is CSTS looking to improve services for program participants but also to work toward increasing community awareness and action with regard to the availability of housing and treatment services for those vulnerable populations.