Centerstone’s Preventing Youth Overdose Program (C-PYO) will serve 325 children/ adolescents (ages 10-18) and young adults (ages 19-25) with/at risk for opioid use disorder (OUD) and/or co-occurring disorder (COD) and their families/primary caregivers in a 12-county catchment area in southwestern Illinois (Y1: 75; Y2-3: 125/year). C-PYO will implement evidence-based treatment, including medications for opioid use disorder (MOUD); screenings/ assessments; education/community awareness; recovery support services; and linkages to care coordination.
The focus population comprises an anticipated 176,850 youth whose demographics and clinical characteristics are expected to mirror those of the catchment area youth, with 51% male, 49% female, 71% White, 17% Black/African American, and 6% Hispanic/Latino individuals. Subpopulations will comprise youth from among the area’s minority groups (e.g., 39,420 racial/ethnic minority and/or 12,780 LGBT youth); systems-involved youth (e.g., 5,180 in foster care and juvenile justice); and Veteran populations (e.g., 2,300 Veterans [ages 18-25]; 1,000 Veteran households with children). Roughly 28,570 focus population youth ages 12-25 have a substance use disorder (SUD) and 2,000, OUD. Among area youth ages 12-17, 980 have a co-occurring SUD and major depressive episode.
Within a Recovery-Oriented Systems of Care and using best practices from NIDA’s Principles of Adolescent SUD Treatment and TIP 59: Improving Cultural Competence, C-PYO will deliver evidence-based Teen Intervene, Teen Matrix, MDFT for Adolescent Substance Abuse, MOUD, and DIMENSIONS. The community awareness campaign will integrate best practices from the CDC’s Stop OD Campaign and HHS’ OD Prevention Strategy. The CDC’s Strategies for Preventing Opioid OD and YMHFA will inform C-PYO’s education for families and school personnel. Key C-PYO strategies/components include provider/community collaborations; outreach/engagement; an Advisory Council; prevention activities (e.g., overdose reversal education, psycho-education groups); Individual Treatment Plans; evidence-based substance use disorder (SUD)/OUD/COD treatments (e.g., MOUD); recovery support services (e.g., peer supports, relapse prevention counseling, harm reduction); and referrals (e.g., Hepatitis A/B vaccinations). C-PYO’s goals include: 1) Implement C-PYO to provide a coordinated set of prevention, treatment, and recovery support services for youth with/at risk for OUD/COD. 2) Develop an infrastructure to improve local awareness among youth of risks associated with fentanyl; increase access to MOUD; and train healthcare providers, families, and school personnel on best practices for supporting youth with OUD/taking MOUD. 3) Improve health status/outcomes for participating youth. 4) Develop/document/refine a service delivery model for replication throughout the state. C-PYO will achieve the following measurable objectives related to training, education, and community awareness: Provide accredited trainings to 30 project/agency clinicians; Reach 1,200 individuals via a community awareness campaign around the risks associated with fentanyl, emerging drugs, and drugs of interest/prevalence; and Educate/train 400 families and school personnel to improve their understanding of OUD and MOUD for youth. C-PYO will achieve the following measurable participant-related objectives: Decrease at-risk behaviors by 50%; Reduce mental health symptomatology among 60%, substance use/frequency among 40%, past 30-day unexcused absences among 30% enrolled in school, costly service utilization related to SUD/COD issues among 50%, and past 30-day criminal/juvenile justice system involvement and/or exposure to crime/violence by 80%; Improve family-functioning by 50%; Increase access to recovery-oriented treatment/services among 100%; Follow up with 100% of participants receiving linkages/referrals to supports to ensure service utilization; and Achieve an 80% participant retention rate.