GUAM TCE- Sanctuary - The WestCare Pacific Islands, Inc. (WPI) Targeted Capacity Expansion (TCE) program proposes to expand and enhance WPIs current treatment and recovery services by treating 150 unduplicated youth (aged 12-17) and families within the island of Guam over the three-year project period. With $1,125,000 in SAMHSA funds, WPI will 1) hire additional qualified clinical treatment professionals and paraprofessionals for residential substance use (SUD) and co-occurring disorder (COD), and 2) implement new tobacco/e-cigarette-cessation groups to include youth in the community and in residential programs. WPI TCE goals are to 1) increase the availability of and access to residential substance use and co-occurring treatment services to reduce substance use/misuse, mental health symptoms, and related health consequences for youth and their families living in Guam; and 2) reduce the behavioral and social consequences related to substance use/misuse by increasing access to and availability of recovery support services for youth and their families living in Guam. Objectives, to be accomplished by Sept. 29, 2028, for Goal 1 are:1) to provide integrated culturally appropriate client-centered residential SUD/COD treatment using CBT, Seeking Safety, MI, the ASAM Criteria, the Matrix Model and the C-SSRS to 150 unduplicated youth ages 12-17 years old and their families as documented in the Electronic Health Record (EHR); 2) 90% of EBPs will be monitored and adhere to fidelity with the remaining 10% used for culturally appropriate adaptations as documented by the fidelity monitoring checklist for EBP; 3) 65% of youth will complete treatment measured by the discharge reason; 4) 70% completing treatment will have reduced substance use or be substance free at 6-months post admission, and 60% of those will maintain or have reduced substance use at discharge as measured by the GPRA; 5) 70% completing treatment who exhibit mental health symptoms at intake will exhibit fewer symptoms at 6-months post admission, and 60% of those will maintain the improvements or show additional decreases at discharge as measured by the Pediatric Symptom Checklist-17; 6) 70% completing treatment who exhibit suicide ideation or suicidal behaviors at intake will exhibit fewer symptoms at 6-months post admission, and 60% of those will maintain the improvements or show additional decreases at discharge as measured by the C-SSRS; 7) 80% of engaged youth will be linked to additional community resources, including medical, employment, educational, financial, and other supports as needed as documented in the EHR; 8) 90% of youth will be satisfied with the program and its services, measured by Participant Satisfaction Surveys distributed at discharge. Objectives, to be accomplished by Sept. 29, 2028, for Goal 2 are 1) to provide tobacco/e-cigarette cessation “Not On Tobacco® (N-O-T) groups to 150 youth engaged in the program as well as youth in the community once per week as measured by EHR; 2) 90% completing treatment will be connected to the Case Manager to assist with case navigation and recovery support after program exit and create a Comprehensive Recovery Plan as measured by having a completed plan and sessions documented in the EHR.; 3) of the youth engaged in the program, 90% of families will engage in family group sessions and fun family activities as measured by attendance logs; 4) 75% completing treatment will have improved social connectedness at 6-months post admission, and 65% will maintain these improvements at discharge as measured by the GPRA; and 5) 90% of stakeholders (i.e. community partners) will be satisfied with the program and its services as measured by Stakeholder Satisfaction Surveys distributed annually.
