The Northern Ohio Recovery Association's proposed project will: Expanding Access to Mobile SUD/COD Treatment Services in High-Need Zip Codes via mobile services - Project Name: Expanding Access to Mobile SUD/COD Treatment Services in High-Need Zip Codes via mobile services NORA’s project will target adult men and women aged 18+ residing in Cuyahoga County, Ohio, a county area of 457.2 square miles, with a particular emphasis on individuals living in five high-risk zip codes: 44127, 44109, 44102, 44135, and 44111. These areas have the highest concentrations of unintentional overdose deaths, emergency department visits for suspected overdoses, and naloxone administrations. The target population is low-income – 70% will face financial and housing insecurity – and over half (>50%) are poly-substance users, and over half (>50%) will have a co-occurring mental health disorder. Strategies and Interventions 1. Mobile Unit Expansion: Increase mobile unit operations from 5 days to 7 days per week to allow more time to focus on screening, assessment, and treatment services to high need zip codes and underserved communities; 2. Evidence-based Practices: Integrating Screening, Brief Intervention and Referral to Treatment (SBIRT) model to optimize the mobile unit’s productivity and screen more individuals; 3. Reduce Wait times: Reducing wait times by developing a centralized referral system, adopting rapid scheduling protocols and forming new partnerships 4. Peer Recovery Support Services: Utilize PRSS to provide ongoing support, in-home visits, and follow-ups for at least 90 days post-initial assessment. Project Goals Goal 1: Expand access to SUD/COD treatment services and reduce overdose deaths, prioritizing high-need zip codes, by expanding and optimizing the mobile unit’s service hours. Goal 2: Reduce Wait Times for SUD/COD Treatment by 40% through strategic partnerships, a centralized referral system, and rapid appointment scheduling. Goal 3: Reduce substance use frequency by 40% and decrease drug overdoses, including overdose deaths, by 20% among individuals engaged with the mobile unit through expanded services Measurable Objectives 1. Expanded Service: Expand service hours to 7 days per week, with a focus on high-needs zip codes 3 times per week 2. Client Engagement: Screen and assess 1,500 unique individuals (500 per year) 3. Overdose Death Reduction: Achieve a 20% reduction in drug overdose deaths by the end of the project, as measured by comparative analysis of coroner reports and emergency room data. 4. Rapid Treatment Access: Ensure that at least 80% of individuals assessed for SUD/COD are connected to appropriate treatment services via a rapid referral protocol with the mobile unit. 5. Follow-Up Support: Provide follow-up support, including in-home visits, for at least 60% of individuals within two weeks of initial contact, scaling up to 80% by the end of the project period. 6. Substance Use Reduction: Achieve a 70% rate of reduced substance use or abstinence among individuals engaged in treatment within six months of their initial assessment.
