FHC MAT-PDOA - Sunset Park Health Council, Inc. (dba Family Health Centers at NYU Langone or FHC) will implement a third “FHC MAT-PDOA” project to expand services to Brooklyn adults with OUD while broadening the target population to include youth with OUD (at an FDA-approved age for the use of MOUD). FHC will serve at least 100 patients annually for OUD relative to MAT, and will provide MAT with comprehensive OUD psychosocial services for 580 participants over the 5-year period. The service area includes Sunset Park, East Flatbush-Flatbush, Park Slope, Red Hook, Brownsville, and Crown Heights neighborhoods (across 14 zip codes) with over 943,800 residents. In southwest Brooklyn, the need for this project is persistent and multidimensional because overdose remains concentrated in the city’s hardest-hit areas among adults (ages 18 and over) and youth (under the age of 18 years). The proposed MAT-PDOA funding will expand services in Brooklyn to increase the number of adults with OUD who are served (across the FHC network of adult clinics), while also broadening the target population to include youth with OUD (enrolled at the Sheepshead Bay High School/The Frank J. Macchiarola Educational Complex where FHC operates a SBHC and referred from the FHC network of pediatric clinics). Sustainability planning will be a key facet of this third MAT-PDOA iteration. The project goals, objectives, and strategies follow. - Goal 1. Increase the # of adults and youth with OUD receiving MAT. Obj. 1.1. In Month (M) 1, implement outreach and engagement strategies to increase client participation in and access to MAT. Obj. 1.2. In M1, implement routine checks of the NYS “I-STOP” (PMP) for each new patient admission. Obj. 1.3. Annually screen a minimum of 10,000 adults and 5,000 youth to determine risk for OUD, SUD, COD, and mental disorders as well as the delivery/coordination of any services determined to be necessary for each patient to achieve and sustain recovery. Obj. 1.4. Assess a minimum of 100 patients (Y1) and 120 annually (Y2-5) to determine persons specifically meeting the diagnostic criteria for OUD relative to MAT. Obj. 1.5. By the end of Y5, provide MAT in combination with comprehensive OUD psychosocial services for a total of 580 participants (doubling the cumulative target of the MAT PDOA 2.0 grant-funded initiative). Obj. 1.6. By the end of Y1, increase by 25% the # of providers receiving training and providers who are prescribing MOUD for participants with OUD. Goal 2. Decrease illicit opioid drug use and prescription opioid misuse, as measured by participants’ 6- and 12-M follow-up visit data (with an expected 75% 6-M follow-up rate and an expected 65% 12-M follow-up rate). Obj. 2.1: In M1, schedule clinical assessments and create individualized treatment plans with comprehensive psychosocial services to 100% of persons referred to treatment. Obj. 2.2: By M1, expand existing partnerships by 25% annually to ensure access to methadone, recovery, and social support services to more effectively engage and retain individuals in SUD/COD/OUD treatment. Obj. 2.3: By M3, offer Peer Navigation services to 100% of persons in treatment to improve access to and retention in MAT and long-term recovery. Obj. 2.4: By M4, offer motivational incentives to 100% of patients with negative urine toxicology results through point-of-care testing. In the proposed project, participants will receive MAT in combination with evidence-based individual and group psychotherapy (in-person and via telehealth: CBT, Family Psychoeducation, MI, tobacco cessation, non-pharmacological interventions, drug counseling, interpersonal therapy, contingency management, and recovery support services), to improve access to and retention in MAT and support long-term recovery. The comprehensive care model will also include integrated Infectious Disease prevention, screening, testing, and treatment.
