Mobile Wellness and Recovery Project - The MW&R project will allow individuals with a substance use disorder living in rural regions to access a range of e-therapy options, combined with community-based clinical services and access to medical care. The MW&R will provide cognitive behavioral therapy (CBT) and recovery-based resources through multiple forms of media, including smart phone applications, telephonic communication, and automated internet-based, computer programs. The project is a collaboration of two comprehensive behavioral health organizations: Human Service Center and North Central Behavioral Health Services, and multiple primary care organizations nested within a 10-county region of central Illinois (total population of 598,493). The target population includes men and women above the age of 17 living in rural settings as classified by the U.S. Census Bureau (40% of total population). The population is approximately 96% White (3% Hispanic, 1% Black), 51% female, 8% unemployed, 12% living below the poverty level, and 29,498 have a dependence diagnosis to alcohol and other drugs and another 24,581 have a substance abuse diagnosis.The goal is to enroll 120 individuals in year 1 and 165 in years 2 & 3 for a total of 450. Measurable objectives include engaging individuals within 24 hours, initiating telephonic CBT within 1 to 2 days, keeping 80% of candidates engaged for at least six months, and assisting 75% in using e-therapy options. Other measurable outcomes include reducing alcohol and drug use over time (80% show decline), linking 75% to primary care and enrolling 60% in a PHR, increasing self efficacy and access to social support.
