Expansion of mat and outpatient services - the center for great expectation's roots to recovery, an outpatient substance use, CO-occurring, and mental health treatment program, is dedicated to…

Expansion of mat and outpatient services - the center for great expectation's roots to recovery, an outpatient substance use, CO-occurring, and mental health treatment program, is dedicated to providing a safe place, a safe presence and a safe path for women and men in recovery. Licensed both as a substance use treatment provider and as a community mental health provider, our program prides itself on maintaining a census that enables IT to dedicate the time needed to craft person-centered recovery plans and to be responsive to individual needs. While the program office is located in north brunswick, middlesex county NJ the catchment area includes all of middlesex and somerset counties, with the availability of services extending beyond these areas if requested. A dedicated team of professionals provides services using the center for great expectation's trauma C.A.R.E.© model to help women and men claim the lives they are meant to lead. Clients are assessed using american society of addiction medicine (asam) criteria based on clinical interviews. And an accounting of strengths/needs/barriers to treatment along with collateral reports from referral sources. In addition, clients complete a trauma evaluation which includes the adverse childhood experiences (aces) and ucla post traumatic stress disorder (ucla-ptsd) assessments, the patient health questionnaire (PHQ-9) to measure symptoms of depression, and the general anxiety disorder (GAD) which measures symptoms of anxiety. Clients are then case-conferenced with the clinical team in order to ensure the appropriate placement in our substance use, CO-occurring, or mental health programs. Psychiatric services are available to all clients which includes psychiatric evaluations, psychotropic medication management, and medication assisted treatment (mat) utilizing suboxone, vivitrol, or naltrexone. In response to the escalating opioid crisis in new jersey, our population of focus for this project is adult women and men who have an opioid use disorder (OUD). In middlesex county opioid deaths increased 97% during the time period from 2015 to 2022, while somerset county deaths reflected a 43% increase for the same period. The majority of the clients treated by CGE have legal involvement either through entities such as probation, drug court, parole, and intensive supervised probation (ISP), or through the department of child protection and permanency (DCP & p). In addition, the client population served by CGE's outpatient program is lacking health insurance or is reliant on medicaid, and typically is at or below the federal poverty line. Goals: 1) increase the number of clients utilizing mat from 20 to 50. 2) hire additional, BI-lingual mental health clinicians to expand accessibility and opportunity for clients to engage in IOP, OP, CO-occurring, and mental health services. 3) decrease the instance of trauma symptoms experienced by clients by 50% between intake and successful therapy completion using ARC, CBT, DBT and seeking safety. 4) leverage current software and electronic capabilities to increase availability for telehealth services by 50%. CGE will also offer narcan training to 10 staff and 50 clients.