Nctsi - III: expansion of the family centered treatment recovery service project in north carolina and beyond. - the CO-occurrence of substance use disorder (SUD) and trauma create a complex treatment…

Nctsi - III: expansion of the family centered treatment recovery service project in north carolina and beyond. - the CO-occurrence of substance use disorder (SUD) and trauma create a complex treatment profile that renders most treatment models ineffective. Family centered treatment recovery (FCT-r) is designed to successfully navigate the complex interplay within the context of family, addressing the systemic dynamics of SUD and trauma exposure on the family unit. The sparc foundation (sparc) proposes to expand its existing FCT-r pilot program in order to serve additional families while field testing and using program outcome data to further develop, validate, and scale the FCT-r model. Sparc will add two additional FCT-r teams to increase direct services in the service area, while also partnering with the family centered treatment (FCT) foundation, a current nctsi category II treatment and services adaptation (TSA) provider, to scale up, implement, and evaluate the FCT-r model to additional FCT licensed agencies statewide and nationally. FCT-r consists of four distinct FCT treatment phases that encompass screening, assessment, care management, therapy, and prevention. Systemic trauma treatment and SUD treatment is provided throughout each of the four phases and supported by the evidence-based fidelity measures of FCT. FCT-r is designed to treat "cross-over" families involved with multiple systems (e.g., child welfare, etc.), or who are in crisis, facing forced removal of children from the home, or in need of reunification due to multi-generational trauma and SUD. Located in western north carolina in the blue ridge mountains of appalachia, the service area is home to 490,000 residents and more racially diverse than the state in general. The catchment area recorded 1,363 substantiated abuse and neglect claims in 2018, and in 2019 served 1,019 children in foster care. Over the five-year grant project, sparc's FCT-r project will serve 816 individuals from 272 families, and meet the following goals and objectives: goal 1: expand FCT-r trauma services into buncombe, polk, and transylvania counties. Objective 1A: execute agreements with four county partners. Objective 1B: recruit, hire, and train 2 new FCT-r teams. Objective 1C: deliver training to 210 county partners about trauma and the FCT-r model. Objective 1D: begin FCT-r service delivery to expanded service area. Goal 2: over the 5-year grant period, provide direct services to 312 individuals from 104 families in expanded service area. Objective 2A: 100% of families referred into the program will have a family relapse prevention and response plan. Objective 2B: 100% of families referred will complete a screening meeting. Objective 2C: 80% of families will demonstrate an increase in cumulative number of abstinent days. Objective 2D: develop, test, validate, and implement a new data-driven measure to gauge SUD treatment progress during FCT-r treatment. Objective 2E: 75% of families will complete all phases of FCT-r treatment. Objective 2F: 80% of referred families will be reunified and/or preserved. Goal 3: scale up and spread model to enable 7 FCT-certified agencies to implement the FCT-r model and serve at least 504 individuals from 168 families over five years. Objective 3A: collaborate with the FCT foundation to finalize FCT-r program manual, white paper, and training materials to be used for disseminating the model to external agencies. Objective 3B: develop and finalize plan for training and scaling. Objective 3C: collaborate with FCT foundation to train 7 FCT-certified agencies to deliver FCT-r services. Objective 3D: disseminate results of the project to one national conference audience.