Healing to recovery - the proposed healing to recovery project demonstrates an innovative collaboration between two established entities: behavioral health network of greater ST

Louis and haven recovery house, with the overarching intent of establishing recuperative care models in recovery housing settings for homeless and at risk of homelessness young adults and men, women, and all genders and orientations ages 18-65, located within the ST. Louis metropolitan statistical area. The POF will primarily emanate from the city of ST. Louis, population 296,958, which is a unique independent governance within 65 square miles, and the adjacent northern sector of ST. Louis county, comprised of 26 highly diverse separate municipalities, population 322,003, occupants of which are historically and persistently marginalized, with poverty rates ranging as high as 46%. Significantly high incidences and hotspots saturated by gang activity, violent crime, poverty, and disinvestment in both the city of ST. Louis and northern ST. Louis county are well documented, ranking among the highest in the united states, with both areas located in the footprint of a federal promise zone. According to continuum of care (COC) data, the 2022 HUD point in time census of homelessness in ST. Louis increased by 34% in the 5 years from 2018, and by 60% during 2023. Healing to recovery will focus on the following strategies and interventions serving 30 persons in year 1, 60 in year 2, 60 in year 3, 60 in year 4 and 30 in year 5 for a total of 240: outreach and engagement, with a focus on marginalized populations; screening, mental health and substance use disorders services, case management including enrollment in mainstream benefits and linkage to stable housing, recovery support services, and referral / follow-up; the development of a steering committee; collaboration with the 988 system; and stakeholder mapping. Project goals and objectives are as follows: goal 1: increase the number of medically fragile, SUD/COD, homeless individuals with an emphasis on african americans served, engaged, and retained in services throughout the project. Objective 1.1: up to 240 clients will be provided comprehensive recuperative care services in a recovery housing setting, mental health and CO-occurring disorder services over the 5-year project. Objective 1.2: 100% of clients in the program will be connected to BH or SUD treatment. Objective 1.3: 100% of clients in the program will receive recovery support services and meet with a peer support specialist. Objective 1.4: 60% of clients enrolled in the project will be retained in treatment or recovery services for 6 months. Objective 1.5: 100% of clients needing interpretation / translation will have access to appropriate services throughout the project. Goal 2: improve behavioral and health outcomes for 70% of clients enrolled in the project. Objective 2.1: 70% of clients enrolled in the project will report a reduction in SUD/COD symptoms over 6 MOS. Objective 2.2: 70% of clients in SUD/COD treatment services will experience a reduction in drug and alcohol use / misuse over 6 months. Objective 2.3: 100% of clients who are not covered will be offered assistance with enrolling eligible participants or their families including health coverage, food stamps and social security programs, as applicable, throughout the 5-year project. Objective 2.4: 70% of clients will improve social connections at 6-month follow up. Objective 2.5: 50% of clients will be in sustainable, permanent housing by the end of the project.