Open door's youth and family tree - brief summary: open door family medical center (open door) will enhance comprehensive bilingual treatment and recovery services for vulnerable adolescents and…

Open door's youth and family tree - brief summary: open door family medical center (open door) will enhance comprehensive bilingual treatment and recovery services for vulnerable adolescents and transitional youth with SUD and/or COD and thus reduce differences in access, use, and outcomes of treatment and recovery services among minority populations, as well S girls and women. "open door's youth and family tree" project will ensure youth are supported as they move through recovery, including engaging their families, and providing age-appropriate, technology-based supports that they can access at will, all under a comprehensive patient centered medical home model. Population to be served: open door will serve vulnerable adolescents and transitional youth ages 12-25 and their families/caregivers, targeted among the organization's 60,000 patients. These patients exhibit significant negative social determinants of health: nine in ten live below 200% FPL while a majority live in outright poverty in a high-cost of living area; 43% are uninsured, more than twice the new york state average for federally qualified health centers; a majority identify as racial/ethnic minorities (82% as latinx/hispanic within the youth cohort); and 71% are best served in a language other than english. Using internal data, we estimate that a majority of patients 12-25 report poly-substance use, including cannabis, alcohol, opioids, and others; among young patients with SUD, 50% have a CO-occurring mental health diagnosis. Strategies/interventions: open door will leverage integrated mental health, medical, and wraparound services within six sites to offer an "all under one roof" approach using family-centered comprehensive outpatient care, early intervention, screening and counseling, medication assisted treatment, recovery support, and education on healthy choices. Evidence-based practices will include: cognitive behavioral therapy and trauma-focused CBT; dialectical behavioral therapy groups for SUD; motivational interviewing; seeking safety; matrix model for teens & young adults; brief strategic and multidimensional family therapy; and nurturing parenting. Goals & objectives: the proposed project will serve 450 youth over the project lifetime, broken out as 50 served in year one and 100 per year for project years 2-5, and their families. Project goals are as follows: goal 1 - increase access to high quality, patient centered SUD and COD services; goal 2 - maximize retention in care; goal 3 - identify and address elevated health risks by providing specialized care and supports; goal 4 - improve self-reported assessment of wellness and functioning among adolescents and transitional youth with SUD, MH, and/or CO-occurring disorders. Measurable objectives include 90%-plus screening and documented treatment plan rates; 100% assessment and offering for mat; 80% retention and digital recovery APP enrollment rates; 100% screening for adverse childhood events, assessment for those at risk for STI, pregnancy, and gender specific risks; 70% served with major depressive disorder showing reduction in PHQ-9 scores; 80% achievement of patient-articulated 6-month treatment goals and 80% of patients "feeling better" after six months in the program.