Services to adolescents and families empowered recovery/safer - annie malone children & family services' (amcfs) proposed services for adolescent and family empowered recovery (safer) will establish…

Services to adolescents and families empowered recovery/safer - annie malone children & family services' (amcfs) proposed services for adolescent and family empowered recovery (safer) will establish an integrated treatment service and resource continuum, focusing on underserved african american, at-risk youth ages 12-18 and their caregivers/family members impacted by (a) substance use disorders (SUD) and/or CO-occurring disorders (COD); (b) in city of ST. Louis and adjacent ST. Louis county. Safer's purpose is to ameliorate identified behavioral health needs of this vulnerable, economically and environmentally disadvantaged youth population of focus and caregivers / family members where, according to federal definition, exceptionally high poverty, crime, unemployment, mortality rates and homelessness are rampant and pervasive. Safer is an innovative partnership between two complementary, culturally responsive entities located in the city of ST. Louis: annie malone children & family services and places for people (PFP), supported by strong collaboration with essential service. Safer will leverage the strong infrastructure of amcfs's crisis, trauma-focused, and therapeutic services for at-risk and vulnerable youth removed from the home and/or experiencing/at risk of abuse and neglect at their home of origin, in order to build a system of SUD/COD youth and family-focused services, according to the following: goal 1: develop an SUD/OUD platform within amcfs, OBJ. 1.1 by november 15, 2021, establish an outpatient SUD/COD system of care; OBJ. 1.2 by august 29, 2026, obtain COA accreditation for SUD treatment. Goal 2: improve behavioral health outcomes for underserved youth enrolled in safer; OBJ. 2.1 50 (YR. 1) and 100 (YRS 2-5) new/underserved participants enrolled in safer, a total of 450 over 5 YRS; OBJ. 2.2 90% of participants will be screened for SUD/COD; OBJ. 2.3 55% of participants will show improvement in at least 1 DLA-20 domain from intake to 6-MO follow-up; OBJ. 2.4 50%+ of participants will show improved global functioning, measured by DLA-20 6-MOS.post-intake; OBJ. 2.5 65% of participants will experience improved mental health at baseline/3 MO as measured by DLA-20; OBJ. 2.6 65% of participants will experience improved mental health at baseline/6 MO as measured by DLA-20; OBJ. 2.7 80% of active participants will engage in both a 3-month and 6-month gpra interview; OBJ. 2.8 65%+ of participants with SUD will report reduced use/continued abstinence-six-month follow up; OBJ. 2.9 80% of prevention participants will experience a change in knowledge from pre to post test at session end. Goal 3: improve parenting outcomes for adult(s) involved in the safer participants' treatment; OBJ. 3.1 70% of adults directly involved in participants' treatment will be screened for SUD/COD; OBJ. 3.2 80%+ of adults directly involved in participants' treatment will engage in safer parenting program; and OBJ. 3.3 65% of adults enrolled in the parenting program will report improved family functioning at program end. Safer will serve 50 youth in year 1 and and 100 each in years 2, 3, 4 and 5 for a total of 450; and 10 family/caregivers in year 1 and 25 each in years 2, 3, 4, and 5 for a total of 85.