Recovery-enhanced addiction counseling in-home medication assisted treatment program (reach mat) - the village south, INC

Will provide 200 uninsured adults, who are residents of broward county, florida and have been diagnosed with an opioid use disorder, with evidence-based medication-assisted and psychosocial treatment and recovery supports. The population of focus includes a majority of women who are pregnant and/or parents to young children. To reduce access barriers, services will primarily be delivered at clients' homes and via telehealth. The village south, a subsidiary of the national westcare foundation, provides a full continuum of SUD prevention, treatment, and recovery support services in the miami, FL, metropolitan area. Broward county is the second most populous county in florida, with significant racial and ethnic diversity: 30.1% are african american/black and 30.4% of residents identify as latinx. In 2019, 12.3% of broward residents lived in poverty, with income inequality on the rise. In 2019, 17% of florida residents under the age of 65 had no health insurance. Broward county has seen dramatic increases in opioid use disorder and its consequences over the past decade, with funding for medication-assisted treatment (mat) limited. The village south seeks to expand the capacity of its existing recovery-enhanced addiction counseling in-home medication assisted treatment program (reach mat) to provide mat and concurrent psychosocial treatment and recovery supports to 40 UN- or underinsured adult women and men per grant year. In particular, the village will focus proposed services on pregnant/post-partum women (pppw) and those with young children ages 0-5, to address their need for family-focused treatment that takes into account the safety and well-being of their children. The village south has well-established linkages with hospitals and child welfare entities, which will serve as critical referral sources. Reach mat will adhere to the agency's effective clinical pathway, which is based on samhsa tip 63. Following assessment and diagnosis by a team of therapist and physician, clients are closely monitored and supported throughout mat induction, stabilization, and maintenance. For pppw, mat will be based on samhsa clinical guidance for treating pregnant and parenting women with opioid use disorder and their infants, and the prescriber will work closely with obstetric healthcare providers to ensure optimal care for mother and child. The village has proven drug diversion/misuse mitigation strategies in place. Mat will be combined with psychosocial treatment that includes evidence-based practices, strengths-based case management, and recovery support services, delivered by a dedicated reach mat team. To reduce access and retention barriers, a majority of services will be delivered at the client's home and via telehealth, reducing transportation and childcare issues. As a result, the village expects high levels of engagement and retention, significant reductions in opioid use and associated symptoms, and improved client outcomes in terms of psychosocial functioning, recidivism, and employment.