The family center's mat program - the family center of brooklyn, NY (TFC) will implement an mat program for adults with opioid disorder, polysubstance abuse, CO-occurring mental health disorders,…

The family center's mat program - the family center of brooklyn, NY (TFC) will implement an mat program for adults with opioid disorder, polysubstance abuse, CO-occurring mental health disorders, and significant levels of trauma, chronic disease, extreme poverty, and barriers to care in high-risk communities of central brooklyn. The anitcipated population demographics are 80% or more clients will be african-american or latino, 20% white, median age 40, 40% will have less than a 12TH grade education, 15% will be living in a homeless shelter at entry into services, and 85% unemployed. Over 80% of the population of focus will have histories of trauma and exposure to violence, 60% will report at least 4 adverse childhood experiences, 80% will report current, moderate to high levels of anxiety and depression. The mat program will use a blended collaborative care model, providing clients receiving mat with concurrent COD trauma-informed interventions, OUD counseling, peer support, medical care coordination provided directly by staff on the mat team. The mat program will be nested within TFC's certified community behavioral health clinic (ccbhc), which will provide additional services, including mobile crisis outreach, a robust menu of psychosocial and therapeutic groups, as well as case management services that will leverage the ccbhc's partnerships to provide referral and linkage to a wide variety of community services. The project goals are: 1) through the delivery of mat and integrated COD treatment, improve the capacity of persons with OUD and COD to achieve sustained recovery from COD and to reduce health risks associated with opioid abuse; 2) improve client engagement in community-based health care and recovery support networks through care coordination, case management and peer support. Ebps include trauma-informed CBT, integrated COD treatment, dialectical behavioral therapy, seeking safety, sista, motivational interviewng and sober parenting journey. 75% of clients enrolled in mat will remain in mat and COD treatment for a minimum of 6 months; 100% of clients enrolled in mat will engage in 2 or more COD and trauma treatment modalities for the duration of enrollment in the program; 45% of mat clients will demonstrate reduced use of opioids and other drugs of choice after 6 months of mat/COD treatment, as measured by toxicology screens; 45% of clients will demonstrate clinically significant improvements in psychosocial fuctioning and or reduction in symptoms of anxiety and depression after 6 months of enrollment; 45% of mat clients will demonstrate improvements in clinical measures of chronic health conditions associated with COD and polysubstance abuse, including reductions in BMI, BP and HBA1C. A total of 280 unduplicated adults will be served: 40 in year 1 and 60 each in years 2-5.