Project Grant H79TI084743

META HOUSE STRONG FAMILIES ENGAGED IN RECOVERY (SAFER) - META HOUSE'S STRONG FAMILIES ENGAGED IN RECOVERY (SAFER) PROGRAM WILL PROVIDE TRAUMA-INFORMED, CULTURALLY COMPETENT, AND FAMILY-CENTERED TREATMENT, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION FOR 175 PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS AND THEIR CHILDREN, PARTNERS/CHILDREN'S FATHERS, AND OTHER FAMILY MEMBERS IN OUR CONTINUUM OF CARE IN MILWAUKEE COUNTY, WISCONSIN. BASED ON META HOUSE AND COMMUNITY DEMOGRAPHICS, WE EXPECT TO SERVE A POPULATION THAT IS ENGLISH-SPEAKING AND RACIALLY DIVERSE, APPROXIMATELY 50% WHITE, 30% BLACK/AFRICAN AMERICAN, 10% NATIVE AMERICAN, AND 10% MULTIRACIAL/OTHER AND ETHNICALLY 15% HISPANIC/LATINX. THE MAJORITY WILL BE 20 TO 34 YEARS OLD. WE EXPECT 85% WILL BE HETEROSEXUAL, 10% BISEXUAL, AND 5% LESBIAN. META HOUSE'S PROGRAM IS WELCOMING TO TRANSGENDER CLIENTS, AND TRANSGENDER WOMEN TYPICALLY MAKE UP ABOUT 1% OF OUR CLIENT POPULATION. SAFER FAMILIES WILL BE LOW-INCOME AND HAVE MULTIPLE SPECIAL NEEDS IN ADDITION TO THEIR SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS, SUCH AS PHYSICAL HEALTH PROBLEMS, TRAUMA HISTORIES, LOW LITERACY, AND EMPLOYABILITY CONCERNS. MANY WILL BE PARENTING OLDER CHILDREN AND INFANTS AND INVOLVED IN MULTIPLE SYSTEMS, INCLUDING CHILD WELFARE AND CRIMINAL JUSTICE. META HOUSE, A TREATMENT PROVIDER WITH OVER 50 YEARS OF EXPERIENCE SERVING THE POPULATION OF FOCUS, WILL IMPLEMENT EVIDENCE-BASED TREATMENT FOR SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS FOR PREGNANT AND POSTPARTUM WOMEN AND SERVICES FOR WOMEN, CHILDREN, AND FAMILY MEMBERS IN THE CONTEXT OF META HOUSE'S CONTINUUM OF CARE, INCLUDING RESIDENTIAL TREATMENT IN OUR WELL-ESTABLISHED RESIDENTIAL PROGRAM WITH 35 BEDS FOR WOMEN AND 15 FOR CHILDREN, DAY TREATMENT, OUTPATIENT, CONTINUING CARE, AND RECOVERY HOUSING. THE EVIDENCE-BASED PRACTICES INCORPORATED IN THE PROGRAM INCLUDE: 1) MOTIVATIONAL INTERVIEWING FOR TREATMENT OF SUBSTANCE USE DISORDERS, 2) SEEKING SAFETY TO ADDRESS RECOVERY FROM SUBSTANCE USE DISORDERS AND TRAUMA, 3) CELEBRATING FAMILIES! FOR PREVENTION AND IMPROVING FAMILY FUNCTIONING, 4) THE NURTURING PROGRAM FOR FAMILIES IN SUBSTANCE TREATMENT AND RECOVERY TO ADDRESS THE NEEDS OF PARENTS IN SUBSTANCE USE DISORDER TREATMENT WITH A HISTORY OF TRAUMA, 5) EARLY PATHWAYS TO IMPROVE PARENTING SKILLS, AND 6) FILIAL THERAPY TO SUPPORT BUILDING POSITIVE RELATIONSHIPS BETWEEN PARENTS AND CHILDREN. THE GOALS OF THE PROGRAM ARE: SERVE PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR CHILDREN, PARTNERS, CHILDREN'S FATHERS, AND EXTENDED FAMILY MEMBERS (35 WOMEN/YEAR, 175 TOTAL; 45 CHILDREN/YEAR, 225 TOTAL); PROVIDE COMPREHENSIVE SUBSTANCE USE DISORDER TREATMENT SERVICES TO PREGNANT AND POSTPARTUM WOMEN; IMPROVE WOMEN'S LEVEL OF FUNCTIONING RELATED TO SUBSTANCE USE AND SOBRIETY; IMPROVE WOMEN'S MENTAL HEALTH FUNCTIONING AND DECREASE IMPACT OF TRAUMA; IMPROVE FAMILY FUNCTIONING, PARENTING SKILLS, AND OVERALL QUALITY OF LIFE; SUPPORT REUNITING AND RECONNECTING FAMILIES; INCREASE HEALTHY PREGNANCIES AND IMPROVE BIRTH OUTCOMES; IMPROVE CHILD FUNCTIONING AND DEVELOPMENTAL STATUS; PROVIDE HARM REDUCTION SERVICES TO PREVENT OVERDOSES; AND MINIMIZE SUBPOPULATION DISPARITIES IN ACCESS TO, USE OF, AND OUTCOMES OF PROJECT SERVICES. IN COLLABORATION WITH IMPACT, THE EXPERIENCED EXTERNAL EVALUATOR FOR THE PROJECT, A PROGRAM EVALUATION WILL BE IMPLEMENTED THAT WILL MEASURE HOW THE PROJECT MEETS ALL PROGRAM GOALS AND OBJECTIVES AS WELL AS ADDITIONAL PROCESS EVALUATION QUESTIONS.