Project Grant H79TI084775

VILLAGE FIT PPW - THE VILLAGE SOUTH FAMILIES IN TRANSITION (FIT) PROGRAM IN BROWARD AND MIAMI-DADE, FL WILL EXPAND RESIDENTIAL SUBSTANCE ABUSE TREATMENT, PREVENTION, AND RECOVERY SERVICES TO 100 PREGNANT AND POSTPARTUM WOMEN (PPW) (20 ANNUALLY). FIT WILL PROVIDE TRAUMA-INFORMED SERVICES TO STABILIZE, STRENGTHEN, PRESERVE, AND REUNITE FAMILIES FOR THE WOMEN, MINOR CHILDREN, FATHERS OF THE CHILDREN, AND EXTENDED FAMILY MEMBERS. THE POPULATION FOCUS IS UNDERSERVED LOW-INCOME, MINORITY PPW, AGE 18+, AND THEIR MINOR CHILDREN, AGE 17 AND UNDER. FIT WILL IMPLEMENT THE FOLLOWING GUIDELINES AND PRACTICES FOR TREATMENT: SUBSTANCE ABUSE TREATMENT: ADDRESSING THE SPECIFIC NEEDS OF WOMEN; CLINICAL GUIDANCE FOR TREATING PPW WITH OPIOID USE DISORDER AND THEIR INFANTS; IMPROVING TREATMENT FOR DRUG-EXPOSED INFANTS; ENHANCING MOTIVATION FOR CHANGE IN SUBSTANCE USE DISORDER; GOAL 1: INCREASE THE AVAILABILITY OF AND ACCESS TO EVIDENCE-BASED SUD TREATMENT, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS TO REDUCE SUBSTANCE USE/MISUSE THE MISUSE USE AMONG PREGNANT AND POSTPARTUM WOMEN (PPW). OBJECTIVE 1.1: BY 9/2027, PROVIDE COMPREHENSIVE SUD TREATMENT, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS TO 100 PPW. OBJECTIVE 1.2: BY 9/2027, 75% OF PPW WILL COMPLETE RESIDENTIAL TREATMENT SUCCESSFULLY, AND 70% OF THOSE WILL COMPLETE OUTPATIENT TREATMENT. OBJECTIVE 1.3: BY 9/2027, 80% OF PPW COMPLETING TREATMENT WILL BE SUBSTANCE FREE DURING THE 30 DAYS PRIOR TO DISCHARGE, AND 70% OF THOSE WILL REMAIN SUBSTANCE FREE AT 6-MONTHS POST ADMISSION. GOAL 2: INCREASE HEALTHY PREGNANCIES, IMPROVE BIRTH OUTCOMES, AND REDUCE RELATED EFFECTS OF MATERNAL DRUG USE ON INFANTS AND CHILDREN. OBJECTIVE 2.1: BY SEPTEMBER 2027, 100% OF PREGNANT WOMEN WILL RECEIVE PRENATAL CARE FOR THE REMAINDER OF THEIR PREGNANCY AND ATTEND 100% OF THEIR PRENATAL APPOINTMENTS. OBJECTIVE 2.2: BY 9/2027, 100% OF THE WOMEN DELIVERING WHILE IN THE PROGRAM WILL HAVE DRUG-FREE BIRTHS. OBJECTIVE 2.3: BY 9/2027, 80% OF THE WOMEN COMPLETING TREATMENT WILL DECREASE THE POTENTIAL FOR CHILD ABUSE/NEGLECT AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE CHILD ABUSE POTENTIAL INVENTORY. OBJECTIVE 2.4: BY 9/2027, 80% OF THE CHILDREN WITH BEHAVIORAL PROBLEMS WILL DECREASE SYMPTOMS, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AS EVIDENCED BY THE CHILD BEHAVIOR CHECKLIST. GOAL 3: REDUCE THE BEHAVIORAL, MENTAL HEALTH, AND SOCIAL CONSEQUENCES RELATED TO SUBSTANCE USE/MISUSE AMONG PPW. OBJECTIVE 3.1: 9/2027, 80% COMPLETING SERVICES WHO HAVE ANXIETY, DEPRESSION, OR TRAUMA SYMPTOMS AT INTAKE WILL EXHIBIT FEWER SYMPTOMS AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THE IMPROVEMENTS OR SHOW ADDITIONAL DECREASES AT 6-MONTHS POST ADMISSION ASSESSED BY THE GPRA AND PCL-5. OBJECTIVE 3.2: BY 9/2027, 80% OF WOMEN COMPLETING TREATMENT WILL HAVE IMPROVED PARENTING ATTITUDES AT DISCHARGE, AND 70% WILL MAINTAIN THE IMPROVEMENTS AT 6-MONTHS POST INTAKE AS EVIDENCED BY THE ADULT ADOLESCENT PARENTING INVENTORY. OBJECTIVE 3.3: BY 9/2027, 80% OF PPW COMPLETING TREATMENT WILL HAVE STABLE PERMANENT HOUSING AT DISCHARGE, AND 70% OF THOSE WILL MAINTAIN THEIR LIVING ARRANGEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 3.4: BY 9/2027, 80% COMPLETING SERVICES WILL BE IN AN EDUCATIONAL/VOCATIONAL PROGRAM OR EMPLOYED AT DISCHARGE, AND 70% WILL CONTINUE TO REMAIN ENROLLED, COMPLETE THEIR EDUCATION/TRAINING, OR REMAIN EMPLOYED AT 6-MONTHS POST ADMISSION MEASURED BY GPRA. OBJECTIVE 3.5: BY 9/2027, 80% COMPLETING SERVICES WILL INCREASE SOCIAL CONNECTEDNESS AT DISCHARGE, AND 70% WILL MAINTAIN THESE IMPROVEMENTS AT 6-MONTHS POST INTAKE MEASURED BY GPRA. OBJECTIVE 3.6: BY 9/2027, 80% COMPLETING SERVICES WILL NOT ENGAGE IN NEW CRIMINAL ACTIVITY AT DISCHARGE, AND 70% WILL NOT RECIDIVATE AT 6-MONTHS POST INTAKE MEASURED BY GPRA.