Project Grant H79TI084907

META HOUSE HOUSING, OVERDOSE PREVENTION, AND ENGAGEMENT (HOPE) - META HOUSE'S HOUSING, OVERDOSE PREVENTION, AND ENGAGEMENT (HOPE) PROGRAM WILL PROVIDE RECOVERY HOUSING, TREATMENT, AND OVERDOSE PREVENTION SERVICES FOR A DIVERSE POPULATION OF WOMEN IN EARLY RECOVERY FROM SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS AND THEIR CHILDREN AND ADDRESS THE UNMET NEED OF RECOVERY HOUSING IN THE MILWAUKEE COUNTY AREA. BASED ON RECENT STATISTICS FOR CLIENTS SERVED AT META HOUSE AND MILWAUKEE COUNTY 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. ETHNICALLY, WE EXPECT OUR POPULATION TO BE APPROXIMATELY 15% HISPANIC/LATINX. MOST CLIENTS WILL BE 20 TO 44 YEARS OLD. BASED ON PAST DATA, WE EXPECT THAT 85% OF THE CLIENTS SERVED WILL BE HETEROSEXUAL, 10% BISEXUAL, AND 5% LESBIAN. META HOUSE'S PROGRAMS ARE WELCOMING TO TRANSGENDER CLIENTS, ALTHOUGH TYPICALLY TRANSGENDER WOMEN MAKE UP ONLY ABOUT 1% OF OUR CLIENT POPULATION. FAMILIES SERVED BY HOPE WILL BE LOW-INCOME AND HAVE MULTIPLE SPECIAL NEEDS IN ADDITION TO THEIR SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS, SUCH AS UNSTABLE HOUSING, TRAUMA HISTORIES, LOW LITERACY, AND EMPLOYABILITY CONCERNS. A SIGNIFICANT NUMBER OF WOMEN SERVED WILL BE PARENTING MINOR CHILDREN. MOST WILL BE INVOLVED IN MULTIPLE SYSTEMS, INCLUDING CHILD WELFARE, TANF, AND CRIMINAL JUSTICE. META HOUSE, A TREATMENT PROVIDER WITH OVER 50 YEARS OF EXPERIENCE SERVING THE POPULATION OF FOCUS, WILL PROVIDE RECOVERY HOUSING AND OUTPATIENT TREATMENT FOR WOMEN WITH SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS AND THEIR CHILDREN, EXPAND PEER SUPPORT SERVICES, IMPLEMENT OVERDOSE PREVENTION STRATEGIES WITH WOMEN IN RECOVERY HOUSING AND THEIR FAMILY MEMBERS/SUPPORTS, AND COLLABORATE WITH COMMUNITY PARTNERS TO IMPROVE ACCESS TO HOUSING AND COMPREHENSIVE CARE FOR DIVERSE POPULATIONS. ALL WOMEN ENROLLED IN THE HOPE PROGRAM WILL BE ADMITTED TO META HOUSE'S OUTPATIENT TREATMENT PROGRAM AND LIVING IN META HOUSE RECOVERY HOUSING, WHICH PROVIDES 26 UNITS OF INTEGRATED SUBSTANCE USE DISORDER/CO-OCCURRING DISORDER TREATMENT FOR WOMEN AND CHILDREN IN A GENDER-RESPONSIVE, CULTURALLY COMPETENT, TRAUMA-INFORMED CONTEXT. THE HOPE PROGRAM WILL INTEGRATE THE FOLLOWING EBPS: 1) RECOVERY HOUSING FOR HOUSING STABILITY, MAINTAINING REDUCED SUBSTANCE USE, AND IMPROVEMENTS IN SELF-SUFFICIENCY AND QUALITY OF LIFE; 2) MOTIVATIONAL INTERVIEWING FOR TREATING SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS; 3) PEER RECOVERY SUPPORT SERVICES FOR PROVIDING RECOVERY SUPPORT AND ENGAGING CLIENTS IN TREATMENT; AND 4) NALOXONE AND FENTANYL TEST STRIP DISTRIBUTION FOR HARM REDUCTION AND OVERDOSE PREVENTION. THE GOALS OF THE PROGRAM ARE: ADVOCATE FOR EXPANDING AND SUPPORTING QUALITY RECOVERY HOUSING IN OUR COMMUNITY; SERVE 132 WOMEN (40 IN YEAR 1, 44 IN YEAR 2, AND 48 IN YEAR 3) WITH SUBSTANCE USE DISORDERS/CO-OCCURRING DISORDERS AND THEIR CHILDREN (20 IN YEAR 1, 22 IN YEAR 2, AND 24 IN YEAR 3) WHO ARE IN NEED OF RECOVERY HOUSING; PROVIDE SERVICES TO WOMEN AND FAMILIES TO SUPPORT RECOVERY AND HOUSING STABILITY; SUPPORT WOMEN IN MAINTAINING THEIR RECOVERY AND IMPROVE THEIR QUALITY OF LIFE; PROVIDE HARM REDUCTION SERVICES FOR OVERDOSE PREVENTION; INCREASE HOUSING STABILITY FOR FAMILIES; 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.