Project Grant H79TI085024

RISING STRONG: SUD/COD TREATMENT FOR THE WHOLE PERSON AND WHOLE FAMILY TO REDUCE FOSTER CARE SEPARATION - CATHOLIC CHARITIES EASTERN WASHINGTON REQUESTS SAMHSA FUNDS TO SUPPORT RISING STRONG--AN INNOVATIVE 12-18-MONTH PROGRAM LOCATED IN SPOKANE, WA. RISING STRONG PROVIDES AN INTENSIVE SUBSTANCE USE DISORDER (SUD) AND CO-OCCURRING DISORDER (COD) TREATMENT FRAMEWORK FOR CHILD WELFARE-INVOLVED FAMILIES WITHIN A TRANSITIONAL HOUSING SETTING. RISING STRONG'S POPULATION OF FOCUS IS FAMILIES INVOLVED WITH THE FOSTER CARE SYSTEM AS A RESULT OF CHILD ABUSE AND NEGLECT STEMMING FROM SUD/COD. THE UNMET NEEDS FOR THIS POPULATION IN SPOKANE COUNTY ARE SIGNIFICANT, AS 13.1% OF PEOPLE LIVE IN POVERTY (COMPARED TO 9.8% STATEWIDE), 16.5% OF ADULTS EXPERIENCE FREQUENT MENTAL DISTRESS (COMPARED TO 13.6% STATEWIDE), AND 30% OF ADULTS HAVE EXPERIENCED THREE OR MORE ADVERSE CHILDHOOD EXPERIENCES IN THEIR LIFETIMES. CHILD WELFARE SYSTEM DATA ALSO REVEAL SIGNIFICANT NEED, WITH THE LOCAL RATE OF CHILDREN IN OUT-OF-HOME CARE BEING 60% HIGHER THAN THE STATEWIDE RATE. FINALLY, CHILD WELFARE INTAKES OF AMERICAN INDIAN/ALASKA NATIVE CHILDREN AND YOUTH ARE DISTINCTLY ELEVATED COMPARED TO WHITE CHILDREN AND YOUTH, EVEN THOUGH SPOKANE COUNTY IS 88.9% WHITE AND 1.8% AMERICAN INDIAN/ALASKA NATIVE, REVEALING A TROUBLING DISPARITY. RISING STRONG WILL SERVE 55 UNDUPLICATED CLIENTS PER YEAR AND 165 UNDUPLICATED CLIENTS OVER THE COURSE OF THE THREE-YEAR GRANT PERIOD. THROUGH AN INTEGRATED AND TEAM-BASED SERVICE MODEL PROVIDING EVIDENCE-BASED PRACTICE (EBP) INTERVENTIONS FOR SUD-COD AND ROBUST RECOVERY SUPPORT IN A TRANSITIONAL HOUSING SETTING, RISING STRONG WILL INCREASE ACCESS TO TREATMENT AND RECOVERY FOR THE UNDER-RESOURCED POPULATION OF FOCUS. IN ALIGNMENT WITH IDENTIFIED COMMUNITY NEEDS, OUR PROPOSAL INCLUDES THE FOLLOWING GOALS AND ASSOCIATED MEASURABLE OBJECTIVES TO BE ACHIEVED BY THE END OF THE GRANT TERM: GOAL 1: INCREASE THE SUCCESS RATES OF SUD/COD TREATMENT THROUGH LONG-TERM EBP INTERVENTIONS. MEASURABLE OBJECTIVES INCLUDE: 85% OF CLIENTS SERVED WILL HAVE COMPLETED INTENSIVE OUTPATIENT TREATMENT WITHIN 15 WEEKS OF INTAKE; 80% OF CLIENTS SERVED WILL HAVE COMPLETED OUTPATIENT TREATMENT WITHIN 30 WEEKS OF INTAKE; UNDER 50% OF CLIENTS SERVED WILL HAVE EXPERIENCED RELAPSE; 90% OF CLIENTS SERVED WILL HAVE BEEN REFERRED TO MEDICATION ASSISTED TREATMENT SERVICES WITHIN 4 WEEKS OF INTAKE; AND 80% OF CLIENTS SERVED WILL HAVE COMPLETED FOUR DIALECTICAL BEHAVIOR THERAPY MODULES WITHIN 30 WEEKS OF INTAKE. GOAL 2: REDUCE AND ADDRESS ADVERSE CHILDHOOD EXPERIENCES (ACES) BY HELPING FOSTER-INVOLVED FAMILIES REUNIFY AND DEVELOP HEALTHY FAMILY PATTERNS. MEASURABLE OBJECTIVES INCLUDE: 95% OF HOUSEHOLDS SERVED WILL HAVE BEEN ENROLLED IN WRAPAROUND WITH INTENSIVE SERVICES (WISE) WITHIN 96 HOURS OF CHILD(REN) BEING REUNIFIED; 85% OF CHILDREN SERVED WILL HAVE BEEN REUNIFIED WITH PARENT(S) WITHIN 8 WEEKS OF INTAKE; 95% OF CLIENTS SERVED WILL HAVE COMPLETED COSP WITHIN 12 MONTHS OF INTAKE; AND 70% OF CLIENTS SERVED WILL HAVE GRADUATED FROM RS PROGRAMMING WITHIN 18 MONTHS OF INTAKE. WITH SAMHSA SUPPORT, RISING STRONG WILL EXPAND ITS CAPACITY TO REDUCE THE IMPACTS OF FAMILY SEPARATION THROUGH WHOLE-PERSON/WHOLE-FAMILY TREATMENT THAT DIRECTLY ADDRESSES THE SUD/COD AND RELATED FACTORS THAT LED TO CHILD WELFARE INVOLVEMENT, HELPING FAMILIES REUNIFY QUICKLY AND DEVELOP PATHWAYS TO STABILITY AND THE ABILITY TO THRIVE.