Project Grant H79TI086404

STRENGTHENING RESIDENTIAL CARE TO IMPROVE OUTCOMES FOR PREGNANT AND PARENTING WOMEN AND THEIR FAMILIES - WAYSIDE RECOVERY CENTER'S STRENGTHENING RESIDENTIAL CARE TO IMPROVE OUTCOMES FOR PREGNANT AND PARENTING WOMEN AND THEIR FAMILIES PROGRAM WILL INCREASE ACCESS TO FAMILY RESIDENTIAL TREATMENT AND IMPROVE TREATMENT RETENTION FOR LOW-INCOME AND BIPOC PREGNANT AND PARENTING WOMEN AND THEIR CHILDREN AND FAMILIES. THE PROJECT WILL STRENGTHEN WAYSIDE'S COMPREHENSIVE FAMILY RESIDENTIAL TREATMENT MODEL TO ADDRESS INCREASING MENTAL HEALTH NEEDS AND SUD ACUITY AMONG CLIENTS AND THROUGHOUT MINNESOTA. SERVICE ENHANCEMENTS INCLUDE EXPANDED MENTAL HEALTH AND PSYCHOLOGICAL SERVICES, INCREASED CARE COORDINATION FOR MEDICATION ASSISTED TREATMENT (MAT) AND MEDICAL, PERINATAL, AND PEDIATRIC APPOINTMENTS WITH TRANSPORTATION, OUTREACH TO INCARCERATED WOMEN WITH PROJECT SUCCEED CURRICULUM, AND CULTURALLY RELEVANT OVERDOSE AND FAMILY PREVENTION ACTIVITIES. AS A RESULT, WE WILL IMPROVE OUTCOMES FOR 925 WOMEN (150-200 ANNUALLY) AND THEIR 1,675 CHILDREN AND FAMILY MEMBERS (300-350 ANNUALLY) THROUGHOUT THE FIVE-YEAR GRANT TERM. WAYSIDE SPECIALIZES IN SERVING INDIVIDUALS WITH SIGNIFICANT HISTORIES OF SUD AND MENTAL HEALTH DIAGNOSES, TRAUMA, HOMELESSNESS, AND CRIMINAL JUSTICE AND CHILD PROTECTION INVOLVEMENT. ON AVERAGE, MORE THAN 40% OF OUR CLIENTS ENTER TREATMENT PREGNANT AND MORE THAN 70% ENTER WITH DEPENDENT CHILDREN. 47% IDENTIFY AS BLACK, INDIGENOUS, OR A PERSON OF COLOR (BIPOC) INCLUDING 17% INDIGENOUS, 13% AFRICAN AMERICAN, AND 17% BIRACIAL/MULTIRACIAL. OVER 96% OF ALL THE WOMEN WE SERVE ARE MEDICAID ELIGIBLE AND HAVE EXPERIENCED INTERGENERATIONAL POVERTY AND OPPRESSION. WAYSIDE'S PROGRAM GOALS AND MEASURABLE OBJECTIVES ARE TO: 1) INCREASE ACCESS TO INTEGRATED BEHAVIORAL HEALTH SERVICES FOR LOW-INCOME AND BIPOC PREGNANT, POSTPARTUM AND PARENTING WOMEN TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES BY PRIORITIZING ADMISSION OF PREGNANT WOMEN ON THE WAIT LIST; EXPANDING TRANSPORTATION CAPACITY TO AND FROM MAT DOSING; INCREASING ACCESS TO MENTAL HEALTH SERVICES BY 33%; AND INCREASING MEDICAL CARE COORDINATION TO SUPPORT TOXIN-FREE BIRTHS; 2) IMPROVE FAMILY STABILIZATION BY PROVIDING EVIDENCE-BASED INTERVENTIONS AND CULTURALLY-SPECIFIC WRAPAROUND SUPPORTS, CPS NAVIGATION TO REUNIFY FAMILIES AND PREVENT RECIDIVISM, AND 1:1 CASE MANAGEMENT AND PEER SUPPORT; 3) IMPROVE TREATMENT RETENTION AND INCREASE SUCCESSFUL COMPLETIONS AMONG PREGNANT AND PARENTING WOMEN BY INCREASING ACCESS TO ADULT AND CHILDREN'S MENTAL HEALTH SERVICES BY 50%; DELIVERING OVERDOSE EDUCATION AND NALOXONE TO THE COMMUNITY, AND CONDUCTING OUTREACH TO INCARCERATED WOMEN WITH PROJECT SUCCEED CURRICULUM; AND 4) MITIGATE THE EFFECTS OF PARENTAL SUBSTANCE USE AND ADVERSE EXPERIENCES WITH EARLY INTERVENTION AND DEVELOPMENTAL SUPPORT INCLUDING NEUROPSYCHOLOGICAL EVALUATIONS, PRENATAL ALCOHOL EXPOSURE SCREENING AND FASD EDUCATION, DEVELOPMENTAL AND MENTAL HEALTH ASSESSMENTS AND REFERRALS AND INCREASED PEDIATRIC CARE COORDINATION FOR PRENATAL EXPOSURE TO SUBSTANCES. IN 2009, WAYSIDE WAS THE FIRST IN MINNESOTA TO PROVIDE FAMILY RESIDENTIAL TREATMENT. TODAY WE REMAIN ONE OF ONLY THREE PROVIDERS IN THE STATE AND CONTINUE TO LEAD ADVANCEMENTS IN FAMILY SERVICE MODELS THAT STABILIZE FAMILIES AND REDUCE TRANSMISSION OF RISK FOR SUD AND TRAUMA IN FUTURE GENERATIONS. FOR THE PAST 15 YEARS WE HAVE WORKED WITH THE MINNESOTA DEPARTMENT OF HUMAN SERVICES TO PROVIDE CARE AND EVALUATE OUTCOMES FOR PREGNANT, POSTPARTUM AND PARENTING MOTHERS WITH SUD/COD AND THEIR FAMILIES. IN THAT TIME, WE HAVE GROWN TO SERVE NEARLY 70% OF ALL PREGNANT AND PARENTING WOMEN ACCESSING RESIDENTIAL TREATMENT THROUGHOUT THE STATE, IMPROVING THE HEALTH, SAFETY AND STABILITY OF HUNDREDS OF WOMEN AND CHILDREN EACH YEAR.