Mirrors+(maternal initiative for reflective recovery-oriented residential services plus): santa maria hostel, INC. (SMH; applicant and specialized provider of licensed SUD treatment and CO-occurring…

Mirrors+(maternal initiative for reflective recovery-oriented residential services plus): santa maria hostel, INC. (SMH; applicant and specialized provider of licensed SUD treatment and CO-occurring disorder services, prevention, intervention, housing, and recovery support), proposes an expanded and enhanced residential program with gender-responsive, trauma-informed, integrated, and family-focused services. Mirrors+ will be an addition to an existing and separately funded specialized residential SUD treatment program for pregnant and postpartum women at SMH. Partners include baylor college of medicine, (medical director/medical care and addiction medicine services), university of texas SAN antonio (project evaluation), harris health mpat clinic (SUD/high-risk OB clinic; community supplemental services). Mirrors+ will offer a comprehensive array of services based on individualized need and coordinated through active case management; integrated treatment/family/recovery wellness plans; and required supplemental services for the women and their children/family members. Mirrors+ will serve high-risk pregnant/postpartum women, with particular emphasis on under-resourced communities/EO13985 priority populations (more than 64% underserved communities greatly impacted by SUD) facing gender, racial and social inequities/disparities, CO-occurring SUD/mental health disorders, dfps or criminal justice involvement, and housing instability/homelessness. Demographic profile based on SMH treatment caseloads also includes risk factors of trauma/abuse (childhood/recent), histories of SEX trafficking/prostitution, chronic health conditions, financial hardship/distress (low-income, uninsured, indigent), family dysfunction and absence of a positive support network. Population of focus will be primarily single, unemployed, having not graduated high school/obtained GED, at/below 100% of FPL. Women served expected: ages 18-24 (20%), 25-34 (65%), 35-44 (15%); racial/ethnic distribution 36% caucasian, 33% african american, 23% hispanic/latinx, 8% multiracial/other; within EO13985 priority populations. Majority will have english and/or spanish as primary language. Majority will identify female and heterosexual; small minority will identify transgender or lgbtq+. Primary referrals include dfps, probation and specialty drug/family courts. Service area: houston MSA, harris county, TX and 13 counties of TX public health region 6. The goal of mirrors+ is to improve behavioral health, recovery, family functioning and quality of life outcomes for PPW and their families in an underserved community by expanding capacity and enhancing services of SMH existing residential treatment program for PPW and children through addition of tailored staff, provision of an integrated array of culturally appropriate, evidence-based, trauma-informed and family-focused services, and individualized family service plans coordinated through active case management. Measurable objectives 1. Provide culturally adapted, evidence-based, trauma- informed services to 310 PPW, 64% from underserved communities impacted by SUD, by 9-29-28. 2. Screen, identify, engage, and support 310 PPW by 9-29-28 to improve access and retention in treatment services. 3. 75% of clients will be retained in SUD treatment 30 days or longer. 4. Provide recovery support services and active case management through a dedicated peer recovery coach for 310 PPW by 9-29-28. 5. Provide harm reduction services to 310 women/150 family members, including overdose education, by 9-29-28. 6. Develop family-focused service plans for 100% of retained clients by 9-29-28. 7. At least 60% of retained clients will have family members involved in their treatment while enrolled in mirrors+. 8. Retained clients will show at least a 10% decrease in behavioral health/trauma symptoms and substance use by time of discharge. 9. By time of discharge, at least 85% of retained clients will exit to stable housing.