Project Grant H79TI086662

HRISTORE (HOMELESS RISTORE - REHABILITATING INDIVIDUALS SO THEY OVERCOME RECIDIVISM) - THE DAMASCUS HOUSE COMMUNITY DEVELOPMENT CORPORATION (DHCDC) WILL IMPLEMENT PROJECT HRISTORE TO PROVIDE COMPREHENSIVE, COORDINATED, AND EVIDENCE-BASED TREATMENT AND SERVICES FOR UNDUPLICATED COUNT OF 500 HOMELESS ADULTS WHO ARE REENTERING PRINCE GEORGE'S COUNTY, MARYLAND AFTER A PERIOD OF INCARCERATION. PROGRAM PARTICIPANTS WILL BE ADULTS AGED18 YEARS OR OLDER; HOMELESS; WITHIN NO LESS THAN THREE (3) MONTHS OF RELEASE FROM A CORRECTIONAL FACILITY; ASSESSED AS BEING AT MODERATE OR HIGH CRIMINOGENIC RISK; ABLE TO PROVIDE WRITTEN CONSENT TO PARTICIPATE IN THE PROGRAM; NOT A REGISTERED SEX OFFENDER AND/OR AN ARSONIST; AND NOT HAVING ANY DETAINERS, WARRANTS, OR HOLDS THAT WOULD JEOPARDIZE PARTICIPATION IN THE PROGRAM THE TARGET POPULATION HAS A MEDIA AGE OF 25 YEARS AND IS 95% MALE; 79% BLACK NON-HISPANIC; 14 % HISPANIC; AND 10% NON-HISPANIC WHITES. ONE QUARTER (25%) HAVE BEEN DIAGNOSED WITH SOME LEVEL OF MENTAL ILLNESS AND 78% OF HAVE A SUBSTANCE USE DISORDER (SUD). ALMOST THREE FOURTHS (71%) OF INMATES RECIDIVATE. THE PRINCE GEORGE'S COUNTY DEPARTMENT OF CORRECTIONS WILL REFER REENTERING INMATES WHO ARE HOMELESS TO THE PROJECT AND COLLABORATE WITH DHCDC TO OFFER PRE-RELEASE ASSESSMENT AND SERVICES. THE COUNTY'S HEALTH DEPARTMENT AND WORKFORCE DEVELOPMENT AGENCIES WILL PROVIDE A RANGE OF RECOVERY SUPPORT SERVICES. THREE EXPERIENCED, LICENSED, OUTPATIENT MENTAL HEALTH PROVIDERS WILL DELIVER SUD AND MENTAL HEALTH SERVICES TO PARTICIPANTS. PROJECT SERVICES WILL INCLUDE RISK ASSESSMENT; ASSESSMENT OF SOCIAL DETERMINANTS OF HEALTH (SDOH); PLACEMENT IN DHCDC OR OTHER LOCAL TRANSITIONAL AND SUPPORTIVE HOUSING; SUD, OPIOID USE DISORDER, AND MENTAL HEALTH TREATMENT INCLUDING CULTURALLY AND LINGUISTICALLY COMPETENT AND GENDER-APPROPRIATE TRAUMA AND GRIEF-INFORMED CARE; CASE MANAGEMENT, PEER SUPPORT; PSYCHIATRIC REHABILITATION PROGRAMS; LINKAGE TO PRIMARY CARE, LEGAL AID, WORKFORCE DEVELOPMENT, AND JOB PLACEMENT; AND TRANSPORTATION SERVICES. THE PROJECT'S GOALS AND OBJECTIVES ARE AS FOLLOWS: GOAL 1) PROVIDE RECOVERY TRANSITIONAL AND SUPPORTIVE HOUSING TO AN UNDUPLICATED COUNT OF 500 INDIVIDUALS WHO REENTER THE COMMUNITY AFTER A PERIOD OF INCARCERATION. OBJECTIVE 1.1 STRENGTHEN THE REFERRAL AND TRANSITION PROCESS BY CONDUCTING PRE-RELEASE ASSESSMENT AND PLANNING FOR 500 INMATES STARTING NO LATER THAN THREE (3) MONTHS PRIOR TO RELEASE AND PREFERABLY AS EARLY AS SIX (6) MONTHS. GOAL 2) DELIVER BEHAVIORAL HEALTH OUTREACH, TREATMENT AND RECOVERY-ORIENTED SERVICES TO AN UNDUPLICATED COUNT OF 500 INDIVIDUALS WHO ARE HOMELESS AFTER A PERIOD OF INCARCERATION. OBJECTIVE 2.1 DELIVER EVIDENCE-BASED, TRAUMA-INFORMED, CULTURALLY COMPETENT AND GENDER APPROPRIATE SERVICES TO 500 PARTICIPANTS. GOAL 3) ASSIST A MINIMUM OF 70% OF ALL PARTICIPANTS TO MAINTAIN SOBRIETY, STABLE HOUSING, STABLE EMPLOYMENT AND TRANSPORTATION, 12 MONTHS POST DISCHARGE. OBJECTIVE 3.1 PERIODICALLY ASSESS THE SDOH OF AN UNDUPLICATED COUNT OF 500 INDIVIDUALS WHO ARE EXPERIENCING HOMELESSNESS AFTER A PERIOD OF INCARCERATION OBJECTIVE 3.2 REFER ALL (100%) PARTICIPANTS WITH SDOH TO APPROPRIATE SDOH MITIGATION SERVICES AND FOLLOW UP TO ENSURE TIMELY RECEIPT OF SERVICES. HRISTORE DESIRED OUTCOMES ARE: - 70% OF PARTICIPANTS IN STABLE, PERMANENT HOUSING AFTER 12 MONTHS IN THE PROGRAM - 60% OF PARTICIPANTS IN SCHOOL OR GAINFULLY EMPLOYED AFTER 6 MONTHS IN THE PROGRAM - 90% OF PARTICIPANTS REMAIN IN STABLE PERMANENT HOUSING 6 MONTHS AFTER DISCHARGE - 90% OF PARTICIPANTS MAINTAIN SOBRIETY 6 MONTHS AFTER DISCHARGE - 10% DECREASE FROM BASELINE IN THE PARTICIPANT RECIDIVISM RATE