Guam TCE- sanctuary - the westcare pacific islands, INC. (WPI) targeted capacity expansion (TCE) program proposes to expand and enhance wpis current treatment and recovery services by treating 150…

The Substance Abuse and Mental Health Services Administration (SAMHSA) awarded Westcare Pacific Islands, Inc. $375,000 in obligated funding on September 30, 2026, under the Center for Substance Abuse Treatment Projects of Regional and National Significance program (CFDA 93.490) to expand and enhance substance use disorder and co-occurring disorder treatment services for youth and families in Guam.

WPI will treat 150 unduplicated youth aged 12–17 and their families over the three-year performance period ending September 29, 2029. The organization will hire additional qualified clinical treatment professionals and paraprofessionals to deliver integrated, culturally appropriate residential substance use and co-occurring disorder treatment using evidence-based practices including cognitive-behavioral therapy, Seeking Safety, motivational interviewing, and the ASAM criteria. WPI will also implement new tobacco and e-cigarette cessation groups serving both youth in residential programs and those in the community.

Project objectives include providing residential SUD/COD treatment to all 150 youth with 90 percent of evidence-based practices monitored and adhered to fidelity; achieving 65 percent treatment completion rates; and demonstrating 70 percent of treatment completers with reduced substance use or substance-free status at six months post-admission and 60 percent maintaining or reducing substance use at discharge. WPI will also work to reduce behavioral and social consequences related to substance misuse by increasing access to recovery support services for youth and families. Work is performed in Guam.

Guam TCE- sanctuary - the westcare pacific islands, INC. (WPI) targeted capacity expansion (TCE) program proposes to expand and enhance wpis current treatment and recovery services by treating 150 unduplicated youth (aged 12-17) and families within the island of guam over the three-year project period. With $1,125,000 in samhsa funds, WPI will 1) hire additional qualified clinical treatment professionals and paraprofessionals for residential substance use (SUD) and CO-occurring disorder (COD), and 2) implement new tobacco/e-cigarette-cessation groups to include youth in the community and in residential programs. WPI TCE goals are to 1) increase the availability of and access to residential substance use and CO-occurring treatment services to reduce substance use/misuse, mental health symptoms, and related health consequences for youth and their families living in guam; and 2) reduce the behavioral and social consequences related to substance use/misuse by increasing access to and availability of recovery support services for youth and their families living in guam. Objectives, to be accomplished by sept. 29, 2028, for goal 1 are:1) to provide integrated culturally appropriate client-centered residential SUD/COD treatment using CBT, seeking safety, MI, the asam criteria, the matrix model and the c-ssrs to 150 unduplicated youth ages 12-17 years old and their families as documented in the electronic health record (EHR); 2) 90% of ebps will be monitored and adhere to fidelity with the remaining 10% used for culturally appropriate adaptations as documented by the fidelity monitoring checklist for EBP; 3) 65% of youth will complete treatment measured by the discharge reason; 4) 70% completing treatment will have reduced substance use or be substance free at 6-months post admission, and 60% of those will maintain or have reduced substance use at discharge as measured by the gpra; 5) 70% completing treatment who exhibit mental health symptoms at intake will exhibit fewer symptoms at 6-months post admission, and 60% of those will maintain the improvements or show additional decreases at discharge as measured by the pediatric symptom checklist-17; 6) 70% completing treatment who exhibit suicide ideation or suicidal behaviors at intake will exhibit fewer symptoms at 6-months post admission, and 60% of those will maintain the improvements or show additional decreases at discharge as measured by the c-ssrs; 7) 80% of engaged youth will be linked to additional community resources, including medical, employment, educational, financial, and other supports as needed as documented in the EHR; 8) 90% of youth will be satisfied with the program and its services, measured by participant satisfaction surveys distributed at discharge. Objectives, to be accomplished by sept. 29, 2028, for goal 2 are 1) to provide tobacco/e-cigarette cessation "not on tobacco® (n-o-t) groups to 150 youth engaged in the program as well as youth in the community once per week as measured by EHR; 2) 90% completing treatment will be connected to the case manager to assist with case navigation and recovery support after program exit and create a comprehensive recovery plan as measured by having a completed plan and sessions documented in the EHR.; 3) of the youth engaged in the program, 90% of families will engage in family group sessions and fun family activities as measured by attendance logs; 4) 75% completing treatment will have improved social connectedness at 6-months post admission, and 65% will maintain these improvements at discharge as measured by the gpra; and 5) 90% of stakeholders (i.e. community partners) will be satisfied with the program and its services as measured by stakeholder satisfaction surveys distributed annually.