Passages intensive outpatient program expansion for women with SUD/COD - through the project passages intensive outpatient program expansion for women with SUD/COD , the women's home (TWH), a…

The Substance Abuse and Mental Health Services Administration awarded The Women's Home $1.5 million under the Substance Abuse and Mental Health Services Projects of Regional and National Significance program (CFDA 93.243) on September 30, 2025, to expand its Passages Intensive Outpatient Program for women with substance use and co-occurring mental health disorders.

The Women's Home will establish a second IOP site in the Spring Branch East neighborhood of Northwest Houston, Texas, delivering gender-specific, trauma-informed outpatient treatment services to 225 adult women over the three-year performance period ending September 29, 2028. Services will be offered in English and Spanish. The program targets low-income women ages 18 and older, including those who are women of color, justice-involved, experiencing housing instability, or uninsured. Over 75 percent of the client population has experienced trauma.

The expansion directly addresses a documented service gap: Harris County has only 13 outpatient providers serving uninsured women despite an estimated 175,000 adult women with substance use or co-occurring disorders in the county. Emergency visits for women have risen over 130 percent since 2019, and the September 2025 closure of Santa Maria Hostel's Jacquelyn Street Campus eliminated nearly 40 percent of that provider's treatment capacity. The Women's Home, a Houston-based nonprofit with over two decades of experience providing trauma-informed behavioral health care for women, will operate the expanded program from Houston, Texas 77055.

Passages intensive outpatient program expansion for women with SUD/COD - through the project passages intensive outpatient program expansion for women with SUD/COD , the women's home (TWH), a houston-based nonprofit with over two decades of experience providing trauma-informed behavioral health care for women, seeks samhsa support to expand its passages intensive outpatient program (IOP) to a second site in the spring branch east neighborhood of northwest houston, TX. This new location will increase access to gender-specific treatment for low-income women with substance use and CO-occurring mental health disorders. Over the three-year grant period, the program will serve 225 women who would otherwise face long waitlists or no access to care at all. Recent community and state data reveal a growing behavioral health crisis in houston, harris county, TX, particularly for women. According to the national survey on drug use and health and texas hhsc, over 175,000 adult women in the county are estimated to have a substance use or CO-occurring disorder. Yet only 13 outpatient providers currently serve uninsured women and emergency visits for women have risen by over 130% since 2019. The closure of santa maria hostel's jacquelyn street campus in september 2025-eliminating nearly 40% of that provider's treatment capacity-will further widen this service GAP. TWH's proposed expansion directly responds to these data-driven needs by offering evidence-based outpatient services in a neighborhood facing acute provider loss and high community need. The project will focus on adult women (ages 18+), most of whom are low-income, women of color, justice-involved, and/or experiencing housing instability. Based on internal client data, more than 75% have experienced trauma, and the majority are uninsured. Many also face caregiving burdens and stigma-related barriers to treatment. Services will be offered in english and spanish to increase accessibility for houston's linguistically diverse population. The expanded IOP will deliver a comprehensive array of trauma-informed, evidence-based, and gender-responsive services, including asam level 1 outpatient treatment, the matrix model, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), integrated dual disorder treatment (iddt), and motivational interviewing (MI). Participants will receive individualized treatment planning, individual and group therapy, case management, peer support, and wraparound services. The program also includes family counseling, vocational support, tobacco cessation, and harm reduction interventions such as naloxone education and overdose prevention. The goals of the project are twofold. First, to expand access to high-quality outpatient SUD/COD treatment in houston. By month 4, we will launch the fully operational IOP at spring branch east. Over three years, we will serve 225 unduplicated women-50 in year 1, 75 in year 2, and 100 in year 3. Outcome targets include: 60% treatment completion, 95% abstinence, 95% stable housing, 95% engagement in ongoing recovery, 95% with no new arrests, and 25% employed at discharge. Second, we will strengthen program infrastructure to support quality, performance, and sustainability. TWH will implement a comprehensive data collection and evaluation system aligned with samhsa's gpra requirements. Monthly performance tracking and quarterly continuous quality improvement (CQI) meetings will begin in month 4. By month 18, we will develop a long-term sustainability plan to ensure the program's continued operation post-grant. This project builds on the women's home's decades-long commitment to helping women overcome the complex challenges of addiction, mental illness, poverty, and trauma. By expanding passages IOP to the spring branch east campus, we will offer hundreds of women the opportunity to reclaim their lives and build safe, healthy, and hopeful futures.