Wcky samhsa TCE reach - westcare kentucky in pike county, KY, is proposing this targeted capacity expansion: special projects from samhsa (TCE), recovery expansion and access in community health…

The Substance Abuse and Mental Health Services Administration (SAMHSA) awarded Westcare Kentucky, Inc. $1.875 million on September 30, 2025, under the Substance Abuse and Mental Health Services Projects of Regional and National Significance program (CFDA 93.243) to expand substance use disorder and co-occurring disorder treatment capacity in rural eastern Kentucky.

Westcare Kentucky will provide evidence-based assessment, case management, residential and outpatient treatment, recovery housing, naloxone distribution, and peer recovery support to 640 unduplicated adults experiencing substance use disorder and/or co-occurring disorders across Letcher, Floyd, Knott, Johnson, Magoffin, Harlan, and Perry counties over the three-year performance period ending September 29, 2028. Services will be delivered through both telehealth and in-person modalities. The funded activities include hiring two additional outreach coordinators, acquiring a vehicle for mobile rural outreach, and increasing recruitment for Westcare Kentucky's state-approved peer support specialist academy. Project goals focus on reducing overdose risk through targeted mobile outreach linking high-risk adults to treatment services, and reducing behavioral health and social consequences of substance use through peer mentoring, case management, navigation services, and referrals tailored to individual participant needs. Performance will be measured against objectives with completion targeted for September 29, 2028. Administrative oversight and place of performance is Pikeville, Kentucky.

Wcky samhsa TCE reach - westcare kentucky in pike county, KY, is proposing this targeted capacity expansion: special projects from samhsa (TCE), recovery expansion and access in community health (reach) to expand outreach to letcher, floyd, knott, johnson, magoffin, harlan, and perry counties in eastern KY to serve 640 unduplicated adults who are experiencing substance use disorder (SUD) and/or CO-occurring disorders (COD), over the three-year project period. Services will include evidence-based modalities for assessment, case management, residential and outpatient treatment, recovery housing, telehealth and in-person delivery, naloxone distribution, and peer recovery support. The $1,125,000,000 project funds will 1) increase westcare kentucky's capacity to include two (2) additional outreach coordinators to our existing team of professionals and paraprofessionals; 2) acquire a vehicle to conduct expanded outreach, and 3) increase recruitment for our state-approved peer support specialist academy for the support needed for increased clients. The goals of reach are 1) to reduce overdose risk in rural letcher, floyd, knott, johnson, magoffin, harlan, and perry counties in eastern kentucky by implementing targeted mobile rural outreach services to link high risk adults to treatment services for substance use disorder (SUD) and/or CO-occurring disorder (COD) and support services; and 2) to reduce behavioral health, mental health, and social consequences related to substance use/misuse for adults in rural letcher, floyd, knott, johnson, magoffin, harlan, and perry counties in eastern kentucky with evidence-based treatment and recovery support services including peer mentoring, case management, navigation services, referrals, and linkage to services as necessary based on the participant's individual needs. The measurable objectives for goal 1 will be met by sept. 29, 2028: 1.1 provide outreach and evidence-based, trauma informed, person-centered comprehensive SUD or COD treatment, and recovery support services to 640 adults; 1.2 80% of clients identified as needing moud will receive specialized medication assisted harm reduction services; 1.3) 98 % of clients will be offered tobacco cessation services; 1.4: 8% of clients will be offered alcohol-specific harm reduction services, including maud; 1.5: train 100 peer support specialists from letcher, floyd, knott, johnson, magoffin, harlan, and perry counties; 80% of trained PSS will become state certified as documented by wcky academy. The measurable objectives for goal 2 will be met by sept. 29, 2028: 2.1: 90% of clients will be screened with c-SSR and 90% with elevated suicide risk will receive clinical and/or crisis intervention services. At discharge 90% will report reduced risk as evidenced by the c-SSR and clinical record; 2.2: 80% of SUD/COD clients will successfully complete the program as evidenced by the clinical record; 2.3: 80% of completers will have stable permanent recovery supportive housing at discharge as evidenced by clinical record; 2.4: 80% of clients who complete seeking safety will exhibit fewer trauma symptoms at 6-months post admission and 70% of those will maintain the improvements or show further decreases at discharge as assessed by the PCL-5; 2.5: 80% of clients will reduce or eliminate substance use at 6-months post admission, and 80% of completers will be substance free during the 30 days prior to discharge assessed by the discharge as assessment and urinalysis; 2.6: 80% of clients presenting with symptoms of anxiety, depression or other mental health symptoms at intake will report fewer symptoms at 6-months post admission and discharge as assessed by the gpra and modified mini screen; 2.7: 80% of clients who need primary care services at intake will be linked to care; 70% of those will maintain linkage at discharge and 6- months post admission as assessed by the gpra and discharge assessment.