Transaction Description:
RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND POSTPARTUM WOMEN AND THEIR CHILDREN - CHRYSALIS HOUSE, INC., (CH) LOCATED IN LEXINGTON, KY, REQUESTS $525,000 FOR YEAR ONE YEAR GRANT FUNDING OF A FIVE-YEAR PROJECT FOR RESIDENTIAL TREATMENT FOR PREGNANT AND POSTPARTUM (PPW) WOMEN. CH WILL PROVIDE LOW-INCOME PROJECT PARTICIPANTS COMPREHENSIVE, INDIVIDUALIZED SCREENINGS AND ASSESSMENTS THAT INFORM TREATMENT PLANNING AND SERVICE DELIVERY IN A CONTINUOUS CARE MODEL ACROSS A CONTINUUM OF SPECIALTY SUD RESIDENTIAL AND OUTPATIENT LEVELS OF CARE. BETWEEN 2017-2021 CH SERVED 345 MEMBERS OF THE TARGET POPULATION. OF THESE, 91% IDENTIFIED AS WHITE; 6% AS BLACK; 0% AS ASIAN; 2% AS TWO OR MORE RACES; 1% AS OTHER RACES; AND 0% AS HISPANIC OR LATINO. THE MEDIAN AGE WAS 33; 100% WERE LOW-INCOME; 94% WERE UNEMPLOYED AT ENTRY; AND 59% WERE HIGH SCHOOL GRADUATES OR HIGHER. OF THE PARTICIPANTS SERVED AT CHRYSALIS DURING 2021, 74% WERE PREGNANT AND 90.7% HAD MINOR CHILDREN. MISUSED SUBSTANCES INCLUDED METHAMPHETAMINE (72.1%), FOLLOWED BY HEROIN (46.5%), MARIJUANA (32.6%), AND OTHER OPIATES (23%); 48.8% INDICATED FAIR OR POOR HEALTH; 74.4% REPORTED EXPERIENCING DEPRESSION AND/OR ANXIETY IN THE LAST 30 DAYS, 22% REPORTED BEING PRESCRIBED MEDICATIONS FOR MENTAL HEALTH; 6.8% RECEIVED OUTPATIENT TREATMENT IN THE PAST 30 DAYS. OVER 80% REPORTED VIOLENCE OR TRAUMA OVER THEIR LIFETIME. CHRYSALIS WILL UTILIZE A TRAUMA INFORMED APPROACH TO PROVIDE EVIDENCE-BASED PRACTICES SUCH AS GROUP CURRICULA, MEDICALLY ASSISTED TREATMENT, CBT, AND FAMILY AND PARENTING INTERVENTIONS CHOSEN FOR THEIR EFFECTIVENESS WITH THE TARGET POPULATION; IN-HOUSE AND COMMUNITY-BASED RECOVERY SUPPORT SERVICES; AND PREVENTION AND HARM REDUCTION STRATEGIES TO PROMOTE LONG-TERM RECOVERY AND SAFE, HEALTHY, AND STABLE FAMILIES. GOALS AND OBJECTIVES FOR THE PROJECT INCLUDE: 1) TO ENSURE PROJECT IMPLEMENTATION, EVALUATION, AND CONTINUOUS QUALITY IMPROVEMENT. 2) TO DECREASE THE USE AND/OR ABUSE OF PRESCRIPTION AND ILLICIT DRUGS AND OTHER HARMFUL DRUGS AMONG PPW. OBJ: A. CONDUCT ONGOING COMPREHENSIVE CLINICAL SCREENING AND ASSESSMENTS TO DETERMINE THE APPROPRIATE ASAM LEVEL OF CARE (LOC) AND INFORM TREATMENT PLANNING AND SERVICE DELIVERY IN A CONTINUOUS CARE MODEL; B. PROVIDE COMPREHENSIVE SUD TREATMENT SERVICES, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS AT THE APPROPRIATE LOC RESULTING IN IMPROVED TREATMENT OUTCOMES. 3) TO DECREASE THE PERINATAL EFFECTS OF MATERNAL SUD, INCLUDING SYMPTOMOLOGY OF NAS AMONG BABIES BORN TO WOMEN WITH A PRIMARY OR SECONDARY DIAGNOSIS OF OUD RECEIVING RESIDENTIAL TREATMENT. OBJ: A. ENSURE QUALITY PRENATAL, POSTPARTUM, AND ONGOING MEDICAL CARE, INCLUDING MAT IF APPROPRIATE AND DESIRED, FOR WOMEN RECEIVING RESIDENTIAL TREATMENT; B. PROVIDE EVIDENCE-BASED PRENATAL PARENTING CLASSES TO 100% OF PREGNANT WOMEN RECEIVING RESIDENTIAL TREATMENT; C. 100% OF PREGNANT CLIENTS WILL RECEIVE PRENATAL CARE, AND 100% OF INFANTS AND CHILDREN PARTICIPATING PROGRAM WILL RECEIVE COMPREHENSIVE, INDIVIDUALIZED SERVICES. 4) TO IMPROVE PARENTING SKILLS, FAMILY FUNCTIONING, ECONOMIC STABILITY, AND QUALITY OF LIFE FOR PREGNANT AND PARENTING WOMEN, THEIR MINOR CHILDREN AND EXTENDED FAMILY MEMBERS THROUGH THE PROVISION OF COMPREHENSIVE SUD TREATMENT, RECOVERY SUPPORT SERVICES, AND HARM REDUCTION INTERVENTIONS. OBJ: A. PROVIDE EVIDENCE-BASED PARENTING INTERVENTIONS WHICH WILL RESULT IN IMPROVED PARENTING SKILLS: B. PROVIDE ALL REQUIRED PPW SERVICES WHICH WILL CONTRIBUTE TO IMPROVED OUTCOMES FOR WOMEN, CHILDREN, AND THE FAMILY UNIT BY ENHANCING COORDINATION WITH MULTIPLE SERVICE PROVIDERS AND PROMOTING ADHERENCE TO INDIVIDUAL CASE PLANS. CHRYSALIS PROPOSES TO SERVE 50 UNDUPLICATED PPW, THEIR MINOR CHILDREN, FATHERS OF THE CHILDREN, PARTNERS OF THE WOMEN, AND EXTENDED FAMILY MEMBERS OF THE WOMEN AND CHILDREN PER EACH YEAR OF THE FIVE-YEAR PROJECT, FOR A TOTAL OF 250 PPW AND THEIR FAMILIES SERVED OVER THE PROJECT PERIOD.