Grant Details

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Authority

Summary

History of Funding

None is available.

Additional Information

Required Activities: You are expected to begin the delivery of services by the fourth month of the award.  You are expected to serve the unduplicated number of individuals proposed in the Project Narrative (B.1). Be realistic in establishing this number. You must provide a description in B.2. of the Project Narrative of how you plan to implement all the required activities listed below.  

Recipients are required to carry out each of these activities: 

• To support a family-centered treatment approach for this population, the following core services must be provided:  
  • A culturally competent process for screening, assessment, and treatment planning must be established to facilitate the availability of family based treatment and recovery support services. This includes the provision of services for pregnant and postpartum women, their minor children, age 17 and under, and other family members of the women and children. 
  • Community outreach and engagement strategies (e.g., psychoeducation, familiarizing with treatment, outreach phone calls, text messages, and other forms of contact, treatment reminders, connecting with peers, etc.) for underserved populations as defined in Executive Order 13985 to effectively recruit and retain them in treatment. When possible, implement cultural matching of women and providers. 
  • Wrap-around”/recovery support services (e.g., childcare, family peer support, peer support for linkage to permanent housing, employment, vocational, educational, and transportation services) designed to improve access and retention in services.  
  • Collaboration with recovery community organizations (if available) or peer support specialists/providers. 
  • Services that provide a continuum of care, including outpatient levels of care, and access to residential care as indicated for the needs of the woman and her family.  
  • Family-focused programs to support family strengthening and reunification, including parenting education and evidence-based interventions and social and recreational activities. 
  • Clinically appropriate trauma-informed approaches and evidence-based practices (EBPs) for treatment of persons with a primary diagnosis of SUDs, with emphasis on OUD. Clinical treatment may include evidence-based outpatient and intensive outpatient services.  
  • FDA-approved medications (e.g., methadone, buprenorphine products including buprenorphine/naloxone combination formulations and buprenorphine mono product formulations, or injectable buprenorphine) must be offered to all pregnant women with an OUD with choice of medication individually determined between the participant and her appropriately licensed healthcare provider. This may be provided in combination with psychosocial interventions (e.g., counseling) as individually determined. Participants cannot be refused any grant-supported services on the basis of they're taking a medication for OUD.  
  • Case management services should include care coordination for the required services the women and their minor children need based on comprehensive screenings and assessments as described above. Assist in applying for assistance under Federal, State, and local programs, such as Medicaid for the provision of health services, behavioral health services, and other social services including employment and educational services. It should promote family reunification with children in kinship or foster care arrangements, where safe and appropriate. 
• Develop a program Steering Committee, or use an existing group, that will:  
  • Provide support to the project and advise on program design and implementation models.  
  • Represent multiple sectors, including, but not limited to, the following:  
    • maternal health;  
    • behavioral health; 
    • education; 
    • employment; 
    • transportation;
    • housing; 
    • childcare; 
    • Head Start; 
    • child welfare; 
    • early intervention;  
    • pregnant and postpartum women in recovery and family members with lived experience in addiction recovery; and 
    • Medicaid. 
  • If a representative committee that includes the required sectors already exists in the state, award recipients should describe that group and how they would fulfill the requirements of the Steering Committee for this program, if the state should choose to use that group.  
  • Monitor, provide guidance, and ensure that program services reach women in underserved communities, as defined by Executive Order 13985, who are at a heightened risk of pregnancy-related death. 
  • Promote effective and efficient coordination and delivery of services across multiple systems and providers (e.g., behavioral health, primary care, housing, child, and family services).  
  • Promote the linkage to recovery and resilience for those individuals and families impacted by trauma.  
• Develop a needs assessment using statewide epidemiological data (if a needs assessment effort is already in place, work with the local, state, territorial, or tribal epidemiological outcomes workgroup to enhance and supplement the current process and its findings).  
  • The needs assessment should identify gaps in services provided to pregnant and postpartum women along the continuum of care with a primary diagnosis of a SUD, with an emphasis on OUD.  
• Develop and implement a state strategic plan or enhance an existing plan to ensure sustained partnerships across public health and other systems that will result in short- and long-term strategies to support family-based treatment services along the continuum of care for pregnant and postpartum women.  
  • The elements of the implementation plan should include identifying geographic and population specific areas of high need, service gaps, resources, goals, strategies, and activities, including policy change, capacity building, and program/service development. 
• Promote trauma-informed approaches throughout the system of care for pregnant and postpartum women and families. 
• Develop and implement tobacco cessation programs, activities, and/or strategies.

ALLOWABLE ACTIVITIES 

Allowable activities are not required. Applicants may propose to use funds for the following activities after ensuring that they can carry out all required activities:  

• Provide activities that address behavioral health disparities and the social determinants of health. 
• Develop and implement outreach and referral pathways that engage all demographic groups representative of your community. 
• Assess for and respond to the needs of individuals and families served by the program who are at risk for or experiencing homelessness. This could include an assessment of homelessness risk, housing status, and eligibility for federal housing programs, and collaboration with homeless services organizations and housing providers, including referral partnerships with public housing agencies and coordination with local homeless Coordinated Entry systems. 
• Partner and collaborate with relevant organizations with the goal of identifying referral resources and training resources, and to collaborate on improving response processes for victims of gender-based violence. 
  • Such organizations should include local, state, and national hotlines, shelters, rape crisis centers, domestic violence coalitions, sexual assault coalitions, victim advocate resources, medical and forensic services, peer support services, law enforcement, legal, housing, economic assistance, immigration assistance, aging and disability services and culturally specific programs.  
  • Assist with identifying permanent housing options for survivors of gender-based violence in partnership with organizations serving homeless or housing insecure people and public and private housing agencies. Coordinate with local HUD Continuums of Care (CoCs) to enroll individuals in the local CoC Coordinated Entry System (CES). 

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