Grants to Expand Substance Abuse Treatment Capacity in Targeted Areas of Need - Local Recovery Oriented Systems of Care

archived

The Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment is accepting applications for fiscal year (FY) 2010 Grants to Expand Substance Abuse Treatment Capacity in Targeted Areas of Need – Local Recovery-Oriented Systems of Care (TCE - Local ROSC). This program is designed to foster the development and utilization of local recovery-oriented systems of care to address gaps in treatment capacity by supporting person-centered and self-directed approaches for substance abuse (including alcohol and drug) treatment and recovery services in communities with serious drug problems. The purpose of this program is to expand the community's ability to provide integrated and comprehensive community-based responses to a targeted, well-documented substance abuse treatment capacity problem and/or improve the quality and intensity of services. This program serves to develop local recovery-oriented systems of care that will expand and/or enhance substance abuse services and promote recovery. The local recovery-oriented system of care must include linkages between substance abuse treatment/recovery services and primary health care and mental health care services. Applicants will also be expected to establish at least two additional linkages with systems/services appropriate to their population of focus. The focus is on providing support for local organizations, including grass-roots, faith- and community-based treatment programs, and recovery community organizations, that can link services critical to the population of focus and deliver them in a manner consistent with the principles of recovery-oriented systems of care. Recovery-oriented systems of care (ROSCs) support person/family-centered and self-directed approaches to care that build on the personal responsibility, strengths, and resilience of individuals, families, and communities to achieve sustained health, wellness, and recovery from alcohol and drug problems. ROSCs offer a comprehensive menu of services and supports that can be combined and readily adjusted to meet the individual's needs and chosen pathway to recovery. ROSCs encompass and coordinate the operations of multiple systems, providing responsive, outcomes-driven approaches to care, and require an ongoing process of systems improvement that incorporates the experiences of those in recovery and their family members. ROSCs are founded on a chronic care model of substance use treatment and recovery services that uses recovery management approaches to engage and treat, and provide recovery support services that help individuals/families sustain their recovery. Recovery from alcohol and drug use disorders includes abstinence, improved health, wellness, and quality of life. However, many individuals with substance use disorders have a higher prevalence for a number of medical conditions, including hypertension, congestive heart failure, pneumonia, and heart disease. In addition, the number of people with co-occurring substance use and mental health disorders is estimated at about 5.2 million or 23% of people with substance use disorders. To address the prevalence of medical conditions and mental health disorders among individuals with substance use disorders, the local ROSCs must include linkages to primary health care and mental health care services. SAMHSA/CSAT intends to fund projects for FY 2010 that expand and enhance treatment within the context of a local ROSC. The addiction treatment field, using a public health model, is moving toward a recovery-oriented approach that involves linkages to other systems along with a full array of treatment and recovery services that encourages people and families to initiate and remain in treatment and sustain their recovery. This includes networking with other systems, peer recovery support organizations, and other organizations that can provide needed services to those in the population of focus seeking recovery from substance use disorders. The TCE - Local ROSC grant program is one of SAMHSA's services grant programs. SAMHSA's services grants are designed to address gaps in substance abuse services and/or to increase the ability of States, units of local government, American Indian/Alaska Native Tribes, and tribal organizations, and grass-roots, community- and faith-based organizations to help specific populations or geographic areas with serious, emerging substance abuse problems. SAMHSA intends that its services grants result in the delivery of services as soon as possible after award. Service delivery should begin by the 4th month of the project at the latest. TCE - Local ROSC grants are authorized under Section 509 of the Public Health Service Act, as amended. This announcement addresses Healthy People 2010 focus area 26 (Substance Abuse).

High