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The Substance Abuse and Mental Health Services Administration (SAMHSA) today announced the award of 15 grants to community-based organizations totaling almost $13.5 million over three years to provide treatment services to adolescents with substance abuse problems. Grantees receiving these awards will utilize known, effective strategies that include families as an integral part of the treatment process.
“Families are an integral part of the treatment process and their inclusion increases the likelihood of successful treatment and recovery,” said Assistant Surgeon General Eric Broderick, D.D.S., M.P.H., SAMHSA Acting Deputy Administrator. “Our data show the need is great with 2.3 million youths aged 12-17 who would benefit from treatment for an alcohol or illicit drug use problem. Of this group only 185,000 youths actually got care at a specialty facility. With effective community-based care and recovery support services, these young people are far more likely to experience success in school and far less likely to become tangled in the justice system.”
Treatment strategies being used by grantees include the Adolescent Community Reinforcement Approach (ACRA) and Assertive Continuing Care (ACC). The former is a 12-session, manual-guided treatment that uses individualized, flexible behavioral approaches focusing on the development of coping skills for both the youth and the primary caregivers. The ACC model provides continuing care for adolescents following treatment using the ACRA protocol. Delivered primarily through home visits, ACC case managers are assertive in their efforts to engage both youth and their families.
The 15 awards are for up to $300,000 per year for up to three years. First-year funding totals nearly $4.5 million. Continuation of these awards is subject to both availability of funds and progress achieved by awardees.
Grants were awarded to:
Arizona
University of Arizona, Tucson --$299,999 in the first year will support a project to increase capacity for adolescent substance abuse treatment and to provide a continuum of care using the ACRA/ACC models at the Proyecto de las Mariposas, an outpatient treatment program for adolescents and their caregivers in Tucson. The project, which hopes to serve 180 youth and 180 caregivers over three years, provides youth and their families opportunities for discussion and enables them to suggest recommendations for improvements in program components.
Pima Prevention Partnership, Tucson -- $300,000 in the first year will support substance abuse treatment and recovery support for 200 adolescents and their families identified as in need of treatment. The program will use evidence-based, family-focused treatment and support models including both the Assertive Community Reinforcement Approach and Assertive Continuing Care.
Arkansas
University of Arkansas for the Medical Sciences, Little Rock -- $299,999 in first-year funding will support Arkansas Delta PROMISE, an adolescent substance use intervention that is designed to promote positive development, competency and coping skills. The project is expected to serve approximately 180 youth in the Arkansas Delta region who meet criteria for a substance use disorder (SUD), a majority of whom also are likely to meet criteria for a co-occurring mental health disorder, such as depression, post-traumatic stress disorder or oppositional defiant or conduct disorders.
California
Asian American Recovery Services, Inc., San Francisco -- $300,000 in the first year to utilize the Assertive Community Reinforcement Approach along with Assertive Continuing Care to provide substance abuse treatment services targeted to Asian American adolescents and their family members, among them youth in the local Vietnamese and Filipino communities.
Asian Community Mental Health Board, Oakland -- $300,000 in the first year will support a program using the Adolescent Community Reinforcement Approach and the Assertive Continuing Care protocol for Asian youth, ages 12-17 and their families that is targeted to meet the unique and/or prevalent cultural characteristics (language, norms and values) in Asian immigrant communities.
Southern California Alcohol & Drug Programs, Inc., Downey -- $300,000 in the first year will support Si, Se Puede!, a treatment program for Hispanic youth who are substance abusers and their families using the Assertive Community Reinforcement Model of treatment intervention. The project will serve 75 adolescents (plus their family members) each year, for a project total of 225. Cost per adolescent will be $4,000. The program will be called Si, Se Puede! (Yes, It's Possible!).
Special Service for Groups, Inc., Los Angeles – First-year funding of $300,000 will support the Supporting Opportunities for Adolescent Recovery (SOAR) project to provide evidence-based, family-centered substance abuse treatment to minority, low-income, substance-abusing youth ages 12 to 20 in South Los Angeles. The project goal is to increase access to evidence-based, family-centered substance use treatment for youth by implementing the Adolescent Community Reinforcement Approach and Assertive Continuing Care models.
Tarzana Treatment Centers, Inc., Tarzana -- $300,000 in first-year funding will support
family-oriented substance abuse, outpatient treatment for alcohol and drug dependent, culturally diverse youth and their families in the Antelope Valley by implementing the Assertive Community Reinforcement Approach coupled with the Assertive Continuing Care treatment models.
Florida
The Center for Drug-Free Living, Inc., Orlando -- $300,000 in its first year of funding support will increase access to outpatient treatment through the expansion and enhancement of an existing outpatient treatment program, Project 321. Project 321 will utilize the Assertive Community Reinforcement Approach model to provide treatment to adolescents and their families/primary caregivers, adding the center’s capacity to serve 120 adolescents and their families per year, in each of three grant years. The project targets adolescent males and females between the ages of 12 and 18 with substance use disorders and those with substance use disorders and co-occurring mental health disorders and their families.
Operation PAR, Inc., Pinellas Park -- $300,000 in the first grant year will support PAR Adolescent Recovery and Intervention Services (PARIS) using both the Adolescent Community Reinforcement Approach and Assertive Continuing Care for youth with substance abuse and mental health problems and their families. The PARIS program will serve 144 youth ages 10 to 17 and their families in the Union Academy neighborhood of Tarpon Springs, with services provided in homes and other consumer-friendly environments.
Massachusetts
Institute for Health & Recovery, Cambridge --$300,000 in the first year to provide comprehensive outreach and engagement to youth and their families in Suffolk County, allowing adolescents to receive an appropriate level of substance abuse treatment, individualized to their needs. Treatment and recovery support services will utilize the Assertive Community Reinforcement Approach coupled with Assertive Continuing Care. Additional services will include pro-social groups for adolescents and parenting groups for caretakers.
LUK Crisis Center, Inc., Fitchburg – With $300,000 funding in the first year, the grantee will offer the Continuous Learning for Youth in Recovery (CLYR) Program to adolescents (12 - 18 years old) and their caretaker(s) to treat substance use disorders, utilizing the Assertive Community Reinforcement Approach coupled with the Assertive Continuing Care program model to serve up to 70 youth per year. The CLYR Program will deliver the ACRA/ACC models on an outreach basis with the youth and caretaker(s) in their communities as part of a comprehensive continuum of substance abuse services.
Tennessee
Centerstone Community Mental Health Centers, Inc., Nashville -- $300,000 in first-year funding will support implementation of the Adolescent Community Reinforcement Approach and Assertive Continuing Care models under Project SELF (Students Experiencing Life Free), a culturally sensitive, community-based treatment program serving a total of 144 adolescents, ages 12-18, with substance use disorders and/or co-occurring mental disorders, and their families. Project SELF will collaborate closely with the local school system, juvenile courts, and the recently funded SAMHSA/CMHS system of care grant (serving children, adolescents, and young adults, ages birth to 21 years) in the area.
Texas
Center for Success and Independence, Houston -- With first-year funding of $300,000, the Reasons to Change Project seeks to improve short, middle, and long-term treatment outcomes for adolescents with complex substance abuse and mental health problems by (1) providing family-centered ACRA in an adolescent residential treatment setting equipped for co-occurring disorders, (2) using home-based ACC to help adolescents with co-occurring disorders establish social networks, coping mechanisms, and opportunities for healthier lifestyles after discharge from residential treatment; and (3) equipping the existing teen support network with ACRA-compatible resources for sustaining the gains made in residential treatment to promote recovery.
University of Texas Health Sciences Center at San Antonio, San Antonio -- $300,000 in first-year funding will enable Project SOAR (Supporting Our Adolescent Recovery) to implement comprehensive bio-psycho-social assessment and evidence-based, family-centered, substance abuse intervention consisting of the Assertive Community Reinforcement Approach coupled with Assertive Continuing Care, for youth with substance use disorders and/or co-occurring mental disorders and for their family caregivers.
Serving Children & Adolescents in Need, Inc., Laredo – With first-year funding of $300,000, the grantee will use a culturally adapted version of both the Adolescent Community Reinforcement Approach to substance abuse treatment for adolescents and their families and the Assertive Continuing Care case management protocol, a case management approach to implement The Familias Unidas (Families United) Adolescent Treatment Project. One of the main objectives of the project is to engage as many family members as possible during the entire process of the adolescent's treatment experience, from the first contact to discharge, and access to continuing care.
West Virginia
Prestera Center for Mental Health Services, Huntington -- $300,000 in first-year funding will amplify the existing school-based STARS: Substance Treatment Available to Rural Students, by providing school-based substance abuse treatment to youth using the ACRA treatment model as well as ACC case management home-based services for youth and their families services. Adolescents participate in 12-14 weeks of intensive therapy; case management services are provided to the youth and family. Referrals and other services will be provided based on individual and family need.
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