Direct Service

Partner Agencies (Subcontractors):  Council on Alcoholism and Drug Abuse; University of California, Santa Barbara; Multidimensional Family Therapy

Project Description: SBNC increased access to MAT by combining psychological and behavioral therapy with U.S. Food and Drug Administration (FDA)-approved medications and treatment for mental illness, including SUDs, particularly those patients leaving the hospital who have been diagnosed or are at high risk for SUDs, as well as decrease emergency room visits and hospitalization costs. SBNC improved and expanded access to a continuum of OUD prevention, intervention, MAT, and other treatment and recovery services for youth (ages 12–24) and their families, thereby preventing opioid overdose-related deaths through our Isla Vista Neighborhood Clinic, located in the town of Isla Vista, though services are currently offered at all our clinics. Isla Vista is an unincorporated community and census-designated place (CDP) in Santa Barbara County. As of the 2010 census, the CDP had a population of 23,096. Most residents are college students at nearby University of California, Santa Barbara (UCSB, located to the east of the community) or at Santa Barbara City College. The student population, mostly 18-24-years old, shares densely packed housing with a working-class Hispanic population.

Primary Contact:
Name: Nancy Tillie
Position: Santa Barbara Neighborhood Clinics
Agency: SBC YOR
Email: nancy.tillie@sbclinics.org
Phone: (805) 617-7863

Website: www.sbclinics.org

YOR I

Project Description:  The Santa Clara County project has three goals:

Provide education on opioid use, its risks, and available resources. Our multi-pronged marketing campaign includes digital ads and toolkits for providers, physicians, school personnel, and other community partners. Toolkits will include educational materials on OUD and the consequences of use for the provider along with client/patient handouts. The digital campaign and all materials will include a link to a website with information on opioids, consequences of use, overdose information, and referral information on how to access outpatient services and MAT. Factsheets will be distributed at health fairs, schools, libraries, community agencies, hospitals, health clinics, and other venues.

Increase access to screening and increase the number of referrals to outpatient treatment and MAT for youth with or at risk of OUDs. Primary care physicians, which includes pediatrics, internal medicine and family practice physicians, will be educated on an effective screening tool and how to refer youth at risk of or exhibiting OUDs for further assessment and treatment.

Implement a team of physicians and clinicians who will provide youth MAT services. Protocols will be developed for collaboration. Protocols will also be developed for primary care, psychiatry, and emergency department physicians to consult with addiction medicine staff on OUD questions. Collaboration meetings will be scheduled to discuss each case.

YOR III

The County of Santa Clara is embarking on a mission through YOR 3 grant funding to enhance and expand treatment services for our youth and young adults. Recognizing the ever-changing trends in substance use has brought us to a heightened concern for care, as there are more frequent overdoses, other physical and mental health complications and increased risk of death due to opioid and stimulant-related use by our TAY population.

Areas of enhancement within our Medication Assisted Treatment (MAT) services will include expansion of our Intensive Outpatient Treatment (IOP) evidence-based best practices model, utilizing a Multi-Dimensional Family Therapy (MDFT) approach, utilizing a Family-Parent Partner to engage family members, improving access to psychiatric assessment, medications and psychotherapy within our Youth System of Care and providing transportation to assist with client/patient access to services.

Primary Contacts:

Name: Dan Lloyd
Position: Management Analyst, Substance Use Treatment Services, Children, Family & Community Services Division
Agency: Santa Clara County Behavioral Health Services
Email: dan.lloyd@hhs.sccgov.org
Phone: (408)313-8844

Name: Mira Parwiz
Position: Division Director
Agency: Santa Clara County Behavioral Health Services, Substance Use Treatment Services, Children, Family & Community Services Division
Email: mira.parwiz@hhs.sccgov.org
Phone: (650) 623-7839

Website: www.opioidstakeyou.org

Summary: Santa Clary County BH Services Project

Project Name: Stanislaus YOR Implementation Program

Partner Agencies: Center for Human Services, Modesto City Schools, The Last Resort, Golden Valley Health Centers, Doctor’s Medical Center Memorial Medical Center

Project Description: The Stanislaus YOR Implementation Program is: 1) bringing substance use disorder (SUD) services to youth (i.e. schools), as opposed to youth coming to treatment sites, which expands the number of youth and young adults enrolled in SUD treatment and overall reduces the number of youth and young adult overdose deaths related to an opioid or stimulant use disorder; 2) partnering with the existing Stanislaus Opioid Coalition to build community/prescriber capacity to identify and reduce existing barriers to treating youth with Medication-Assisted Treatment; and 3) increasing family support/involvement in SUD treatment and reduce perceived barriers by using a parent/family navigator.

Primary Contacts:
Name: Jennifer Marsh
Position: SUD Prevention Coordinator
Agency: Stanislaus County Behavioral Health & Recovery Services
Email: jmarsh@stanbhrs.org
Phone: 209-525-5316

Name:  Cameo Culcasi
Position: Chief, Substance Use Disorder Services
Agency: Stanislaus County Behavioral Health & Recovery Services
Email: CCulcasi@stanbhrs.org
Phone: 209-525-6229

Website: www.StanRx.net

Project Name: Project Wellness

Partner Agencies (Subcontractors): Empire Recovery Center, Steps to Tomorrow

Project Description: Project Wellness is in response to the public health priority of reducing opiate use and related disorders among youth in Shasta County and addresses the limited availability of youth-specific service integration models that aim to address youth opiate needs. Project Wellness is a behavioral health integration navigation approach that promotes service partnerships and the use of evidenced-based practices to serve youth opiate needs, including youth with OUDs in Shasta County. Project Wellness will develop service integration partnerships within local school districts and juvenile probation to provide both education and referral and navigation services to youth for OUD treatment, including MAT services.   Project Wellness will offer OUD assessment, OUD psychosocial treatment, and MAT for Shasta County youth ages 12-24.

Primary Contact:
Name: Doug Shelton
Position: Clinical Division Chief
Agency: HHSA, Children’s Services
Email: dshelton@co.shasta.ca.us
Phone: (530) 229-8423

Project Name: Fresno EOC LGBTQ+ Resource Center –YOR California

Lead Agency: Fresno Economic Opportunities Commission (EOC) LGBTQ+ Resource Center

Project Description: The Fresno EOC led implementation of the Youth Opioid Response (YOR) Project in Fresno County to expand access to Medication-Assisted Treatment (MAT) and other prevention, treatment, and recovery services for the LGBTQ+ community.  Fresno EOC operates an LGBTQ+ Resource Center, and the project is targeting LGBTQ+ youth. The project took a needs-based approach, targeting those with unmet opioid and/or stimulant treatment needs or at-risk of overdose death. Services implemented through this project align with and address all elements of the YOR MAT & Service Model, prioritizing culturally competent, age-appropriate, trauma-informed care focused on positive youth development. Fresno EOC’s role included: 1) providing cultural competency training to partners, 2) conducting outreach and education to identify youth in need of services, 3) providing navigation and case management services to connect youth with appropriate resources, 4) overseeing a Youth Advisory Council, and 5) providing ongoing support through a mental health professional.

Primary Contact:
Name: Jennifer Cruz
Position: LGBTQ+ Manager
Agency: Fresno EOC
Email: Jennifer.Cruz@fresnoeoc.org
Phone: 559-387-5100

Website: https://fresnoeoc.org/lgbtq

YOR I Project Name: Granite Wellness Centers – Youth Resiliency Project (GWC-YRP)

Partner Agencies (Subcontractors): Coalition for Auburn Youth, Coalition for Nevada County Youth, Chapa De Indian Health, Sierra Care Pediatrics, Nevada County Health and Human Services, Placer County Health and Human Services, Placer Nevada Rx Safety Coalition, Idea Consulting, and more.

Project Description: The purpose of Granite Wellness Centers Youth Resiliency Project is to develop and deliver a coordinated continuum of care —prevention, treatment, and wellness services —specifically addressing OUDs for young people ages 12-24 and their families in rural Nevada and Placer Counties. Coordinating existing services, organizing partners, and implementing new services to address gaps, the continuum includes outreach, education, early intervention, outpatient treatment, MAT, residential treatment, family services, and wellness services to effectively address youth opioid use risk, use, and overdose risk. Strategies include development and dissemination of culturally informed OUD information through diverse channels. The community was engaged in a regional opioid summit and multiple programs to engage families. Education, early intervention services, screening, and referral services are delivered to schools. Opioid specific curriculum was integrated in outpatient treatment. Our long-term plan includes a goal to provide residential services to minors ages 16 and over and engage the region’s first pediatricians to become X-waivered. We are designing a youth-informed wellness clinic to provide behavioral and confidential health services for young people 13-24.

YOR II Project Name: Granite Wellness Centers – Youth Resiliency Project

Partner Agencies:

• Bright Futures for Youth (BFFY)
• Hip Hop Congress
• Boys and Girls Club (BCG)
• Big Brothers Big Sisters (BBBS)
• Coalition for Auburn Youth (CALY)
• Coalition for Nevada County Youth (CNCY)
• Chapa De Indian Health/Dr. Alinea Stephens
• The Foundry, Lincoln
• Sierra Care Pediatrics/Dr. Mike Curtis & Dr. Pete Harris
• Kononia
• Nevada and Placer County Behavioral Health Departments
• Nevada and Placer County Offices of Education
• Nevada and Placer County Probation Departments
• Placer Sheriff’s Activities League (PSAL), Lincoln Police Activities League (LPAL), Roseville Police Activities League (RPAL)
• Unity Care
• Western Sierra Medical Clinic (WSMC)
• What’s Up Wellness
• Youth Empowerment Support (YES!)

Project Description: In YOR II GWC-YRP continued to develop and deliver  a safe and welcoming continuum of care that specifically addresses opioid and stimulant use disorders (OUD/StUDs) for youth and their families. The GWC–YRP buildt upon the lessons learned from the YOR I project and is using the substance use disorder (SUD) continuum of care that was developed by GWC over the past 20+ years. The project continues to engage, screen, assess, treat, and promote wellness and recovery for adolescent and transitional aged youth ages 12-24.  The GWC-YRP utilized a three-tier model that offers effective and quality treatment using developmentally appropriate evidence-based assessments and practices supporting youth to identify goals and achieve positive outcomes. The GWC-YRP is striving to deliver and sustain strength-based services that support youth in both Nevada and Placer Counties.

Primary Contact:
Name: Ariel Lovett
Position: Co-Director
Agency: Granite Wellness Centers
Email:  alovett@granitewellness.org
Phone: 530-878-5166

Website: www.granitewellness.org

Summary Material

• Granite Wellness Project
• Granite Wellness Poster_Grafitti_Spanish
• Granite Wellness Poster_Pills
• Granite Wellness Poster_Smile_Spanish