Direct Service

YOR I Project Name: Youth Unaddicted Program

Project Description: The Phoenix House Youth Unaddicted Program focused on the growing opioid use among teens by:

Organizing outreach and education sessions in its Youth Unaddicted Program (10 sessions in 10 community locations, and one full day “Youth Unaddicted” Conference, reaching a total of 1,000 students);

Offering “Positive Action” group counseling for higher risk youth in community centers, Department of Children and Family Services (DCFS) offices, etc. (using brief interventions based on the evidence-based Positive Action curriculum and serving 750 clients in 12 months); and

Providing access to MAT in the outpatient program (20 clients enrolled in 14 months) to adolescents with opioid dependence in northeast San Fernando Valley, Los Angeles County. The Youth Unaddicted Program will focus on providing skills and resources to high risk youth and young adults through a tiered approach, including outreach and education, 5-week intervention groups targeting highest risk youth who do not yet need treatment, and 4-month outpatient treatment services for those with higher needs.

YOR II Project Name: Phoenix House California – YOR California

Project Description: Phoenix House sought to reduce drug use, especially opioids and stimulants, and stigma among at-promise, low-income, mostly Latinx/o/a youth in San Fernando Valley, Los Angeles County, as well as increase their resilience and life skills, improve their well-being and self-efficacy, and help them succeed in meeting life goals. The constellation of collaborative youth relevant services developed is designed to address unique experiences, interests, and motivations of specific youth/transitional age youth cohorts (low income, Latinx/o/a, homeless, LGBTQ+, youth involved with justice systems and affected by serious mental illness/serious emotional disturbance). Coordinated care, family involvement, and positive youth development enhanced the program’s success.

Primary Contact:
Name: Cory Brosch
Position: Vice President, Clinical Director
Agency: Phoenix House
Email: cbrosch@phoenixhouseca.org
Phone: 714-953-9373 x 4821

Website: https://www.phoenixhouse.org

YOR I Summary: Phoenix House Project

Project Name: YOR Place – Lompoc

Partner Agency: Family Service Agency

Project Description: The YOR California project through the Santa Barbara County Department of Behavioral Wellness implemented YOR Place, a youth-led drop-in center, in the City of Lompoc. A youth advisory group partnered with county staff to co-create a drop-in center designed to increase access to services for youth ages 12-24 who are misusing opioids and/or stimulants. YOR Place services include outreach, education, engagement, screening, early/brief interventions, family support services, referral to behavioral treatment, referral to Medication-Assisted Treatment MAT, case management and recovery supports. YOR Place services are designed by youth and includes a calendar of events consisting of youth support groups, family groups, and positive youth development activities facilitated by the Department of Behavioral Wellness and partner agencies. Targeted outreach was co-created with the youth advisory group to destigmatize treatment options and reach diverse populations including Latinx youth and families.

Primary Contacts:
Name: John Doyel or Melissa Wilkins
Position: Alcohol and Drug Program (ADP) Division Chief, ADP Project Manager
Agency: Santa Barbara County Department of Behavioral Wellness
Email: jdoyel@sbcbwell.org or mwilkins@sbcbwell.org
Phone: 805-681- 4907 or 805-681-5445

Website: https://www.countyofsb.org/behavioral-wellness

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