H79TI084057

Avenue 360 SBIRT Project - Avenue 360 Health and Wellness (Avenue 360) proposes to provide Screening, Brief Intervention, and Referral to Treatment (SBIRT) substance use disorder (SUD) treatment services for residents of the Greater Houston Metro area, including pediatric patients under 21 years of age, with a special emphasis on low-income residents and underserved populations.

Avenue 360 is a Federally Qualified Health Center (FQHC) operating seven clinics in the Greater Houston area. Its patient population primarily includes low-income families and individuals, uninsured and underinsured patients, ethnic minorities, and LGBTQ+ patients. Currently, Avenue 360 is the only FQHC in the Greater Houston area that has dedicated substance use disorder services in-house.

Avenue 360 anticipates serving 45,861 patients with substance use screening over the five-year project period. Approximately 10% of program participants will be pediatric (ages 12-20).

Goal #1: Avenue 360 Health and Wellness will implement routine, evidence-based substance use disorder screenings using the SBIRT technique to our patient population receiving medical care, housing services, and/or mental health treatment on an annual basis.

Goal #2: Avenue 360 Health and Wellness will improve health outcomes for patients by reducing alcohol and other drug (AOD) use, increasing abstinence, and addressing the negative health impact of AOD use through increased peer recovery support services and clinical treatment services.

Goal #3: Avenue 360 Health and Wellness will implement specialized screening practices for pediatric patients to address current harmful patterns of substance use by initiating SUD treatment and recovery support services at the earliest stages of substance use disorder development.

Medical assistants routinely take patient vital signs at the beginning of each appointment; they will be trained to ask a few basic pre-screening questions regarding substance use at the same time and to record results in the patient medical record. If the pre-screening indicates a potential issue with substance use, the medical assistant will notify the SBIRT program staff.

A substance use disorder clinician, intern, and/or a peer support specialist will immediately follow up with the patient with a brief intervention. This is a short patient-centered motivational interview that determines the patient's attitude toward their substance use and the psycho-social/emotional/physical needs prompting it. The SBIRT team member has the opportunity to educate the patient about the negative health impacts of substance use and set one or more goals for reducing substance use.

Patients whose screening indicates severe risk will receive an immediate intervention (within one week; on the spot if possible) and referral to treatment services, which may include medication-assisted therapy, inpatient detox, or short inpatient or outpatient treatment. Avenue 360 will coordinate all program services with state and local health agencies as appropriate, including two-way referrals for services.

Houston Area Community Services

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Houston, Texas 770081289 United States

Single Zip Code

Screening, Brief Intervention, and Referral to Treatment (TI-21-008)

Amendment Since initial award the total obligations have increased 300% from $993,652 to $3,978,652.