2025-490-E-Health Dept-Freedom House-Services and support programs that serve persons with Opioid Use Disorder

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Exhibit B: Scope of Services Project Description and Program Sustainability (28 points, page limit: not to exceed 3 pages) Freedom House Recovery Center is submitting this proposal under Option A, Implementation Strategy 10: Criminal Justice Diversion Programs to support pre-arrest or post-arrest diversion programs and pre-trial services for justice involved individuals with SUD and OUD. In partnership with CJRD, Freedom House will continue working on Lantern Project to provide evidence-based addiction treatment, recovery support, harm reduction services, housing support, employment related services, peer support services and ongoing outpatient treatment for justice involved individuals in Orange County. The Lantern Project has consistently worked to increase the number of justice involved individuals with a history of opioid use who are connected to proper treatment -particularly among marginalized populations. FHRC employs a full-time licensed clinician and a Certified Peer Support Specialist (PSS) to work with Lantern Project to divert individuals with SUD from the Orange County justice system and jail into substance misuse treatment, which could be a more appropriate path to stifle continued justice involvement. FHRC also helps decrease the number of opioid overdoses as individuals enter treatment immediately from jail engaging with the supportive care needed to avoid relapses among those recently released from incarceration. CJRD collaborates with the magistrate and district attorney to identify low level offenders who have a history of substance use. Clients who are screened as eligible for enrollment with Lantern Project are referred to Freedom House with client consent for ongoing treatment. Our clinician then visits the individual while incarcerated to engage the potential client for further assessment. Then, if appropriate, the licensed clinician will refer the client to a FHRC Peer Support Specialist (PSS) to begin supporting the client in preparing for their next steps following release from jail. Individuals referred to Freedom House begin their journey by meeting with a licensed clinician for a clinical assessment. The assessment allows the clinician to gain an understanding of the client's history, current needs, and wants, as well as make a treatment recommendation based on the client's needs. Clinicians are trained to use the evidence-based practice of Motivational Interviewing (Ml) to help each client recognize their overarching desire for change and to expose any ambivalence towards change. Ml allows clients to progress at their own pace while addressing barriers that may present during the assessment process. Following the clinical assessment, and once the client is released from jail, the Peer Support Specialist helps facilitate the next steps, including an appointment with the Psychiatric Mental Health Nurse Practitioner (PMHNP) for medical assessment. The PMHNP will meet with the client to determine if medication such as Buprenorphine or Naltrexone is the best course of treatment for the client. When appropriate, the client will be scheduled for their first dose to begin evidence-based Medication Assisted Treatment (MAT) in combination with counseling and behavioral health therapies to treat opioid use disorders (OUD). Clients who come to Freedom House already on MAT are screened by the PMHNP to ensure the safe continuation of MAT services. As part of the clinical assessment process, the clinician will also assess individuals with a history of addiction who are re- entering the community from prison for enrollment in treatment services including Seeking Safety therapy, an evidence- based treatment that helps people with trauma, posttraumatic stress disorder, and substance misuse. Seeking Safety (SS) is a coping skills approach to help people reach safety from trauma and/or addiction. It is present-focused and designed to be safe, optimistic, and engaging. The treatment is highly flexible which allows clients to join the group at any point in the program and stay engaged through completion of all sections. It can be used early in the treatment process as it is stabilization oriented. If substance use halfway housing is determined to be a need for the client, they can begin the enrollment process for the halfway house. Enrollment includes the Halfway House Manager, who has QP credentials, collaborating with the client to develop a person-centered treatment plan. The treatment plan includes the goals and objectives the client would like to achieve while living in this supportive environment. The substance use halfway house is a structured, six-month Docusign Envelope ID: FB53EE36-9A37-4A41-B6E0-570BEA11D479