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

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residential program that is staffed 24 hours a day, seven days per week by trained and certified Peers who help the client solve problems, connect to resources, and stabilize their mental and physical health. Peers also facilitate evidence-based practices such as Wellness Recovery Action Planning (WRAP), Wellness, Management and Recovery (WMR), and other life skills groups to help clients develop critical living and coping skills. The interdisciplinary treatment team and the client work together to ensure the strategies implemented are working for the client. The team meets weekly to evaluate each client's progress towards their recovery goals, behavioral health goals, physical health goals, and activities of daily living goals. When appropriate, the goals will be updated or changed as they are achieved or as the client becomes clearer about their desires for the future. FHRC takes recovery as a step-by-step process that includes several small victories in route to the goal of long-term recovery and stability. The FHRC clinician and PSS will also serve as liaison between FHRC and the CJRD staff. With proper consents in place, the FHRC clinician and PSS will advise CJRD of each Lantern client's progress towards their goals and assist with tracking outcomes. The FHRC staff will communicate with CJRD weekly via scheduled case conferences, or as needed, to review each client's care and progress throughout treatment. CJRD will also communicate with FHRC as needed to convey new referrals and to update the FHRC clinician and PSS on each client's status around court involvement/appearances. FHRC PSS also aids the client in adhering to court ordered appearances and/or conditions. FHRC maintains a team approach to serving justice involved clients. During weekly team meetings the interdisciplinary team will discuss the needs and challenges faced by clients to connect them with a broader service array. The treatment team discussion can begin when the client engages with FHRC clinician regardless of whether they are still incarcerated or living in the community. In the treatment team meeting is where the FHRC staff discuss the unmet needs of their current or soon to be released clients. The Lantern PPS and clinician also work to ensure that in addition to treatment, we address the social determinants of health as well. This includes ensuring the client is enrolled in Medicaid so they can see a physician, the client is connected to proper housing and food options, helping with job skills training and/or employment opportunities as well as other identified needs. As with all our clients, FHRC encourages ongoing connection to some level of treatment support for up to 12 months - which most experts agree is the length of time recommended for "sustained recovery" exemplified by significant improvements in life functioning and decreased incidents of relapse. Freedom House has been working with CJRD on Lantern Project for four years. The North Carolina Overdose Epidemic data from the Injury and Violence Prevention Branch of the North Carolina Division of Public Health reflects the positive outcomes occurring across Orange County in the efforts to overcome the opioid epidemic. Most recent data show Orange County has recorded a drop in Fentanyl Positive Deaths 2024 YTD to 11 which represents a decrease from the high of 28 in 2021. In addition, the estimated rate of Overdose Deaths in Orange County in 2023 was 21.0 out of 100,000 residents. This rate is a decrease from the 36 out of 100,000 residents in 2022 who died of overdose in Orange County. These statistics also stand for the realization of the Freedom House vision that all seeking recovery are connected to the care and resources they need to reach their fullest potential. We work towards this vision daily because we believe all are worthy of a full life in recovery and that hope in recovery awaits all who seek it. FHRC currently has a full-time licensed clinician and peer support dedicated to the Lantern Project. As we continue to expand the program and our support of justice involved individuals, we will increase engagement in ongoing recovery groups for graduates of the program. We will also look to begin providing Seeking Safety support for individuals while incarcerated. This evidence-based curriculum is designed to be used one on one or in a group setting. Incorporating this into our treatment opens the possibility of engaging added justice involved individuals in various settings with the goal of ongoing engagement upon release from incarceration. Docusign Envelope ID: FB53EE36-9A37-4A41-B6E0-570BEA11D479