Kentucky River Comm Care, Inc.

Kentucky River Communities United for Restoring Resilience and Empowerment (KyR-CURRE) is a subgroup of a larger Consortium known as the Kentucky River Health Consortium. This sub-group, chaired by Kentucky River Community Care (lead agency), recognized a need in the Kentucky River Region of rural Appalachia, for funding to strengthen collaboration between maternal child health providers, prevention resources, courts, and child welfare to better manage referral supports between providers to combine sober housing, intensive outpatient, MOUD assisted withdrawal, social withdrawal and monitored withdrawal treatment options, 1-3 weeks in length. The Rural Communities Opioid Response Program – Neonatal Abstinence Syndrome grant project will focus on meeting this need. HRSA funds will be used to train local providers in the use of NAS screeners, support credentialing for MOUD prescribers and increase referral options for assessment and treatment, parent education and offer supports for pregnant and parenting women with opioid use disorder and comorbid substance use and mental health disorders with emphasis on children who range in age from infant to 5 years old. CURRE partnering agencies include MOUD clinic, OB/Women's Health Clinic, Health Depart, Community Mental Health Center, and Community Action Agency, all with a history of collaboration and dedication to a region wide consortium that has been functional since 2017. In year 1, KRCC projects serving 15 women in home, and 15 women in a Housing unit. By year 2, we project the addition of 2 MOUD prescribers to the county, and to have a protocol in place for MOUD withdrawal management, and maintenance during pregnancy and post-delivery. KRCC is licensed as a Community Mental Health Center, and Program staff are trauma informed and trained in evidence-based interventions. The implementation team will include licensed therapists, peer support, case management, MOUD prescriber, primary care/OB/GYN and pediatrician.