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Drug rehabilitation projects, status report, July 1, 1971—Continued

10. Location-Boston, Mass.;

grantee Action for Boston Community Development, Inc.; administrative agency-Massachusetts Mental Health Center; grant-$135,317;

T.P.-$536,794; periodOct. 1, 1971-Sept. 30, 1972; grant No.-1802-B.

11. Location-Detroit, Mich.; grantee City of Detroit, Mayor's Committee for Human Resources Development; administrative agency-same; grant-$705,659; T.P.$1,042,504; period—Aug. 1, 1971-July 31, 1972; grant No.-5810-B.

12. Location-Hudson, Essex, Monmouth Counties, N.J.; grantee New Jersey Department of Community Affairs; administrative agency-New Jersey Regional Drug Abuse Agency; grant$849,320; T.P.-$1,447,662; period-Aug. 1, 1970-July 31, 1971; grant No. 8987-C.

13. Location-New York City, N.Y.; grantee Addiction Services Agency; administrative agencySame; grant $2,940,834; T.P.-$5,291,801; period-Oct. 1, 1971Sept. 30, 1972; grant No.-2808-B.

This is a comprehensive drug addiction prevention program for the youth of three lowincome housing projects. The project provides a therapeutic and a preventive halfway house, 3 centers at housing projects to perform Outreach, community organization, and youth work. The Massachusetts Mental Health Center provides a full range of psychiatric services, a program of methadone treatment, and a job-oriented rehabilitaation program. The project's central offices will be located at the Massachusetts Mental Health Center. Poor residents of the area are members of the advisory councils.

This project will continue the operations of 4 target area multiservice centers offering programs and services for addicts and their families. Each center will serve 200 clients. An ongoing program of methadone maintenance will be continued. A therapeutic community housing 30 to 35 addicts and servicing the entire target population is to be established. This project is a direct operation of the Com munity Action program. Low-income residents occupy 1⁄2 of the 51 seats on the policy advisory committee and % of the 12 seats on the subcommittee on drug abuse. Four community representatives are on the committee for selection of staff. Ex-addicts and the poor have been hired as caseworkers and counselors. This program was originally designed to serve the counties of northern New Jersey which have a very high incidence of addiction. Activities in Middlesex County have been taken over by the county government. There is a 225-bed residential facility at Liberty Park (a former Job Corps camp) and several Outreach centers in low-income areas with a high incidence of drug use. A full range of services, including medical detoxification, is provided. About 40 percent of staff are neighborhood residents and/or ex-addicts. The project has served over 4,500 addicts and their families. Funding of this project will be assumed by the National Institute of Mental Health, HEW, during fiscal year 1972. This grant supports a wide variety of ongoing and new program components. The Addiction Services Agency will directly operate the Central Referral Unit, which will have very close working relationships with correction and welfare departments. These referral activities will also be coordinated with the activities of ASA's district offices. The ambulatory detoxification component will be delegated to the Health Services Administration, which will provide overall technical and administrative supervision. For more intensive, longer term treatment and rehabilitation, addicts will be referred to a variety of programs, after preliminary counseling at the detoxification center. The manpower and education component will be in part performed under contract with the Training Corp. of

Drug rehabilitation projects, status report, July 1, 1971-Continued

Cincinnati, grantee-Com

14. Location Ohio; munity Action Commission of the Cincinnati Area; administrative agency-Talbert House; grant-$357,685; T.P.$487,485 period- July 1, 1971-June 30, 1973; grant No.-5612-A. 15. Location Philadelphia. Pa.; grantee-Philadelphia Anti-Poverty Action Commission; administrative agencyCommunity Committee on Drug Abuse; grant$251,390; T.P.-$316,070; period-July 1, 1970-July 31, 1971; grant No.-3810-A. 16. Location-Columbia, S.C.; grantee South Carolina State Economic Opportunity Office; administrative agency-Department of Corrections; grant-$835,177; T.P.$1,194,620; period-July 1, 1971-June 30, 1973; grant No.-4810-A.

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America, which will do the planning and development work on this component. All components will tie into the district structure of the Addiction Services Agency. The central referral and ambulatory detoxification will relate closely to the program evaluation office for special evaluation of the innovative aspects of these components. 15 delegate agencies operate a variety of community-based programs under contract with the Addiction Services Agency. They have all developed operating relationships with appropriate public and private resources, in order to offer a continuum of services and treatment approaches to the addicts and their families. 2 of the delegated programs are newchildren and youth components delegated to Hale House for Infants and Neighbors United of Hamilton Heights, respectively. Hale House will relate closely programmatically to the treatment programs with which parents are involved, as well as to a variety of facilities for special services for the children (medical, recreational, special educational, etc.). Neighbors United will continue its coordinated involvement with a considerable number of neighborhood groups.

This grant will be delegated to Talbert House to run a therapeutic community for lowincome addicts. Outreach workers, group and individual counseling, and family involvement, with job training and placement will be an important part of the program. There will be a community advisory board assisting the Talbert House Board of Directors.

This project is designed to provide a comprehensive, community-based, drug rehabilitation program. The delegate will implement the program of treatment, rehabilitation, family counseling, prevention and education materials, and general medical care. The program will center on methadone maintenance treatment plus adding other supportive services.

This project will develop a statewide comprehensive program of rehabilitation services for currently imprisoned youth and adult drug offenders. The program will be a pilot project at 3 State institutions, and will be available to any offenders with a drug dependence problem. Inmates will be treated with emphasis on group counseling, with individual psychotherapy if needed. Recreational therapy will be available as well as all academic and training courses offered by the department of corrections. 6 months to a year before release, the individual will live in a community prerelease center; the project will have 3 of these centers the 1st year of operation, expanding to 6 during the 2d year. Ex-addicts

Drug rehabilitation projects, status report, July 1, 1971—Continued

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18. Location-El Paso, Tex.; grantee-El Paso Community Action Program Project Bravo, Inc.; administrative agencySame; grant-$538,513; T.P.-$730,375; periodJuly 1, 1971-June 30, 1973; grant No.-6814A.

19. Location-Montpelier, Vt.; grantee State of Vermont Office of Economic Opportunity; administrative agency-Vermont Drug Rehabilitation Commission; grant-$352,500; T.P.$563,126: period-Sept. 1, 1971-Dec. 31, 1972; grant No.-1804-B.

20. Location-Richmond, Va.; grantee Richmond Community Action Program, Inc.; administration agency-Same; grant-$554,147; T.P.$686,147; period-Aug. 1, 1971-July 31, 1972; grant No.-3803-B.

will hold seminars with prison inmates and school and youth groups on the drug experience. The project's advisory board will consist of professional people, State and local government representatives, and low-income people.

This program will expand the methadone program, and begin a therapeutic community. The CAA will develop an addiction coordination system to provide staff training and evaluation and in addition, care for the addict and his family. The methadone program will be expanded from 28 to 105 patients per month, coupled with intensive job training and placement, outreach and followup. The therapeutic recovery house will house 30 inpatients and serve 50 to 100 outpatients. It will also have a job development program, Outreach, and followup. A CAA health coordinator will be responsible for the entire grant. Each unit of the program will have an advisory council. The purpose of this project is to set up a community addiction service center for the Tigua Barrio area. The center will disseminate English-Spanish informational materials; provide outpatient treatment for heroin addicts and limited residential care; referral for methadone treatment, and job development for the 30 to 50 persons involved in direct treatment.

This grant will enable the VDRC to continue making subcontracts with agencies in the State to develop the facilities into a multimodality treatment network for a more comprehensive State program; and to establish a therapeutic community for 25 addicts. 7 sites are planned, each an autonomous component, which will be combined into a network. The VDRC will provide drug information and education for the State and take significant role in job training. Each of the 7 sites has an advisory council in conformity with applicable standards of comprehensive health grants. The VDRC has set up a dialog among the poor about drugs.

This grant will continue a drug-addiction treatment system including a therapeutic community for addicts and their families. A network of 4 facilities is planned. This project is a direct operation of the Community Action program. An advisory board, meeting OEO guidelines, has been set up and has been operational for the last program year. Ex-addicts and poor people have been hired as caseworkers and counselors.

Drug rehabilitation projects, status report, July 1, 1971-Continued
Washington, The contractor will develop and provide resources

21. Location

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D.C.; contractor-Resource Planning Corp.; contract-$239,401; period-June 30, 1971June 30, 1972; contract No.-BIC-5301.

in the areas of medical, behaviorial, and social sciences, legal services, business management, and community relations for OEOassisted addiction rehabilitation programs. A 2d task is to design, develop, implement, and monitor a reporting system useful for program management needs and to provide monthly information summaries to the addiction, alcoholism, and mental health services division, OHA. A 3d task is to arrange and conduct approximately 4 conferences bringing together the technical specialists, project personnel, and outside resource people to discuss issues related to development and management of drug addiction programs.

DRUG REHABILITATION ACTIVITIES IN NEIGHBORHOOD HEALTH CENTERS-STATUS REPORT, AUG. 1, 1971

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1 C=Contractural arrangements for drug rehabilitation. D=Drug rehabilitation program in neighborhood health center. P=Planning drug rehabilitation program.

Drug rehabilitation activities in neighborhood health centers, status report,

Aug. 1, 1971

[Prepared by Office of Health Affairs, Office of Economic Opportunity]

1. Location-East Palo Alto, Calif.; grantee Economic Opportunity Commission; administrative agency-San

Mateo County Department of Public Health and Welfare; estimated amount -$120,000; period-Jan. 1, 1971-Aug. 31, 1971.

The East Palo Alto Neighborhood Health Center is planning a drug-abuse program as a part of the mental health services program. Family and group therapy will be available to addicts and potential offenders and their families. Hospitalization and detoxification will be arranged. An extensive outreach prevention program is also being developed to reach young people in the schools. Arrangements are being made with the probation department to provide supportive services in helping juvenile parolees to return to their community.

Drug rehabilitation activities in neighborhood health centers, status report, Aug. 1, 1971-Continued

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The Watts Neighborhood Health Center which serves a population of 30,000 people offers the following services to drug offenders: methadone maintenance; ambulatory detoxification; hospitalization; counseling and referral to appropriate social agencies; complete health exams and treatment. In addition, the center has an extensive Outreach and prevention program in the neighborhood public schools, vocational training schools, and other community institutions. A large recreational, aftercare and followup program is a very important element of the prevention component. The addicts' family receives counseling and supportive services including comprehensive health care and referral to other social service agencies in the area. Approximately 300 addicts were registered and treated during January-April 1971.

The Neighborhood Health Center in San Diego is planning a multimodality approach to serve drug offenders. Methadone maintenance, group followup, detoxification, and abstinence programs are being developed. An extensive Outreach and prevention program is an important part of the plan. The University of California at San Diego is working closely in the planning and providing some of the staff. The Upper Cardozo Neighborhood Health Center through agreement with the community mental health program located in the same building offers the following services to drug offenders: individual and group therapy; hospitalization; complete medical treatment; referral to the city's drug program for detoxification and methadone maintenance with aftercare counseling and rehabilitation. The addicts' families receive comprehensive health care through the health center. The community mental health staff works closely with the neighborhood health center teams to ensure continuity of care for the addicts and their families.

The Southside Neighborhood Health Center in Atlanta has a program funded jointly by OEO and NIMH which provides services to drug offenders. Services offered through the center and its 5 satellites are methadone maintenance; ambulatory detoxification; counseling and referral to appropriate agencies; hospitalization; complete medical exams and treatment; Outreach and prevention. Counseling and comprehensive health care is also available for the addicts' families. An exaddict is the program's coordinator.

The Mile Square Neighborhood Health Center is the medical backup facility for drug offenders that are referred to St. Leonards House, an OEO-sponsored halfway house. The St. Leonards House offers individual and group therapy, detoxification, residential care, and employment services. In addition to medical services offered by the NHC, it gives supportive social services to the addicts and their families. St. Leonards and the NHC have served about 2,000 addicts.

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