Opening Summer 2023

Together Everyone Achieves Miracles (T.E.A.M.)

Medication-Assisted Treatment – Prescription Drug and Opioid Addiction

Reducing the Impact of Opioid  Use Disorder in the State of Hawaii 

The focus population is minority ethnic homeless with substance abuse needs, i.e., prescription drug and opioid addiction, in and around Honolulu HI. The population comprises Hawaiian and par-Hawaiian; Micronesion, including Chuukese, American Indian and African American; and some Caucasian, including military and indigent clients – population demographic profile. This project is focused on Medication-Assisted Treatment, Prescription Drug and Opioid Addiction. Resources will be used to expand/enhance access to Medications for Opioid Use Disorder, treat individuals with Opioid Use Disorder (OUD) and decrease illicit opioid use and prescription opioid misuse. Harm reduction services will simultaneously meet fundamental needs.

Together Everyone Achieves Miracles (T.E.A.M.) was established to focus on underserved communities including but not limited to, Native Hawaiians, African Americans, Native Americans, Hispanics, Pacific Islanders, and the homeless, including families struggling with addiction, emancipated prisoners without insurance, and military. We are eligible for the set-aside.

Our approach centers on morale improvement, receptivity to harm reduction activities, and drug addiction treatment. T.E.A.M will work with partners to uplift the minority ethnic homeless population. We will provide comprehensive services extended with our community center. The goal is to achieve measured harm reduction behaviors for every member of the focus population. Community impact will be achieved with patient demonstrated results leading to organic referrals, via a hub and spoke (H&S) service delivery model, to systemically help the target population.

T.E.A.M. reported a substantial majority of the focus population with a willingness to work for an opportunity to change and improve situations. However, these individuals lack fundamental support like food, shelter, sanitation, and health care. Many become overwhelmed with flight or fright responses to survival situations known to lead to criminal survival actions. Once criminalized, differences in individual mindsets can result in profound behavior changes that are prone to contribute to substance abuse disorders and, require rehabilitation therapies to overcome.

We developed realistic goals with measurable objectives. Each goal is a statement about the desired result that is foundational to project objectives. Objectives describe desired results and implementation methods to achievement. Objectives will be used to set project priorities and targets for progress and accountability. 

Goal 1. Increase the capacity of the local health care system to reduce high-risk behaviors of homeless individuals that may contribute to substance misuse. Objective 1. Complete training for 50% of health care partners on our methods within the first 4 months and 100% by end of year 1. 

Goal 2. Decrease youth substance use in the community by implementing evidence-based programs that address behaviors that may lead to continued drug use. Objective 2. Reduce youth substance use initiation in the community by 10%, end of year 3, and 33%, end of the project. 

Goal 3. Address ACEs needs by implementing evidence-based practices (EBPs) that boost morale, improve receptivity to harm reduction activities, and treat drug addiction. Objective 3.a. Initiate services for 20% of the focus population, end of year 1, and increase services by 20% each year until project end (100%). 3.b. Reduce health care burden, homeless substance use, hospital ER visits by 10%, end of year 3, and 25%, end of the project.

Goal 4. Document participant experiences and outcomes. Objective 4. 100% of participants.

The total number of unduplicated individuals to be served with grant funds are: 100 (Yr-1) and 250 (each Yr-2 through Yr-5) for a total of 1100 participants served, estimated as 33-50% of the focus population.