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START-SD

About START-SD Program

START-SD )Stigma, Treatment, Avoidance and Recovery in Time logo)
Start-SD logo. Stigma, treatment, avoidance, and recovery in time.

 

START-SD is a federal program funded by the Health Resources and Services Administration (HRSA) working to increase access to prevention, treatment, and recovery services for substance use disorders with a focus on opioid use disorder in Brookings, Codington and Hughes Counties in South Dakota. Our goal is to slow the opioid epidemic and help impacted individuals and families get the care they need to thrive. 


 

Rural areas often lack access to high quality services and patients face stigma when attempting to enter counseling or receiving treatment. Our program is focused on helping individuals get access to counseling and treatment services as well as connecting them with social support to remain in treatment and live healthy lives. In addition, we are hoping to increase use of Medication Assisted Treatment  (MAT) for patients with opioid use disorder. See the video below for some information. 

The Start SD program is using a multipronged approach to improve access to prevention, treatment and recovery services in rural South Dakota.
Prevention Treatment Recovery
Public and Family Awareness Telehealth MAT Services Peer Coaching
Anti-Stigma Campaign Provider Training/Mentorship Counseling
Afterschool Education Project Echo Discharge Coordination
Naloxone Access Counseling and Case management Referrals 
Drug Take Back Reimbursement Training Support Groups
Increased Screening    

This work is being completed with the help of our key partners below. 

Center for Family Medicine (CFM)

Center for Family Medicine (CFM)
The CFM is a comprehensive medical center which houses a residency training program located in Sioux Falls, SD. The staff over 40 physicians and residents with expertise in many fields. The behavioral health program is led by Dr. Jenifer Ball, who is MAT waivered provider with vast experience treating patients with SUD/OUD. Her team includes several physicians, residents, and counselors dedicated to providing high quality patient centered care without stigma or judgement. They will provide treatment and recovery services via telehealth in our target counties. In addition, the providers at CFM lead a Project ECHO® for SUD/OUD and will utilize this program to enhance rural provider mentorship and training.

Project Recovery (PR)

Project Recovery (PR)
PR is the leading provider of telehealth SUD services throughout the state. The center is located in Rapid City, SD, and led by Dr. Steven Tamang, who has been a champion for MAT services throughout the state. PR was formed to address the gap in access to MAT providers throughout the state which remains a key issue.  They currently have nine providers with a DATA 2000 waiver and are taking on new patients. PR will provide telehealth services to patients enrolled in the START-SD program as well as provide technical expertise and mentorship to local provider.

Brookings Behavioral Health & Wellness (BBHW)

Brookings Behavioral Health & Wellness (BBHW)
BBHW is a privately owned, non-profit 501(c)(3) community mental health center and community substance abuse treatment center accredited by the State Division of Behavioral Health. BBHW serves all of the state funded patients in Brookings County and provides a wide variety of counseling, prevention education and case management services.  BBHW is led by their CEO, Mary Beth Fishback and has established themselves as a leader addressing mental health in the community. This has included being a key member of the Brookings Mental Health Coalition and Brookings Area Mental Health Task Force. The staff at BBHW includes a Physician Assistant, licensed clinicians, LPN and multiple Case Managers. This team will provide a full continuum of services, wrap around and recovery supports.

Lutheran Social Services (LSS)

Lutheran Social Services (LSS)
LSS of South Dakota is a faith-based organization working to respond to changing needs in South Dakota communities. Their mission is “Inspired by God's love, we care for, support and strengthen individuals, families and communities.” LSS touches the lives of South Dakotans 45,781 times each year with a variety of programs and services statewide. LSS is one of the largest private non-profit human service agencies in South Dakota and they have offices in each of the target communities. LSS serves people of all ages, faiths, races and economic status with professional, confidential and affordable services. LSS is committed to hiring a Care Coordinator to assist patients and families impacted by OUD to receive the needed medical and social services.

Face It TOGETHER (FIT)

Face It TOGETHER (FIT)
FIT is a nationally-focused addiction wellness nonprofit that provides professional peer coaching to those impacted by addiction, including loved ones. Their mission is to get people with addiction and their loved ones well. By pairing members (clients) with coaches who have similar lived experiences, they are welcomed into a safe, nonjudgmental space where they can begin to overcome the challenges in their lives related to addiction. Coaches meet members at any point in their journeys. They offer guidance in a personalized way. Members don’t have to follow a one-size-fits-all program or remain sober to stay engaged with a FIT coach.

Capital Area Counseling Services (CACS)

Capital Area Counseling Services (CACS)
CACS has been providing services since 1968. They are accredited by the State of South Dakota as a mental health, addiction treatment and child welfare agency. They serve youth, families, adults and seniors. The agency employs over ninety employees, who provide services in their offices or in the community, such as at schools throughout the area. They provide a variety of SUD services through their highly trained staff. CACS serves the nine counties of Hughes, Stanley, Haakon, Jones, Lyman, Buffalo, Hyde, Sully and Potter. 

Funding Statement

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $1,000,000 with 100% percentage funded by HRSA/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA/HHS, or the U.S. Government. More Information 

Principle Investigators

Co-Investigators