Los Angeles Centers for Alcohol and Drug Abuse (LACADA)

Outpatient and Community Services: Served 2,419 patients in 22/23Los Angeles Centers for Alcohol and Drug Abuse (LACADA) is licensed and certified as a behavioral treatment provider by the State of California's Department of Health Care Services and the County of Los Angeles Department of Public Health - Substance Abuse Prevention and Control. We treat persons with behavioral health problems using patient-centered, trauma-informed, recovery-oriented services, delivered by a committed, caring, and qualified staff of licensed, certified, and registered professionals. We offer critical services across a wide continuum of care, including outpatient, intensive outpatient, as well as prevention and intervention programs. We offer Medication for Addiction Treatment (MAT) to our patients and have a full medical team to oversee their MAT treatment. Our services are available for adults, ages 18 and over, and adolescents, ages 12-17, via outpatient and school-based service settings. LACADA also offers Drug Education/Diversion, Parenting Education, Anger Management, and Domestic Violence counseling services. These programs are authorized or approved by the Los Angeles County Department of Public Health, the Los Angeles County Department of Probation, the Los Angeles County Superior Court, and meet the requirements of the Los Angeles County Department of Children and Family Services. Additionally, LACADA offers HIV / AIDS prevention and intervention services, including HIV testing and counseling.Our Youth and Family Services Programs include Transitional Age Youth 18- 24 years and Adolescents 12-17 years. With our TAY population we provide a comprehensive wraparound case management approach that may need referrals to outside agency with whom we partner, that can support with needs such as housing, employment, food, shelter, basic life skills like resume building, and job search workshop. Our TAY clients have access to our Thrift store for any clothing and shoes. They also have the opportunity to join our peer leadership group that occur every month. By being a part of this leadership group they have access to volunteer hours, community service hours, participation in Like Skills workshops, tutoring, HIV testing and other services for free. LACADA provides Substance Use prevention, intervention, and treatment at our site in Santa Fe Springs. We are proud to say that we have expanded to many High Schools to offer school-based services at El Rancho High School, Salazar High School, Ellen Ochoa Prep Academy, Burke Steam Academy, Rivera Middle School, Paramount High School, Bellflower High School, Shur High School, Compton High School, Norwalk High School and East LA Sheriff's Vida Prevention Program. Outreach Experience. LACADA is the Community Engagement and Navigation Services (CENS) provider for Service Planning Area 7 (SPA 7), and we conduct daily bilingual, multicultural outreach/engagement throughout L.A. County, including street outreach. LACADA reaches our service groups via multiple MOUs with community partners, including a partnership to operate the 50-bed treatment unit at the L.A. Mission on Skid Row. We have superior ability to reach people involved in the criminal justice system. LACADA is co-located in L.A. County courtrooms (Downey, Bellflower, Norwalk, East Los Angeles, Long Beach, and L.A.'s new "Rainbow Court"), and we are one of only three SUD treatment providers working inside the L.A. County jail system. LACADA has a seat on the new Re-Imagine L.A. County Commission to advocate for alternatives to incarceration. Via successful outreach and strong MOUs with community partners, LACADA served 3,750 treatment patients in 2018-19, with a 15% increase to 4,313 patients in 2019 (pre-pandemic).

Homeless Services: Served 1000 RBH patients in 22/23LACADA headquarters is in Santa Fe Springs, CA. Our program facilities are located in Alhambra, Pasadena, Altadena, Bellflower, Pico Rivera, Santa Fe Springs, South Gate, Whittier, downtown Los Angeles, East Los Angeles, Hollywood, and Long Beach - with new facilities continuously in development. LACADA has provided unhoused street outreach, case management, and crisis housing placement since 1971, beginning with unhoused veterans returning from Vietnam with trauma and addiction issues. Today, 95% of our residential clients are unhoused at program admission. We work with the L.A. County Coordinated Entry System (CES) and Homeless Management Information System (HMIS) within a large network of service providers to connect our unhoused clients with needed care. The key to LACADA's unhoused services approach is the utilization of non-judgmental, trauma informed, recovery-oriented, and culturally/linguistically appropriate multi-disciplinary teams. Our teams include Outreach Workers, Mental Health Clinicians, Substance Use Disorder Counselors, Case Managers, and skilled medical personnel. Collectively, they have the skills needed to engage and screen persons experiencing homelessness and link them to critical services for targeted and intensive care coordination. Service linkage for this project will include priority placement in LACADA's extensive continuum of care (residential, intensive outpatient, outpatient treatment); emergency housing beds; transitional housing beds; supportive services, including linkage to health care, permanent housing, and workforce development services. LACADA's broad continuum of evidence-based care for homeless services and alcohol, drug, and mental health disorders includes: 124 state-licensed residential treatment beds; 16 state-licensed residential beds for mental health crisis stabilization; 244 Recovery Bridge Housing (RBH) beds for the unhoused (including 45 beds in LGBTQ+ Affirming or exclusive programs; 32 beds co-located in the Los Angeles Mission on Skid Row; and 71 RBH beds in the San Gabriel Valley); Over 500 state-certified outpatient slots; Jail-based treatment in Men's Central Jail and Pitchess Detention Center North Facility; Court-based treatment referral and navigation (Alhambra, Pasadena, Bellflower, Downey, Long Beach, Norwalk, and East L.A. Municipal Courts, as well as L.A.'s "Rainbow" Court, the nation's only LGBTQ+ Affirming Community Collaborative Court); and School-based treatment in El Rancho Unified School District. LACADA offers services via our own behavioral healthcare resources. LACADA provides a comprehensive clinical assessment of each resident we serve; with a resulting service plan detailing action steps to achieve stable housing and other client goals and objectives. Using the evidence-based practice of intensive case management, our Navigator will work within a well-established multiservice network of community partners to link clients with crisis shelter, permanent housing, education, employment, and volunteer opportunities (for those who cannot work), as well as diverse supportive services. LACADA already works closely with the L.A. County Coordinated Entry System (CES) and Homeless Management Information System (HMIS) in each Service Planning Area to ensure a comprehensive, coordinated approach to local unhoused. LACADA delivers the Unhoused Services program in close coordination with Alhambra City Staff, the HELP Team, and other identified stakeholders to provide the following services for Arcadia's unhoused residents: Street Outreach. Our street outreach services incorporate the evidence-based core practices endorsed by the United States Interagency Council on Homelessness. Thus, street outreach is: 1) Systematic, Coordinated, and Comprehensive; 2) Housing Focused; 3) Person-Centered, Trauma-Informed, and Culturally Responsive; and 4) Emphasizes Safety and Reduces Harm. LACADA helps unhoused clients access the multiple services they need via our use of a modified Intensive Case Management model, an evidence-based practice. We will not limit our clients to a 50-minute hour with their Navigator (Case Manager) and will facilitate more time with each client so they can work across many different service systems with multiple community partners to unravel complicated issues. LACADA will facilitate client access to needed services via formal contracts, Letters of Commitment, and/or Memorandum of Understanding with multiple Arcadia community stakeholders. Access to Crisis Housing. As the largest provider of Recovery Bridge Housing (RBH) in Los Angeles County, LACADA helps unhoused individuals with behavioral health problems to get off the streets quickly. RBH stabilizes unhoused clients via peer recovery support with ancillary off-site outpatient treatment to help adults gain the skills needed to maintain stable housing. Services are designed to serve vulnerable unhoused community members with multiple and complex service needs. LACADA will use our extensive experience in providing comprehensive care for diverse, low-income populations in L.A. County that have reduced access to evidence-based services, specifically: Unhoused adults and those at-risk; Persons of color Justice involved; At promise youth and their families; Pregnant and parenting women and their children; LGBTQ+ individuals; Gang-involved individuals (LACADA works extensively with Homeboy Industries); Survivors of crime and intimate partner/domestic violence; and Perpetrators of domestic violence (separate court-ordered batterers program). Unhoused residents and those at risk will receive person-focused services tailored to individual client needs. These needs include: Crisis housing through motel vouchers and other local resources; Housing placement through the Coordinated Entry System; Counseling, case management, and peer support to break the cycle of experience homelessness; Treatment for alcohol, drug, mental health, and trauma disorders (as needed); Family counseling; Gang-focused counseling (provided in collaboration with Homeboy Industries); Life skills education to support independent living; HIV testing, counseling, and prevention services; Primary health clinics and service coordination with primary care providers; andCommunity organizing for unhoused service issues. As part of a systemic effort, street outreach will be conducted on behalf of the community (rather than one agency), with collaboration among multiple local stakeholders to make more strategic use of resources, provide more comprehensive coverage, and identify all Arcadia residents experiencing unhoused and at-risk. To accomplish this, LACADA will work closely with City staff, the school district, the L.A. County Coordinated Entry System (CES) and the Service Planning Areas HMIS to coordinate unhoused services and share data.To remain housing focused, LACADA uses a Housing First model. This means we will make immediate connections to emergency shelter or temporary housing to provide safe options while participants proceed on a pathway toward stability. Housing First also means, to the greatest extent possible, LACADA will not impose preconditions to permanent housing, shelter, or other temporary housing (such as sobriety, minimum income requirements, absence of a criminal record, completion of treatment, participation in services, or other unnecessary conditions).LACADA uses evidence-based practices, including a workforce trained on all staff levels to use a trauma-informed, person-centered approach focused on the client's strengths and resources. In delivery of street outreach, we never make assumptions about what a person might need or want. Instead, street outreach staff ask our unhoused clients to provide voice and choice in their services. We remain respectful and responsive to the beliefs and practices, sexual orientations, disability statuses, age, gender identities, cultural preferences, and linguistic needs of all individuals. Our street outreach efforts utilize harm reduction principles, including non-judgmental, non-coercive provision of services and resources with protocols in place to ensure the safety of all individuals seeking LACADA's assistance.

Residential Services: Served 961 in 22/23Los Angeles Centers for Alcohol and Drug Abuse (LACADA) offers the County a distinctive 26-year record of accomplishment in the delivery of 24-hour residential treatment serving low-income and unhoused residents of L.A. County. LACADA is fully CARF accredited and held to the highest standards of quality care for our patients. We have unmatched expertise in the design and delivery of evidenced based residential treatment for people of color, LGBTQ+ patients and persons who are involved in the criminal justice system. LACADA operates 199 state-licensed residential beds for SUD and mental health treatment with gender-specific, Pregnant and Postpartum Women (PPW), Coed, and LGBTQ+ sensitive programs, including a Crisis Residential Treatment Program for mental health patients. LACADA also operates a 112-bed correctional residential treatment facility for CA Department of Corrections and Rehabilitation (CDCR). A BIPOC-led agency, LACADA designs services dedicated to equity for and leadership by the marginalized communities we serve. Our treatment programs are grounded in social justice, healthcare equity and adherence to National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. LACADA has used an evidenced based strategy to deliver residential services since 1995. Of our treatment participants, 100% are low-income; 85% are people of color; 95% of residential patients at intake are unhoused; and 80% have been involved with the criminal justice system. All have multiple negative social determinants of health. To meet their needs LACADA uses culturally responsive, trauma-informed, person-centered recovery-oriented system of care.

LACADA has experience offering HIV services to the community. Project 90 was launched and sunsetted with the objective to offer HIV prevention services to transgender women and men who have sex with men. Participants were paired with a peer mentor who assisted them in creating a treatment "passport" designed to help them overcome behavioral health risks.The Mobile Enhanced Prevention Services Program (MEPS) was a research project that used an app-based version of the Project 90 Passport.Now, we have our HIV Storefront Testing Program that provides test results in 1 minute. Persons who test positive are linked with medical care. Those who test negative are offered linkage to PrEP-a medication that can prevent HIV infection.The Los Angeles County Department of Public Health Office of Violence Prevention and LACADA have, for a second consecutive year, entered into an agreement with 20 Community-Based Organizations (CBOs) that deliver Community Violence Intervention services in Los Angeles County. The selected organizations that are owned and operated by Black and Indigenous People of Color. Each of these CBOs have received a $50,000 mini grant to deliver violence intervention services and receive Capacity Building support and Training and Technical Assistance (TTA). The foundational premise of the program is that "it takes a village to heal a village." In other words, the people who are best suited to bring community change are the people to live, work and play in that community, and who reflect the lived experience of these residents.