Grant Application Entries
Isaiah House Treatment Centers
P.O. Box 188
Willisburg, Kentucky 40078
Grants and Major Gifts Officer
Isaiah House Women's Center
The Nile is a women’s residential treatment center that opened in 2001 in Versailles, KY to help women with substance use disorder particularly those who are pregnant. Operated by King’s Way Church, The Nile supported 100s of women and infants during its 18-year history. The Nile closed in 2019 due primarily to changes in Medicaid reimbursement policies which greatly reduced operating revenue. As a stand-alone facility, The Nile had to maintain infrastructure and overhead for medical billing, human resources, maintenance, clinical, and other required functions. King’s Way approached Isaiah House about taking over its operation. We committed to reopening the facility and will continue to serve pregnant women. To enhance sustainability, we will expand capacity from 16 to 28 treatment beds. The expansion requires minimal interior renovation and has already been approved by the state fire marshal. With treatment centers in 5 other KY counties, IH has the built-in infrastructure to maintain the facility’s operation. Funds are needed for initial startup expenses, including basic supplies, since operating revenue will not be generated for 2 months or more after the Center opens in late September. The Center is located on the border of Woodford and Fayette counties, an area hit hard by the opioid epidemic. An informal survey of residential programs within a 50-mile radius found only 2 with open beds for women. Our treatment plan for the Women’s Center is person-centered, focusing on individualized treatment plans with medical care, counseling, peer support, medication-assisted treatment, family education, nutrition, and resources to assist clients with developing job skills, enrolling in an educational program and/or finding a job.
Isaiah House began in March preparing the new Women’s Center to accept its first client. Some renovation and interior upgrades were needed to meet accreditation requirements and local fire codes so that the facility could qualify for an increase in treatment beds. A grant from Kentucky Colonels was used to replace damaged HVAC units ($8,950) and a Good Samaritan Foundation grant purchased some medical equipment and supplies ($7,121). We used a Facebook campaign to raise $700 for kitchen upgrades. IH originally intended to begin accepting clients at the Versailles treatment center in July. However, the COVID-10 crisis delayed the fire marshal inspection and personnel recruitment. Our goal is to have the facility fully operational by late September; however, we are still in need of essential supplies for treatment and medical care, household maintenance, and nutrition/fitness activities which is crucial for women in recovery. The project budget includes basic items in these categories but are all items necessary to open the facility and care for clients. These items can be replaced over time as earned income increases and new community relationships are built to support the Center’s ongoing operation. It will be at least two months before we can expect any insurance reimbursements. Examples of budget items include hygiene kits, exercise mats, bed sheets, small kitchen appliances, drug testing supplies and masks/gloves for personal protection in relation to COVID-19. The grant report will provide an itemized list of items purchased from the Essential Startup Project Budget.
In 2019, Isaiah House provided substance abuse treatment for residents from 75% of Kentucky counties. We offer residential and outpatient treatment for men and women without regard to race, culture, age, sexual orientation, or socioeconomic status. Approximately 85% of clients are Medicaid recipients with income below 138% of poverty level. We also accept uninsured, self-pay, and some commercial insurance clients. We raise private funds or find community sponsors to support clients who need help paying for treatment or personal expenses. We rarely turn away a former client who has relapsed regardless of their insurance situation or economic means. Because of the detrimental effects of addiction, all clients admitted in 2019 and, so far in 2020, were unemployed. Their ability to support themselves and their families has been seriously diminished. All of them face challenges in gaining work experience, education and training needed to get and keep a job. Over the past year, most of our clients have had a criminal record including 40% with felonies which impacts their employment opportunities; 33% of fathers and 16% of mothers did not have a diploma or GED. Our clients have been predominantly white but the number of minorities is increasing as we continue to expand services and facilities to communities with more diverse populations.
Isaiah House offers a comprehensive program of recovery from withdrawal management to sober living housing. Our holistic approach to treatment addresses every area of clients’ lives that impacts their ability to stay clean. According to the National Institute of Drug Abuse, effective treatment not only addresses drug abuse but also the associated medical, psychological, social, vocational, and legal problems. We embrace this position and believe this type of treatment offers the best chance for long-term recovery. Clients address a variety of issues impacting their ability to stay clean – lack of job experience and education, legal consequences, repairing child and family relationships, improving physical health, and developing peer relationships. Our Employment Program features alumni-managed businesses which provide jobs for clients with poor job histories or criminal backgrounds. Employment assistance is offered through partnerships with workforce development boards, Goodwill Industries (soft skills training onsite), local manufacturers, and security companies that place clients in jobs while in treatment. Many wrap-around services help people maintain sobriety but are not covered by insurance. We provide outpatient counseling, mentoring and peer support, a vocational education center, community service opportunities, family support and education, and college and GED classes onsite. Our program is nationally accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and state-licensed as an Alcohol and Other Drug Entity
As a holistic treatment program, IH is dedicated to providing a comprehensive range of treatment options and levels. Services are provided to adult men and women, age 18 and up, most with a multitude of issues in addition to addiction, including poverty, chronic homelessness, HIV and Hep C diagnosis, and criminal backgrounds. The Women’s Center is located at the border of Woodford and Fayette counties where 153 people died of drug overdoses in 2018 not counting hundreds more who overdosed and survived. The COVID-19 pandemic has exacerbated the substance abuse problem with many Kentucky communities reporting a 50% to 75% increase in overdoses and death as people struggle with isolation and unemployment (WKYT 4/29/20). Since 2017, 35 to 40% of overdose deaths in KY were women (KY Office of Drug Control Policy). Substance use disorders progress differently for women than for men according to the National Institute on Drug Abuse. “Women often have a shorter history of using certain substances such as cocaine, opioids, marijuana, or alcohol. However, they typically enter substance use disorder treatment with more severe medical, behavioral, psychological, and social problems. This is because women show a quicker progression from first using the substance to developing dependence.” https://www.drugabuse.gov/publications/research-reports/substance-use-in-women. Treatment for women is especially important in Kentucky where hospitalizations for drug-dependent newborns continue to rise. The state now has a neonatal abstinence syndrome rate of 15.0 cases per 1,000 births - nearly three times the national average according to the KY Office of Drug Control Policy. “The combined burdens of work, home care, child care, and other family responsibilities, plus attending treatment frequently, can be overwhelming for many women. Successful treatment may need to provide an increased level of support to address these needs.” https://theweek.com/articles/730299/how-kentucky-succeeding-addiction-care-pregnant-women.
One of Isaiah House’s key treatment strategies is to restore families that have been torn apart by the consequences of addiction. We have a history of providing treatment for men and women who are married and/or have children together. However, our residential treatment program is not co-ed and requires separate facilities for men and women. Currently, we have only one 16-bed treatment facility for women located in Mercer County and two transitional living homes. The women’s center in Versailles will provide Isaiah House with an opportunity to increase treatment options for women. The Lisa Walker Center in Mercer County often operates at capacity with a waiting list of women seeking treatment. The 28-day program is only the beginning of a long recovery process. The short-term program offered at the Women’s Center will serve as the gateway to long-term treatment, outpatient services, or 12-step community-based programs.
A June 28 informal review of residential treatment programs within a 50-mile radius of the new center found only two with open beds for women.
Isaiah House has always taken a holistic approach to treatment. We pursue collaborations with educational institutions, offer vocational training onsite, and develop small businesses to employ clients. Our job training and employment program is more extensive than other programs we are aware of even on a national level. We make every effort to ensure that all able-bodied clients are employed during long-term treatment and after graduation. While many programs offer GED classes, few collaborate with a college for onsite classes. As a leader in addiction recovery in Kentucky, IH reaches beyond its walls to interact with community organizations, local and state governments, and business owners. Over the past two years, we have collaborated and shared curriculum with 15 programs in KY, GA, TN, and OH. Isaiah House is committed to supporting community initiatives to address and prevent substance abuse. Former clients and staff visit schools, churches, and forums to educate people about the disease of addiction. In 2019, IH reached some important milestones including becoming the first treatment center in KY to be designated as a satellite college campus, being the subject of a feature story on the Christian Broadcasting Network, and receiving the “KY Nonprofit Award for Innovation” in recognition of our employment and job training program.
400 women will be admitted for substance abuse treatment; 65% will complete a short-term treatment program (up to 28 days); 35% of clients completing short term will transition to outpatient, intensive outpatient, and/or sober living housing. Clients are surveyed on health habits, lifestyle, and physical, and mental health issues when admitted and at completion. Records are maintained on improvements in attitudes, knowledge, and commitment to changing behavior. All admissions, completions, and transitions are maintained in the electronic health records system Celerity. Staff responsible for collecting evaluation data include admissions personnel, staff statistician, and case managers.
Ongoing operational expenses will be primarily covered through patient fees (Medicaid, commercial insurance, self-pay, community sponsorships for uninsured). However, private funding is needed to get the program started. With treatment centers in six counties, Isaiah House also has the built-in infrastructure to sustain the facility’s operation such as a human resources department, financial and accounting department, and medical and clinical staff. We will also include the Women’s Center in our annual fundraising activities. Startup costs include office and maintenance supplies/equipment, technology, minor renovations and repairs, alarm system, recovery curriculum, medical care supplies including drug testing, and other items needed to prepare the facility to accept the first clients.
Isaiah House’s standard fee for residential treatment is $230 per day; however, only a small fraction of clients (less than 3%) pay out of pocket. The majority of treatment expenses are covered by Medicaid with some commercial insurance. We accept insurance for outpatient and residential services and have contract agreements with various insurance companies and Medicaid’s Managed Care Organizations which dictate how much IH receives per client. We raise money for clients who are uninsured. After 28 days, clients can move to long-term treatment or sober living housing. These clients are required to work either through our employment programs or in community-based jobs. In most cases, a client who makes more than $8.50 an hour loses eligibility for Medicaid. Clients are expected to use a portion of their wages for room and board in these facilities. For example, sober living residents pay $100 per week. We raise money to pay for many of the treatment activities in long-term care even such items as food, medical supplies, and equipment required for jobs. We currently have 60 clients in sober living housing, 47 in long-term care, and 92 in short-term residential in addition to outpatient services clients. We served a total of 1,114 unduplicated clients in 2019.
Isaiah House received a $ 5,000 grant in 2015 to replace an outdated phone system. We also secured a $5,000 matching grant from the National Christian Foundation. The project greatly enhanced communication and efficiency with 10 additional phone lines, an intercom system, the ability to record live calls for training and quality, conference calling, voice mail, and several other features that were previously unavailable. In 2016, IH received a $7,093 grant to support the opening of Patricia’s Place. We were able to begin accepting clients in 2016 and had 128 men complete the program that year. The grant was used to purchase comforter sets for beds, classroom furniture, instructional equipment (projector, laptop, printer, presentation cart), and the Hazelden Living in Balance curriculum. In 2018, IH received a $5,000 grant to support our Employment and Job Training Program. The funds were used to purchase equipment for landscaping and construction trade programs.