
Nursing graduate Anthony Paredes plays crucial role in integrating medical services into Greater Boston’s only Bilingual/Bicultural Behavioral Health Clinic.
Just two years after earning his Master of Science in Nursing degree from the MGH Institute, Anthony Paredes is playing a key leadership role in helping change the way substance abuse disorder is treated in the Commonwealth. And his organization has the platform to do it.
Paredes is the new Lead Medical Director of Casa Esperanza, a behavioral health treatment agency that is looking to become the state’s first under one roof model that covers all phases of substance use disorder treatment – from detox to clinical stabilization, residential treatment, mental health counseling, primary care, recovery support, and supportive housing.
“The idea is really treating the patient where they are and not necessarily putting them through these different levels in different facilities,” said Paredes. “We want to do it differently because we think it will be much more effective.”
Currently, the model for delivering substance use disorder treatment in Massachusetts involves patients moving from program to program, often starting with a detoxification facility or urgent care, and if successful, enrolling in a two-to-four-week clinical stabilization program followed by a six-to-twelve-month stay at a residential facility before moving to long-term outpatient care. Each transition introduces barriers as services are in high demand and beds are limited. Patients may find themselves on waitlists for months waiting for an opening to transition to step-down care.
“So, there's this huge gauntlet, right?” said Paredes, a 34-year-old who is the IHP’s inaugural alumni trustee and the board’s youngest-ever member. “There are all these different steps, all these areas of weakness, where individuals can just start relapsing because it's extremely difficult to stay sober. That’s what needs to be fixed.”
Casa Esperanza, Inc. is a Boston-based bilingual and bicultural behavioral health center that specializes in providing integrated, evidence-based, trauma-informed behavioral health, primary care, prevention, and urgent care services to the Latinx community in Massachusetts.
The center is one of four organizations in Massachusetts selected for Certified Community Behavioral Health Clinic (CCBHC) planning, development, and implementation funding in 2022. Casa will receive up to $4 million from the Substance Abuse and Mental Health Services Administration (SAMHSA) to establish the first CCBHC in Eastern Massachusetts focused on serving the Latinx community. Paredes will play a key role in developing and integrating primary care and preventative care medical services as part of Casa’s strategic growth to align with federal certification criteria for Community Behavioral Health Centers.
Paredes and the leadership at Casa Esperanza, Inc. see CCBHC funding as an opportunity to address barriers and close gaps that leave patients in early recovery vulnerable to risks associated with relapse. Casa’s continuum of care already includes a range of programs from early interventions like Urgent Care for Behavioral Health and Clinical Stabilizations services to long-term outpatient recovery support and supportive housing between the organization’s locations in Roxbury and Tewksbury.
“We want to add detox, we already have clinical stabilization, residential treatment, and outpatient care,” said Paredes with a hopeful gleam in his eyes. “It's all in there, and with Casa’s ‘any door’ policy, we're meeting the patient where they are, so that we can treat them where they are. So, if they’re right off the street and just had a relapse, ‘Okay, come on in. We'll help you.’ Or if there’s someone who's gone through all these different steps, and they're still looking for help. ‘Sure, come on in. We can continue helping you.’”
In the meantime, the $4 million from SAMHSA to plan, develop, and implement expansion to align with CCBHC criteria provides an opportunity to integrate more medical services and add more lifetime support for patients throughout their recovery journey. Casa’s plans include adding a Detox program to provide key support before patients enter Clinical Stabilization Services. The hope being that patients coming out of detox will be able to remain at Casa Esperanza throughout their recovery. Patients will receive consistent support to help maintain a patient’s sobriety including medication assisted therapy, counseling, information on sexually transmitted diseases and infections, sober social opportunities, wrap-around recovery support, and frequent one-on-one and group meetings with Paredes and his nursing team.
The last year has been a busy one; Casa Esperanza has already expanded recovery support services and outpatient mental health services to serve more than 500 individuals and families. The addition of telehealth has extended access to outpatient services for patients from anywhere in the state suffering from substance use disorder. At Casa’s main campus in Roxbury - which includes two residential recovery programs, supportive housing, and Casa’s Outpatient clinic - enrollment includes a steady stream of traffic coming from the nearby “Mass and Cass,” the epicenter of Boston’s opioid crisis.
“We’ve definitely seen a steady amount of people from ‘Mass and Cass’ needing our help,” said Paredes. “Even at our Tewksbury site, we’re seeing a ton of individuals from that area coming to us.”