TI-19-001 Individual Grant Awards

In 2016 there were 908 opioid or heroin related death in the state of Missouri. St. Louis County is one of the hardest hit areas with 237 deaths attributed to substance abuse. (health.mo.gov) The Family Drug Treatment Court (FTC) of the 24th Judicial Circuit targets the parents and children who have been affected by a petition filed with the Court alleging substance abuse which has resulted in some form of abuse and/or neglect. FTC is comprised of St. Francois, Washington, Ste. Genevieve, and Madison Counties which are located in the Southeast Region of the State of Missouri. According to the U.S. Census Bureau, the 2017 estimated population of the Circuit was 121,813. The 24th Circuit embodies a diverse group of ethnicities to include Caucasian, African American, American Indian, Alaska Native, Islander, Asian, Hispanic/Latino, and multi-racial. According to the 24th Judicial Circuit Division of Family Services Circuit Manager, Dawn Phillips, there are approximately 590 children currently in foster care within the 24th Circuit. Of those children approximately 70% of the cases are drug related. Dawn Phillips, Circuit Manager, also reported that the 24th Circuit Division of Family Services experiences approximately 2400 hotline calls per year with approximately 60% of those calls being drug related. According to Dawn Phillips, approximately 100 cases were considered ready for termination of parental rights in 2017. There is a great need to expand intensive substance use disorder (SUD) treatment services. In July 2018, the 24th Judicial Circuit began a FTC program on a pilot basis by referring 5 participants with dependency cases from the traditional juvenile justice system to a Parental Substance Abuse Court. The FTC is based on the drug court model and is designed to provide a more focused and coordinated approach to parental substance abuse. The program is now funded through in-kind donations and volunteers which limits the scope of the program. The FTC would like to use this funding to expand our service capacity. The goal of the program is to implement evidence based programs combining the sanctioning power of drug treatment courts with effective treatment services to reduce the rates of substance misuse, the severity of SUDS and co-occurring disorders, decrease the out of home placements for children through family reunification and preservation, and reduce the number of termination of parental rights in the 24th Judicial Circuit by over 25% over the next 5 years. The targeted capacity for the FTC is 35 participants in Year 1, 36 in Year 2, 37 in Year 3, 38 in Year 4, and 39 in Year 5 for a total of 185 adult participants served over the life of this funding. The average household in this area consists of 2 children so additionally we hope to serve a minimum of 35 children in Year 1, 36 in Year 2, 37 in Year 3, 38 in Year 4, and 39 in Year 5 for a total of 185 children served over the life of this funding. FTC has set the numbers low as we start the program with the hopes that FTC will assist more as we grow in knowledge.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081957-01 COUNTY OF ST FRANCOIS FARMINGTON MO ECKHOFF ADRIAN $425,000

Bexar County, Texas (includes the city of San Antonio) has the unfortunate distinction of being ranked number one in Texas for infant opioid withdrawal. At any given time, there are approximately 1,000 children under three years of age in Bexar County who have been removed from the home. The mission of the Baby Court is to reunify parents with infants and toddlers who were removed from the home due to parental substance abuse. It incorporates the key strategies and guidelines that are expected of evidence-based Family Drug Courts but also includes elements of the Safe Babies Court Team model because the issues faced by families with infants and toddlers have behavioral health nuances to them that are different than for families with older children. Pursuant to this purpose/mission are several goals: 1) Provide Baby Court parents and infants/toddlers with array of community-based, outpatient, evidence-based treatment services; residential treatment; and, medication assisted therapy. Evidence-based programs to be offered to parents and children of the Baby Court include, but are not limited to: Parent Child Interaction Therapy (PCIT), Incredible Years!; and Celebrating Families! As a rule, all outpatient services will be provided “under one roof” by the Children’s Shelter of San Antonio. Residential treatment providers are located around the community and allow for parental choice. Additional formal and informal partnerships exist with ancillary services providers so that services such as housing, employment, education, and faith-based services can be accessed. The capability and experience of the various stakeholders of the Baby Court have already been established. Bexar County has been the past recipient of Federal, state and local foundation grants dedicated to the various treatment courts. An independent, third party program evaluation will be conducted by a university-based doctoral level individual. The program evaluation will include a process and outcome evaluation as well as a cost-effectiveness analysis.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081936-01 COUNTY OF BEXAR SAN ANTONIO TX CASTRO ALLEN $425,000

The Callaway County Family Treatment Court will enhance and expand its program both in the number of people it serves, from 10 participants to 35, and in services provided to families where the parents or caretakers have a substance use disorder. The program goal is to decrease parental substance use and increase parental engagement to keep families intact. Locally, the Division of Alcohol and Drug Abuse information for Callaway County reports 241 treatment admissions in FY17. According to Missouri Children’s Division data, in Callaway County, a total of 161 children were removed from their parental home between fiscal years 2016 and 2018 due to their parent/caretaker having a substance abuse disorder. Participants with a Substance Use Disorder (SUB) and an open dependency case with the Callaway County Children's Division will be eligible for the program. A Service Coordinator will be employed to be a single point of contact for the participants, and expand and enhance the current services being provided to include additional visitation and implement a peer support program. The geographic catchment area will be Callaway County. The population of focus will be parents/care takers with SUD and/or co-occurring SUD and mental disorders, who have custody of, or reside with children in Callaway County and are ordered to participate in Family Treatment Court (FTC). The program is not limited to the biological parents, but will include any person who is significantly involved in the child’s home life. Demographics of Callaway County are of an urban, semi-urban, and rural composition, and the racial and ethnic statistics reflect 91.8% White, 4.6% African American, 0.6% American Indian and Alaska Native, 0.8% Asian, 2.1% Hispanic or Latino, and 2.2% two or more races. The percentage of Callaway residents living below the poverty level is 11.6. Ages include 5.5% of the population under age 5, 21% under age 18, and 15.8% over 65. The project goals to decrease substance abuse and increase parental capabilities will be achieved by expanding and enhancing services provided to the children and families of the Callaway County Family Treatment Court, serving a total of 175 participants in the five year project; hiring a full-time Service Coordinator to develop an effective case management system to meet the needs of at least 70% of the the eligible parents whose children enter the foster care system due to SUD; identify initial case management needs and re-evaluate the family needs throughout their participation; and exploring additional agencies that can provide FTC participants with evidence-based substance abuse treatment and evidence-based parent aid services, ensuring participants have safe and affordable housing prior to reunification, linking participants to educational and employment opportunities, meeting participants transportation needs and implementing a peer support program.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081942-01 CALLAWAY, COUNTY OF FULTON MO GARRETT CINDY $421,391

In response to SAMHSA's Family Treatment Drug Court FOA (No.:TI-19-001) the Eighth Judicial District Court (EJDC) proposes to expand and enhance the Family Treatment Drug Court (FTDC) located in Clark County, Nevada by adding to traditional office based outpatient treatment services an in-home substance abuse, mental health, and child/family based treatment program to serve a minimum of 35 new and unduplicated parents and their children per year, and a minimum of 175 unduplicated parents/families over the life of the project. The in-home treatment provider will use the evidence based practice of Multi-systemic Therapy (MST) in conjunction with traditional child welfare case management and safety planning, and nationally recognized FTDC interventions and practices, such as regular random drug testing, regular court monitoring, the use of incentives and graduated sanctions, parent peer monitoring, and frequent collaboration and communication between the courts, child welfare agency, treatment provider and community partners. Proposed enhancements include in-home treatment services, assessing and treating children, family therapy, and the use of supportive services of Peer Parent Mentors. The FTDC embraces the 7 Essential Practices to Improving Child Welfare and Substance Use Disorder Treatment Outcomes found in the National Strategic Plan for Family Drug Courts (Child and Family Futures, 2017), as well as the Drug Court 10 Key Components (NADCP, 1997). The FTDC's anticipated outcomes include: fewer families experiencing child removals; children in foster/relative care placements transitioning home sooner; more parents and families engaging in the FTDC program; a reduction in or the elimination of the use of illicit substances; more children receiving assessments and appropriate treatment; and families demonstrating improved family functioning.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081903-01 8TH JUDICIAL DISTRICT COURT LAS VEGAS NV PARKER DENEESE $425,000

The Oklahoma Department of Mental Health and Substance Abuse Services, in partnership with the Kay County Family Drug Court (KCFDC), the Oklahoma Department of Human Services, and treatment provider Bridgeway, Inc., proposes the Kay County Family Recovery and Engagement Enhancement (FREE) Project to expand court capacity and increase availability of and access to services for families engaged in KCFDC, with a focus on children birth-age 5 years. The KCFDC plans to be in operation by April 1, 2019 and will offer treatment and case management services to substance-affected families in Kay County with a case plan of family reunification after experiencing child removal due to abuse and/or neglect issues. The target population for this project is KCFDC participants, their children, and other involved caregivers. The court is composed of a diverse team of professionals with experience, expertise, and the unified philosophy necessary to meet the complex needs of participating families. The FREE Project proposes to 1) expand treatment services and increase access to local resources for eligible court participants, their children, and other caregivers; 2) expand treatment capacity for participants' children age 0-5 years; 3) develop strong collaborations across systems at the state and local levels to develop a service delivery system that supports the multifaceted needs of Kay County Family Drug Court families; and 4) improve substance use treatment outcomes for participant families. The evidence-based practices (EBPs) currently utilized by the KCFDC include Celebrating Families! (CF!), Strengthening Families Program (SFP), Motivational Interviewing (MI), and the Matrix Model. The FREE Project seeks to expand treatment services by adding Medication Assisted Treatment (MAT) and Community Reinforcement Approach (CRA) for adult participants; SFP variations for age’s birth-3 years (SFP0-3) and 3-5 years (SFP3-5), a CF! variation for age birth to 3 (CF! 0-3), and trauma-focused cognitive-behavioral therapy (TF-CBT) for families; and Attachment and Biobehavioral Catch-up (ABC) Model and Wraparound for participants’ children. The FREE Project will add a .5 Child Welfare Specialist to increase the court’s capacity to serve 20 parents in year 1, 30 parents in year 2, 35 parents in year 3, 35 parents in year 4, and 35 parents in year 5 for a total of 155 unduplicated parents over the grant period. The services added by the FREE Project for children age birth to 5 will serve an estimated additional 9 children in year 1, 13 children in year 2, 16 children in year 3, 16 children in year 4, and 16 children in year 5 for a total of 70 unduplicated children over the grant period that would otherwise not receive age- and developmentally-appropriate services. Project evaluation will be conducted using Oklahoma’s SACWIS, ODMHSAS’ Web-Based Reporting System, and retroactive SFP/CF! outcome evaluation. These combined data sources will collect and report measures related to the project goals and objectives.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081938-01 OKLAHOMA DEPT OF MENTAL HLTH/SUBS ABUSE OKLAHOMA CITY OK EARLES KELLY $425,000

The Sacramento County Department of Behavioral Health Services (BHS), Alcohol and Drugs Services (ADS) in partnership with the Department of Children and Family Services, Bridges Professional Treatment Services, the Drug Dependency Court, and Children and Family Futures proposes Expansion of Sacramento County Family Treatment Drug Court Services to Provide Afternoon Treatment to Fathers, Child Care, and Recovery Housing to Mothers Project. This project intends to improve outcomes for fathers and mothers enrolled in the Drug Dependency Courts. The goals of the project are Goal 1: Increase reunification rates and reduce repeated maltreatment of children of fathers involved in the Family Treatment Drug Court by expanding evidence-based substance use disorder treatment programming that address barriers for fathers through ROOM for Dads. Objective 1.1: By the end of year five, 100 fathers (target of 20 fathers per contract year) will be enrolled in the ROOM for Dads program receiving gender-specific and trauma-informed evidence based treatment. Objective 1.2: By the end of year five, 70 percent of children of fathers who are enrolled in ROOM for Dads are reunified within 24 months of the date of child removal. This would be an increase from existing baseline data of 50 percent reunification from 2011-2017. Goal 2: Where children are at home at the time of court involvement, increase the rate of children who remain at home with fathers involved in the Family Treatment Drug Court by expanding evidence-based substance use disorder treatment programming that address barriers for fathers through ROOM for Dads. Objective 2.1: By the end of year five, 90 percent of children residing with their fathers at time of intake who enroll in ROOM for Dads program will maintain an at-home status at graduation of the program. This would be an increase from existing baseline data of 83 percent of children remain at home from 2008 – 2017. Goal 3: Decrease substance use relapse rates among mothers residing in recovery housing by providing a safe and healthy independent living environment while they are in recovery. Objective 3.1: By the end of year five, 75 mothers (target of 15 mothers per contract year) identified as in need of housing at intake will have accessed and engaged in recovery housing. Objective 3.2: By the end of year five, 50 percent of mothers who are enrolled in recovery housing support services will report decrease in substance use at time of discharge. Objective 3.3: By the end of year five, 45 percent of the women who accessed recovery housing services will have a permanent housing plan that includes employment and/or education. Trauma-informed, gender specific treatment for fathers will be expanded to afternoon hours with childcare provided for fathers who have physical custody of their child (ren). To increase overall participation of fathers, the project will add a staff member to work on engaging, supporting, and helping retain fathers in the treatment services. Another challenge in Sacramento County is safe and stable housing. The project will target housing insecurity for mothers by working to expand access to recovery housing. Several barriers have been identified and through support of a staff member working on obtaining and supporting mothers in recovery housing, the project will increase rates of reunification and decrease time in out-of-home care where access to safe and stable housing has been the barrier.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081911-01 COUNTY/SACRAMENTO DEPT/ HEALTH/HUM/SRVS SACRAMENTO CA GRIMES KIMBERLY $425,000

The Dallas County Family Drug Court Expansion Project will expand treatment services for parents and/or guardians, and their children, involved with the Family Drug Court in Dallas County, Alabama, which includes the City of Selma. Dallas County is rural county of Alabama where poverty levels are high and treatment resources are very limited. The current capacity of the court is 16 individuals annually. The project will expand services by 50% annually, allowing the courts to see 24 people annually and 120 over the five-year grant period. The population of focus will be low-income and/or uninsured parents with a substance use disorder, or co-occurring substance use and mental disorder, who are involved in a dependency case derived from substance use, and/or have children in the custody of the Dallas County Department of Human Resource due to substance use, and the children and/or legal dependents of those parents. Aletheia House, a community-based nonprofit organization with more than forty years of experience, will provide the treatment services. The project will use evidence-based strategies/interventions including: 1) Living in Balance; 2) cognitive behavioral therapy; 3) medication-assisted treatment; 4) family centered care services; and 5) case management services for parents and children. 100% of eligible participants diagnosed with an opioid disorder will be offered Medicated Assistant Treatment. The project’s goals include: 1) increasing the capacity of Dallas County Family Drug Court to break the cycle of alcohol and/or drug use and family court involvement in Dallas County, Alabama by expanding access to evidence-based practices by 50% annually; 2) improving outcomes for parents/guardians in the Dallas County Family Drug Court by providing the evidenced-based interventions; 3) improving outcomes for the children/dependents in the Dallas County Family Drug Court by providing the evidenced-based interventions; and 4) increasing the capacity of Dallas County Family Drug Court to provide evidence-based services to parents and children by enhancing the services offered.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081933-01 DALLAS COUNTY COMMISSION, INC. SELMA AL JACKSON MIAH $275,000

The purpose of the Families Overcoming Crisis through Unified Services (FOCUS) project is to enhance access to services that address the trauma and developmental needs of young children as well as the complex needs of their parents (including mental health and substance use services, and therapy focused on the parent-child bond) through a collaboration between Suffolk County Family Court, Child Protective Services (DSS) and Hope For Youth. Since its inception in 1998, New York State’s Family Treatment Drug Court (FTDC) has helped individuals who have a child neglect case due to alcohol or substance abuse get back together and stay together with their children. Because of limited resources, cases with co-occurring or severe disorders have often been excluded. Of the 149 families screened by the FTDC in 2017, 38 (25%) were found to be ineligible. FOCUS will address this gap by incorporating an experienced Family/Child Specialist for: (1) comprehensive early assessment and psychosocial evaluation of families with neglect petitions filed in Suffolk County; (2) collaboration with the interdisciplinary team in their addressing of families complex needs, including the early identification and provision of a continuum of mental health services; and (3) selection and training of foster parents to ensure availability for frequent visits with family and willingness to engage with birth parents. By including both Child Parent Psychotherapy (CPP), an evidence-based intervention for trauma-exposed children and increased parental visitation for children removed from their home, FOCUS will work to support and strengthen the relationship between the child and his or her parent. Of all the children removed from their parents in Suffolk County in 2016, 60% were under the age of 6 and 45% were age birth to three years. Experiences that children have early in life influence their developing brain and thus can have lasting impacts on their health and well-being throughout their lives. Therefore, this project will place an emphasis on infants and toddlers who have entered foster care in Suffolk County. FOCUS will increase the capacity of the FTDC and expand the availability of services to all families that enter the child welfare system by training and redefining the role and responsibilities of the FTDC case managers and institutionalizing the collaborative efforts of our agency partners. By the end of the grant period, 175 total families (35 annually) will be offered services. FOCUS will provide each family a screening for developmental, social, emotional or family concerns, as well as expedited and enhanced delivery of targeted, high quality services for children and families. The intended outcomes are: (1) a reduction of moves in care/custody; (2) increased parenting time; and (3) better and more timely outcomes for families. This initiative seeks to achieve lasting permanency and improve long term life outcomes for children and families by employing a family-centered, trauma informed, cross-system collaborative approach with an enhanced focus on infants and toddlers who have entered foster care.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081943-01 NEW YORK STATE UNIFIED COURT SYSTEM NEW YORK NY WILLIAMS MIKE $411,034

The Fourth Judicial Circuit of Florida is requesting funding to enhance its Family Treatment Drug Court (FTDC) program. This project, entitled Duval County Family Treatment Drug Court Enhancement intends to expand the collaborative delivery system of population focused care between the Fourth Judicial Circuit and local community-based care agencies. FTDC is a highly-structured court supervised treatment program for parents, ages 18 and up, of all races and ethnicities, residing in Jacksonville, Duval County, Florida, who are diagnosed with a substance use or co-occurring disorder and whose children have been removed from the home or placed under the supervision of the Department of Children and Families (DCF) due to abuse, abandonment, or neglect. Duval County is among the top 10 counties in the state of Florida for substance-exposed newborns. Children ages birth to three now represent the majority of children in out-of-home placements (55.2%). More than 60% of adults associated with a child-welfare case in Duval County have substance use issues that contributed to the involvement of DCF, and nearly 90% of children have been exposed to trauma. This project intends to provide evidence-based treatment and recovery support services to all participants, increasing the number of individuals served and addressing gaps in the continuum of treatment, thus increasing the likelihood of successful habilitation. Positive outcomes will be achieved through early, continuous, and intense judicially supervised treatment, mandatory science-based drug testing for treatment compliance and therapeutic intervention, and through the use of appropriate incentives, sanctions, and other services. This project proposes to serve 40 participants annually (200 total). The goals for this project are to: incorporate providers specializing in child-centered/family-centered services including peer mentoring, child-parent psychotherapy, nurturing parent programs, and seeking safety, as well as services for parents and children for substance use and mental health treatment, trauma and/or grief services, parenting skills, domestic violence programs/assistance, life skills, anger management, housing and food assistance, and educational/vocational programs; increase and expand upon the medication assisted treatment options available to this population by initializing screening efforts on all new program participants early in the treatment process, educating participants on the benefits of utilizing medication assisted treatment, and providing treatment options throughout the continuum of care; and to collect and evaluate relevant data utilizing programmatic and standardized data collection tools and annual reporting to be used in sustainability funding efforts at the local and state level. The opioid epidemic and associated devastation resulted in a need to realign FTDC goals and objectives to address the specific needs of children prenatally exposed to drugs and to address the specific needs of children exposed to trauma. By addressing the complex needs of this population, safely restoring families, and promoting permanent lifestyle change, this project will result in families breaking the generational cycle of addiction and dependency.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081937-01 CITY OF JACKSONVILLE JACKSONVILLE FL NICHOLS MONIQUE $394,136

The Walworth County Family Drug Court (FDC) was launched in November 2016 and has shown significant promise since its inception. The program is designed to serve high risk/high need individuals who have significant substance abuse issues. FDC eligibility criteria is as followed: 1) Be an adult, Walworth County resident; 2) Involvement in a Family Court case in which a substantiated finding of maltreatment has been made; and 3) Identification as high risk/high need through the screening and assessment process. In addition to those that have participated in the program to date (12 so far), our child welfare agency has revealed they are serving roughly 50 active parents in their system whom could benefit from those services provided through the FDC. Unfortunately, while the need for this service is high the ability to effectively provide services is limited due to the lack of funding that has been available to support the program. The following expansion proposal details an ambitious plan to expand treatment capacity and increase enrollment from the current 12 participants to 40 annually and 200 over the life of the grant. We believe that the strategies outlined below will lead to improved treatment outcomes for families, fewer foster care placements and decreased re-entry into the child welfare system. • Increased Judicial oversight and accountability: The presiding judge takes an active role in recruiting potential participants. Participation will be strongly encouraged and the judge will appoint advocate attorneys to help prospective participants decide whether to participate. The judge will review existing cases and amend court orders to include FDC participation. The FDC will offer flexible drug testing options for participants including mobile urinalysis and biomarker testing. • Expansion of treatment services: The FDC will use a single behavioral health clinic that offers integrated mental health and substance abuse programming, gender-specific treatment groups, and in-home family therapy. The grant will help expand existing programming to accommodate an influx of participants. The FDC will collaborate with a partner agency to offer Celebrating Families. • Improved coordination with child welfare agency: The FRC will provide education and training for child welfare staff on addictions and the use of screening tools to identify substance use problems. The FDC will coordinate with the child welfare agency to offer residential treatment and transitional housing when appropriate. • Robust Evaluation: The program will have a strong evaluation process including: 1) Self-evaluation at the local level led by Dr. Paul Gregory; 2) Independent data analysis by Dr. Meg Warcynski at the University of Wisconsin-Whitewater; and 3) Collecting and analyzing mandated Government Performance and Results (GPRA) data.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081931-01 COUNTY OF WALWORTH ELKHORN WI HEINRICH NICOLE $375,348

The Mascon County Family Recovery Court (FRC) program is a family treatment drug court currently serving 35 participants each year. The program will expand by 25 participants a year and serve a total of 160 participants over the next five years. The initial expansion will focus on participants age 25 and under with children age 0 to 3. The expanded services will result in a reduction of children in out-of-home placements and a reduction in parental rights terminated. The FRC multi-disciplinary team is a county-level approach to effectively and efficiently upholding the health, safety, and welfare of children in the dependency system. Originally, the team leveraged a small amount of local tax revenue with existing interdisciplinary partnerships to build a community0-based system providing intensive, clinically-focused treatment to participants so the could reunify with their children in a timely manner. The program, started in 2013, uses the 10 key components for family drug courts as set forth by the National Association of Drug Court Professionals. The FRC serves participants with behavioral health issues, such as substance abuse addictions and/or co-occurring mental illness disorders The FRC uses a ""milestones"" path to graduation that aligns with the participants' state of reunification, and incorporates parenting and children's therapeutic services. Through the FRC program, participants get wraparound treatment and recovery services which prepares them to participate in the Family to Family program, an evidence-based team making decision model which improves their abilities to live productively and provide a safe environment for their families. The FRC's comprehensive, family-centered approach to recovery, with a milestone pathway, uses drug court accountability and treatment mechanisms combined with Family to Family education and support services as a multifaceted approach to evidence-based family drug treatment court.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081939-01 COUNTY OF MASON SHELTON WA SAUERLANDER ROBERT $225,593

The Pueblo of Acoma has recognized the challenges its people face in maintaining adequate health and wellness. Among those challenges are alcohol misuse and substance abuse and trauma, each of which contributes to the Tribe’s challenges in protecting its people. The proposed response to the SAMHSA Family Treatment Drug Court (FTDC) funding opportunity represents the Pueblo of Acoma’s efforts to expand the current Acoma Wellness Court in addressing alcohol misuse and substance abuse (Substance Use Disorder, SUD) among members of the Tribes and its impact on families. Following completion of a Drug Wellness Court grant with SAMHSA, successful sustainability of the program has maintained the Acoma Wellness Court (AWC) beyond its funding award period. The FTDC award will expand those sustained services and support the continued partnerships with other Acoma service providers including its primary partner, Acoma Behavioral Health Services (ABHS). We expect to serve 40 participants per year with moderate increases year over year in participation. The expansion of the capacity of the active AWC will provide quality services to Acoma Tribal members and work to improve health and well-being as well as reunification of families and re-integration of families and families into the culture, tradition, history, and Native Language of the Tribe. The success of the AWC is a result of braided service delivery from Acoma providers including Behavioral Health Services, Department of Education, Department of Social Services, and Tax Office, as well as Cultural Liaisons, Tribal leadership and Tribal elders. Braiding of Acoma services with cultural and linguistic traditions and healers addresses the Pueblo of Acoma’s efforts to reduce and eliminate substance abuse as an “Acoma challenge”, not an AWC or participants challenge. Our successes with the current AWC have been based on the concept that “no one begins misusing substances alone, and no one stops misusing alone”. The AWC has braided cultural and linguistic traditions into its efforts and the proposed FTDC will continue this effort through evidence-based programs that engage the entire Acoma community including families and children, Tribal leadership and Tribal elders to overcome the challenges of SUD. By helping AWC participants with community-wide support including family engagement, FTDC believes it will graduate participants from the program into a supportive environment that continues to address and assist them in their substance abuse challenges with family reunification and re-integration, education, employment, and culture sustaining support. With our current experiences with the AWC, we believe we can meet the requirements of the SAMHSA program for 40 families and children per year who are challenged by alcohol and substance misuse and abuse and trauma and help them recover and become re-integrated, productive members of the Pueblo of Acoma Tribal community. In addition to direct services provided to FTDC participants, the FTDC will benefit the entire lifespan of the Acoma community including 5,181 enrolled members of the Tribe. Data will be collected as per SAMHSA-required strategies and supplemented with Acoma-derived processes. Reporting of all data will be as prescribed by SAMHSA. The outcomes of the FTDC program will help drive sustainability within the Pueblo of Acoma by engaging all members of the Tribe from throughout the lifespan of its people and build community buy-in from Tribal leadership, elders, families, and Court participants who graduate from the FTDC program and become advocates and examples of our success.

Award Number Grantee Organization Name Grantee City Grantee State Project Director Last Name Project Director First Namesort descending Award Amount
TI081966-01 PUEBLO OF ACOMA ACOMA NM LOUIS TONYA $425,000