The 13th Judicial District, comprised of Yellowstone County, is Montana’s busiest judicial district. With approximately 160,000 residents, the 13th Judicial District accounts for nearly one quarter of all felony criminal cases filed in Montana. Yellowstone County is within close proximity to two American Indian reservations, while Montana contains a total of seven reservations. Yellowstone County is situated along the Interstate 90 corridor, which is a High-Intensity Drug Trafficking Area. Since 2010 the number of felony filings has doubled. The primary driver increasing these felony filings is drug related activity including drugged driving. To combat, drug addiction, alcohol abuse, and mental health concerns, the 13th Judicial District established a felony DWI court named STEER (Sobriety, Treatment, Education, Excellence, and Rehabilitation), and a Veterans’ Treatment Court named CAMO (Courts Assisting Military Offenders) to address these illnesses. Since inception, STEER has admitted 283 individuals and CAMO has admitted 126 individuals. Each court has an extensive waitlist and receives an average of 15 referrals weekly from across the state, as well as from the Montana Federal District Courts. The success of STEER and CAMO includes high participant retention, low recidivism rates, as well as, pro-social outcomes and cost-effective service delivery. STEER has been recognized as one of four Academy Court by NHTSA and NADCP’s National Center for DWI Courts. CAMO is a Mentor Court recognized by SAMSHA and NADCP’s Justice for Vets. Capacity and treatment demand remains high. Infrastructure is for expansion is solidly intact. STEER and CAMO operate under the statewide general jurisdiction of one judge and serve two distinct adult populations on separate weekly dockets. Utilizing the same treatment providers, STEER and CAMO target individuals with high criminogenic risk factors, a predisposition to reoffend, and previous unsuccessful attempts at rehabilitation. STEER, established in 2011, serves high-risk felony DUI offenders; felony offenses with a nexus to operating a motor vehicle while under the influence of drugs or alcohol; and occasionally misdemeanor DUI offenders with aggravating factors (high BACs or drug concentrations, high speed pursuits, and/or children involved crashes). With base funding from the Montana Department of Transportation, STEER treats 25 offenders annually. CAMO, established in 2012, serves justice-involved veterans, regardless of their discharge status, active duty members, and their immediate families. The Montana Judicial Brach provides base funding, which allows CAMO to treat 20 clients annually. STEER and CAMO jointly seek total SAMHSA funding of 1,995,271 for the five-year grant period to: (1) increase court capacity; (2) expand Tele-Services track to rural Montana and Indian Country; (3) enhance the existing MAT treatment program; (4) augment the Continuum of Care; and (5) provide case management and wraparound services to clients.
The Cuyahoga County MAT Court Expansion project, which serves communities in the Greater Cleveland area, is a multi-dimensional, proactive approach that continuously fights against the current opiate crisis in Ohio. With the financial assistance of 2,000,000 in SAMHSA grant funds over a five-year period, the Drug Court will continue to fight Ohio's opiate crisis by supporting a foundation for lifelong sobriety that helps to save lives. It will do so by expanding its comprehensive system of supports and services that help individuals to move toward recovery while assisting them in making productive and positive life changes.
Suffolk County Judicial Diversion Court Expansion Project
The Josephine County Court Enhancement Project is requesting funding to add paid Peer Support, mental health screening and treatment, and provide funding for a Case Manager position to enhance services for the established Josephine County Drug Court program. Josephine County Drug Court serves residents of Josephine County, Oregon which has a population estimated at 86,352 individuals. The population of focus for Josephine County Drug Court is medium to high risk participants. The program serves 60 participants at a time. The primary drugs of choice for Josephine County Drug Court participants are Heroin (53%) and Methamphetamine (42%) often time with poly-substance abuse occurring (regular use of both Heroin and Methamphetamine). Many of Josephine County Drug Court’s participants are low on the socio-economic scale. The goal of the project is to provide services for 90 participants annually and 360 unduplicated participants throughout the grant. That will include providing Recovery Support Services including a full time Case Manager, a paid Peer Support, providing barrier removal funds, provide funds for creating clean and sober drug court activities, increase initial stabilization of participants and decreasing incidents of relapse or opioid use; provide mental health services including a mental health professional to screen and assess new participants and provide ongoing therapy to individuals with co-occurring disorders, and reducing psychiatric symptoms and relapses.
Green County Drug Court Expansion Grant
The Dual Diagnosis Court (DDC) Expansion Project, a project of the First Judicial District of Colorado’s Adult Mental Health Court, requests 1,622,730 to expand programming to better serve adult, dually-diagnosed, nonviolent, high risk/high need, probation revoked, felony and misdemeanor offenders so that they may rehabilitate from SUD, improve mental health symptomology, and reduce their involvement in criminal behavior. The DDC Expansion Project will serve 80 unduplicated clients over the grant period; 40 in Year 1 (20 new and 20 already admitted into the DDC); 10 new clients each of the following years. Clients will be enrolled in programming for two years or less typically. There will be approximately 30 clients being served at any given time throughout the project (includes attrition). A minimum total of 40 clients will be served per year. All participants must meet the DSM-5 criteria for Substance Use Disorder- Severe and/or Serious and Persistent Mental Illness and have a LSI-R score of 25 or greater. Participants must have a pending probation revocation for a felony, misdemeanor, or felony deferred judgment & sentence within the jurisdiction. The DDC Expansion Project will implement the following interventions: 1) residential treatment for dual diagnosis participants, 2) expand the court by allowing those with ASAM criteria 3.1 or higher to enter program, 3) obtain funding to improve infrastructure for the DDC team to attend NADCP Conference, 4) offer bus passes for improved transportation for participants, and 5) provide peer recovery support services for all participants through Face It Together. Goal 1: Expand program operations 1.1: Provide enhanced services for treatment and recovery residences to improve transitions from sentencing to treatment and from treatment to independent living. 1.2: Provide expanded by including in the DDC those assessed with an ASAM criteria of 3.1 or higher to provide care for high risk/high need dual diagnosis participants. 1.3: Send DDC staff to NADCP Conference yearly to improve competencies of staff and fidelity of programming. 1.4: Provide transportation funds for participants to access treatment, court hearings, and work. 1.5: Provide peer recovery support services to enhance participant recovery and improve life skills and connections with community. Goal 2: Improve DDC participant outcomes 2.1: Enroll at least 80 dually-diagnosed participants in DDC over five years. 2.2: Ensure 80% of participants receive appropriate ASAM level of treatment. 2.3: At least 50% of participants in residential treatment will complete treatment. 2.4: At least 60% in transitional residential treatment will complete treatment. 2.5: At least 65% will graduate from DDC. 2.6: At least 70% will reduce use, improve mental health, and reduce trauma symptoms.
The Veterans Treatment Court (VTC) Expansion Project, a project of the Colorado 1st Judicial District, requests 1,295,652 to expand programming to better serve high risk/high need justice-involved veterans, so that they may rehabilitate from SUD, improve mental health symptomology and reduce their involvement in criminal behavior. The VTC Expansion Project will serve 93 unduplicated participants over the grant period; 51 in Year 1 (18 new and 33 already admitted); 52 in year two (13 new participants and 39 existing), 52 in year three (12 new participants and 40 existing), 52 in year four (12 new participants and 40 existing), and 52 in year five (12 new participants and 40 existing). All participants meet the DSM-5 criteria for Substance Use Disorder- Severe and/or co-occurring SUD and mental health disorders and have a Level of Severity Index-Revised (LSI-R) score of 24 or greater. Participants must score 24 or higher on the Level of Severity Index- Revised (LSI-R) and must have a pending misdemeanor or felony case within the district. VTC is designed as a hybrid model, receiving case referrals either post-conviction or following revocation from a probationary sentence. VTC has a capacity of 40 participants and accepts veterans with verified military service, regardless of discharge status or length of time spent in the military. The proposed project will allow the VTC to implement the following interventions to benefit participants: 1) residential treatment, 2) transitional residential treatment, 3) recovery housing, 4) transportation assistance, 5) training for peer to peer services, 6) early assessment and evaluation 7) and training for the VTC team. Goal 1: Improve VTC participant outcomes by addressing treatment needs and providing wrap-around services. Objective 1.1: Ensure 80% of participants receive clinically indicated treatment within two weeks of sentencing. Objective 1.2: Increase the program completion rate for participants who are not eligible to receive services through the VA from 26% to 40% within the funding period. Objective 1.3: At least 70% of participants in residential treatment will complete treatment. Goal 2: Enhance program operations by ensuring VTC staff and peer mentors have completed the training necessary to meet the needs of participants. Objective 2.1: By the end of year two, 100% of VTC staff will be trained regarding best practices, key components and effective service delivery. Objective 2.2: By the end of year one, VTC Peer Mentor Coordinator (VTC PMC) will complete “train the trainer” recovery coach training, Objective 2.3: VTC PMC will train 15 recovery coaches throughout the funding period.
PROJECT ABSTRACT SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA Under the SAMHSA Treatment Drug Courts Grant (FOA No. TI-19-002), all drug court participants in the Second Judicial District Court (SJDC) will receive a comprehensive evaluation to identify risk and need related to substance use, mental illness, and criminality, as well as identify and treat needs across the entire spectrum of psycho-social conditions that are crucial for long-term success and rehabilitation in accordance with the Risk-Need-Responsivity (RNR) Model. This will be accomplished by expanding the existing drug courts into a track system where participants will engage in treatment and rehabilitation that is specific to their risk and need as determined by a comprehensive evaluation administered by two grant-funded licensed clinical social workers and one licensed alcohol and drug counselor. These tracks will be: (1) high-risk/high-need; (2) high-risk/low-need; (3) low-risk/high-need; and (4) low-risk/low-need. Placing participants in tracks with offenders of similar risk and need, in combination with the targeted treatment, rehabilitation, and life skills development as identified in the comprehensive evaluation will dramatically increase successful outcomes resulting in greater efficacy, reduced recidivism, and less strain on the local and state criminal justice systems. In current form, existing SJDC drug courts treat only for substance use disorders and fail to address the 80% of participants who have mental health disorders and other psychosocial needs co-occurring with their substance use disorders. The target populations to receive services under this grant are criminal offenders at the District Court level located in Washoe County, Nevada, who are diagnosed with a substance use disorder, and whose criminal behavior is catalyzed by that substance use disorder. Washoe County is the second largest county in the state of Nevada and is home to over 460,000 citizens. These grant funds will be used to provide services to 350 new drug court participants each year of the grant period, which includes expanding services to an additional 40 participants each year. There are three primary goals of this project: (1) To implement a new assessment process to assist placement into the most appropriate treatment supervision track to better match needs and prognostic risk of individuals as outlined by the RNR model; (2): To enhance the administration of Drug Court by developing tracks for treatment and supervision per the RNR model; and (3) To expand the continuity of care and the use of evidence-based practices that best meet individual needs by matching medically necessary treatment and support options based on the intensity of risk and need. By September 1st, 2019, two full-time licensed clinical social workers and one full-time licensed alcohol and drug counselor will be hired, trained, and actively administering comprehensive evaluations. By October 1st, 2019, the four-track system will be implemented in accordance with the RNR model. Participants will be receiving highly individualized treatment and life skills development through partnerships with regional community resources.
The 17th Circuit Court Treatment and Support Court (TASC) focuses on high risk adult felony offenders within Kent County, Michigan, who have been diagnosed with a substance use disorder and/or co-occurring persistent mental illness disorders. They must qualify as non-violent offenders under P.A. 224 and have the emotional and mental capacity to participate. TASC works with local providers to ensure access to services designed to meet the individual needs of clients, improve their daily functioning, and reduce recidivism. The Court accepts transfer cases from other courts, including any qualifying Kent County resident and persons who commit crimes in Kent County. Kent County has a current poverty rate of 12%. More than 1 in 4 residents are non-White, with Hispanics (10.4%) comprising the largest proportion. In 2017, Kent County had 120 drug overdose deaths, 78% from opioids. There were 576 opioid overdose ER visits. Legal prescriptions, a gateway to drug abuse for some people, are rising in Kent County. Forty unique clients will be served each year for a total of 200 over the 5-year funding period. The TASC Court partners with Network180 (Community Mental Health) and follows evidence-based treatment practices that include Medication Assisted Treatment, Cognitive Behavioral Therapy, Trauma-Informed Care, Dialectical Behavioral Therapy, and Motivational Interviewing. Goal 1: Expand the TASC Court caseload to serve a minimum of 40 unduplicated, high-risk offenders per year (200 total). Goal 2: Expand treatment services for TASC Court participants. Goal 3: Expand trauma-informed services by establishing one or two partnerships with providers.
Project Abstract Marion County Drug Treatment Assistance Court program offers participants the opportunity to establish substance free lives through a coordinated, multi-system approach. The program delivers holistic, evidence-based treatment services to nonviolent offenders to overcome drug and alcohol addiction and curtail future criminal behavior. The population to be served is men and women (age 18 and older) diagnosed with substance abuse disorder as their primary condition and identified as high risk/high need. The proposed project will expand availability of comprehensive treatment services to a larger number of clients. Fifty (50) clients will be served each year of the five-year grant. This will make the total population we intend to serve under the project 250 clients. Services offered by Marion County Drug Treatment Court (MCDTC) and project partners include: psycho-social and risk assessment, individualized treatment planning; addition treatment, counseling; trauma recovery treatment; case management and linkage to community resources to assist with basic needs. Barriers commonly faced by individuals participating in MCDTC substance abuse recovery services such as costs related to mandatory drug testing, safe housing and transportation will be address throughout the project. Project Goals and Objectives The purpose of the Marion County Drug Treatment Court program is to offer participants the opportunity to establish substance free, independent lives through a comprehensive treatment approach. • Goal 1: The MCDTC program will retain clients in the MCDTC program for a significant amount of time. o Objective 1.1: 90% of clients will participate in substance abuse treatment services and take advantage of other services offered by MCDTC for at least 90 days. o Objective 1.2: 60% of all participants will graduate from the program. • Goal 2: MCDTC participants will maintain a drug-free lifestyle after successfully completing the program: o Objective 2.1: 60% will remain arrest free for 90 days post-graduation o Objective 2.2: 50% of families that will participate in the recovery process to assist in improving family relationships and bring families back together, thus providing support in maintaining a drug free lifestyle
The Administrative Office of the Courts (AOC) is submitting this proposal in response to the Substance Abuse and Mental Health Services Administration (SAMHSA) Funding Opportunity Announcement; (FOA TI-19-002) Grants to Expand Substance Abuse Treatment Capacity in Adult Treatment Drug Courts and Adult Tribal Healing to Wellness Courts. The purpose of this application is to expand capacity for the existing Bourbon/Scott/Woodford Specialty Court (BSWSC) and to enhance substance use disorder (SUD) treatment services. By adding personnel to provide therapy, case management and peer support services, BSWSC will be able to serve more high risk/high needs participants who are currently not able to be adequately treated. Bluegrass.org, a community mental health center in central Kentucky, serves BSWSC and is a key partner in this project. This service enhancement project will improve the quantity, quality and intensity of treatment and mental/physical health services to provide participants in the BSWSC a more comprehensive treatment experience by enhancing alcohol/drug treatment, recovery support services, screening, assessment, and case management in the specialty court setting. SAMHSA funding received for this project will provide expanded/enhanced services for 48 persons annually (240 over the five years of the project). Reasons for selecting this site include: 1) this area is near the epicenter of the current opioid epidemic, and there are limited resources to meet the comprehensive needs of this problem; 2) statewide specialty court funding is limited, and at present levels of funding, many individuals cannot receive needed services. Utilizing the evidence-based practice (EBP) of Assertive Community Treatment (ACT), this grant will provide additional direct services to strengthen and enhance community partnerships with agencies such as Bluegrass.org (the local community mental health center) and other ancillary agencies that provide much-needed services. The goal is to provide enhanced services to individuals with SUD who are involved with the criminal justice system and who are participants in specialty court.
The Circuit Court of Cook County Co-Occurring Drug and Mental Health Court Enhancement Program (MHCEP) will build the court's capacity to enhance coordination of services across the seven co-occurring drug and mental health courts operating within the jurisdiction by standardizing and streamlining processes, assuring implementation of best practices and improving outcomes for participants by increasing access and availability of treatment options, particularly residential, medication-assisted treatment and recovery housing to participants in the program. The program will be implemented in all seven co-occurring drug and mental health courts in the Illinois Circuit Court of Cook County which include following geographic catchment areas: Criminal Division (Chicago, IL); Second Municipal District (Skokie, IL); Third Municipal District (Rolling Meadows, IL); Fourth Municipal District (Maywood, IL); Fifth Municipal District (Bridgeview, IL); and the Sixth Municipal District (Markham, IL). The purpose of the MHCEP is to increase the number of program participant who graduate successfully from the program and who achieve stable recovery, and affect the long-term health and safety needs of these individuals and their communities. The population of focus is high-risk/high-need adult men and women (age 18 and older) who are arrested and charged with a non-violent drug or property related felony offense; are diagnosed with a co-occurring drug and mental health disorder; have accepted they have a drug problem; are willing to participate in treatment; and have not been convicted of a violent crime within the past 10 years. The MHCEP has two main goals: Goal 1 - To enhance coordination of services across the seven co-occurring drug and mental health courts operating in the Circuit Court of Cook County by standardizing and streamlining processes, assuring implementation of best practices and improving outcomes for participants and criminal justice system stakeholders. Goal 2 - To increase retention in and improvement of the target population's substance use and mental health treatment outcomes by increasing access to and availably of treatment options, particularly residential, medication-assisted treatment and recovery housing to all MHCEP participants. These goals will be achieved through targeted activities designed to meet specific process and outcome objectives over a 5-year period.
Morgan Co. Recovery Court (MCRC) plans to expand an existing adult drug court in Morgan, TN. MCRC is currently a structured, 12-month (adjusted as needed), court-supervised, comprehensive treatment court for eligible non-violent misdemeanor offenders. MRCR will expand services to include non-violent felons, increasing services and intake to 20 individuals/year (100 total during grant period). Goals and objectives, evidenced by the GPRA 6-months post intake and discharge include: Goal 1: Foster a stable, manageable, and successful treatment and recovery process for individuals participating in the Morgan County Recovery Court (MCRC). Obj. 1.1 Individuals provided with integrated screening/assessment and evidence-based Substance Use Disorder (SUD), or co-occurring SUD and Mental Health Disorder (COD) treatment will increase from 10 intakes annually the past two years, to 20 annual (100 over the 5-year grant period) adult male and female MCRC participants. Obj. 1.2 100% of individuals who receive Medication Assisted Treatment (MAT) will receive education on compliance as evidenced recorded by staff. Obj. 1.3 70% of patients taking Suboxone will have a score of 2 or less on the Morisky Medication Adherence Scale. Obj. 1.4 100% of the program participants graduating from drug court will have a comprehensive, integrated recovery plan that includes appropriate linkages for services. Obj. 1.5 70% of program participants will have stable housing (transitional or community-based living) at the time of completion. Goal 2: Reduce the disparity between the need for SUD treatment services and their ability to avert relapse on alcohol, illicit drugs, and prescription medications and support sustained recovery following program completion. Obj. 2.1 Provide evidence-based intensive, integrated outpatient treatment to 20 program participants annually (100 over the 5-year grant period). Obj. 2.2 55% of enrolled participants will successfully complete their individualized treatment plans and graduate from the MCRC. Obj. 2.3 75% of clients will be substance free during the 30 days prior to graduation and 70% will remain abstinent during the 30 days prior to the 6-months post intake as evidenced by drug test results and documented by GPRA. Goal 3: Promote community and family safety through the prevention of criminal recidivism and enhance social, primary care, and behavioral health functioning among program participants. Obj. 3.1 60% of clients will maintain stable living (employment, student, or otherwise financially stable) as evidenced in GPRA at discharge and 6-months post intake. Obj. 3.2 80% of the clients who complete treatment will have improved social connectedness and family relationships at discharge, and 70% will maintain these improvements at discharge and 6-months post intake as evidenced by GPRA. Obj. 3.3 70% of program participants will be at reduced risk for recidivism as evidenced by reduced scores on the LSI-R and 70% will not be re-arrested for either technical violations, non-drug related charges or drug related charges during participation in the program as monitored by the Drug Court Coordinator (DCC) and documented in GPRA. Obj. 3.4 80% of the clients who complete treatment will be enrolled in an educational/vocational program, be actively seeking employment, or be employed at discharge, and 70% will continue to remain enrolled, complete their education/training, or remain employed 6-months post intake as evidenced by the GPRA. Obj. 3.5 80% of the clients who complete treatment and who had mental health symptoms at admission will exhibit decreased symptoms at discharge and 70% will maintain improved mental health functioning at 6-months post intake as evidenced by the GPRA. Obj. 3.6 80% of the clients who complete treatment and had primary care concerns (e.g. high cholesterol, high blood pressure, etc.) will maintain a relationship with a primary care provider as evidenced by the GPRA.
Program goals are to expand diversion options and enhance recovery supports so as to break the cycle of crime, effectively treat SUD/COD and prevent incarceration.
Title: The Opioid Intervention Court Expansion Project Need: When the opioid epidemic hit the nation, the traditional Adult Treatment Drug Courts (ATDCs) were challenged to respond. After 3 drug court defendants fatally overdosed in Buffalo, NY, before their 2nd court appearance in a single week in 2016, it was clear that the traditional drug court model (with weekly appearances) needed to be modified to save lives. In response to this crisis, the nation’s first Opioid Intervention Court (OIC) model was established May 2017. The OIC was designed to get non-violent users at risk of overdose fatality into treatment within hours of their arrest instead of weeks. It requires daily check-ins with the judge for 30 to 90 days, and focuses on immediate Medication Assisted Treatment (MAT) linkage and treatment, using a public health approach to save lives. Once participants are stabilized, the traditional weekly drug court process takes over. Summary: The ATDC model has evolved in response to prior demands. This proposal aims to take the evolution of the ATDC model to the next level by expanding the capacity and access to evidence-based treatment in the Buffalo Opioid Intervention Court. Also the SAMHSA support of the OIC program evaluation will greatly assist us in meeting the national demand for disseminating how the OIC enhances the effectiveness of the traditional ATDC model. Population Served: The OIC Expansion Project will focus on participants in the New York 8th Judicial District Adult Drug Court system, specifically the cases at high risk of opioid overdose fatality that are assigned to the Opioid Intervention Court immediately following arrest. Project Objectives: (Obj. 1) Insert evidence-based practice (MISSION-CJ with rapid MAT transport) into the Opioid Intervention Court to support expansion of capacity and access to evidence-based treatment. (Obj. 2) Expand the capacity of the OIC by 60 cases per year or 280 additional individuals served over five years. (Obj. 3) Conduct Program Evaluation to support Expansion and Dissemination of the OIC model nationwide. Approach: The program deploys an Evidence-Based Practice (Obj. 1) using the MISSION model with rapid MAT transport. We expand access and capacity to SUD treatment (Obj. 2) in the existing Buffalo Opioid Intervention Court. Expanded access to Direct Services for treatment and recovery support includes accelerated screening for rapid access to direct services (with daily court appearances rather than weekly). The expansion is built upon commitments from 15 community-based committed direct service partners and reinforces the Key Components and Standards of the ATDC model.
The Muscogee County Adult Drug Court is expanding and enhancing its current program to include an additional 200 unduplicated participants over the life of the project and enhancing its current treatment model to include semi-independent residential transitional housing, peer support mentoring program and a medication assisted treatment programs. All of these program expansions and enhancements work to create a well-rounded program targeted at treatment high risk/high need offenders including those with opioid dependence. The population of focus is adults' ages 18-65 charged with one or more felonies or probation violations, non-violent in nature, motivated by their addictive disease and not solely for profit. The participant must show a willingness to live a drug free lifestyle and a desire to participate in this volunteer program. This project will serve those with addictive diseases and co-occurring disorders with an ASAM level of II.1 or above. There are currently seventy four participants in the program with a waiting list of approximately 30 individuals at this time. One hundred and fifty nine participants have successfully completed the program with a graduation rate of about 40%. There have been 11 drug free babes born to participants. As of December 2018, 133 participants have been terminated from the program in 10 years for non-compliance. With the current staff, the Adult Drug Court has a capacity of 70 persons. With this funding, the Adult Drug Court would be able to serve an additional 40 persons a year, totaling 200 additional participants over the life of the project. In addition to the expansion in the capacity of the program, other participants will also benefit from the funding. With increased surveillance time, peer support MAT and semi-independent residential housing, existing and future participants will also benefit from this project. With a capacity of 105 participants per year, funding from this award would potentially benefit 525 persons total. Approximately 25% of the Drug court Applicants are turned away annually due to their state of chronic homelessness. With a lock of sober sheltering in Muscogee County, there are no real options for these offenders. With the Semi-Independent housing, we plan to close that gap in services and have a place for those offenders to reside while beginning treatment and working a re-entry plan. New Horizons Behavioral Health will deliver a litany of evidence based services to the participants of the program to include: Screening, Assessment and Pre-Treatment Planning, Motivational Enhancement Therapy, The Matrix Model, Relapse Prevention Therapy, Seeking Safety, Moral Reconation Therapy and Recovery Support Services. NADCP Adult Drug Court Best Practice Standards and this program's adherence to those standards is addressed in this application.
This project will enhance our Drug Court with funded evidenced-based substance abuse treatment options. The project area serves two of the three metropolitan counties surrounding the capital city of Mississippi. The counties are both racially and economically diverse. Currently, we have zero funding to assist in substance abuse treatment for our participants. We propose to fund treatment options and add Treatment Coordinators to our staff. Every participant will have a case management plan. Our primary goal is to increase the capacity of the Drug Court to manage each participant on an individual basis as well as increasing the number of Drug Court participants who receive appropriate substance abuse treatment for their level of risk. Treatment Coordinators will perform objective assessments using evidenced based screening tools to access potential participants prior to enrollment in the program. Once enrolled, participants will meet with a Treatment Coordinator who will act as a case manager. Within two weeks of entering the program, an individualized Case Management Plan will be developed based on the assessment. If the participant is uninsured or underinsured, the requested funds will be used to fund the appropriate evidenced-based treatment option. By the end of each fiscal grant year, 30% of incoming Phase 1 participants will have received residential treatment services. By the end of year three, 80% of participants will have received an appropriate evidenced-based treatment services. We hope to decrease the demand for drugs in our communities. We will increase our enrollment by 25%, reaching 200 by the beginning of year 2 of the program. Participants in the program will move through 4 phases of the program over a period of 30 months. We will rely on best practices of adult drug courts in hopes to decrease relapses and recidivism of participants. Drug Testing will be a deterrent to continued drug use without being punitive or a hindrance to recovery. Participants will attend bi-weekly status hearings while in Phases 1 and 2. Graduated sanctions and rewards will be utilized such that sanction-related jail detention will decrease by 20% within the first 6 months. Peer Support Specialists will begin meeting bi-weekly with 20 participants by January 1, 2020. The ultimate goal is that Participants will be equipped to sustain sobriety once they have graduated from the program. We will implement required Life Skill classes in addition to Case Management as a means to equip participants for sober living. We will also use the requested funding for educational and vocational training for participants who need extra assistance to be successful once they graduate from the program. If our numbers increase to 200-250 participants at all times, we anticipate servicing 532 people throughout the lifetime of the project.
Colorado’s 18th Judicial District is requesting funding for Project Expanding Programming and Investing in Clients (EPIC) to support its Recovery Court (RC), Sobriety Court (SC), and Veterans Treatment Court (VTC). Project EPIC seeks to facilitate recovery and reintegration, ensure community safety, and reduce recidivism by providing a full spectrum of substance use and mental health treatment to justice-involved clients and enhancing court operations. To achieve these goals, Project EPIC will focus on the following objectives: Goal 1: Expand treatment and housing resources to provide current clients with access to a broad continuum of care and enable the courts to serve additional clients. • Objective 1.1: Support 20 additional PSC clients to access sober living each year. • Objective 1.2: Sponsor 20 additional residential treatment beds each year. • Objective 1.3: Bridge outpatient treatment for un- and under-insured clients. • Objective 1.4: Support 5 additional clients each month with bus passes. Goal 2: Provide staff with training and self-care resources to enhance court operations and ensure the provision of high quality service to clients. • Objective 2.1: Provide one-on-one, vicarious trauma coaching to PSC team members as needed. • Objective 2.2: Sponsor three PSC practitioners to attend NADCP Conference or SAMSHA joint grantee meeting each year. Project EPIC will serve 269 unduplicated individuals over the course of the project. In Year 1 the programs will serve 135 unduplicated individuals, in Year 2 the program will serve an additional 45 unduplicated clients, in Year 3 an additional 39 unduplicated clients, in Year 4 an additional 25 unduplicated, and in Year 5 an additional 25 unduplicated clients. The 18th JD RC serves high-risk/high-need clients diagnosed with substance use disorder severe who are facing a felony probation revocation and have failed past treatment interventions. Through two separate tracks, VTC targets high-risk/high-need and low-risk/high-need clients with felony or misdemeanor offenses who served in the armed services and are struggling with mental health and/or substance use issues related to military service. The SC is a new program launching in January 2019 and will serve high-risk/high-need clients with either an active felony DUI probation revocation or a pending felony DUI, as well as either a moderate or severe substance use diagnosis. Services will be delivered in the 18th JD and in the city of Denver, which is contiguous to the 18th JD. To implement this project, the 18th Judicial District requests 1,982,178 for a 5-year project beginning May 31, 2019 and ending May 30, 2024.
EXPAND SUBSTANCE ABUSE TREATMENT CAPACITY IN ADULT DRUG COURT IN JOHNSON COUNTY, MISSOURI The purpose of this proposal is to expand SUD treatment and recovery support services in our existing Johnson County Recovery Court, which uses the treatment drug court model to provide SUD services to participants (including screening, assessment, treatment, recovery support services, case management, and care coordination). JCRC takes a holistic perspective to adult drug court services and it embraces SAMHSA’s four major dimensions that support a life in recovery: Health, Home, Purpose, and Community. The geographic catchment area where services will be delivered is the County of Johnson in Missouri. Johnson County is located in west central Missouri, home of the Whiteman Air Force Base and University of Central Missouri. Population: 52,595 (Census 2010) with an estimate of 53,897 for 2017 (census.gov). Johnson County has experienced high incidence of alcohol and drug abuse. Even though Johnson County ranks 21st in population size among Missouri’s 114 counties plus city of St. Louis, there are still significant gaps in availability services to meet the needs of individual in or seeking recovery from substance use disorders. Johnson County will benefit greatly from this grant to expand services in Johnson County Recovery Court. JCRC team consist of highly trained and committed individuals representing a number of agencies in our community. They bring extensive experience and outstanding dedication to the expansion of treatment and recovery support services for the benefit of individuals seeking recovery through JCRC. Thank you for your consideration.
The Miami County (IN) Drug Court (MCDC) proposes to deliver comprehensive community-based treatment (CBT) services through its SAMHSA Treatment Drug Court project. The project service area is a rural community suffering from the current opioid epidemic. The project will benefit approximately 200 individuals in Indiana’s second Congressional District (IN-02). Congresswoman Vicki Walorski and Senator Todd Young are supporters of the project. The project is called MOCA (Miami County Offender Community-Based Treatment Assistance) and will serve persons under Drug Court supervision in Miami County. Its purpose is to expand the Drug Court’s community-based treatment efforts by providing enhanced, well-coordinated services designed to combine the legal authority of the drug court with effective substance use disorder (SUD) and/or behavioral health services in order to break the cycle of criminal behavior, substance use, incarceration, and other negative impacts of substance use on participants and the community. In order to fulfill this purpose, the project will work towards achieving the following goals: 1) Effectively screen and assess participants for SUD and co-occurring needs; 2) Expand access and availability of current Drug Court services; and, 3) Provide comprehensive SUD treatment and related recovery services and supports. Key implementation activities include: screening and assessing participants; providing evidence-based and population-appropriate treatment approaches to meet the unique needs of the diverse populations at risk; providing services such as medication delivery and management, outpatient, peer-to-peer recovery, recovery groups, outreach-based, intensive outpatient, and medication assisted treatment; recovery support services; case management; care coordination; and wraparound supports (housing, childcare, employment, educational, transportation, etc.). MCDC also will collaborate with numerous community-based organizations to provide other needed health, human and social services. Populations of focus include: non-violent individuals in the court system who have treatment needs for SUD and/or co-occurring behavioral health disorders; underserved and minority populations; subpopulations demonstrating, or vulnerable, to behavioral health disparities; and, returning military veterans and their families. The project is expected to generate key outcomes such as: 1) At least a 50% increase in the number of persons served by the Drug Court; 2) a 33% decrease in the rate of recidivism; 3) 75% of participants will demonstrate improved behavioral health and/or SUD treatment outcomes; 4) 80% will report increased social connectedness; 5) a 50% employment placement rate; 6) a 75% participation rate in peer-to-peer, group counseling or other recovery services; 7) at least 25% abstain from all substance use; 8) at least 75% receive some level of wrap around services; and, 9) a required medical testing (HIV, HEP, etc.) compliance rate of at least 95%. Led by Judge Timothy Spahr and Project Director Angela Bever, the project will serve at least 40 persons annually.
The proposed project will serve the Shoshone-Paiute Tribes of the Duck Valley Indian Reservation, located in Idaho and Nevada. According to Tribal Court disaggregated data 59 percent of all reported crimes were substance/alcohol related. To address this problem, the Tribes propose to enhance services by: 1) expanding the ability of the Healing and Wellness Court to serve an increased caseload; 2) Expand the capacity to include an effective detoxification program; and 3) Include a comprehensive annual evaluation to update the program as needed to comply with best practices and current research. The project will directly serve 80 individuals and indirectly serve their loved ones and the 1,800 population community as a whole.
ABSTRACT The Pierce County Superior Court proposes an expansion and enhancement of its current drug treatment court program in order to overcome a significant service gap in its capacity to address an epidemic of opioid use disorder (OUD) in Pierce County, Washington, as well as the impacted population that is disproportionately affected by co-occurring (COD), mental health disorders. The target population consists of all adults eligible for drug treatment court charged with non-violent, non-sexual crimes and assessed to have an opioid use disorder. The proposed program will add staff and resources necessary to expand an existing medication-assisted treatment (MAT) program and provide concurrent mental health therapy to those with co-occurring disorders. A comprehensive, intensive outpatient treatment program, operating in accordance with SAMHSA-endorsed “drug court principals and best practices” will incorporate wrap-around support services and peer support to enhance treatment retention and success rates. This also involves patient coordination, administration, medication and qualified medical assistance to comprehensively address the manifold challenges of treating OUD. The program takes a cognitive behavioral therapy (CBT) approach to a treatment regimen and incorporates a number of evidence-based practices, to dialectical behavior therapy (DBT), moral recognation therapy (MRT) and trauma-informed care. The primary project goal is to bring about the recovery of OUD offenders and support their reentry into a self-sufficient lifestyle within a supportive community that significantly reduces substance use and criminal recidivism. The measureable objectives of the expansion and enhancement are to: • Expand an existing caseload of 30 OUD drug treatment court participants to serve an expanded caseload of 72 OUD patients with medication-assisted treatment (MAT) integral to a dedicated, drug court intensive chemical dependency outpatient treatment program. The program anticipates serving 85 unduplicated participants each year, for a total of at least 425 over the 5-year life of the project. • Sustain an 80% engagement of enrolled MAT participants throughout the treatment process. • Attain a 50% rate of successful program graduation as evidenced by 120 days of abstinence from drug or alcohol use and compliance with program requirements. The attainment of these program objectives will be measured primarily through the GPRA system. This will include analysis of demographics, intake and discharge data, as well as employment and education, community connectedness, and risky behaviors. An EHR system operated by the treatment provider will affirm sobriety and program compliance as well as criminal recidivism while supporting ongoing program evaluation, continuing quality improvement, and fidelity to the EBPs employed by the program.
The Kentucky Administrative Office of the Courts (AOC) is requesting SAMHSA Treatment Drug Courts funding in the amount of 400,000 annually for a five-year project period. The Fayette County Drug Court (FCDC) SAMHSA Treatment Drug Court project will enhance the FCDC capacity to assist high risk offenders with successful rehabilitation from the use of drugs and/or alcohol. The population to be served is adult offenders who enter the FCDC. In partnership with community agencies, this project will expand residential services and enhance wraparound services. This project will use evidence-based strategies and interventions addressing NADCP Adult Drug Court Best Practice Standards 5, 6 and 10. Expanded services will provide additional gender-specific residential treatment and recovery at two premier programs - the Hope Center, Inc. and Chrysalis House, Inc. Hope Center will expand residential services for FCDC participants, providing gender-specific, evidence-based residential recovery services to a total of 28 participants. Chrysalis House, a licensed provider of substance abuse treatment and services for women and their families, will expand its evidence-based services for 23 FCDC participants annually. The total to be served with expanded residential services for this project is 51 annually and 255 over the five-year project period. The goals and objectives of the project include 1) expanding current numbers and enhancing and strengthening treatment services to develop an effective, comprehensive system of care; 2) increasing abstinence and decreasing recidivism among program participants by offering holistic services expanding residential recovery services; 3) ensuring the project implementation and evaluation adhere to objectives and facilitate continuous quality improvement (CQI). In FY 2016/2017, over 500 men and women were referred to Hope Recovery programs from the KY Dept. of Corrections and the Fayette County Detention Center (FC Detention). During that time, 99% of women and 77% of men served reported opioid abuse, including 62 homeless men and women served in Hope’s FC Detention Recovery Program. Fayette County OHPI HMIS data showed that in FY 2016/17, 5% of men and 44% of women admitted to Hope had serious mental illness, and RCOS data showed that during that time, 65% of men and 82% of women reported anxiety or depression at admission. Recent data shows that women who enter Chrysalis generally range in age from 24-38, with the average age being 29. At admission, 67% were pregnant, 60% listed heroin or other opiates as their primary drug of use, 37% stated they began using heroin or other opiates between the ages of 21-25, 77% reported using intravenously, and 24.4% reported being positive for Hepatitis C.
The Veterans Treatment Program will provide a hybrid model court with a one-stop -shop treatment milieu to treat veterans with individualized treatment for co-occurring psychiatric and substance use disorders and PTSD through in-house counseling services from Licensed Professional Counselors who are veterans, while adhering to the ten key components of a drug court within the scope of a veteran's only court docket.
The Hernando County Board of County Commissioners (BOCC) is seeking - in collaboration with The Office of the Court Administrator for the 5th Judicial Circuit (OCA), BayCare Behavioral Health (BCBH), and Lutheran Services Florida (LSF)- to expand and enhance treatment for individuals with a substance use and/or co-occurring disorder who participate in the Hernando County Drug Court Program (HCDCP). The grant funds will allow us to serve an additional 200 individuals over five years with the addition of a Licensed Clinician, Peer Specialist, Housing Resource Specialist, and Court Program Specialist. We will assess our clients using a Risk and Needs Assessment Tool, and we will provide specific treatment services including residential, intensive outpatient, recovery support, and housing linkage services. The program objectives are: 1. 200 additional individuals will receive services (40 individuals per year x 5 years); 2. 65% of individuals served will successfully complete the Drug Court episode of care; 3. 65% of individuals will increase their quality of life scores from baseline to 6 months; 4. 75% of individuals will be linked to ancillary services; 5. 75% of individuals who use tobacco will reduce their use; 6. 95% of drug court participants will live in stable housing at program completion; 7. 65% of individuals served will remain drug-free 180 days post-graduation.
The Seneca County Multi-Jurisdictional Drug Court (PIVOT) Project increases the capacity of the court; provide peer support with two recovery coaches and a mobile application; decreases barriers by providing transportation; addresses comorbidities with increased access to mental health assessments, Hepatitis A, B and C testing and HIV rapid testing; and enhances program evaluation and monitoring with a Research and Continuous Quality Improvement Specialist. The project also proposes to hire an additional caseworker, a treatment counselor and a program assistant to maintain fidelity to best practice standards and expand hours of operation. Our target population consists of felony, non-violent adults classified as moderate risk or higher by the Ohio Risk Assessment System; determined by a chemical dependency assessment to have a level of care of IOP or higher; and charged with a qualifying drug-related offense. The target population is a majority Caucasian (94%), male (69%), heterosexual (98%) and average of 28 years of age. We anticipate providing enhanced services to the existing 60 drug court clients plus an additional 40 new clients for a total of 100 clients in year one of the grant. In each consecutive year of the grant, an additional 40 new clients will be served for a total of 260 unduplicated clients over the five year grant project. The goals and objectives of the Project are as follows: 1. Increase Court Capacity: 1.1) provide services to 40 new clients each year 1.2) Provide services to 260 clients by the end of the grant. 2. Adhere to Best Practice Standards for caseworker/client ratio: 2.1) Maintain a caseload of 33 clients or fewer each quarter of the grant. 3. Provide expanded hours for treatment: 3.1) Extend hours of operation to include 5 evenings by the end of the first quarter of the grant. 4. Increase prosocial connectivity: 4.1) 75% of clients with smart phones will download Recovery Oriented Mobile Application by the end of the grant. 4.2) 75% of new clients will meet with a recovery coach at least once during their placement. 5. Increase client access to services: 5.1) Provide transportation to and average of 8 prosocial services each week each grant year. 6. All PIVOT clients have access to Mental Health Assessments: 6.1) 100% of clients who have a misdemeanor arrest will be referred for a Mental Health Assessment. 6.2) 80% of all clients referred will complete the Mental Health Assessment. 7. Increase access to medical testing: 7.1) 100% of at risk clients will be referred for Hepatitis and HIV testing. 8. Conduct GPRA Interviews: 8.1) 98% of all clients will complete an intake GPRA. 8.2) 80% of all clients will complete a 6 month GPRA. 8.3) 80% of all clients will complete the discharge GPRA. 9. Ensure fidelity for Evidence Based Practices: 9.1) 80% of staff will achieve a proficient rating in the use of evidence based interventions by 6 months of hire. 9.2) Caseworkers will use Effective Practices
MISSION Mill Cities Abstract Co-occurring substance use and mental health disorders are common among drug court participants and a great need exists for enhanced care coordination between the court and treatment systems. The Massachusetts Administrative Office of the Trial Court AOTC, in collaboration with the evaluator (University of Massachusetts), a provider, the state substance use and mental health authorities, and other local partners, requests 2 million dollars from the Department of Health and Human Services Substance Abuse and Mental Health Services Administration . The proposed project MISSION Mill Cities is to to enhance the Lawrence and Lowell Drug Courts (LLDC) by embedding an evidence-based co-occurring disorders wrap-around treatment called Maintaining Independence and Sobriety Through Systems Integration, Outreach and Networking-Criminal Justice (MISSION-CJ). This model, tested in a number of other SAMHSA grants, systematically integrates case management, co-occurring disorders treatment, peer support, vocational supports, and trauma informed care into a single, coordinated service delivery approach. The goals of the proposed project are to reduce criminal recidivism, improve mental health and substance abuse outcomes, and increase access to employment among drug court participants by offering MISSION-CJ to facilitate care between the LLDC and community providers. In this proposed project, which we will call Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking-Mill Cities (MMC), we intend to serve 40 clients a year, and a total of 200 clients over 5 years, in the LLDC who have a co-occurring mental health and substance use disorder. Clients will receive one year of MISSION-CJ services delivered by a case manager and peer team, which also will link program participants to other needed community based services, including medical benefits and medication-assisted treatments. The University of Massachusetts Medical School, developer of the MISSION-CJ model, will provide staff training, project coordination and perform the evaluation. The Administrative Office of the Massachusetts Trial Court will be the grant recipient and the Lawrence and Lowell Drug Courts will be the sites embedding the services within the court. An experienced provider, Gavin Foundation will deliver these new MISSION-CJ services within the court. Representatives from the Department of Mental Health, the Department of Public Health, and the Massachusetts Probation Service will serve in a leadership capacity on this grant, and assist with sustainability planning. This project received input during the planning phase from district court judges, state agencies, community treatment providers, and is consistent with the 10 key elements of the drug court model. This project is innovative in that it will embed peer and case management teams that will use an evidence-based, wrap-around model previously developed with SAMHSA funding to specifically improve coordination between the courts, clients, and community-based treatment providers.
The Birmingham Municipal Adult Drug Court Expansion Project will expand treatment services for non-violent, criminal offenders with substance use disorders and/or co-occurring substance use and mental disorders who are enrolled in the municipal drug court in Birmingham, Alabama. The current capacity of the court is 100 individuals annually. The project will expand services by an additional 50 people annually, allowing the courts to see 150 people annually and 750 over the five-year grant period. The population of focus will be low-income and/or uninsured adults with a substance use-disorder, or co-occurring substance use and mental disorder, charged with non-felony offenses This expansion project is particularly looking to fill the service gaps for women, including transgender women, and for individuals with opioid use disorders Aletheia House, a community-based nonprofit organization with more than forty years 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) gender responsive trauma informed services; and 5) case management services. 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 BMDC to break the cycle of alcohol and/or drug use and criminal behavior in Birmingham, Alabama by expanding access to evidence-based practices by 50% annually; 2) improving program outcomes for female BMDC participants by offering gender specific trauma informed evidenced-based treatment services; and 3) improving program outcomes for BMDC participants with opioid use disorders by expanding access to medication assisted treatment.
Hattiesburg Behavioral Health Court with treatment partner, Pine Belt Mental Healthcare Resources, will expand its target population to include individuals with co-occurring disorders. Under the auspices of therapeutic jurisprudence, the Hattiesburg Behavioral Health Court will provide recovery and recovery support services. The target population will be misdemeanants who have co-occurring disorders of substance use and mental health (CODs). Based on historical data, our population will be a mixture of genders (60% female, 40% male); primarily African American (60%); low socioeconomic status (75% unemployed; 50% homeless); and 80% high school non-completers. The treatment team will include the Judge, Project Director, Peer Recovery Support Specialist (PRSS), Clinician, Recovery Support Specialist (RSS), Psychiatrist, and Evaluator. The proposed evidence-based treatment practices include Integrated Dual Disorder Treatment (IDDT), Cognitive- Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Seeking Safety, Motivational Interviewing (MI), and Medication-Assisted Treatment (MAT). Group and individual sessions within each treatment modality will address five categories of strategies: (i.e. assessment, insight, coping skills, cognitive strategies, and lifestyle modification) using a variety of techniques, including talk therapy, structured writing, guided imagery, role play, skills building, problem solving, relapse rehearsal, and safety planning. Individualized recovery support plans will be developed collaboratively to address participants’ biopsychosocial needs. Examples of supports include, but are not limited to, 12-step self-help groups, housing assistance, supported employment, health care, child care, entitlement benefits, and transportation. The treatment team will hold meetings to review progress, and treatment plans will be revised as needed. The project goal is to decrease substance use of a minimum of 200 HBHC participants with CODs. The objectives are: 1) A minimum of 40 individuals per year will be screened and assessed to have a COD; 2) By the end of the project period, a minimum of 30 court participants with an opiate and/or alcohol use disorder will have been enrolled in MAT; 3) By the end of the project period, a minimum of 50 court participants with COD will have participated in integrated residential treatment; 4) By the end of the project period, a minimum of 200 court participants will have accessed integrated treatment for their CODs; and 5) 100% of court participants’ recovery support services will be guided by an individualized service plan (ISP) that identifies wraparound supports.
The Milwaukee County Behavioral Health Division (BHD) submits this application for 1,999,990 (over five years) for the “Milwaukee County Adult Drug Treatment Court (MCADTC) Treatment Service Expansion Project,” to increase access and availability of services and address service gaps in the continuum of treatment, particularly for individuals with co-occurring disorders (COD). The population of focus for the MCADTC are adult residents of Milwaukee County with non-violent felony charges or habitual misdemeanants, substance use disorder (SUD), and scoring a minimum of 24, but no more than 40 on the Level of Service Inventory-Revised (LSI-R). Services will be delivered in Milwaukee County as the geographic catchment area, with an urban population of 952,085. Of the top 20 zip codes for referrals to the MCADTC, more than one-third were from areas with poverty rates more than double the state and national averages. Compared to the general Milwaukee County population, MCADTC clients are overrepresented by gender (male), race (Black), young-mid age (19-39 years), education level (high school diploma or less), unemployment, homelessness, and having a COD. The racial disparity of jail incarceration in Milwaukee County is also skewed toward Black residents, with 62.5% of Blacks comprising the jail population in 2015 while representing only 26.5% of the county population. The project proposes to serve 20 more unduplicated individuals (60 clients total) annually, 100 more individuals (300 clients total) throughout the lifetime of the project. Strategies and interventions include providing regular clinical consultation for the MCADTC team; enhancing the service array for recovery housing; providing Certified Peer Specialist (CPS) training to increase support of MCADTC clients and improve retention; implementing Wellness, Recovery Action Plan Facilitator and Train The Trainer training to enhance the treatment system and build organizational capacity; delivering customized Medication Assisted Treatment training for the MCADTC team, CPS, and community stakeholders; and facilitating informational infrastructure development of the Milwaukee County Pretrial management system (ePretrial) to track performance measures and build customized reports in closer alignment with the recommended Wisconsin Statewide Drug and Hybrid Court Performance Measures. Project goals are to: (1) Increase the access and availability of services to reduce recidivism and SUD among substance-using offenders, (2) Address gaps in the continuum of treatment for individuals who have treatment needs for SUD and/or COD, and (3) Apply MCADTC program evaluation findings for continuous quality program improvement. The proposed project addresses service gaps such as earlier assessment and diagnosis in the jail for more timely access to treatment services; having a Mental Health Clinician as part of the MCADTC team to interpret and navigate assessment of client risk and diagnoses; statewide shortage of CPS; additional housing options to support MCADTC clients as a part of their treatment and recovery plan; and community resources for the unique needs of men living in Milwaukee with histories of trauma, poverty, substance use, and mental health issues.
Genesee County Adult Felony Court serves high risk, felony-convicted substance abusers in Genesee County. We plan to enhance program requirements to achieve higher success with 40 new enrolled.
Project Abstract: The population of focus (POF) for this project, Operation Lifeline, will center on residents in Madison County Illinois who are in recovery from Substance Use Disorders (SUD) who are subject to the jurisdiction of the Madison County Adult Drug Court (MCADC). More specifically, the POF will be individuals who qualify for the MCADC whose recovery is delayed due to the current limited capacity of the MCADC. By expanding capacity and increasing immediate access to appropriate services, we expect to see a reduction in relapses, overdoses and deaths in Madison County. The MCADC will partner with Chestnut Health Systems (Chestnut) for Operation Lifeline. By significantly expanding the capacity of current services such as Employment Counseling, Case Management, and Housing Assistance while adding new services including Family Therapy and technology, the MCADC will be able to expand its current capacity of 50 new clients per year to 90 new clients per year in year 1 and 70 per year in years 2 through 5. Equally, through this expansion the MCADC expects to see a reduction in relapses, overdoses, and overdose-related deaths. The positions funded by this opportunity will include the Project Director, Project Evaluator, High Risk Officer, Probation Officer Specialist, Family Therapist, Case Manager and the Employment Specialist. All of these positions will enable service expansion and/or increased contact with participants. This increased contact is vital to the initial stages of recovery and are essential to the success of individuals in recovery from SUD. Objectives for the project include increase capacity, increase the amount of therapeutic contact by two contacts during the weeks leading up to and the weeks immediately following release from incarceration or residential SUD treatment, begin hiring process of High Risk Officer, Probation Officer Specialist, Family Therapist, Case Manager and Employment Specialist, add High Risk Officer , Probation Officer Specialist, Family Therapist, Case Manager and Employment Specialist, expand Services, improve client supervision by increasing the frequency of curfew checks, home visits, phone calls and implement TRACKphoneTM technology, provide training to the Project Team on Community Reinforcement Approach Family Training (CRAFT), provide ongoing clinical supervision to project team on using evidence based practices (EBPs) and implement Project Evaluation. EBPs for the project include Community Reinforcement Approach Family Training (CRAFT), Motivational Enhancement Therapy (MET), Individual Placement Support (IPS), Seeking Safety, the Matrix Model, Motivational Interviewing (MI), Interactive Journaling and Real Life Parenting Hazelden curriculum. Additional EBPs include Ohio Risk Assessment System (ORAS), the Global Appraisal of Individual Needs-Short Screening (GAIN-SS), the Columbia Suicide Severity Rating Scale, the Happiness Scale- Community Reinforcement Approach (CRA), the CRA Relationship, Couples Happiness Scales along with Medication Assisted Treatment (MAT) in the form of Vivitrol, Suboxone and Naltrexone. Operation Lifeline is requesting 2,000,000 over the course of the 5 year project.
The Washington County Drug Court seeks a Capacity Expansion Grant for our Adult Drug Treatment Court to assist nonviolent offenders to successfully rehabilitate from the use of drugs and/or alcohol. The program mission is to “address drug-related crimes by reducing recidivism and promoting public safety through the implementation and management of a cost-effective, community-based intervention and treatment program, and to improve the lives of participants.” The Washington County Drug Treatment Court Expansion Project will address the following goals and objectives: GOAL 1: To increase access to the program to a larger population of individuals to be a viable option of intervention for drug-related offenders in the criminal justice system. Objectives will strive toward an increase in eligible referrals resulting in an overall 20% increase in admissions to the program so that a minimum of 48 participants will be served annually, and a minimum of 240 over the duration of the project cycle. GOAL 2: To reduce substance use and recidivism among a higher capacity of identified offenders through intensive treatment, community and judicial supervision. Objectives will focus on a 75% retention rate, 80% sustained abstinence, and recidivism rates below 60% while in the program and below 75% upon completion. GOAL 3: Improve individual and societal accountability among participants. Objectives will focus on a minimum 75% employment and increasing financial responsibility regarding treatment and court related expenses resulting from legal charges. GOAL 4: Reduce drug related costs and workload volumes on Washington County’s criminal justice system. Objectives will focus on decreasing rates of incarceration and expenses to the localities by a minimum of 100,000 annually in unused jail days. This will be accomplished via implementation of the 10 Key Components established and published by the National Drug Court Institute. Within those components we will offer an array of quality behavioral health services to address the substance use and any co-occurring mental health needs of participants, as mental health diagnoses are not exclusionary criteria of this program. Consistent and swift interventions to address compliance/non-compliance, along with intensive judicial interaction are key change strategies and interventions utilized to help create life change for participants. These interventions have proven effective for our target population of men and women, largely between the ages of 18 and 49, all with a DSM-5 substance use disorder diagnosis and a history of criminal involvement who are living in Washington County, Virginia, a rural, high poverty area.
Grants to Expand Substance Abuse Treatment Capacity in Adult Drug Treatment Courts and Adult Tribal Healing to Wellness Courts (Short Title: SAMHSA Treatment Drug Courts)
The Eighth Judicial District Court of the State of Montana seeks SAMHSA funds to expand the adult Treatment Court’s capacity by a minimum of 20 participants per year. The Treatment Court also seeks SAMHSA funds to enhance services for existing participants by making access to mental health treatment universal, expanding therapeutic treatment groups, hiring a full time case manager, and hiring additional coordinator support staff. The Eighth Judicial District is located in Cascade County, Montana. The county seat is Great Falls. The Treatment Court’s target population is high risk/high need justice-involved individuals with substance use disorders. Polysubstance abuse disorders are common, 100% of participants have experienced past trauma, and 89% of participants have suspected or diagnosed co-occurring mental health disorders. 60.7% of participants are white, 34.3% are American Indians, 1.1% are Asian/Pacific Islander, 1.7% are African American, and 2.2% are Hispanic/Latino. 45.5% of participants are female and 54.5% are male. The mean age of participants is 33 years. The Treatment Court reduces crime, enhances public safety, saves taxpayer money, and enriches lives. The court accomplishes these goals by facilitating sobriety, treating mental health conditions, improving social relations, and promoting lifelong stability. The Treatment Court diligently follows the Ten Key Components of Drug Treatment Courts and the Drug Treatment Court Best Practice Standards. The Treatment Court uses evidence-based practices to treat participants. The Treatment Court served 111 participants in 2018, an increase of over 300% since 2015. However, it still has a waiting list for future participants. Demand for the Treatment Court has never been higher as Montana continues to battle high methamphetamine addiction and spiraling opiate addiction. Funding this application will allow 100 additional participants to complete the Treatment Court over the five-year grant period and will allow all participants during the grant period to access mental health treatment, case management, and therapeutic groups.
Grant No. TI-19-002 Applicant Agency: City of Billings, Montana Established in 2005, Billings Adult Municipal Treatment Court (BAMTC) was Montana’s first misdemeanor treatment court and continues to be one of the most populated treatment courts in the state. The additional funds requested for this proposed project enhancement will expand the existing services provided by BAMTC by adding evidence-based practices that will strengthen and assist participant’s long-term success in maintaining a drug and alcohol free life. The funding is essential for BAMTC to continue to enhance public safety and strengthen the Billings community. The target population includes adult offenders charged in Billings with misdemeanor and/or felony offenses. Each participant who is inducted into our court must reside in the City of Billings and must be chemically dependent. When screening for our target population, we take those who are only assessed as a high-risk and high-need individual, male or female, and are of any ethnic and economic background. We do not accept those who are or have pending offenses which would require them to register as a violent or sexual offender. Due to the recent increase in drug and alcohol related offenses in Billings, our jail, the Yellowstone County Detention Facility, has been operating at over capacity. If this grant request is approved, 40 additional participants will benefit from evidence-based enhanced treatment. Our goal is to have 65 total participants per year benefitting from treatment services, lowered probation costs, and judicial supervision. The goals of this project will include adding ancillary services that will strengthen and augment the participant’s long term success in our program. Additional funds will help meet our goals of increasing access to transportation services, offering substance-free housing that supports a structured environment, assistance with child care and connecting participants to treatment services for communicable diseases and other health needs. Over the lifetime of the project, 325 total participants will be able to have the tools to become healthy, productive, law abiding citizens.
The Rural California Drug Court Project (RCDCP) is a comprehensive drug court program with a population of focus of adult felons with substance use disorders (SUD) and Co-occurring mental illnesses who are involved in Tehama County’s criminal justice system. Under this initiative, RCDCP is expanding the number of drug court participants served from 70 to 85 (20% increase). The RCDCP expansion is targeting high risk/high need military veterans with a Substance Use Disorder (SUD) and Co-occurring mental illness (Posttraumatic Stress Disorder) and/or Traumatic Brain Injury. Our efforts will include in-home support services to Veteran families by offering family mediation, Family System interventions and Nurturing Parenting skills. In addition, the proposed expansion will offer enhancement services for all current and future drug court participants by offering a tobacco cessation treatment group with Medication Assistance. RCDCP’s primary goals are to reduce substance abuse/dependence, stabilize mental health, increase public safety and eliminate recidivism among adult offenders. These goals are accomplished through evidence-based, immediate, continuous, and intensive judicially supervised treatment, regular drug testing, interagency supervision and monitoring, graduated incentives and sanctions, restitution, mental health services for co-occurring disorders, and an array of support services including transportation, child care, job training, employment, recovery residences, transitional and permanent housing and Recovery Support. The Support services are designed to increase retention by removing barriers to participant’s successful recovery. The RCDCP goals are further supported by community linkages (AA, NA, faith-based and community groups), and case management. The program is a minimum of 14 months of treatment and is dependent on the participants level of engagement and adherence to program requirements. A post-graduation Recovery Support group is required for Individuals who complete treatment however need assistance with accomplishing other life goals such as on-going education and/or full-time employment. The RCDCP program will demonstrate a decrease in criminogenic thinking and criminal behaviors (recidivism), abstinence from substance use, increase in access to physical health care, reduce the number of smokers, management of mental health symptoms, stable housing, increased rates of employment and improved intimate family relationships.
Through an evidence-based screening and assessment process, we anticipate that approximately 20% more eligible individuals can be identified and receive Specialty Court intervention during the grant period. Improved access to these programs will reduce the number of individuals in our community who need but do not receive treatment, and will reduce their future involvement with the criminal justice system. The Las Vegas Municipal Court (LVMC) Specialty Court program consists of 6 separate court dockets, each adhering to the nationally proven, evidence-based drug court model. They include: • Women in Need of Change (WIN) Court, which serves women who have a history of trauma and repeated arrests related to drugs and prostitution; • Habitual Offenders Prevention and Education (HOPE) Court, which serves habitual, typically homeless defendants; • Youthful Offender (YO) Court; which serves offenders between the ages of 18 and 24; • Driving Under the Influence (DUI) Court, which targets repeat DUI offenders or first time offenders with high blood alcohol levels; • Veterans Court, which serves Veterans of all ages diagnosed with substance use and/or co-occurring disorders; and • Mental Health Court, which serves high-risk, high-need individuals with co-occurring substance abuse and mental health disorders. The purpose of all these programs is to reduce crime by promoting participants’ recovery from the substance abuse and mental health disorders which contribute to their repeat criminal behavior. • Objective 1: Retention – 50% of participants will successfully complete court ordered requirements for graduation • Objective 2: Reduction in substance use – Participants will demonstrate a 70% reduction in substance use as indicated by frequent and random drug testing • Objective 3: Recidivism - 60% of graduates will not re-offend, as indicated by a new arrest, within 3 years of graduation Participation in a Specialty Court program results in access to long-term drug treatment and counseling services, to the extent clinically indicated for each person’s diagnosis. It provides access to recovery support services that address a wide range of criminogenic needs, as well as aftercare and recovery planning. An estimated 40 individuals will be served annually by Specialty Court programming, or 140 over the life of the grant.
Missouri's 39th Judicial Circuit will increase access and availability of Adult Treatment Drug Court (ATDC) services, to include medication-assisted treatment, basic medical preventative services, dental services, Hepatitis/HIV testing, and recovery housing. The population of focus is repeat felony offenders diagnosed with a substance use disorder (SUD) who demonstrate high clinical need and high criminogenic risk upon screening. The program will serve 80 individuals annually and 400 individuals through the life of the grant. More than half of the Circuit's population live in rural areas, limiting access to SUD treatment services, mental health services, and primary health care. Program-level data indicate that 89% of the Circuit's ATDC entrants had no health insurance, 79% were below the poverty line, 45% were unemployed, 35% had no high school diploma or GED, 75% were dual diagnosed, 55% had experienced severe trauma or victimization, and 22% were IV drug users. Data also show that female entrants are more at risk than male entrants circuit-wide, particularly in the areas of methamphetamine abuse, severity of emotional problems, risk of contracting and transmitting HIV, employment status and income, and lifetime victimization. Program goals are to (a) evaluate candidates for ATDC admission using an evidence-based screening tool; (b) increase access to SUD treatment services, to include assessment, clinical case management, individual and group counseling, substance abuse education, after care services, and tobacco cessation assistance; (c) increase access to complementary services, including mental health treatments, primary health care services, Hepatitis/HIV testing, and temporary housing assistance; (d) increase community safety by reducing SUDs and recidivism; and (e) increase the personal, familial, and societal accountability of offenders with SUDs. Grounded in the Key Components, the project will utilize evidence-based strategies to ensure success. In this vein, the Circuit will rely on cognitive-behavioral treatment approaches, trauma-informed practices, criminal thinking interventions, frequent judicial monitoring, and routine program evaluation. To gauge behavioral change over time, we will administer the Global Appraisal of Individual Needs (GAIN) standardized assessment at intake, 12-months post-intake and 18-months post-intake. The success of the expansion effort will be judged in terms of whether participants (a) maintain a drug-free lifestyle; (b) show improved mental, emotional, and physical health; (c) experience gains in educational and vocational opportunities; (d) demonstrate improved environment and living situations; and (e) establish crime free lifestyles.
Superior Court of California, County of San Joaquin (SJ-Co), proposes to expand its Adult Drug Court (ADC). The focus population is defendants with high criminogenic risk factors and high substance abuse treatment needs. They includes co-occurring substance use and mental health disorders and opioid addiction as the geographic catchment area SJ-Co, population 745,424, experiences an opioid epidemic of increased use and related deaths. ADC proposes to use its existing coordinated, assessment-based, multi-system approach that integrates the court’s power to hold participants accountable with an array of substance abuse and mental health treatment, and other wrap-around services provided by agency partners. ADC also proposes to expand its continuum of services, including HIV and Hepatitis B and C testing access, MAT treatment, recovery housing and a peer mentor recovery support group. Goals and objectives are as follow: GOAL 1: Increase ADC capacity in order to effectively treat a greater number of HRHN defendants, including those with co-occurring SUD and mental health disorders and opioid addiction. Objectives: increase referrals from 210 to 250; serve 250 unduplicated individuals annually; assess 100% of participants for criminogenic risks and treatment needs using an evidence-based tool. GOAL 2: Expand access to treatment and services in a coordinated, assessment-based, multi-system approach to decrease recidivism among offenders and increase offender success. Objectives: achieve a 14% recidivism rate or lower rate among participants in program; achieve at least a 50% graduation rate or higher rate among participants; provide referral to 100% of at-risk participants for a HIV testing; provide referral to 100% of at-risk participants for Hepatitis B and C testing; ensure 100% of participants prescribed medicated assisted treatment are provided referral for the treatment; assess 100% of participants for treatment level with American Society of Addiction Medicine criteria; refer 100% of participants to substance abuse treatment through partner resources; refer 100% of identified participants needing treatment for mental health disorder and co-occurring disorders to partner resources. GOAL 3: Expand recovery support services to improve habilitation and long-term success among participants. Objectives: provide recovery housing in a sober living environment to a minimum of 20 participants using SAMHSA grant funds; distribute 750 1-day bus passes to participants without transportation; distribute 360 5-10 gift card incentives for positive progress,125 10 gift card graduation incentives, and hold an annual graduation ceremony to celebrate completion of ADC; establish a pilot Peer Mentor Group and peer mentor training program; conduct training session for all new peer mentors; link at least 20% of participants to a peer mentor who is trained by ADC; and link 80% of participants to employment development services, such as job searches, training, education, resume-writing or other services.
The Queens Misdemeanor Veterans Treatment Court (QMVTC) in collaboration with EAC’s Treatment Alternatives for Safer Communities (TASC) clinical case management program proposes to enhance services for 200 adult men and women veterans (Yr1:40, Yr2:40 Yr3:40, Yr4:40, Yr5:40) who have been charged with misdemeanor offenses in Queens County who are eligible for local jail diversion. An overwhelming large number of the veteran/military population suffer from posttraumatic stress disorder (PTSD) and substance use disorders (SUD). This comorbidity presents a serious challenge to many clinicians and there is growing evidence that addressing both conditions concurrently is the most effective approach. The QMVTC Enhancement Project will seek to: (1) enhance the current screening and assessment process to include an initial screening for trauma to assist in expediting the referrals to existing Veteran Administration services (2) for Veterans who are not eligible for services thru the Veteran’s Administration the enhancement project would hire staff to conduct a structured clinical interview, develop a comprehensive treatment plan and conduct evidence based Seeking Safety sessions focusing on psychoeducation and coping skills (3) enhance the integration of Peer Mentors to help support client reintegration and recovery by providing specific training to the Peer Mentors and Case Management staff, (4) refer veterans with opioid and/or alcohol addiction to Medicated Assisted Treatment (MAT) in conjunction with their current treatment plan, and (5) incorporate vocational services.
The Nevada County Probation Department, in conjunction with its community partners, wishes to further expand the existing Nevada County Adult Drug Court through the SAMHSA Treatment Court Grant. The Nevada County Adult Drug Court (NCADC) has undergone many changes over the last three years and with these changes we have seen improved outcomes. The goal of this expansion grant is to expand the capacity of the court from its current maximum population of 25 to a maximum of 40 participants and enhance services to those in the community that would not be normally admitted to Adult Drug Court under the existing structure. Since 1998, the Nevada County Adult Drug Court has fostered a successful collaborative relationship with community based organizations, county agencies, drug and alcohol treatment centers and the community. The mission of the Nevada County Drug Treatment Court is to help people engaged in the criminal justice system to break the cycle of crime and addiction by providing an environment where they are supported, given access to resources, learn pro-social thinking and behaviors, and be stabilized to live a healthy, productive, crime-free life. Nevada County Adult Drug Treatment Court is committed to public safety by utilizing intensive judicial and clinical intervention and supervision to change criminal behavior and substance use into socially and legally accepted behavior. The Nevada County Adult Drug Court has been in existence for over 21 years. Most of those years the program was capped at 10 total participants. Over the last three years the NCADC has expanded to serve 25 participants. During this expansion the NCADC revised many of the programs practices to align with Adult Drug Court Best Practice Standards that are advocated by The National Association of Drug Court Professionals and SAMHSA. Over the years of expansion the NCADC has solely worked with the high risk/high need population and experienced a 70% graduation rate. Our successes of last three years have cemented with all stakeholders that the drug court model works and even more importantly we have personally witnessed how drug courts save lives. Understanding how life changing and powerful the drug court model is Nevada County wants to provide the model to a greater percentage of high risk participants. If successful in this grant application, the Nevada County Adult Drug Court Expansion Grant would properly expand capacity of this problem solving court, enhance the level of service to a larger number of program participants, and improve the level of community safety provided for this type of high risk offender.
The Eleventh Judicial Circuit of Florida’s Miami-Dade County Adult Drug Court (ADC), and its partner, the Public Health Trust of Miami-Dade County, aim to expand the Opioid Response Partnership (ORP) which has succeeded in improving the stabilization and recovery of participants with Opioid Use Disorder (OUD). The Opioid Response Partnership (ORP), formed in 2016, has been at the forefront of the opioid battle, and was a necessary intervention given the alarming increase in opioid use and deaths in the County. The proposed Miami-Dade County Opioid Response Partnership Expansion Project will broaden its scope to serve individuals with other Substance Use Disorder (SUD), including alcohol (AUD). Participants will receive comprehensive case management, detoxification, Medication Assisted Treatment (MAT) and mental health counseling as needed. The partners have agreed to address service gaps identified by an analysis of ADC participants who need help with non-opioid addiction and/or mental illness. The ORP Expansion will serve 200 participants over five years. Goal 1: Expand access to outpatient MAT and mental health services to those with a primary OUD diagnosis, and/or SUD plus a co-occurring mental health diagnosis. Goal 2: Expand access to outpatient MAT and mental health services to individuals with a primary SUD diagnosis, including alcohol, and/or SUD plus a co-occurring mental health diagnosis. Objectives for Goals 1 and 2: Increase retention in care at 6 months to 80%. Retain 70% in care at 12 months. 35% of participants complete treatment. JBHH to complete biopsychosocial assessments on 95% of clients referred. Participants attend 75% of sessions. Track who receives medical and/or dental care. Goal 3: Expand access to opioid and substance abuse treatment for participants with a primary diagnosis of SUD, including opioids and alcohol, and/or SUD plus a mental health diagnosis while incarcerated. Objective: 75% of participants who need MAT will receive medication. At least 40% of those re-arrested, jailed for a short sanction or incarcerated pending placement in a residential treatment program, will complete treatment. Creation of a sustainability plan is included in the timeline. The experience of staff and client successes from ORP are guiding the proposed expansion in this application. ADC was able to add case management positions and JBHH added core clinical positions with the previous grant. ORP needs funding to continue services and grow the program.
The lead applicant, Pinellas County government, on behalf of the Sixth Judicial Circuit of Florida, is requesting Treatment Drug Courts funding from SAMHSA in response to FOA No. TI-19-002, to increase the number of drug-involved offenders (adults) participating in the Pinellas [County] Adult Drug Court (PADC) over five years (2019-2024). The proposed PADC Expansion Project focuses on drug-involved offenders residing in Pinellas County (adults 18+) that meet American Society of Addiction Medicine (ASAM) criteria for outpatient substance use disorder (SUD) treatment and The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for SUD. The expansion will also prioritize voluntary admissions of drug-involved offenders who are negatively affected by trauma-related symptoms, and may also be experiencing co-occurring disorders (COD). Furthermore, in alignment with the goals of the Pinellas County Opioid Task Force and the Florida Department of Health in Pinellas County, the drug court expansion also emphasizes the recruitment of individuals misusing opioids and at-risk of opioid overdose. The primary goal of the proposed project is to expand services in the existing PADC to offer more drug-involved offenders (adults) in Pinellas County a treatment drug court model and community-based SUD treatment and recovery support services (RSS). The PADC will reduce recidivism and SUDs among the population of focus and increase the possibility of successful habilitation through early, continuous, and intense judicially supervised treatment, mandatory periodic drug testing, and use of appropriate sanctions and other habilitation services. Over the life of the grant (2019-2024), the PADC will serve 295 more unduplicated drug-involved offenders in Pinellas County, representing a 25% increase overall. In the shortened first and fifth years of the project, the PADC will serve 50 unduplicated participants annually; and 65 unduplicated participants in the second, third and fourth years of the project. In alignment with guidance from SAMHSA, the National Institute on Drug Abuse (NIDA) and the NADCP, the treatment provider, WestCare GulfCoast-Florida, Inc., will incorporate evidence-based programs and practices within the delivery of comprehensive SUD treatment services, including: Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Motivational Enhancement Therapy (MET), Relapse Prevention (RP), The Matrix Model, Seeking Safety and Thinking for a Change. The project partners have the ability to offer Medication-assisted treatment (MAT), community-based ASAM Level III residential SUD treatment and recovery housing to PADC participants when appropriate and at no cost to SAMHSA. The PADC maintains fidelity to the ten key components established by the National Association of Drug Court Professionals (NADCP) in collaboration with the Bureau of Justice Assistance (BJA) as described in the publication, Defining Drug Courts: The Key Components. Also, the PADC utilizes many of the NADCP’s Adult Drug Court Best Practice Standards.
In response to SAMHSA’s Grants to Expand Substance Abuse Treatment Capacity in Adult Treatment Drug Courts and Adult Tribal Healing to Wellness Courts (FOA) No. TI-19-002, Nye County government in conjunction with the Fifth Judicial District Court (FJDC) proposes to expand and enhance the existing, vital, and effective Adult Treatment Drug Court (ATDC) services in rural and frontier Nevada. The project catchment area will expand from the previous service area of Pahrump, Nevada to include the entire FJDC. Numbers served per year of the grant period will increase from 65 individuals to 80 (by 23%) and 400 over the life of the grant. Additionally, the project will expand existing outpatient treatment services for FJDC ATDC to include residential treatment for offenders who suffer with substance use disorders who have experienced trauma and may also suffer with mild co-occurring mental health issues. Furthermore, for those clients who successfully complete the program, this expansion project offers up to 90 days in transitional housing. This transitional step-down component is rent-free to clients. The proposed program in its entirety will: 1) offer evidence based, gender responsive and trauma-informed substance use, mental health and co-occurring treatment; 2) provide each client with a case-managed individualized treatment plan and six month follow up after completion; 4) provide offenders with substance use and mental health assessment before release 5) expand project staff and transportation to better serve offenders; 6) implement additional treatment components and expand service area; 7) provide On-site Rapid HIV Antibody testing and HIV Case Management Services; and 8) provide Viral Hepatitis Testing. FJDC ATDC will utilized evidence based practices including 1) Motivational Interviewing, a brief psychotherapeutic intervention for helping people change addictive behavior; 2) Cognitive Behavioral Therapy which offers effective and time-limited treatments for limited anger control skills often experienced by our clients; 3) Motivational Enhancement Therapy, a goal-oriented, client centered counseling style for facilitating behavior change by helping clients to resolve ambivalence across a range of problematic behaviors. CBT, MI and MET are also the basis for The Matrix Model, the framework for the ATDC outpatient program. The model is selected for substance abuse treatment and is provided in structured group sessions and targets the skills needed in early recovery and for relapse prevention. The FJDC ATDC combines case management with effective treatment services to break the cycle of criminal behavior, violence and trauma, alcohol and/or drug use, and incarceration or other penalties. Anticipated outcomes include: increased number of individuals served, increased abstinence from substance use, decreased recidivism rates, decreased criminal justice involvement, improved individual and family functioning and well-being, improved treatment retention, increased social connectedness, and decreased risky behaviors.
The Sacramento County Division of Behavioral Health Services (BHS), Alcohol and Drug Services (ADS), along with its justice partners, has identified a significant gap in services and supports for criminal justice-involved adults, diagnosed with a qualified mental illness and/or co-occurring substance use disorder, and who are at-risk to reoffend. Sacramento County is requesting 2 million dollars over a five year period to expand the capacity of its treatment and supportive services, including sober living housing and case management services to increase participant engagement. The additional treatment services and supports will allow over 300 justice-involved participants to be served over the five-year period of the grant. Over the last two decades, Sacramento County has increasingly utilized problem solving courts versus traditional court procedures to respond to individuals living with a serious mental illness and/or co-occurring substance use disorder (SUD). These specialized dockets offer a therapeutic, non-adversarial treatment approach for non-violent offenders and address several goals that: improve public safety by reducing recidivism; reduce incarceration costs by providing alternatives; and improve quality of life. Sacramento County proposes to specifically address a mental health and co-occurring service gap in both in its existing Mental Health Treatment Court (MHTC) and its Driving Under the Influence (DUI) Treatment Court. These two courts were developed in 2007 and 2017 respectively, and are based on the drug court model that includes such components as treatment, supervision, and frequent court appearances. The programs were targeted because it is anticipated that referrals will increase as a result of changes to California law, including the recent passage of Assembly Bill 1810, which created a pretrial diversion program for defendants suffering from certain mental health disorders who have been charged with misdemeanor and felony offenses. As a result, more defendants at the front end of the system are being screened and assessed for mental health and/or co-occurring substance abuse disorders. In addition, the DUI Treatment Court has experienced an increase in the number of their participants who have been diagnosed with a co-occurring disorder, necessitating the need to link them with appropriate services. With the addition of grant funds, Sacramento County will: 1) increase capacity of its mental health and SUD treatment, including medication-assisted treatment (MAT); (2) provide housing supports; (3) provide increased community-based probation supervision and linkages to services; and (4) provide case management services to foster engagement toward successful completion and community reentry. The expansion grant will achieve the following program goals: (1) enhance and improve mental health service coordination for clients of the MHTC and DUI Treatment Court; (2) reduce recidivism; (3) improve engagement and retention rates in the MHTC and DUI Treatment Court; and (4) increase program success through increased supervision and supports.