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The Sixth District Treatment Courts (SDTC) Opioid and Clinical Case Management Initiative will enhance its treatment services for participants in its five Treatment Courts in Minnesota's Sixth Judicial District. The project will serve at least 100 participants each year over three years by providing opioid stabilization services, clinical case management services, and referral to testing and education for HIV/Hepatitis C (HCV). The Sixth Judicial District is a geographically large district in northeastern Minnesota, with treatment courts located in St. Louis and Carlton Counties. Approximately 49% of our Adult Drug Court participants self-report as abusing opioid prescription pills and/or heroin. We seek to broaden our range of treatment services to participants identifying as opioid users and participants who present with COD. We will offer the following services as part of this project: 1) opioid stabilization unit - utilizing medication-assisted treatment, developing a 10-bed residential opioid-specific unit with intensive medical supervision, comprehensive assessment, and 24/7 staffing; 2) case management - providing services deemed necessary for a participant (e.g., health care, housing, finances, support groups, vocational services); and 3) HCV and HIV Care Fairs - through a partnership with the Rural AIDS Action Network, we will provide "Care Fairs" that include referrals to risk assessment, pre- and post-test counseling, testing, and immediate linkage to medical case management services. SDTC expects to increase access to COD treatment services, opioid stabilization services, and HIV/HCV testing and education, yielding reductions in criminal justice system involvement and improved well-being for its participants.