Grants Dashboard

The overall goal of McShin REP is to decrease reincarceration rates and increase long term recovery by a) expanding access treatment and related recovery and reentry services to 250 adults during and after incarceration in the RSW Regional Jail with a SUD/COD and b) providing support and training grounded in evidence-based approaches that strengthen FM/CSOs and RSWRJ staff ability to support positive recovery outcomes.

Project Summary: Benilde Hall will implement the Offender Reentry Program (ORP) to provide sentenced adults in the criminal justice system with individualized treatment and support services as they return to their families and community after incarceration. The ORP will serve 450 eligible adult offenders experiencing substance use disorder (SUD) and/or co-occurring mental disorders (COD), with a special focus on Black males with SUD and COD. Benilde Hall will partner with three correctional facilities in northwest and central Missouri (MO): Algoa Correctional Center, Jefferson City Correctional Center, and Western Reception, Diagnostic, and Correctional Center within the MO Department of Corrections. Transitional housing, SUD and/or COD treatment, and recovery support services will be delivered in Jackson County, MO, in the greater Kansas City region. Population to be Served: This project will serve eligible adult offenders reentering Jackson County after incarceration. Benilde Hall anticipates the following demographics: White (51%), Black (43%), Hispanic/Latinx (3%), and other/multiple races/ethnicities (3%); 18-24 years (4%), 25-44 years (49%), 45-64 years (40%), and 65 years+ (7%); and 95% identifying as male and 5% identifying as female. At least 91% will be living at or below the Federal Poverty Level, all (100%) will be experiencing homelessness and SUD, and roughly 70% will have COD. Strategies/Interventions: Benilde Hall will implement a therapeutic community model approach with an emphasis on harm reduction. Case managers will employ a team approach, including working with probation and parole, to collaboratively develop an individualized treatment plan (ITP) informed by evidence-based biopsychosocial assessments, as well as a new validated tool, the Ohio Risk Assessment System (ORAS), to identify and address their unique risk factors for recidivism. Based on this ITP and assessments for SUD and COD, Benilde Hall’s licensed clinical staff will deliver evidence-based SUD and mental health treatment, including FDA-approved medication treatment and drug testing, dialectical behavior therapy (DBT), motivational interviewing, and Seeking Safety, as well as individual and group counseling. Benilde Hall will also provide recovery support services in alignment with the ITP, with emphases on addressing basic needs, developing life skills, mentoring, and facilitating education/skills development and employment through improved access to these resources. Goals and Objectives: The ORP will serve 450 unduplicated individuals over the five-year period (80, 85, 90, 95, and 100 per year, respectively). Specific goals and measurable objectives include the following: first, Benilde Hall will expand organizational capacity to provide high-quality, population-specific services to offenders with SUD and/or COD by (1) increasing staff capacity by adding two case managers, one counselor, and one peer monitor, (2) training six service provider staff in the ORAS train-the-trainer model, and (3) increasing the total number of unduplicated offenders served in each year of the project period, from 80 in year 1 to 100 in year 5 (25% increase). Second, the ORP will improve participants’ overall mental health conditions and ability to abstain from substance use, as measured by (1) 60% of clients will show a decrease in mental health symptoms, (2) 70% will discharge from the program abstinent from drugs and alcohol, and (3) 60% will show improved ability to communicate mental health systems. Finally, the ORP will improve offenders’ self-sufficiency and reduce criminal justice system involvement, as measured by (1) 60% of clients will discharge with stable employment, income, or having accomplished at least one educational goal, (2) 60% will discharge to stable, permanent housing, (3) 60% will show increased social connectedness at discharge, and (4) 65% will discharge with no arrests or reduced number of arrests from time of intake.

Population Served: Women with a substance use disorder leaving the North Carolina Correctional Institution for Women (NCCIW) in Raleigh, NC. Abstract: North Carolina has seen an increase in incarceration and overdoses due to the opioid epidemic. People with a substance use disorder leaving prisons in NC are 74 times more likely to die from an overdose in the first two weeks of release than non-incarcerated people. The NC Department of Public Safety indicates that approximately 80% of women in prison would benefit from accessing treatment for substance use disorder, particularly upon release. This proposal aims to provide comprehensive case management and treatment services to 400 women who have a primary substance use disorder and are leaving incarceration. Our primary goal is to promote recovery and prevent re-incarceration. Project staff will engage with women before their release to establish a plan for meeting the following objectives and outcomes: increase access to gender-responsive substance use disorder treatment immediately upon release, reduce substance use engagement, avoid fatal overdoses, increase social support, reduce recidivism, and improve employment status and housing stability. We will use two validated and well-known methods to measure progress toward our primary goal: 1) Government Performance Results and Modernization (GPRA) tools at release, three- and six-months post-release, and at program discharge, and 2) the multidimensional Scale of Perceived Social Support. Our proposed reentry services will positively impact the lives of incarcerated women who have substance use disorders immediately upon their release by meeting their unique reentry and recovery needs.

The Prince George's County Adult Reentry Program will serve 750 persons over the life of the program. Program participants will be aged 18 or older, residents of Prince George's County, have been assessed or diagnosed as having a SUD or co-occurring substance use and mental health disorder, have either been sentenced to and serving at least one month in a correctional facility or are on probation or parole and area at risk of being reincarcerated in a correctional facility due to probation or parole violation, if currently incarcerated are within four months of scheduled release to the community, are assessed as being moderate or high criminogenic risk, are not a registered sex offender or an arsonist, and can provide written informed consent. The target population is 80% African American, 14% Hispanic, 1% Other, and 5% Non-Hispanic White. The overwhelming majority of inmates are male. The median age of inmates is 25 years. One third are diagnosed with mental illness and 78% have a substance use disorder. Almost 75% of inmates recidivate. The Prince George's County Department of Corrections and the Maryland Department of Parole and Probation will refer 380 pre-release inmates and 370 persons on home detention to the PGCARP. The projects goals are 1) to increase the capacity for adult reentry program eligible detainees at the Department of Corrections to receive pre-prerelease assessments, treatment, and case planning and management; 2) increase the number of County residents on home detention receiving assessment, treatment, and case planning and management; 3) to decrease participant recidivism through use of evidenced based interventions that address criminogenic risk and needs; 4) to increase training provided to partnering agencies and organizations to deliver evidenced based interventions that address criminogenic risk and needs. The primary outcome is a reduction in the recidivism rate. Secondary outcomes are increases in the proportion of reentering offenders with stable housing, employment, and means of transportation, 12 months post reentry.

Project Abstract Summary: Expanding existing programs, SHWC will use awarded Adult Reentry Program funds to provide case management and SUD treatment & recovery services to adults in local jails with a diagnosed SUD who are preparing for community reentry and to adults with SUD who are on parole/probation and at risk of re-incarceration. The target service area will be Haskell, Latimer, Leflore, Pittsburg, Sequoyah, and McIntosh Counties in eastern Oklahoma. Applicant Information: Stigler Health and Wellness Center (SHWC) 1505 E. Main St Stigler, OK 74462-2913 Phone: 918-967-3368 Email: cgrothe@healthwellnessok.com Project Name: FY 2023 Adult Reentry Program SHWC currently offers some SUD treatment and recovery services to jail detainees and mental health or drug court participants in Latimer, Haskell, McIntosh, and Sequoyah Counties. But more help is needed. Taking advantage of the opportunity to increase services, SHWC would like to expand current operations to include more extensive pre-release planning for inmates with substance use disorders. With expansion, SHWC’s case managers and peer recovery support staff would have opportunities to identify and address unmet needs of incarcerated individuals before they are released into the community without adequate support to meet their immediate and short-term needs. A position that increases the risk of substance use and possibly recidivism. Upon release, SHWC’s expanded program will offer immediate access to behavioral health services with appointments for mental health and/or substance use treatment services arranged for the day of release. As part of the effort to improve decrease the rate of recidivism, SHWC staff will also link project participants with recovery housing. For those needing low-cost rental housing or who are homeless, SHWC will link the participant with the local community action agency which operates as the CoC linkage in the rural service area. Additional services offered over time will include access to job training/development (through a linkage between SHWC and the regional Workforce Development office), transportation vouchers to get to continuing appointments for SUD treatment, work, the grocery store, medical/dental services, or other places that may be important in helping individuals successfully navigate the road to recovery. Goals include increasing the ability to identify SUD among sentenced adults; improving access to SUD treatment; and building a network to support successful community reentry. With this, SHWC projects 33-44 people will be served yearly (for a total of 209 over the 5-year period).

Wheeler is a community mental health center and federally qualified health center providing a comprehensive continuum of integrated primary, dental, behavioral health, recovery, specialty, and aftercare services to medically underserved and vulnerable populations. The Wheeler Adult Reentry (AR) Program proposes to serve adults, ages 18 and older, with substance use disorders (SUD) or co-occurring substance use and mental health disorders (COD) returning to greater Hartford, Bristol, New Britain, Plainville, or Waterbury, CT. after a period of incarceration. The population of focus includes individuals supervised in the community under the division of parole and community services, as well as, those scheduled for release from York, Cybulski, Robinson, and Osborn Correctional Institutions. 80% of CT detainees have mental health issues or SUD requiring treatment. 94% of detained persons with sentences ending within six months and 89% of individuals under community supervision statewide have a substance use issue. 75% of detained people and 72% of community supervised persons statewide are reported to require some level of nursing care. 62% of the detained population with sentence ending within six months and 46% of community supervised individuals lack a high school diploma indicating potential low health literacy and a need for full support services. The program seeks to address significant barriers to access to care, retention, treatment outcomes, and community reintegration by extending culturally appropriate intensive care management, trauma-informed treatment, and linkages to whole-health services. Number served: 300 individuals will be enrolled over the 5-year project period: Y1=50, Y2=70, Y3=70, Y4=70, and Y5=40 (for ramp down). Goals: 1) Conduct pre-release engagement to identified sentenced adults prior to discharge and persons in community supervision upon referral. 2) Implement AR services for adults with a SUD and/or COD returning to the target communities after a period of incarceration building on Wheeler’s existing comprehensive integrated behavioral health and primary healthcare system. Objectives: a. Conduct in-reach to persons scheduled for upcoming release and engage individuals under community supervision and at-risk of reincarceration, upon referral, to inform them of available services, establish trust, and develop a transition plan. Schedule comprehensive evaluation for SUD and COD for day of release, so required medicine and MAT services can be immediately accessed. b. Collaborate with corrections, parole, probation, and other agencies to ensure effective, person-centered, culturally appropriate transition plan. c. Increase access to comprehensive recovery-oriented MAT services, nurse care management, and peer engagement and establish linkages to integrated primary, mental health, dental, and ancillary services. d. Reduce clients’ substance use, improve primary and mental health symptoms (i.e. anxiety, depression, hypertension, diabetes), and secure treatment compliance through improved engagement and peer support. e. Engage clients in recidivism-reducing community recovery supports/resources to promote education, empowerment, self-sufficiency, and skills to support prosocial behaviors. Measures: i) 100% of clients will have established transition plan and actionable steps for accessing evaluation services the same day of their release. ii) 100% of AR clients will have a comprehensive recovery plan that fully integrates MAT, behavioral health, primary care, and recovery support services to promote and sustain recovery. iii) Reduce substance use for 75% of clients; At least 65% of clients improve other primary and mental health treatment compliance and will achieve sustained recovery. iv) 100% of clients will be offered recidivism-reduction supports to aid them in becoming contributing members of society. At least 75% of clients will achieve no recidivism 6 months post-release or program initiation.

Housing, Education, and Recovery for Survivors of Trafficking through Assisted Reentry and Treatment (HER START) will provide recovery and trauma healing services to women survivors of human trafficking and similar traumas in the greater Cincinnati, Ohio region. HER START will be an expansion of the Off the Streets (OTS) program of Cincinnati Union Bethel dba HER Cincinnati (HER Cincinnati), which has been providing social services in this region since 1830. Established in 2006, OTS is Cincinnati's only addiction recovery program for women survivors of human trafficking. OTS received Ohio Mental Health and Addiction Services certification to provide substance use disorder (SUD) services in 2018 and was recertified in 2022. Participants in HER START will be referred from correctional facilities and the program is expected to serve up to 140 women per year. HER START will focus services on the unique population of women who have experienced trafficking of similar traumas and who have substance use disorder. The dual focus of treating SUD and trauma together is critical to a woman's long-term success and will be a differentiating feature of HER START. HER START will provide services that treat SUD, co-occurring disorders, human trafficking, and similar traumas with an integrated and trauma-informed, person-centered approach. Further, HER Cincinnati's professionally licensed and credentialed staff also have shared lived experience with the population served, which uniquely enables them to form empathic trust and establish immediate rapport. HER START will provide comprehensive services beyond SUD treatment that includes homeless shelter care, workforce development training, supervised recovery housing, permanent affordable housing, and record expungement. The HER START program will be implemented as an expansion of the current services provided in HER Cincinnati's Off the Streets (OTS) program. The expansion will provide greater outreach and collaboration with correctional facilities, add service elements that focus on reducing criminal engagement and recidivism, and increase the number of women served each year with a five-year projection of 580 unduplicated women served. Services offered will include SUD Outpatient (OP) and Intensive Outpatient (IOP) treatment groups, individualized case management and mental health counseling, enrichment and life-skills programming, homeless shelter services, and affordable housing. Evidence-based curricula will be used in programming, including Seeking Safety, The Matrix, and Thinking for Change. HER START's six specific objectives for this grant period will be: (1) 90% of program participants will make progress toward meeting their sobriety goals as identified in their co-created individual recovery plan; (2) 75% of program participants will improve by at least one self-sufficiency level on their self-sufficiency matrix; (3) 70% of program participants will secure gainful employment upon exiting the program; (4) 90% of program participants will exit the program to positive housing outcomes; (5) 65% of program participants will not experience re-admission to the program after exit; (6) 75% of program participants will reduce their risk of criminal recidivism as indicated by their rating on the Ohio Risk Assessment Screening (ORAS) screening tool.

The Hawaii Health & Harm Reduction Center (HHHRC) Adult Reentry Program substantially increases needed opioid MAT services in Hawaii's criminal justice system. The HHHRC project collaborates efforts between SAMHSA, Hawaii's state and county agencies, community organizations and the Hawaii healthcare system to reduce incidence of problematic opioid use and overdose among justice involved persons in the state. HHHRC's MAT-focused Adult Reentry Program moves Hawaii closer to realizing its goal of an accessible continuum of care for people struggling with Opioid Use Disorders (OUD) and co-occurring disorders. HHHRC will reduce incidence of OUD and other Substance Use Disorders (SUD) for justice involved populations by expanding clinic capacity in Honolulu County by 150 unduplicated clients and will open two new clinics in the state located in Hawaii County (project yr.2) and Maui County (project yr.3) respectively. Each of the new clinics will serve 300 unduplicated clients per year. In combination, HHHRC will serve 2850 unduplicated clients by the end of the 5-year project. Individuals served by the project will be adults aged 18 and older diagnosed with OUD and who are within 4 months of reentry from incarceration. The project will emphasize engagement with individuals who have OUD associated risk factors, including homelessness or risk of homelessness and individuals with co-occurring mental health disorders, individuals with history of IV drug use, recent incarceration, and Native Hawaiian/Pacific Islander populations. Alongside MAT as the core Evidence-Based Practice (EBP), HHHRC will incorporate harm reduction strategies and other EDPs such as Motivational Interviewing/Cognitive Behavioral Therapy (MI/CBT) and Screening, Brief Intervention and Referral to Treatment (SBIRT) to effectively engage and treat the target populations. HHHRC has successfully served a unique cross-section of populations and communities at increased risk for health disparities. These include individuals experiencing homelessness, limited English proficiency, adults with OUD/SUD, serious mental illness, specific ethnic populations with a disproportionate burden of chronic disease, lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ) individuals, and persons at risk for HIV/AIDS. HHHRC has ongoing community partnerships with Hawaii prisons and jails assisting clients that are re-entering the community to engage in SUD, mental health care, re-engagement with primary care services, and linkage to social services and training of staff at jails and prisons on Oahu and Maui. HHHRC's long-term community involvement creates a unique combination of organizational skill sets that assure a high level of success for achieving the goals of this project. By the end of the 5-year project term, HHHRC will have significantly reduced incidence of OUD and opioid overdose among justice involved populations in Hawaii by increasing access to, and capacity for, MAT services and overall community availability of overdose prevention tools. The result will be a broader statewide system of coordinated MAT services and overall community availability of overdose prevention tools. The result will be a broader statewide system of coordinated MAT-focused treatment services that complement and enhance the current SUD system of care. Project success will also be reflected by additional key impacts expected beyond the term of the project. These include a strong OUD peer support network; increased training of medical, law enforcement, criminal justice and other personnel in overdose prevention and intervention; a more concrete and receptive OUD/SUD referral and engagement system that overcomes Hawaii's geographic access barriers; and greater data collection and management related to opioid use, overdose, and need for treatment.

Team Management 2000 Inc will implement Project Rebound -Out For Life in partnership with the Bergen County and Essex County Department of Corrections in Northern New Jersey. The project will engage 330 incarcerated and recently released sentenced adults who are serving no more than 4 months, meet the diagnostic criteria for substance abuse disorder and mental health disorder and returning home from incarceration. We will also serve adults on probation or who parole who meet the projects behavioral health criteria and live in the geographic catchment area and are at risk of being re-incarcerated due to violation of parole or probation. Compared to New Jersey's Statewide population the population of focus for Project Rebound are disproportionately young male Black African American and indigent . We expect the population served by this project will be 95 percent male 80 percent male African American and 15 percent White and 5 percent other races. Project Rebound Out For Life 3 Phase Reentry Program will provide behavioral health treatment and recovery support services from Pre release to Aftercare using evidenced base interventions for improving health and reducing involvement in the criminal justice system. The projects overarching goal is for participants to achieve and sustain healthy productive lives in their communities. Success will be measured by the proportion of participants who are stably housed gainfully employed and in recovery at follow up. We will assess the projects impact on public health and safety as measured by participants technical probation or parole violations use of hospital or emergency rooms for primary care and compliance with protocols for preventing sexually transmitted infections including HIV and Viral Hepatitis. Pre release services provided in the jail settings by project staff will emphasize comprehensive discharge planning readiness for change behavioral health counseling and relapse prevention. Upon release from incarceration inmates will transition to outpatient treatment services for case management mental health care access to recovery supports including medication assisted treated for opiate addiction housing employment transportation vocational and adult education and primary healthcare and infectious disease testing and treatment. In aftercare Phase III participants will remain engaged for up to 12 months to sustain positive changes and report outcomes for evaluating the projects impact holistic integrated approach that aimed at reducing recidivism and increasing personal sustainability.

The Nueva Start Project is a collaborative effort between Behavioral Health Solutions of South Texas, the Hidalgo County Probation Department, and Baylor College of Medicine to ensure seamless continuum of care for individuals returning to the community following a period of incarceration. This full continuum will begin in Hidalgo County facilities and will address barriers to health, wellness, and sustained life in the community by addressing substance use and mental health concerns, trauma needs, recovery support, employment, and parenting services. The project will provide services for up to a year from a chronic care perspective and specifically expand substance use disorder treatment and outreach capacity while enhancing treatment services for low-income minority individuals who have a history of substance use disorder and experience multiple barriers to accessing substance use treatment services. While the project will serve individuals throughout the Rio Grande Valley, low income and under resourced areas of Hidalgo County will be targeted due to high levels of need and low levels of service access. The proposed project will provide culturally appropriate, trauma-informed services to the population of focus who will receive evidence-based substance use, mental health, and trauma interventions, as well as, linkage to an array of medical and recovery support services. The project's overarching goals are to: 1) identify, engage, and support individuals who are incarcerated and have a substance use disorder to access the services needed to successfully transition to health and wellness; and 2) solidify and augment the system of care for individuals who are returning to the community following incarceration. Evidence-based interventions include trauma-informed care, medication-assisted treatments, gender-specific curriculum-based services with all interventions rooted in the spirit of Motivational Interviewing. Within the target population, the project will achieve the following individual-level objectives: 1) increase access to 60 individuals per year to a continuum of substance use treatment and recovery support services; 2) reduce the use of illicit drugs by participants over a six month period between intake and follow-up by 30%; 3) increase engagement in recovery support services demonstrated by the retention of 80% of participants at six months post intake; 4) increase self-sufficiency and psychosocial functioning within six months of program entry with measurable increases between intake and follow-up in: employment (20% increase), housing stability (25% increase), legal problems/criminal justice involvement (10% decrease), and health status (25% increase); and 5) within six months post intake, decrease the frequency of self-reported mental health and trauma symptoms by 20%. The systems-level objective is to demonstrate a formalized and expanded collaboration through the signing of twenty (2) MOUs and the holding of monthly collaborative meetings among the partners for the duration of the project. The impact of this collaboration will be to improve the target population's access to support services to make a measurable impact on access issues that drive health disparities impacting the RGV. To this end, 300 individuals (60 per year) and their support systems will be served during the five-year project.

Mountain Comprehensive Care Center (MCCC) will implement the Big Sandy Adult Reentry Program to expand SUD treatment and related recovery and reentry services to sentenced adults in the Big Sandy Regional Detention Center (BSRDC) who have been assessed or diagnosed as having a SUD and/or COD and meet project criteria as well as adults at risk of being re-incarcerated due to a probation/parole violation. The catchment area includes Floyd, Johnson, Lawrence, Magoffin, Martin, Morgan, and Pike counties in rural eastern Kentucky. Population: The population is sentenced adults in the BSRDC who have been assessed or diagnosed as having a SUD and/or COD; either sentenced to and serving at least 1 month in the BSRDC or are on probation/parole and at risk of being re-incarcerated due to a probation/parole violation; for those incarcerated, be within 4 months of release to receive services in the BSRDC; and upon immediate release, be linked to community-based treatment. The population will be similar to clients in MCCC’s current ORP with intake data finding 69% had a diploma/higher, 22% employed, 51% housing instability, 68% anxiety, 60% depression, 79% using alcohol/illicit drugs, 19% IDU, and socioeconomic disparities. While a high percentage will be White due to its location in Central Appalachia, the project will ensure equity/inclusion. It is estimated 60% will be men, 40% women, 3.4% LGBTQ+ with 90% arrested on alcohol/drug-related charges. Interventions: In tandem with corrections staff, all clients will be assessed for SUD and/or COD and criminogenic needs per the KyRAS (includes RNR) and Psychosocial Assessment. MCCC will conduct pre/post-release services and coordinate with its array of treatment programs immediately upon release. Evidence-based practices include Motivational Interviewing, Matrix Model for Criminal Justice Populations, Seeking Safety, Living in Balance, and MOUD/MAT with all interventions using trauma-informed care. MCCC will link participants to testing and treatment for infectious diseases through its HomePlace Clinics along with primary care, while also providing case management/transition planning, peer supports, recovery/reentry services, enrollment in benefits/insurance and other needs per Person-Centered Case Management Plans and Person-Centered Treatment Plans with aftercare offered upon discharge from treatment. Goals: MCCC will serve 70 clients annually for a total of 350 over the five-year period. Goals for the targeted population include: 1) Improve health by implementing a continuum of jail and community-based, coordinated, evidence-based, and population-specific SUD/COD treatment and access to primary care; 2) Improve stability by providing and/or coordinating comprehensive case management, recovery, and reentry services; and 3) Improve equitable and effective project implementation and evaluation by conducting CQI. Objectives achieved by end of each project year include: 1.1) provide SUD treatment including FDA-approved medications/medications management so 70% report abstinence from substance use [at 6-month follow-up]; 1.2) integrate mental disorders treatment, for those assessed with COD, so 50% report a reduction in MH symptoms; 1.3) link to integrated primary care, including screening for infectious diseases, referral, and follow-up to treatment, and dental care so 70% report health as “good” or above; 2.1) provide/coordinate access to peer supports so 70% report positive social connections; 2.2) coordinate access to recovery supports so 50% report engagement in employment and/or benefits enrollment; 2.3) provide person-centered case management planning/services so 65% report housing stability and 70% no arrests; 3.1) monitor race, ethnicity, sexual orientation, and gender identity of enrollees quarterly to ensure equity/inclusion among populations; 3.2) conduct PMT meetings quarterly to coordinate services, monitor outcomes, CQI, and adjust. MSU will conduct an independent evaluation.

The Recovery First project will provide reentry support for adults released from incarceration or who will be released within 4 months, and who have SUD and/or cooccurring substance use and mental disorder. Major goals are to reduce recidivism; and promote sobriety, employment, independent housing, physical health, and brain health. Supports will include recovery housing, SUD treatment, and assistance addressing Social Determinants of Health (SDOH). The project also will reduce participants’ SDOH risk factors; help participants transition to independent housing; and help them obtain employment or enroll in educational or job preparation programs. The Cognitive Connection, a local SUD provider serving Catawba County since 1995, will provide evidence-based SUD treatments as a partner in this project. The project will serve at least 30 unique individuals each year and 150 during 5 years; prioritizing serving individuals who have traditionally been underserved because of race, gender, ethnicity, or sexual orientation; or due to the presence of one or more SDOH challenges, especially those who lack housing upon release from incarceration. The Recovery First project will use multiple evidence-based strategies, including Screening Brief Intervention and Referral to Treatment and SUD treatments such as Substance Abuse Intensive Outpatient Treatment, Substance Abuse Comprehensive Outpatient Treatment, individualized Cognitive Behavior Therapy, and Medication-Assisted Treatment with FDA-approved medications for opioid and/or alcohol use disorder. Evidence-informed strategies will also be used, including Recovery Housing, SDOH Support, and Reentry Support. To guide implementation and adjust strategies as needed, we will use a Quality Improvement Model known as the Model for Improvement that uses a Plan, Do, Study, Act strategy. In order to achieve equity among population groups served by this project, we will monitor race, ethnicity, sexual orientation, and gender identity of project participants, and adjust referral and entry processes when possible, to achieve optimal equity among participants. This will in some cases involve making necessary modifications to the evidence-based or evidence-informed practices that we use in the project. This will be an ongoing process using modification strategies that maintain the fidelity of each of the strategies used, while addressing the individual needs and preferences of each product participant. The project will implement a comprehensive clinical assessment that includes the American Society of Addiction Medicine (ASAM) rating scale for each prospective participant, in order to identify the appropriate level of care based on each person’s needs, preferences, and diagnoses. Interviews or instruments used will reflect the language, norms, and cultural values of project participants. This will include repeated measures of the National Outcome Measures (NOMS), SDOH Assessment, and Criminal Thinking Scales. Monthly Urine Drug Screens will be administered to monitor abstinence. Project participants will be screened for infectious diseases, particularly those for which individuals with SUD are at high risk. This includes HIV and viral hepatitis screening. The project will include training of project staff members on behavioral health implementation for the national standards on Culturally and Linguistically Appropriate Services (CLAS), especially as they relate to the specific target population for this project. Data analysis will include interpretive and predictive analyses using tools such as Microsoft’s PowerBI and SPSS. These analyses will provide data for the Project Director to use to make any modifications necessary to assure fidelity to the practices based on the extent to which we are achieving project goals, objectives, and outcomes.

St. John's Community Health's W-RISE program will integrate, enhance, and expand screening, assessment, evidence-based treatment, harm reduction and recovery support services for low-income cisgender and transgender women of color with substance use and/or co-occurring mental health disorders (SUD/COD) who are reentering their communities post-incarceration in South Los Angeles. Most clients (70%) are aged 25-44; 90% are people of color (49% Latina, 41% African American); 30% are unhoused; 30% are immigrants best served in Spanish; 100% are low-income (under 200% of federal poverty level). Ninety percent are ciswomen and 10% are trans; 70% are heterosexual, 20% bisexual, and 10% lesbian. Low-income reentry women of color in South LA experience SUD.COD at disproportionately high rates compared to the general population, with extremely high prevalence of post-traumatic stress as a result of a complex web of social determinants of health factors as well as experiences of institutional racism, heavy policing and transphobia. W-RISE will provide opportunities to interrupt SUD/COD and support clients to improve their health, functioning and stability through team-based, peer-driven, recovery-oriented, trauma-informed, and equity-based treatment, recovery support and related reentry services. A total of 350 unduplicated reentry women will be served (70 annually). Objectives include: convening a coalition of reentry serving community-based organizations in South LA (SLARRP/South LA Reentry Recovery Partnership) to address gaps, coordinate referrals and provide cross-training; providing screening, assessment and brief treatment for women pre-release and linking positive screens immediately into care coordination services where clients will work with a provider on an individual service plan that will include SUD/COD treatment (including MAT), intensive team-based case management and recovery support services; ensuring high rates of retention in Seeking Safety EBP and adherence to clinical treatment and progress on case management goals; and increasing functioning, self-efficacy, social connection/inclusion, and a sense of hope for participants.

Abstract Health Services Center, Inc. (HSC) proposes Project ARCH (Adults Re-entering and Changing Habits) to provide evidence-based, peer-engaged substance use disorder (SUD) services, co-occurring mental health (MH) services, HIV and viral hepatitis (HCV) linkage and risk reduction services to reduce substance-related harm among adults re-entering the community from the criminal justice system. The target area is an underserved rural, high poverty area that experiences significant negative consequences related to substance use, including overdose, poor health outcomes, family disruption, and legal system involvement. Project ARCH will serve the priority population of adults re-entering the community from the criminal justice system, particularly low-income, minority populations, as these groups are underserved in the target area. The target service area is large, covering over 9,000 square miles and 14 Alabama counties (Blount, Calhoun, Coosa, Cleburne, Chambers, Calhoun, DeKalb, Etowah, Randolph, Shelby, St. Clair, Tallapoosa, Talladega, Clay Counties, AL). HSC has provided substance use disorder services in the target area for over 20 years and has the cultural knowledge, infrastructure, and law enforcement and community partnerships necessary to expand and enhance services for re-entering persons. Project ARCH has four main goals: 1) increase access to substance disorder and behavioral health services for persons re-entering the community from the criminal justice system through targeted individual and group behavioral health services and long-term aftercare: 2) provide case management focused on re-entry needs, job training, and educational supports/workforce readiness; 3) provide HIV/harm reduction services to the target population through HIV counseling, testing, and referral (HIV CTR), linkage to HIV medical and supportive services, Hepatitis B (HBV) and Hepatitis C (HCV) screening and referral, and 4) increase peer support and recovery community support for re-entering populations with SUD challenges. Annually, Project ARCH will enroll 100 persons (500 over the course of the project). Measurable outcomes include reduced recidivism, reduction in service area substance-related overdoses and incarcerations, numbers of persons receiving services, employment and housing improvements, and improved mental health status. Innovative service provision components include incorporation of transportation supports, job training and education services, trauma-informed care, peer support and linkage services, use of telehealth approaches to enhance rural healthcare, and an area-wide harm mini-conference focused on needs of re-entry populations. The proposed Project ARCH will provide critical substance use service expansion and enhancement for a population that faces significant stigma, discrimination, and lack of access to services.

People with Ideas of Love, Liberty, Acceptance and Respect (PILLAR) is a 501(c)(3) non-profit Certified Community Behavioral Health Center and a Substance Abuse Treatment facility in Laredo, TX, has identified a need for increased trauma informed and comprehensive treatment and related recovery and reentry services to sentenced adults in the criminal justice system. Project Reentry and Treatment Network (RTN)’s population of focus is adults with SUD/COD who are re-entering the community after incarceration or at high-risk of recidivism. The need for increasing access to services upon reentry is especially apparent in Laredo, where the Laredo Drug & Alcohol Commission has expressed concern over the mounting burden of drug use on police resources. In 2018, the commission reported 122 calls for overdose, 74 drug raids, and 1073 arrests for possession of controlled substances. Webb County has the highest jail incarceration rate across Texas with an 82% increase over the past 45 years: from 299 to 544 inmates yearly. The latest Border Region Jail Diversion Action Plan (2012) found that 20% of individuals incarcerated in Webb County suffer from mental illness; while adults with untreated mental illness are eight times more likely to be incarcerated than the general population. Project RTN will expand treatment capacity in the area providing 330 persons (50 year 1 and 70 years 2 thru 5) reentering communities with SUD/COD Treatment and Recovery Support Services. Evidence Based Practices will include Matrix Model (MM); Brief Motivational Interviewing; Moral Reconation Therapy. Staffing plan will include one Project Director, one Recovery Peer Specialists, two Licensed Chemical Dependency Counselors, and one Reentry Coordinator. The program will follow the SAMHSA Guidelines for Successful Transition of People with Mental or SUD from Jail or Prison. The proposed target numbers are to meet the following goals: 1) Expand and enhance infrastructure for access and availability of culturally relevant reentry services, treatment, and recover support services.; 2) Project RTN will expand and enhance Services for 330 incarcerated persons who are returning to their families and communities with the implementation of Project RTN, a community-driven approach to care tailored for the reentry population; and 3). Monitor process, evaluate effectiveness, sustain effective programs/ activities, and improve or replace those that fail. PILLAR expects to meet the following outcome goals: at least 80% treatment completion among clients, decrease in substance abuse and other risk behaviors, and an improvement in quality of mental/physical health compared to baseline, housing, employment, and social connectedness. PILLAR will hire an external evaluator to spearhead all data management, performance measure, and quality improvement.

The Caring Together Program’s (CTP) Working Together for Women Initiative at Drexel University is a trauma-informed, addiction and psychiatric recovery-focused treatment program for reentering women in Philadelphia. CTP will engage 330 additional women while in prison and provide addiction and psychiatric treatment, forensic peer support, comprehensive case management, and family reunification and psychoeducation services during reentry and beyond. Our target population is women 18 and over residing in Philadelphia who are within four months of release in the Philadelphia Department of Prisons (PDP). The 70% of women in the PDP with a Substance Use Disorder (SUD) face multiple challenges upon reentry, including a lack of coordinated, family-based, gender-sensitive services including SUD treatment amidst a local drug supply increasingly contaminated with fentanyl and xylazine, leading to a record number (1,276) of fatal overdoses in Philadelphia in 2021. Resources to address these challenges have been limited due to now resolving COVID-19 restrictions in the forensic system and a lack of essential trained staff. CTP, the only gender-sensitive treatment program providing childcare for women with SUDs in Philadelphia, will expand its capacity and serve an additional 50 women in year 1 and 70 in years 2 to 5 with SUD to expand and enhance current services provided to women referred from outside the walls of the prison, e.g., through Probation and Parole. CTP and its partner, Sisters Returning Home, have observed the challenges of reentering women in finding a comprehensive program that meets their myriad needs and have identified five primary challenges to women’s successful reentry in SUD treatment enrollment and retention: 1) access to gender responsive treatment programs; 2) lack of case management to address reentry needs (e.g., housing, referral and linkage support, transportation); 3) difficulties in reunifying with family and children; 4) educational and vocational assistance; and 5) navigating the complex criminal justice system. The current proposal will expand our capacity by hiring dedicated staff (Case Manager, 2 Forensic Peer Specialists, and an Addiction Counselor) to meet with and support women prior to release at PPS and to provide enhanced recovery support throughout reentry, post-reentry treatment, and aftercare. The objectives of our expanded and enhanced reentry program are to increase: 1) the number of reentering women engaged in SUD treatment, including medication assisted treatment for Opioid Use Disorder; 2) reentering women’s access to evidence-based psychiatric treatment and linkage to medical treatment, and to show improvements in each; and 3) access to family reunification and psychoeducation supports. WTW’s specific goals in doing so are to positively impact: 1) recovery; 2) recidivism; 3) family engagement; and 4) psychiatric and physical health status. Quantitative and qualitative data will be collected at intake, 6-months, and program discharge to evaluate attainment of these goals.

LifeLong Medical Care proposes to increase engagement in care to a minimum of 238 individuals within the population of focus, which includes sentenced adults in the criminal justice system with a substance use disorder (SUD) and/or co-occurring substance use and mental disorder, who are returning to their families and community following a period of incarceration. Services will be provided in Alameda County, CA. The program will hire a Project Director and an SUD Counselor who will provide SUD/COD services including assessments, group and individual counseling, transition planning, case management, and recovery support services to program participants. LifeLong will use the Evidence-Based Practices (EBPs) of Harm Reduction, Relapse Prevention, Motivational Interviewing, Seeking Safety, and Contingency Management in its service delivery. Goals include: Increasing engagement and providing SUD/COD services including assessment, individual and group counseling, transition planning, case management, and recovery supports; conducting local performance assessments and documentation according to grant requirements and guidelines. Planning and program activities will take into account a culturally responsible, gender responsive, recovery/harm reduction oriented, trauma-informed, equity-based approach. Objectives include: • Establishing protocols for evaluating individuals for entry into the program ensuring effective screening, assessment, and transition of individuals at risk of a probation violation and to ensure that racial, ethnic, sexual and gender minority groups are not disproportionately excluded from entry into the program. Providing SUD/COD assessments within the Santa Rita Jail and at other locations in the community to a minimum of 238 individuals. • Providing evidence-based SUD/COD services including individual and group counseling to a total of 238 individuals. • Providing access to recovery support services including self-help support groups, employment and workforce development training, and transportation to a minimum of 238 individuals. • Providing access to case management services including transition planning, referral to primary care, screening for infectious diseases including HIV and viral Hepatitis (A, B, and C), mental health counseling, benefits counseling, food assistance, housing, and referrals for additional SUD/COD treatment as needed, such as Medication Assisted Treatment, and residential programs to a minimum of 238 individuals. • Implementing Brief Tobacco Screening and access to tobacco cessation treatment including NRT to a minimum of 238 individuals. • Completing health disparities statement, uploading GPRA data, participating in evaluation activities, and compiling data for semi-annual reports • Monitor race, ethnicity, sexual orientation, and gender identity of enrolled clients and present enrollment trends through monthly reports, allowing the team to ensure equity among the client population in real time, by the Research and Evaluation team.

The purpose of the TCC Reentry project is to build a culturally responsive reentry program for sentenced Alaska Native adults whose primary residence is within TCC’s health region, which directly addresses the substance use disorder treatment and/or co-occurring substance use and mental disorder that frequently result in reincarceration and to sustain a reentry program after funding ends by formalizing the TCC processes, systems, and policies. By building and sustaining a culturally responsive reentry program for people in the TCC region, we will prevent the reincarceration of sentenced adults and reduce the concomitant negative impacts on their families, thereby improving overall community behavioral health throughout the TCC region. The goals of this project are to: 1) Enhance collaboration among TCC programs and between TCC and the Alaska Department of Corrections to facilitate access to reentry services; 2) Systematize reentry support services starting with pre-release assessment and treatment planning for sentenced Alaska Native adults in the TCC health region; 3) Improve support services for the families of sentenced Alaska Native adults; and 4) Improve access to sentenced Alaska Native adults to substance abuse or substance use disorder treatment and/or co-occurring substance use and mental disorder treatment. We will serve 40 sentenced Alaska Native adults each year and 200 adults over five years with wraparound services to provide a holistic, client-centered approach that addresses all areas of need, including physical health, substance abuse treatment, mental health, education, employment, housing, and other social services. Services will be provided by TCC’s Behavioral Health Division, TCC’s Chief Andrew Isaac Health Center, and TCC’s Tribal Client Services. TCC will convene a reentry working group that includes the head of TCC’s Behavioral Health, Tribal Client Services, Chief Andrew Isaac Health Center, peer support specialists, and Village Public Safety Officer program, as well as the State of Alaska Department of Corrections, probation/parole, Office of Children’s Services, and the Fairbanks Reentry Coalition.

The New American Anti-Recidivism Program (NAARP) aims to provide a comprehensive program for the New American/immigrant/refugee communities in Franklin County, Ohio, with a focus on reducing recidivism rates among Greater Ohio returning citizens. The program is ground-breaking in placing culture-positive behaviors at the center of SUD treatment and anti-recidivism efforts. The project includes linked components, each of which contributes to the successful transition needed to meet societal, federal, state, and county objectives. NAARP will be implemented at Madison Correctional Institute, Franklin County Jails, London Correctional Institute, and Pickaway Correctional Institute. NAARP provides opportunities for the development and maturation of the participating inmates’ commitment to normative values and responsibilities, believing this will result in overall changed behavior, better institutional adjustment, and reduced recidivism rates. NAARP seeks to address the unique challenges that immigrants, refugees, new Americans, and BIPOC individuals face in reintegrating into society after being released from prison or detention centers while struggling with substance use disorders (SUD) and other mental health issues. NAARP will address the main risk factors for recidivism while providing culturally sensitive, trauma informed care to the participants. The project will build upon UNIK Foundation’s existing programs at the Madison Correctional Institute, Franklin County Jails, London Correctional Institute, and Pickaway Correctional Institute. NAARP will target BIPOC individuals aged 18 and over, many of whom speak English as a second language and originate from Africa and Asia. NAARP will use a multi pronged approach to provide a comprehensive and person-centered approach, addressing the risk factors for recidivism, including substance abuse, lack of education or job skills, mental health issues, and lack of social support. The program will provide a range of services, including comprehensive case management, substance use and cognitive behavioral interventions, vocational training, mental health services, housing assistance, and access to community resources. The goal is to empower clients through client-centric programming and leadership skill development, with the hope that they will in turn become advocates for disenfranchised people living in marginalized communities. NAARP will utilize evidence-based interventions to address the unique challenges faced by this population, including limited financial resources, difficulty finding employment, and discrimination. The program will provide education and training to help participants achieve economic stability, access healthcare and other necessities, and overcome obstacles to social and economic mobility. Our measurable objectives include reducing recidivism rates among participants and providing a grounding in positive values and responsibility to help them successfully reintegrate into their communities. The program aims to serve 100 participants annually, with a goal of serving 500 individuals throughout the lifetime of the project. NAARP will coordinate with appropriate state and local health agencies to ensure that clients receive the most appropriate and effective services. To this end, we have partnered with the Heart of Ohio Family Heath, Centre for Employment Opportunities , and New Directions Career Center, to ensure the program's success. Through NAARP, UNIK Foundation and its partners will develop appropriate treatment plans, and ensuring that clients receive the necessary support and resources to successfully reintegrate into the community. By providing a range of services tailored to the unique needs and circumstances of each client, NAARP will reduce the risk of recidivism and promote successful re-entry and recovery for this underserved population.

The Fortune Society’s (Fortune’s) Adult Reentry Program (AR Program) will expand upon the substance use disorder (SUD) treatment and related recovery and reentry services that we have successfully provided since 2018 under the SAMHSA Offender Reentry Program. Our population of focus is adults (age 18+) who have a substance use disorder (SUD) or co-occurring disorder (COD) and have been recently released, or are soon to be released from, a NYC or New York State (NYS) correctional facility to any of NYC’s five boroughs. We will also target participants on parole or probation who are at risk of re-incarceration. Fortune will serve 40 participants per year for a total of 200 participants served over the five year grant period. We anticipate that the demographics of the population we will serve will closely mirror that of the participants we have served as an ORP contractor: primarily men of color in need of SUD treatment, many of whom have co-occurring disorders. In the first four years of our current contract (2018-2023), 99% of participants served were male, 74% were people of color (primarily Black and Latino), and the average participant age was 39. English is the primary language for most participants, and we have bilingual staff to accommodate a small number of Spanish speakers. In terms of socioeconomic status, most participants served to date are below the poverty level; upon intake, 90% were unemployed and 67% were residing in a shelter/institutional setting. Key partners in the initiative will include the NYC Department of Correction (DOC) and the NYS Department of Corrections and Community Supervision (DOCCS), which will enable Fortune to serve both City and State sentenced adults. We will further leverage existing partnerships with the DOCCS Health Services Discharge Planning Unit (DPU); DOCCS Offender Reentry Counselors (ORCs); the DOCCS Parole Reentry team; and the County Reentry Task Forces (CRTFs) in NYC, two of which (Bronx and Queens County) We will use evidence-based interventions, including Motivational Interviewing (MI), Thinking for a Change (T4C), Seeking Safety, Anger Management, and Relapse Prevention. Our program’s primary goals are: (1) Coordinate with DOC/DOCCS Discharge Planning, Parole, and Probation to effectively plan for the transition of individuals in need of SUD treatment and related recovery and reentry services from the correctional to the community setting and help participants on parole/probation who are at risk of re-incarceration receive SUD treatment and related supports to avoid returning to jail/prison; (2) Connect AR Program participants to supportive reentry services—at Fortune and other community-based partners—that will assist with their reentry and recovery needs, including healthcare, benefits access, housing, outpatient mental health treatment, outpatient SUD treatment, and Medication-Assisted Treatment (MAT) services; and (3) Utilize best practices in data collection/performance measurement. Additional outcomes include: ensure that 100% of those enrolled in the AR Program have an initial GPRA interview, and 80% complete a six-month follow-up GPRA; make screening services for our housing portfolio available to 100% of AR Program participants in need of housing; at point of discharge, connect 100% of AR Program participants who successfully complete their SUD treatment program and are seeking work to Fortune’s Employment Services program, which will provide in-kind services for all eligible/interested participants; refer 100% of AR Program participants for whom such referral is appropriate and desired to Fortune’s in-house education program to receive services (in-kind) including tutoring, test preparation, and mentoring; screen 100% of AR Program participants who report chronic physical health conditions, mental health concerns, and/or SUD for enrollment into Fortune’s Care Management Unit, and, if needed, connect them to an appropriate healthcare provider and/or FQHC.

The Choctaw Nation proposes to expand SUD treatment and related recovery and reentry services to sentenced Native American adults within the Choctaw Nation’s criminal justice system to improve abstinence from substance use, housing stability, employment status, social connectedness, health/behavioral/social consequences, and reduce criminal justice involvement. Choctaw Nation Corrections provided data on 27 incarcerated Native Americans released in 2022. The data represented a 100% increase in the Native American population within the jail setting for the year. Due to the shifting criminal jurisdiction landscape after the 2020 McGirt v. Oklahoma Supreme Court ruling, the Native American population being incarcerated within contracted Choctaw Nation jails is projected to increase 20% per year. From July-December 2022, 158 individuals in CNO Community Protection were referred to treatment, but only 15 percent of those referred completed treatment. This proposal would enhance the ability to serve currently incarcerated Native Americans on the CNO reservation with peer recovery support that focuses on transitional planning and community-based treatment services prior to and post scheduled release from a correctional setting. Peer recovery support is an evidence-based service supported by SAMHSA and some studies have shown that implementing peer recovery support services for individuals after release from prison cut reincarceration rates by half compared to the rate for the general prison population.

The New Beginnings Adult Reentry Program will serve sentenced adults 18 years or older in the criminal justice system with a SUD and/or co-occurring substance use and mental disorders, who are returning to their families and community following a period of incarceration in Suffolk County jails. The geographic catchment area for the proposed program is the entire Suffolk County in New York (NY). Suffolk County is the fourth-most populous county in NY. We expect that the majority of our clients will be low-income and facing significant social determinants of health (SDHO) and that 95% will be Medicaid eligible. The evidence-based practices that we will use are cognitive-behavioral therapy, Dialectal Behavior Therapy, case management, motivational interviewing, Seeking Safety, medication-assisted treatment, and peer recovery support. The program goals are: (1) Promote a stable transition from incarceration in the two Suffolk County jails to community-based living for reentering adults; (2) Prevent treatment relapse to support sustained recovery; (3) Advance Suffolk County community’s safety through the prevention of criminal recidivism; and (4) Improve behavioral health and social, mental health functioning among program participants reintegrating into the community. The proposed project will serve 220 individuals. The objectives for Goal #1 are: (1) Objective 1.1: Strengthen existing relationship between Phoenix House, the Suffolk County Sheriff’s Office, and community partners throughout performance period; (2) Objective 1.2: Offer pre- and post-release reentry services to 40 unduplicated program participants in year one and 45 each year for a total of 220 over five years; (3) Objective 1.3: 100% of program participants will have a transition plan within four months of pre-release; (4) Objective 1.4: The case managers will ensure that 100% of eligible program participants have access to health insurance within four months of pre-release with support from the Community Health Access to Addiction Mental Healthcare Project which educate and assists New Yorkers in accessing treatment and insurance coverage for SUD and mental health services. The objectives for Goal #2 are: (1) Objective 2.1: Provide SUD treatment to 40 participants in year one and 45 per year for the remaining four years (220 over 5-years); (2) Objective 2.2: 80% of program participants enrolled in treatment will successfully complete the program; (3) Objective 2.2: Perform urinalysis for 100% of program participants as required by parole/ probation officer; (4) Objective 2.2.1: 80% of program participants will be substance free for six months post intake & the remainder will reduce substance use; and (5) Objective 2.3: 95% of program participants completing Seeking Safety will report reduced trauma symptoms at discharge and six months post intake. The objectives of Goal #3 are: (1) Objective 3.1-Provide comprehensive case management services to 40 unduplicated participants in year one and 45 per year for the remaining four years (220 over 5-years); (2) Objective 3.1.1-100% of participants identified as needing housing support will receive targeted case management; (3) Objective 3.1.2-At least 80% of completers will have improved relationships at discharge and at 6 months post intake; (4) Objective 3.2 -80% of completers will not engage in new criminal activity at discharge, and 70% will not recidivate at 6 months post intake. The objectives of Goal #4 are: (1) Objective 4.1: Provide vocational/employment services to 100% of participants identified as needing this service; (2) Objective 4.1.1: 80% of completers will be in an educational/vocational program, seeking employment, or employed at discharge, and 70% at 6 months post-intake; and, (3) Objective 4.2: 80% of completers who are parents will complete a parenting class.

COPE Community Services, Inc. (COPE) proposes to implement the COPE Reentry Program (CRP) in Pima County, AZ. CRP will server 200 adult reentry clients (40 per year) with crucial re-entry care: evidence-based SUD/COD treatment, recovery support, and links to COPE's full spectrum services. CRP will fill a critical treatment gap: rapport and services will begin in jail, bridge clients through the transition, and provide an anchor in the community after release. The reentry population in Pima County experiences a cascade of barriers to SUD and COD care: lack of services in jail, too few providers in the community, little to no established connection/trust between those incarcerated and providers, and too few programs coordinating services during the transition from jail to the community. More than 80% of incarcerate adults screen positive for needing SUD treatment (ADC R&R, 2023), and substance use continues while in jail. In 2022 there were at least 87 incidents of finding narcotics in Pima County Jail (PCJ) (Murillo, 2022). This use has severe consequences; in 2021-2022 there were eleven SUD-related deaths in PJC. Despite this need, only 17% or those needing treatment receive it while incarcerated (AG, 2021). Once release, the target population will find itself in a community where overdose deaths more than doubled between 2018 (175) and 2021 (348) and where nearly all of the primary care areas in Pima County are medically underserved (CHNA, 2022). In response to service gap present in the jail, the community and transition between, COPE proposes to implement the CRP. The CRP will provide much needed services starting in the jail and continuing as the clients integrate into the community. Based on county demographics and previous programming, it is anticipated that clients will identify as approximately 75% men, 25% women; 40% Hispanic/Latino, 10% Black or African American, 6% American Indian/Alaska Native, 40% White, non-Hispanic, and < 5% Asian, Pacific Islander, or two or more races. CRP's design will establish rapport, build trust and create continuity of treatment care when clients are released and reenter the community. THE CRP team will work closely with its partner, PCJ, to equitably identify, assess, and enroll adults in need of SUD/COD care who are within four months of release or who are on probation/parole. Three evidence-based treatment practices will be implemented: Motivational Interviewing (MI), SMART Recovery (SR), and team-based Case Management. The combination of experienced providers, COPE's extensive work with the focus population, and the effectiveness of the proposed services will ensure success of CRP's goals: 1) expand SUD treatment and recovery and reentry services for the reentry population; 2) provide evidence-based SUD treatment; and 3) improve substance and recidivism-related outcomes among CRP clients. Research shows that the identified treatment practices demonstrate effectiveness in achieving the targeted measurable outcomes: 80% maintained or improved substance use, social connectedness, and mental health symptoms; and 70% maintained or reduced criminal justice system involvement. The treatment approach will be combined with supportive services (Peer Recovery Support (PRS), benefit eligibility assessment and enrolment, transportation, etc.), and access to higher level care, all designed to increase engagement and better success. COPE and PCJ are ready to expand its current services to include treatment that bridges jail to community for adults who are reentering the community. Implementation of the CRP is crucial to meet the unmet need for evidence-based transitional services in Pima County.

Adult Reentry Enhancement Project (AREP) is a 5-year project that will enhance recovery support services within a Trauma Informed Recovery-Oriented System of Care (TI-ROSC) to reduce substance use and recidivism and increase employment and recovery capital among justice-involved adult males in Boone County, Missouri. An average of 110 unduplicated clients will be served per year with a total of 550 served over the lifetime of the project. The target population will have substance use disorders/co-occurring disorders (SUD/COD) and will be 4 months or less from scheduled prison release, on probation or parole and at risk of re-incarceration due to a violation(s), or recently released/referred to community-based treatment. This target population will receive enhanced services which fill identified gaps in the TI-ROSC which are sustainable and expected to provide a positive return on investment long after grant funding expires. The goals of the in2Action AREP program are to (1) reduce substance use, crime, and recidivism by high-risk offenders returning to the Boone County community; (2) enhance collaboration between in2Action, corrections (institutional corrections and probation and parole), and other community service providers to assure a seamless transition to the reentry process for high-risk offenders that begins before release; and (3) increase ongoing support in the natural community for recently released high-risk offenders by assisting clients to improve their financial independence through employment, education and/or entitlements. The measurable objectives are (1) 85% of participants will decrease criminal activity; 80% of participants will abstain from substance misuse; and 80% of participants will increase recovery capital. (2) 80% of participants will be engaged prior to their release through collaboration with the Missouri Department of Corrections; in2Action and probation and parole will institute monthly partnership meetings; and collaboration at the Central Missouri Recovery Coalition’s TI-ROSC will be enhanced/strengthened through work groups and meeting agendas. (3) 80% of participants will complete an evidence-based workforce development program; 80% of participants will report improved family relations and participation in peer support and/or mutual support groups; and 80% of participants with medical and/or mental health needs will be referred to appropriate services, including SUD/COD treatment, screening, and testing of persons at high-risk for HIV and other infectious disease. The success and impact of project will be measured through a formal evaluation conducted by the University of Missouri-Columbia.

The Comanche Nation is a federally recognized tribe located in Comanche County, Oklahoma. The impact of historical and intergenerational trauma has created cycles of addiction, mental health problems, poverty, and crime and has led to a complete breakdown of individual and family relationships extending across generations within our tribal community. Lack of access to culturally-competent and responsive care has had a devastating impact on the mental health and stability of American Indian and Alaskan Natives (AI/AN) within our community. With this funding, the Comanche Nation will collaborate with detention centers, probation and parole, and other community services agencies within the criminal justice system, to provide and expand access to care for tribal citizens experiencing addiction and/or mental health crises who are currently incarcerated or at-risk for reincarceration. The overarching program goals are to insure culturally-responsive services and improve access to care to AI/AN individuals diagnosed with SUD/COD and returning to their families/communities after incarceration. The Comanche Nation will implement a Reentry Program which will provide supportive services to include safe, stable, and sober housing, assessment, treatment, case-management, and peer recovery support services. We will also work to identify and analyze local data sources in an effort to provide community education addressing SUD/COD awareness, education, and prevention, incarnation rates, and reentry initiatives within the local and surrounding communities. Collaborative community partnerships will be sought out and developed in order for the Comanche Nation to effectively engage within the community. Funding for CN FY2023 Adult Reentry Program will provide the Comanche Nation the ability to provide SUD/COD treatment and services and continue the healing process from the lasting effects of historical and intergenerational trauma.