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The 61st District Court has been successfully operating its problem-solving courts in Kent County, Michigan, and seeks to expand its operations to include offenses in addition to any underlying drug charge as well as increase the number of participants served per year. The potential to identify those in need of services by identifying other charges likely associated with substance abuse is a participant pool that has not been explored. Drug cases continue to wreak havoc on our community due to the unrelenting opioid epidemic. The proposed 61st District Court Drug Court Expansion Program targets high-risk, non-violent, adult felony, and misdemeanor offenders within Kent County, Michigan, who have drug abuse dependency or co-occurring disorders. The Court accepts any qualifying Kent County resident and persons who commit crimes in Kent County. Proposed strategic enhancements include expanding criteria to include offenses such as retail fraud and property crimes, increasing the number of offenders served, and addressing diversity and disparate outcomes by identifying which populations are most in need of services. The goals include increasing our current enrollment from 40 to a minimum of 60 high-risk offenders per year for a total of 300 over five years, which is an increase of 100 from the previous grant cycle; expanding treatment services by establishing new partnerships with recovery housing services; and focusing on determining and addressing any racial or ethnic disparities. Some specific objectives include obtaining a commitment from the county prosecutor to expand the list of eligible offenses, provide transitional housing to a minimum of 5% of recipients, review data to examine and eliminate disparate effects, and ensure a minimum of 25% of participants who are eligible for license reinstatement obtain interlock ignition devices. The Drug Court program is designed around the 10 Key Components of Drug Court. The 61st District Court provides judicial review and case management while community agencies provide treatment and wrap-around/recovery services. Key community partners include Network180 (community mental health for Kent County), Catherine VanDeWege, and Kyle Hinton. Network 180 has access to approximately 123 other agencies, with about half related to recovery services. The program is also designed in direct relation to the “Quality Improvement for Drug Courts: Evidence-Based Practices,” endorsed and supported by the National Drug Court Institute (NDCI) and recognized nationwide as the most effective approach for specialty courts dealing with criminal offenders. In addition to annual performance/progress reports, the Court intends to conduct a program assessment in years three and five to determine participant change over time and to demonstrate the extent to which any change in recidivism outcomes is due to Drug Court programming. All members of the Drug Court Team engage and take advantage of training and continuing education opportunities.

The purpose of this project is to expand SUD treatment and recovery support services in the existing Pettis County Recovery Court (PCRC), which uses the treatment drug court model to provide SUD services to participants (including screening, assessment, treatment, recovery support services, case management, recovery housing, and care coordination). PCRC takes a holistic perspective and it embraces SAMHSA’s four major dimensions that support a life in recovery (https://www.samhsa.gov/recovery): Health, Home, Purpose, and Community. The population of focus will be individuals over 18 years of age with Substance Use Disorders (SUDs) as their primary condition, including individuals with co-occurring disorders, residing in Pettis County, Missouri. Funding from this grant will be used to serve participants accepted in the Pettis County Recovery Court (PCRC). Given the Whiteman Air Force Base nearby, the high veteran and service member population in the area, local small town and rural population, and the growing newly settled diverse population in Pettis County, we have taken considerable steps towards planning how to best serve individuals from various backgrounds with value sensitive care. PCRC places significant importance on best practices, services and supports that are trauma-informed, culturally sensitive and appropriate. The geographic catchment area where services will be delivered is the County of Pettis in Missouri. Pettis County is located in west central Missouri, close to the Whiteman Air Force Base. Population: 43,188 (census.gov). Area: 686 square miles. The County Seat is Sedalia, surrounded by smaller rural towns within a 25-minute drive: La Monte, Smithton, Green Ridge, Houstonia, Hughesville, and Windsor. Population demographics: 83.66% White, 9.3% Hispanic or Latino, 3.5% Black or African American, 0.9% Asian, 0.8% American Indian/Alaska Native, 0.4% Native Hawaiian/Pacific Islander, and 2.8% reporting two or more races. This grant will help us increase access and serve 40 unduplicated individuals per year, meet the need through our coordinated, holistic, multi-system approach designed to combine the sanctioning power of treatment drug courts with evidence-based treatment and recovery support services to break the cycle of criminal behavior, alcohol and/or drug use, and incarceration. The significant disparities and barriers to services contribute to keeping individuals in a vicious cycle of increased criminal activity, continued drug use, imprisonment, and their families struggling from impact of addition, including loss of parental figure or other family role, loss of income from unemployment and/or imprisonment of their loved one struggling with SUD and/or comorbid disorders. The project will expand the capacity of treatment in the 18th Judicial Circuit in Pettis County in order to increase access to services for offenders struggling with SUDs. The project will provide services to 40 unduplicated participants per year and a total of 200 individuals over the entire project period of five years.

The Sixth Judicial District Family Treatment Court, located in rural Humboldt County, Nevada, was created to help families who have been affected by parental substance use who are involved, or at risk of becoming involved, in the child welfare system due to allegations of abuse and/or neglect. Family Treatment Court will enhance and expand access to treatment and supportive services for families through partnerships with local and state agencies, coordination with qualified treatment professionals, and collaboration with participation families. Through a family-centered and strengths-focused approach, Family Treatment Court aims to reduce the risk of future child maltreatment and criminal recidivism by utilizing evidence-based practices that meet the specific needs of the target population and reduce barriers to care. Family Treatment Court has prioritized the following goals for the projected 20 families to be served each year, 100 families total by project conclusion: Goal 1: Ensure timely identification of parental substance use disorders. Objective 1a: 100% of Family Treatment Court applicants will be screened for substance use utilizing the TCU Drug Screen-V (TCUDS-V) screening tool. Objective 2a: 100% of those who screen positive on the TCU Drug Screen-V will be referred for a comprehensive mental health assessment by a qualified provider. Goal 2: Ensure timely identification of parental mental health conditions. Objective 2a: 100% of Family Treatment Court applicants will be screened for mental health conditions utilizing the Modified Mini Screen (MMS) Objective 2b: 100% of those who screen positive on the Modified Mini will be referred for a comprehensive mental health assessment by a qualified provider. Goal 3: Promote lasting recovery that extends beyond Family Treatment Court participation and reduce recidivism following program completion by addressing all dimensions of wellness through supportive services for the entire family unit. Objective 3a: 100% of Family Treatment Court participants will complete a case management intake with the Family Treatment Court Case Manager to identify recovery support needs for the entire family unit, including children. Objective 3b: 100% of Family Treatment Court participants will create a strengths-based and collaborative case management plan with the Family Treatment Court Case Manager. Objective 3c: Follow-up surveys will be sent to 100% of clients six months following their program completion to monitor recovery status post-graduation as well as recidivism statistics. Goal 4: Increase access to Medication for Addiction Treatment (MAT) services. Objective 4a: 100% of participants with a diagnosed opioid use disorder and/or alcohol use disorder will be referred to a qualified medical provider to be evaluated for FDA- approved MAT services. Goal 5: Increase safety from suicide for Family Treatment Court participants. Objective 5a: 100% of Family Treatment Court participants will be screened for suicidal ideation utilizing the Columbia-Suicide Severity Rating Scale (C-SSRS). Objective 5b: 100% of those who screen positive on the Columbia-Suicide Severity Rating Scale will be referred to a behavioral health provider trained in suicide intervention as recommended in the screening protocol.

the recovery Expansion project seeks to enhance Rapides Drug Court services with the expansion of recovery oriented systems of care, peer support services, and enhanced case management to provide a holistic assessment of individualized recovery support needs and address the multifaceted issues of our high-risk population.

Brunswick County Treatment Courts (BCTC) aims to expand court capacity to serve a growing number of high-risk, high need substance and co-occurring disorders. While BCTC has operated successfully with grant funding since 2008, there is an urgent need to increase capacity to reduce overdoses and overdose deaths among adults who have been convicted of a crime, serious felony, or less serious misdemeanor in Superior Court and are sentenced to probation. Further, BCTC aims to reduce disparities among African Americans and more effectively identify and serve people who identify as LGBTQ. The project proposes enrolling 70 new participants in years 1 through 4 and an additional 50 participants in the final year, serving 330 participants throughout the grant. Brunswick County is in the southeastern coastal area of North Carolina and has a population of 144,215 people. Of these, 86.8 % are Caucasian, 9.5% are African American, 5 % are Hispanic, 1% are Native American, and 1 % are other ethnicities. The county is 52% female and 48.1% male population. Brunswick County residents are educated, with 92% graduating high school or higher and 29.5% holding a bachelor's degree or higher. The median family income has increased since 2018 and is now $59,763. The relatively high income and education levels in the county are primarily due to the influx of high-income retirees in the past five years and may obscure the high rates of poverty and poor health in this largely rural county. In Brunswick County, overdose death rates have decreased through overdose awareness and the distribution of Naloxone. Yet overdoses and overdose deaths remain a serious problem. In 2022, Brunswick County had 154 total overdoses, of which five were fatal. Of the non-fatal overdoses, 66 were given multiple doses of Naloxone. In 2018, the county received a SAMSHA CSAT Grant T1081046 and exceeded the intake rate by 126% of the target, and consistently met the goal for 6-month follow-up rates. Recent data identify trends that justify a need to expand services for a growing population of individuals, especially for African American and LGBTQ populations who are currently under-represented in treatment courts, given the population of probationers. BCTC plans to continue to screen and assure access to medically assisted treatment programs for all participants and continue to implement trauma-informed, family-centered, evidence-based best practices to support sustained recovery. The BCTC intends to enhance Peer-led services for underrepresented populations to increase recovery and health-related community services engagement. Finally, established community-based partnerships would be expanded to include more inclusive wrap-around recovery services for all participants. Measurable objectives include improving health outcomes, decreasing disparities, and reducing recidivism while improving sustainable recovery.

Quinault Indian Nation – Tribal Court FY23 SAMHSA Treatment Drug Courts - NOFO# TI-23-007 – ALS:: 93.243 Due March 6, 2023 – Abstract Page 1 of 1 ABSTRACT The advent of opiate addiction has produced enormous changes in America’s social fabric. The use of synthetic opioids and the absence of culturally inclusive assistance have altered the manner in which American Indians and Alaska Natives get access to rehabilitation resources and interact with the justice system. Some argue that substance abuse is biologically inherited and exacerbated by community-wide historical trauma exclusively. However, others understand that treatment solutions given only in the Western paradigm of punitive justice might be isolating of long-standing traditions and lack the cultural infusion necessary for lasting healing. This project speaks to the unique needs of the Native community in the Pacific Northwest and how the Quinault Indian Nation's Tribal Court is working to meet individuals at the earliest sequential intercept points of the justice system – that is, within its own community prior to encounters with law enforcement. This initiative, developed by the Quinault Indian Nation's multidisciplinary Judicial Project Advisory Team, aims to unify different support programs towards recovery by providing a culturally inclusive and trauma-informed path. This 60-month initiative establishes systems of care through its Adult and Family Healing to Wellness Court and provides centralized services within the Tribe's jurisdictional boundaries in a trauma-informed setting. The project has four main objectives. • Expand the court’s staff capacity to provide the delivery of centralized services in a trauma-informed environment. • Have project designated behavioral health and chemical dependency counselors available to deliver evidence based dependency treatment and family preservation services • Introduced eligible County Superior Court defendants to the Tribe’s Adult & Family Healing to Wellness Court • Coordinate culturally significant resources for Healing to Wellness Court rewards and sanctions Projected to serve forty individuals each year, this project will enhance treatment access for substance use disorder and co-occurring disorders within the population most likely to overdose from opioid misuse. Furthermore, the two hundred cases impacted by this project will be held accountable within a culturally inclusive environment that reflects to community’s values. The Quinault Tribal Court is requesting $400,000 each year for the next five years to begin this project in October 2023.

Abstract The Jefferson County Adult Drug Court Enhancement project seeks to expand and enhance the treatment and recovery services available to Adult Treatment Court participants. The Jefferson County Adult Drug Court serves adults arrested in Jefferson County for drug-related offenses, excluding distribution and trafficking, as the population of focus. Most drug court participants are male, African American, college-educated, and diagnosed with an opioid use disorder (39%). The proposed expansion of the Jefferson County Drug Court will impact Jefferson County, the largest and most populous county in Alabama, encompassing the City of Birmingham and 29 additional municipalities. Client-level goals are to expand access to a continuum of care, including harm reduction, treatment, and recovery services for adult drug court participants, and expand access to comprehensive case management. By implementing these services, Jefferson County will reduce the use of incarceration and overdose deaths. Seventy clients per year will be served for a cumulative total of 350 clients served over five years. Objectives include: • 50 clients per year are expected to receive case management services, with 250 participants receiving case management services over the life of the grant. • 14 clients per year are expected to receive recovery housing support. • 45 clients per year are expected to receive peer recovery support, with 225 participants receiving peer recovery support over the life of the grant. • Harm reduction services will be offered to 100% of the drug court participants by month 8 of the grant award

Through the proposed project entitled Durham County Adult Drug Treatment Court Expansion, the Durham County Criminal Justice Resource Center will (1) increase access to substance use treatment services by hiring a dedicated Substance Abuse Counselor serving Drug Treatment Court clients, (2) provide more intensive treatment options for Drug Treatment Court enrollees by launching a Substance Abuse Comprehensive Outpatient Treatment group, and (3) enhance its current recovery support services for the population of focus by hiring a full-time Peer Support Specialist. The population of focus for the proposed program is high-risk, high-need offenders as identified through the NC Division of Community Corrections Risk and Needs Assessment whose crimes or violations of probation are directly or indirectly motivated by drug and alcohol use. Eligible participants must be 18 years of age or older, reside in Durham County, have either non-violent felony or misdemeanor charges, have a chemical dependence on drugs, and have a minimum suspended sentence of 120 days after all jail credit. The Substance Abuse Counselor will assume primary responsibility of screening, assessment, and developing person-centered treatment plans for individuals enrolled in the program. This position will deliver a broad range of intensive therapeutic approaches, ranging from individual and group therapy to medication evaluation and management services. Expected outcomes include reduced hospitalizations and re-arrests for DTC participants, increased graduation rates, and longer periods of abstinence from drugs and alcohol for participants. The Peer Support Specialist will be a new addition to the DTC team, offering person-centered, strengths-based support for participants. This staff member will assist with a variety of client activities, such as helping engage clients with the recovery community, connecting them to prosocial community supports, and providing transportation to appointments. The first goal of the project is to enhance existing DTC substance use treatment array with a more intensive substance use treatment options and additional recovery support services, which will be measured by hiring a full-time, dedicated Substance Abuse Counselor and full-time Peer Support Specialist by November 2023 and launching the SACOT group by January 2024. The second goal is to increase participant engagement in DTC services to improve treatment outcomes. This will be measured by increasing the number of unduplicated participants to 50 per year by the end of the project and by increasing the graduation rate to 40% by the end of Year 2 and 50% by the end of Year 5. The third goal of the project is to reduce justice involvement for DTC participants. Objectives include decreasing the arrest rate for current participants by 60% by the end of the project and decreasing the arrest rate for DTC participants who have completed the program by 60% by the end of Year 5. The project aims to serve 40 clients in Years 1 and 2, 45 in Years 3 and 4, and 50 by the completion of Year 5 for a total of 220 over the life of the project.

Project Abstract – Summary Logan County Court of Common Pleas, Bellefontaine, Ohio ADULT RECOVERY COURT The Logan County Adult Recovery Court will address the problem of the increase in fentanyl, opiate and methamphetamine use, overdoses and deaths by increasing the availability of treatment in our rural county and sustaining the Adult Recovery Court. The population we serve is adult offenders who have demonstrated that substance use has contributed to their criminal behaviors. This proposal projects to serve a minimum of 40 people annually and projects 177 unduplicated participants in the life of grant. The strategies that are proposed include adding a dedicated Case Manager position to the team while maintaining the current Compliance Officer and Program Administrator. Increasing evidenced based treatments, recovery support systems and sober living opportunities will be provided to strengthen and enhance the services in our county. Logan County Ohio has a shortage of clinical and medical practitioners. The one licensed and certified mental health and substance use treatment agency is a strong partner with the court and is committed to working to address the growing needs of this population. Through the provision of evidenced based treatment, increased case management, ongoing supervision and Judicial oversight we hope to confront this issue and help those who are ready to make changes. The Logan County Adult Recovery Court is certified by the Ohio Supreme Court and is active in the data collection and quality improvement efforts lead by the court. Our strong team has years of experience in criminal justice, social work, chemical dependency counseling and supervision. Our community partners and stakeholders are also committed to provide oversight and collaboration in addressing these needs. Additionally we will focus on risk reduction through the distribution of naloxone and soon fentanyl strips. We also promote medical care and discussions regarding medication assisted treatment.

PROJECT SUMMARY: The Collin County Adult Treatment Drug Court Project will expand capacity of project partners to provide substance use disorder treatment, psychoeducation, mental health counseling, recovery support services, and comprehensive case management services for individuals who agree to participate in the Felony Drug Court Program (416th Judicial District) and who have been diagnosed with a substance use disorder (SUD) or co-occurring SUD and mental disorder (COD). POPULATION/NEED: The population of focus will be adults ages 18 years and older who are involved in the criminal justice system and have a substance use disorder (SUD) or co-occurring SUD and mental disorder. All participants will be referred by the Collin County Felony Drug Court Program, the primary partner in this project. Of the 1,414 people LifePath Systems screened for SUDs in FY2022, 1,037 were referred to formal substance use treatment. However, only 42% (597) enrolled in treatment. Additionally, more than half (700) of those screened had some type of current or past legal issue due to substance use, but only 5% (70) reported being referred by the legal system. While the project will serve any adult aged 18 or older referred by the FDC, based on past data we anticipate serving more men (59%) than women (41%) who are White (75%), Black/African American (18%), and/or Hispanic (17%), who are low-income (90% or more), and whose primary language spoken is English (78%) or Spanish (32% in high utilization zip code 75074). STRATEGIES: The primary project strategies include hiring a SUD Counselor (LCDC; 1.0 FTE) and a SUD Care Coordinator/Case Manager (QMHP; 1.0 FTE), providing substance use disorder treatment and mental health counseling services, engaging individuals in recovery support services, and providing comprehensive case management and care coordination services for participants to support their recovery. GOAL: The primary goal is to provide substance use treatment services, mental health counseling, and recovery supports that reduce recidivism of adults with substance use disorders (SUDs) or co-occurring mental disorders (CODs) who are involved in the Felony Drug Court Program by implementing key components of the drug court model in combination with recovery support, comprehensive case management, and care coordination services to address health disparities and ensure social determinants of health are met. OBJECTIVES: (1) 60% of participants who complete drug court will maintain sobriety six months post commencement; (2) 75% of participants will establish safe, substance free housing during phase one of drug court; (3) 40% of participants will maintain stable housing secured within phase one (1) of drug court; (4) 75% participants will seek and secure employment during phase one of drug court; (5) 50% of participants will maintain employment secured within phase one of drug court; (6) 90% of participants will establish, engage in, and maintain sober support systems during drug court participation and post commencement; (7) 70% of participants with identified health, behavioral health, and social consequences because of substance use are referred to appropriate treatment providers; (8) 90% of participants will have no new criminal justice involvement during participation in drug court; (9) 100% of participants will successfully complete the ASAM level of care recommendation for treatment; and (10) 70% of participants will report satisfaction with project services. TOTAL PEOPLE SERVED: Over the five-year project period, LifePath Systems and its drug court partner anticipate serving 200 or more unique individuals, with a minimum of 40 unique individuals served per year.

The Forest County Community Wellness Court (Wellness Court) was established in 2014 through a partnership between the Forest County Potawatomi Community (FCPC) and the Forest County Circuit Court to address drug-related recidivism. This effort yielded an alternative treatment program to incarceration or other punitive measures. With a solid foundation in place, the Wellness Court now proposes its Forest County Community Wellness Court Enhancement Project. Forest County residents or FCPC Tribal members who are at least 18 years of age, have a diagnosis of substance use disorder, and are eligible to receive services under the jurisdiction of the Wellness Court are the focus population for this project. The enhancement effort will serve at least 15 clients annually and 75 clients over the life of the project with expanded screening, use of evidence-based practices, wrap-around services, and community outreach and collaboration to support client success. A project of this scope has multiple objectives. First, the Wellness Court must address the gap in services between those eligible for Wellness Court programming and those enrolled. The recent pandemic created a delay in court hearings and enrollment proceedings, thus stalling the number of clients able to be served. As court hearings were restored, the Wellness Court has been working diligently to increase its enrollment to eligible participants. As such, the Wellness Court will increase its enrollment to at least 15 unduplicated clients in each year of the five-year project period. Enrolling clients will lead to the second objective: utilizing evidence-based practices (EBPs) for services and treatment for clients. The individualized plans of clients will determine which EBP is best suited for the participant, but the EBPs may include Healing Journey, Seeking Safety, and medication-assisted treatment, along with wrap-around recovery services and the assistance of a Recovery Coach. Finally, the Wellness Court understands that closing the gap in services and increasing enrollment will be supported by increasing a deeper understanding of its program. Therefore, a third objective for the project is to conduct at least one (1) form of outreach, education, or interactive event with an FCPC department, county agency, or the community, to highlight and promote Wellness Court services. Improving its program through increased enrollment, use of EBPs, and expanded community outreach will assist the Wellness Court in realizing its goal of reducing the number of AODA incidents and drug-related recidivism in Forest County and the Forest County Potawatomi Community.

The Luzerne-Wyoming Counties Treatment Court Expansion (LW-TCE) will serve individuals with substance use disorders (SUDs) or co-occurring mental health and substance use disorders (CODs) who are at-risk for or have a history of involvement with the justice system, those with probation violations related to SUD/COD, and veterans with SUD/COD. Two county treatment courts will be involved in this project: Luzerne County Treatment Court (LCTC) including all specialized tracks and Wyoming County Treatment Court (WCTC) including their DUI track. The project will include an enhanced screening process of all probation violators for SUDs or CODs. This will reduce the volume of offenders entering prison. The screening process will also include screening for infectious diseases and implement a more effective integration of physical health and behavioral health treatment. Over the course of this 5-year grant, an additional 310 new participants will be accepted to Treatment Court that would not be previously possible. These participants will receive intervention, screening intensive case management and evidence-based services (EBP) that meet their needs the most appropriately. Concurrently, the availability of EBP will increase, the availability of recovery support services will increase and through infrastructure enhancement, an adult system of care will be enhanced, ensuring all participants with behavioral heath needs in both counties will receive timely intervention and appropriate treatment. Both Courts are currently accredited through the Administrative Office of Pennsylvania Courts. Both Court will maintain their status and through system development enhancement and ongoing evaluation, continuous quality improvement strategies will be developed and implemented improving success rates of participants.

Odyssey House Louisiana, Inc. (OHL) proposes enhancing services in its St. Mary Parish Drug Court program in southcentral Louisiana. Over the five-year grant period, OHL will serve 200 unduplicated individuals with substance use disorder or opioid use disorder diagnoses through expanded and enhanced counseling, case management, and mentorship supports, as well as providing essential wraparound and recovery support services, including referrals to medication assisted treatment, referrals to screenings and treatment for infectious diseases and direct transportation services. OHL’s work in St. Mary Parish LA includes the provision of substance use disorder (SUD) and opioid use disorder (OUD) treatment for participants in the St. Mary Parish Drug Court. Drug court employees operate in conjunction with OHL staff and the St. Mary Parish Probation Department, as well as local community partners, to provide comprehensive recovery services for these conditions, as well as co-occurring disorders. OHL’s population of focus for the St. Mary Parish Drug Court Enhancement Program will be people in the parish with substance use disorder or opioid use disorder diagnoses who are eligible to go through drug court. Using tools such as the Addiction Severity Index and other assessment measures, the program Counselor, Case Manager, and Mentor will develop and implement individualized treatment plans for each participant (40 per program year). Treatment will consist of interventions such as cognitive behavioral therapies, on-to-one case management and mentorship, and other supports such as tobacco cessation counseling and assistance. By providing these direct services, as well as transportation to and from court and other appointments, OHL will help program participants meet their short- and long-term recovery goals. OHL also maintains a Memorandum of Understanding with Teche Action Clinic, a Federally Qualified Health Center based in Franklin, LA, for the provision of medication assisted treatment, medication for opioid use disorder, infectious disease screenings (including HIV and viral Hepatitis A, B, and C), and physical healthcare for substance use disorder treatment clients. This partnership helps create a seamless continuum of care for program participants and the transportation assistance offered through the program will support their holistic recovery. The Project Director of this proposed program is currently the Program Director for OHL’s existing St. Mary Parish Drug Court program and has extensive experience providing substance use disorder treatment to a variety of populations, including those going through the St. Mary Parish Drug Court. Additionally, the Program Coordinator is a 20-year veteran of the drug court and resides in the parish. The rest of the staff will be hired based on their relevant experience with similar target populations and SUD/OUD treatment generally. As the largest SUD/OUD treatment provider in Louisiana, OHL is dedicated to serving the state’s most vulnerable populations with client-centered, evidence-based treatment and cultural humility. SAMHSA funding for the St. Mary Parish Drug Court Enhancement Program will support OHL’s efforts to “meet people where they are” and engage them in meaningful ways that support long-lasting behavioral change.

Summary. As a qualified political subdivision and public behavioral health provider with 50 years of experience in Mississippi, Region IV Mental Health services in collaboration with the 23rd District Circuit Intervention Court will implement the Drug Court Expansion program to expand access to trauma-informed substance use disorder and/or co-occurring mental health disorder (SUD/COD) treatment. Name of the project: Drug Court Expansion. Populations serviced: High Risk/high need adults 18+(32% female; 67% male; 1% transgender); 16% African American, 1% Hispanic/Latino; 1% LGBQI+ 40% trauma-involved; 50% Co-occurring Disorders; 1% HIV positive and 1% hepatitis+. Goal. To provide gender affirming, trauma-informed and culturally and linguistically appropriate behavioral health services reducing crime, co-occurring substance use and mental health disorders among high risk/high need, nonviolent offenders who are in need of SUD and/or COD treatment based on ASAM criteria. Strategies/Interventions: The Drug Court Expansion Program expands SUD/COD residential, outpatient, IOP and treatment capacity, including access to Medication Assisted Treatment and adds evidence-based Services and practices, case management and peer-led recovery support services to meet the individualized needs of drug court participants. The Risk and Needs Triage (RANT) will be used to match each drug court client's level and intensity of services to his/her level of risk and relative to his/her needs. Services will include standardized screening and assessment, trauma-informed SUD/COD residential, outpatient, IOP, treatment coupled with strength-based case management, HIV, viral hepatitis screening and peer-led recover support services, ensuring linkages to housing, employment/education, healthcare and recovery support services, ensuring linkages to housing, employment/education, healthcare and social supports. Use of evidence-based services/practices will improve treatment outcomes. EBPs: Motivational Interviewing (MI); IOP Matrix Model; Medication Assisted Treatment (MAT); Moral Reconation Therapy (MRT); Eye Movement Desensitization and Reprocessing (EMDR) and SMART Recovery. Objectives. Between 9/30/23 and 9/29/28, 100% will improve access to treatment and diagnosis; 80% will be retained in treatment; 80% will improve abstinence; 65% will improve housing stability; 70% will reduce health/behavioral/social consequences; and 80% will improve social connectedness; 80% will reduce health/behavioral/social consequences; and 80% will reduce criminal justice involvement. # to be served. 50 per year, totaling 250 across a five-year project period.

Project Abstract: Enhancement of the Adult Drug Court The 4th Judicial District Court Adult Drug Court (ADC) is located in Elko County, Nevada. The project proposes to expand treatment for substance use and co-occurring disorders by increasing program capacity through the implementation of a Multitrack Treatment Court, contracting with a mental health professional and expanding Recovery Coach services to include the RANT soon after arrest. The target population for the ADC is male and female adults (age 18 and older) who have been arrested and charged with substance-related crimes and/or charged with a crime where substance abuse was a factor and who have been assessed with a substance use disorder. The project will serve a minimum of 40 new clients/year for a total of 200 persons over the five years of the grant. The project will utilize evidence-based practices for the treatment of substance use and co-occurring disorders such as Cognitive Behavior Therapy, Motivational Interviewing, SMART Recovery and Seeking Safety. The project has three goals with eight objectives which are: Goal 1 - Increase enrollment through implementation of a multitrack treatment court model Objective 1 - Provide 40 participants with appropriate levels of substance abuse and mental health treatment each year resulting in service to 200 clients over the five-year life of the grant. Goal 2 - Maintain and expand services of a Social Worker/Recovery Coach Objective 1 - Social Worker/Recovery Coach will work to reduce behavioral health disparities for 40 participants each year by addressing social determinants of health, such a social exclusion, unemployment, adverse childhood experiences, and food and housing insecurity. Objective 2 - Social Worker/Recovery Coach will communicate and collaborate with the pretrial services program that is in its infancy in Elko County Justice Court in order to screen 10 potential participants each month and communicate with prospective Drug Court Participants soon after their arrest. Objective 3 - Social Worker/Recovery Coach will administer a risk-need assessment for all eligible potential participants (5 participants per month) that were not screened through pretrial services. Goal 3 - Improve access to appropriate levels of mental health and SUD treatment. Objective 1 - Increase Access to Psychologist/Psychiatrist through a contract with a local or telehealth qualified professional to serve all participants assessed as needing these services, resulting in 3 participants receiving these services per year. Objective 2 - Provide evidence based and population appropriate treatment services to 40 participants each year to meet the unique needs of diverse populations at risk. Objective 3 - Increase access and referrals to Medicated Assisted Treatment (MAT) through partnering with a qualified professional and service 3 participants per year. Objective 4 - Develop peer support services utilizing a certified Peer Recovery & Support Specialist to work with 40 participant per year and encourage participants from arrest through aftercare. Specific services will include a Relapse Prevention Group/Aftercare Group for 40 participants.

The Access to Care Project is a collaborative effort between Behavioral Health Solutions of South Texas, the Hidalgo County Drug Court (Court #8), and Baylor College of Medicine to ensure a seamless continuum of care for individuals involved in the court system due to a drug-related arrest. This full continuum will begin under the purview of the Hidalgo County correctional system 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 two years 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 involved in the court system 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 involved in the court system to remain and thrive in the community following a non-violent drug-related arrest. The project will combine the Twelve Key Components of Drug Courts with evidence-based interventions including 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 (20) MOUs and the holding of monthly collaboration meetings among 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) will be served during the five-year project.

Project Summary Project Title: Bridgeway Substance Use Services-SAMHSA Treatment Drug Courts Bridgeway has been the primary service provider of substance use services in our communities for over 25 years and has partnered with our Knox and Warren County Drug Courts since their inception. Intervention and substance use services are offered in a five county area (Knox, Henry, Warren, Henderson and McDonough) in West Central Illinois, but for this grant, we are focusing on the populations in Knox and Warren Counties due to the strong Drug Court Programs established in both. This grant will assist us in expanding substance use disorder (SUD) treatment and recovery support services in our existing drug courts. It will also ensure that individuals in our rural communities are getting the treatment they need while also reducing stigma that surrounds substance use, treatment and recovery. The target population of this grant proposal is an extensive rural area in north central Illinois, the counties of Knox and Warren. This area is widespread with consistent issues related to accessing needed services due to proximity and transportation. This area is a railway hub, located immediately east of the Mississippi River. Agriculture and farming are the primary sources of economy as the manufacturing opportunities have dramatically declined over the past 20 years. Due to being a railway hub and in such close proximity to the Mississippi, there are potential benefits of having daily and on-going visitors but also comes the influx of dangerous and/or illegal activity, realities which increase the risk factors drastically for these communities. The economic toll of addiction in the state of Illinois is estimated to be greater than $6 billion, with a small percentage of individuals actively seeking assistance for this need/issue. Bridgeway’s substance use services are committed to the overall agency mission of providing an array of diversified, measurable, high-quality services to individuals and families in need. These services are designed to assist and empower people in maximizing their potential; for personal development and growth in all areas of functioning by preventing, reducing and/or eliminating alcohol and drug use issues. Bridgeway’s substance use services are offered with the hope and belief that programming will adequately address the needs of those individuals seeking substance use treatment services. In this regard, Bridgeway’s substance use services offer a variety of services to both adults and adolescents. Bridgeway is confident that with this orientation, they are able to deliver effective treatment interventions to individuals in a professional manner, addressing their personal, individualized needs. Specific services offered include: Evaluation/Intake, Individual Counseling, Outpatient Group Therapy, Intensive Outpatient Treatment (IOT), Women’s Services, Adolescent Services, Insight Program, Relapse Prevention Services, Co-Occurring Services, 2 ROSC (Recovery Oriented Systems of Care) and Peer Recovery Support Services. Our population of focus are adults with a history or alcohol/substance use disorder and/or co-occurring disorders, whose substance use has caused disruption in their lives and involvement in the legal system, prompting referral to either the Knox or Warren County Drug Court Program. For this project, as the service provider, Bridgeway will be partnering specifically with the Knox County Drug Court, established in 2007 and the Warren County Drug Court, established in 2019. While Knox and Warren Counties do not currently have sober living facilities, Bridgeway is also partnering with Oxford House, a national community-based model and approach to addiction recovery, which provides an independent, supportive, and sober living environment.

The Gwinnett County Adult Court (GCAC) Programs (Drug, DUI, and Family Treatment Courts) are requesting funding from SAMHSA in the amount of $2,000,000 in response to the Grants to Expand Substance Use Disorder Treatment Capacity in Adult and Family Treatment Drug Courts. The project titled, Gwinnett County Adult Court (GCAC) Expansion of Substance Use Disorder and Co-occurring Treatment Capacity, would allow the Gwinnett Drug Court, Gwinnett DUI Court, and Gwinnett Family Treatment Court to expand their program to assist participants with successful rehabilitation from the use of drugs/alcohol and co-occurring disorders and reunification with their children. The project would serve 50 unduplicated clients in Year 1, 55 unduplicated clients in Year 2 and 60 clients annually for the remaining 3 years of the project, for a total of 285 unduplicated clients over the 5-year project. Most participants are in the programs longer than a year so many participants may receive services over multiple project years but will only be counted once over the lifetime of the project. The population of focus for this project is the Gwinnett County Drug Court, the Gwinnett County DUI Court, and the Gwinnett County Family Treatment Court. All participants in these courts have been diagnosed with a substance use disorder (SUD) as their primary condition and some may also have a co-occurring mental health diagnosis. The population of the courts is predominantly male (67%) and 74% are between the ages of 26-45. Approximately 60% of the participants are White, 25% are Black, and another 12% are of Hispanic/Latino origin. The proposed interventions of the project include adding more Evidenced-Based practices (Eye Movement Desensitization and Reprocessing, Dialectical Behavioral Therapy, Medication Assisted Treatment, Seeking Safety, and the Active Parenting); adding peers to the recovery continuum of care; expansion of case management and clinical sessions (individual, family, couples); and Recovery Housing. One of the goals is to increase the capacity of the GCAC by adding Recovery Support. One of the objectives under this goal is to add Recovery Housing, since that can often be a barrier to entering and remaining in the program. Another goal is to reduce high-risk behaviors that may lead to children being removed from the home. One of the objectives under this goal is to add Parenting Classes and Family/Couples counseling. Another goal is identifying and addressing resource needs participants may have. One of the objectives under this goal is for clients receive case management to address ongoing needs. Another goal is to increase the capacity of GCAC by addressing policies and procedures that may be limiting the entry, retention, and completion of minorities. One of the objectives under this goal is to add culturally relevant treatment for men of color, like Habilitation Empowerment Accountability Therapy (HEAT). Yet another goal is to increase the capacity in the programs by reducing the high-risk behaviors that lead to HIV and Viral Hepatitis. One of the objectives under this goal is to provide ongoing education and free testing around HIV and Hepatitis. Another goal is to increase the capacity in the programs by providing Medication Assisted Treatment (MAT). An objective under this goal is for participants receiving MAT to receive extra counseling and supports to help them overcome any barriers to continuing with MAT. Another goal is to decrease the impact trauma has on GCAC participants. One objective under this goal is for clients to have access to Eye Movement Desensitization and Reprocessing (EMDR) therapy. The last goal is to reduce the high-risk behaviors of smoking/vaping. One objective under this goal is to provide smoking cessation education.

Project Summary: Volunteers of America Mid-States proposes opening a Family Recovery Court in Kentucky’s 41st Judicial District. This collaborative program will provide comprehensive, trauma-informed and family-focused solutions to treat parental substance use disorder, co-occurring disorders, and the related needs of their children. Project Name: Family Recovery Court - Clay/Jackson/Leslie Population to be Served: VOAMid will serve court-involved families with active child protective services cases in the court system due to parental substance use. The target service area is Clay, Jackson and Leslie counties in rural Appalachia Kentucky. Strategies/Interventions: VOAMid’s Family Recovery Court will provide comprehensive, trauma-informed and family-focused solutions to paternal substance use disorder and co-occurring disorders, as well as addressing their children’s related needs, including child abuse and neglect. Participants enter the program no later than 30 days post-adjudication and are involved for approximately 12-18 months. FRC follows a three phase curriculum: Phase I - Establish and Maintain Sobriety, Phase II - Health Parenting Skills and Support, and Phase III - Life Skills and Sober Family Skills. The program uses both Trauma Focused Cognitive Behavioral Therapy and Parenting Through Recovery evidence-based practices to treat trauma, mental health disorders, and substance use disorder. Project Goals: The principal goal of the Family Recovery Court (FRC) program is to collaboratively work with community partners to promote the treatment and healing for families experiencing parental substance use disorder. The program’s specific objectives address the social and emotional well-being for both children and parents by providing evidence-based treatment and services. Objective 1: Provide families with court involved cases related to parent substance use family-focused care and case management Outcome 1.1: FRC will serve 70 families annually, totaling 335 over the grant Outcome 1.2: 84 percent of clients surveyed will be satisfied with services Objective 2: Improved outcomes for child and youth victims (health and well-being, family stability, school outcomes) Outcome 2.1: 80 percent of FRC-involved families will have an increase in visitation with removed children or will be reunited with child/children Outcomes 2.2: FRC will provide a total of 500 referrals to community linkages, increasing awareness and education of supportive resources available Objective 3: Involved families will demonstrate improved status or involvement with the court vs families not involved with FRC Outcome 3.1: FRC-involved families will demonstrate an increased attendance/involvement with courts vs the current average attendance Outcome 3.2: FRC will provide ten trainings to community partners and court-related stakeholders to increase awareness of the program and its benefits The project will serve 70 families a year, with a program ramp up period during year one allowing for 55 families. In total, 335 families will be served during the five year grant period.

Project Summary: Volunteers of America Mid-States proposes opening a Family Recovery Court in Kentucky’s 9th Judicial District in Hardin County. This collaborative program will provide comprehensive, trauma-informed and family-focused solutions to treat parental substance use disorder, co-occurring disorders, and the related needs of their children. Project Name: Family Recovery Court - Hardin Population to be Served: VOAMid will serve court-involved families with active child protective services cases in the court system due to parental substance use. The target service area is Hardin County, located in Central Kentucky. Strategies/Interventions: VOAMid’s Family Recovery Court will provide comprehensive, trauma-informed and family-focused solutions to paternal substance use disorder and co-occurring disorders, as well as addressing their children’s related needs, including child abuse and neglect. Participants enter the program no later than 30 days post-adjudication and are involved for approximately 12-18 months. FRC follows a three phase curriculum: Phase I - Establish and Maintain Sobriety, Phase II - Health Parenting Skills and Support, and Phase III - Life Skills and Sober Family Skills. The program uses both Trauma Focused Cognitive Behavioral Therapy and Parenting Through Recovery evidence-based practices to treat trauma, mental health disorders, and substance use disorder. Project Goals: The principal goal of the Family Recovery Court (FRC) program is to collaboratively work with community partners to promote the treatment and healing for families experiencing parental substance use disorder. The program’s specific objectives address the social and emotional well-being for both children and parents by providing evidence-based treatment and services. Objective 1: Provide families with court involved cases related to parent substance use family-focused care and case management Outcome 1.1: FRC will serve 85 families annually, totaling 390 over the grant Outcome 1.2: 84 percent of clients surveyed will be satisfied with services Objective 2: Improved outcomes for child and youth victims (health and well-being, family stability, school outcomes) Outcome 2.1: 80 percent of FRC-involved families will have an increase in visitation with removed children or will be reunited with child/children Outcomes 2.2: FRC will provide a total of 400 referrals to community linkages, increasing awareness and education of supportive resources available Objective 3: Involved families will demonstrate improved status or involvement with the court vs families not involved with FRC Outcome 3.1: FRC-involved families will demonstrate an increased attendance/involvement with courts vs the current average attendance Outcome 3.2: FRC will provide ten trainings to community partners and court-related stakeholders to increase awareness of the program and its benefits The project will serve 85 families a year, with a program ramp up period during year one allowing for 50 families. In total, 390 families will be served during the five year grant period.

Growth Works, a substance use disorder (SUD) treatment provider, and the Adult Treatment Courts from the 16th, 17th, and 23rd District Courts in Wayne County, Michigan, have come together to expand treatment and recovery support services for adults experiencing legal contact related to their substance use. Under this project, the partners have set a goal to serve a minimum of 220 eligible participants through the treatment court over the span of five years. The project aims to improve access to treatment services for court-involved individuals and improve collaboration between the criminal justice system and the behavioral health system to better serve individuals with SUD, co-occurring, and mental health disorders. The proposed project is called Reducing Recidivism and Improving Outcomes for Adults with SUD and Co-occurring Disorders through Treatment Drug Courts. This project aims to expand access to treatment and recovery support services to reduce incarceration and recidivism, and it will serve all eligible adults in the three partnered treatment courts. Upon referral from a treatment court, Growth Works will provide community-based outpatient treatment utilizing evidence-based therapeutic best practices in individual and group settings as well as peer recovery support services to allow for a comprehensive spectrum of care supporting improved quality of life and reducing the risk of recidivism and relapse. All clinical staff and peer coaches have the required education, licensure, and certification related to their positions. Collaborative processes between Growth Works and the Partnered Courts related to communication, data collection, training, and quality review will also support the goals of this project and the individuals served by it. Key to the success of this project is a focus on providing diverse and equitable services and opportunities for individuals. Both Growth Works and the District Courts have established policy to serve individuals from all backgrounds, including individuals of different races, ethnicity, gender, sexual orientation, sexual identity, physical or mental disability, religions, or socioeconomic statuses. In addition, the partnered agencies also strive to maintain staff with diverse backgrounds and provide training and experiential opportunities to better understand the communities they serve. Great effort has also been put forth by the courts to ensure the equitable processes for screening potential participants. The project has set a goal to serve 35 participants in its first year, 40 participants in years two and three, and 50 participants in year four, and for the last year, the partners have agreed to service 55 clients. In total, the 220 participants will be given free treatment and recovery support services because of the funds of this grant opportunity.

The purpose of Wagoner County Treatment Court Expansion Project is to increase coordination and delivery of treatment and recovery services to individuals involved with the Wagoner County Mental Health Court. WRAP Project, Inc. will provide comprehensive coordination of community partners and delivery recovery support services (RSS) as well as promote and educate about recovery. The program will serve a minimum of 40 clients annually and will is a collaboration with the Wagoner County Mental Health Court of Wagoner, Oklahoma.

Summary. As a qualified political subdivision in Mississippi with 49 years of proven experience, Region XI/Southwest Mississippi Mental Health Complex (SWMMHC) in collaboration with the 14th Circuit Intervention Court will implement the Drug Court expansion project to expand trauma-informed substance use disorder and/or co-occurring mental health treatment capacity by providing harm reduction and peer recovery supports to improve abstinence and reduce recidivism. Name of the project: Drug Court Resiliency, Education And Motivation. Populations served: High risk/high need adults 18+ (30% female; 69% male; 1% transgender); 54% African American, 2% Hispanic/Latino; 1% LGBQI+; 100% trauma-involved; 50% Co-occurring Disorders; 1% HIV positive and 1% viral hepatitis positive. Goal. To provide gender affirming, trauma-informed and culturally and linguistically appropriate behavioral health services reducing crime, co-occurring substance use and mental disorders among high risk/high need, nonviolent drug court clients who are in need of SUD and/or COD outpatient, IOP and/or Medication Assisted Treatment based on ASAM criteria. Strategies/Interventions: The DREAM program expands outpatient, IOP and treatment capacity, including access to Medication Assisted Treatment and enhances treatment dosage and intensity adding trauma-informed and culturally relevant care and recovery support services all to meet the individualized needs of drug court participants. The Risk and Needs Triage (RANT) is used to match each participant's level and intensity of services to his/her level of risk and relative to his/her needs. Services include standardized screening/assessment, trauma-informed SUD/MH co-occurring disorders outpatient, IOP, coupled with comprehensive case management, STI, HIV, viral Hepatitis screening and linkage, and peer recovery support services (ensuring linkages to recovery housing, employment, healthcare and social supports) and drug testing. Use of EBPs will help to improve culturally responsive treatment, client retention and behavioral health outcomes. EBPs: (Motivational Interviewing (MI), IOP Matrix Model, Medication Assisted Treatment (MAT), Moral Reconation Therapy (MRT) and SMART Recovery. Objectives. Between 9/30/23 and 9/29/28, 100% will improve access to treatment and diagnoses; 80% will be retained in treatment; 80% will improve abstinence; 65% will improve housing stability; 70% will improve education/employment status; 80% will improve social connectedness; 80% will improve health/behavioral/social consequences; 80% will reduce criminal justice involvement and 56% will identify as racial, ethnic, and/or LGBTQI+ minorities. # to be served. 50 per year, totaling 250 across a five-year project period.

In collaboration with Miami-Dade County, the Eleventh Judicial Circuit of Florida’s Dependency Drug Court (DDC) and its partner, the Family Resource Center of South Florida, Inc., propose to implement a family focused, trauma informed service delivery and to offer family therapy to strengthen the families involved in the DDC. The goal of the proposed project is to improve the current infrastructure by providing evidence-based family intervention and a trauma informed community of care, thereby increasing the resources available to DDC participants and their children. The partnership is submitting a grant request to the Substance Abuse and Mental Health Services Administration (SAMHSA), in the amount of $2,000,000 to facilitate the envisioned initiative. Need for Proposed Project and Planned Services: A significant volume of research indicates that individuals who abuse drugs or alcohol have had a history of exposure to trauma. For parents engaged in the dependency system, the problem is compounded as the permanency, safety and wellbeing of children are brought to the forefront. Parents are more likely to recover and successfully reunify with their children when they have access to trauma informed care. Additionally, research has shown family support to be related to positive treatment outcomes and indicates that such support can influence recovery through motivation to change. Expanding the family sessions beyond the Trauma Focused Cognitive Behavioral Therapy (TF-CBT) conjoint sessions is expected to improve treatment outcomes. The need to not only strengthen the parent /child relationship, but also for the parents to receive increased family emotional and practical assistance to support parent sobriety and healthy parenting has been highlighted. If awarded by SAMHSA, the Court will use the five-year grant to expand and enhance the capacity of the local child welfare continuum of care by: (1) Per year, referring 35 parents of the DDC to family therapy, and up to 25 children to therapists trained in early childhood development and cognitive behavioral therapy for children who will receive TF-CBT; (2) Training the FRC clinical supervisor as well as the therapists on providing Multidimensional Family Therapy, thereby creating a referral source dually competent to work with both parents and children individually as well as providing family therapy; (3) Referring parents involved in DDC to receive individual Seeking Safety treatment to those who are not able to access the service within the community; and (4) Developing proficiency of the drug court multi-disciplinary team by training in the principles of trauma informed care and positive family systems including the presiding judge, program coordinator, caseworkers, prosecuting and defense attorneys while strengthening the bridge of communication between providers to ensure the best approach is taken, promoting interagency information sharing. The proposed project targets participants of the (DDC), a family drug treatment court within the Eleventh Judicial Circuit of Florida. The DDC currently serves parents named in new dependency petitions with substance abuse allegations who have a case plan goal of reunification with their children. In comparison to the county’s population, DDC participants are overwhelmingly female (87%), and more than half (60%) are between the ages of 18 and 34. The client racial/ethnic composition is White (71%), Black or African American (23%), Multi-racial (5%), Other (0.4%), and Asian (0.6%), with 67% of clients within these groups identifying as Hispanic or Latino. The socioeconomic status of DDC participants is significantly lower than the general County. Expected target, including adults and children to be served- 300 during the five (5) year award period (based on number of intakes to be entered in SPARS, however, the actual number of people served would be higher given that family therapy will involve additional supports).

The aim of the Recovery Courts of Robeson County Expansion Project is to increase the capacity of recovery courts to incentivize treatment and recovery, resulting in healthy citizens, preservation of families, and reduced recidivism. This project will serve a total of 445 unduplicated individuals over a five-year period through the expansion of the Robeson County adult drug treatment court, family drug treatment court and DWI court. The geographic catchment area to be served is Robeson County, in southeastern North Carolina. Robeson County is a culturally and socially vibrant community that is also significantly disadvantaged and distressed. There are disproportionate rates of poverty and crime within this large rural county with a total population of approximately 116,530 over a 949 square mile area (US Census Bureau, 2020). Robeson County is home to the Lumbee Tribe (state-recognized tribe). Robeson County represents 10% of U.S. counties where racial minorities are the majority. Robeson County has the highest number of any county in the state of EMS Suspected Opioid Overdose Encounters (484) and the second highest number of Emergency Department visits for drug overdose (457) from 2022-2023 (NCDHHS, 2023). 30% of driving deaths in Robeson County involve alcohol (Healthy Robeson Task Force, 2020). In 2021, there were 366 children in foster care due to parental substance use disorders and 246 newborns affected by substance use (NCDHHS, 2023). The percentage of children that were in foster care due to parental substance use disorders was 69.7% in Robeson County versus 45.7% for the state of North Carolina (NCDHHS, 2023). The high rate of SUDs and SUD-related crimes in the County makes drug/recovery courts an effective method for increasing treatment utilization, however, the current drug court structure does not have the capacity to address the compounding need. The following measurable objectives will guide project implementation: ? By October 2023, a court administrator will be hired to oversee all three branches of recovery courts in Robeson County ? By January 2024, a joint recovery court policy protocol will be developed to increase coordination between courts ? By January 2024, and annually, recovery court teams will join to complete team building activities ? By January 2024, and ongoing, the court administrator will attend each court session across all courts to increase information-sharing and coordination across courts ? By January 2024, and ongoing, court staff and teams members will conduct an average of 1 outreach presentation/event per month with referral sources ? By January 2024, the court team will complete a comprehensive review of eligibility requirements and processes, recommend improvements, and implement changes ? Increase number of enrolled participants by 20% each year ? Provide recovery care coordination for 80% of court graduates ? By January 2024, culturally relevant messaging will be created, and reviewed/updated annually, to reflect the diversity of the community ? By December 2023, court staff and teams, program materials, and policies will use inclusive language and reflect explicit anti-discrimination policies ? By December 2023, a court advisory board will be formed to include diverse court participants ? 80% of participants will report overall positive satisfaction with the program ? 65% of participants will report an increased capacity for recovery ? Increase number of FDTC graduates by 30% each year ? Family reunifications for SUD-related child welfare cases will increase by 15% each year ? Increase number of ADTC and DWI Court graduates by 30% each year ? The two-year recidivist incarceration rate among court graduates will not exceed 30%