Grants Dashboard

The Puerto Rico (PR) Mental Health and Anti-Addiction Services Administration (MHAASA) proposes a 5-year ECDC-Ponce Project to provide a continuum of care , including prevention, harm reduction, treatment and recovery services for individuals with SUD involved in the courts. Recognizing the need for treatment instead of incarceration for individuals with SUDs, through this project the MHAASA will increase and expand access to SU treatment and recovery services based on evidence-based (EB)interventions for people with SUD and concurrent MHD in the MHAASA's existing Drug Court in Ponce, PR. Treatment and recovering to SA adults will be enhanced with the Wellness PLUS, Cognitive Processing Therapy for Trauma Management, and RSHT EB models. The project seeks to achieve Goal 1, related to treatment to increase and expand access to SU treatment services based on EB interventions for people with SU and SU/MHD in the PR-MHAASA's existing Ponce Drug Court over a 5-year PR-ECDC-Ponce project period. To achieve that goal, at least 60 participants per year will be screened and assessed for the presence of SUD or co-occurring MH disorders. All project participants who are screened will have developed and implemented an appropriate harm reduction, treatment and recovery intervention and treatment plan within 30 days of admission. Participants identified as high-risk will be screened for infectious diseases (including HIV and Hepatitis A,B, and C). To increase connectedness to treatment services, a Court Liaison will be integrated to the Ponce DC staff team. Medical evaluation to identify physical health needs that interfere with SU treatment, referral and follow-up will be part of the interventions. Staff will be trained on the Trauma-Informed Care and Cognitive Pro9cessing Therapy for Trauma Manageme4nt models to enhance trauma-based interventions. Through the implementation of the project, the MHAASA will ensure that the key components of the drug court model are implemented over the 5-year project period. Goal 2, related to recovery support, is to ensure access to community recovery support services such as peer counseling, and recovery coaching for adults with SUDs. To achieve that goal, the DC will link 300 participants to follow-up and relapse prevention services, achieving abstinence from SU in at least 75% pf the participants. It is expected that 75% of the participants not reflect criminal justice involvement during each project year. Vocational assessment to identify needs for vocational education and training will be part of the interventions. Access to services will be enhanced by integrating 180 participants to Peer Support Specialists' services in years 3-5 of the project (60 per year), implementing one recovery support group per year, and achieving at least 90% retention of the adults with SUD's in treatment. Peer counseling and coaching services will be coordinated with the MHAASA's Mutual Support Center, led by certified peers and trained on the Wellness Recovery Action Plan (WRAP) EBP. An evaluation te3am will be used to collect, analyze, and report process and outcome data quarterly in the required SAMHSA format. MHAASA will report perfo9r4mance on measures related to the number of individuals served, diagnoses, abstinence from SU, housing stability, employment/education status, social connectedness, health/behavioral/social consequences, access to treatment, treatment interventions provided, retention in treatment, and criminal justice involvement. A total of $400,000 per year is requested for the 5 year period, or a total of $2 million over the grant period.

The County of Linn (dba the 9th Judicial Circuit Treatment Court) will enact a FY-2023 SAMHSA Treatment Drug Courts proposal. Designed to expand and enhance the existing Roads to Recovery Project, the project will serve adult offenders eligible for Treatment Court participation through the 9th and 41st Missouri Judicial Circuits. Specific counties to be served include Chariton, Linn, Sullivan, Macon, and Shelby. The catchment area has a combined total population of 46,292. Of these 14.04% live in poverty; 14.3% have no health insurance; and 10.58% have a disability. Demographics of the population of focus are as follows: Race/Ethnicity: White (95.13%); black (2.07%); American Indian/Alaska Native (0.57%); Asian (0.49%); Native Hawaiian/Other Pacific Islander (0.08%); Two or More Races (1.62%); Hispanic/Latino (4.21%); Not Hispanic/Latino (91.54%). Sex/Gender: male (58.62%); female (41.38%); heterosexual (92.41%); bisexual (4.14%) Age: 18-24 (3.45%); 25-34 (37.24%); 35-44 (35.86%); 45-54 (9.66%); 56-64 (13.79%) In FY-22, the geographic catchment area had a total of 114 Drug Treatment Court participants; 164 probation/parole admissions for drugs; 17 probation/parole admissions for DWI; and 51 prison admissions for drugs. Police reports indicate that there were also 174 DUI arrests and 147 drug arrests in 2021. In 2021, most of the 9th (84%) and 41st (85%) Circuit Courts’ Treatment Court participants scored in Quadrant I of the Risk and Needs Triage (RANT) screening tool. This indicates that the majority of Treatment Court participants in the catchment area are categorized as high-risk and high-need. Furthermore, the average daily population in the 9th Circuit Treatment Court (59.9) is also 57% higher than the statewide average daily population of 38 for Drug Court participation. Project activities will be informed by the following evidence-based activities: Motivational Interviewing, Cognitive Behavior Therapy (CBT) /Trauma- Focused CBT, Peer Recovery Support, Trauma Recovery and Empowerment Therapy (TREM), Risk and Needs Triage (RANT), and Moral Reconation Therapy (MRT). Project goals include the following: (1) Expand substance abuse treatment options for members of the population of focus by offering expanded and enhanced treatment services throughout the 9th and 41st Judicial Circuits; (2) Increase participation in ongoing and continuing recovery for members of the population of focus, by increasing access to enhanced treatment programs and wraparound services not currently available; and (3) Achieve markedly positive retention and treatment outcomes for underserved clients in the population of focus through expanded access to wraparound services and resources. Measurable objectives, in part, include: 100% of participants will be screened for SUD/COD and other chronic physical health conditions; At least 30% of participants with an assessed history of trauma who are engaged in trauma services will report a reduction in trauma-related symptoms by six-month follow-up; At least 60% of participants will report improved overall physical health at 6-months; At least 60% of participants will report reductions in service barriers at 6-months; At least 80% of individuals will have attended 5 or more community recovery support groups in the past 30 days at 6-month reassessment; At least 60% of program participants will report reduced use at six-month follow up, reduction in relapse events between program start and six-month follow up and/or no additional legal offenses; At least 90% of participants will report positive satisfaction with culturally informed treatment. The project will serve a minimum of 40 Treatment Court participants per year for a total of at least 200 individuals served throughout the entire five-year period of performance.

Albany County, Wyoming is requesting a SAMHSA Treatment Drug Court grant in the amount of $1,682,495.00 for five years of funding to continue developing the Albany County Court Supervised Treatment Program (ACCSTP), an adult drug court, which will include a Driving Under the Influence (DUI) track. ACCSTP provides an alternative sentencing option for high-risk substance users who have committed criminal offenses to reduce the court system recidivism rate and return productive individuals to our community. The ACCSTP was established in 2004 as a result of an identified gap in available resources and services available to defendants within the Albany County criminal justice system with drug and/or alcohol charges or drug related crimes. The goal of ACCSTP is to increase access and availability of substance abuse services, including Medically Assisted Treatment (MAT) to adults within Albany County that are eligible and accepted into the program through formal intake assessments, according to the adult drug court model and best practices, as well as an evidenced-based continuum of care for ACCSTP participants. The ACCSTP serves Albany County, Wyoming, the fifth largest populous county in the state with a land area of approximately 4,300 square miles and a population of approximately 37,600 people in 2020, making it “rural” as federally designated. In 2019 ACCSTP served 17 clients, and has almost returned to these pre-pandemic numbers having served 33 clients in 2022, with referrals increasing over 100% from 2021 to 2022. This initiative is aimed at stabilizing the four major dimensions that support a life in recovery; health, home, purpose and community for ACCSTP participants through an evidence-based clinical treatment program. In the quarter ending December 31, 2022, 17 defendants were referred to the program by the prosecutor and defense attorney, with 82% potentially eligible for ACCSTP participation. In Quarter 3 and 4 of FY22 SAMHSA GPRA survey intake rates were at 90% compliance and six month follow up surveys were at 84.6% compliance. While eligible individuals do not automatically qualify for ACCSTP – their level of need, recommended treatment requirements and individual circumstances all must be assessed – this demonstrates the immediate need for the expansion of ACCSTP. In Albany County, there are no alternatives to incarceration, similar programs do not exist and limited resources are available, including in-patient treatment options for a high-risk high-needs individual engaged in the criminal justice system. Without ACCSTP, there are currently two outcomes available to them; 1). Be placed in a detention facility (i.e. local or state correctional facilities), or 2). Out-of-community in-patient treatment. Additionally, at a state level Wyoming has experienced significant cuts that support in-prison treatment and community treatment. With the support of SAMHSA Treatment Drug Court Funds, this enhancement will continue to close the gaps in services in a program that has been proven to be a crucial component in the treatment and sobriety of individuals within Albany County.

Abstract – Kansas City Municipal Drug Court SAMHSA Treatment Drug Court FY2023 Summary: The Kansas City, Missouri, Municipal Adult Treatment Drug Court Expansion Project will deliver effective treatment models to individuals experiencing co-occurring mental health and substance use disorders. The 5-year project will integrate multiple evidence-based practices into a comprehensive, customizable treatment model with an increased focus on securing sober, transitional, and/or permanent housing as a key component to long-term recovery. Participants will include adult defendants diagnosed with a substance use disorder as their primary condition, as well as adult defendants who have co-occurring substance use and mental health disorder treatment needs while incarcerated. The Kansas City Municipal Court will partner with First Call, the Ad Hoc Group Against Crime, the Resource Development Institute, Benilde Hall, University Health, and Heartland Center for Behavioral Change to implement all project activities. Project Name: Kansas City, Missouri, Municipal Adult Treatment Drug Court Expansion Project Populations to be Served: The target population for the KC ATDC Expansion project includes: (1) Kansas City Municipal Drug Court (KCMDC) adult defendants diagnosed with a substance use disorder as their primary condition, particularly those identified as needing immediate treatment, as well as (2) adult defendants who have co-occurring substance use and mental health disorder treatment needs while incarcerated in one of Kansas City’s contracted jail facilities. Strategies/Interventions: Strategies and interventions will start with screening at First Call using various screening tools (CAGE-AID, Modified Mini Screen) and assessments (ASI, SASSI, SOCRATES) to evaluate co-occurring disorders. Additionally, the Kansas City Municipal Drug Court identifies, assesses, and prioritizes participants who have High Risk/High Needs by utilizing the Ohio Risk Assessment System (ORAS). First Call staff work with Municipal Drug Court to develop an appropriate treatment plan that combines various treatment plans appropriate for the individual participant, including Sober ME; ME After; AA and NA; Thinking for Change; PTSD Therapy; and other approaches to provide a continuum of treatment and rehabilitation services. Housing, employment support, and other support services are integrated into the comprehensive treatment plan. The Kansas City Health Department will provide screening for a wide range of infectious diseases, along with referral to treatments and supportive services, through the existing STD clinic. Through case management, a comprehensive offering of recovery support services will be available to each participant. The Kansas City Municipal Drug Court has been operating since 2007 in alignment with the Bureau of Justice Assistance’s Ten Key Components of a Drug Court. Project Goals and Measurable Objectives: The goals and objectives of the program include implementing new policies and procedures to ensure an evidence-based program, increasing the number of Drug Court referrals, implementing the URCIA assessment scale to keep participants engaged in the process, increasing the number of Drug Court graduates, and increasing the number of community providers, especially providers that will assist Drug Court participants with substance abuse treatment, mental health services, transitional/residential housing, and other services providing wrap-around services to improve participant’s self-sufficiency during the treatment episode and upon program completion. Number of People Served: KC ATDC Expansion will serve 40 people per year, and 200 people over the five-year grant period.

The Benton County Arkansas Adult Drug Court Services Expansion Grant proposes to collaborate with ten providers statewide to increase accessibility to acute care services for clients most in need of intensive services thus filling gaps in services and providing a fully integrated continuum of care to participants of the Benton County Adult Drug Court located in Northwest Arkansas. Because this service enhancement project would result in the program being able to provide services at the level needed, it will improve outcomes of those with the most severe and complex substance use problems. This service enhancement project is primarily designed to enhance the quality, quantity and intensity of treatment and recovery support services available to BCADC clients with the most complex problems. This will be accomplished through added residential treatment, increased intensive outpatient and partial hospitalization services, trauma treatment, mental health, peer services, STI education and testing, overdose prevention and wrap around support services. BCADC will also have primary documents translated to Spanish, interpreters will be more available for assessments, and we will contract with Spanish language SUD services. The program will use motivational interviewing, MRT, Living in Balance, MAT, and Trauma Informed Care. All staff will complete the GAINS trauma informed training. The population of focus for BCADC is adults aged 18 years or older with substance use disorders (SUD) in the criminal justice system with great need for enhanced services and who, without intervention, are most at risk for relapse and reoffence. This program will target individuals least likely to succeed with traditional treatment approaches – those with the greatest personal vulnerabilities, problem severity, complexity and chronicity, and fewest natural supports. Because of the characteristics of the substance dependent individuals we are targeting, we expect this to include those with trauma, repeat offenders (legal complications as a result of drug/alcohol dependence) and individuals with serious mental health problems (high problem complexity). Additionally, because BCADC has a significant number of Native American clients and Latinx clients, we will use rapid cycle quality improvement in the evaluation plan to address racial health disparities as identified in our disparities impact statement. We anticipate serving 45 clients in year one, 50 in year two, 55 in year 3, 60 in year four and 65 in year 5 for a total of 275 unduplicated clients over the five-year funding period. Of the clients enrolled, we anticipate providing residential treatment services to 150 clients, partial hospitalization services to 30 clients and intensive outpatient to 30 clients in the five-year funding period. Project goals include: 1) Increase quality and quantity of outpatient services, 2) Add specialized groups including trauma, 3) Ensure true continuum of care by filling gaps in services including residential treatment, partial hospitalization, intensive outpatient, mental health and wrap-around recovery services, 4) Increase Peer Support Services, 5) Improve HIV and Hepatitis education and testing services, 6) Improve staff knowledge through training, 7) Develop and implement opioid overdose education, 8) Increase Services for Hispanic/Latino participants As part of infrastructure development, we will establish an Advisory Board of community partners and BCADC staff. Training and technical assistance will be provided on Seeking Safety, an evidence-based approach for individuals with trauma histories and substance abuse to address the need for trauma-informed services in NW AR. The project will be closely integrated with broader state-level Systems of Care to ensure sustainability for the system. Plans for quality improvement, replication and sustainability will be guided by results from the evaluation of the project.

The Dane County Treatment Program Expansion project design is to address participant responsivity by providing program service enhancements. The goal is to increase successful program discharges and continue to reduce recidivism for our high-need, high-risk participants. The project population of focus are Dane County individuals with a felony level drug charge identified by assessment as a high recidivism risk. The project also focuses on increasing behavioral equity and access to culturally and gender-relevant services for our diverse population. There are four project objectives. The first objective is to hire a Mental Health Professional to better serve the needs of participants with co-occurring substance use disorder and mental health concerns. This professional will provide cultural and gender-responsive services including mental health screening, intervention, clinical support and group counseling to reduce system barriers accessing mental health treatment for all participants as well as barriers specific to serving our diverse populations. The second objective is to hire a Peer Support Specialist to address service connection to community recovery support. This position will require lived substance use and/or mental health experience in addition to experience in the criminal justice system. The outcome is to increase participant engagement with peer support services and increase substance use disorder treatment engagement. The third and fourth objectives are to provide recovery housing and transportation assistance. Lack of access to supportive housing and reliable transportation are barriers to participant recovery. Providing housing and transportation support can address participant responsivity to treatment and recovery. The outcome is to provide recovery housing assistance to participants who have unstable and/or unsupportive housing. Transportation assistance will address the service gaps and financial burdens that impede participant responsivity. By providing transportation funding, participants have reliable, free transportation to successfully complete program appointments. The project will serve 20 unduplicated participants annually with a total of 100 unduplicated participants throughout the project lifetime.

Serving substance abusing dependency-involved parents and their affected children, the Pima County RAISE Family Treatment Court project uses a coordinated, trauma-informed, evidence-based, multi-system approach in attaining lasting permanency by ensuring child safety, providing comprehensive treatment through which improved parenting capacity, family functioning, and child well-being are achieved. FTC will enhance this proven model for additional families. There are just over 1 million total residents in Pima County (US Census, 2020), containing portions of the Pascua Yaqui and Tohono O'odham American tribal nations, and the county is also located just 30 miles north of the U.S./Mexico international border. Tucson is home to an Air Force base, VA Hospital and 36,000 veteran residents (US Census, 2020). With 50.5% female, 49.5% male, the ethnic and racial breakdown is 84.3% White, 38.5% Hispanic/Latino(a), 4.4% Black/African American, 4.5% Native American, 3.5% Asian/Native Hawaiian, and 3.3% mixed race (Id.). It is not surprising that the comparative racial/ethnic demographics between the U.S., Pima Co., and Family Treatment Court (FTC) and court data shows disparate representation of Hispanic and Native American people and Spanish-Speakers who require court interpretation services in FTC. In 2022, 62% of dependency petitions filed alleged substance abuse by at least one parent (JOLTS database, 2022). The clinical characteristics for primary drug use are reported as 45% methamphetamines, 18% heroin/opioids, 23% alcohol, 40% marijuana/hashish, and 18% crack/cocaine. (FTC RAISE database, FFY2018 2022). Intake assessments indicate 64% of FTC parents identified history specifically tied to childhood trauma, and 55% had indicators of currently occurring PTSD. (Id.), yet only 6% receive trauma focused therapy due largely to lack of access (Id.) FTC will provide recovery services to 415 unduplicated individual parents and 598 unduplicated children during the five-year project (Year 1: 75 parents, 108 children; Year 2: 79 parents, 114 children; Year 3: 83 parents, 120 children; Year 4: 87 parents, 125 children; Year 5: 91 parents, 131 children). The primary project goals are to expand the number of unduplicated parents who join the program, increase graduation and reunification rates while maintaining less than a 5% reactivation (recidivism) rate for FTC graduates. FTC will continue to adhere to the FTC Best Practice Standards. Participant expansion efforts will focus on inclusive early identification, and engagement and/or targeting of all demographic groups of the population of focus. Employing innovative approaches with a co-located unit from AZ Department of Child Safety (DCS), the case specialists are paired with Recovery Support Specialists (RSS) to provide family centered comprehensive case management. Certified RSSs also provide peer support to each parent through frequent and meaningful contact. FTC/DCS staff work with community partners to ensure that the parent, child, and family receive culturally appropriate, evidence based, and timely assessments, treatment, and services. Addressing the trauma and dysfunction involved in a substance abusing home must be undertaken by the family unit to enjoy lasting success. As such, FTC will ensure that trauma service access is expanded, life skills education is implemented, and that parents are provided with the opportunity to build recovery capital to sustain long term recovery.

The County of Lincoln Drug Court 45th Judicial Circuit will enact a FY-2023 SAMHSA Treatment Drug Courts proposal. Designed to expand and enhance the existing Project Out, the project will serve adult offenders eligible for Treatment Court participation through the 12th and 45th Missouri Judicial Circuits. Specific counties to be served include Lincoln, Pike, Audrain, Montgomery, and Warren. The catchment area has a combined total population of 152,262. Of these, 11.3% live in poverty; 13.5% have no health insurance; and 11.5% have a disability. Demographics of the population of focus are as follows: Race/Ethnicity: White (93.5%); Black (3.3%); American Indian/Alaska Native (0.5%); Asian (0.48%); Native Hawaiian/Pacific Islander (0.08%); Two or More Races (2.06%); Hispanic/Latino (3%); Not Hispanic/Latino (91%) Sex/Gender (treatment court participants): male (67%); female (32%); transgender (1%); LGBTQIA+ (5%) Participant Age: 18-24 (22%); 25-34 (28%); 35-44 (25%); 45-54 (16%); 55-64 (7%); 65+ (1%). In FY-22, the geographic catchment area had a total of 191 Drug Treatment Court participants; 406 probation/parole admissions for drugs; 33 probation/parole admissions for DWI; and 186 prison admissions for drugs. Police reports indicate that there were also 456 DUI arrests and 410 drug arrests in 2021. Project activities will be informed by the following evidence-based activities: Motivational Interviewing, Cognitive Behavior Therapy (CBT) /Trauma- Focused CBT, Peer Recovery Support, Medication-Assisted Treatment (MAT), and Trauma Recovery and Empowerment Therapy (TREM). Project goals include the following: (1) Expand substance abuse treatment options for members of the population of focus by offering expanded and enhanced treatment services throughout the 9th and 41st Judicial Circuits; (2) Increase participation in ongoing and continuing recovery for members of the population of focus, by increasing access to enhanced treatment programs and wraparound services not currently available; and (3) Achieve markedly positive retention and treatment outcomes for underserved clients in the population of focus through expanded access to wraparound services and resources. Measurable objectives are, in part, as follows: 100% of participants will be screened for SUD/COD and other chronic physical health conditions; Monitor and/or reduce one (1) or more client-reported barriers to treatment services (i.e., transportation) for 100% of individuals with co-occurring disorders by six-month follow-up; Provide at least one or a combination of individual counseling, group counseling, monitoring, trauma treatment, nursing treatment/support, health navigator support, alumni support, and other support services as needed to 100% participants; At least 30% of participants with an assessed history of trauma who are engaged in trauma services will report a reduction in trauma-related symptoms by six-month follow-up; At least 50% of participants in specified treatment areas will continue to access therapeutic services or engage in at least one social support after graduation from the program; At least 60% of participants will report improved overall physical health at 6-months; At least 60% of participants will report reductions in service barriers (as measured by the project-specific inventory checklist of barriers) at 6-months; At least 80% of individuals will have attended 5 or more community recovery support groups in the past 30 days at 6-month reassessment; At least 60% of program participants will report reduced use, reduction in relapse events, and no additional legal offenses between program start and six-month follow-up; At least 90% of participants will report positive satisfaction with culturally informed treatment. The project will serve a minimum of 40 Treatment Court participants per year for a total of at least 200 individuals served throughout the entire five-year period of performance.

New Day Treatment Center (New Day), is a nonprofit community agency located in Billings, Montana (Yellowstone County) and is currently a contracted community partner serving the 13th Judicial District Drug Court in Montana (13th JDDC). The 13th JDDC is a felony drug court whose population is significantly higher in risk and need than those intercepted at the misdemeanor level. The funds sought by this request will serve to directly build the capacity of New Day to professionally respond in service to individuals for whom treatment of substance abuse disorder is more appropriate to long term successful outcomes than incarceration. The target population includes adult offenders of all genders charged in 13th District Court with felony offenses with an underlying cause of drug or alcohol addiction and abuse. New Day will provide initial and ongoing assessment services, intensive case management, mental health services for co-occurring disorders, and health and wellness program(s) through our skilled staff and community partners within an existing continuum of care. Services to include intensive day treatment, IOP, Seeking Safety and aftercare and relapse prevention specific to each individual’s need. Enhancing treatment services will also assist to address a lack of referrals from the Court of non-Caucasian offenders and improve administration of culturally sensitive treatment services. New Day requests $400,000 per 12-month funding period to build capacity as we increase supportive services for the 13th Judicial District Drug Court, serving up to 76 participants annually with the expectation to serve 388 participants referred by the court over five years. The goals of this project will include increasing public safety, reducing recidivism, and helping offenders become productive, law-abiding citizens by identifying and treating offenders with co-occurring mental health and substance abuse disorders pursuant to best practices. Increasing New Day’s capacity will assist to reduce the number of persons with co-occurring mental health and substance abuse disorders experiencing incarceration at the Yellowstone County Detention Center awaiting treatment. With 98 staff members, New Day has been providing Substance Abuse and Mental Health Assessments, Outpatient and Continuing Care Treatment, Supportive Recovery Homes, Peer Support, Medication Assisted Treatment (M.A.T.), ACT/ Prime for Life Programming, Ancillary and Mental Health services to assist those suffering from substance abuse and mental health disorders in our region since 1993. Licensed by the State of Montana’s Department of Public Health and Human Services, accredited by The Council On Accreditation, AdvancED, COGNIA, and a NARR candidate, New Day staff members are quite skilled and highly qualified to address the needs of Adult Drug Court clients through the proposed capacity building program.

Williamson County (TN) General Sessions DUI Court will use funding from SAMHSA to increase the number of DUI offenders it serves annually and expand the program to include individuals Operating While Intoxicated (OWI). This expanded target population will allow the program to include cases, specifically those that are non-alcohol related arrests, that are not currently being referred to the court. In addition to this expansion, the program will in Year 1, identify strategies for improving connectivity for participants pre-and post-graduation. Treatment and recovery services including medication-assisted treatment and technology assisted care, will continue under this funding. Building on thirteen years of proven success, the DUI Court enhances public safety in Middle Tennessee using evidence-based practices that reduce impaired driving among members of a high-risk population. Participants have been convicted of multiple Driving Under the Influence offenses and meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for moderate to severe substance use disorder. The population of focus is comprised of offenders who live in one of ten Middle Tennessee counties that all reported "Excessive Drinking" rates above State average. Williamson County DUI Court addresses core behavioral health issues, unhealthy lifestyle choices, and unique needs to elicit personality changes while providing the resources and tools a participant needs to sustain long-term sobriety. With the research- driven "Guiding Principles of DWI Courts" at its cornerstone, the program empowers participants to demonstrate changes throughout 11 months and 29 days of intensive supervision and accountability. Excluding current, 94% of participants have graduated after fulfilling all expectations including completion of "How to Escape Your Prison" and "Prime for Life". Recognized on the National Registry of Evidence-based Programs and Practices, these programs reduce recidivism among those involved with the justice system who demonstrated behaviors of substance abuse. While individual treatment plans may vary to include residential treatment, intensive outpatient, or mental health counseling, all participants demonstrate progress via multiple points of contact with Court Team members each week. In particular, they attend group sessions with the Treatment Provider and self-help meetings, meet one-on-one with the Presiding Judge, meet with Case Manager, and undergo two urine screenings among other expectations. During the life of this project, the DUI Court program will annually provide life-changing services to 42 unduplicated participants. A total of 210 unduplicated participants will be accepted and enter into the DUI Court program.

Case management services for the Anchorage CINA (Child in Need of Aid) Therapeutic Court in Alaska (ACTC) will provide wrap-around support to parent participants and their families while in the court program. Services will include: assistance with housing, transportation, job readiness and employment; referrals as needed to classes for financial management, anger management and other services as indicated. The Case Manager will help the parents maintain compliance with program requirements by monitoring attendance at treatment, recovery and peer support groups, results from urinalysis testing, and connection with a sober sponsor. Eligible applicants will have an open CINA (child welfare) case with an allegation of substantial impairment because of substance use, and will have been professionally assessed as being in significant need of treatment. Internal Court System data from the past 5½ years show that 52% of those admitted identified as Alaska Native/American Indian, 25% as white, and the remainder as multiracial, black/African Americans, Pacific Islanders, Hispanics and Asians. The highest percentage of parents (35%) were between 30 and 34 years of age, while 75% of the participants identified as female and 25% as male. The main goals of the proposed project are to improve retention and graduation rates for participants, reduce child welfare and criminal recidivism for those exiting the program, and provide intensive support to the participants and their families while in the program so that after reunification, the parent is financially self-sufficient and has a strong sober support network. Objectives for improving retention and graduation rates include reducing the time between petition filing and admission to treatment as recommended by best practice standards. The ACTC Project Coordinator will closely monitor application and admission procedures and ensure application and consent forms are completed and submitted in a timely manner. As soon as the participant is admitted to the program, the Case Manager will provide assistance for basic needs including housing, bus passes, food, and clothing. Without these barriers, the participant can focus more on treatment and getting sober. During the program, the Case Manager will help the participant address challenges, complementing what the participant learns through SUD treatment. The Case Manager will also monitor participant attendance at recovery and peer support groups, contact with a sponsor and the completion of relapse prevention and post-graduation plans. These will help the participant develop sober support and provide tools for long-term sobriety. While the child remains in state care, the Case Manager will help the participant parent prepare for trial home visits and the final reunification, paying attention to appropriate home environment, scheduling, and stable income. The project aims to serve a total of 28 participants in the first year of the grant while the Case Manager learns the job and their activities start to have an impact on the stated goals. By the end of year 2, the project should be able to serve a total of 30 participants, and each year thereafter 35 participants for a total of 163 individuals

Jackson County Family Drug Court proposes to increase participation by more than 30% under a SAMHSA grant project. The goal of Jackson County Family Drug Court is to provide a mechanism to help primary custodians live a drug-free life and assume the full responsibilities of parenthood. This program provides early intervention and immediate and concerted treatment to the parent(s) who abuse(s) substances and willingly commit(s) to fully cooperate with the program. The heightened supervision of the Court and therapeutic intervention by the Family Drug Court Coordinator and DHR Social Worker, coupled with the cooperation of treatment service providers and peer support systems provides an increased amount of support and accountability. If parents choose to participate in the Family Drug Court program and take full advantage of the additional assistance, their experiences can act as a springboard to permanent life changes, especially where recovery from alcohol and drug usage are concerned. The population of focus for the Jackson County Family Drug Court’s proposed project is adults aged 18 years or older, who are a legal and primary caretaker of a child or children 18 years or younger who have been placed in or are at risk of being placed in the Department of Human Resources’ care outside of the parental home. Having a serious substance abuse disorder is a requirement of the Family Drug Court Program. Parents may suffer from other mental health or co-occurring disorders, and the program also accepts pregnant women. Under the SAMHSA project to expand Family Treatment Drug Court Programs, Jackson County Drug Court will serve a minimum of 35 parents per year. Participation will increase throughout the proposed project. At the end of the five-year project, Jackson County Family Drug Court will have served 196 parents and their families. Parents will receive substance use disorder and/or co-occurring disorder screenings, inpatient and/or outpatient substance abuse treatment, individual counseling for both parents and children, drug screens, case management services, peer support, and mental health treatment if needed. Additional recovery support and family recovery support services implemented under this project are transportation services, family counseling, childcare, and skills training. Under this project, Jackson County Family Drug Court will implement the evidence-based practices Celebrating Families! And Strengthening Families. Celebrating Families! was designed specifically for families that have at least one parent who suffers from a serious substance abuse disorder. The Strengthening Families Program (SFP) is a nationally and internationally recognized parenting and family strengthening program for high-risk families. By the end of the first project year, 60% of all participants will have completed a minimum of one evidence-based practice. By the end of the second project year and each project year after, 75% of participants will complete a minimum of one evidence-based practice. Jackson County Family Drug Court’s ongoing, five-year goals are to reduce substance use relapse and reduce the number of days children spend in out-of-home care in Jackson County, Alabama.

Burrell Behavioral Health (Burrell), the second largest Certified Community Behavioral Health Organization (CCBHO) in Missouri, requests $2,000,000 dollars over five years for the expansion of Greene County Juvenile Justice Family Treatment Drug Court (FTC) located in the 31st Judicial Circuit, which is overseen by the Honorable Juvenile Judge Andy Hosmer. FTC's population of focus is adults diagnosed with a substance use disorder as their primary condition, with a special focus on families with African American youth, as they are disproportionally represented within the FTC program. The statistics of children served within Greene County FTC are consistent with Greene County statistics, except when serving African American children. The Greene County Juvenile Office 2021 Abuse and Neglect report shows that 85.65% of the children referred were identified as White. Another 52 (11.48%) children were identified as Black or African American. The proportion of abuse and neglect referrals for Black/African American youth (11.48%) is disproportionate to Greene County's population of Black/African American children (6.72%). Greene County's FTC has been in operation since 2004, after two years of planning by a multidisciplinary team who participated in a Drug Court Planning Initiative. The need for a continued trauma-informed FTC in our area, linked with an expansion of behavioral and SUD services, is needed because of the extent of child abuse and neglect cases, and substance use prevalence. Burrell will work with the FTC to provide a model of care that is holistic, culturally competent, trauma-informed and evidence-based. Participants, with the help from a multidisciplinary collaborative team and family supports, will develop a personalized plan for recovery that will empower participants to sustainable reunify with their children. In the first year FTC will serve 30 families, in YR2: 32, YR3: 35, YR4: 38 and YR5: 40 with a total of 175 families served by the end of the grant. Goals and measurable outcomes include, PROJECT FTC GOAL: To support families and adults impacted by substance use disorders in Greene County through expanded integration of SUD services and support with Family Treatment Court. PROJECT OBJECTIVES: 1. The Project FTC team will increase the capacity of the current team to serve 30 families in need; 2. The Project FTC team will support increased reunification of families enrolled in FTC services; 3. The Project will expand SUD services and recovery support in Greene County FTC. PROJECT OUTCOMES: By the end of year one (September 30th, 2024), project objectives and required activities are expected to result in the following outcomes: 1. The Project team will see a 50% increase in families served in year one; 2. At least 50% of individuals in FTC Treatment will achieve decreased use of substances; 3. Individuals enrolled in FTC Treatment will experience a 25% decrease in time separated from their children compared to Greene County standard population outcomes; 4. Individuals enrolled in FTC Treatment will see a 50% higher reunification rate compared to Greene County standard population outcomes; 5. At least 50% of individuals in FTC Treatment will experience positive affective changes by using coping skills to lower anxiety and stress levels; 6. Individuals enrolled in FTC services will experience a 25% increase in SUD team contacts/engagements per week; 7. At least 85% of individuals enrolled in FTC services will report satisfaction with SUD services provided through the project.

The Puerto Rico (PR) Mental Health and Anti-Addiction Services Administration (MHAASA) proposes a 5-year ECDC-San Juan Project to provide a continuum of care, including prevention, harm reduction, treatment, and recovery services for individuals with SUD involved with the courts. Recognizing the need for treatment instead of incarceration for individuals with SUDs, through this project the MHAASA will increase and expand access to substance use treatment and recovery services based on evidence-based (EB) interventions for people with SUD or concurrent MH conditions in the MHAASA's existing Drug Court of San Juan. Treatment and recovery to SA adults will be enhanced with the Wellness PLUS EBP to complement MAT and psychosocial treatment for adult participants, and the EB models of Trauma-Info9rmed Care, Cognitive Processing Therapy for Trauma Management, and RSHT. Goal 1, related to treatment, is to increase and expand access to substance use treatment services based on EBP interventions for people with SUD in MHAASA's existing Drug Court of San Juan over the 5-year PR-ECDC-SJ project period. To achieve that goal, at least 60 participants per year will be screened and assessed for the presence of SUD or co-occurring SU/MH disorders. All project participants who are screened will have a developed and appropriate harm reduction, treatment, and/or recovery intervention and treatment plan within 30 days of admission. Participants identified as high-risk will be screened for infectious diseases (including HIV and viral Hepatitis A, B and C). To increase connectedness to treatment services, a Court Liaison will be integrated to the SJ DC staff team. Medical evaluation to identify physical health needs that interfere with SU treatment, referral and follow-up will be part of the interventions. Staff will be trained on the Trauma-Informed Care and Cognitive Processing Therapy for Trauma Management models to enhance trauma-based interventions. Through the implementation of the project, the MHAASA will ensure that the key components of the drug court model are implemented over the 5-year project period. Goal 2 related to recovery support, is to ensure access to community recovery support services such as peer counseling and recovery coaching for adults with SUDs. To achieve this goal, the DC will link 300 participants to follow-up and relapse prevention services, achieving abstinence from SU in at least 75% of the participants. It is expected that 75% of the participant so not reflect criminal justice involvement during each project year. Vocational assessment to identify needs for vocational education and training will be part of the interventions. Access to services will be enhanced by adding transportation services to the program. Recovery Support Services will be enhanced by integrating 180 participants to Peer Support Specialists' services in year 3-5 of the project (60 each year), implementing one recovery support group per year and achieving at least 90% retention of adults with SUDs in treatment. Peer counseling and coaching services will be coordinated by the MHAASA's Mutual Support Center, led by certified peers and trained in the Wellness Recovery Action Plan (WRAP) EBP. An evaluation team will be used to collect, analyze and report process and outcome data quarterly in required SAMHSA formats. MHAASA will report performance on measures related to the number of individual served, diagnoses, abstinence from SU, housing stability, employment/educational status, social connectedness, health/behavioral/social consequences, access to treatment, treatment interventions provided, retention, and criminal justice involvement. MHAASA is requesting $400,000 per year for the 5-year period, or a total of $2 million for the project proposed.

The 31st Judicial District Adult Drug Court Program is seeking to expand the access of our Drug Court Program to populations in our communities that are currently underserved. Those underserved communities are made up of high risk and high need individuals with documented substance abuse disorders that are in need of immediate treatment. Most of these individuals lack the resources to get the needed treatment due to poverty and related issues. It is the goal of the program to serve 40 unduplicated individuals per year for the a 5 year period. That is a total of 200 individuals that will be served by the proposed project. The 31stst Judicial District Adult Drug Court Program covers four counties in rural southeast Kansas. The four counties are Allen, Neosho, Wilson, and Woodson. The population of the area is made up of predominantly white older population. The census information from 2021 shows that the population has seen marked increases in both Hispanic and LGBTQ populations in the last 10 years. The population of these counties are on average well above the average poverty level for both the nation and the State of Kansas. While there are programs in place to meet the treatment needs of the population there is still a large underserved community of high risk and high need individuals that have a documented substance abuse disorder and need treatment immediately. In the area to be served drug related crimes represent 30% of the total arrests. Of those that enter the 31st Judicial District Drug Court Program 80% are for methamphetamine related offenses. Many of those convicted will be ineligible for state funded treatment due the nature of the offense, past criminal history, or be subject to long waits for treatment due to lack of available state funds. The 31st Judicial District Adult Drug Court Program intends to serve 40 unduplicated individuals a year for 5 years or 200 unduplicated individuals through the life of the program that fall into these underserved categories. These participants will be given comprehensive evidence-based substance abuse treatment including 10 participants a year receiving residential treatment. Residential treatment is a huge need for our population and is something that is generally lacking in our catchment area. The participants will be screened for co-occurring mental health and substance abuse treatment, tested for HIV and Hepatitis, be provided recovery support services. Participants will also be introduced to Cognitive Based Interventions, all in an effort to increase successful completion of the program, probation, reduce recidivism and substance abuse in the community. The 31st Judicial District Adult Drug Court Program will also collect GPRA information on all participants in an effort to gauge the relative success or lack thereof of all aspects of the program. Yearly evaluation of the program’s successes and failures will be addressed and changes made to the practices of the program if necessary. The 31st Judicial District Adult Drug Court Program will always work to adhere to the key components and best practices standards of the Drug Court Model. This will start with the program itself and will be utilized by all partners, service providers, and stakeholders of the program.

The Akron Municipal-Summit County Drug Court Collaboration Project will serve adult clients at the misdemeanor Akron Recovery Court (ARC) and the felony Turning Point Program (TPP) in collaboration with their primary treatment provider, Oriana House, Inc. as outlined in the MOU. We are seeking $2,000,000 to enhance services for co-occurring disorders, evaluation for disparities and increasing compliance with Key Component 5 & Best Practice Standard VII. The project adds two behavioral health clinicians to assess and treat co-occurring disorders; researcher to evaluate disparities for ARC court; Resident Supervisor to oversee enhanced features of the Reconnect Mobile Application and increase weekend testing days; and a PTE Project Director. Disparity evaluation is limited to the ARC program so as not to duplicate work or supplant funding received by TPP in a 2021 BJA Adult Drug Court grant award. Target Population and Demographics. Our population is high risk/high need, post-adjudicated, adult misdemeanor & felony offenders with a primary substance use disorder diagnosis (SUD) of intensive outpatient or higher with a qualifying drug-related offense conviction in either the ARC or TPP program. The demographics of the target population is anticipated to be a 86% Caucasian, 55% male, 98% non-Hispanic, 990% heterosexual with an average age of 32 at intake based on court data between 2018-2022. We also anticipate over 50% will be diagnosed with co-occurring disorders based on the 2022 rate of occurrence with all drug court clients from the participating courts. Number Served. The project will serve 45 existing clients and 30 new clients totaling 75 clients in year one. Each consecutive year, an additional 40 new clients will be served for a total of 255 unduplicated clients over the five year project. Strategies and Interventions. With over 50% of drug court clients having co-occurring disorders, OHI in collaboration with ARC & TPP will hire licensed clinicians to assess clients for SUD and mental health disorders prior to entering ARC & TPP. Clients will work with one of the two dedicated clinicians as their primary counselor for the co-occurring disorders. OHI will implement new co-occurring group curriculums as well as individual sessions to meet this need. Additionally, OHI is proposing a full time dedicated Research Specialist to conduct GPRAs and evaluate referral and intake client data to assess for any disparities that may exist in the eligibility process. Finally, with the addition of a Resident Supervisor, OHI will be able to conduct urine drug screenings on additional weekend days bringing the courts into compliance with Key Component 5 and Best Practice Standard VII. OHI will also offer enhanced features with the Reconnect mobile application to assist clients with urine drug screen compliance. Goals and Objectives. The five goals and corresponding objectives of the Project are as follows: 1. Clients diagnosed with co-occurring disorders will attend at least one individual session with a licensed clinician: 1.1) 100% of clients found in need will be referred 1.2) 80% of clients diagnosed with a co-occurring mental health disorder will attend at least one individual session with a licensed clinician. 2. Conduct GPRA interviews: 2.1) 100% of all clients will complete an intake GPRA. 2.2) 80% of all clients will complete a 6 month GPRA. 2.3) 80% of all clients will complete the discharge GPRA. 3. Conduct disparity evaluation for ARC municipal court: 3.1) Complete quarterly review of potential disparities and share with the ARC drug court team. 4. Implement new mobile app features: 4.1) Add additional client features for Reconnect App by 4th month of award. 5. Increase the number of weekend days for urine drug screens: 5.1) Add 1 weekend day by end of each grant year increasing to 3 by end of 1st year, 4 at end of 2nd year, 5 at end of 3rd year, 6 at end of 4th year and 7 weekend days by end of 5th year.

Duval County Adult Drug Court Enhancement TI-23-007 Project Abstract Page 1 The Fourth Judicial Circuit of Florida is requesting funding for the "Duval County Adult Drug Court Enhancement" project. This project supports the targeted application of evidence-based treatment modalities, medication assisted treatment, recovery support services, and harm reduction initiatives to Adult Drug Court participants. Through this project, the existing coordinated, multi-system approach will be expanded to include additional evidence-based practices, community organizations and coalitions, and increased public awareness to positively impact the continuum of care. Increased focus will be placed on the recruitment of those experiencing the adverse effects of the pervasive opioid epidemic and associated increase in overdose rates. By implementing the "Dare to Dream" recovery capital model developed by the National Drug Court Institute, this project will seek to address and remove barriers to long-term success. Utilizing validated trauma and risk assessments, this project will address the socioecological and cultural factors influencing trauma by adhering to trauma-informed approaches to further reduce dependence upon substances and improve outcomes. This project's efforts are aligned to expand diversity, equity, inclusion, and accessibility, and will address behavioral health disparities. This project will increase the access to and availability of services to a larger number of participants, increasing the number of individuals serviced, and addressing gaps in the continuum of treatment. Positive outcomes will be achieved through early, continuous, and intense judicially supervised treatment, mandatory science-based drug testing for treatment compliance and therapeutic interventions, and by applying appropriate incentives, sanctions, and therapeutic responses, and other services. The goals for this project are to (1) provide services to 50 participants annually, 250 over the course of this project, who are non-violent, justice-involved adults identified as having a substance use disorder or co-occurring substance use and mental disorder and who score as high-risk/high-need on an evidence-based criminogenic risk assessment tool; (2)Ensure fidelity to evidence-based treatment models through observational data; (3) Partner with safe, stable, recovery housing providers; (4) Implement the "Dare to Dream" model developed by the National Drug Court Institute; (5) Address racial disparities by expanding the minority population of the program through completion of objectives designed to increase outreach and recruitment efforts; (6) Increase and expand upon the use of medication assisted treatment by initializing screening efforts on all new program participants, educating participants on the benefits of utilizing medication assisted treatment, and providing medication assisted treatment options throughout the continuum of care; (7) Provide overdose reversal training and materials to program participants, support systems, and project partners/stakeholders; and (8) Collect and evaluate relevant associated data utilizing programmatic and standardized data collection tools and bi-annual/annual reports to be used in sustainability funding efforts at the local and state level.

In conjunction with Fayette County Government in southwest Tennessee, licensed treatment provider Hope Restored Counseling will expand mental health services, recovery support services, and harm reduction strategies to help hundreds of participants in six (6) Recovery Court programs over the three-year grant period. The adult Recovery Courts serve nine (9) unique counties and one (1) city. The total population covered by the proposed project is just under 440,000, or 6.4% of the state’s total population. Various demographic factors highlight that the proposed service areas are more socio-economically depressed and under-resourced parts of the state. Select program participant outcomes across the six Recovery Courts for SFY 20 also show on average: Male (58%), Female (42%), White (65%), Black/African American (35%, more than double the state average), most frequent age group (25-34), and a program completion rate of under half (48%). Most of the six courts also appear to have a significant criminal justice population not yet accessing a Recovery Court program who could benefit from Recovery Court participation and the use of expanded Recovery Court services. Past and current limitations of the six Recovery Courts have suppressed overall program enrollment, resulting in lost opportunities and unmet need. At the same time, there is potential to expand treatment services, recovery supports, and harm reduction efforts to current court program participants, including increasing the types of specialty mental health treatment therapies that can be offered. The regions served by the proposed project are considered rural, and lack a broad continuum of evidence-based substance abuse treatment and mental health services. The access, service use/delivery, and responsivity obstacles facing clients and program staff extend to: 1) inadequate screening and assessment of potential clients in outlying counties, especially in jail facilities; 2) inability to deliver outpatient treatment within a client’s county of residence; 3) transportation challenges faced by clients who are required to submit to frequent drug testing, office visits, attendance at treatment sessions, and court appearances; and 4) case planning and case management services which must be more robust and localized. Utilizing Hope Restored Counseling’s current telehealth capabilities and its proposal to expand treatment services, recovery support, and harm reduction to participants who are isolated in rural areas, will greatly assist participants who face various barriers on a daily basis and strengthen their physical and mental health. The overarching purpose of the Hope Restored Counseling service expansion project is to attract more participants to the six Recovery Court programs, offer a new type service delivery model concurrent with the present system, and expand specialized mental health treatment modalities. To that end, the proposed project has three goals: 1) Expand Recovery Court programming options for participants; 2) Increase the availability, quality, and coordination of mental health services offered to Recovery Court participants; and 3) Reduce barriers for Recovery Court participants. To help achieve those goals, the project has several key objectives: 1) Implement Recovery Court University as a unique Recovery Support Service/Harm Reduction-based program designed to pique court participants’ interests in learning valuable life skills outside of the traditional therapeutic environment and augment current court service delivery methods; 2) Increase mental health assessments, evaluations, and evidence-based therapies not currently used in the Recovery Court programs; 3) Increase the number of program clients reporting improved mental health, namely increased self-sufficiency, self-worth, stress/anxiety management, and quality personal relationships; and 4) Reduce barriers and expand access to Recovery Court participants through the use of telehealth services.

The Wyoming Department of Health, Behavioral Health Division (Division) currently funds 18 Court Supervised Treatment (CST) programs with 12 adult, three juvenile, one driving under the influence, one family court, and one hybrid adult and driving while intoxicated court. The Division seeks to further efforts and capacity in nine CST programs within seven of Wyoming's 23 counties. This expansion will allow for development of supplemental infrastructure to provide additional substance use disorder screening, treatment, medication-assisted treatment, recovery, and other related health services in existing drug courts.

The 37th District Court Adult Drug Court Substance Abuse Treatment Capacity Expansion Program, State of Michigan, City of Warren, is requesting funds in the amount of $2,000,000.00 from SAMHSA to increase access and availability of services to a larger number of clients, increasing the number of individuals served and addressing the gaps in the continuum of treatment for individuals who have treatment needs for SUD and/or co-occurring substance use and mental health disorders. This would include evidence-based, trauma informed substance abuse and mental health treatment beginning with risk and need assessment and including outpatient treatment, Medically Assisted Treatment (MAT), residential treatment and detox as appropriate. It may also help us with drug testing and case management. More specifically, we will address the unmet needs related to wrap around services by improving access and availability of recovery support services related to the provision of relapse prevention, life skills interventions, acupuncture therapy and recovery housing, with appropriate referral for HIV and Hepatitis B and C testing and treatment, as well as, for tobacco cessation services in the community. The population to be served is high risk/high need adult males and females residing in the Tri-County area, including jail or prison-bound, non-violent felony and misdemeanant offenders with severe substance abuse problems and co-occurring disorders, trauma victims and veterans that become involved in the legal system. This will be a culturally diverse population of individuals of various ethnic, racial and economic backgrounds, including sexual and gender minority groups. The 37th District Court Drug Court will consider the behavioral health needs of returning veterans and their families, prioritizing this population for services where appropriate. Potential behavioral health care disparity related to race, ethnicity, gender and sexual orientation will be monitored and addressed. 85 Participants will be served the 1st year, and 65 each year for the next 4 following years, for a total of 345 over the lifetime of the grant. The Drug Court will continue to follow the 10 Key Drug Court Components. The goals and objectives of the project are as follows: (1) Reduce drug use during program participation, measured by alcohol and drug screen results. (2) Retain Participants in the program, measured by retention rate. (3) Reduce drug and alcohol related crime, in the jurisdiction, measured by recidivism rate. (4) Alleviate congestion of court dockets, measured by the percent of defendants that are removed from the regular court docket when entering the Drug Court. (5) Alleviate jail/prison overcrowding, measured by the number of days per the sentencing guidelines which the defendants would have served had they not entered the Drug Court. (6) Retain Participants in substance abuse treatment, measured by number of Participants who successfully complete the program, as completion of treatment is a requirement. This will result in reduced recidivism, improved public safety and saving tax payer dollars associated with incarceration costs, having a positive impact on the graduating Participant as well as the community as a whole.

Targeting high-risk, high-need defendants with felony and misdemeanor criminal cases related to drug addiction, the Superior Court of California, County of Alameda Adult Drug Court (ADC) will improve public safety by admitting defendants proportional to the felony arrests accounted for by their gender and race/ethnicity, providing high quality treatment for substance use and mental health disorders, and housing assistance to defendants, many of whom are homeless at program entry. The ADC will serve a minimum of 60 unduplicated defendants annually (40 in the first year) and at least 280 over the entire project period. Goals, supported by measurable objectives, are to: 1) Reduce the rate of recidivism among drug court participants, by increasing the number of successful program completions, 2) Improve the physical and mental health of ADC participants by referring to SUD and mental health providers known to offer culturally appropriate and evidence-based programming and contracting with a mobile health provider that travel to various treatment locations to screen participants for HIV and hepatitis C employing state certified HIV/HCV testing counselors and phlebotomists to administer both rapid and confirmation testing and 3) Increase stability for program graduates by providing at least 90 days of recovery residence housing in a county notorious for expensive and extremely limited housing opportunities. The primary program strategies reflect the 10 Key Components of Drug Court, and the implementation of evidence based practices and trauma-informed approaches. Activities include: 1) substance use treatment specialists and mental health practitioners administering multiple validated screening and assessment instruments e.g. the Risk and Needs Triage, American Society of Addiction Medicine Level of Care, the Mental Health Screening Form III and developing a comprehensive case management plan addressing risks for recidivism and coordinating SUD, mental health, and recovery support services; 2) providing MAT via multiple contracted health clinics across the county, paying for these critical medications and providing transportation for participant access; 3) As one of four agencies in Alameda County, exercising the benefits of "portal status" by placing individuals directly into treatment offered by agencies contracted with and overseen by Alameda County Behavioral Health, and capitalizing on the excellent relations our case managers have developed with intake units at provider sires that result in placement typically within seven days and providing transportation to appointments at no cost to participants; 4) providing aftercare services to link participants to housing, employment, and recovery communities to increase the likelihood of sustained sobriety. 5) Utilizing the services of an experienced, Ph.D.-level evaluator informed by qualitative data and a robust and secure management information system who participates in weekly management meetings, quarterly Drug Court Steering Committee and Collaborative Courts Judicial Committee meetings and records changes emerging from evaluation results that address access, service use, and outcomes across racial/ethnic, sex, and yes/ no co-occurring disorder subpopulations. Beyond assisting the Drug Court to take credit for its successes, the purpose of ADC evaluation reporting is to encourage a culture of learning and data-driven decision making to inform continuous quality improvement.

By admitting parents whose children were removed from their care, are assessed with a substance use disorder (SUD) and at risk of a recurrence of maltreatment or not reunifying at a ratio proportional to the race/ethnicity of children removed to foster care countywide, the Superior Court of CA, County of Alameda Family Treatment Court will address disparities in the child welfare system by rapidly placing parents in high quality SUD & MH treatment. Although the African American population zero to 17 years of age comprised 10.7% of the total county population in that age group, Black children accounted for 42.5% of the removals to foster care in 2020 & 2021 while White children accounted for 26.9% of the population zero to 17, but just 12.6% of the removals to foster care during this period. The Family Treatment Court (FTC) will admit at least 60 parents annually by year two and at least 280 over the entire project period. Parents will be assessed for substance use and mental health disorders using validated instruments and protocols and rapidly placed at the appropriate level of care with high quality treatment providers known to offer culturally appropriate and evidence-based programming. Goals, supported by measurable objectives, are to: 1) Reunify all children of Family Treatment Court (FTC) graduates and parents with at least 275 days in the program 2) Improve the physical and mental health of ADC participants by contracting with a mobile health provider that travel to various treatment locations to screen participants for HIV and hepatitis C employing state certified HIV/HCV testing counselors and phlebotomists to administer both rapid and confirmation testing, 3) Beginning in grant year one, maintain a rate of recurrence of maltreatment below the countywide rate, and 4) Increase stability for program graduates by providing at least 90 days of recovery residence housing with their children in a county notorious for expensive and extremely limited housing opportunities. The primary program strategies reflect the eight Best Practice Standards of Family Treatment Courts, and the implementation of evidence-based practices and trauma-informed approaches. Activities include: 1) Licensed SUD treatment specialists and mental health practitioners administer multiple validated screening and assessment instruments e.g. the American Society of Addiction Medicine Level of Care screen, the Mental Health Screening Form III and developing a comprehensive case management plan addressing risks for recurrence of maltreatment and coordinating SUD, mental health, and recovery support services; 2) providing MAT via multiple contracted health clinics across the county, paying for these critical medications and providing transportation for participant access; 3) As one of four agencies in Alameda County, exercising the benefits of "portal status" by placing individuals directly into treatment offered by agencies contracted with and overseen by Alameda County Behavioral Health, and capitalizing on the excellent relationships our case managers have developed with intake units at provider sites that result in placement typically within seven days of admission and providing transportation to appointments at no cost to participants; 4) providing aftercare services to link participants to housing, employment, and recovery communities to increase the likelihood of sustained sobriety. 5) Utilizing the services of an experienced, Ph.D.-level evaluator informed by qualitative data and a robust and secure management information system who monitors outcomes across racial/ethnic, sex, and yes/no co-occurring disorder subpopulations, routinely reports these results, and encourages a culture of learning and data-driven decision making to inform continuous quality improvement.

The Illinois Circuit Court of Cook County is applying for Adult Drug Treatment Court funds support the North Suburban Adult Drug Court Treatment Capacity Expansion Program. The expansion program will be implemented in two adult drug treatment courts: (1) Second Municipal District (Skokie) and (2) Third Municipal District (Rolling Meadows). The two municipal district drug courts have been operating since 2017 and serve the residents of Chicago and the north and northwest suburban regions of Cook County, Illinois. Currently, the two courts maintain an aggregate average active caseload of approximately 36 participants. The program will target adult men and women (age 18 and older) who (1) are arrested and charged with a new non-violent, drug-related felony offense and are diagnosed with substance use disorders; (3) have accepted they have a drug problem; (4) are willing to participate in treatment; and (5) have not been convicted of a violent crime within the past five years. The demographic background of the target population will likely reflect the court's current caseload. Of the clients admitted to the North Suburban ADTC's between 2019 and 2023 year to-date, 61% reported their race as African-American, 32% were non-Hispanic white, 6% were Hispanic/Latino, and one percent were "other race. Seventy-one percent were male. 28% were female, and one percent self-reported transgender. Sixty percent of clients were over the age of 45. English is the primary language for a majority of clients. Heroin was the most common primary drug of choice (63%), followed by crack/cocaine (22%), marijuana (8%), alcohol (4%), and other drugs (3%). The purpose of this program is to increase the number of North Suburban Adult Drug Treatment Court participants who graduate successfully from the program and who achieve stable recovery, and affect the long-term health and safety needs of these individuals and their communities in an equitable manner. The program has three main goals: 1) to expand the capacity of the North Suburban Adult Drug Treatment Courts (North ADTC) screening and assessment services to identify high-risk/high-need individuals and develop harm reduction, treatment and recovery interventions plans to promptly place participants into the ADTC program; 2) to increase retention in and improve the target population's SUD treatment outcomes by providing in-house professional clinical case management services to 200 unduplicated North ADTC participants during the 5-year funding period (40 per year in years 1-5); and 3) Provide evidence-based and population appropriate SUD treatment and recovery support services to meet the unique needs of the 200 unduplicated North ADTC participants during the 5-year funding period (40 per year in years 1-5). The services will be sensitive to issues of race, culture, religion, gender, age, ethnicity, and sexual orientation. These goals will be achieved through targeted activities designed to meet specific process and outcome objectives over the 5-year funding period. Through program expansion, North ADTC participation will increase by 11.1% from current levels.

APPLICANT INFORMATION Applicant Name: Lenawee, County of (UEI ZXB1UQJNUT73) Department Name: 39th Judicial Circuit Court Division Name: Lenawee County Adult Drug Treatment Court SUMMARY The 39th Judicial Circuit Court is the court of general jurisdiction for Lenawee County, Michigan. The Lenawee County Adult Drug Treatment Court (ADTC) is a program of the 39th Judicial Circuit Court, started in October 2016, and has accepted over 110 participants. The ADTC targets adult non-violent felony offenders with drug use disorders and/or co-occurring mental health disorders. All persons must qualify for intensive outpatient treatment or higher and qualify as high-risk. This project will enroll a minimum 32 new participants per year (160 unduplicated new enrollments total). A minimum 12 additional participants will be served per year as a result of this expansion. The following goals and objectives will be accomplished: Goal 1: Increase capacity of the ADTC by 12 participants (32 participants total) (within 6-months of award). Objective 1: Minimum 32 participants will be enrolled in our expanded docket (by the end of year 1 and remaining years of the project). Goal 2: Create a service track for participants with opioid use disorders (within 4-months of award). Objective 1: 15 participants will enter the opioid track each year of this project. Objective 2: 100% of participants will have access to and be permitted to use MAT (if found medically eligible and voluntarily chooses to use MAT). Objective 3: 70% of participants will be retained in the opioid track for longer than 6 months. Objective 4: 55% of participants, at minimum, will graduate from the opioid track (rate exceeds the national average of 47%). Goal 3: Create a service track for participants with methamphetamine use disorders (within 4-months of award). Objective 1: 12 participants will enter the opioid track each year of this project. Objective 2: 100% of participants will have access to and be permitted to use MAT (if found medically eligible and voluntarily chooses to use MAT). Objective 3: 70% of participants will be retained in the methamphetamine track for longer than 6 months. Objective 4: 55% of participants, at minimum, will graduate from the methamphetamine track. Goal 4: Provide intensive case management to 100% of participants (within 4-months of award). Objective 1: 1 full-time case manager will be hired within 4-months from date of award (to remain on staff for the life of this project). Objective 2: 1 part-time peer recovery coach will be hired to serve both dockets within 4-months from date of award (to remain on staff for the life of this project). Objective 3: 80% of successful participants will improve social functioning (measured pre/post). Objective 4: 80% of successful participants will improve employment status (measured pre/post). Objective 5: 80% of successful participants will improve housing status (measured pre/post). Objective 6: Participant retention rate will increase 10% from historical program rates (pre-enhancement). Objective 7: Participant graduation rate will increase 10% from historical program rates (pre-enhancement). Goal 5: Provide four new evidence-based treatment programs to address trauma and addiction (to begin within 4- months of award and delivered through life of the project). Objective 1: 100% of participants will have access to Dialectical Behavior Therapy (DBT) skills groups. Objective 2: 100% of participants will have access to Moral Reconation Therapy (MRT). Objective 3: 100% of participants will have access to trauma focused therapy (Seeking Safety). Objective 4: 100% of participants will have access to trauma focused therapy using Eye Movement

Tucson City Court maintains a Veterans Treatment Court entitled the Regional Municipalities Veterans Treatment Court (RMVTC). The RMVTC offers Veterans an alternative to jail or other consequences that accompany misdemeanor convictions. It is a coordinated effort between the City of Tucson and four of the surrounding jurisdictions. RMVTC offers substance abuse treatment, mental/behavioral health treatment, peer support services, and a mentor program. The population of focus was developed from the recognition of the need to serve all Veterans in the metropolitan Tucson area and surrounding jurisdictions. An early sign that a Veteran may have unaddressed problems emerges when they are first arrested for violating the law. The rates of exposure to combat trauma and an increase in the number of deployments among Veterans returning from Iraq and Afghanistan are relatively high, and many Veterans have remained untreated for long periods of time. Post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI), if left untreated, increase the likelihood of developing anxiety, depression, substance abuse and thoughts or attempts at suicide. The RMVTC currently offers treatment and peer services through a variety of Tucson area treatment providers. These services include mental health screening and referrals, trauma therapy for Veterans with underlying PTSD, behavioral health treatment, substance use treatment, state mandated treatment for DUI and Domestic Violence offenses, case management, peer support recovery services, a mentor program, and an evidence-based drug testing protocol. One proposed change for expansion will allow the RMVTC to offer services to participating Veterans from additional jurisdictions in Pima County, including Pima County Superior Court and Pima County Consolidated Justice Court. And realizing that a healthy support system is sometimes necessary for a Veteran to achieve success, RMVTC also desires to expand services offered to Veteran participants by offering family-based options. Improving abstinence from substance use, attaining housing stability, achieving positive employment status, increasing social connectedness, recognizing health/behavioral/social consequences, and reducing criminal justice involvement are goals that can be reached with family support and assistance. These expansions will allow the RMVTC to assist more Veterans in need and it will also increase the quality of recovery these Veterans can achieve. By September 29, 2028, the RMVTC will have served an additional 420 Veterans referred to the program. (Year 1 and 2 - 80 Veterans annually, Year 3 and 4 - 85 Veterans annually, and Year 5 – 90 Veterans.) Of this total number, the goals of the RMVTC are to offer family services to Veterans, accept 50 participants from additional jurisdictions not currently included in the program, and to establish a plan for future sustainability of all program services over the term of this proposed project. Through the assistance of all program partners, the RMVTC will facilitate retention and regular contact beyond program graduation to help sustain the Veterans' hard-fought recovery.