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The Volusia Recovery Alliance (VRA) is applying for the Building Communities of Recovery grant through the Substance Abuse and Mental Health Services Administration (SAMHSA) to mobilize and connect a broad array of community-based resources to increase the availability and quality of long-term recovery support for persons with substance use disorders (SUD) and co-occurring substance use and mental disorders (COD).VRA is a Recovery Community Organization that is Council on Accreditation of Peer Recovery Support Services (CAPRSS) accredited. The purpose of this program is to support the development, enhancement, expansion, and delivery of recovery support services (RSS) directly to individuals and to advance the promotion of, and education about, recovery at a community level. VRA is committed to providing a comprehensive range of recovery support services, including peer support, outreach, education, and advocacy, to empower individuals and families affected by substance use disorders within Volusia County, Florida. VRA's recovery support services are administered and implemented by individuals with lived experience who are in recovery from SUD and COD, ensuring that our programs reflect the needs and population of the community being served. Our approach is centered on peer support, recognizing the unique value of lived experience in facilitating recovery. By providing one-on-one peer mentoring, group sessions, community outreach initiatives, and educational programs, VRA creates a supportive environment where individuals feel understood, accepted, and encouraged to pursue their recovery goals. The grant funds will be utilized to enhance and expand VRA's existing recovery support services, with a particular focus on improving access for underserved populations, including the indigent population, minorities, and those with co-occurring disorders. By collaborating with a network of over eighteen community partners, healthcare providers, faith-based organizations, and other stakeholders, VRA will work to bridge gaps in service and increase access to recovery support services for all individuals in need. Volusia Recovery Alliance will additionally be working to expand the recovery peer workforce. They will do this by hosting the necessary training required for peer recovery support certification. VRA is working with multiple agencies as potential employers for those who obtain certification. They are also working with local chambers of commerce with a recovery-friendly workplace initiative. Through this grant, VRA seeks to make a significant and lasting impact on the lives of individuals and families affected by substance use disorders in Volusia County. Our ultimate goal is to foster healing, resilience, and empowerment, and to build stronger, healthier communities where every individual has the opportunity to achieve lasting recovery and wellness.

Summary. Intercambios Puerto Rico (IPR) is proposing a program to increase development, enhancement, expansion, and delivery of recovery support services (RSS) as well as promotion of and education about recovery at a community level in Puerto Rico. IPR will serve 200 unduplicated individuals annually and 600 over the project period and will provide trainings 45 agencies over the project period. Project name. Building Communities of Recovery in Puerto Rico Populations to be served. IPR’s population of focus (POF) will be persons with substance use disorders (SUD) and co-occurring substance use and mental disorders (COD), focusing on individuals in need of long-term recovery support services. The program will be located in Puerto Rico and will focus on the eastern area of the island in year one, expanding into the San Juan metropolitan area in year two and beyond. Strategies/interventions. IPR’s program activities will include: 1) Peer Recovery Support Services (PRSS), which will include monthly recovery coaching sessions, and access to internal harm reduction and medication-assisted treatment services, workforce development, peer accompaniment, and ongoing support; IPR’s Peer Recovery Coaches will provide PRSS; 2) IPR will provide supervision, training, and mentorship to the Peer Recovery Coaches providing PRSS and outreach; 3) IPR will provide culturally appropriate, trauma-informed, and evidence-based RSS that directly assist individuals and families to recover from SUD and COD; 4) IPR will establish partnerships between diverse recovery networks, recovery community organizations, and other recovery community partners; 5) IPR will provide evidence-based harm reduction practices such as rapid fentanyl test strip distribution, overdose education, naloxone, and other overdose reversal medications; 6) IPR will assess for and respond to the needs of individuals and families served by the program who are at risk for or experiencing homelessness; and 7) IPR will conduct public education, workforce development for training peer recovery coaches, and community outreach on issues relating to SUD, COD, and recovery. IPR will also implement Motivational Interviewing (MI), Transtheoretical Model, Group Peer Support (GPS). Project goals and measurable objectives. The program’s goal is the development, enhancement, expansion, and delivery of recovery support services (RSS) as well as promotion of and education about recovery at a community level. The program’s objectives include: 1) Provide PRSS, designed and delivered by individuals with lived experience, to additional 200 persons from the population of focus per year; 2) Provide supervision, training and mentorship to 100% of individuals providing PRSS services each year; 3) Provide culturally appropriate, trauma-informed and evidence-based Recovery Support Services (RSS) to an additional 200 persons from the population of focus per year; 4) Build connections and collaborations among substance use and mental disorder treatment programs, faith-, academic- and community-based organizations, and hospitals through at least 12 networking/training/TA presentations per year to promote PRSS to program participants and other stakeholders per year; 5) Provide harm reduction services to 90% of clients in need of harm reduction services per year; 6) Provide services to address risks of homelessness for 90% of participants assessed as at risk for or experiencing homelessness; 7) Conduct a social marketing campaign designed to reduce discrimination and negative attitudes concerning people with addiction and in recovery from drug/alcohol addiction, reaching at least 7,500 persons annually; 8) Provide ongoing training and workforce development for at least 95% of peer recovery coaches.

Makana O’Ke Akua (MOKA) proposes to build a community of recovery (BCOR) for justice-impacted people in recovery from substance use (SUD) and other co-occurring mental health disorders (COD). Our project targets adults 18 or older who are in recovery from SUD and COD and living in the Honolulu County. The first BCOR grant awarded in Hawaii, our project responds to the critical need to mobilize and connect justice-impacted people to an array of peer-led recovery support services (PRSS) that improve behavioral health treatment, affordable housing, competitive employment, and social reintegration outcomes. We also respond to the issue of historic service gaps and outcome disparities experienced by many underserved communities in Hawaii, such as the indigenous Native Hawaiian and Other Pacific Islander (NHPI) people. Considerable evidence shows the NHPI community has disproportionally higher rates of SUD and COD, chronic disease, poverty, unemployment, homelessness, and justice involvement compared to other racial/ethnic groups living in Hawaii. We plan to use grant funding to accomplish the following goals and objectives. (1) Enhance PRSS offerings by providing (a) culturally and clinically appropriate peer support services within therapeutic living environments that are evidence based, trauma informed, and recovery oriented, (b) training, supervising, and mentoring a diverse PRSS workforce with experience overcoming criminal justice and behavioral health challenges, and (c) state certified and accredited recovery housing services with direct linkages to treatment, housing, employment and prosocial supports. (2) Expand PRSS partnerships by (a) forming a steering committee and implementation team to ensure the timely completion of goas and objectives, (b) outreaching to key stakeholders from criminal justice, health care, and the recovery community at large to foster collaboration, (c) disseminating progress reports to law makers and policy makers at the federal, state, and county levels to raise awareness. (3) Enhance and expand PRSS activities that work by (a) completing needs assessments and disparity impact statements, (b) collecting and reporting on key performance indicator data, and (c) developing strategic plans for scaling and sustaining services after the grant period ends. A non-profit 501 (C) 3 organization founded and led by members of the recovery community, MOKA has over twenty (20) years of experience providing peer-led supported housing and employment services for justice-impacted adults with SUD and COD. It currently operates 8 recovery homes with a total capacity of 85 beds, serving over 125 people annually. In 3-years, this project services 180 unduplicated individuals at 3-separate recovery homes.

The St. Louis Empowerment Center (STLEC) BCOR Guidance for Goals Plus (G4G+) project supports a peer-run drop-in center for individuals with lived experience with substance use and/or mental health disorders. STLEC’s population focus is adult individuals 18 and over who are unhoused or at risk of becoming unhoused and who have substance use disorder (SUD) or co-occurring disorder (COD), including those with a history of justice involvement and who are within the geographic catchment area of St. Louis City, Missouri. St. Louis City has a constellation of demographic and socio-economic factors correlated with a variety of adverse outcomes, such as high rates of substance abuse, mental illness, and co-occurring disorders, that place its residents at disproportionate risk. STLEC aims to address these needs by providing peer support, recovery education, wellness activities, harm reduction, crisis intervention, referrals, and advocacy services to its participants. STLEC operates on the principles of trauma-informed care, cultural humility, and recovery-oriented systems of care. STLEC’s BCOR goals are to: • Increase the capacity of STLEC and partners, through intensive peer support systems, to provide integrated, whole-health and wellness peer recovery support services for adult individuals over 18 who are unhoused or at risk for becoming unhoused, have a history of justice involvement and who have SUD or COD. • Increase recovery-positive outcomes among adult individuals over 18 who are unhoused or at risk for becoming unhoused, have a history of justice involvement, and have SUD or COD by using Peer Case Managers to implement and monitor intensive peer recovery supports. • Provide peer recovery support services for adult individuals over 18 who are unhoused or at risk of becoming unhoused and who have SUD or COD in STLEC while expanding the capacity of the STLEC to provide intensive peer recovery support using PCM. • Increase the capacity of the STLEC to provide mentorship and support for individuals with SUD or COD who seek to become Certified Peer Specialists, with an emphasis on adult individuals over 18 who are unhoused or at risk of becoming unhoused and who have SUD or COD in STLEC. G4G+ will serve a total of 220 participants in the peer-support model: 60 in year one then 80 in years two and three.

Full Circle Recovery is launching its Building Communities of Recovery program. The project is designed to mobilize and connect a broad array of community-based resources to increase the availability and qualify of long-term recovery support for persons with substance use disorders and cooccurring substance use and mental disorders. The project will expand peer recovery support services and help build the peer recovery specialist workforce in Iowa. Project Name. Full Circle Recovery – Building Communities of Recovery Through Expanded Recovery Support Services Population(s) to be Served. Full Circle Recovery (FCR) will provide peer recovery support services (PRSS) to individuals in Polk and Pottawattamie Counties and individuals across Iowa who are incarcerated, and those who are greatly impacted by SUD and COD. Strategies/Interventions Recovery coaching, peer support groups, volunteer opportunities, social activities, resource connection, community education, trainings and workshops. Project Goals and Measurable Objectives Full Circle Recovery will serve 1,377 individuals (Year 1: 390, Year 2: 449, and Year 3: 538). Goal 1: Increase PRSS and long-term recovery support for incarcerated individuals with SUD and COD in state prisons and county jails in Iowa. 1A: By the end of Year 1 of the project, provide recovery coaching and PRSS to at least 100 incarcerated individuals in Iowa and 100 individuals who are re-entering the community. 1B: By August 31, 2025, train 50 state corrections staff members in PRSS such as the Recovery Coach Academy, trauma-informed care, or culturally appropriate services. 1C: By June 30, 2025, train 50 county jail staff members in PRSS such as the Recovery Coach Academy, trauma-informed care, or culturally appropriate services. Goal 2: Increase targeted and comprehensive educational programs for individuals with dual diagnosis to help initiate and sustain recovery. 2A: By April 30, 2025, host the 12-hour NAMI Southwest Iowa ReConnect Peer Immersion program for 20 peers and recoverees in Pottawattamie County. 2B: By June 30, 2025, evaluate the ReConnect Peer Immersion program for effectiveness and plan for future sessions and replication. Goal 3: Reduce discrimination and stigma for individuals with SUD and COD and in recovery. 3A: Partner with Employee and Family Resources to implement a stigma reduction media campaign in Polk County by September 30, 2025. 3B: Partner with Employee and Family Resources to host an antistigma educational session by June 30, 2025. 3C: Support the Full Circle Recovery Community Centers in promoting a monthly Peer Series session where peers/recoverees share their recovery journey. Goal 4: Grow the peer recover specialist workforce in Iowa through specialized trainings. 4A: By December 31, 2024, solidify peer recovery specialist workforce development plan with the Iowa Board of Certification and Iowa Peer Workforce Collaborative. 4B: In January, February, July, and August 2025, engage in active outreach to diverse populations to recruit peer specialists and peer supervisors to participate in the Recovery Coach Academy. 4C: In March 2025 and September 2025, host in-person Recovery Coach Academy to 70 individuals with lived experience with SUD and/or COD, with preference given to those representing special or underserved populations. 4D: Throughout Year 1, provide supervision, training, and mentorship to individuals providing PRSS and recovery coaches. Goal 5: Ensure culturally appropriate, trauma-informed, and evidence-based PRSS that directly assist individuals and families to recover from SUD and COD. 5A: By September 30, 2024, connect with community organizations that work with special populations to explore collaborative efforts for PRSS. 5B: By November 30, 2024, conduct a community needs assessment and/or focus groups to understand cultural and linguistic needs of the community being served, and gaps in recovery services.

The Center for Recovery and Wellness Resources (CRWR), a well-established Recovery Community Organization in Houston, Texas, with a drop-in center and a presence in multi-service centers in three high-risk neighborhoods, seeks to be a powerful force for the life transforming experiences that occur with recovery from substance use disorder and co-occurring disorders. FORCE (Facilitating Organized Recovery Community Engagement) is an expansion and enhancement of current services at the CRWR designed to be a force for recovery for under-resourced residents in the city. FORCE will draw upon a community-wide collaboration to expand and enhance service capacity through the expansion of peer recovery support services in the Greater Houston area with a specific focus on several neighborhoods needing the most support: Montrose (77006, 77098), downtown Houston (77002), northeast Houston near I-610 and U.S. 59 (77026), and South-Central Houston (77004).. FORCE was designed, developed, and will be implemented primarily by individuals who have experienced addiction and recovery in their own lives, who seek to create an opportunity for others to realize the promises of 12-step programs in a professional capacity. The ultimate goal of these activities is to close the disparities in the impact that substance use has on low income minority populations by expanding service access by enhancing treatment service engagement for low-income Hispanic/Latino and African-American men and women who experience multiple barriers to accessing, engaging, and benefiting from substance use treatment and recovery support services. This unique collaborative effort draws on the resources of a diverse group of partners with vested interest in the health and wellness of the population including a roster of community-based substance use treatment organizations with commitments to the use of recovery coaches and strong ties to low income communities of Houston, Texas. The project will increase access to evidence-based practices including: (1) Integrated Dual Disorder Treatment Model; (2) Motivational Interviewing; (3) Medication Assisted Treatment; and (4) Seeking Safety. To complement these services, we will primarily provide: (5) Recovery Coaching based on a Strengths Based Case Management approach. FORCE will employ these interventions in the delivery of direct peer-based recovery support services. The primary program objective is to help achieve and maintain recovery and improve the overall quality of life for those being served. This will be assessed through increased abstinence from substance use, employment, housing stability, social connectedness, decreased criminal justice involvement, and increased indicators of successful recovery and enrollment in education, vocational training, and/or employment. A total of 300 individuals will receive services in the project; sixty individuals will be enrolled each year in recovery support services and participate in expanded wellness services.

The proposed project is a collaboration between the MN Sixth Judicial District, Recovery Alliance Duluth, Svalja Yoga, and Center for Alcohol and Drug Treatment. The project will focus on improving outcomes of treatment court participants through a recovery-oriented system of care offering Peer Recovery Support, creating an alumni program, offering trauma-informed yoga, and supporting approximately 200 participants annually in achieving their treatment goals in Northeast Minnesota. Goal 1. Increase the recovery capital and decrease return to use by individuals with substance use/misuse and co-occurring mental health issues. 1.1. Recovery Alliance Duluth (RAD) certified peer recovery specialists (CPRS) will provide staffing and support to 5 MN 6th Judicial District Treatment Courts (TC) by January 1, 2025, expand to 7 in Y2, and add the final TC in Y3. 1.2. RAD and TCs will increase recovery capital and decrease return to use for 200 TC participants and graduates through planning and implementing a 6th District TC Alumni Program by the end of Y1 and revising the program annually based on evaluation. 1.3. RAD and TCs will contract with Svälja Yoga, who will offer in-person and virtual trauma-informed yoga classes to TC participants and other Recovery Community members by December 1, 2024, and ongoing. 1.4. Based on ongoing evaluation, RAD and TCs will add access to other mindfulness activities offered by Svälja Yoga (i.e. other types of yoga, qigong, melt, flow) by mid-Year 2 and ongoing. Goal 2. Build an inclusive recovery community by providing cross agency community education forums and anti-stigma campaigns and regular, free recovery community social events. 2.1. RAD and CADT will table* at each other's events and organizations 5 times annually to increase access to information about services to people in recovery by January 2025 and ongoing. 2.2. RAD, CADT, and the TC Alumni group will provide semiannual community education and antistigma events/education campaigns. 2.3. By February 1, 2026, RAD, CADT, and the TC Alumni group will plan and host activities for alumni and current TC participants every other month. Goal 3. RAD and the grant steering committee will successfully manage the grant (personnel, fiscal, project workplan, required activities, evaluation, and reporting requirements) to achieve intended outcomes and meet funder expectations. 3.1. Establish and maintain the project, including finance, personnel, and project deliverable. 3.2. RAD, TC, and CADT create a steering committee and meet monthly for project planning, oversight of project implementation, and sharing data for required reports to guide program development and dissemination of information. 3.3. Ensure that project personnel are supported with education and consultation to assure successful completion of required and optional activities. 3.4. Project Director and other grant staff will meet funders' expectations such as meetings and programmatic and financial reporting throughout the life of the project. 3.5. The Project Evaluator will complete the projects’ process and outcome evaluation (planning, data collection, and analysis) and contribute to 6 month and annual reports and other dissemination activities. 3.6. The project team and steering committee members will disseminate information.

Abstract Project Title: Building the Anchorage Culturally Responsive Community of Recovery through Multi-Organizational Partnerships. Applicant Organization and Address: CHOICES, 1231 Gambell Street, Anchorage, 99501 Project Director Name and Contact Phone Numbers: David P. Moxley, Ph.D., DPA, 405-250-4156 (Cell); 907-786-6912, 907-786-6900 (Office), 907-786-6912 (Fax). Email Address: dpmoxley@alaska.edu Grant Funds Requested: Annually for three (3) years in the amount of $300,000 per year for a total of 1.2 million dollars. Applicant requests consideration as the first BCOR submission in Alaska. Statement of Need and Organizational Capacity. CHOICES based in Anchorage, the principal urban area of Alaska, accounting for almost 33% of the state’s population requests funding from SAMHSA’s Building Communities of Recovery (BCOR) Program to address serious infrastructure challenges in meeting the needs of people who face SUD and/or COD in the a city that has heightened mortality and morbidity rates as a result of substance misuse and its interactions with poverty, dislocation of Alaska Native people and other minoritized groups, limited and inadequate recovery resources, and limited housing access, creating a sizable homeless population the members of which cope with Alcohol use and addiction and other substance misuse. CHOICES is a principal provider of recovery supports to people who have few alternatives for achieving recovery outcomes. The organization, founded in 2003, is a Community of Recovery (COR) governed by directors many of whom offer lived experience, may be in recovery themselves, or have family members on the path to recovery. CHOICES incorporates outreach, engagement, pathways to recovery support, intensive case management, and bridging opportunities to work with people in recovery. The organization operates with personnel who understand recovery through their own lived experience. The principal personnel model involves peer support specialists. Purpose of Project. The project will advance a Community of Recovery over the course of three years of funding, building on its existing core as a recovery focused organization. Funding will allow CHOICES to expand personnel in the areas of clinical recovery services, intensive case management, recovery coordination, and peer support. The project will work with four partners involving Denali Family Services, First Congregational Church of Anchorage, the University of Alaska Anchorage (UAA) Department of Human Services, and the UAA Department of Computer Science. The project will add additional partners in the second and third year of operation. Principal Goals. Increasing: (1) the number of peer support specialists within the BCOR who are from diverse backgrounds and from the population of people served, (2) the number of peer support personnel entering and completing higher education programs in Human Services, (3) peer support supervision, training, and professional development in recovery based practice, (4) supports for recovery involving entry of participants into highly supportive clinical and nonclinical care, community support, and an enriching culture of recovery, (5) recovery opportunities by uniting principal project organizational partners into a Community of Recovery in which peer support is a principal approach to recovery practice, and (6) organizational learning for advancing effective and innovative recovery practice through participatory evaluation embracing a quality improvement approach in building a culturally responsive, person-centered and effective COR. The project will enroll 50 people who are coping with SUD or COD in the first year growing the capacities of the project over three years to enroll or sustain the enrollment of a total of 340 members in the third year composed of a mix of duplicated and unduplicated members of the COR.

Detroit Recovery Project is a Recovery Community Organization (RCO) and a Certified Community Behavioral Health Clinic that provides substance use prevention, treatment, and recovery services as well as crisis intervention services for individuals with serious mental illness. DRP is seeking funding to expand and enhance the Building Communities of Recovery (BCOR) initiative to provide recovery support services to individuals affected by substance use disorder (SUD), and co-occurring disorder (OUD), ages 12 and older, residing in Detroit, Wayne County, Michigan. DRP's BCOR initiative will expand and enhance existing SUD/COD recovery support services by engaging youth and young adults ages 12-17. Our model focuses on providing evidence-based practices to screen participants for SUD/OUD use and providing evidence-based recovery support services to target individual needs, enhance quality of life, and increase the likelihood of achieving long-term recovery. Within four months, DRP will hire and train staff, begin program implementation, and conduct outreach to our local community and collaborative partners. We anticipate serving 100 individuals during Y1 and 150 each subsequent year of funding, totaling 400 participants over three years. The BCOR project will address the barriers that most commonly lead to recidivism with the goal of sustained long-term recovery for all. The goals of this three year project include the following: Goal 1: Provide multigenerational peer recovery support (PRSS) and co-occurring disorder support for 50 youth and young adults ages 12-17, and 350 individuals over 18, residing in the target area. Goal 2: Provide comprehensive, culturally appropriate, trauma-informed peer recovery support services to individuals ages 12 and older and their families. Goal 3: Increase the number of peer recovery support mentors certified, equipped, and mobilized to provide services to individuals of all ages and their families residing in Wayne County. Goal 4: Decrease the existing stigma regarding SUD/COD treatment and recovery through education, access, and outreach. If funded, DRP will enhance the methods utilized to engage the adult recovery community and expand its reach into the younger population facing barriers to long-term recovery from SUD/COD.

The goal of the Community Recovery Center (the Center) project is to increase access to evidence-based peer-run recovery support services for individuals who struggle with substance use disorders (SUDs) and co-occurring substance use and mental health disorders (CODs). The project will expand the Center from Strength In Peers’ Harrisonburg office to two satellite locations and triple the number of participants it can serve to 80 per year and 240 over three years. One will be a healthcare collaborative where the Center will be co-located with an acute care clinic, a behavioral health programs, and a medication assisted recovery provider. The other will be a new homeless shelter where the Center will be co-located with the Continuum of Care’s coordinated entry and two primary care providers. The project will serve residents of the City of Harrisonburg and Rockingham County. Harrisonburg is more racially and ethnically diverse and has higher rates of unemployment and poverty. Rockingham is largely rural, less diverse, and has pockets of poverty. Uninsurance is higher in both jurisdictions that the state average. The target area has higher rates of heroin, cocaine, and methamphetamine use than state averages, and higher rates of mental health disorders. The local behavioral health system is experiencing workforce shortages and limited capacity to meet the growing demand for services. Additional barriers to accessing services include transportation, cultural stigma, and distrust of the public behavioral health system. These are particularly prevalent among individuals who are unhoused, justice-involved, racial and ethnic minorities, and LGBTQ+. Strength In Peers is a peer-run Recovery Community Organization (RCO). The Center will provide an alternative program for adults with SUDs and CODs, particularly those who face barriers to clinical treatment. The peer-run model is appropriate for the target population because RCOs often can engage individuals in recovery services who may otherwise refuse care at other facilities. They can meet people where they are by having more flexible policies that reduce barriers to engagement. They also can provide individuals longer-term recovery support instead of or after they complete clinical treatment. The project will achieve the following objectives: 1) launch two satellite Community Recovery Center programs at a new healthcare collaborative and homeless shelter; 2) enroll and serve at least 240 unduplicated individuals across the main Center location and two satellite sites through; 3) engage at least 80% of participants in four or more individual peer support sessions and engage at least 60% of participants in eight or more individual peer support sessions; 4) engage at least 80% of participants in three or more case management sessions and engage at least 60% of participants in six or more case management sessions; 5) connect at least 60% of participants to two or more of the following: substance use or mental health services, primary care services, Medicaid and public benefits, housing assistance or public housing programs, and employment; 6) provide at least three weekly peer-led support groups and workshops reaching at least 120 unduplicated participants; and 7) provide direct service staff at least bi-weekly individual supervision and at least quarterly training to enhance their peer support practice.

The Building Communities of Recovery in Maryland by Voices of Hope, Inc. ensures that there are Recovery Support Services available in Cecil and Harford Counties. This program serves individuals who use drugs, those seeking treatment and long term recovery by providing harm reduction services, treatment navigation and recovery support for individuals impacted by Substance Use Disorder and their family members. Services are provided at no cost to the participant and are focused on underserved populations in rural areas where there are few resources available to those without private insurance and for those on Medicaid. Voices of Hope locations served 3,079 unique individuals in 2023. This project will ensure those services will continue to have brick and mortar locations for 3 more years.

Steppingstone, Inc. (SS) is applying to SAMHSA’s TI-24-003 Building Communities of Recovery solicitation for $900,000 total to operate the proposed Peer2Peer Recovery Coach Project for a three-year grant term. The Recovery Coach Project (RCP) will increase access to effective peer recovery support services for individuals with substance use disorders (SUD) and co-occurring substance use and mental health disorders (COD) or those in recovery from these disorders in New Bedford (NB), Massachusetts and surrounding communities (Dartmouth, Mattapoisett, Fairhaven, and Westport). The Project will serve 165 adult individuals (55 individuals annually) with SUDs or CODs over the three-year grant term, and target subpopulations will include Black, Indigenous, and People of Color (BIPOC), Hispanic/Latinx, and LGBTQ+ persons. The RCP is proposing various enhancements including improving outreach and engagement services, adding case management, incorporating education, strategies to reduce stigma, and recovery community building activities. The RCP will also collaborate with a variety of providers and community stakeholders to outreach and engage priority populations, which include BIPOC, Hispanics/Latinx, and LGBTQ+ persons and individuals with SUDs or CODs. RCP services include outreach and engagement, individual coaching and mentoring, peer-led support groups and activities, assessment of recovery capital, individual wellness planning, navigation support, employment coaching, and family support. SS is uniquely positioned to enhance infrastructure and improve effective RSS in NB by continuing to integrate Recovery Coaches into SS’s continuum of care, reduce stigma around addiction, expand outreach efforts, increase availability of workforce development and trainings for peer workers, and build a coordinated, recovery-oriented system of care in NB. The goals of the RCP are to: build infrastructure to mobilize and connect peer recovery support services to improve long-term recovery and other outcomes for persons with SUDs and CODs in Greater New Bedford, MA; reduce substance use and harm by providing peer recovery support services to individuals with SUDs or CODs; and promote other improved outcomes by supporting participants and connecting them with treatment, housing, and other recovery support services. The project will be centrally located and accessible. Project staff include a 1 FTE Project Director, 1 FTE Assistant Project Director (SAMHSA Title Project Coordinator), .25 FTE Evaluator, 3 FTE Recovery Coaches, 1 FTE Billing Coordinator, 1 FTE Outreach and Engagement Worker, and 1 FTE Recovery Support Navigator.

Casa Esperanza’s Mi Camino Peer Recovery Support Services project will enhance and strengthen a Latine community of recovery in the Greater Boston and surrounding areas by providing culturally focused, trauma-informed, peer recovery support services integrated with substance use and mental health treatment and primary care services. The project will serve 90 Clients in YR1 and 130 per year afterward for a total of 350 clients. Project staff will continue to utilize Casa’s Telehealth Program to expand access to support services to Latines across the state and for individuals in Boston who may be immune-compromised and prefer to receive services virtually. Mi Camino will (1) Conduct a Community Needs Assessment to improve access to recovery support services for Latines with SUD. Surveys, interviews, and focus groups will be conducted to provide insight into barriers and engagement opportunities. (2) Deliver a wide range of bilingual/bicultural trauma-informed peer recovery support services to Latines with SUD and/or CODs. Peer Recovery Coaches (PRC) will conduct assessments of comprehensive recovery needs (i.e. housing, employment, health and wellness, transportation, legal, childcare, peer support) to develop Individual Recovery Plans, facilitate individual and group skills building to clients through Peer Recovery Coaching and peer-led groups (Thinking for A Change, Addiction Recovery Education Access Services (AREAS), and Health and Recovery Peer Program (HARP)). In addition, PRCs will connect clients to community-based health and wellness programs, including Back on My Feet, a national sober running group. (3) Implement and strengthen our culturally-focused Peer Leadership Development program to provide training and mentorship to strengthen the recovery and economic independence of Latines in recovery and increase the bilingual/bicultural peer workforce. (4) Improve access to integrated mental health and substance use treatment and primary care for Latines with SUD and/or CODs. PRCs and Recovery Specialist will provide referrals and scheduling support to Casa’s Outpatient Program, including individual and group counseling; psychiatric and psycho-pharmacology consultations; MAT; Structured Outpatient Behavioral Addiction Program (SOAP); HIV testing and counseling; case management services; and on-site primary care services. Additionally, PRCs will provide referrals to insurance counseling to help clients understand, apply, and enroll for health insurance/Medicaid. PRCs will provide clients assistance in applying for benefits support, including SSI/SSDI, TANF, SNAP, etc. (5) Address the stigma, discrimination, and barriers to culturally and linguistically proficient treatment and recovery support services for Latines through educational presentations at Latino-serving organizations, community groups, and events pertaining to substance abuse and mental illness. Staff will also support client participation in statewide advocacy events and implement family group sessions to help families support their loved one in care, improve family functioning, and reduce shame and stigma.

Voices of Recovery San Mateo County (VORSMC) proposes to: 1) increase the capacity of adults in San Mateo County, CA to achieve recovery from substance use disorder and/or mental health and increase community-based recovery support through a peer-led program of individualized outreach, recovery planning, and linkage to helpful resources and, 2) Strengthen the infrastructure of peer-to-peer recovery support in SMC through the development of improved connections among criminal justice, treatment, employers, and other peer-led services.. VORSMC is a Black-woman-led organization with a diverse staff-all of whom have lived experience—with extensive experience providing linguistically and culturally appropriate substance use, peer recovery, and self-help support services to various cultures. The primary evidence-based practices used by VORSMCSMC are the Wellness Recovery Action Plans (WRAP) model, motivational interviewing, and Community Reinforcement Approach materials used in SAMHSA-funded assertive community outreach projects. These approaches are facilitated by certified peer recovery coaches. The project will be implemented by qualified, experienced staff, led by an experience Project Coordinator, with the full support of the Executive Director. An external evaluator will be retained to provide oversight of data collection, quality, fidelity, and reporting to SAMHSA.

Impact Life's (IL) Building Communities of Recovery (BCOR) program will serve the entire state of Delaware (DE), consisting of three counties: New Castle (NCC) (home to the City of Wilmington), Kent, and Sussex Counties with our POF being Delawareans ages 12 years and older. All of Kent and Sussex Counties are considered a medically underserved area/population (MUA/P) and health professional shortage as well as southern/eastern NCC. Though DE is the second smallest state in the US with the 6th lowest state population (US Census), DE ranks 3rd in the nation in per capita overdose (OD) deaths, with 55 deaths/100,000 individuals (CDC, 2022).Due to its location, DE is a critical chokepoint for illicit opioid transit along Interstate 95 (DEA, 2020) as it is the main East Coast north-south highway in the US, linking major cities such as Miami, Baltimore, Philadelphia, and New York City. From 2020-23, DE OD death rates increased by 16% annually which is 132% above the national average death rate and the highest annual OD growth rate in the nation with opioids accounting for 84% of deaths (CDC, 2021). In DE, there were 47 drug OD deaths/100,000 people in comparison to the rest of the US who experienced 27/100,000 (CountyHealthRankings.org). As of early 2024, DE continues to face significant public health concerns with drug OD deaths. Early data shows that almost 50% of admissions to publicly funded treatment programs listed heroin as their primary drug. An additional 7% of admissions were primarily attributed to use of other opiates (TEDS, 2019). The potency of illicit drugs is a contributing factor to the increase in OD deaths among youth. Deaths involving fentanyl increased by 182% with 90% of OD deaths involving opioids and 84% involved illicitly manufactured fentanyl. From 2017-19, the annual average prevalence of past-month marijuana use in DE was 9%, higher than the regional (6%) and national (7%) averages (SAMHSA, 2019). Through implementation of BCOR, IL will provide peer recovery support services (PRSS), a peer recovery mentoring program, community-based harm reduction services, recovery housing, twelve step facilitation therapy, and Mindfulness Based Relapse Prevention (MBPR). Through the use of these EBPs, we hope to engage 450 unduplicated individuals in PRSS, 120 in peer mentoring, 5,280 through harm reduction services, 450 in recovery housing, and 300 through MBRP.

Beyond Brink, a Recovery Community Organization, will collaborate with RS EDEN and YourPath to bring Peer Recovery Support Services to Minnesotans with substance use disorders and co-occurring substance use and mental disorders. Our project will link Beyond Brink Peer Specialists to people in recovery, with RS EDEN and YourPath adding housing, recovery, and mental health support to establish a comprehensive circle of care around each participant. Beyond Brink's ""Leading Recovery With Lived Experience"" project will serve a focus population facing complex, interconnected challenges, including poly-substance use, lived experience of homelessness, poverty, multi-generational systems involvement, and the trauma underlying these issues. They have had years of underserved physical and mental health needs, along with unmet needs around medications for opioid use disorder, culturally-specific services, and supports that address social determinants of health. While services will be anchored in Hennepin and Ramsey Counties, we are equipped to take referrals from all 87 counties across Minnesota, and Beyond Brink’s peer services are currently reaching participants in 40 different counties. Beyond Brink, RS EDEN, and YourPath serve the most vulnerable and resilient individuals in our communities, which includes people who identify as Black, Indigenous, and People of Color, (BIPOC), and members of Lesbian, Gay, Transgender, Queer, Intersex (LGBTQI+) communities. Initially, our project would bring Beyond Brink peer recovery services to participants in RS EDEN’s Central Avenue Apartments supportive housing community. 85 individuals with SUD will engage with peers at an RS EDEN housing site during the first year of the grant, ramping up from there to reach 400 total participants by the end of year 3. Among other goals, we aim to see 50% of participants maintaining a relationship with PRSS for at least six months, along with 75% remaining safely and stably housed thanks to their connection with Beyond Brink peers.

The Loudoun Serenity House (LSH) mission is to provide high quality peer-based mentoring, education and advocacy to enhance the lives of people seeking recovery from SUD/OUD/COD in Loudoun County, Virginia. We engage the community via outreach events, Recovery Community Center (RCC) client contacts and with our highly regarded NARR certified Level 2 peer recovery housing. We work day to day to break the stigma of SUD/OUD/COD, enhance the resources and peers available, and to help people successfully engage and utilize PRSS/RSS services provided to maintain their long-term recovery. Through the implementation of its BCOR Project, LSH will successfully provide direct PRSS supports by certified Peer Recovery Specialist (cPRS), link participants to RSS within the community, train PRS Interns and expand its Recovery Network of providers to increase the recovery tenure of individual Participants (50 per year) with SUD/OUD/COD, reduce stigma and increase the peer workforce within Loudoun County.

Project Name: 39th Judicial Circuit Treatment Court Expansion and Enhancement Missouri's 39th Judicial Circuit will expand and enhance the delivery of Adult Treatment Drug Court (ATDC) services, to include substance use disorder (SUD) and mental health treatments, primary care services, family engagement opportunities, recovery housing, peer support, and harm reduction measures. The population of focus is felony offenders diagnosed with a SUD who demonstrate high clinical need and high criminogenic risk upon screening. The program proposes to serve 60 individuals annually and 300 individuals through the life of the grant. The 39th Circuit is nestled in the rural Ozark Mountains, which limits residents’ access to SUD treatment services, mental health services, and primary care. Program-level data indicate that 37% of our ATDC entrants had no high school diploma or GED, 44% were unemployed, 90% had no health insurance, 49% had a co-occurring disorder, 42% reported high severity trauma, 9% had shared needles in the past 90 days, 19% were homeless in the past 90 days, and 79% were living below poverty level. Data also show that female entrants are more at risk than male entrants on several measures, including severity of mental health problems and lifetime trauma, quality of peer support, risk of contracting and transmitting HIV, and poverty status. Project goals are to (a) use evidence-based criteria to admit high-risk, high-need offenders who have a diagnosed SUD; (b) expand participant access to SUD treatments, to include assessment, clinical case management, individual and group counseling, substance abuse education, and tobacco cessation assistance; (c) expand participant access to complementary services, to include mental health treatments, trauma-informed services, family counseling services, primary health care services, temporary housing assistance, and recovery support; and (d) achieve behavioral health equity by eliminating health disparities for program participants in the catchment area. Grounded in the Key Components, the project will utilize evidence-based strategies to ensure success, to include cognitive-behavioral approaches, trauma-informed practices, medication-assisted treatment, criminal thinking interventions, recovery management interventions, frequent judicial monitoring, and routine program evaluation. To gauge program impact, we will administer the Global Appraisal of Individual Needs (GAIN) assessment at intake, 9-months post-intake, and upon discharge. The success of the expansion effort will be judged in terms of whether participants (a) work towards AOD abstinence; (b) show improved psychological, emotional, and physical health; (c) exhibit gains in their educational and vocational status; (d) demonstrate improved environment and living situations; and (e) establish crime free lifestyles.

The goal of the 26th Judicial District Recovery Court (26th JDRC) Expansion Project is to use this grant to increase its prevention, treatment, harm reduction, family support, and recovery services to help 123 residents in Chester, Henderson, and Madison counties in rural southwest Tennessee. The court-supervised, comprehensive treatment collaborative takes non-violent adult offenders who have substance abuse problems or co-occurring mental health issues and assists them in becoming law abiding, substance-free, productive members of our community. The recovery court's innovative approach is highlighted by a strong partnership between probation services, alcohol and drug treatment providers, mental health professionals, and a non-adversarial pairing of the district attorney and public defender/defense counsel. Eligible program participants include anyone in the Circuit Recovery Court or charged with a parole violation. A person is not eligible for the program if they are charged with drug trafficking, weapons violations, sex offenses, or violent offenses. Recent demographic information for our service area shows a total population of 144,783, and almost 40 percent of the area is considered rural. The age breakdown of the population generally mirrors that of the state: persons under 5 (5.7%), persons under 18 (21.8%), and persons 65 and over (17.3%). An average of almost 97% of the population is White alone (78.0%) or Black or African American alone (18.4%). At the same time, the population of Madison County (the service area’s largest county) was 38% Black/African American alone, which ranks 4th highest among the state’s 95 counties and more than twice the state’s average of 16.7%. The number of Veterans in the three-county area totals 7,561, or 1.8% of the state’s Veteran population. Tennessee ranked 40th in the nation for the percentage of residents who identify as Lesbian, Gay, Bisexual, Transgender, at an estimated 3.5%. The service area also has higher poverty rates than the state overall; and since poverty is most likely the single most important determinant of health, this is a substantial impediment to our target population. Multiple other barriers exist for residents, including lack of access to health care professionals, affordable/stable housing, and adequate transportation. Additional factors contributing to the need for expanded recovery court services are crime rates and drug overdose deaths in our service area. Statistics show Madison County’s crime rate is 38.7% above the Tennessee rate, and its fatal drug deaths increased 200% from 2017 to 2021. Based on local jail data, the 26th JDRC also appears to have a relatively significant criminal justice population that has the potential for accessing the recovery court. The 26th JDRC fully recognizes the overall community need and potential to expand its treatment services, outreach, recovery supports, and harm reduction efforts. The court will use the grant funds to strengthen and increase its current multi-component initiative for recovery court participants. Our specific plan to implement our grant goals and objectives is to: 1) expand the number of court participants eligible for treatment, recovery support, and family-centered services; 2) develop additional recovery housing options for court participants to help maintain their sobriety and remain law abiding citizens; 3) augment case management services for program participants; 4) increase awareness among justice system referral sources about the recovery court’s purpose and program through enhanced outreach and education efforts; and 5) offer increased harm reduction strategies throughout our service area. Through this grant, the recovery court will hire a case manager and a family-centered services case manager. In conjunction with our current Treatment Coordinator, the two positions will provide greater internal capacity to help the court expand its services.

The Denton County Drug Treatment Court (DCDTC) Treatment Expansion seeks to increase the court capacity and expansion of treatment services in Denton County, Texas. The target population includes the following: felony drug defendants; defendants where the commission of the offense was drug related; and defendants with serious substance use issues who demonstrate a need for intensive treatment, combined with intensive supervision and court involvement. Denton County is the seventh largest county in Texas, covering 878.51 square miles and has seen rapid population growth since 2010. The county is 56% White, 18% Hispanic, and 12% Black. During 2023, 2,191 individuals were placed on probation for felony drug offenses, yet due to reductions in funding, the capacity of DCDTC has remained lower than the demand. As such, there is an ongoing waitlist for program participation. The first goal of the proposed project is to increase the capacity and accessibility of treatment services to provide comprehensive and appropriate substance use services to DCDTC participants. Currently, the DCDTC has a capacity of 40 participants and is operating at full capacity. Funding will support a gradual expansion of the capacity of the program to serve 50 participants in Year 1, 60 participants in Year 2, 70 participants in Year 3, 80 participants in Year 4, and 90 participants in Year 5. This is a proposed growth in capacity of 225% over five years. The expansion will serve approximately 230 unduplicated individuals over the five years of the project. The DCDTC provides a continuum of care to each participant, ranging from individual counseling to residential treatment. Funds will also be used to increase access to supportive transitional living. Additionally, funds will increase the number of participants receiving intensive outpatient, individual counseling, and trauma-informed services. The project will improve screening and assessment procedures to the program to best serve individual treatment needs. Funding will also be used to provide detox services to participants. Additionally, the project will support a Relapse Education Program to program participants. Evidence-based programs utilized by the DCDTC include Cognitive Behavioral Therapy, Medication Assisted Treatment, and Eye Movement Desensitization and Reprocessing Therapy. The second goal of the project is to increase the accessibility of complementary social services to provide wraparound services to program participants. Funding will be used to support medical and/or dental services for participants. Additionally, the project will allow for participants to complete a class focused on maintaining healthy relationships. Overall the project will enable the court to serve more individuals, provide more comprehensive services, and improve upon existing processes.

Project Abstract Project Title: Clackamas County Treatment Court Services Expansion Applicant: Clackamas County Health Centers Division NOFO Number: TI-24-004 Address: 2051 Kaen Road, Suite 367, Oregon City, OR 97045-4035 Project Director: Jennifer Rees, Program Supervisor – Treatment Court Services Contact Phone: 503-722-6502 Email: jrees@clackamas.us Website: http://www.clackamas.us/healthcenters Project Summary Clackamas County, Oregon is seeking funding to expand substance use disorder (SUD) treatment and recovery support services in existing drug courts. Clackamas County currently operates three adult treatment drug court programs (Adult Drug Court, Driving Under the Influence of Intoxicants (DUII) Court and Co-Occurring Drug and Mental Health Court). These treatment court programs target high-risk and high-need individuals with SUDs facing non-violent offenses in Clackamas County through an integrated, systemic approach. Clackamas County treatment court programs provide prevention, harm reduction, treatment, and recovery services for individuals with SUDs involved with the courts. Clackamas County will use funds to improve abstinence from substance use by expanding drug testing services, promote housing stability by expanding recovery housing supports, enhance treatment services by expanding clinical personnel, and reduce criminal justice involvement by expanding the number of individuals diverted into these treatment court programs. Funds will be used to implement high-quality services, practices, and policies that are recovery oriented, trauma informed, and equity based to improve behavioral health outcomes. Number of Unduplicated Individuals to be Served with Award Funds Year 1 Year 2 Year 3 Year 4 Year 5 Total Adult Drug Court 40 40 40 50 50 220 DUII Court 40 40 40 40 40 200 Co-Occurring Mental Health Court 40 40 40 50 50 220 Grand Total 640

More than 85% of people housed in jails have a substance use disorder and more than 80% of women in jails are the primary caregiver of dependent children.3,7 In North Carolina, there is a desire to implement gender-responsive diversion programs for pregnant, parenting, and single adult women with a substance use disorder. Currently, North Carolina houses only twenty-seven Adult Drug Treatment Courts and eight Family Drug Treatment Courts in the 100 counties in the state. Currently, there are no gender-responsive and family-centered substance use services integrated within Adult and Family Adult Treatment Courts. This highlights a critical need for innovation of women-centered SUD prevention and intervention services to be embedded in existing Adult and Family Drug Treatment Courts. The RISE proposal aims to provide comprehensive substance use disorder treatment, including intensive in-home peer support services to address social drivers that women impacted by substance enrolled in Adult or Family Drug Treatment Courts in Orange or Chatham County face. Project RISE offers an innovative and transdisciplinary approach to reduce future maternal incarceration, avoid caregiver-child separation, and bolster culturally responsive SUD treatment interventions for women.

The Miami-Dade Adult Drug Court (ADC), active since 1989 at 1351 NW 12 Street, Miami, Florida, seeks to advance its Substance Abuse and Mental Health Services through a SAMHSA grant (No. TI-24-004), The Trauma Stimulant Initiative (TSI) project. This initiative seeks to build on the success of a current SAMHSA-funded project, which has achieved a notable 79.1% graduation rate—significantly higher than the ADC's overall rate of 61%, by collaborating with the Family Resource Center (FRC) to address specific needs such as history of trauma and anger issues. This proposed initiative targets the ADC participant demographic, significantly impacted by substance use and related parenting challenges, with an annual identification of 35%-45% having a history of trauma and stimulant use. The project proposes a comprehensive approach to tackle these challenges with a $2,000,000 budget over five years, intending to serve a minimum of 200 individuals (40 annually). This initiative equally addresses the interconnected issues of unresolved trauma, stimulant use disorders, co-parenting skills, and anger management, recognizing their collective impact on the risk of substance use and relapse among participants. The Matrix Intensive Outpatient Model will specifically target stimulant use disorders, while Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT), and Dialectical Behavioral Therapy (DBT) will address trauma therapy. Additionally, Cognitive Behavioral Therapy (CBT) will address anger management, a critical component for substance users who often exhibit elevated anger levels that increase their relapse risk. These evidence-based treatments aim to fulfill the project's goals of reducing relapse rates for stimulant use disorders by 15% within 12 months, enhancing positive co-parenting behaviors, and increasing access to best practice services, including trauma therapy. The objectives are to implement the Matrix IOP Protocol for stimulant use disorder treatment, continue using trauma therapy modalities (EMDR, CPT, DBT), conduct anger management groups through CBT, and start co-parenting counseling, all within 12-16 sessions to achieve the desired outcomes. This strategy emphasizes the ADC’s commitment to addressing the complex needs of its diverse population—80% male, 20% female, predominantly Hispanic (76%) Caucasian (13%), African American (9%), and Asian American/Native American (2%), —and enhancing program effectiveness and participant engagement. This proposed initiative complements an existing SAMHSA grant targeting opioid and alcohol use disorders by providing comprehensive support, including medically supervised outpatient detoxification, withdrawal management, Medication-Assisted Therapy (primarily Buprenorphine and Vivitrol), and both individual and group therapy sessions. This cohesive effort by the ADC and FRC aspires to enhance treatment accessibility, improve co-parenting behaviors, and ensure high engagement and success rates among its participants, fulfilling a crucial need within the Miami-Dade community.

The New York State Unified Court System's five felony Queens Treatment Courts aim to expand participation of adult felony drug court participants with substance use disorders or co-occurring substance use and mental disorders in Queens County, NY by 40 individuals annually, totaling 200 over five years. Additionally, we seek to enhance the capacity of these courts to engage and retain participants by integrating substance abuse and/or co-occurring treatment with recovery support services. Our comprehensive services will include Treatment Alternatives for Safer Communities (TASC) Case Management, motivational interviewing, trauma-informed care, dialectical-behavioral skills therapy (DBT), cognitive remediation therapy (CRT), harm reduction strategies, peer support, and referrals for infectious disease testing and treatment, smoking cessation, and aftercare planning. Through these initiatives, we aim to address the complex needs of participants and promote sustained recovery.

Madison County [IL] Adult Drug Court [MCADC] proposes Project Reclaiming Hope, to provide risk-focused assessment, supervision, SUD, OUD, and COD treatment, housing assistance, employment services, and a fathering/family reunification intervention. The project population will experience polysubstance abuse, COD, high use prescribed psychiatric medication, dependence on public assistance, child welfare involvement, and housing instability. Demographics include: white, 90.3%; African-American, 8.7%; Latino/Hispanic, 2.9%; Native/Hawaiian, 1%; mean age 34; 39% female, 60% male; 21.6% have a child welfare order; 18.3% own/rent a home; primary SUD diagnoses: Stimulants, 44.7%, Opioids, 29.6%, Alcohol, 8.5%; 65.2% of clients enter from residential treatment; 24.8% are employed; 27.7% report cognitive issues; 75.5% have externalizing disorders. Probation, treatment, recovery support, and Court supervision are conducted through a collaborative team with consistent communication. Project Goal 1: Through the delivery of SUD treatment, MAT, and integrated COD treatment, improve the capacity of persons with SUD, OUD, and COD to achieve sustained recovery from COD and to reduce health risks associated with opioid abuse. Objectives for this goal include: 75% of Project Reclaiming Hope clients enrolled in substance abuse and COD treatment will remain in treatment services for at minimum of 6 months; 100% of Project Reclaiming Hope clients enrolled in MAT will engage in 2 or more COD and trauma treatment modalities for the duration of enrollment in the Project; 45% of Project Reclaiming Hope clients diagnosed with opioid disorders will demonstrate reduced use of opioids and other drugs of choice after 6 months of MAT/COD enrollment; 45% of Project Reclaiming Hope clients enrolled in integrated SUD and COD treatment will demonstrate clinically significant improvements in psychosocial functioning and/or reduction in symptoms of anxiety and depression after 6 months of enrollment. Project Goal 2: Improve Project Reclaiming Hope client engagement with recovery support networks, improve housing status, and promote family reunification, through Case Management, a fathering intervention, and housing assistance. Objectives for this goal include: 75% of Project Reclaiming Hope clients referred for a family reunification/fathering intervention will demonstrate improved satisfaction with child and family relationships, as measured by the GPRA after 6 months of Project enrollment; After 9 months of Project Reclaiming Hope involvement, 60% of clients will be concurrently enrolled in either school or vocational training, and/or currently employed; 80% of Lifetime Recovery clients provided housing assistance through the Project will demonstrate improved housing status. The project will serve 100 clients Year 1, and 75 clients each of the four following years, for a total of 400 served over 5 years