Grants Dashboard

The Birmingham Municipal Drug Court (BMDC) program seeks to increase its capacity to connect individuals with non-felony offenses who have a substance use disorder, including those with opioid use disorder, to treatment and recovery support services. BMDC will reduce service gaps to improve outcomes for people involved in the criminal justice system, particularly those that are low-income, uninsured, and historically underserved and under-resourced. BMDC will serve individuals who have been charged with misdemeanor criminal offenses in the City of Birmingham, Alabama. Based on current demographics of clients served in the current drug court program, the project anticipates: 87% of individuals will be Black, 10% will be white, and less than 3% will be other/mixed race; 73% will be male, 24% will be female, and 3% will identify as non-binary/other; 26% will be below age 30, 45% will be ages 30 to 60, and 29% will be over age 60; 6-8% are expected to be diagnosed with opioid use disorders; and 48% will have incomes below the federal poverty line. The program will provide screening and assessment for substance use disorder, screening for infectious diseases, evidence-based treatment approaches, recovery support services, family engagement opportunities, comprehensive case management, and language access services. The BMDC program aims to address the shortage in service availability for gender-responsive treatment for women, including transgender women, and medication-assisted treatment (MAT) for individuals that are diagnosed as clinically appropriate to receive MAT. With this expansion of services, the drug court judge and staff will receive training on the benefits of these approaches as part of a comprehensive and individualized treatment plan for those that are assessed as needing such services. The goals of the BMDC project include: 1) Increase the capacity of the BMDC to break the cycle of alcohol and/or drug use and criminal behavior in Birmingham, Alabama by expanding access to evidence-based practices by 50 participants annually (from 100 to 150 participants annually); 2) Increase access for female BMDC clients to gender specific, trauma informed evidence-based treatment services; and 3) Expand access for BMDC participants with opioid use disorders to medication assisted treatment (MAT). The project will implement evidence-based practices such as cognitive behavioral therapy, twelve-step facilitation, medication-assisted treatment, gender-responsive and trauma-informed services, case management, and peer recovery support services. The project aims to serve 50 unduplicated individuals annually for a total of 250 participants throughout the five-year program period. This will increase the court’s capacity of connecting individuals to treatment and recovery support services from 100 to 150 individuals per year.

The San Francisco Superior Court proposes to implement the SF Collaborative Courts Case Management Expansion Project, a pivotal expansion of services for high-needs clients in Family Treatment Court (FTC) and Mental Health Diversion Court (MHDC). The project will target: 1) child-welfare involved, postpartum parents with substance use disorder, and 2) individuals with qualifying mental illnesses linked to criminal activity in San Francisco. The proposed expansion is designed to stabilize, support, and rehabilitate FTC and MHDC clients by introducing two new full-time case management positions specializing in rapid response/stabilization case management services for postpartum clients referred to FTC and comprehensive case management for out-of-county clients in MHDC who are ineligible for Medi-Cal funded services in San Francisco. The project will serve a minimum of 50 individuals annually across both courts provide resources for transportation, phones, and other emergency needs to support positive client outcomes. The proposal outlines a detailed implementation plan, highlighting Specific, Measurable, Achievable, and Relevant goals, such as increasing attainment of recovery-oriented lifestyles, increasing mental health stability, improving family relationships, and decreasing foster care entries. The project will use evidence-based practices to advance the outlined goals, including Whole-Person/Compassionate Care, Peer Support, Child-Parent Psychotherapy, and Dialectical Behavioral Therapy skills training groups, among others. The proposal sets forth a data collection and evaluation plan to measure outcomes and meet reporting requirements. San Francisco's ongoing challenges with substance use, mental illness, and homelessness are exacerbated by systemic challenges such as high living costs and income disparity. These overlapping crises underscore the urgency and need for this initiative. FTC and MHDC represent crucial components of the Court's broader collaborative court system designed to address the root causes of criminal and child welfare systems involvement—most notably, substance use and mental health disorders. The proposed expansion is in response to the year-over-year increase in client populations within these courts, highlighting a critical need for expanded and enhanced services to address gaps in the current continuum of care. In summary, the San Francisco Superior Court's grant application to expand case management services for its Family Treatment Court and Mental Health Diversion Court is a critical step forward in addressing the complex needs of its clients. By fostering a more comprehensive, responsive, and equitable service model, the Court aims to not only address immediate client needs but also contribute to the long-term health and stability of the broader community it serves.

Van Buren County Courts (VBCC) proposes to expand the treatment & recovery support services available to participants enrolled in the ATC, FTC, & Sobriety Court programs in Van Buren County (MI). All three treatment court programs have been in operation since 2008, 2012, & 2017 respectively. The population of focus is adults (18+) with a substance use or cooccurring disorder involved with the criminal justice (ATC & Sobriety Court) or child welfare system (FTC) & at high-risk of recidivism. The proposed project has four goals: 1) Expand participants’ access to treatment services in Van Buren County; 2) Expand participants’ access to recovery support services; 3) Increase the capacity of the programs to meet the needs of participants; & 4) Conduct an annual process & outcome evaluation of the project. In order to accomplish these goals, participants will be screened & assessed using tools validated for the target population, for SUD, COD, primary & behavioral health conditions, trauma, & criminogenic risk/need. Participants will receive coordinated case management services, mobile drug testing, integrated evidence-based treatment services (including FDA-approved medications, culturally appropriate curricula, language assistance), harm reduction services, recovery support services, & peer recovery support services. With regard to treatment services, participants will have access to ACT, DBT, Matrix Model, CBT, gender-specific trauma curricula (Seeking Safety & Helping Men Recover), gender-specific criminal thinking curricula (i.e., MRT & Moving On), culturally appropriate curricula (HEAT/HER), parenting classes, etc. In terms of program capacity building, VBCC will convene quarterly steering committee meetings of program staff & stakeholders, as well as representatives from community partner agencies to identify strategies for meeting the needs of participants. In addition, staff & stakeholders will receive training on substance use trends, harm reduction principles, culturally appropriate services, etc. Finally, treatment court staff will attend professional development/training opportunities (e.g., All Rise, Michigan Association of Treatment Court Professionals (MATCP), discipline-specific training) to increase their knowledge/skills in working with the target population. This project also seeks to expand upon the existing program evaluation model to include an examination of racial/ethnic & gender disparities in terms of program referrals, enrollments, individuals retained, & graduations. Thus, the evaluation will also include an examination of the larger criminal justice & child welfare system processes & intercept points. The proposed project will serve 60 individuals per year across the five-year grant period. Thus, a total of 300 adults will be served with grant funds.

The Troup County Felony Adult Drug Court (TCDC) and partner Pathways Center (Pathways) seek to expand their existing adult drug court program. TCDC promotes a safer community by helping non-violent offenders with Substance Use Disorders (SUD) and co-occurring mental health disorders (COD) access evidence based (EB), judicially supervised treatment while meeting court requirements. Pathways is TCDC's partner providing all integrated behavioral health (BH) treatment (SUD, COD, and recovery supports). In FY 23, TCDC provided services to 188 adults with SUD between 2021 and 2023. Pathways served 360 adults with SUD and 536 adults with COD. The Population of Focus (POF) for the proposed service expansion is adults diagnosed with SUD or COD as their primary condition who participate in the TCDC. TCDC participants are 57.9% male and 42.1% female. 64% were between 24 and 44 years of age. 78% identify as White, 20% as African American, 2% as Other. 14% are Hispanic. About 59% are high school graduates, while 36% have some high school. 84% have no income. 62% of TCDC participants had a SUD diagnosis while 38% had a COD. (TCDC, 2023). An estimated 5.1% adults identify as LGB in GA with .6% transgendered (Williams Institute, 2023). The catchment area (CA) is Troup County, GA. Project goals and objectives are as follows: Goal 1: To expand high quality SUD treatment to all participants in an existing adult treatment drug court. Objective 1-1: Within 3 months, hire 1 FTE TCDC Drug Counselor to expand capacity by providing SUD services to ensure timely services to all TCDC participants. Objective 1-2: Within 9 months, reduce the waiting time for an initial assessment by a Pathways Drug Counselor from 7 days to 4 days, and within 12 months from 4 days to 1 day. Objective 1-3: Within 3 months, hire 1 FTE Certified Peer Recovery Support Specialist (PRSS) to provide services to all participants. Objective 1-4: Within 3 months, transfer one existing PRSS with lived experience in SUD and MH to support TCDC participants with COD. Objective 1-5: Within 9 months, utilizing expanded PRSS, reduce the no-show rate from 24% to < 9%. Objective 1-6: Within 12 months, with rapid access to Drug Counselors and expanded Peer Support, participants will demonstrate a 90% reduction in alcohol or drug use 6 months after first TCDC Court Date. Objective 1-7: Within 1 year, 80% of TCDC participants will display substantial progress towards recovery as measured by the multi-disciplinary team (MDT) assessment reflected in the TCDC Special Contract Progress Note. Goal 2: Provide training to ensure EBP fidelity to All Rise Adult Drug Court model to assure quality improvement. Objective 2-1: Within 9 months and annually thereafter, train or refresh Pathways TCDC staff in key evidence-based practices (EBP) to assess and treat a forensic population with SUD; 85 % of Pathways staff will identify specific advances in practice application through pre/post testing. Objective 2-2: Within 12 months, provide an annual summary training in key EBPs to the TCDC MDT; 85 % of TCDC MDT participants will identify at least 1 newly acquired competency via pre- and post-test assessment. Objective 2-3: Within 6 months, audit Relias Learning Management System (RMLS), Pathways’ training contractor, to ensure that all EBPs critical to this Project are included so that staff training on core EBPs can be monitored and substantiated at least annually. Pathways, established in 1972, is the primary provider of BH services in west central GA. A staff of 362 (322 clinical and 40 support) provides an array of clinical and support services to 8,000 adults and 2,500 children per year throughout the region. Pathway’s annual operating budget is $36.4M. Pathways has always served historically disadvantaged communities and has been in continuous compliance with drug court standards since 2013.

The Webb County Veterans Treatment Court Program (VTP) is proposing to expand the capacity of the current SAMSHA funded VTP to male and female veterans that have been arrested and have co-occurring psychiatric and substance use disorders and PTSD, who reside in Webb County and the adjacent rural counties within a 100 mile catchment area of Webb County, which includes Zapata, Jim Hogg, Starr, Duvall and Jim Wells County, and are currently not being serviced due to lack of treatment resources. Furthermore, the VTP will significantly enhance its ability to reduce substance abuse and improve mental health by providing VTP participants who have co-occurring psychiatric and substance use disorders and mental health issues with Dialectical Behavior Therapy (DBT), which has been proven to be effective in decreasing the number of suicide attempts and self-injurious behaviors, as well as improving social adjustment. Additionally, Eye Movement Desensitization and Reprocessing (EMDR), will reduce trauma symptoms and treat Post Traumatic Stress and or Post Traumatic Stress Disorder, Military Sexual Trauma, Moral Injury, Soldier Heart, Combat Stress, and all other after effects of war and military service. Finally, the spouses and family members of VTP participants in Webb County and in the surrounding rural counties will be provided with 18 sessions of the Support and Family Education (SAFE) Program: Mental Health Facts for Families which will also enhance the VTP's ability to serve and provide education and support for family members on mental illness and PTSD, and will serve to augment program recruitment and retention. The baseline of the project is 135, and the project will serve a total of 210 veterans during the 5 year grant period beginning in FY’25. The proposed VTP will employ a veteran’s only docket. The VTP will provide a hybrid model court with a one-stop-shop treatment milieu to treat veterans with individualized treatment for co-occurring psychiatric and substance use disorders and PTSD through in-house counseling services from Licensed Professional Counselors who are veterans, while adhering to the ten key components of a drug court within the scope of a veteran’s only court docket. The VTP will coordinate and integrate services with the Webb County VA clinic for psychiatric services, medication management, and social services. Specific goals and objectives are to: 1) Promote self-sufficiency by reducing alcohol and drug abuse, and improving mental health through treatment in the VTP; 2) Provide an integrated program of drug treatment, drug abuse education, and rehabilitation services for Veterans in Webb and surrounding counties; 3) Improve mental health and health status for adult Veterans as well as the prevention and treatment of infectious diseases; 4) Promote public safety by reducing recidivism for adult Veterans and 5) Evaluate the cost-effectiveness of the program. The target population is veteran offenders (felony and misdemeanors) who reside in Webb County and the adjacent five rural counties, who have a drug-related crime, or history of alcohol and drug abuse. Participants are Hispanic veterans living below the federal poverty level, whose average age is 29 years, and are unemployed or underemployed. The primary substance of addiction will be alcohol, followed by cocaine, marijuana, and opiates. Finally, 100% of participants have co-occurring psychiatric and substance use disorders.

The Genesee County Drug Court and Veterans Treatment Court focus on high-risk adult felony offenders in Genesee County through the 7th Judicial Circuit Court that screen positive for a substance use disorder and in the case of veterans court, have also served the country. Genesee County, Michigan (pop. 401,522) is the fifth largest county in Michigan. Flint (pop. 79,854) is the largest city in Genesee County. The court provides intensive community supervision and substance use treatment designed to meet the individual presenting needs of program participants. The court implements evidence-based practices outlined in the ""Quality Improvement for Drug Courts: Evidence Based Practices,"" endorsed by the National Drug Court Institute. Evidence based practices include Motivational Interviewing, Cognitive Behavioral Therapy, Transtheoretical Model, Relapse Prevention, Seeking Safety, Rational Emotive Behavioral Therapy, Medication Assisted Treatment, Psychopharmacology, Trauma-Informed Therapy, and Eye-Movement Desensitization and Reprocessing. Recent changes at the Specialty Courts have placed the Specialty Courts Director in charge of both Adult Drug Court and Veteran's Court services. This has increased the need for expanded eligibility criteria to increase referrals. The court also has lacked resources to sufficiently train staff or improve services and incentives to effectively engage participants. Finally, recovery resources are critical to participants' success, requiring support with housing, employment, and transportation. This has led to the following goal areas for the project: Goal 1: Expand access to treatment court services Goal 2: Expand training in evidence-based practices for all drug court staff Goal 3: Expand access to drug court treatment services Goal 4: Increase recovery resources and reduce recidivism

The Cheatham County Recovery Court Project is an effort spearheaded by the Cheatham County General Sessions Court in partnership with the Cheatham County Probation Office, the Cheatham County Public Defenders’ Office, and the Cheatham County District Attorneys’ Office to provide a diversionary program with wrap around services to address substance use disorder for court involved citizens who are engaged in the program following a non-violent drug-related arrest. The project will focus specifically on misdemeanor offenders who are high risk, high need adults who are involved in the Cheatham County criminal justice system due to their substance use. The goal is to address these clients' substance use disorders, mental health issues, taking into account cultural and demographic barriers, and restoring or uplifting them to wholeness.

The Assistance Network for Court-involved Homelessness, Outreach, and Recovery (ANCHOR) will provide targeted treatment and housing interventions to the homeless population who are involved in the Huntsville Municipal Unhoused Court. Evidence based practices of intensive case management, outpatient substance abuse and mental health treatment, recovery housing and peer support services will be used to stabilize ANCHOR participants in their recovery and move them into sustainable housing. ANCHOR will be implemented by a coalition of homeless service and treatment providers including The North Alabama Coalition for the Homeless, WellStone, Inc., Alethia House, The Stepping Stones Foundation, AshaKiran, and the Downtown Rescue Mission. This program will be funded under a SAMHSA Adult Drug Court Expansion Grant. Recruitment will be from the at-risk and currently homeless population of the AL-503 Continuum of Care within Huntsville, Alabama. We will serve 200 adult substance abusers over the proposed five-year project period.

Over half of individuals who are incarcerated have a substance use disorder (SUD), and risk of overdose is 10-40 fold greater among persons recently released from incarceration. Programs have been established within the jail and correctional system to provide treatment, but individuals face major barriers accessing care post release, placing them at risk for illicit drug use, health complications, and recidivism. The Judicial Substance Treatment & Recovery (JUST Recovery) program will establish a partnership between Denver Health (DH) and the Denver Problem Solving Courts (PSC; drug courts) to ensure persons within the criminal justice system with SUDs receive support for standardized treatment with Medications for Addiction Treatment (MAT), psychotherapy, and connections to address health-related social needs (HRSN) while incarcerated and following release to the community. JUST Recovery will apply evidence-based practices for assessment and treatment planning, case coordination, and SUD and behavioral health treatment, including providing in-reach and out-reach support by a peer recovery specialist. The program aims to serve 100 individual adults (male and female) with SUD annually over the 5-year program period (500 individuals total). Based on current sociodemographics of clients within the three PSC programs, the program will serve a population that is mostly male (84.8%); of which 46.1% racially identify as White; 27.1% identify as Black; 25.4% identify as Hispanic; and 1.4% identify as American Indian/Alaskan Native. The key outcomes of the program are treatment engagement, linkage to treatment and community supports for HRSN post-release, treatment retention, recovery, and recidivism. The program will accomplish these goals, under direction of the Program Director, through the hiring of a dedicated therapeutic case worker (TCW), 2 Assistant Case Coordinators (ACCs), and a peer recovery specialist (PRS). These positions will be integrated into existing DH clinical workflows and complemented by the DH integrated healthcare delivery system, which includes a Trauma 1 Hospital, 11 federally-qualified health centers, emergency medical services and departments, the Center for Addiction Medicine, Outpatient Behavioral Health Services, a detoxification center, and a public health institute. Assessment tools will include evidence-based practices that are part of standard case management and treatment within the PSC and DH (e.g., Level of Service/Case Management Inventory (LSI/CMI), Adult Substance Use Survey Revised (ASUS-R), Mini- Mental Status Examination (MMSE), American Society of Addiction Medicine Criteria (ASAM), provision of MAT), and will be expanded to include the Recovery Capital Index (RCI) to inform treatment planning, measures of the health, behavioral, and social impact of SUD use,social connectedness, HRSN, and the Government Performance and Results Act (GPRA) Assessment. Data from PSC will include all arrests and charges for the state of Colorado and will allow for assessment of criminal justice involvement and recidivism. The long-term goal is to strengthen our DH infrastructure and program delivery to ensure timely, equitable, and accessible treatment and support to foster recovery among persons with SUD who are part of the criminal justice system.

The Cuyahoga County Adult Drug Court (ADC) Expansion Project, which serves communities in the Greater Cleveland area, is a comprehensive approach that fights against the current opiate crises in Ohio. With the financial assistance of $2,000,000 in SAMHSA grant funds over five years, the project will continue to combat Ohio’s opiate crisis by supporting a foundation for lifelong sobriety that helps to save lives. It will do so by expanding its Adult Drug Court into a comprehensive system of supports and services that help participants move toward recovery while assisting them in making productive and positive life changes. Specifically, it will implement a Coordinated Care Response Initiative that provides participants with the following strategies: (1) Decrease Referral-to-Entry Time: Streamline the process from referral to entry into the ADC can to enhance efficiency and participant engagement, (2) Incorporate Mental Health Services: Integrate mental health services directly into the ADC team model to ensure comprehensive care for participants with co-occurring disorders, and (3) Enhance Integrated Case Planning: Promote collaborative efforts between criminal justice and behavioral health partners for improved case planning. These strategic steps can lead to better outcomes and a more effective ADC. The population to be served by the ADC Expansion Project includes suburban males (62%) and females (38%). Most are Caucasian (83%), African American (11%), and Hispanic (5%). A smaller set of the population also includes individuals who are Lesbian, Gay, Bisexual, or Transgender (4.3%). A subgroup of the overall population (59%) served by the Adult Drug Court also requires Medications for Opioid Use Disorder Treatment (MOUD) and likely includes males (73%) and females (27%)—with the majority being Caucasian. According to 2022 Drug Court intake interviews, half of all offenders participating in the Adult Drug Court report having one or more days of severe depression, while another half have been prescribed medication. The majority of the proposed expansion population (86%) report having one or more days of severe anxiety or tension. Further, 41% will have co-occurring disorders, while 26% have multiple diagnoses. The co-occurring diagnoses include Depressive Disorder (19%), Anxiety (12%), PTSD (26%), Bipolar (11%), Trauma Disorder (4%), Adjustment Disorder (1%), and Schizoaffective disorder (1%). The Honorable Judge David Matia will oversee the ADC Expansion Project that will annually serve 45 unduplicated participants (or 225/five years) with an Opioid Use Disorder to further bridge the gap between treatment and long-term sobriety through a new Coordinated Care Response Initiative. Its goals and objectives target providing offenders suffering from moderate to severe opioid use disorders with judicial supervision, immediate assessments and crisis management, intensive supervision management involving a Probation Officer, program sanctions and rewards, residential treatment including Medications for Opioid Use Disorder (MOUD) and sober living accommodations. It will also collaborate with Signature Health, one of the area’s top treatment providers specializing in mental health and addiction services, to provide participants with comprehensive mental health counseling and case management services. In addition to achieving ongoing sobriety, and improved criminal justice outcomes, the ADC Expansion Project allows participants to obtain stability in health, education, employment, housing, and family relations, ultimately building their recovery capital. A collaboration of community partners is committed to providing the most effective treatment services to support participants in their recovery process and address their criminogenic needs. They include Treatment Alternatives to Street Crimes (TASC), Thrive Peer Recovery Services, Community Assessment & Treatment Services (CATS), Catholic Charities (Matt Talbot), and Stella Maris, Inc.

Horizon Behavioral Health proposes to expand the Lynchburg Adult Drug Court (LADC) in Lynchburg, Virginia. Our population of focus is adults with a criminal charge who are on probation and have a substance use disorder (SUD). LADC provides comprehensive treatment focused on equitable, accessible, and timely care. Our LADC is at full capacity and unable to meet community needs as a response to individuals involved in the criminal justice system with an SUD. Funding will allow expansion of our capacity to serve 20 unduplicated individuals per year for the project duration. Lynchburg is an independent city located in central Virginia and bordered by Amherst, Appomattox, Bedford, and Campbell counties. The LADC began as a pilot in 2017 and currently serves 20 participants. With additional funding, we will be positioned to serve 20 additional unduplicated clients each year, beginning by the fourth month after receiving funding, for a total of 100 unduplicated clients through the course of the project. Our budget includes the cost of a probation officer to supervise additional LADC cases, thereby increasing capacity. Our LADC is anchored in and driven by the key components of the drug court model and uses the following evidence-based practices: Community Reinforcement Approach, Moral Reconation Therapy, and Eye Movement Desensitization and Reprocessing. Our proposal includes a robust multi-method program evaluation (qualitative case study and quantitative data analysis) to provide both a formative and summative evaluation.

Metrocare’s Treatment and Recovery Drug Court Program population of focus is adults, age 18 and older, who have been diagnosed with a co-occurring mental health and substance use disorder and have criminal justice involvement. The geographic catchment area is Dallas County, Texas. The population will be supported in resolving felony substance abuse related charges by completing a recommended course of treatment while under the supervision of the Dual Diagnosis Drug Court of Dallas County (DDDC). More specifically, services will be targeted to drug court participants following completion of a six-month stay in a court-ordered residential treatment program. After completing the residential phase of treatment, the population of focus is released to community supervision by the DDDC and the Probation Department of Dallas County. Metrocare’s Treatment and Recovery Drug Court Program will enhance the aftercare treatment and services available to support participants in a successful transition back into the community and moving forward on the path to recovery. Metrocare’s Treatment and Recovery Drug Court Program will expand substance use disorder treatment and recovery support services in the DDDC which has been in existence since 2008. The program recognizes the need for treatment instead of incarceration for individuals with a co-occurring mental health and substance use disorder and will provide a continuum of care, including prevention, harm reduction, treatment, and recovery services, for the population of focus in Dallas County. While there is already both a residential program and an existing partnership with Metrocare to provide aftercare case management, the scope, scale, and depth of support are not broad enough to meet the needs of the population of focus. Metrocare’s Treatment and Recovery Drug Court Program will significantly expand the services and supports offered to the DDDC population. The goals of Metrocare’s Treatment and Recovery Drug Court Program are as follows: Goal 1: Improve the identification of substance use and mental health needs, and medical issues related to high-risk behaviors by conducting the CMBHS Substance Use Disorder Screening upon entry into the program. Goal 2: Decrease housing instability among DDDC participants through increased availability of recovery housing assistance. Goal 3: Strengthen the level of family support, help mend fractured family relationships, and build other natural/community support by providing family and individual therapy, based on Community Reinforcement and Family Training (CRAFT) and Cognitive Behavioral Therapy (CBT). Goal 4: Increase the frequency of identification of jail inmates that may benefit from the DDRTC and DDDC programs through earlier identification of substance use disorder in the Dallas County jail population by administering a Pre-Release Substance Use Disorder (SUD) Screening. Goal 5: Reduce jail recidivism in Dallas County by expanding the availability of providers trained in Thinking for a Change, an evidence-based program. The number of individuals that will be served by Metrocare’s Treatment and Recovery Drug Court Program are as follows: year 1, 40 individuals; year 2, 44 individuals; year 3, 46 individuals; year 4, 48 individuals, and year 5, 50 individuals. Total number of individuals to be served: 228.

The 24th Judicial Circuit Adult and Family Treatment Court are collaborating for application of a SAMHSA Grant to Expand Substance Use Disorder Treatment Capacity in Adult and Family Treatment Courts. While the Adult Treatment Court has been operational since 2007, it has only been sustained using a modest state budget and no federal grants have been applied for. The Family Treatment Court is now in the fifth budget year of a similar SAMHSA grant which was received in 2019 for program development and will rely on grant funding to continue providing supported access to prevention, harm reduction, treatment and recovery support services. Overall goal of the project is to ensure more individuals involved in the legal system have access to co-occurring substance use disorder treatment. Missouri's Department of Mental Health maintains individual county profiles in regard to substance use and mental health in the community. The 24th Circuit serves St Francois, Ste Genevieve, Madison, and Washington County Missouri. Collective statistics of those four counties indicate there were 772 drug convictions and out-of-home placements related to substances use in 2023. It was also reported all four counties combined saw only 105 treatment court participants in that same year; meaning only 13.6% of those individuals entered into a program that could provide structured support to help meet their needs. The Adult Treatment Court currently serves 27 participants, down from 36 within the last budget year due to 9 successful program completions, while Family Treatment Court currently serves 11 participants, down from 29 within the last budget year due to 8 successful program completions. The project strives to be able to serve a minimum number of 40 individuals per year, totaling at least 200 by project end with the hopes of reunifying parents and children into safe and sober homes and reducing recidivism of criminal offenses related to substance use or untreated mental health. A measurable objective to meet the goals of increasing participation is for key project staff to become more involved in community collaboration to ensure a larger percentage of these cases are being referred for programming. If we can educate referral sources about the benefits of the program and streamline the referral process, we have the potential to reduce the amount of time it takes from point of incident to start of Substance Use and Co-Occurring Disorder treatment.

Lancaster County Nebraska's Adult Drug Court is proposing to establish and enhance recovery support services by developing a local Recovery Support Center (RSC) that provides recovery housing, and on-site peer support services, family engagement opportunities, and culturally appropriate treatment options. Additionally, the RSC will provide opportunities for culturally appropriate treatment by providing the Habilitation Empowerment Accountability Therapy (H.E.A.T.) program on-site. The Drug Court acknowledges that recovery support services are a deficit in our continuum of care and these deficits need to be addressed to help improve outcomes and the health and wellness of individuals served in the program. This project will increase access and availability to our continuum of care for much needed recovery housing opportunities and other recovery support services. This project is in response to an evaluation completed by The Public Policy Center, University of Nebraska for the Lancaster County Drug Court from 2019 to 2022. The evaluation noted ""Of participants no longer in the program, half of participants graduated, and the other half were terminated or left the program in other ways. Although the group size of those no longer in the program was small (44 participants), about 72.7% of individuals belonging to racial minorities were terminated (compared to only 37.7% of the White participants)."" Additionally, the judiciary has expressed concern about the Drug Court’s termination rate, specifically the high termination rates in Phase 1 and Phase 2 of the program. Data was gathered using the N-PACS Case Management System to better inform our response to this concern. Since 2018 we found 75.6% of all terminations occurred in Phase 1 (35.3%) and in Phase 2 (40.3%). Over 50% of the Drug Court participants that start the program are homeless or live in an environment that is not conducive for recovery. The Drug Court realizes the need for additional recovery support services during these phases of the program as well as the need to provide culturally appropriate treatment. Recovery support services include access to evidence-based practices such as supported employment, education, and housing; assertive community treatment; illness management; and peer-operated services. Recovery support services may be provided before, during, or after clinical treatment or may be provided to individuals who are not in treatment but seek support services. Dr. Mitchel Herian with Soval Solutions will serve as the research partner and evaluator for the project. A variety of techniques will be used to analyze the data collected. Univariate statistics will be used to analyze data from the GPRA, the SASSI, the RNR, and the ACE. LSCMI and the Mental Health Screening III. This data will be valuable in describing key characteristics of the population. More advanced techniques will be used to incorporate these data sources into the evaluation of the program. Ultimately, regression models incorporating data from several of the tools will be developed. Such models will allow analysts to control relevant demographic, psychological, and behavioral data in explaining the success of programming. All statistical procedures will be conducted in “R”. Services for this grant project will be delivered in Lancaster County, Nebraska, which includes the City of Lincoln which has a population of 291,082 (U.S. Census Bureau, 2020). The Recovery Support Center will serve, at a minimum, 40 Drug Court participants per year. By the end of this grant the Recovery Support Housing Program will serve 200 participants.

The Lima Municipal Treatment Courts (LMTC) request Category 2 funding to enhance their programming through improved critical support services and expanded court services. This project will increase capacity and improve access to treatment for program participants in our post-adjudication adult drug court dockets. The LMTC serves Allen County, Ohio, which includes populations that have been historically underserved, adversely affected by inequality, and disproportionately impacted by crime, violence, and victimization. The LMTC is requesting $1,483,143 for the 60-month life of the grant to support both drug court dockets. The current maximum capacity is 30 individuals. The capacity will increase to 60 participants with the support of the grant. The dockets are running at full capacity at this time, and with additional funding, we plan to reach projected capacity by September 30, 2028. During the grant period, 242 individuals plus family members will receive critical support services, increased access to treatment, housing, prosocial services, and relapse prevention education, tools, and resources. This will be accomplished with the addition of a dedicated case manager, enhanced community partnerships, and increased family support. Implementation of program enhancements is expected to reduce recidivism, improve program graduation rates, and improve the overall quality of life for participants and their families. The program requires a minimum commitment of 17 months and allows for a maximum participation of 36 months, with an average duration of 18 months. The target population of the LMTC are individuals who have been convicted of multiple offenses related to their drug and/or alcohol use, placing them at high risk of recidivism and in need of significant treatment. This target population is reflective of the arrestee population that is served by this court. All three MAT medications approved by the Food and Drug Administration (FDA) are available to participants through licensed providers. The LMTC accepts the use of these FDA-approved medications with valid prescriptions. The Lima Municipal Court also works with the Allen County Jail to identify and remove barriers to MAT access for incarcerated individuals. The overarching goal of the project is to reduce overdoses and overdose deaths in Allen County, Ohio. This will be done through building the capacity for the LMTC and its partners to expand and strengthen services for participants in the program. More specifically, the goals involve providing services to reduce high-risk behaviors, increase equitable access and services for historically underserved populations, Reduce recidivism among program participants, and Increase the capacity of the drug court to enhance long term outcomes for participants and their families through the use of evidence-based practices, support services, and the key components of the drug court model. Associated specific objectives are outlined in detail in the narrative.

Project Summary: JAMHI Health and Wellness Inc (JAMHI), founded in 1985, is a multi-service, non-profit community health center with a Federally Qualified Health Center look-a-like (FQHC-LAL) and operates a designated CCBHC. JAMHI operates a clinic site offering integrated medical, mental health (MH), substance use disorder (SUD), and ancillary/enabling services to area residents. As the original provider of mental health therapy for the Juneau Therapeutic Courts, JAMHI desires to enhance services provided with SUD and COD services to the Therapeutic Courts and improve its current services in collaboration with the courts aligned with the key components of a drug court, using evidence based practices to provide treatment instead of provide treatment instead of incarceration, to the benefit of the accused and the community. Geographic Catchment Area: The catchment area is the City and Burrough of Juneau Alaska (pop 31,534), accessible by sea or air only. Juneau has a total area of 3,255 square miles and encompasses part of Mendenhall Glacier. Project Name: Juneau Therapeutic Court SUD Enhancement Project Contact: Rachel Gearhart, COO, 907-463-3303, rachel@jamhi.org Populations to be served: The population of focus are adults referred by the court with an SUD or Co-occurring SUD/MH diagnosis, providing treatment instead of incarceration. Number to be served: Year 1: 40; Year 2 through Year 5: 45 each year. Life of project: 220 Project strategies/interventions: JAMHI will use a combination of several evidence-based- interventions, including Moral Reconation Therapy (MRT), Case Management (CM) and Peer Support Services (PSS) as well as FDA-approved medications for addiction treatment (MAT) in conjunction with counseling services. Project goals and measurable objectives: Our goals include: for each grant year, across the whole agency, screen referred participants from the courts, and collaboratively with the justice system provide SUD and if indicated mental health therapies supporting participants as they reach sobriety, and reestablish themselves in the community. JAMHI projects that 65% of participants will have reduced substance use in the first six months, and 65% with sobriety more than 30 days prior to program completion. Additionally, 50% of participants will have no recidivism after one year. JAMHI will provide peer support services with a target of 60% of participants engaged in a peer support opportunity at least monthly. For those with COD, JAMHI anticipates, that 30% of patients will feel less bothered by mental health.

Increase the local capacity of the adult drug court to secure timely and evidence-based substance abuse treatment and behavioral health services to meet demand of the court. And also, enhance drug court system to address the recovery support necessary to engage, retain, and support clients through the program

Through an evidence-based screening and assessment process, we anticipate that at least 20% more eligible individuals can be identified and receive individualized Specialty Court interventions during the grant period. Improved access to these programs will reduce the number of individuals in our community who need but do not receive treatment, and will reduce their future involvement with the criminal justice system. The Las Vegas Municipal Court (LVMC) Specialty Court program seeks support for 4 separate court dockets, each adhering to the nationally proven, evidence-based drug court model. They include: 1) Women in Need of Change (WIN) Court, which serves women who have a history of trauma and repeated arrests related to drugs and prostitution; 2) Habitual Offenders Prevention and Education (HOPE) Court, which serves habitual, typically homeless defendants; 3) Youthful Offender (YO) Court; which serves offenders between the ages of 18 and 24; 4) Driving Under the Influence (DUI) Court, which targets repeat DUI offenders or first time offenders with high blood alcohol levels; The purpose of all these programs is to reduce crime by promoting participants’ recovery from the substance abuse and mental health disorders which contribute to their repeat criminal behavior. Objective 1: Retention – 50% of participants will successfully complete court ordered requirements for graduation Objective 2: Reduction in substance use – Participants will demonstrate a 70% reduction in substance use as indicated by frequent and random drug testing Objective 3: Recidivism - 70% of graduates will not re-offend, as indicated by a new arrest, within 3 years of graduation Objective 4: Referrals- at least 300 new individuals will be served by Specialty Courts in FY25 through FY29 Participation in a Specialty Court program results in access to long-term drug treatment and counseling services, to the extent clinically indicated for each person’s diagnosis. It provides access to recovery support services that address a wide range of criminogenic needs, as well as aftercare and recovery planning. A minimum of 50 individuals will be served annually by Specialty Court programming, or 300 over the life of the grant.

The Third Judicial District Recovery Court has authority in Greene, Hamblen, Hancock, and Hawkins counties but, due to resource constraints, primarily serves Hamblen County. The Recovery Court Expansion Project aims to expand much-needed felony treatment court services to justice-involved residents throughout the district. This expansion has the potential to significantly reduce criminal activity and drug addiction behaviors in Eastern Tennessee. The Third Judicial District Recovery Court's population of focus for the Recovery Court Expansion Project is individuals in Greene, Hamblen, Hancock, and Hawkins counties with post-plea nonviolent felony offenses who have substance use disorders or co-occurring mental health issues. These counties in Eastern Tennessee are primarily white (94%), with median household incomes significantly below Tennessee's median household income of $64,035 (in 2022 dollars). Additionally, 16.1% of residents in Greene, Hamblen, Hancock, and Hawkins Counties live in poverty, 2.8% higher than Tennessee as a whole and 4.6% higher than the national average. Greene, Hamblen, Hancock, and Hawkins Counties are geographically and culturally part of Appalachia. Appalachia's high opioid use rate stems from a mix of geographic, cultural, and economic factors. Limited access to healthcare due to remoteness and a shortage of providers makes treatment difficult. Cultural factors like stigma around addiction and self-reliance further complicate seeking help. Additionally, aggressive marketing by pharmaceutical companies is blamed for contributing to the opioid crisis in the region. The Third Judicial District Recovery Court is proud to partner with the Helen Ross McNabb Center, a leading non-profit mental health provider in East Tennessee since 1948. The Helen Ross McNabb Center shares the court’s commitment to empowering individuals and families to overcome challenges and thrive. Through this partnership, recovery court participants gain access to the Helen Ross McNabb Center’s comprehensive network of services, including outpatient clinics, residential programs, and crisis intervention. The Helen Ross McNabb Center employs a variety of evidence-based practices to serve the court’s population, including cognitive behavioral therapy, dialectical behavior therapy, and motivational interviewing. These interventions have proven successful with justice-involved individuals with substance use disorders and co-occurring mental health disorders. With funding from the Substance Abuse and Mental Health Services Administration, the Third Judicial District Recovery Court aims to: 1. Hire two additional case managers to increase organizational capacity to assess program applicants for substance use and mental health disorders. 2. Gain community support for recovery and rehabilitation by expanding education and employment programming for program participants and conducting outreach through social media and community events. 3. Improve public safety by reducing recidivism among program participants. 4. Provide quality, evidence-based treatment services to 40 nonviolent felony offenders who have substance use disorders or co-occurring mental health issues annually (200 individuals throughout the five-year grant period).

Project Name: Hancock County Family Treatment Court Enhancement Initiative Summary: The HCFTC seeks to improve child welfare outcomes in Hancock County, MS, by addressing substance use disorders. Through comprehensive support services, the project aims to enhance program engagement, treatment completion, and family preservation for the highest need families. Population Served: Parents with open child welfare cases and diagnosed substance use disorders in Hancock County, a rural, medically underserved community. Strategies/Interventions: The initiative will implement family therapy, recovery housing, transportation assistance, and medical services to address service gaps. It will also provide peer support tailored to fathers and expand access to culturally and linguistically appropriate treatment services. Goals and Objectives: • Goal 1: Improve family health and wellbeing. o Objective 1A: Link 75% of unhoused families to recovery housing. o Objective 1B: Provide 80% of parents with health needs related to substance use to medical services. • Goal 2: Advance behavioral health equity and child welfare outcomes. o Objective 2A: Reduce transportation barriers by 10% annually. o Objective 2B: Increase family therapy services by 15% annually. o Objective 2C: Boost fathers’ engagement in peer support by 5% annually. Number of People Served: An estimated 35 individuals annually, totaling 175 over the five-year project period.

The Superior Court of California, County of Solano, proposes the “Solano Parolee Adult Drug Court (PADC) and Peer Support Project” to serve a total of 75 adult parolees from targeted under-represented populations with culturally-appropriate, gender-responsive, trauma-informed interventions in Solano Parolee Adult Drug Court, and to offer peer support services in the form of peer mentoring to 185 Solano treatment court participants in eight treatment courts. The courts that will be served by peer mentors includes two each of Parolee Adult Drug Courts, Adult Drug Courts for probationers, Military Diversion/Veterans Treatment Courts, and Mental Health Diversion/Courts. The Court will operate this project at two courthouses, Fairfield (County seat) and Vallejo (Solano’s largest city). The Solano Superior Court is located in the eastern San Francisco Bay Area and has operated collaborative courts 2007. PADC participants are adults who have a violation of their parole conditions, and an active Solano County criminal case. The target for the Parolee Court and for peer recovery support are of any race/ethnicity, gender identity, and sexual orientation who are high risk and high needs, as determined by evidence-based assessment tools. Solano population is 449,218, with 58.2% White (including Hispanic) and 34.4% White alone, 14.4% Black, 1.3% American Indian or Alaska Native, 17.4% Asian, 1.1% Native Hawaiian or Pacific Islander, 7.5% Two or More Races, and 29.1% Hispanic. The PADC’s population reflects this diversity with 34.5% White, 41.4% African American, 3.4% Asian, 6.9% Hawaiian/Pacific Islander, 13.8% Other, and 31.0% Hispanic. The Court serves 33.6% Females, 66.3% Males. Court participants suffer from housing instability and lack of a family or community support. Six percent of the PADC population lives in dependent living, 65% lives independently, and 29% reported as homeless. The project’s goals are to improve treatment outcomes and retention rates for participants of the PADC, strengthen cross system collaborations and quality improvement efforts in PADC, and lastly, to create and implement a volunteer peer mentor program at eight Solano Treatment Courts. These goals will be tackled by a multi-disciplinary, multi-agency court teams using evidence-based and promising practices. Those practices include gender-responsive, culturally appropriate treatment, intensive case management, Habilitation Empowerment Accountability Therapy, treatment for Co-Occurring mental health and substance use disorders, Medication Assisted Treatment, Tobacco Cessation, Interim Housing for homeless prevention and diversion, recovery housing, employment services, Motivational Interviewing, and peer support services and mentoring. The Court will serve 15 unduplicated participants per year in PADC, 75 over the five-year grant period. With its planned peer support program, the Court will serve 25 adult treatment court clients in Year 1, and 40 clients in Years 2 through 5, for a total of 185 unduplicated clients being served with mentorship services. Mentors will be recruited primarily from past treatment court graduates who have at least two years in recovery. This project will serve a total of 260 people. By achieving these goals, Solano Superior Court will improve participant outcomes, leading to improved public health, reduced recidivism and enhanced public safety. These outcomes will also increase the socio-economic well-being of the target population.

The Coffee County Family Treatment Court (FTC) is an existing Family Treatment Court serving individuals parents facing custodial removal of their children on the grounds of child abuse/neglect and their affected children and non-offending caregivers who are involved in the juvenile dependency court system of Coffee County, Tennessee. The FTC will use the 2024 SAMHSA Treatment Drug Courts funds to continue the substance use and mental health services for individuals entering the program. Building on the past five years of program development, the FTC hopes to continue its provision of treatment and therapeutic opportunities for families to heal and, where applicable, be reunited. The goals of this project are to: 1) Expand the role of the Family Treatment Court (FTC) program in Coffee County; Improve the timeliness and quality of treatment and recovery support services available to parents, their affected children and caregivers; and 3) Reduce the rate of repeat clients served in the Coffee County Juvenile Dependency Court system. The program will serve 20 unique participants and their families annually during the project period.

The 21st Judicial District Recovery Court's Expand Treatment Capacity Project aims to expand much-needed felony treatment court and recovery support services to high-risk, high-needs, criminal justice-involved individuals living with substance use disorder or co-occurring mental health issues through a partnership with Franklin Recovery Center. This project has the potential to significantly reduce criminal activity and drug addiction behaviors in Middle Tennessee. The 21st Judicial District Recovery Court's population of focus for the Expand Treatment Capability Project is high-risk, high-needs, criminal justice-involved individuals with substance use disorders or co-occurring mental health issues primarily living in Williamson County, Tennessee. This project will also serve Hickman, Lewis, and Perry counties through a shared services agreement with the 32nd Judicial District. Williamson County is primarily white (~88%), with a median household income significantly above Tennessee’s median household income of $64,035 (in 2022 dollars). While many of Williamson County’s socioeconomic metrics are among the highest-if not the highest-in the state, so are the county’s rent prices and demand for housing. It may be paradoxical, but the county’s prosperity is one of its biggest pitfalls for recovery court participants, who tend to be low-income, under-educated, and un- or under-employed. Individuals in the 21st Judicial District Recovery Court who are dealing with substance use disorders, mental health issues, and/or justice involvement are at a distinct disadvantage in finding safe, permanent, affordable, and quality housing in Williamson County for the rents they can afford. Up to 80% of court participants have no housing options, meaning they are literally homeless. Coupled with their other life issues, these individuals desperately need additional treatment options and recovery support services, including housing assistance. The 21st Judicial District Recovery Court is proud to continue its 9+ year partnership with the Franklin Recovery Center during this expansion project. Franklin Recovery Center’s goal is to provide a space where individuals can explore treatment options that help improve self-esteem and promote self-efficacy while increasing health and well-being. It provides various services to its justice partners, including a growing intensive outpatient program, alcohol and drug assessments, mental health assessments, individual counseling, and case management. Franklin Recovery Center is one of just two agencies serving criminal justice-involved individuals and uninsured individuals in Williamson County and the only agency offering in-person intensive outpatient treatment services. With funding from the Substance Abuse and Mental Health Services Administration, the Third Judicial District Recovery Court aims to: 1. Contract with Franklin Recovery Court to increase organizational capacity to assess and treat program applicants for substance use and mental health disorders. 2. Improve public safety by reducing recidivism among program participants. 3. Provide quality, evidence-based treatment services to an average of 24 nonviolent felony offenders who have substance use disorders or co-occurring mental health issues annually (120 individuals throughout the five-year grant period).

""Connections not Cuffs"" The county jails in the Western U.P. of Michigan are filled with men and women who cannot stop drinking or using drugs. Too many of our community members with Substance Use Disorder (SUD) find themselves trapped in the endless cycle of repeat offenders. The 97th/98th District Regional DWI/Drug Treatment Court is committed to closing that revolving door. Partnering with the Western UP Health Department and Upper Great Lakes Family Health Center, we will provide effective, evidence-based interventions, bridge long-standing gaps in treatment, remove barriers to care and offer support and practical assistance. We will begin an Intensive Outpatient Program so that people who need a higher level of care can remain at home, with their families and in their jobs while receiving SUD treatment. We will provide childcare and transportation, two of the most common barriers to care. We will connect people to job training and education resources and will launch a Supported Employment Program to get people back to work. A Recovery Drop-in Center will be opened to give people a safe, sober place to socialize and learn. Peer Recovery Coaches will play an integral role in this project, offering support and guidance from someone who has walked the same path. It is our intention, and the primary goal of this project, to ensure that admission into treatment court is the last time our participants are involved with the law.

This project, named Supportive Programs Advancing Recovery Courts (SPARC), aims to bolster the effectiveness of the JDRC by incorporating various enhancements. These include occupational therapy, vocational training, advanced trauma-informed care, equity-based interventions, support and education for participants’ families, increased drug screening, and direct client assistance. By integrating these supplementary services, our objective is to enhance participant readiness for community reintegration through collaborative efforts across multiple systems. This initiative is intended to improve participant outcomes, reached historically underserved populations, enhance employability for high-demand jobs with sustainable wages, reduce recidivism rates, and strengthen our system of care and wrap-around services. This coordinated, multi-system approach will utilize Best Practice Standards from the National Association of Drug Courts and approved Evidence Based Practice Models for all assessment, screening and treatment interventions. The project will serve individuals enrolled in the 16th Judicial Districts' longstanding Recovery Courts, encompassing Drug Court, Mental Health Court, DUI Court, and Veterans Court. Our participants are individuals classified as High Risk/High Need, justice-involved, come from low-income backgrounds, historically underserved, possibly homeless, some veterans; all struggling with either Substance Use Disorder (SUD), Mental Health (MH), or Co-occurring Disorders (COD). Through targeted efforts to address racial disparities and historical service gaps, our program aims to facilitate sustainable recovery and successful community reintegration. Our aim to serve a minimum of 40 new unduplicated participants per year. Over the five-year lifespan of the expansion and enhancement, the program will have the capacity to serve 200 participants. We aim to broaden the populations served by all four Recovery Courts through four goals. Goal 1 involves conducting clinical assessments to determine eligibility, delivering bi-annual presentations at local jail and correctional work center facilities to raise awareness, and organizing bi-annual meetings with judicial partners to address barriers and disparities. Goal 2 focuses on enhancing the quality and availability of treatment and recovery support services offered by JDRC. This includes utilizing client assistance funds to provide housing, transportation, and essential items such as food, hygiene products, and clothing. We also plan to enhance trauma-informed and equity-based care and curriculum and establish partnerships with community organizations to offer services like family coaching, counseling, and parenting classes by the end of year one. Goal 3 aims to elevate the quality of services provided by JDRC to enhance participant readiness for reintegration. This involves expanding current services such as occupational therapy and drug screening across all programs, collaborating with local partners to implement vocational training, and developing aftercare planning with follow-up one-year post-graduation. Goal 4 centers on collecting data and evaluating programming to optimize participant outcomes. We will accomplish this by partnering with Allard Consulting to ensure timely and comprehensive measurement of processes and outcomes throughout the project's duration.