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The REST Program- Recovery thru Entering Substance Use Disorder and/or Co-Occurring Disorder Treatment for Adult Treatment Courts. The population of focus for this project consists of individuals who are court ordered into the Clark County, Eighth Judicial District Court (EJDC), Adult Treatment Courts and who require residential inpatient treatment or outpatient treatment, with a recovery housing component. The following Adult Treatment Courts eligible to be served under this program would be Adult Drug Court, Transitional Age Program, The OPEN Program, Co-Occurring Disorder Court, Felony DUI Program, and Veterans Treatment Court. The primary geographic area to be served is Clark County, Nevada. However, the EJDC Adult Treatment Courts will accept cases from other jurisdictions. The EJDC will continue to partner with local non-profit organizations to expand capacity for residential and recovery housing services for Specialty Court participants. The project proposes to serve 40 unduplicated individuals, annually and 200 individuals, throughout the entirety of the project period, with the grant funds. Clark County lacks sufficient residential inpatient treatment facilities for participants needing inpatient treatment. The EJDC plans to partner initially with three community providers, who currently serve Clark County for residential inpatient treatment and recovery housing, those three providers are WestCare Nevada, Freedom House Sober Living, and CrossRoads of Southern Nevada. The EJDC will work on partnering with other providers in the community, if they meet the contractual obligations. However, currently due to lack of funding these providers are unable to place all individuals requiring inpatient treatment and recovery housing. As a result, individuals remain in Clark County Detention Center (CCDC) awaiting substance use disorder treatment for up to four months.

The New York State Unified Court System's Nassau County Problem Solving Courts aim to expand participation of adult misdemeanor and felony court participants with substance use disorders or co-occurring substance use and mental disorders in Nassau County, NY by 40 individuals annually, totaling 200 over five years. 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. Utilizing the risk-needs-responsivity principles, our comprehensive services will include Treatment Alternatives for Safer Communities (TASC) Case Management, motivational interviewing, harm reduction strategies, peer support, referrals for infectious disease testing and treatment, smoking cessation, vocational services, peer mentoring and aftercare planning. Through these initiatives, we aim to address the complex needs of participants and promote sustained recovery.

The New York State Unified Court System (UCS) proposes to increase access and availability of services to 200 adult male and female offenders (40 per year) with substance use disorders who are eligible for Manhattan Diversion Courts (MDC) in New York County (Manhattan), New York over 5 years. Funds will be used to enhance the capacity of the court and to better engage and retain participants. Services will include substance use and/or co-occurring treatment and recovery services: screening and a comprehensive individual assessment for substance use and/or co-occurring mental disorders at the point of arraignment, clinical case management, and referrals related to substance use disorder treatment for clients. Community Linkages: (1) substance use disorder treatment services and where appropriate integrated mental health treatment services for individuals with co-occurring disorders; (2) Health Homes for linkages to primary health care and aftercare services. Recovery Support Services: (1) Case management: Comprehensive TASC case management is provided to clients to identify their needs, plan services, link the services system with the client, monitor service delivery, and evaluate the effort and will include individualized case management services for participants addicted to opioids who are in need of medication assisted treatment; (2) Employment services: These activities are directed toward obtaining, improving and maintaining employment. Services include vocational assessment and skill development, job coaching, career exploration, résumé writing, interviewing skills, job placement and tips for retaining a job. (3) Cognitive behavioral exercise: Interactive Journaling will be used to reduce criminogenic thinking and behavior (4) Peer mentoring: Peer mentoring refers to a one-on-one relationship in which a peer leader with more recovery experience motivates, supports, and encourages another peer in establishing and maintaining his/her recovery. Mentors/coaches will help peers develop goals and action plans and well as help them find resources.

This grant narrative proposes a collaboration to address the needs of participants in the South Dakota Unified Judicial System’s Minnehaha County Drug and DUI Courts (SoDakMinTreCo). With the support of community providers and focus on evidence-based practices, the project will expand access to substance use disorder (SUD) treatment and recovery support services while promoting equity and inclusion. The population of focus comprises individuals from diverse racial, ethnic, academic, and socioeconomic backgrounds. Demographic data reveals an overrepresentation of historically oppressed groups and disparities in program graduation rates. The six measurable objectives align with the grant requirements and needs of a vulnerable population that lacks autonomy. Key partners include the University of South Dakota and SoDakMinTreCo. This partnership has letters of support from community providers and stakeholders. The project team comprises experienced professionals, including Noreen Plumage, Dr. Melissa Dittberner, and Brennan Thompson, who are committed to delivering culturally adapted and evidence-based services using community engagement and developmental technical assistance. Data collection and performance measurement will be conducted collaboratively, utilizing the Plan-Do-Study-Act (PDSA) model and a variety of performance measures, including abstinence from substance use, housing stability, employment/education status, social connectedness, access to treatment, retention in treatment, and criminal justice involvement. Overall, this project seeks to foster a more inclusive and effective SoDakMinTreCo, promoting long-term recovery and well-being for all participants.

The Eighth Judicial District Court (EJDC) Family Treatment Court (FTC) proposes the HOPE Program - Helping with Opportunities for Parents to Engage in treatment services. HOPE will focus on services such as residential inpatient treatment for substance use disorder and/or co-occurring disorder treatment for parents/ families in FTC. The population of focus for this project consists of individuals who are accepted into the Clark County, EJDC FTC and who require residential inpatient treatment or outpatient treatment, with a recovery housing component to assist in the reunification and sustaining of the family unit, in conjunction with traditional child welfare case management and safety planning, and nationally recognized FTDC interventions and practices, such as regular random drug testing, regular court monitoring, the use of incentives and graduated sanctions, parent peer mentoring, and frequent collaboration and communication between the courts, child welfare agency, treatment provider and community partners. The primary geographic area to be served is Clark County, Nevada. However, the EJDC FTC will accept cases from other jurisdictions. The EJDC will continue to partner with local non-profit organizations to expand capacity for residential and recovery housing services for parents/ families. The project proposes to serve 35 unduplicated individuals, annually and 175 unduplicated individuals, throughout the entirety of the project period, with the grant funds. Clark County lacks sufficient residential inpatient treatment facilities for participants needing inpatient treatment. The EJDC plans to partner initially with one community provider, who currently serve Clark County for residential inpatient treatment and recovery housing for parents/ families involved in the child welfare system as this provider is able to allow children to reside on site with the mothers participating in inpatient residential treatment, that provider is WestCare Nevada. The EJDC will work on partnering with other providers in the community, if they meet the contractual obligations. However, currently due to lack of funding this provider is unable to place all parents/families requiring inpatient treatment and recovery housing. Resulting in, individuals not in treatment despite meeting criteria for substance use disorders and/or co-occurring disorders.

The New York State Unified Court System (UCS) in collaboration with EAC Network’s Treatment Alternatives for Safer Communities (TASC) Program proposes to increase access and availability of services to 200 adult male and female offenders (40 per year) with substance use disorders who are eligible for Misdemeanor Brooklyn Treatment Court (MBTC) and the Screening and Treatment Enhancement Part (STEP) in Kings County, New York over 5 years. Funds will be used to enhance the court and to better engage and retain participants. Services will include: (1) substance use disorder treatment services and where appropriate integrated mental health treatment services for individuals with co-occurring disorders; (2) Health Home Care Coordination for linkages to primary health care and aftercare services. (1) Comprehensive TASC case management to identify client needs, plan services, link the services system with the client, monitor service delivery, and evaluate the effort and will include individualized case management services for participants addicted to opioids who are in need of medication assisted treatment; (2) Employment services: including vocational assessment and skill development, job coaching, career exploration, résumé writing, interviewing skills, job placement and tips for retaining a job. (3) Peer mentoring: Peers motivate, support, and encourage participants to maintain their recovery and develop goals and action plans.

The Pueblo of Acoma (POA) is a federally recognized tribe in Cibola County, NM. The FY 24 proposal will expand the Adult and Family Treatment Drug Courts (AFTDC) Program involving three primary partners: the Acoma Tribal Court (ATC), two HHSD departments, the Acoma Behavioral Health Services (ABHS), and Social Services (PASS and fund key staff from each entity or program. With SAMSHA funding, the AFTDC will serve 1) Acoma and other non-tribal adults and families residing on POA lands who are experiencing substance use disorders (SUD), 2) adults involved in the ATC for alcohol or drug-related crime or civil matters, and 3) individuals transitioning from release from the Acoma Detention Center (ADC) or another facility, state, or federal facility back to POA. The AFTDC will serve up to 35 participants per year and implement the following goals: Goal 1: Increase services to address SUD-related problems through an age-appropriate, multilevel approach, braiding the ATC adult and juvenile Wellness Court, the AFTDC, PASS, ADC, Acoma Police Department, and other service partners to help individuals and families each year. 1. Reduce SUD rates by accurately screening 90% of individuals or families at three coordinated entry points-justice systems, programs, and community levels—for enrollment in the appropriate wellness program each year. 2. Each year, the AFTDC will assess 90% of referred individuals and families using risk, responsivity, and SUD assessment tools to increase early detection and offer clients appropriate care and service levels. 3. Each year, reduce out-of-home child placements and termination of parental rights due to SUDs by ensuring 90% of families have a service plan outlining the appropriate level of services and support. Goal 2: Expand the POA safety net of service providers by enlisting internal and external programs and community resources to fill service, treatment, and resource gaps annually. 1. Reach out to cultural and community-based entities to create 10% more age-appropriate justice, treatment, and service options each year. 2. By year two, conduct direct outreach and awareness with 90% of POA partner and program staff to inform them of the AFTDC initiatives to enlist their involvement in the program. Goal 3: Increase data management and usage across programs annually to improve data coordination, information sharing, and exchange among partners. 1. By the end of year one, 90% of staff and partners will be trained in data management systems, collection, information sharing, and data exchange. 2. Inform 90% of staff from the three primary service partners of the evaluation results by the end of each year to increase data usage and improve service quality and quantity. The program will update and create collaboration policies and procedures among program partners. Two AFTDC staff will attend SAMHSA's Annual Meeting. Monthly data collection will occur using each partner's records management system. The AFTDC Director and staff will prepare and submit quarterly and annual progress and financial reports online. Data analysis and local evaluator support will apply an AFTDC logic model to guide data collection, analysis, fidelity monitoring, and statistical and program data reporting to track progress and work with the partner staff to analyze qualitative and quantitative data. The team will regularly present findings, results, and recommendations to the program partners and SAMHSA.

Populations served: Pinellas County, on behalf of Florida's Sixth Judicial Circuit, is requesting funding in response to FOA No. TI-19-004, to enhance services for drug-involved parents participating in the Pinellas Dependency Drug Court (DDC) over five years (2024-2029), particularly those with neurotrauma. The population of focus is Drug-involved adults (18+) residing in Pinellas County that meet American Society of Addiction Medicine (ASAM) criteria for outpatient substance use disorder (SUD) treatment and The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for SUD. These adults must have either a dependency adjudication or an open CPI case where the child maltreatment or neglect is due to parental SUD. Strategies/Interventions: The purpose of the proposed project is to expand services in the existing DDC to offer an enhanced treatment drug court model, community-based SUD treatment, and recovery support services (RSS) to drug-involved parents and their families in Pinellas County, including enhanced services for those experiencing neurotrauma. DDC is proposing to add a voluntary pre-petition track for families where a removal has not occurred, but where a CPI case is open related to parental substance use. The proposed treatment provider, WestCare GulfCoast-Florida, Inc., will deliver the following evidence-based practices: Cognitive Behavioral Therapy, Motivational Interviewing/Motivational Enhancement Therapy, Relapse Prevention, Living in Balance, Seeking Safety, Helping Women Recover/Helping Men Recover, and Nurturing Parenting. Goals (G) and Objectives (O): G-1: Increase the availability of, access to, and engagement in evidence-based treatment services to reduce substance use and recidivism of drug-involved parents. O-1.1: Provide outpatient SUD treatment and RSS to 175 unduplicated adults (35/yr). O-1.2: 60% of participants will complete treatment as evidenced by discharge status. O-1.3: 85% of participants will complete the aftercare component. O-1.4: 80% completing treatment will be substance free during the 30 days prior to discharge, and 70% of those will remain substance free at 6-months post admission. O-1.5: 80% completing treatment will not be re-arrested while in the program, and 60% will not recidivate at 6-months post intake. G-2: Reduce the behavioral and social consequences related to substance use/misuse by increasing access to and availability of recovery support services. O-2.1: 80% of participants completing services who have anxiety, depression, or trauma symptoms at intake will exhibit fewer symptoms at discharge, and 70% of those will maintain at 6-months post admission. O-2.2: 90% of participants completing services and not having stable living arrangement at intake will have stable living arrangements at discharge, and 70% of those will maintain at 6-months post intake. O-2.3: 80% of participants completing services will have improved social connectedness at discharge, and 70% of those will maintain at 6-months post intake. O-2.4: 60% of those participating in educational (ed)/vocational (voc) activities will be employed or enrolled in ed/voc training at discharge, and 70% will complete their ed/training, or remain employed at 6-months post admission. G-3: Improve the mental, behavioral, and social functioning among parents and families participating in DDC. O-3.1: 90% of DDC parents in Nurturing Parenting sessions will improve their parenting and child-rearing attitudes. O-3.2: 90% of parents will not generate any new child maltreatment reports prior to discharge, and 70% will not generate new reports at 6-months post-admissions. O-3.3: incidents of parental rights terminations will decrease by 20% among parents completing treatment. O-3.4: 60% of children removed from their homes will be returned to their families, when appropriate, by completion. O-3.5: 70% of families will regain permanent custody of their children within 12-15 months of enrollment.

Populations served: The lead applicant, Pinellas County Board of County Commissioners (PCBCC), on behalf of Florida's Sixth Judicial Circuit (SJC), is requesting Treatment Drug Courts funding from SAMHSA in response to FOA No. TI-19-004, to enhance services for drug-involved offenders (adults) participating in the Pinellas [County] Adult Drug Court (PADC) over five years (2024-2029), as particularly those with neurotrauma. The population of focus is drug-involved offenders residing in Pinellas County (adults 18+) that meet American Society of Addiction Medicine (ASAM) criteria for outpatient substance use disorder (SUD) treatment and The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for SUD. Strategies/Interventions: The purpose of the proposed project is to expand services in the existing PADC to offer an enhanced treatment drug court model and community-based SUD treatment and recovery support services (RSS) to drug-involved offenders (adults) in Pinellas County, including enhanced services for those experiencing neurotrauma. The proposed treatment provider, WestCare GulfCoast-Florida, Inc., will deliver the following evidence-based practices: Cognitive Behavioral Therapy, Motivational Interviewing/Motivational Enhancement Therapy, Relapse Prevention, Living in Balance, Seeking Safety, Helping Women Recover and Helping Men Recover, and Nurturing Parenting. Goals and Objectives: GOAL 1: Increase the availability of, access to, and engagement in evidence-based treatment services to reduce substance use/misuse and recidivism of adult offenders. Objective 1.1: By September 2029, provide intensive, integrated outpatient SUD treatment and recovery support services (RSS) to 200 unduplicated adults (40 annually) in Pinellas Adult Drug Court (PADC). Objective 1.2: By September 2029, 75% of participants will complete treatment as evidenced by their discharge status in the WestCare Clinical Data System (CDS). Objective 1.3: By September 2029, 85% of participants will complete the aftercare/continuing treatment component. Objective 1.4: By September 2029, 80% completing treatment will be substance free during the 30 days prior to discharge, and 70% of those will remain substance free at 6-months post admission. Objective 1.5: By September 2029, 80% completing treatment will not be re-arrested (for non-drug or drug related charges) while in the program, and 60% will not recidivate at 6-months post intake as measured by GPRA. GOAL 2: Reduce the behavioral and social consequences related to substance use/misuse by increasing access to and availability of recovery support services. Objective 2.1: By September 2029, 80% completing services who have anxiety, depression, and/or trauma symptoms at intake will exhibit fewer symptoms at discharge, and 70% of those will maintain the improvements or show additional decreases at 6-months post admission assessed by the GPRA, PCL-5, and Modified Mini. Objective 2.2: By September 2029, 90% completing services and not having stable living arrangement at intake will have stable living arrangements at discharge, and 70% of those will maintain their living arrangements at 6-months post intake measured by GPRA. Objective 2.3: By September 2029, 80% completing services will have improved social connectedness at discharge, and 70% will maintain these improvements at 6-months post intake as measured by GPRA. Objective 2.4: By September 2029, 60% participating in educational/vocational activities will be employed or enrolled in education/job training at discharge, and 70% will complete their education/training, or remain employed at 6-months post admission as measured by GPRA.

The Sacramento County Division of Behavioral Health Services (BHS) has identified a significant shortage of services and support for adults involved in the criminal justice system who have been diagnosed with substance use disorder and are at risk of reoffending. The Substance Use Prevention and Treatment Services (SUPT) in partnership with justice collaborators has taken the initiative to address this issue. They are seeking a grant of $2 million over five years to expand the capacity of their treatment and supportive services. This expansion includes recovery housing, family engagement, and case management services to increase participant engagement. With the additional treatment services and support, the program will be able to serve over 200 justice-involved participants during the five-year grant period. According to national, state, and local data, many individuals living with serious mental illness (SMI) are involved in the criminal justice system. This pressing issue impacts criminal justice and mental health systems and communities at all levels. A 2014 Boston Reentry Study found inmates with SMI and/or co-occurring SUD issues were significantly less likely than other inmates to find stable housing, employment, education, financial stability, and significant support critical for community reentry (Western, et al, 2015). Even with available treatment services, many individuals fail to use them because they fear being institutionalized, deny their condition, or distrust the mental health system. As a result, many of these individuals are at high risk of cycling in and out of the justice system, frequently for minor offenses. This type of recidivism impacts individuals' well­being, compromises public safety, and significantly increases taxpayer costs. Optimally, they would have an array of services and support that includes mental health and SUD treatment, medication support, case management, peer support, education, vocational services, benefits acquisition, and housing. Sacramento County has proposed a plan that aims to address the gap in mental health and co-occurring services in our local justice system. This will be achieved by expanding and enhancing the existing co-occurring collaborative courts (COCC). The plan involves increasing the utilization of mental health and substance use disorder (SUD) treatment, housing support, case management services, and family engagement. Additionally, the COCC design will be refined by improving processes that support participants' access to community-based treatment. This will foster engagement and increase the chances of successful completion and community reentry.

This proposal, entitled SUD Treatment Expansion in Mississippi (STEM), seeks to reduce recidivism as well as morbidity and mortality of substance use disorders (SUDs) and co-occurring mental health disorders (with particular emphasis on post-traumatic stress disorder [PTSD]) in a targeted high-need (i.e., substantial burden of SUDs and mental illness), low-resource (i.e., scarcity of mental health providers) adult felony drug court in Mississippi. The University of Mississippi Medical Center's Department of Psychiatry and Human Behavior will partner with the 2nd Circuit Drug Intervention Court of Mississippi whose 133 participants are mostly male (58%) and white (69%), with the average age being 37 years old. The drug court’s catchment area has an average of 17.3% of its citizens living at or below the poverty level and the average ratio of citizens to mental health provider is 1,787:1. Importantly, the drug court’s jurisdiction includes the county ranked highest in the state for number of suspected overdose deaths and number of naloxone administrations performed by emergency medical services. Finally, 54% of the current participants in the 2nd Circuit Drug Court are uninsured. Interventions and strategies to address needs include providing no cost, evidenced-based psychotherapy exclusively via telehealth as well as increasing access to medications for opioid use disorders (MOUD) and screenings for infectious diseases. The specific goals (and objectives) of the STEM Project include the following: (a) increase screening for SUDs and PTSD as well as other comorbid mental health disorders using empirically validated measures (?75% of newly eligible participants will be screened for enrollment into the STEM Program), (b) provide evidenced-based, no-cost, timely individual SUDs and PTSD treatment via telehealth (?90% of all first treatment sessions will occur within 2 weeks of the initial screening; ?80% of enrolled participants will receive an adequate dose of evidenced-based treatment), (c) deliver evidence-based telehealth groups (? 1 telehealth group will be conducted per week), (d) track the progress for participants throughout the project period at routine timepoints (?70% of eligible participants will complete post-treatment follow-up measures every 6 months), (e) increase access to MOUD (the STEM program will fully subsidize the prescription costs for an average of 8 eligible participants per year), and (f) increase access to free and confidential HIV, viral hepatitis, and sexually transmitted infection screenings (?3 on-site testing events will be offered per year). It is projected that this proposal will serve at least 45 unique drug court participants yearly, totaling at least 225 individuals for the life of the grant.

Abstract Summary The proposed grant to expand substance abuse disorder treatment capacity in adult and family treatment drug courts will develop partnerships that provide increased access to resources to assist in combatting the SUD epidemic in the American Indian and Alaska Natives (AIAN) community members as well as any other race in and around Ottawa County, Oklahoma. The Modoc Nation recognized the need for treatment instead of incarceration for individuals with SUDs. The purpose of the project is to provide prevention, treatment, and recovery services for individuals with SUD involved with courts. The Modoc Nation aims to improve abstinence from substance abuse, housing stability, employment status, social connectedness, health/ behavioral/social conseque3nces and reduce criminal justice involvement. Modoc Nation will provide a coordinated multisystem approach designed to combine the sanctioning power of treatment drug courts with effective SUD treatment services to break the cycle of criminal behavior, alcohol and/or drug abuse, and incarceration or other penalties.

Suffolk County Family Treatment Court proposes to expand the FOCUS program to include the older siblings of children aged birth to six years old who are affected by parents with Substance Use Disorders. The goal is to improve child welfare, expedite permanency, and address the multifaceted needs of court-involved families affected by SUD through collaboration with Suffolk County Family Court, Child Protective Services, and Hope For Youth. Building upon the initiatives of the FOCUS program, addressing the needs of older siblings is equally important. Researchers found that older children have an increased risk for depression, anxiety, truancy, impulsivity, and substance use disorder (Lander et.al. 2013). They also influence younger siblings, highlighting their capacity as role models. The findings underscore the importance of considering all family members' contributions to children's development, not just parents (Society for Research in Child Development, 2018). By recognizing obstacles older siblings face, and implementing services to meet their specific needs, we can encompass the well-being of the family. Older siblings (7-17 years old) can shoulder significant responsibilities when their parents face substance abuse issues. In cases where children are removed from the home, older siblings face their own challenges in addition to impacting younger siblings. Of children removed from their homes in 2022, 47% were over six years old, while 52% were under the age of 6. Recognizing the profound impact of traumatic experiences on children of all ages, FOCUS aims to mitigate these effects by extending its services to include comprehensive support for older siblings, along with younger ones. FOCUS will expand substance use disorder treatment by (1) Conducting comprehensive early assessments and psychosocial evaluations for families; (2) Strengthening outreach, identification, and treatment services for court-involved parents and children of all ages and (3) Hope For Youth will utilize Child Parent Psychotherapy and the Strengthening Families program, both evidence-based interventions that support and strengthen the relationship between the child and their parent. FOCUS will provide a cross-system collaborative approach that integrates treatment for SUD with child welfare case planning by (1) convening monthly interdisciplinary team meetings (2) holding bi-monthly stakeholder meetings and (3) Offering Interdisciplinary training. By the end of the grant period, 175 total families (35 annually) will be offered services. This initiative seeks to achieve lasting permanency and improve long term life outcomes for children and families by employing a family-centered, trauma informed, cross-system collaborative approach with an enhanced focus on the multifaceted needs of family members.

View Point Health (VPH) on behalf of the Newton County Adult Felony Drug Court (NCAFDC) is requesting funding from SAMHSA in the amount of $1,523,386 in response to the Grants to Expand Substance Use Disorder Treatment Capacity in Adult and Family Treatment Drug Courts. The project titled, View Point Health and Newton County Adult Felony Drug Court Grant to Expand Substance Use Disorder Treatment Capacity, would allow View Point Health and the Newton County Adult Felony Drug Court to expand their program to assist participants with successful rehabilitation from the use of drugs/alcohol and co-occurring disorders. The project would serve 30 unduplicated clients annually in Years 1-5 of the project, for a total of 150 unduplicated clients over the 5-year project. Most participants are in the programs longer than a year so many participants may receive services over multiple project years, but will only be counted once over the lifetime of the project. The population of focus for this project is the participants in the Newton County Adult Felony Drug Court. All participants in these courts have been diagnosed with a Substance Use Disorder (SUD) as their primary condition and some may also have a co-occurring mental health diagnosis. The population of the courts is predominantly male (68%) and 65% are between the ages of 26-45. Approximately 94% of the participants are White and 6% are African American. The proposed interventions of the project include: adding more Evidenced-Based practices (Eye Movement Desensitization and Reprocessing, Dialectical Behavioral Therapy, Medication Assisted Treatment, and Seeking Safety; adding peers to the recovery continuum of care; expansion of case management and clinical sessions (individual, family, couples); and Recovery Housing. One of the goals is to increase the capacity of the NCAFDC by adding Recovery Support. One of the objectives under this goal is to add Recovery Housing, since that can often be a barrier to entering and remaining in the program. Another goal is to reduce high-risk behaviors that may lead to children being removed from the home. One of the objectives under this goal is to add Parenting Classes and Family/Couples counseling. Another goal is identifying and addressing resource needs participants may have. One of the objectives under this goal is for clients receive case management to address ongoing needs. Another goal is to increase the capacity of NCAFDC by addressing policies and procedures that may be limiting the entry, retention, and completion of minorities. One of the objectives under this goal is to add culturally relevant treatment for men of color, like Habilitation Empowerment Accountability Therapy (HEAT). Yet another goal is to increase the capacity in the programs by reducing the high-risk behaviors that lead to HIV and Viral Hepatitis. One of the objectives under this goal is to provide ongoing education and free testing around HIV and Hepatitis. Another goal is to increase the capacity in the programs by providing Medication Assisted Treatment (MAT). An objective under this goal is for participants receiving MAT to receive extra counseling and supports to help them overcome any barriers to continuing with MAT. Another goal is to decrease the impact trauma has on NCAFDC participants. One objective under this goal is for clients to have access to Eye Movement Desensitization and Reprocessing (EMDR) therapy. The last goal is to reduce the high-risk behaviors of smoking/vaping. One objective under this goal is to provide smoking cessation education.

The Nassau County Family Treatment Court (FTC) provides specialized services to substance-affected families in Nassau County, NY who have a neglect petition filed against them in which substance use contributed to the neglect of their children. The FTC will utilize a multidisciplinary team to implement a comprehensive, evidence-based, and culturally responsive approach to address the complex needs of these families. Key strategies include: 1) EAC Network’s TASC case management to provide coordinated screening, assessment, access to services, and ongoing monitoring; 2) Motivational Interviewing to enhance engagement and readiness for change; 3) Trauma-informed case management to prioritize safety and healing; and 4) Harm reduction strategies such as medication-assisted treatment and naloxone distribution. The overarching goals are to 1) Enhance long-term recovery and increase positive outcomes for families; 2) Build parent accountability through regular drug testing and alcohol monitoring; 3) Develop parenting skills through supervised visitation; 4) Advocate for children's needs through Court Appointed Special Advocates (CASA) volunteers; and 5) Conduct a comprehensive project evaluation. The FTC aims to serve 35 unduplicated individuals annually, for a total of 175 participants over the 5-year grant period. By providing a holistic, evidence-based, and trauma-informed approach, the FTC seeks to improve family reunification, reduce substance use, and promote long-term stability and well-being for the families of Nassau County.

The Participating in Victory of Transition (PIVOT) Enhancement 2024 project will serve adult offenders from the Tiffin/Fostoria Municipal Court & Seneca County Court of Common Pleas in collaboration with their main treatment provider, Oriana House, Inc. (OHI), as outlined in the MOU. We are requesting $2,000,000 to maintain current capacity, enhance health comorbidity services, and engage in program evaluation and monitoring. This project adds one Behavioral Health Clinician (BHC) to expand available mental health treatment services; Specialized Mental Health Caseworker (SMHCW) to better serve clients with co-occurring disorders; a partnership with a telehealth psychiatrist to reduce rural treatment barriers; & three new treatment groups for co-occurring mental health aftercare, domestic violence, and grief. Our population is high risk/high need, post-adjudicated, adult misdemeanor and felony offenders with a primary substance use disorder diagnosis (SUD) of intensive outpatient or higher with a qualifying drug-related conviction in the PIVOT program. The demographics of this population are anticipated to be 95% Caucasian, 56% male, 94% non-Hispanic, and 90% heterosexual with an average age of 36 at intake based on court data from 2019-2024. We also anticipate that over 50% will be diagnosed with co-occurring disorders based on the 2022 rate of occurrence with all drug court clients from participating courts. Number Served. This project will serve 30 existing clients and 30 new clients totaling 60 clients in year one. Each consecutive year, an additional 40 clients will be served for a total of 220 unduplicated clients over the five year project. Strategies and Interventions. To address gaps in mental health services access, OHI in collaboration with PIVOT will implement telehealth services in partnership with a contracted board-certified Psychiatrist. Clients will work with one SMHCW and BHC who will provide mental health services and expansion of new treatment groups. The new SMHCW will be assisted by an existing Caseworker to provide risk/need based case planning and behavioral interventions. Additionally, OHI’s full time Research Continuous Quality Improvement Specialist will conduct GPRAs and evaluate referral and intake client data to assess any potential disparities. Finally, the Project Director will provide a .20 level of effort and oversee all grant implementation. Goals and Objectives. The five goals and corresponding objectives of the project are as follows: 1. Maintain Capacity: 1.1) Provide services to 40 new clients each year of the grant. 1.2) Provide services to 220 clients by the end of the grant. 2. Adhere to Best Practice Standard for CW/Client ratio: 2.1) Maintain a caseload of 33 clients or fewer each quarter of the grant. 3. All Pivot Clients have access to MHA: 3.1) 100% of clients will be screened for MH and referred if found in need. 3.2) 80% of all clients referred will complete the MHA. 4. Increase Accessibility to Psychiatric Services: 4.1) 100% found in need will be referred. 4.2) 80% of referred clients will have a virtual appointment with the psychiatrist. 5. Expand Co-occurring Disorder Treatment: 5.1) Add additional treatment groups of Grief Group, Domestic Violence Perpetrators Group, and Co-Occurring Aftercare by the 4th month of the grant award. 5.2) 100% found in need will be referred. 5.3) 70% of referred clients will complete the assigned group(s). 6. Increase Access to Medical Testing: 6.1) 100% of clients will be referred for testing for HIV/Hepatitis. 7. Conduct GPRA Interviews: 7.1) 98% of all clients will complete an intake GPRA. 7.2) 80% of all clients will complete a 6 month GPRA. 7.3) 80% of all clients will complete the discharge GPRA. 8. Ensure Fidelity for EBPs: 8.1)80% of staff will achieve a proficient rating in the use of evidence based interventions by 8 months of hire. 8.2) Caseworkers will use EPICS II interventions in minimum of 70% of case management sessions.

The Serenity House Drug Court Collaboration aims to enhance substance use disorder (SUD) treatment and recovery support services within existing drug courts, focusing on adults diagnosed with SUD as their primary condition who are participating in the Kane County Drug Rehabilitation Court (KCDRC). In partnership with KCDRC, Serenity House Counseling Services, Inc. (SH) adopts a coordinated, interagency, multisystem approach. This initiative is geared towards providing participants with essential SUD treatment services to break the cycle of criminal behavior, substance abuse, and incarceration, while also aiming to improve abstinence rates from substance use, housing stability, employability skills, social connectedness, harm reduction, and overall health/behavioral/social outcomes. Furthermore, it seeks to diminish criminal justice involvement. Together, SH and KCDRC will collaborate to offer SUD treatment, recovery housing, food, and peer recovery support to drug court clients, with the goal of enhancing their health and wellness, encouraging a self-directed life, and helping them to achieve their full potential. Key objectives of the collaboration include providing a coordinated, interagency, multisystem approach to SUD treatment within drug court, addressing behavioral health disparities, ensuring that participants receive complementary SUD treatment to meet drug court requirements, and offering comprehensive case management plans. These plans are designed to directly address risks for recidivism, as identified by validated risk assessments, and encompass the delivery or facilitation of services, including substance use and cognitive-behavioral interventions, to meet clients' needs and mitigate those risks. An essential component of case management is assisting eligible uninsured clients in applying for health insurance. Additionally, the collaboration is committed to the implementation of evidence-based program principles endorsed by the National Association of Drug Court Professionals (NADCP) continue the tobacco cessation programs. Over a five-year period, the collaboration aims to serve a progressively increasing number of individuals, starting with 80 in the first year and reaching 105 by the fifth year, totaling 466 individuals served. The strategies to achieve these goals include screening and assessing clients to ensure an appropriate fit for the project, referring clients from KCDRC to SH with numbers increasing annually, and providing residential clients with evidence-based, culturally, and linguistically appropriate treatment services Recovery support services will be available to all SH clients, including Outpatient clients. Moreover, SH will offer peer support services, conduct drug and alcohol tests in compliance with drug court and SH requirements at least once a week. SH clients will utilize Quest Diagnostics and refer clients for screening for HIV, viral hepatitis, and syphilis, as well as for vaccination as appropriate. Clients will utilize the DuPage County MAT Center for FDA-approved medication management. SH will develop and present initial case management plans for drug court staff approval and ensure that weekly progress is reviewed and approved. The interagency team will endorse the SH counselor’s treatment plan and weekly updates. SH case managers, counselors, and peer support workers will deliver SUD interventions. SH employs the evidence- based interventions, including, Moral Reconation Therapy and Motivational Interviewing. Additionally, SH will continue to provide classes for tobacco use cessation, further supporting the overarching goal of improving clients' health and reducing their risk factors.

Cherokee County Adult Treatment Court Expansion Program will serve Cherokee County, OK adults, 18 and older, of any race, ethnicity, or gender, who are charged with nonviolent misdemeanor or felony crimes and have a substance use disorder (SUD) and/or mental health diagnosis. In Cherokee County, there has been a 35% increase in the jail population and a 26% increase in prison incarceration over the last ten years. Many of these arrests and subsequent incarcerations were connected to mental health and substance use. The project seeks to address the following service gaps: need for strategic coordination between service providers and the Courts, need for client-centered services that address the cumulative and connected risk factors that enhance the likelihood of system involvement, and need for assertive case management services that reduce barriers, provide advocacy, and connect people with needed resources. The Expansion Program will augment Cherokee County’s current Treatment Court efforts and fortify the wraparound supports available for justice-involved adults with mental health diagnoses and/or SUDs. Program clients will participate in a minimum-one year program that facilitates access to holistic supports, like medical care and health coverage, infectious disease screening and prevention, recovery groups, life skills, education, therapeutic services, family engagement opportunities, and harm reduction. The Cherokee County Adult Treatment Court Expansion Program will serve a minimum of 40 adults annually and over 200 people across the lifetime of the grant.

The Family Preservation Court (FPC) Expansion Project of Riverside University Health System-Behavioral Health (RUHS-BH) intends to expand access to supports and treatment to individuals eligible for Family Drug Court in Riverside County California regardless of whether they have Medi-Cal (i.e., Medicaid) coverage. Family Preservation Court offered to individuals who are at risk of having their children placed in dependency due to parental drug use. FPC seeks to do what is in the best interest of the family by providing a safe and secure environment for the child while intensively treating the parent's substance abuse and other related issues. The 10 Key Components of the Family Treatment Court Model are implemented within Riverside County FPC. Through FPC, RUHS-BH Substance Abuse Prevention and Treatment (SAPT) Clinics and contracted providers use peer-reviewed Evidence Based Practices (EBP) that have undergone stringent evaluation and meet clinical standards. Such practices include but are not limited to: Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), Matrix, Seeking Safety, CBT for PTSD, Living in Balance, Triple P Parenting, Nurturing Fathers, Helping Women Recover, Beyond Trauma, Talking Circles and Wellbriety for our Native American and American Indian participants. Family Preservation Court (FPC) Expansion Project will pay for treatment for those who don't have Medi-Cal or other means of paying for treatment. In addition, FPC funds will also be used to staff another position to screen individuals referred to treatment by the social services department and cover otherwise unfunded costs of residential substance use treatment services, sober living for those with insecure housing, Medication for Addiction Treatment (MAT), smoking cessation, FPC staff training, and participation incentives. The specific goals and objectives of the project are: Goal #1: Increase capacity to provide an array of services to parents in the FPC program. Objective 1.1: By end of the Year 1, increase admissions to FPC by 35. Maintain increase in Years 2 to 5 to increase by a total of 175 by the end of Year 5. Objective 1.2: By end of Year 1, expand the referral pathway to FPC, by having a dedicated staff screen all referrals from DPSS to identify those appropriate for the FPC program. Goal#2: Increase supports for treatment engagement to improve treatment outcomes. Objective 2.1: By Q1, Year 2, offer participation incentives to 100% of FPC participants regardless of treatment facility. Objective 2.2 Starting in Year 2, FPC trainings will be held quarterly. Objective 2.3: Starting in Year 2, MAT trainings will be held quarterly for DPSS and RUHS-BH staff. Objective 2.4: By end of Year 1, participants will demonstrate a decrease in one degree of primary drug used as measured by the Texas Christian University Drug Screen. Objective 2.5: By Year 5, FPC participants will complete an average of 40% of episodes successfully. Goal #3: Decrease participant use of tobacco. Objective 3.1: Beginning in Q1, Year 1, 100% of FPC participants using tobacco will be offered smoking cessation medicated assisted treatment. Goal #4. Increase access to Recovery Residences for unhoused FPC participants or those at risk of being unhoused. Objective 4.1: Beginning in Q1, Year 1, 100% of FPC participants lacking safe and sober housing will be offered Recovery Residences or other housing supports in their recovery journey.

Summit County Valor Court is dedicated to addressing the intricate needs of justice-involved veterans in Summit County, Ohio, particularly those grappling with substance use disorders (SUDs) and co-occurring disorders. A primary objective of this grant project is to optimize referral pathways, streamline service access, and enhance case management to ensure the effective delivery of evidence-based dual diagnosis treatment and peer recovery support. Moreover, Valor Court seeks to enhance the efficiency and effectiveness of veteran defendant identification and referral/admission coordination processes, with the aim of expediting and increasing admissions into the program while ensuring equitable treatment for all focus populations. Lastly, the project strives to offer Diversity, Equity, and Inclusion (DEI), trauma-informed care, and related trainings to increase awareness and understanding, and guide engagement of all stakeholders in serving underrepresented and trauma-impacted veteran populations. Valor Court's current demographic make-up of race is 63% Caucasian followed by 31% African American and 6% Hispanic. In terms of ethnicity, 94% are non-Latino and 6% are Latino. English is the first language for all participants. The majority are male, both in terms of sex (89% male, 11% female) and gender identity (89% male, 11% female), with no reported non-binary or other identities. Sexual orientation shows a majority heterosexual (91%) and a minority identifying as lesbian/gay/bisexual+ (9%). Age distribution is as follows: 8% are aged 18-28, 64% are aged 29-39, 16% are aged 40-50, and 12% are aged 60 or older. In terms of socioeconomic status, 74% fall into the low category, while 26% are classified as medium. The catchment area serving these individuals faces significant challenges in addressing SUDs and co-occurring disorders, with rates surpassing national averages. Specific to Valor Court participants, 95% struggle with substance use disorders, 75% also grapple with co-occurring disorders such as PTSD. Disparities in access to care and prolonged wait times for treatment further compound these challenges, alongside funding constraints and suboptimal referral processes. Without adequate resources and staffing, Valor Court risks being unable to effectively address the critical need for comprehensive and culturally competent care, highlighting the necessity for improved services to support the recovery of veterans in the community. The primary expected outcomes of project goals and objectives are to achieve a 95% abstinent rate at discharge for participants within 15 months, an 80% successful completion rate within 15 months, and to identify 95% of all veteran felony defendants in Summit County and complete 80% of Valor Court eligibility screens within 10 days of screen being ordered both within 1 month of grant award. Over the duration of the project, Valor Court anticipates serving a total of 200 unduplicated individuals, with an annual target of 40 participants benefiting from its comprehensive support services. The project's success will be measured not only by quantitative metrics but also by qualitative improvements in participant outcomes. Through strategic partnerships with organizations like Oriana House Inc. and the Summa Traumatic Stress Center, Valor Court seeks to create a continuum of care that promotes equitable access to culturally competent services for all justice-involved veterans. By leveraging community resources and implementing evidence-based practices, Valor Court aims to empower participants to overcome barriers to recovery and successfully reintegrate into society, thereby achieving sustainable improvements in individual and community well-being.

Project Name: Bucks County Drug Treatment Court Expansion Project Overview: The Bucks County Drug Treatment Court (BCDTC) has identified a gap in adequate treatment for the overlapping population of individuals with SUDs and those with co-occurring disorders including SPMI, and veterans. This project will address that gap by developing a new veterans track, and expanding capacity, infrastructure, and accountability in BCDTC. These efforts will result in quality treatment, services, and supervision for participants in all program tracks that will effectively address their SUDs and MH needs, and reduce recidivism. The BCDTC serves high-risk, high-need offenders in Bucks County who have drug-related convictions and/or charges that resulted from a documented history of substance abuse. The BCDTC integrates treatment into the justice system to promote public safety and individual responsibility and reduce recidivism. The program currently serves participants in separate tracks for SUDs and co-occurring disorders including SPMI; some participants are veterans who are supervised through a veterans' diversion program. In recent years, the BCDTC has seen an increase in participants diagnosed with co-occurring SUDs and SPMI, with 85% of participants falling into this category. Currently, the BCDTC does not have the structure to support the specific needs of individuals with co-occurring disorders when mental health issues are serious and persistent. Additionally, the veteran’s diversion program cannot adequately meet participants’ needs because it is not a comprehensive treatment court program and does not adhere to best practice standards. The proposed project will address these gaps. Populations to be served: Criminal justice-involved individuals in Bucks County with SUDs, co-occurring disorders including SPMI, and veterans. Bucks County aims to serve 55 individuals in year 1, and 75 individuals each year in years 2-5 for a total of 355 individuals over the 5 year grant. Strategies/interventions: BCDTC will develop a new veterans track, expand program capacity, and expand existing services for all participants. Project goals and objectives include: • Goal 1: Expand infrastructure and capacity to support participants with SUD, co-occurring disorders, SPMI, and veterans through hiring new staff to oversee the veterans track, updating policies and procedures, training staff, developing early identification structures, and expanding an existing Advisory Committee. • Goal 2: Expand capacity to sustain quality treatment and services for all participants by providing outreach to potential referring partners, screening participants, creating individualized treatment plans, and providing evidence-based treatment, life skills training, and other recovery supports. • Goal 3: Strengthen fidelity to treatment court best practices and trauma-informed care by contracting with an external evaluator to assess fidelity and adherence to evidence-based practices and using resulting training and technical assistance recommendations to improve fidelity.

The RI Drug Court Support project aims is to improve the accessibility and availability of culturally relevant, trauma informed, and recovery-oriented treatment and recovery services for adult clients referred by the RI Family Treatment Drug Court. To do this, this project will fund an administrative services organization to coordinate a comprehensive treatment and recovery services workplan for individuals referred from the drug court system that will utilize its resources to help support drug courts as they assess and create workplans for clients, but also assist in following up on clients receiving services to ensure completion of their workplan.

The Oneida County Family Treatment Court (hereinafter OCFTC) is an Integrated Court that supports parents with co-occurring disorders within the welfare system. Since 2004, OCFTC has been collaborating with local community agencies to provide treatment and resources aimed at reunifying families. The court will develop the “RECOVERY” project (Resilience, Empower, Create, Overcome, Validate, Enhance, Reunify, and Yield) in partnership with Helio Health, Cayuga Center, and Viewpoint Clinical Therapy Services. Grant funds will allow the court to serve a total of 175 new participants over 5 years, (35 year 1, 35 year 2, 35 year 3, 35 year 4, 35 year 5). OCFTC will target underserved, moderate to high-risk/need individuals suffering from co-occurring disorders. Grant funds will enable the court to 1) employ an OCA Case Manager I to assist with data collection, 2) employ a full-time Family Support Navigator through Helio Health specializing in Recovery Capital and Moral Reconation Therapy, 3) employ a Prevention Family Peer Coach through Cayuga Center to empower families through utilizing the S.M.A.R.T method, Family Functioning Therapy, and SafeCare and 4) employ a child and family therapist through ViewPoint Clinical Therapy Services, LCSW, PLLC to facilitate several targeted evidence-based therapeutic approaches, such as EMDR, DBT, and REBT, with individuals and family members. The objectives also include addressing CDC protective factors, team training for sustainability, and increasing data collection, which will be measured by scaling techniques, interviews, focus groups, and surveys. This grant will enhance the OCFTC by implementing more evidence-based treatments, enhancing data collections, serving a diverse population, and strengthening community partnership. By investing in OCFTC, the program will continue to create a more supportive and effective system for families in crisis, ultimately leading to healthier outcomes for children and parents in Oneida County.

Project Abstract Summary The Penobscot Nation Tribal Healing to Wellness Court will implement the Tribal State Collaboration to Enhance the Diversity of Recovery Services in Rural Areas of Northern Maine to serve tribal nation members, their spouses/ partners, and descendants. The Project will hire a public defender to represent participants in the Tribal Court and/or the State or Federal systems using braided services incorporating legal, psychological, and sociological support. The project name is Tribal State Collaboration to Enhance the Diversity of Recovery Services in Rural Areas of Northern Maine. The population to be served includes adult American Indian or Alaskan Native tribal nation members of every gender identity, their spouses/ partners who have lived with the tribal nation members for six months or longer, and descendants of Native Americans who are not on the census who are diagnosed with a substance use disorder and charged with crimes within the jurisdiction of the Penobscot Nation Tribal Court occurring on the Nation’s reservations; within the Penobscot, Kennebec, Cumberland, and two adjacent County Districts; Superior Court; or Federal Court. The strategies include offering best practices used during the current SAMSHA grant to address the unmet needs of descendants not on the census and the spouses/partners who have lived with tribal members for six months or longer. Addressing these unmet needs will reduce the tribal member’s exposure to substances, paraphernalia, and the use of addictive substances. The strategies also include offering program participants access to culturally specific detoxification and recovery facilities in, and outside, of Maine and covering the costs not paid by insurance or Maine Care. Finally, the program includes hiring a full time public defender to represent participants charged in the Tribal Court and/or the State or Federal judicial systems to coordinate services, provide culturally specific representation, and reduce the number of felony convictions. The project will minimize pre-trial incarceration, the confinement of a participant in jail for extended periods waiting for a public defender to arrange bail or bed to bed treatment. The project goals and measurable objectives include helping seventy five members of federally recognized tribes, their spouses/partners of six months or longer, and descendants of Native Americans not on the census end intergenerational patterns of substance abuse, criminal behavior, incarceration, and related family and community breakdown, by expanding access to culturally specific care, case management, and wraparound braided services. The project will establish an interjurisdictional, multisystem model that reduces incarceration rates, reduces the stigmatization of individuals with a substance use disorder, increases access to culturally specific interventions and treatment services, and closes gaps in the continuum of substance abuse and co-occurring disorder treatment. The interventions will decrease the relapse rate for seventy five participants by offering access to culturally specific treatment facilities in Maine and surrounding states, regardless of the participants’ insurance status or the facility’s acceptance of Maine Care. Throughout the project, attention will be given toward maintaining the Penobscot Nation Tribal Healing to Wellness Court’s high operational standards as a national drug court leader. Fifteen people will be served annually and seventy-five will be served over the entire project.

The New Hampshire Judicial Branch (NHJB) requests funding to expand the capacity of the Family Treatment Court in Sullivan County (FTCSC). FTCSC serves families with open abuse and neglect cases when a parent has a substance use disorder (SUD). Sullivan County has a high prevalence of SUD and limited treatment resources. This project will utilize evidence-based practices to increase access to timely, high-quality SUD treatment, mental health services, and complementary support services for FTCSC families. It will also enhance the court’s capacity to serve more families. Number of People to be Served: • Year 1: 35 • Year 2: 40 • Year 3: 45 • Year 4: 50 • Year 5: 50 • Total: 220 Project Goals: • Increase access to FTCSC for families impacted by SUD. • Increase access to timely, high-quality SUD treatment for FTCSC parents. • Decrease barriers to recovery and reunification for FTCSC families. • Increase the capacity of FTCSC to serve families beyond the grant period. Methods: • Contract with an organization to hire a full-time FTCSC Coordinator. • Provide training to FTCSC team members, based on FTC Best Practice Standards. • Implement evidence-based practices, including peer support, motivational interviewing, moral reconation therapy, and contingency management. • Enhance complementary services and implement new ones to support family success. • Expand partnerships with treatment providers, community organizations, and child welfare. • Develop a plan to sustain FTCSC after the grant period. Evaluation: • Track the number of families served by FTCSC. • Monitor progress of FTCSC parents, children, and families in treatment. • Measure time-out-of-home and reunification rates for FTCSC families. • Assess the sustainability of the FTCSC program. Dissemination: • Share findings with diverse local, regional, and statewide leadership. • Share findings with other treatment courts in NH and nationally. This project has the potential to improve the lives of children and families impacted by SUD in Sullivan County, and in NH as the pilot FTC. By increasing access to evidence based, promising and best practice treatment and support services, we can help families heal and stay together.