Project Grant H79TI085916

9TH AND 41ST CIRCUIT TREATMENT/DRUG COURT ROADS TO RECOVERY EXPANSION (FY-23 SAMHSA TREATMENT DRUG COURTS) - THE COUNTY OF LINN (DBA THE 9TH JUDICIAL CIRCUIT TREATMENT COURT) WILL ENACT A FY-2023 SAMHSA TREATMENT DRUG COURTS PROPOSAL. DESIGNED TO EXPAND AND ENHANCE THE EXISTING ROADS TO RECOVERY PROJECT, THE PROJECT WILL SERVE ADULT OFFENDERS ELIGIBLE FOR TREATMENT COURT PARTICIPATION THROUGH THE 9TH AND 41ST MISSOURI JUDICIAL CIRCUITS. SPECIFIC COUNTIES TO BE SERVED INCLUDE CHARITON, LINN, SULLIVAN, MACON, AND SHELBY. THE CATCHMENT AREA HAS A COMBINED TOTAL POPULATION OF 46,292. OF THESE 14.04% LIVE IN POVERTY; 14.3% HAVE NO HEALTH INSURANCE; AND 10.58% HAVE A DISABILITY. DEMOGRAPHICS OF THE POPULATION OF FOCUS ARE AS FOLLOWS: RACE/ETHNICITY: WHITE (95.13%); BLACK (2.07%); AMERICAN INDIAN/ALASKA NATIVE (0.57%); ASIAN (0.49%); NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER (0.08%); TWO OR MORE RACES (1.62%); HISPANIC/LATINO (4.21%); NOT HISPANIC/LATINO (91.54%). | SEX/GENDER: MALE (58.62%); FEMALE (41.38%); HETEROSEXUAL (92.41%); BISEXUAL (4.14%) | AGE: 18-24 (3.45%); 25-34 (37.24%); 35-44 (35.86%); 45-54 (9.66%); 56-64 (13.79%) IN FY-22, THE GEOGRAPHIC CATCHMENT AREA HAD A TOTAL OF 114 DRUG TREATMENT COURT PARTICIPANTS; 164 PROBATION/PAROLE ADMISSIONS FOR DRUGS; 17 PROBATION/PAROLE ADMISSIONS FOR DWI; AND 51 PRISON ADMISSIONS FOR DRUGS. POLICE REPORTS INDICATE THAT THERE WERE ALSO 174 DUI ARRESTS AND 147 DRUG ARRESTS IN 2021. IN 2021, MOST OF THE 9TH (84%) AND 41ST (85%) CIRCUIT COURTS' TREATMENT COURT PARTICIPANTS SCORED IN QUADRANT I OF THE RISK AND NEEDS TRIAGE (RANT) SCREENING TOOL. THIS INDICATES THAT THE MAJORITY OF TREATMENT COURT PARTICIPANTS IN THE CATCHMENT AREA ARE CATEGORIZED AS HIGH-RISK AND HIGH-NEED. FURTHERMORE, THE AVERAGE DAILY POPULATION IN THE 9TH CIRCUIT TREATMENT COURT (59.9) IS ALSO 57% HIGHER THAN THE STATEWIDE AVERAGE DAILY POPULATION OF 38 FOR DRUG COURT PARTICIPATION. PROJECT ACTIVITIES WILL BE INFORMED BY THE FOLLOWING EVIDENCE-BASED ACTIVITIES: MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIOR THERAPY (CBT) /TRAUMA- FOCUSED CBT, PEER RECOVERY SUPPORT, TRAUMA RECOVERY AND EMPOWERMENT THERAPY (TREM), RISK AND NEEDS TRIAGE (RANT), AND MORAL RECONATION THERAPY (MRT). PROJECT GOALS INCLUDE THE FOLLOWING: (1) EXPAND SUBSTANCE ABUSE TREATMENT OPTIONS FOR MEMBERS OF THE POPULATION OF FOCUS BY OFFERING EXPANDED AND ENHANCED TREATMENT SERVICES THROUGHOUT THE 9TH AND 41ST JUDICIAL CIRCUITS; (2) INCREASE PARTICIPATION IN ONGOING AND CONTINUING RECOVERY FOR MEMBERS OF THE POPULATION OF FOCUS, BY INCREASING ACCESS TO ENHANCED TREATMENT PROGRAMS AND WRAPAROUND SERVICES NOT CURRENTLY AVAILABLE; AND (3) ACHIEVE MARKEDLY POSITIVE RETENTION AND TREATMENT OUTCOMES FOR UNDERSERVED CLIENTS IN THE POPULATION OF FOCUS THROUGH EXPANDED ACCESS TO WRAPAROUND SERVICES AND RESOURCES. MEASURABLE OBJECTIVES, IN PART, INCLUDE: 100% OF PARTICIPANTS WILL BE SCREENED FOR SUD/COD AND OTHER CHRONIC PHYSICAL HEALTH CONDITIONS; AT LEAST 30% OF PARTICIPANTS WITH AN ASSESSED HISTORY OF TRAUMA WHO ARE ENGAGED IN TRAUMA SERVICES WILL REPORT A REDUCTION IN TRAUMA-RELATED SYMPTOMS BY SIX-MONTH FOLLOW-UP; AT LEAST 60% OF PARTICIPANTS WILL REPORT IMPROVED OVERALL PHYSICAL HEALTH AT 6-MONTHS; AT LEAST 60% OF PARTICIPANTS WILL REPORT REDUCTIONS IN SERVICE BARRIERS AT 6-MONTHS; AT LEAST 80% OF INDIVIDUALS WILL HAVE ATTENDED 5 OR MORE COMMUNITY RECOVERY SUPPORT GROUPS IN THE PAST 30 DAYS AT 6-MONTH REASSESSMENT; AT LEAST 60% OF PROGRAM PARTICIPANTS WILL REPORT REDUCED USE AT SIX-MONTH FOLLOW UP, REDUCTION IN RELAPSE EVENTS BETWEEN PROGRAM START AND SIX-MONTH FOLLOW UP AND/OR NO ADDITIONAL LEGAL OFFENSES; AT LEAST 90% OF PARTICIPANTS WILL REPORT POSITIVE SATISFACTION WITH CULTURALLY INFORMED TREATMENT. THE PROJECT WILL SERVE A MINIMUM OF 40 TREATMENT COURT PARTICIPANTS PER YEAR FOR A TOTAL OF AT LEAST 200 INDIVIDUALS SERVED THROUGHOUT THE ENTIRE FIVE-YEAR PERIOD OF PERFORMANCE.