12TH and 45TH missouri judicial circuits courts' project out (samhsa treatment drug courts-FY-2023 ) - the county of lincoln drug court 45TH judicial circuit will enact a FY-2023 samhsa treatment drug…

12TH and 45TH missouri judicial circuits courts' project out (samhsa treatment drug courts-FY-2023 ) - the county of lincoln drug court 45TH judicial circuit will enact a FY-2023 samhsa treatment drug courts proposal. Designed to expand and enhance the existing project out, the project will serve adult offenders eligible for treatment court participation through the 12TH and 45TH missouri judicial circuits. Specific counties to be served include lincoln, pike, audrain, montgomery, and warren. The catchment area has a combined total population of 152,262. Of these, 11.3% live in poverty; 13.5% have no health insurance; and 11.5% have a disability. Demographics of the population of focus are as follows: race/ethnicity: white (93.5%); black (3.3%); american indian/alaska native (0.5%); asian (0.48%); native hawaiian/pacific islander (0.08%); two or more races (2.06%); hispanic/latino (3%); not hispanic/latino (91%) – SEX/gender (treatment court participants): male (67%); female (32%); transgender (1%); lgbtqia+ (5%) – participant age: 18-24 (22%); 25-34 (28%); 35-44 (25%); 45-54 (16%); 55-64 (7%); 65+ (1%). In FY-22, the geographic catchment area had a total of 191 drug treatment court participants; 406 probation/parole admissions for drugs; 33 probation/parole admissions for DWI; and 186 prison admissions for drugs. Police reports indicate that there were also 456 DUI arrests and 410 drug arrests in 2021. Project activities will be informed by the following evidence-based activities: motivational interviewing, cognitive behavior therapy (CBT) /trauma- focused CBT, peer recovery support, medication-assisted treatment (mat), and trauma recovery and empowerment therapy (TREM). Project goals include the following: (1) expand substance abuse treatment options for members of the population of focus by offering expanded and enhanced treatment services throughout the 9TH and 41ST judicial circuits; (2) increase participation in ongoing and continuing recovery for members of the population of focus, by increasing access to enhanced treatment programs and wraparound services not currently available; and (3) achieve markedly positive retention and treatment outcomes for underserved clients in the population of focus through expanded access to wraparound services and resources. Measurable objectives are, in part, as follows: 100% of participants will be screened for SUD/COD and other chronic physical health conditions; monitor and/or reduce one (1) or more client-reported barriers to treatment services (i.e., transportation) for 100% of individuals with CO-occurring disorders by six-month follow-up; provide at least one or a combination of individual counseling, group counseling, monitoring, trauma treatment, nursing treatment/support, health navigator support, alumni support, and other support services as needed to 100% participants; at least 30% of participants with an assessed history of trauma who are engaged in trauma services will report a reduction in trauma-related symptoms by six-month follow-up; at least 50% of participants in specified treatment areas will continue to access therapeutic services or engage in at least one social support after graduation from the program; at least 60% of participants will report improved overall physical health at 6-months; at least 60% of participants will report reductions in service barriers (as measured by the project-specific inventory checklist of barriers) at 6-months; at least 80% of individuals will have attended 5 or more community recovery support groups in the past 30 days at 6-month reassessment; at least 60% of program participants will report reduced use, reduction in relapse events, and no additional legal offenses between program start and six-month follow-up; at least 90% of participants will report positive satisfaction with culturally informed treatment. The project will serve a minimum of 40 treatment court participants per year for a total of at least 200 individuals served throughout the entire five-year period of performance.