Positively you - mile high behavioral healthcare (MHBHC), proposes positively you, which is an innovative substance use disorder (SUD) treatment program that CO-locates clinical treatment providers…

Positively you - mile high behavioral healthcare (MHBHC), proposes positively you, which is an innovative substance use disorder (SUD) treatment program that CO-locates clinical treatment providers with probation/parole officers (P/POS) at MHBHC's treatment sites. Positively you will increase knowledge about the impact of including P/POS as part of clients' clinical care teams on outcomes related to clients' recovery from SUD or CO-occurring disorder (COD) and successful reentry. Positively you will serve 75 adult clients per year (375 over the five-year project) who are assessed to be high-risk, high-need offenders based on a score of 19 or above on the level of service inventory (LSI-R). All clients must have a diagnosed SUD; be referred by MHBHC's primary partners, the denver sheriff department (DSD) and denver county probation; and be on probation (or eligible for probation in the next 60 days) from the denver county jail. MHBHC anticipates that all of positively you's clients will be low income; 22% female and 78% male; and 44% white, 30% latino, 25% african american and 1% asian. Positively you's goal is to provide SUD treatment and related recovery services to men and women reentering the community from the denver county jail. Its objectives are: 1) 60% of those receiving treatment services will reduce substance use, and 100% will be referred to medication-assisted treatment (mat) or medication for opioid use disorder (MOUD) as measured by the csat gpra; 2) 60% of participants will not recidivate during their time in treatment, as reported by DSD; 3) 75% of enrolled clients will be retained in and complete treatment and 75% will transition to aftercare, as measured by MHBHC client records; 4) 75% of those with a COD will decrease the symptomology related to their mental health diagnosis, as measured by the csat gpra; 5) 80% of those receiving treatment and recovery services will increase their feelings of social connectedness, as measured by the csat gpra; 6) 60% of those receiving recovery services will become stably housed as measured by the csat gpra; 7) 60% of those receiving recovery services will become employed or enrolled in a job-training program, as measured by the csat gpra; 8) 100% of those referred will be tested for HIV, hepatitis C and sexually transmitted infections, and if positive, 100% will be referred for treatment, as measured in client records; and 9) 100% of those at high risk of HIV will be referred for prep, as measured in client records. Positively you will provide clients with an array of person-centered interventions that align with the national standards for culturally and linguistically appropriate services, including: screenings for SUD/COD; a community group composed of positively you clients who share the same P/PO; individual treatment planning that includes an array of evidence-based programs delivered individually or in group to meet each client's needs, e.g. motivational interviewing, cognitive behavioral therapy, dialectal behavior therapy, acceptance and commitment therapy, seeking safety, moral reconation therapy, relapse prevention program, matrix intensive outpatient treatment for people with stimulant use disorders, helping men recover and helping women recover; intensive case management in which P/POS are also highly involved; access to prescriptions for MOUD and mat; peer-based recovery support; drug testing; infection disease training; tobacco cessation treatment; recovery housing; overdose prevention training, access to overdose reversal medication and fentanyl testing strips; family therapy; recovery housing for female clients; and emergency shelter for clients experiencing homelessness through MHBHC's sister agency, comitis crisis center