Centerstone's comprehensive treatment court (C-CTC) will expand substance use disorder (SUD) treatment and recovery support services for an unduplicated 240 adults (ages 18+) with SUD as their primary…

Centerstone's comprehensive treatment court (C-CTC) will expand substance use disorder (SUD) treatment and recovery support services for an unduplicated 240 adults (ages 18+) with SUD as their primary condition participating in florida's manatee county drug court (i.e., Y1: 40; Y2-5: 50, yearly). Focus population demographics are expected to mirror those of current drug court program participants, with 69% male, 31% female, 63% white, 19% black, and 13% hispanic/latino individuals. Manatee county drug court serves 164 yearly, and another 100+ may be eligible for drug court participation; of those, at least 50% (132) are expected to have moderate to severe opioid use disorder (OUD) and up to 40% (106), CO-occurring SUD and mental health disorders (COD). By 2023, area homelessness had increased 300% from 2021. Compared to area white adults, area black adults have lower rates of past-year SUD and are incarcerated for drug charges at higher rates; HIV diagnosis rates are 6 times higher for black VS. White males. In 2017-21, area injection drug use resulted in a 366% increase in acute hepatitis C infections; from 2013 to 2022, syphilis rates grew by 360%. C-CTC's culturally appropriate and evidence-based strategies will be implemented in alignment with nadcp's defining drug courts: key components and guided by samhsa's harm reduction framework and tip 59: improving cultural competence. Treatment interventions include cognitive behavioral therapy; motivational interviewing; integrated COD treatments (e.g., samhsa's integrated treatment for COD EBP kit, tip 42: SUD treatment for persons with COD); supplemented by moral reconation therapy; dialectical behavior therapy; seeking safety; medication assisted treatment as guided by samhsa's tips 63: medications for OUD and 49: incorporating alcohol pharmacotherapies into medical practice; and dimensions, as appropriate. Case management services will be guided by the tasc specialized case management model and include, as appropriate, housing first and SSI/ssdi outreach, access, and recovery. Samhsa's opioid overdose prevention and response toolkit will inform harm reduction education. C-CTC's goals include: 1) implement a comprehensive project to expand access to SUD treatment and recovery support services; 2) implement capacity-building activities to expand, enhance, and sustain services; 3) use evidence-based treatment & case management planning (TCMP) to address behavioral health disparities; social determinants of health; and diversity equity, inclusion, and accessibility; 4) improve client health status/outcomes via evidence-based, population appropriate treatment services; and 5) develop/disseminate a documented service model for agency replication/adoption throughout the state. C-CTC will achieve the following measurable objectives: provide training for 5 C-CTC staff and 50 centerstone/other providers in SUD/COD identification, culturally/linguistically-appropriate care, harm reduction, and relapse prevention; provide/facilitate comprehensive screening/assessment, drug testing, TCMP, and evidence-based SUD treatment for an unduplicated 240 focus population adults; establish an advisory council comprising 51% focus population/individuals with lived experience; outreach to 200 stakeholders; develop a sustainability plan with linkages to 2 funding mechanisms; link 100% of those in need to appropriate resources (e.g., housing/recovery housing, employment, transportation, language access services); increase substance use abstinence among 70%; reduce mental health symptoms among 60% with COD; reduce tobacco/nicotine use among 30% with such goals; improve employment/education status among 60% who received such services; improve housing stability among 60% who received such supports; reduce past 30-day criminal justice involvement among 60%; improve individual/family functioning among 70%; increase social connectedness among 70%; and retain 60% in service for treatment/completion.