Centerstone's treatment and recovery services (c-TRS) will enhance and expand treatment, early intervention, and recovery support services in 7 indiana counties (bartholomew, delaware, johnson,…

The Substance Abuse and Mental Health Services Administration awarded Centerstone of Indiana Inc. $2,725,000 on September 30, 2025, under the Substance Abuse and Mental Health Services Projects of Regional and National Significance program (CFDA 93.243) for Centerstone's Treatment and Recovery Services (C-TRS), a five-year project completing September 29, 2030.

C-TRS enhances and expands treatment, early intervention, and recovery support services across seven Indiana counties (Bartholomew, Delaware, Johnson, Madison, Morgan, Union, and Wayne) for 345 unduplicated youth ages 12–17 and young adults ages 18–25 with substance use disorders and/or co-occurring substance use and mental disorders, along with their families and primary caregivers. Year one enrollment begins at 25 participants, scaling to 80 per year in years two through five. The program delivers evidence-based Matrix therapy, medication-assisted treatment, Seeking Safety trauma programming, recovery housing, and tobacco cessation interventions within a recovery-oriented system of care framework. Performance occurs in Martinsville, Indiana. The target population includes subpopulations of Hispanic/Latino individuals, females, systems-involved youth, and veterans ages 18–25.

Centerstone's treatment and recovery services (c-TRS) will enhance and expand treatment, early intervention, and recovery support services in 7 indiana counties (bartholomew, delaware, johnson, madison, morgan, union, wayne) for 345 unduplicated youth (ages 12-17) and young adults (YA) (ages 18-25), and their families/primary caregivers with substance use disorders (SUD) and/or CO-occurring substance use and mental disorders (COD) (YR 1: 25; YRS 2- 5: 80/YR.). Focus population demographics are expected to mirror those of the catchment area's 119,000+ youth and YA, comprising 51% male, 49% female, 84% white, 5% african american, and 4% hispanic/latino individuals. Subpopulations include the estimated 19,240 of the focus population who are hispanic/latino; 58,680 (49%) females ages 12-25; 1,630 who are systems involved youth (e.g., foster care, juvenile justice); and veterans ages 18-25 (190) and/or veteran households with children (1,000). An estimated 1,705 youth ages 12-17 and 10,455 YA ages 18-25 are expected to have SUD; 850 youth and 5,290 young adults are expected to have COD. The COD rate of young adults is greater than that of adolescents' (7.6% VS. 1.7%). System-involved youth/young adults have a significantly higher prevalence of SUD (40% juvenile justice; 35% foster care). Half (17,745) of area young women ages 18-25 are expected to have SUD or AMI. Of veterans ages 18-25, an estimated 9% (57) have an SUD, and 21% (133) have alcohol use disorder, more than double veterans ages 26-54 (10%) and 5 times veterans ages 55+ (4%). Hispanic/latinos are less likely to receive substance abuse treatment compared to whites (93% VS. 86%), c-TRS will implement project strategies/interventions within a recovery-oriented system of care (rosc), delivering evidence-based matrix, medication assisted treatment, seeking safety, recovery housing, and samhsa's implementing tobacco cessation programs in SUD treatment settings, according to participants' needs. C-TRS' goals include: enhancing/expanding evidence-based and family-centered SUD/COD treatment, including non-traditional hours and related recovery/support/education services; implementing a project to provide screening, assessment, treatment, wraparound, and recovery support services in an integrated outpatient/intensive outpatient/day treatment setting for youth/YA with SUD and COD and their families/primary caregivers; improving clients' health status/outcomes; and developing/disseminating a replicable service model. C-TRS will achieve measurable objectives related to key activities including providing education to 1,000 youth/YA/families on making healthy choices; providing education to 1,000 persons on moud, maud, OD prevention, naloxone and other opioid OD reversal medications; conducting outreach to 450 stakeholders; and providing comprehensive treatment to 345 youth/YA and their families/caregivers. Among participants, c-TRS will increase substance use abstinence among 40% youth/YA; reduce mental health symptomatology by 50% for youth/YA with COD; increase service access by 90%; reduce tobacco use by 30%; improve family functioning among 60% of families; decrease risk factors by 50%; and achieve 80% participant retention. C-TRS has secured agreements from community collaborators dedicated to the project's success and will maintain collaboration with youth-serving organizations, providers, and other key community stakeholders throughout the grant.