4Axiom Community of Recovery (ACR) is providing a program, Transition to Recovery, that will provide critical, evidence-based substance use disorder treatment and long-term recovery services. - Funding Opportunity: fG-24-099 Congressional Directed Funding ABSTRACT Axiom Community of Recovery Transition to Recovery Axiom Community of Recovery (ACR) is providing a program, Transition to Recovery that will provide critical, evidence-based substance use disorder treatment and long-term recovery services to complex, high-need, and extremely vulnerable individuals. The participants will be persons who are transitioning directly from a correctional facility or are on probation or parole, diagnosed with a co-occurring mental health condition, including seriously mentally ill, are at high-risk of becoming homeless, and who are currently Medicaid beneficiaries or Medicaid-eligible. The program will include approximately 300 persons with counseling, treatment and navigation/community transition services to be provided by Peer Support Specialists (PSP). These PSPs will be trained and certified. Peer Support has been recognized as an evidence-based practice that results in successful transition into the community. The ability to overcome the challenge of societal and self-induced stigma occurs more readily when newly released participants are partnered with someone who has experienced the same barriers and achieved successful reentry. The participants will be assessed to determine their individual resources, needs and status and create an individualized, person-based plan for reentry. The primary focus will change be as the counselors, behavioral health staff and PSPs work with them through the hierarchy of needs and address their issues including the social determinants of health. The project will directly provide substance abuse and mental health services that often would not be accessed. The PSPs will help participants gain entry to community services and navigate through the complexities of the Medicaid system and other governmental entities. The project will collect various data criteria in order to determine the success of the program. ACR employs an outcome measurement tool, the Brief Assessment of Recovery Capital (BARC-10) assessment. The assessment will be used for each level of care. This is highly correlated to long-term sobriety levels. ACR is requesting $638,394 in federal funding to complete the program that will be conducted in the State of Arizona primarily in Maricopa County and Pinal County which extends through most of the Congressional Districts.