Wednesday, January 15, 2025
1/15/2025
The Milwaukee County Behavioral Health Division (BHD) submits this application for $1,999,990 (over five years) for the “Milwaukee County Adult Drug Treatment Court (MCADTC) Treatment Service Expansion Project,” to increase access and availability of services and address service gaps in the continuum of treatment, particularly for individuals with co-occurring disorders (COD). The population of focus for the MCADTC are adult residents of Milwaukee County with non-violent felony charges or habitual misdemeanants, substance use disorder (SUD), and scoring a minimum of 24, but no more than 40 on the Level of Service Inventory-Revised (LSI-R). Services will be delivered in Milwaukee County as the geographic catchment area, with an urban population of 952,085. Of the top 20 zip codes for referrals to the MCADTC, more than one-third were from areas with poverty rates more than double the state and national averages. Compared to the general Milwaukee County population, MCADTC clients are overrepresented by gender (male), race (Black), young-mid age (19-39 years), education level (high school diploma or less), unemployment, homelessness, and having a COD. The racial disparity of jail incarceration in Milwaukee County is also skewed toward Black residents, with 62.5% of Blacks comprising the jail population in 2015 while representing only 26.5% of the county population. The project proposes to serve 20 more unduplicated individuals (60 clients total) annually, 100 more individuals (300 clients total) throughout the lifetime of the project. Strategies and interventions include providing regular clinical consultation for the MCADTC team; enhancing the service array for recovery housing; providing Certified Peer Specialist (CPS) training to increase support of MCADTC clients and improve retention; implementing Wellness, Recovery Action Plan Facilitator and Train The Trainer training to enhance the treatment system and build organizational capacity; delivering customized Medication Assisted Treatment training for the MCADTC team, CPS, and community stakeholders; and facilitating informational infrastructure development of the Milwaukee County Pretrial management system (ePretrial) to track performance measures and build customized reports in closer alignment with the recommended Wisconsin Statewide Drug and Hybrid Court Performance Measures. Project goals are to: (1) Increase the access and availability of services to reduce recidivism and SUD among substance-using offenders, (2) Address gaps in the continuum of treatment for individuals who have treatment needs for SUD and/or COD, and (3) Apply MCADTC program evaluation findings for continuous quality program improvement. The proposed project addresses service gaps such as earlier assessment and diagnosis in the jail for more timely access to treatment services; having a Mental Health Clinician as part of the MCADTC team to interpret and navigate assessment of client risk and diagnoses; statewide shortage of CPS; additional housing options to support MCADTC clients as a part of their treatment and recovery plan; and community resources for the unique needs of men living in Milwaukee with histories of trauma, poverty, substance use, and mental health issues.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).