The Fourth Judicial Circuit of Florida is requesting funding to enhance its Family Treatment Drug Court (FTDC) program. This project, entitled Duval County Family Treatment Drug Court Enhancement intends to expand the collaborative delivery system of population focused care between the Fourth Judicial Circuit and local community-based care agencies. FTDC is a highly-structured court supervised treatment program for parents, ages 18 and up, of all races and ethnicities, residing in Jacksonville, Duval County, Florida, who are diagnosed with a substance use or co-occurring disorder and whose children have been removed from the home or placed under the supervision of the Department of Children and Families (DCF) due to abuse, abandonment, or neglect. Duval County is among the top 10 counties in the state of Florida for substance-exposed newborns. Children ages birth to three now represent the majority of children in out-of-home placements (55.2%). More than 60% of adults associated with a child-welfare case in Duval County have substance use issues that contributed to the involvement of DCF, and nearly 90% of children have been exposed to trauma. This project intends to provide evidence-based treatment and recovery support services to all participants, increasing the number of individuals served and addressing gaps in the continuum of treatment, thus increasing the likelihood of successful habilitation. Positive outcomes will be achieved through early, continuous, and intense judicially supervised treatment, mandatory science-based drug testing for treatment compliance and therapeutic intervention, and through the use of appropriate incentives, sanctions, and other services. This project proposes to serve 40 participants annually (200 total). The goals for this project are to: incorporate providers specializing in child-centered/family-centered services including peer mentoring, child-parent psychotherapy, nurturing parent programs, and seeking safety, as well as services for parents and children for substance use and mental health treatment, trauma and/or grief services, parenting skills, domestic violence programs/assistance, life skills, anger management, housing and food assistance, and educational/vocational programs; increase and expand upon the medication assisted treatment options available to this population by initializing screening efforts on all new program participants early in the treatment process, educating participants on the benefits of utilizing medication assisted treatment, and providing treatment options throughout the continuum of care; and to collect and evaluate relevant data utilizing programmatic and standardized data collection tools and annual reporting to be used in sustainability funding efforts at the local and state level. The opioid epidemic and associated devastation resulted in a need to realign FTDC goals and objectives to address the specific needs of children prenatally exposed to drugs and to address the specific needs of children exposed to trauma. By addressing the complex needs of this population, safely restoring families, and promoting permanent lifestyle change, this project will result in families breaking the generational cycle of addiction and dependency.