The Miami County (IN) Drug Court (MCDC) proposes to deliver comprehensive community-based treatment (CBT) services through its SAMHSA Treatment Drug Court project. The project service area is a rural community suffering from the current opioid epidemic. The project will benefit approximately 200 individuals in Indiana’s second Congressional District (IN-02). Congresswoman Vicki Walorski and Senator Todd Young are supporters of the project. The project is called MOCA (Miami County Offender Community-Based Treatment Assistance) and will serve persons under Drug Court supervision in Miami County. Its purpose is to expand the Drug Court’s community-based treatment efforts by providing enhanced, well-coordinated services designed to combine the legal authority of the drug court with effective substance use disorder (SUD) and/or behavioral health services in order to break the cycle of criminal behavior, substance use, incarceration, and other negative impacts of substance use on participants and the community. In order to fulfill this purpose, the project will work towards achieving the following goals: 1) Effectively screen and assess participants for SUD and co-occurring needs; 2) Expand access and availability of current Drug Court services; and, 3) Provide comprehensive SUD treatment and related recovery services and supports. Key implementation activities include: screening and assessing participants; providing evidence-based and population-appropriate treatment approaches to meet the unique needs of the diverse populations at risk; providing services such as medication delivery and management, outpatient, peer-to-peer recovery, recovery groups, outreach-based, intensive outpatient, and medication assisted treatment; recovery support services; case management; care coordination; and wraparound supports (housing, childcare, employment, educational, transportation, etc.). MCDC also will collaborate with numerous community-based organizations to provide other needed health, human and social services. Populations of focus include: non-violent individuals in the court system who have treatment needs for SUD and/or co-occurring behavioral health disorders; underserved and minority populations; subpopulations demonstrating, or vulnerable, to behavioral health disparities; and, returning military veterans and their families. The project is expected to generate key outcomes such as: 1) At least a 50% increase in the number of persons served by the Drug Court; 2) a 33% decrease in the rate of recidivism; 3) 75% of participants will demonstrate improved behavioral health and/or SUD treatment outcomes; 4) 80% will report increased social connectedness; 5) a 50% employment placement rate; 6) a 75% participation rate in peer-to-peer, group counseling or other recovery services; 7) at least 25% abstain from all substance use; 8) at least 75% receive some level of wrap around services; and, 9) a required medical testing (HIV, HEP, etc.) compliance rate of at least 95%. Led by Judge Timothy Spahr and Project Director Angela Bever, the project will serve at least 40 persons annually.