Co-occurring substance use and mental health disorders are common among drug court participants and a great need exists for enhanced care coordination between the court and treatment systems. The Massachusetts Trial Court, in collaboration with the evaluator (University of Massachusetts), the provider (BHN), the state substance use and mental health authorities, and other local partners, propose to enhance the Springfield Drug Court (SDC) by embedding an evidence-based co-occurring disorders wrap-around treatment model called Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking-Criminal Justice (MISSION-CJ). This model which has been cited in SAMHSA’s National Registry of Evidence-based Programs and Practices (NREPP) and used in a number of other SAMHSA grants, systematically integrates case management, co-occurring disorders treatment, peer support, vocational supports, and trauma informed care into a single, coordinated service delivery approach.
The goals of the proposed project are to reduce criminal recidivism, improve mental health and substance use disorder outcomes, and increase linkage and engagement to wraparound services and supports (e.g. MAT) among drug court participants by offering MISSION-CJ to facilitate care between the Springfield Drug Court and community providers. In this proposed project, which we will call Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking-Springfield, we intend to serve 40 clients a year, and a total of 200 clients over 5 years, in the SDC who have a co-occurring mental health and substance use disorders. Clients will receive one year of MISSION-CJ services delivered by a case manager and peer team, which also will link program participants to other needed community based services, including medical benefits and medication-assisted treatments. The University of Massachusetts Medical School, developer of the MISSION-CJ model, will provide staff training, project coordination, and perform the evaluation. The Executive Office of the Massachusetts Trial Court will be the grant recipient, and the Springfield Drug Court will be the site embedding the services within the court. BHN, an experienced provider, will deliver these new MISSION-CJ services within the court. Representatives from the Executive Office of the Massachusetts Trial Court, Department of Mental Health, the Department of Public Health, Probation, and MassHealth, our state Medicaid Authority, will serve in a leadership capacity on this grant, and assist with sustainability planning. This project received input during the planning phase from district court judges, state agencies, community treatment providers, and is consistent with the 10 key components of the drug court model. This project is innovative in that it will embed peer and case management teams that will use an evidence-based, wrap-around model previously developed with SAMHSA funding to specifically improve coordination between the court, clients, and community-based treatment providers.