By adding a dedicated therapist, case manager, peer support specialist, and vocational specialist to create an Assertive Community Treatment (ACT) team to treat eligible high risk/high needs participants, the McCracken County Specialty Court (MCSC) will better serve the unique treatment needs of participants and apply effective and evidence based treatment and services to increase successful outcomes and avoid recidivism and incarceration. The Kentucky (KY) Administrative Office of the Courts (AOC), on behalf of MCSC, is submitting this proposal in response to the Substance Abuse and Mental Health Services Administration (SAMHSA) Funding Opportunity Announcement (FOA TI-20-003) Grants to Expand Substance Abuse Treatment Capacity in Adult Treatment Drug Courts and Adult Tribal Healing to Wellness Courts (SAMHSA Treatment Drug Courts). McCracken County is a jurisdiction in far western KY where the substance use disorder (SUD) and co-occurring disorders (COD) needs are great and where vocational and educational opportunities are minimal. Four Rivers Behavioral Health (FRBH), a community mental health center for the region, serves MCSC and is a provider in this project. Morehead State University will provide the outcome and process measurement, including GPRA/SPARS data collection. West Kentucky Workforce Board (WKWB) will provide vocational services. This project will create a more comprehensive rehabilitative opportunity by enhancing the quantity, quality and intensity of targeted treatment for MCSC participants with SUD and for those with COD. Thorough clinical assessments, ongoing treatment planning, and weekly ACT meetings will identify needs and provide rapid access to targeted treatment, recovery supports, and vocational/educational services. Wraparound services will provide access to services that include but are not limited to: recovery housing; transportation; medical services including Hepatitis B/C and HIV/AIDS screening and treatment; medication assisted treatment (MAT); child daycare; life skills training; education and job training; and a continuum of SUD and MH services and recovery supports. Reasons for selecting this site include: 1) the current opioid and methamphetamine epidemics have ravaged the area, and there are limited resources to meet the comprehensive needs caused by this problem; 2) Specialty Court funding is limited, and with current levels of state funding, many individuals cannot receive services they need. Utilizing an evidence-based modification of the ACT model, this grant will address participant needs and improve chances for long term recovery. Goals for the project are 1) to enhance and strengthen treatment services for 52 persons annually (260 over the 5 years of the project which will increase current numbers by 10.63% to develop an effective, comprehensive system of care to help individuals with SUD involved with the criminal justice system become higher functioning; 2) to increase abstinence and decrease recidivism among program participants; and 3) to ensure that project implementation and evaluation adhere to objectives and facilitate continuous quality improvement (CQI).