Floyd County Drug Court Enhancement - By adding a dedicated therapist, case manager, peer support specialist, and vocational specialist to create an Assertive Community Treatment (ACT) team for eligible high risk/high needs participants, the Floyd County Specialty Court (FCSC) will better serve the unique treatment needs of participants. This evidence-based treatment model has been shown to increase successful outcomes and decrease recidivism and incarceration. The Kentucky (KY) Administrative Office of the Courts (AOC), on behalf of Floyd County in rural, Appalachian KY, 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). Floyd County is an impoverished jurisdiction in southeast KY where the substance use disorder (SUD) and co-occurring disorders (COD) needs are great and where vocational and educational opportunities are minimal. Mountain Comprehensive Care Center (MCCC), a community mental health center for the region, serves FCSC and is a provider in this project. Eastern KY Concentrated Employment Program (EKCEP) will provide work skill development and career coaching. Morehead State University will provide the outcome and process measurement, including GPRA/SPARS data collection. This project will create a more comprehensive rehabilitative opportunity by enhancing the quantity, quality and intensity of targeted treatment and other services for FCSC participants with SUD and potentially COD. Thorough clinical assessments, ongoing treatment planning, and weekly ACT meetings will identify needs and provide rapid access to 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 COD services and recovery supports. Reasons for selecting this site include: 1) the current opioid and methamphetamine epidemics which have ravaged the area, with limited resources to meet the comprehensive needs caused by this problem; 2) specialty court funding is limited, and at present 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 42 persons annually (210 over the 5 years of the project which will increase current numbers by 13.5%) 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).
