The Benton County Arkansas Adult Drug Court Services Expansion Grant proposes to collaborate with ten providers statewide to increase accessibility to acute care services for clients most in need of intensive services thus filling gaps in services and providing a fully integrated continuum of care to participants of the Benton County Adult Drug Court located in Northwest Arkansas. Because this service enhancement project would result in the program being able to provide services at the level needed, it will improve outcomes of those with the most severe and complex substance use problems. This service enhancement project is primarily designed to enhance the quality, quantity and intensity of treatment and recovery support services available to BCADC clients with the most complex problems. This will be accomplished through added residential treatment, increased intensive outpatient and partial hospitalization services, trauma treatment, mental health, peer services, STI education and testing, overdose prevention and wrap around support services. BCADC will also have primary documents translated to Spanish, interpreters will be more available for assessments, and we will contract with Spanish language SUD services. The program will use motivational interviewing, MRT, Living in Balance, MAT, and Trauma Informed Care. All staff will complete the GAINS trauma informed training. The population of focus for BCADC is adults aged 18 years or older with substance use disorders (SUD) in the criminal justice system with great need for enhanced services and who, without intervention, are most at risk for relapse and reoffence. This program will target individuals least likely to succeed with traditional treatment approaches – those with the greatest personal vulnerabilities, problem severity, complexity and chronicity, and fewest natural supports. Because of the characteristics of the substance dependent individuals we are targeting, we expect this to include those with trauma, repeat offenders (legal complications as a result of drug/alcohol dependence) and individuals with serious mental health problems (high problem complexity). Additionally, because BCADC has a significant number of Native American clients and Latinx clients, we will use rapid cycle quality improvement in the evaluation plan to address racial health disparities as identified in our disparities impact statement. We anticipate serving 45 clients in year one, 50 in year two, 55 in year 3, 60 in year four and 65 in year 5 for a total of 275 unduplicated clients over the five-year funding period. Of the clients enrolled, we anticipate providing residential treatment services to 150 clients, partial hospitalization services to 30 clients and intensive outpatient to 30 clients in the five-year funding period.
Project goals include: 1) Increase quality and quantity of outpatient services, 2) Add specialized groups including trauma, 3) Ensure true continuum of care by filling gaps in services including residential treatment, partial hospitalization, intensive outpatient, mental health and wrap-around recovery services, 4) Increase Peer Support Services, 5) Improve HIV and Hepatitis education and testing services, 6) Improve staff knowledge through training, 7) Develop and implement opioid overdose education, 8) Increase Services for Hispanic/Latino participants
As part of infrastructure development, we will establish an Advisory Board of community partners and BCADC staff. Training and technical assistance will be provided on Seeking Safety, an evidence-based approach for individuals with trauma histories and substance abuse to address the need for trauma-informed services in NW AR. The project will be closely integrated with broader state-level Systems of Care to ensure sustainability for the system. Plans for quality improvement, replication and sustainability will be guided by results from the evaluation of the project.