Summary. As a qualified political subdivision and public behavioral health provider with 50 years of experience in Mississippi, Region IV Mental Health services in collaboration with the 23rd District Circuit Intervention Court will implement the Drug Court Expansion program to expand access to trauma-informed substance use disorder and/or co-occurring mental health disorder (SUD/COD) treatment. Name of the project: Drug Court Expansion. Populations serviced: High Risk/high need adults 18+(32% female; 67% male; 1% transgender); 16% African American, 1% Hispanic/Latino; 1% LGBQI+ 40% trauma-involved; 50% Co-occurring Disorders; 1% HIV positive and 1% hepatitis+. Goal. To provide gender affirming, trauma-informed and culturally and linguistically appropriate behavioral health services reducing crime, co-occurring substance use and mental health disorders among high risk/high need, nonviolent offenders who are in need of SUD and/or COD treatment based on ASAM criteria. Strategies/Interventions: The Drug Court Expansion Program expands SUD/COD residential, outpatient, IOP and treatment capacity, including access to Medication Assisted Treatment and adds evidence-based Services and practices, case management and peer-led recovery support services to meet the individualized needs of drug court participants. The Risk and Needs Triage (RANT) will be used to match each drug court client's level and intensity of services to his/her level of risk and relative to his/her needs. Services will include standardized screening and assessment, trauma-informed SUD/COD residential, outpatient, IOP, treatment coupled with strength-based case management, HIV, viral hepatitis screening and peer-led recover support services, ensuring linkages to housing, employment/education, healthcare and recovery support services, ensuring linkages to housing, employment/education, healthcare and social supports. Use of evidence-based services/practices will improve treatment outcomes. EBPs: Motivational Interviewing (MI); IOP Matrix Model; Medication Assisted Treatment (MAT); Moral Reconation Therapy (MRT); Eye Movement Desensitization and Reprocessing (EMDR) and SMART Recovery. Objectives. Between 9/30/23 and 9/29/28, 100% will improve access to treatment and diagnosis; 80% will be retained in treatment; 80% will improve abstinence; 65% will improve housing stability; 70% will reduce health/behavioral/social consequences; and 80% will improve social connectedness; 80% will reduce health/behavioral/social consequences; and 80% will reduce criminal justice involvement. # to be served. 50 per year, totaling 250 across a five-year project period.