Thursday, December 12, 2024
12/12/2024
Centerstone’s Comprehensive Treatment Court (C-CTC) will expand substance use disorder (SUD) treatment and recovery support services for an unduplicated 240 adults (ages 18+) with SUD as their primary condition participating in Florida’s Manatee County Drug Court (i.e., Y1: 40; Y2-5: 50, yearly). Focus population demographics are expected to mirror those of current drug court program participants, with 69% male, 31% female, 63% White, 19% Black, and 13% Hispanic/Latino individuals. Manatee County Drug Court serves 164 yearly, and another 100+ may be eligible for drug court participation; of those, at least 50% (132) are expected to have moderate to severe opioid use disorder (OUD) and up to 40% (106), co-occurring SUD and mental health disorders (COD). By 2023, area homelessness had increased 300% from 2021. Compared to area White adults, area Black adults have lower rates of past-year SUD and are incarcerated for drug charges at higher rates; HIV diagnosis rates are 6 times higher for Black vs. White males. In 2017-21, area injection drug use resulted in a 366% increase in acute Hepatitis C infections; from 2013 to 2022, syphilis rates grew by 360%. C-CTC’s culturally appropriate and evidence-based strategies will be implemented in alignment with NADCP’s Defining Drug Courts: Key Components and guided by SAMHSA’s Harm Reduction Framework and TIP 59: Improving Cultural Competence. Treatment interventions include Cognitive Behavioral Therapy; Motivational Interviewing; integrated COD treatments (e.g., SAMHSA’s Integrated Treatment for COD EBP KIT, TIP 42: SUD Treatment for Persons with COD); supplemented by Moral Reconation Therapy; Dialectical Behavior Therapy; Seeking Safety; Medication Assisted Treatment as guided by SAMHSA’s TIPs 63: Medications for OUD and 49: Incorporating Alcohol Pharmacotherapies into Medical Practice; and DIMENSIONS, as appropriate. Case management services will be guided by the TASC Specialized Case Management Model and include, as appropriate, Housing First and SSI/SSDI Outreach, Access, and Recovery. SAMHSA’s Opioid Overdose Prevention and Response Toolkit will inform harm reduction education. C-CTC’s goals include: 1) Implement a comprehensive project to expand access to SUD treatment and recovery support services; 2) Implement capacity-building activities to expand, enhance, and sustain services; 3) Use evidence-based Treatment & Case Management Planning (TCMP) to address behavioral health disparities; social determinants of health; and diversity equity, inclusion, and accessibility; 4) Improve client health status/outcomes via evidence-based, population appropriate treatment services; and 5) Develop/disseminate a documented service model for agency replication/adoption throughout the state. C-CTC will achieve the following measurable objectives: provide training for 5 C-CTC staff and 50 Centerstone/other providers in SUD/COD identification, culturally/linguistically-appropriate care, harm reduction, and relapse prevention; provide/facilitate comprehensive screening/assessment, drug testing, TCMP, and evidence-based SUD treatment for an unduplicated 240 focus population adults; establish an Advisory Council comprising 51% focus population/individuals with lived experience; outreach to 200 stakeholders; develop a sustainability plan with linkages to 2 funding mechanisms; link 100% of those in need to appropriate resources (e.g., housing/recovery housing, employment, transportation, language access services); increase substance use abstinence among 70%; reduce mental health symptoms among 60% with COD; reduce tobacco/nicotine use among 30% with such goals; improve employment/education status among 60% who received such services; improve housing stability among 60% who received such supports; reduce past 30-day criminal justice involvement among 60%; improve individual/family functioning among 70%; increase social connectedness among 70%; and retain 60% in service for treatment/completion.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
