The Troup County Felony Adult Drug Court (TCDC) and partner Pathways Center (Pathways) seek to expand their existing adult drug court program. TCDC promotes a safer community by helping non-violent offenders with Substance Use Disorders (SUD) and co-occurring mental health disorders (COD) access evidence based (EB), judicially supervised treatment while meeting court requirements. Pathways is TCDC's partner providing all integrated behavioral health (BH) treatment (SUD, COD, and recovery supports). In FY 23, TCDC provided services to 188 adults with SUD between 2021 and 2023. Pathways served 360 adults with SUD and 536 adults with COD. The Population of Focus (POF) for the proposed service expansion is adults diagnosed with SUD or COD as their primary condition who participate in the TCDC. TCDC participants are 57.9% male and 42.1% female. 64% were between 24 and 44 years of age. 78% identify as White, 20% as African American, 2% as Other. 14% are Hispanic. About 59% are high school graduates, while 36% have some high school. 84% have no income. 62% of TCDC participants had a SUD diagnosis while 38% had a COD. (TCDC, 2023). An estimated 5.1% adults identify as LGB in GA with .6% transgendered (Williams Institute, 2023). The catchment area (CA) is Troup County, GA.
Project goals and objectives are as follows: Goal 1: To expand high quality SUD treatment to all participants in an existing adult treatment drug court. Objective 1-1: Within 3 months, hire 1 FTE TCDC Drug Counselor to expand capacity by providing SUD services to ensure timely services to all TCDC participants. Objective 1-2: Within 9 months, reduce the waiting time for an initial assessment by a Pathways Drug Counselor from 7 days to 4 days, and within 12 months from 4 days to 1 day. Objective 1-3: Within 3 months, hire 1 FTE Certified Peer Recovery Support Specialist (PRSS) to provide services to all participants. Objective 1-4: Within 3 months, transfer one existing PRSS with lived experience in SUD and MH to support TCDC participants with COD. Objective 1-5: Within 9 months, utilizing expanded PRSS, reduce the no-show rate from 24% to <9%. Objective 1-6: Within 12 months, with rapid access to Drug Counselors and expanded Peer Support, participants will demonstrate a 90% reduction in alcohol or drug use 6 months after first TCDC Court Date. Objective 1-7: Within 1 year, 80% of TCDC participants will display substantial progress towards recovery as measured by the multi-disciplinary team (MDT) assessment reflected in the TCDC Special Contract Progress Note. Goal 2: Provide training to ensure EBP fidelity to All Rise Adult Drug Court model to assure quality improvement. Objective 2-1: Within 9 months and annually thereafter, train or refresh Pathways TCDC staff in key evidence-based practices (EBP) to assess and treat a forensic population with SUD; 85 % of Pathways staff will identify specific advances in practice application through pre/post testing. Objective 2-2: Within 12 months, provide an annual summary training in key EBPs to the TCDC MDT; 85 % of TCDC MDT participants will identify at least 1 newly acquired competency via pre- and post-test assessment. Objective 2-3: Within 6 months, audit Relias Learning Management System (RMLS), Pathways’ training contractor, to ensure that all EBPs critical to this Project are included so that staff training on core EBPs can be monitored and substantiated at least annually.
Pathways, established in 1972, is the primary provider of BH services in west central GA. A staff of 362 (322 clinical and 40 support) provides an array of clinical and support services to 8,000 adults and 2,500 children per year throughout the region. Pathway’s annual operating budget is $36.4M. Pathways has always served historically disadvantaged communities and has been in continuous compliance with drug court standards since 2013.