Birmingham Municipal Adult Court Expansion Project - The Birmingham Municipal Drug Court (BMDC) program seeks to increase its capacity to connect individuals with non-felony offenses who have a substance use disorder, including those with opioid use disorder, to treatment and recovery support services. BMDC will reduce service gaps to improve outcomes for people involved in the criminal justice system, particularly those that are low-income, uninsured, and historically underserved and under-resourced. BMDC will serve individuals who have been charged with misdemeanor criminal offenses in the City of Birmingham, Alabama. Based on current demographics of clients served in the current drug court program, the project anticipates: 87% of individuals will be Black, 10% will be white, and less than 3% will be other/mixed race; 73% will be male, 24% will be female, and 3% will identify as non-binary/other; 26% will be below age 30, 45% will be ages 30 to 60, and 29% will be over age 60; 6-8% are expected to be diagnosed with opioid use disorders; and 48% will have incomes below the federal poverty line. The program will provide screening and assessment for substance use disorder, screening for infectious diseases, evidence-based treatment approaches, recovery support services, family engagement opportunities, comprehensive case management, and language access services. The BMDC program aims to address the shortage in service availability for gender-responsive treatment for women, including transgender women, and medication-assisted treatment (MAT) for individuals that are diagnosed as clinically appropriate to receive MAT. With this expansion of services, the drug court judge and staff will receive training on the benefits of these approaches as part of a comprehensive and individualized treatment plan for those that are assessed as needing such services. The goals of the BMDC project include: 1) Increase the capacity of the BMDC to break the cycle of alcohol and/or drug use and criminal behavior in Birmingham, Alabama by expanding access to evidence-based practices by 50 participants annually (from 100 to 150 participants annually); 2) Increase access for female BMDC clients to gender specific, trauma informed evidence-based treatment services; and 3) Expand access for BMDC participants with opioid use disorders to medication assisted treatment (MAT). The project will implement evidence-based practices such as cognitive behavioral therapy, twelve-step facilitation, medication-assisted treatment, gender-responsive and trauma-informed services, case management, and peer recovery support services. The project aims to serve 50 unduplicated individuals annually for a total of 250 participants throughout the five-year program period. This will increase the court’s capacity of connecting individuals to treatment and recovery support services from 100 to 150 individuals per year.