Pinellas County Adult Drug Court Expansion - Populations served: The lead applicant, Pinellas County Board of County Commissioners (PCBCC), on behalf of Florida's Sixth Judicial Circuit (SJC), is requesting Treatment Drug Courts funding from SAMHSA in response to FOA No. TI-19-004, to enhance services for drug-involved offenders (adults) participating in the Pinellas [County] Adult Drug Court (PADC) over five years (2024-2029), as particularly those with neurotrauma. The population of focus is drug-involved offenders residing in Pinellas County (adults 18+) that meet American Society of Addiction Medicine (ASAM) criteria for outpatient substance use disorder (SUD) treatment and The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for SUD. Strategies/Interventions: The purpose of the proposed project is to expand services in the existing PADC to offer an enhanced treatment drug court model and community-based SUD treatment and recovery support services (RSS) to drug-involved offenders (adults) in Pinellas County, including enhanced services for those experiencing neurotrauma. The proposed treatment provider, WestCare GulfCoast-Florida, Inc., will deliver the following evidence-based practices: Cognitive Behavioral Therapy, Motivational Interviewing/Motivational Enhancement Therapy, Relapse Prevention, Living in Balance, Seeking Safety, Helping Women Recover and Helping Men Recover, and Nurturing Parenting. Goals and Objectives: GOAL 1: Increase the availability of, access to, and engagement in evidence-based treatment services to reduce substance use/misuse and recidivism of adult offenders. Objective 1.1: By September 2029, provide intensive, integrated outpatient SUD treatment and recovery support services (RSS) to 200 unduplicated adults (40 annually) in Pinellas Adult Drug Court (PADC). Objective 1.2: By September 2029, 75% of participants will complete treatment as evidenced by their discharge status in the WestCare Clinical Data System (CDS). Objective 1.3: By September 2029, 85% of participants will complete the aftercare/continuing treatment component. Objective 1.4: By September 2029, 80% completing treatment will be substance free during the 30 days prior to discharge, and 70% of those will remain substance free at 6-months post admission. Objective 1.5: By September 2029, 80% completing treatment will not be re-arrested (for non-drug or drug related charges) while in the program, and 60% will not recidivate at 6-months post intake as measured by GPRA. GOAL 2: Reduce the behavioral and social consequences related to substance use/misuse by increasing access to and availability of recovery support services. Objective 2.1: By September 2029, 80% completing services who have anxiety, depression, and/or trauma symptoms at intake will exhibit fewer symptoms at discharge, and 70% of those will maintain the improvements or show additional decreases at 6-months post admission assessed by the GPRA, PCL-5, and Modified Mini. Objective 2.2: By September 2029, 90% completing services and not having stable living arrangement at intake will have stable living arrangements at discharge, and 70% of those will maintain their living arrangements at 6-months post intake measured by GPRA. Objective 2.3: By September 2029, 80% completing services will have improved social connectedness at discharge, and 70% will maintain these improvements at 6-months post intake as measured by GPRA. Objective 2.4: By September 2029, 60% participating in educational/vocational activities will be employed or enrolled in education/job training at discharge, and 70% will complete their education/training, or remain employed at 6-months post admission as measured by GPRA.