Wednesday, May 28, 2025
5/28/2025
39th Judicial Circuit ATDC Treatment and Recovery Services Expansion - Project Name: 39th Judicial Circuit Treatment Court Expansion and Enhancement Missouri's 39th Judicial Circuit will expand and enhance the delivery of Adult Treatment Drug Court (ATDC) services, to include substance use disorder (SUD) and mental health treatments, primary care services, family engagement opportunities, recovery housing, peer support, and harm reduction measures. The population of focus is felony offenders diagnosed with a SUD who demonstrate high clinical need and high criminogenic risk upon screening. The program proposes to serve 60 individuals annually and 300 individuals through the life of the grant. The 39th Circuit is nestled in the rural Ozark Mountains, which limits residents’ access to SUD treatment services, mental health services, and primary care. Program-level data indicate that 37% of our ATDC entrants had no high school diploma or GED, 44% were unemployed, 90% had no health insurance, 49% had a co-occurring disorder, 42% reported high severity trauma, 9% had shared needles in the past 90 days, 19% were homeless in the past 90 days, and 79% were living below poverty level. Data also show that female entrants are more at risk than male entrants on several measures, including severity of mental health problems and lifetime trauma, quality of peer support, risk of contracting and transmitting HIV, and poverty status. Project goals are to (a) use evidence-based criteria to admit high-risk, high-need offenders who have a diagnosed SUD; (b) expand participant access to SUD treatments, to include assessment, clinical case management, individual and group counseling, substance abuse education, and tobacco cessation assistance; (c) expand participant access to complementary services, to include mental health treatments, trauma-informed services, family counseling services, primary health care services, temporary housing assistance, and recovery support; and (d) achieve behavioral health equity by eliminating health disparities for program participants in the catchment area. Grounded in the Key Components, the project will utilize evidence-based strategies to ensure success, to include cognitive-behavioral approaches, trauma-informed practices, medication-assisted treatment, criminal thinking interventions, recovery management interventions, frequent judicial monitoring, and routine program evaluation. To gauge program impact, we will administer the Global Appraisal of Individual Needs (GAIN) assessment at intake, 9-months post-intake, and upon discharge. The success of the expansion effort will be judged in terms of whether participants (a) work towards AOD abstinence; (b) show improved psychological, emotional, and physical health; (c) exhibit gains in their educational and vocational status; (d) demonstrate improved environment and living situations; and (e) establish crime free lifestyles.
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).