Miami-Dade Adult Drug Court Trauma Stimulant Initiative Grant - The Miami-Dade Adult Drug Court (ADC), active since 1989 at 1351 NW 12 Street, Miami, Florida, seeks to advance its Substance Abuse and Mental Health Services through a SAMHSA grant (No. TI-24-004), The Trauma Stimulant Initiative (TSI) project. This initiative seeks to build on the success of a current SAMHSA-funded project, which has achieved a notable 79.1% graduation rate—significantly higher than the ADC's overall rate of 61%, by collaborating with the Family Resource Center (FRC) to address specific needs such as history of trauma and anger issues. This proposed initiative targets the ADC participant demographic, significantly impacted by substance use and related parenting challenges, with an annual identification of 35%-45% having a history of trauma and stimulant use. The project proposes a comprehensive approach to tackle these challenges with a $2,000,000 budget over five years, intending to serve a minimum of 200 individuals (40 annually). This initiative equally addresses the interconnected issues of unresolved trauma, stimulant use disorders, co-parenting skills, and anger management, recognizing their collective impact on the risk of substance use and relapse among participants. The Matrix Intensive Outpatient Model will specifically target stimulant use disorders, while Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT), and Dialectical Behavioral Therapy (DBT) will address trauma therapy. Additionally, Cognitive Behavioral Therapy (CBT) will address anger management, a critical component for substance users who often exhibit elevated anger levels that increase their relapse risk. These evidence-based treatments aim to fulfill the project's goals of reducing relapse rates for stimulant use disorders by 15% within 12 months, enhancing positive co-parenting behaviors, and increasing access to best practice services, including trauma therapy. The objectives are to implement the Matrix IOP Protocol for stimulant use disorder treatment, continue using trauma therapy modalities (EMDR, CPT, DBT), conduct anger management groups through CBT, and start co-parenting counseling, all within 12-16 sessions to achieve the desired outcomes. This strategy emphasizes the ADC’s commitment to addressing the complex needs of its diverse population—80% male, 20% female, predominantly Hispanic (76%) Caucasian (13%), African American (9%), and Asian American/Native American (2%), —and enhancing program effectiveness and participant engagement. This proposed initiative complements an existing SAMHSA grant targeting opioid and alcohol use disorders by providing comprehensive support, including medically supervised outpatient detoxification, withdrawal management, Medication-Assisted Therapy (primarily Buprenorphine and Vivitrol), and both individual and group therapy sessions. This cohesive effort by the ADC and FRC aspires to enhance treatment accessibility, improve co-parenting behaviors, and ensure high engagement and success rates among its participants, fulfilling a crucial need within the Miami-Dade community.
