Appalachian/Midwest Regional Judicial Opioid Initiative (RJOI)

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RJOI was created in response to the need for information, education, and resources to address the opioid epidemic.

Welcome video from Chief Justice Maureen O'Connor.

Interactive RJOI Data Maps

About RJOI

In August of 2016, a multi-state regional summit was convened in Cincinnati, Ohio by the Supreme Court of Ohio. Over 150 attendees, along with national partners, representing states across the region at the epicenter of the opioid epidemic met to discuss the impact of the opioid epidemic in the region. Summit delegates developed a regional action plan with strategies to combat the opioid epidemic and formed the Regional Judicial Opioid Initiative (RJOI).

In September 2017, the Leadership Committee finalized the RJOI Charter signed by the Chief Justices from the region and established the organizational structure of the initiative. The eight RJOI states include: Illinois, Indiana, Kentucky, Michigan, North Carolina, Ohio, Tennessee, and West Virginia.
Introduction video from Chairman Judge Duane Slone.

Breaking News

Clermont County couple gets 6 kids back after homelessness, drug addiction

Tessa DiTirro, WKRCFriday, June 12, 2020

MILFORD, Ohio (WKRC) - A Clermont County couple has the comeback story of a lifetime: Two years ago, they were homeless, drug-addicted, their six children living in foster care. Today, they've come full circle.

In 2017, meth addiction took over for Robert Schubert and Christina Northern. They lost their house and lived in a van behind the Subway in Milford.

"But once we lost our kids, it's like our whole world fell apart. Our marriage almost didn't make it through. It was a horrible time," said Northern.

Schubert and Northern were reluctant to come to Family Recovery Court in Clermont County. They knew the work they would have to do is hard. But, they soon realized their success there was the way they could save their family.

On Thursday, the couple completed their biggest milestone yet. On a Zoom call for family to watch, they graduated from Family Recovery Court. "We wanted to at least be in front of Judge Shriver and physically thank him for, you know, starting that program and being there all the way through," said Schubert.

RJOI State Resources and Team Membership

Opioid Initiatives, Programs, and Projects

Drug Courts. General Information.

SUPR Opioid Resource Center. Resources and current efforts in prevention, education, and treatment from the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery (SUPR).

RJOI Membership

Illinois Courts

Illinois Department of Children and Family Services

Illinois Department of Financial and Professional Regulation

Illinois Department of Human Services

Illinois Prescription Monitoring Program

Illinois Center of Excellence for Behavioral Health and Justice

Opioid Initiatives, Programs, and Projects

Indiana reaches milestone 100 problem-solving courts.

Addiction Hotline. Available 24/7 for individuals seeking addiction treatment services in Indiana.

Addiction Treatment. Recovery resources from the Division of Mental Health and Addiction.

BitterPill. Website that raises public awareness of the opioid crisis across the country and in Indiana.

Jail Chemical Addiction Program (JCAP). Helps addicted offenders leave jail on paths to recovery.

Next Level Recovery. Provides access to resources for prescribers, emergency personnel, community leaders, and persons with substance use disorder and their families.

Opioid Treatment Programs (OTPs). Help people with opioid use disorders get treatment and maintain substance-free lives.

Perinatal Substance Use. In 2014, the Indiana State Department of Health (ISDH) established a task force which produced five deliverables addressing Neonatal Abstinence Syndrome (NAS). In addition to defining NAS, the task force developed a standard protocol and education materials for medical professionals and caregivers. Additional information.

Problem-Solving Courts. General information and court directory.

Recovery Works. The Forensic Treatment Services Grant Program, through the Division of Mental Health and Addiction (DMHA), funds a voucher-based program that gives vouchers to providers that offer specialized services to those struggling with mental illness and/or substance abuse and addiction.

Service Provider Listing. Listing by county for individuals seeking mental health and/or addiction services.

RJOI Membership

Indiana Courts

Indiana Criminal Justice Institute

Indiana Department of Child Services

Indiana Department of Correction

Indiana Family and Social Services Administration

Indiana General Assembly

Indiana Judicial Center

Indiana Office of the Governor

Indiana Professional Licensing Agency

Indiana Prosecuting Attorneys Council

Indiana State Department of Health

Indiana State Police

Indiana University Purdue University Indianapolis

Opioid Initiatives, Programs, and Projects

Common Language Glossary. As part of its effort to lessen the stigma around drug addiction, the Ohio team has crafted a glossary of addiction-related terms using reputable sources from the medical and addiction fields. The definitions in the glossary emphasize addiction as a brain disease and reflect a philosophy of acceptance of those struggling with these destructive and sometimes lethal addictions.

Drug Courts. General information.

Drug Incident Summary Collection Overview (DISCO) System. National model for a data collection partnership between Ohio's 43 drug task forces and the El Paso Intelligence Center. The system was announced in 2017 and provides Ohio task force commanders and federal law enforcement leaders with more accurate and real-time drug incident statistics. In return, decision-makers can prioritize interdiction operations, more readily develop patterns and identify trends to effectively deploy resources as needed.

Governor's Cabinet Opiate Action Team (GCOAT) Established in 2011, the, alliance brings together the expertise and resources of multiple state agencies and unites the entire state enterprise around the goal of preventing drug addiction and reducing overdose deaths. Combatting drug abuse through many initiatives on several fronts at state and local levels involving law enforcement, public health, addiction and treatment professionals, healthcare providers, educators, parents and many others, Ohio's model for fighting drugs is one of the most aggressive and comprehensive in the nation. More than $1 billion is being invested each year to help communities address prevention, treatment, recovery and law enforcement. In addition to funding services and communities, Ohio leaders have invested time and energy into creating tools that can be used to battle this epidemic.

Maternal Opiate Medical Supports (MOMS) The state of Ohio is working with various healthcare leaders, stakeholders, and medical professionals to identify promising treatment practices, including Medication Assisted Treatment (MAT), for opioid dependent pregnant mothers eligible for or enrolled in Medicaid during and after pregnancy. The goal of the MOMS collaborative is to improve maternal and fetal health outcomes, improve family stability, and reduce costs of Neonatal Abstinence Syndrome (NAS) to Ohio's Medicaid program.

Quality Improvement Center for Collaborative Community Court Teams (QIC-CCCT). A 30-month initiative providing funding and support to 15 sites nationwide through the Training, Technical Assistance and Coaching Approach. The goal of the initiative is to strengthen the Collaborative Community Court Teams' capacity to improve services and outcomes for infants, young children, and their families/caregivers. Trumbull, Coshocton, and Fairfield counties were selected from Ohio to create a strategic plan, implement the plan, and evaluate their plan with the assistance of the Center for Children and Families Futures, their partners, and subject matter experts. Although each site has the same overall goal and target population, each has their own unique approach. The Supreme Court of Ohio is the state level coordinator of the project.

Specialized Docket Map. Interactive docket map by county.

Statewide System Improvement Program. Standards established to guide Ohio courts in the planning and implementation of all specialized dockets. The standards set forth minimum requirements for the certification and operation of all specialized dockets. While the standards seek to create a minimum level of uniform practices for specialized dockets, they still allow local specialized dockets to innovate and tailor their specialized docket to respond to local needs and resources.

RJOI Membership

Ohio Courts

Ohio Department of Education

Ohio Department of Health

Ohio Department of Jobs and Family Services

Ohio Department of Medicaid

Ohio Department of Rehabilitation and Correction

Ohio Mental Health and Addiction Services

State Medical Board of Ohio

State of Ohio Board of Pharmacy

Case Western Reserve University

University of Cincinnati

Opioid Initiatives, Programs, and Projects

Department of Children's Services (DCS). In response to the impact of the use of opioids and other drugs in child welfare, Tennessee has developed training and outreach to DCS staff, community partners, and the courts. The DCS has created partnerships with hospitals and other community stakeholders across the state to address infants born to parents with substance abuse issues. With the Comprehensive Addiction and Recovery Act implemented, the state modified policy to address children who come to the department due to drug exposure. The department has also worked closely with identified courts to implement Safe Baby Courts which have been shown to decrease the amount of time children spend in foster care by up to a year, decrease the recurrence of maltreatment, and successfully connect children and families to needed services.

Knox County Public Defender's Community Law Office (CLO). Holistic, client-centered representation that reflects a commitment to offering meaningful and dignified assistance to clients and to helping them get out, and stay out, of the criminal justice system. In an effort to address the opioid driven addiction crisis, CLO social workers use clinical skills and training in counseling methods such as Motivational Interviewing to empower clients to play an active role in shaping his or her recovery.

Recovery/Drug Court Programs. General information.

Recovery Oriented Compliance Strategy (TN ROCS). Serves the "gap" population of individuals before the court with an urgent need for substance abuse treatment but assessed as low(er) risk of recidivism.

Tennessee Bureau of Investigations/Dangerous Drugs Task Force. General information.

TN Together. Comprehensive set of resources and activities for Tennessee's citizens, communities, and counties to combat the opioid crisis.

RJOI Membership

Tennessee Courts

Tennessee Bureau of Investigation

Tennessee Department of Children’s Services

Tennessee Department of Correction

Tennessee Department of Health

Tennessee Department of Mental Health and Substance Abuse Services

Tennessee General Assembly

Controlling Opioid Abuse through Collaborative Healthcare (COACH)

4th Judicial District Attorneys General Office

Knox County Public Defender's Community Law Office

Metro Drug Coalition

SeventyX7 - Dr. Stephen Loyd

Tennessee Advocacy Talk (TAT)

Tennessee Association of Alcohol, Drug and other Addiction Services

Tennessee Association of Recovery Court Professionals

Tennessee Recovery Coalition