The Opioid Advisory Meeting held on August 1, 2025, in Johnson County, Indiana, focused on the proposed expansion of services at Terra Treatment Center, a key provider of substance use disorder treatment in the region. The center, which has been operational for over 40 years, aims to enhance its capacity to serve individuals struggling with opioid use disorder and related challenges.

During the meeting, the director of business development at Terra Treatment Center highlighted the center's commitment to evidence-based, client-centered care. The proposed expansion is designed to increase treatment capacity by adding staff, including a full-time case manager and two part-time peer recovery coaches. This initiative is expected to allow Terra to serve an additional 100 clients annually, significantly increasing its current caseload of approximately 130 adults.

The meeting underscored the importance of tailored treatment plans that address the unique needs of clients, particularly those experiencing homelessness, chronic relapse, and co-occurring mental health conditions. The integration of peer recovery coaches, who provide mentorship and support based on their lived experiences, is anticipated to improve treatment adherence and reduce relapse rates.

Key discussions also emphasized the role of case management in connecting clients with essential services such as housing, employment, and legal support. This holistic approach aims to address social determinants of health that often exacerbate substance use disorders.

The proposed budget for the expansion includes funding for staff salaries and training, with a focus on sustainability through Medicaid reimbursement and ongoing grant pursuits. The meeting concluded with a call to action, highlighting the urgent need for expanded outpatient services to meet the growing demand for recovery support in the community.

Overall, the proposed expansion at Terra Treatment Center aligns with the advisory board's priorities of increasing treatment capacity and advancing evidence-based interventions, ultimately strengthening community recovery resources in Johnson County.