Item 320.BB of the 2020 Appropriations Act, Chapter 56 directs the Virginia Department of Behavioral Health and Developmental Services (DBHDS) to report the results of the pre-existing pilot programs using Naltrexone, as well as recommendations for expansion of the pilot program to other interested drug courts, to the General Assembly.  This report includes the data collection from beginning in July 2019 through December 31, 2020 in order to reflect the expansion needs of the Drug Court programs related to Naltrexone as well as the impact of COVID-19 on their populations served.