The Confederated Tribes of Siletz Indians runs a Medically Assisted Treatment Program from their Siletz Community Health Clinic, with the program's primary function is to address Opioid Use Disorder. While the Siletz MAT program has grown with the TOR 2018 funding award, the program has also continued to grow in patient size, and so has the needs of clients. If funded, this grant will continue to sustain personnel positions that serve current MAT clients and allow for the programmatic growth needed to meet current service demands. These funds will expand current programming, identify and work to remedy service gaps for clients and make the program more comprehensive. This grant will sustain personnel positions and contracted professionals that are needed to respond to the growth and ever changing needs as the MAT program evolves and responds to what we know about the services our clients are most responsive to. Goal 1: Implement services for unmet treatment needs. Objective 1: The MAT program contracted professionals, and Mental Health Peer Mentor will expand resources for support groups, trauma informed services, to answer the issues that have been revealed through the enhanced screening and services. We are setting our first year objective at 90 patients and second year for an additional 30. We’ve chosen these numbers because they are obtainable objectives for our two providers prescribing for the MAT program. Objective 2: Expand tele-health opportunities for those patients who live outside of Siletz to regularly receive mental health care affordably, conveniently, and without interruption during bouts of sickness, such as the novel coronavirus. Goal 2 :Implement/ Expand MAT program community recovery support: Objective 1: The MAT program will utilize the Mental Health Peer Mentor and Contractual Counselors working under the TOR grant to expand integrated recovery support groups and host quarterly sober living social engagements. Objective 2: The Mental Health Peer Support position funded by TOR will partner with Community Coalition Advisory Board to incorporate community awareness support and connections to MAT clients. Goal 3: Develop strategies to purchase and disseminate Naloxone and provide training on its use to first responders and other tribal members. Objective 1: Siletz MAT program will focus on preventing active user overdose and death by increasing outreach and centralizing services. Goal 4:Develop effective prevention strategies to engage youth and elders.Objective 1: Siletz MAT program will increase outreach and engagement of youth through strategic messaging and prevention activities. Objective 2: The MAT program will partner with Community Health Advocates to host quarterly presentations at elder events hosted by the Community Health Advocates.