The Urban Inter-Tribal Center of Texas (UITCT) is a 501(c)3 nonprofit organization with a successful 49-year history of providing culturally sensitive, community-based services to meet the diverse needs of AI/AN in Texas. UITCT is the only Urban Indian Health Center in Texas. The state of Texas is home to 289,958 AI/AN with 62,252 residing in North Texas (U.S Census, V2019), making it the fifth largest state population of American Indians (U.S Census, 2010). Our patients are members of 175 different federally recognized tribes including the Choctaw Nation, Cherokee Nation, Muscogee (Creek) Nation, Chickasaw Nation, Navajo Tribe, Comanche Indian Tribe, Mississippi Band Choctaw Indians, Seminole Nation, Kiowa Indian Tribe, and Citizen Potawatomi Nation.
The objectives for this project are as follows:
1. Increase public awareness and education about culturally appropriate and family-centered opioid prevention, treatment, and recovery practices and programs in AI/AN communities.
2. Create comprehensive support teams to strengthen and empower AI/AN families in addressing the opioid crisis in Tribal or Urban Indian communities.
3. Reduce unmet treatment needs and opioid overdose related deaths through the use of medication-assisted treatment (MAT).
This proposal will outline the activities and partnerships that will help us achieve these objectives. Activities such as identifying community resources, developing educational materials, and implementing awareness campaigns will help us achieve Objective 1 by improving the public’s understanding of substance use disorders, evidence-based treatments and prevention strategies, and helping to eliminate stigma associated with opioid use disorder (OUD). They will also support the use of community-based prevention programs and engaging community and faith-based organizations to spread awareness about OUD prevention, treatment, and recovery. UITCT has confidence that these activities will provide culturally appropriate education to individuals, families, and caregivers to help them understand the importance of prevention and recovery and how they can find and access services.
Objective 2 activities will increase the number of behavioral health providers knowledgeable about substance use disorders and will also help identify individuals who are at risk of opioid use disorder and provide resources like prevention and early intervention services and other supportive services to minimize the potential for the development of opioid use disorder. These activities will enforce the need for family-centered treatment that endeavors to keep families and caregivers together.
Finally, Objective 3 activities will help the community reduce unmet treatment needs by increasing access to MAT services for those who need it. These objectives will also ensure increased access to provider training about MAT, opioid use disorder, and pain management. They will also provide widespread availability of naloxone, including education and training on overdose prevention and naloxone administration to ensure that individuals likely to respond to an overdose can take the appropriate steps to reverse an overdose.
The proposed project will help increase UITCT’s capacity to implement and sustain community-focused, evidence-based, trauma-informed opioid education, treatment, and recovery programs.