The Albuquerque Area Indian Health Board (AAIHB) Community Opioid Intervention Pilot Project (COIPP) will bring together a multidisciplinary partnership to support the development, implementation and evaluation of culturally appropriate, evidence-based practices to address opioid use disorder among American Indian/Alaska Native (AI/AN) individuals in the Indian Health Service (IHS) Albuquerque Area. The AAIHB COIPP will focus on two overarching goals, each with numerous objectives to be implemented over the next 3 years to 1) employ culturally appropriate and effective public health interventions for Opioid Prevention, Treatment, and Harm Reduction strategies to improve the physical, social, emotional, and cultural well-being of AI/AN individuals; and 2) Build and strengthen culturally appropriate, trauma-informed services in tribal settings to improve health outcomes for AI/AN individuals and their families.
The project will be based upon the Community Coalition model, which has emerged as a central prevention strategy for substance use. Community coalitions are a multi-sector partnership model designed to address factors in the community that potentially increase substance use and support interventions that promote policy, systems, and environmental change to reduce substance use. The AAIHB COIPP will provide up to 10 sub-awards to tribes in the IHS Albuquerque Area to implement the community coalition model and form a Tribal Community Opioid Task Force comprised of, at a minimum, tribal leadership, health program staff, community members, law enforcement, and behavioral health programs. The task forces will focus on conducting community asset and needs assessments utilizing quantitative and qualitative data to identify the prevailing attitudes and behaviors associated with opioid use and the current stage of readiness for community and system change. This will inform priorities for the community response to opioid use and best practices to implement for year two and three. Sub-awardees will be encouraged to address activities that focus on policy, systems, and environmental change related to opioid use prevention, treatment, and recovery.
During each project year, the AAIHB COIPP will provide at least three trainings on culturally appropriate and trauma informed best practices to implement opioid prevention, treatment, including Medicated Assisted Therapy, harm reduction, and recovery strategies. The AAIHB target audience will include tribal partners from clinic and community-based settings from the 27 tribes in the IHS Albuquerque Area. Trainings will be offered in several formats including onsite workshops, conference participation, and webinars. In addition, every year, we will convene sub-awardees and regional partners for a two-day summit and disseminate best practices, lessons learned, and network with other tribal sub-awardees and regional partners.
A combination of process and outcomes evaluation approaches will be implemented throughout the project to measure performance. The proposed evaluation plan is consistent with the AAIHB logic model and IHS Community Opioid Intervention Pilot Project criteria. The AAIHB COIPP Staff will work in partnership with our tribal epidemiology center to build a customized, secure database, which will be utilized by all program staff.
The proposed project is therefore sorely needed and will be led by an experienced team at the Albuquerque Area Indian Health Board, Inc. (AAIHB) who will build upon successful STI/HIV/AIDS prevention/education services to lead a Community Opioid Prevention Pilot Project that will promote awareness, prevention, screening, referral and linkage to care.