Southern Indian Health Council, Inc. (SIHC) is a Tribal Organization comprised of seven American Indian (AI) Tribes, which covers the service area of 1,490 square miles that spans into the rural southeast of San Diego County, California. This service area is 33% of San Diego County’s total 4,526 square miles. The mission of SIHC is a Native American organization committed to protecting and improving the physical, mental, and spiritual health of our American Indian community that provides a range of wellness, professional health care, dental, and social services. The vision of SIHC is to be an innovative leader continually evolving to meet the comprehensive health care needs and desires of the communities we serve.
SIHC’s proposal is to provide the community an intensive outpatient behavioral health team after a return from a rehabilitation center or inpatient hospital stay recovery related to opioid and all other substance abuse concerns-supported by culturally-relevant individual and family therapy, and a new SIHC permanent drug-take back receptacle. These strategies will be used to address the concerns that those recovering from substance abuse use often go right back to their homes with no stable follow-up with the necessary support from the intensive assistance while in rehab. SIHC’s proposal is to provide that intensive, comprehensive outpatient treatment to support recovery of the individual and family. Programs that will be introduced includes White Bison supports the Wellbriety Movement, providing clients harm reduction behavioral changes, and a sweat lodge. To provide an intensive outpatient program requires the hiring of additional staff to provide 3-5 times a week of therapy, support, family sessions, and workshops/group sessions that will include hands-on activities for participants. The proposed Community Opioid Intervention Pilot Project (COIPP) is designed for Native individuals who are experiencing the opioid crisis firsthand, and who are a part of the Tribal Consortium residing in the Southern Indian Health Council (SIHC) service area.
The Tribal Consortium consists of 1,594 people based on the Tribal sharing of data and the annual U.S. Department of Housing & Urban Development. In 2019, SIHC provided a total of 21,201 visits for medical, dental, optical, and behavioral health. The purpose of the proposed COIPP is to build community awareness around the opioid crisis in the SIHC service area and provide culturally relevant strategies to aid in the prevention and treatment of opioids in the SIHC service area. The purpose of this proposal has three main goals: G1.To create inclusive support teams that will strengthen and empower Native families in addressing the opioid crisis in the community served by the SIHC; G2.Increase public awareness and education about culturally appropriate and family-centered opioid prevention, treatment, and recovery practices and programs within SIHC communities; and, G3.Reduce unmet treatment needs and opioid overdose related deaths using culturally appropriate harm reduction strategies. The COIPP will address the current gaps in local, culturally relevant opioid comprehensive support teams and recovery programs for the members of the Tribal Consortium in the SIHC service area. The overarching goal of the COIPP is to increase the capacity of the SIHC to address opioid prevention, treatment, and recovery efforts. The outcome of having families and youth participate in the Wellbriety Family therapy sessions is to acknowledge the ripple effects of the opioid crisis. By empowering families and community members to learn about opioid prevention and treatment, voice their experiences, and provide input into the direction of additional aspects this COIPP will promote family, youth, and community engagement to address and prevent opioid use in the SIHC service area.