Cook Inlet Tribal Council, Inc. (CITC) is a Tribal 501(c)(3) nonprofit social services organization that serves the Anchorage Metropolitan Service Area (MSA) (i.e., the Anchorage and Matanuska-Susitna boroughs together) and the entire Cook Inlet region (as defined by the Alaska Native Claims Settlement Act of 1971).
CITC proposes its 3-year Community Opioid Intervention Pilot Projects (COIPP) project to the Indian Health Service (IHS). The proposed project’s population of focus will be Alaska Native and American Indian (AN/AI) people who reside in the Anchorage MSA. The proposed project’s goals, objectives, and outcomes will reflect the required activities that are discussed in the COIPP announcement and will align with the IHS’s priority of reducing opioid misuse in AN/AI communities via increased (1) awareness and education, (2) access to medication-assisted treatment (MAT) (including teleMAT), and (3) community supports. The proposed project’s goals and outcomes are discussed below.
• Goal 1. Increase community-level (a) awareness and (b) education regarding the opioid crisis in the Anchorage MSA and how that crisis affects AN/AI residents.
o Outcome 1. By the end of the project period, a large-scale awareness campaign will be launched and evidence-based education materials will be produced for community members and leaders in the Anchorage MSA.
• Goal 2. Expand access to integrated MAT services in the Anchorage MSA for AN/AI residents who have opioid dependencies via (a) trainings, (b) continuing education, and (c) Tribal support.
o Outcome 2. By the end of the project period, 32 local recovery services providers will receive MAT trainings, 24 local recovery services providers will be connected to MAT continuing education opportunities, and 3 local Tribal communities will receive support in acquiring and correctly using MAT medications and supplies.
• Goal 3. Build a support system in the Anchorage MSA for AN/AI residents who have opioid dependencies that incorporates (a) case management, (b) biopsychosocial assessments, and (c) linkages to recovery and supportive services.
o Outcome 3. By the end of the project period, 90 participants and their families will receive case management or intensive case management services, 270 participants will be provided with biopsychosocial assessments, and 275 participants and their families will be provided with linkages to recovery and supportive services.
As a mature Tribal organization with a handful of facilities and a positive reputation among AN/AI people in the Anchorage MSA, CITC is well equipped to fulfill all of the activities for the proposed project. CITC has the capacity and motivation to increase public awareness and education regarding opioid-related topics, to integrate MAT services with Tribal communities, and to build a comprehensive support system for AN/AI people who have opioid dependencies and for their families. CITC manages one of Alaska’s largest and most comprehensive continua of care for SUD and COD treatment services that is culturally responsive to AN/AI people. The continuum, which is built from evidence-based and traditional practices, emphasizes cultural connectedness and spiritual wellness as critical components of recovery.