Riverside San-Bernardino County Indian Health, Inc. (RSBCIHI) is the largest tribal health care organization in California. Our IHS COIPP program will screen 7,175 American Indian/Alaska Native (AI/AN) youth and adult patients, and non-AI/AN family members for non-medical drug. We will deliver MAT services to 75 patients. We will disseminate naloxone and provide training on its use to 500 individuals and deliver culturally appropriate education, prevention, and engagement activities to 3,750 community members.
We deliver comprehensive outpatient medical, pharmacy, laboratory, eye care, dental, behavioral health, outreach, and support services. Our U.S. Indian Health Service geographic catchment area covers Riverside and San Bernardino Counties in Southern California and nine (9) federally recognized Indian reservations. This area is home to 85,471 American Indian/Alaska Native (AI/AN) youth and adults (U.S. Census Bureau, 2020). We have 37,463 registered AI/AN patients. To serve this population of focus, we operate six (6) health centers located on Indian reservations (Cahuilla, Morongo, Pechanga, Santa Rosa, Soboba, and Torres-Martinez), and two (2) located in urban areas (Barstow and San Manuel).
The purpose of this project is to: 1) increase access to Medications for Opioid Use Disorder (MOUD) for individuals with OUD; and 2) decrease illicit opioid use and prescription opioid misuse. We will expand and enhance our existing MAT program, professional training, peers support, harm reduction, and community education and prevention services. To improve our MAT services, we need to solve six (6) gaps, which is causing an inequity in access to MOUD and a disparity in our care. Our objectives are to:
• Screen 1,434 individuals non-medical drug use with the DAST-10 each year.
• Deliver MAT service to 15 patients with OUD each year.
• Make telehealth services available to phase 2 and 3 patients.
• Deliver MAT in-service training to 15 professional staff members each year.
• Train and California State Certify one (1) Peer Support Specialist staff member.
• Deliver effective and culturally appropriate prevention and awareness education at our talking circles and Wellbriety groups, schools, vaccination clinics, food drives, conferences, and other community events/gatherings to 750 youth and adult community members each year.
• Purchase and disseminate naloxone and provide training on its use to 100 first responders and people in key sectors each year.
• Purchase and provide training on the use of Fentanyl test strips to 200 community members each year.
• Purchase and provide training on the use of medication lock boxes to 15 MAT patients and community members each year.
• Attend weekly MAT Case Conference meetings.
• Meet monthly with our Integrated Care Committee.