Seattle Indian Health Board (SIHB) is an urban Indian organization (UHO) proposing to implement MAT-PDOA services at four sites located in Seattle/King County in Washington State. Our goal is to expand access to MAT and comprehensive care to help underserved, high-burdened populations with an emphasis on American Indians/Alaska Natives (AI/ANs) with Opioid Use Disorders (OUD). We will reach 780 new, unduplicated patients with OUD over the course of the 3-year project period, which will increase our total caseload to 1,000 patients receiving MAT.
To achieve this goal, SIHB will continue delivering MAT at our Federally Qualified Health Center and expand access to MAT through outreach at Chief Seattle Club, residential care at Thunderbird Treatment Center, and capacity building with Cowlitz Tribal Health. All three disbursement sites to be active by the end of the first quarter of the award period.
We plan to dispense MAT to people with OUD using buprenorphine/naloxone (Suboxone) primarily, due to its low risk of diversion and effectiveness in treating OUD.
SIHB expects that by the end of each year, 75% of people with OUD receiving MAT will also receive integrated care and recovery support services. SIHB will incorporate Indigenous Traditional Knowledge into our MAT expansion approach by giving patients the opportunity to explore Traditional Indian Medicine such as talking circles, drumming, and sweat lodge, proven strategies for promoting wellness and recovery.
By the end of each program year, SIHB expects 80% of patients on average to be retained in MAT at 6-months post-intake, as demonstrated by a completed GPRA questionnaire. We have extensive staffing support and partnership capacity to achieve this objective and we are proposing robust aftercare services to increase patient retention and enhance their treatment outcomes.