The Penobscot Nation Health Department proposes to submit an application for the Substance Abuse and Mental Health Services Administration (SAMHSA) Fiscal Year 2018 “Targeted Capacity Expansion: Medication Assisted Treatment – Prescription Drug and Opioid Addiction” grant for a maximum of three years to support the enhancement and expansion of Tribal Medication-assisted Treatment Services.
Under PNHD’s plan, expanded service delivery would begin September 30, 2018. Grant funding will facilitate a 200% increase in the current capacity for Medication Assisted Therapy (MAT) services for opioid dependence by providing additional provider availability, additional support staff, and case management services. The resulting program model will integrate clinical care, patient support, and mental health access. Program staff will assist any patient enrolled in services with applying for third-party resources (e.g. Medicaid) to help supplement the cost of their care. These additional sources of support will aid in the transition to traditional funding streams after grant funds are exhausted.
In addition to the strengthening and expansion of core substance abuse recovery services at PNHD, the proposed plan will include a model that offers these services via Telehealth platforms to any of federally recognized tribe in the state of Maine seeking MAT services. Due to the overwhelming demand for addiction recovery treatment, initial enrollment in Telehealth services by other Maine tribes will be limited to a set number of participants. Memorandums of Understanding will be sought with any tribe interested in receiving grant-subsidized MAT services via Telehealth. Coordination and oversight of the program and service delivery will remain with PNHD for the duration of the grant.