Thursday, April 25, 2024
4/25/2024
Confederated Tribes of Siletz Indians Tribal Opioid Response (TOR). The tribal community of Siletz, OR has been hit hard by the opioid crisis. We have started a Medication Assisted Treatment program for opioid use disorder and alcohol abuse within the family practice clinic. With TOR funding we adding a drug and alcohol counselor and a peer mentor to provide a comprehensive program. The Medication Assisted Treatment program will increase to 60 patients with this funding. The additional counselor will be able to provide drug and alcohol counseling-individual, family and group, as well as case management. This position is also the “glue” that brings programs together, finds resources and keeps clear communication for patient centered care. The peer mentor will work closely with the counselor, and provide support outside of the clinic, for example helping find housing or transportation. Goal: To reduce the harmful effects of opioid disuse at the individual, family, and community level. Objective: By August of 2019 the Siletz clinic will have 60 individuals affected by OUD enrolled in the comprehensive medication-assisted therapy program. Objective: By January of 2019 our harm-reduction position will be filled and have working programs for needle exchange and naloxone distribution throughout the community. The Siletz Community has rate of tobacco use estimated at between 35-40%. One-quarter of Tribal members death certificates over the last 8 years cite smoking as either contributing, or probably contributing to their cause of death. People with behavioral health conditions have higher rates of smoking. As cited in the grant application, research shows that quitting smoking can improve mental health addiction recovery outcomes. We will use this funding to add 8 hours/ to current tobacco prevention position for cessation services can be added. This person will also champion health care providers to sharpen their motivational interviewing skills to discuss smoking cessation and other positive health changes during office visits. Siletz Community health clinic has 2,400 active patients, estimating 960 that use tobacco. Our first year objective is to assess 50% or greater for readiness to quit, and any interventions offered. Goal: To reduce the harmful effects of tobacco use on individuals, families and the community of Siletz. Objective: By August 2019 50% of active patients who use tobacco will have documented cessation readiness and cessation services offered Objective: Beginning November of 2018 the tobacco cessation specialist will have 10 or greater direct patient contacts per month whether that be in a group setting or individual coaching. Objective: By July of 2019 staff with direct patient contact (medical providers, dental providers, medical assistants, pharmacy, nurses, community health advocates and navigators) will have a minimum of 12 hours of training in motivational interviewing.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
