CITC was established by Cook Inlet Region, Inc. (CIRI) in 1983 as a Tribal 501(c)(3) social services nonprofit organization. Each year, CITC provides services to approximately 9,000 people, who are predominately (but not exclusively) Alaska Native, in the Cook Inlet region, as defined by the Alaska Native Claims Settlement Act (ANCSA) of 1971.
With its proposed Tribal Opioid Response (TOR) project for FY 2020, CITC intends to reduce the unmet need for substance use disorder (SUD) and co-occurring disorder (COD) treatment services and the significant harms (e.g., overdose deaths, acute and chronic injuries) that are caused by opioids and stimulants in the Cook Inlet region. With the proposed project, CITC will conduct the opportunity’s required and allowed activities that are listed below.
o Required Activity #2. “Implement workforce development activities to ensure that individuals working in tribal communities are well versed in strategies to prevent and treat opioid misuse.”
o Required Activity #4. “Implement service delivery models that enable the full spectrum of treatment and recovery support services that facilitate positive treatment outcomes and long-term recovery.”
o Required Activity #5. “Implement community recovery support services such as peer supports, recovery coaches, spiritual support, drug and alcohol free social engagement, and recovery housing.”
o Required Activity #7. “Assess the impact of the grant [with a tribal epidemiology center or an external evaluator].”
o Allowed Activity #1. “Incorporate culturally appropriate and traditional practices into your program design and implementation.”
o Allowed Activity #2. “Provide prevention, treatment, and recovery support services to address stimulant misuse and use disorders, including cocaine and methamphetamine, in your community, including the use of contingency management strategies.”
CITC’s proposed TOR project will serve 126 unduplicated participants with expanded SUD and COD treatment slots and more resources for supportive services. The proposed project will fulfill the goals and objectives that are listed below.
Tribal Opioid Response Grant (FY 2020) Goals & Objectives
GOAL 1: Expand the continuum of care for opioid and stimulant use disorders available for adults in Alaska’s Cook Inlet region through the provision of ASAM 3.1 residential treatment.
Objective 1.1: Between Month 3 and 24, provide culturally appropriate treatment meeting ASAM 3.1 criteria for 126 adults.
Objective 1.2: Between Month 3 and 24, 100% of participants with appropriate diagnoses will have access to medication assisted treatment.
Objective 1.3: Between Month 3 and 24, 100% of participants will be offered workforce development training.
GOAL 2: Treatment participants receiving CITC TOR services will experience improvement in life domains associated with recovery, as measured by GPRA follow-up interviews.
Objective 2.1: Increase participant retention in recovery treatment services.
Objective 2.2: Reduce substance use at 6-month and 12-month follow-ups.
Objective 2.3: Increase participant employment.
Objective 2.4: Increase participant housing stability.
Objective 2.5: Decrease participant crime and criminal justice involvement.
Objective 2.6: Decrease participant recidivism rate.
Objective 2.7: Increase participant social connectedness.