Southern Indian Health Council, Inc. (SIHC) is a Tribal Organization comprising of seven American Indian (AI) Tribes, which covers the service area of 1,490 square miles that spans into the rural southeast of San Diego County, California. This service area is 33% of San Diego County’s 4,526 square miles. The mission of SIHC is a Native American organization committed to protecting and improving the physical, mental, and spiritual health of our American Indian community. We provide a comprehensive range of wellness, professional health care, dental, and social services. And the vision of SIHC is to be an innovative leader continually evolving to meet the comprehensive health care needs and desires of the communities we serve. Awarded funds will provide SIHC’s Native American providers from our clinics to receive the required buprenorphine waiver training to register with the Drug Enforcement Administration (DEA) to decrease the opioid death rate of the Native American population. Through coordinated efforts of SIHC medical personnel, TOR Team, and other SIHC staff as determined, they will develop prevention and educational training and/or outreach events. Use of Office-Based Opioid Treatment (OBOT) Evidence-Based Practice (EBP) will be used to provide Screening, Brief Intervention, and Referral to Treatment (SBIRT/MH) support to patients. In the SIHC service delivery area, it is anticipated that at the end of the 2-year grant will result in an increase in MAT compliant patients, increase in awareness on opioids, increase in education on opioids, and a decrease in opioid deaths. The long-term outcome is to see a decrease of opioid use/abuse with an increase of maintenance through the interventions of medicine and behavioral health support.