The goal of the Hannahville Tribal Opioid Response project is to decrease the amount of opioid use in the Hannahville Indian Community (HIC) by maintaining timely and convenient access to prevention, treatment, and recovery activities for individuals with opioid or stimulant use disorder or at risk of developing opioid or stimulant use disorder. To maintain access to treatment and recovery services in the tribal community, we will continue to fund the two positions to the HBH team that were added with the initial TOR grant. Increasing the number of providers available has expanded HBH’s capacity by decreasing provider caseloads and decreasing the delay in scheduling appointments. The population of focus for the Hannahville TOR project are the individuals in the HIC who are misusing, are in recovery from, or who are at risk of developing a problem with opioids or stimulants.
TOR funding will be utilized to increase the hours of our part-time recovery coach who will designate 28 hours a week to providing outreach, education, advocacy, and support services to individuals that meet the criteria of the grant. The recovery coach will serve 30 unduplicated individuals each year and 50 unduplicated over the course of the two-year grant. The peer recovery coach promotes a recovery-based approach to clients that emphasizes hope, respect, self-direction, and empowerment. The recovery coach provides peer support, personal assistance, education on community resources, and other supportive services to aid clients’ recovery from substance use disorders. Job duties include providing outreach to clients in locations where they feel most comfortable, giving guidance on daily living skills, planning recreation opportunities, and facilitating recovery support meetings within the community. Evidence-supported treatments that will be used by the recovery coach may include facilitation of 12-step and Wellbriety meetings, talking circles, and referral to sweat lodges and other Traditional teachings and ceremonies.
We will also maintain a full-time TOR Behavioral Health Therapist who will have at least 12 hours a week designated to providing outreach, education, and treatment services to individuals with that meet criteria for the grant. This person will serve 20 unduplicated individuals each year and 30 total unduplicated individuals over the course of the two-year grant. The therapist will conduct comprehensive biopsychosocial assessments, create service plans, and provide individual outpatient services as well as family therapy when indicated. He will also assist in leading Intensive Outpatient (IOP) groups and refer and connect individuals that meet criteria for inpatient or residential treatment with the appropriate services. Evidence-based treatments that will be used by the therapist may include motivational interviewing and cognitive-behavioral therapy.