Ninilchik Tribal Opioid Response.
Ninilchik Traditional Council's Ninilchik Community Clinic (NCC) has been developing an addictions program since 2014. NTC has provided MAT using buprenorphine since 2016. NTC's Addition Program will continue to enhance and expand their addiction clinic to make MAT recovery services available to the entire Ninilchik Village Tribe area, with service to Kenai, Soldotna, and continued service to Anchor Point, Homer, Seldovia, and Nanwalek.
Current service gaps include: 1.) outreach and engagement activities to increase positive outcomes in recovery services 2) screening, care coordination, risk reduction education, testing, and services for community members 3.) offering diverse services and delivery models to greater support recovery, 4.) peer recovery support services (PRSS).
Our user population is 652, however, the clinic is open to non-IHS beneficiaries as well. Based on demographic data, we anticipate most of our patients to be low income, white, and Alaska Native. NTC will target individuals who are active drug users, and those who are not actively in our Medication Assisted Treatment Program. NTC also has the MAT-PDOA grant which is utilized to provide services to patients who are actively on medication assisted treatment.
Goals and Objectives:
Goal 1: Implement workforce development activities to ensure that individuals working in tribal communities are well versed in strategies to prevent and treat opioid misuse.
Objective 1:1: By November 2020, NTC will continue outreach to increase knowledge of recovery services among the Southern Kenai Peninsula healthcare providers, behavioral health providers, Department of Corrections, probation officers, the Reentry Coalition, Change for the Kenai, and the South Peninsula Opioid Task Force.
Objective 1:2: By November 2020, NTC will create an outreach campaign to address overdose prevention and substance use stigma within our tribal community.
Goal 2: Implement service delivery models that enable the full spectrum of treatment and recovery support services that facilitate positive treatment outcomes and long-term recovery.
Objective 2:1: By September 2020, NTC will utilize its TOR Project Director to continue to provide services in our integrated MAT program. They will be the linkage when a participant is willing to engage in MAT, peer support, case management and behavioral health services.
Objective 2:2: By September 2020, NTC will provide peer recovery support services twice a week to people with OUD and polysubstance use disorder.
Goal 3: Implement community recovery support services such as peer support, recovery coaches, spiritual support, drug and alcohol-free social engagement, and recovery housing.
Objective 3:1: By November 2020, NTC will offer varied activities to be able to engage participants at any stage of recovery
Objective 3:2: By September 2020, NTC will provide case management one day a week to people with OUD and polysubstance use disorder who are not receiving medication assisted treatment.
Goal 4: 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.
Objective 4:1: By September 2020, NTC will have developed an outreach strategy to engage community members who may still be actively using opioids or stimulants and need services.
Objective 4:2: By November 2020, NTC will be able to provide fentanyl testing strips and other overdose prevention tools to be able to provide education about drug use and overdose prevention.
Objective 4:3: By November 2020, NTC will be able to provide support services to those still not engaged in our MAT program or who are actively using. NTC Project Director will connect with this population through outreach at the Homer and Anchor Point Food Pantry, our local syringe exchange, and through networking.