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Reduce illicit opioid drug use by increasing the access of Medically Assisted Treatment (MAT) in the American Indian /Alaska Native community. Cowlitz Indian Tribe MAT-PDOA TI-21-006

Award Number: H79TI084297
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2021
PERIOD OF PERFORMANCE END DATE: 09/29/2026

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Reduce illicit opioid drug use by increasing the access of Medically Assisted Treatment (MAT) in the American Indian /Alaska Native community. Cowlitz Indian Tribe MAT-PDOA TI-21-006 - According to the Centers for Disease Control and Prevention (CDC), American Indians and Alaska Natives (AI/AN) had the second-highest rate of opioid overdose and death rates out of all U.S. ethnic groups in 2017. Active continuous retention in medication-assisted treatment (MAT) among patients with opioid use disorder (OUD) is correlated with better outcomes. Our five-year MAT-PDOA study will measure over 825 unique patient’s successful retention with continuous active treatment at the Cowlitz Indian Tribe Health Clinic (DuPont, WA). The study will focus on the retention specifically in the availability in both urban and rural AI/AN communities where there are no treatment options available within each patient’s circumstance. The Cowlitz MAT-PDOA study is a collaborative effort with embedded interdisciplinary treatment under a patient-centered medical home (PCMH) model. Our goal is to increase the access of behavioral health, mental health, SUD Treatment, and MAT services for the AI/AN community by targeting underserved areas and rural populations. Our objective by increasing these services is to (1) obtain a 50% retention rate for patients receiving care in their first respective 30 days of initiating treatment, and (2) have a minimum of 10% active MAT-PDOA patients maintain 180 consecutive days of continuous care. By increasing personnel capacity, the Cowlitz MAT Program will be able to match ongoing rapid outpatient treatment demands. The study will also continue to provide education and training in addiction medicine, counseling, and other treatment modalities. Secondary results related to this study include reduction in illicit and non-prescribed opioid use, increased engagement with the care team, and prevention and treatment of infectious diseases such as HCV/HIV treatment.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $454,836 )
2025	2025	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	4	9/14/2025	NON-COMPETING CONTINUATION	$454,836
														Subtotal = $454,836

Issue Date FY: 2024 ( Subtotal = $489,015 )
2024	2024	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	7/2/2024	NON-COMPETING CONTINUATION	$489,015
2024	2023	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	4/9/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $489,015

Issue Date FY: 2023 ( Subtotal = $476,221 )
2023	2023	COWLITZ INDIAN TRIBE	1055 9TH AVE	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	7/7/2023	NON-COMPETING CONTINUATION	$476,221
2023	2021	COWLITZ INDIAN TRIBE	1055 9TH AVE	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	12/20/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $476,221

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	1	7/26/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	1	7/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	12/8/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	12/10/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $962,512 )
2021	2021	COWLITZ INDIAN TRIBE	1055 9TH AVE STE B	LONGVIEW	WA	98632	COWLITZ	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/7/2021	NEW	$962,512
														Subtotal = $962,512

Grand Total All Awards = $2,382,584

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Reduce illicit opioid drug use by increasing the access of Medically Assisted Treatment (MAT) in the American Indian /Alaska Native community. Cowlitz Indian Tribe MAT-PDOA TI-21-006

Award Number: H79TI084297

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2021

PERIOD OF PERFORMANCE END DATE: 09/29/2026

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