The Inter-Tribal Council of Michigan, Inc. Anishnaabek Healing Circle Medications for Opioid Use Disorder (MOUD) Initiative will provide evidence based and culturally responsive MOUD services to American Indians with an opioid use diagnosis residing in the combined tribal service areas of the three Michigan tribes (11 of the 83 counties in Michigan). Over the five-year project, September 30, 2022 through September 29, 2027, the project will enroll 225 uninsured or underinsured clients at a rate of 45 per year. Clients will be members of the 12 federally recognized tribes in Michigan and members of other federally recognized tribes. Non-native family members and descendants will also be eligible, in a manner consistent with the local tribal policy.
The purpose of this project is to provide resources to help expand/enhance access to Medications for Opioid Use Disorder (MOUD). It is expected that this project will help to 1) increase the number of individuals with Opioid Use Disorder (OUD) receiving MOUD; and 2) decrease illicit opioid use and prescription opioid misuse.
Project objectives:
-By September 30 of each year, the project will enroll at least 45 uninsured or underinsured clients with an opioid use diagnosis; client enrollment will start November 1, 2022.
-By September 30, 2023, each participating tribe will have at least one physician, nurse practitioner or physician assistant available to implement MOUD using an integrated health/behavioral approach; all health care providers' prescribing privileges will be consistent with federal law. (Section 303 CARA)
-By October 31 of each project year, the evaluation team will produce an outcome study that describes the progress on the capacity building measures identified in each tribal action plan and examines client outcomes.
The project will assist in the expansion and support of tribal efforts to fully implement an integrated Medications for Opioid Use Disorder Initiative. If a tribal clinic already offers MOUD services, this project will help support the cost of sustaining and expanding the services. If a tribal clinic does not currently offer MOUD services, the project will help identify a local provider or help support the training for a tribal health clinic provider.
Budget
The project will provide sub-contracts to three participating tribes in the amount of $150,000 annually per tribe; $750,000 for each tribe over the five-year initiative. The project will also support the cost of the required GPRA data collection, evaluation and training to expand and integrate MOUD services as needed.