Riverside San-Bernardino County Indian Health, Inc. (RSBCIHI) is the largest tribal health care organization in California. We will screen 12,000 American Indian/Alaska Native (AI/AN) youth and adult patients for non-medical drug. We will deliver Medication Assisted Treatment (MAT) and Stimulant Use Disorder treatment to our 79 existing patients and to at least 40 new youth and adults each year. We will also train staff, distribute naloxone, and deliver prevention activities.
Our catchment area covers Riverside and San Bernardino Counties and nine (9) federally recognized Indian reservations. We deliver services to 5,128 local tribal members and 32,335 other AI/AN people who live off the reservations in Riverside and San Bernardino Counties. During the last two (2) years, we electronically screened (with our Screendox system) 12,262 unduplicated youth and adults for non-medical drug use with the DAST-10. We screened them in our medical, eyecare, dental, and behavioral health departments at our eight (8) health care center locations. Of these patients, 1,013 (8.3%) individuals reported mild to severe drug use. Methamphetamine, opioids (heroin and medications), and cocaine/crack and other stimulant use are the primary substances used in our catchment area.
Our TOR 3 project has five (5) goals: 1) Build Capacity to Address the Substances Affecting Our Communities; 2) Deliver Evidence-Based Treatment and Recovery Support Services; 3) Deliver Effective and Culturally Appropriate Prevention Services; 4) Deliver Effective Harm Prevention/Reduction Services; and 5) Measure our Performance to Determine Whether we are Achieving our Goals, Objectives, and Outcomes. To accomplish these goals, we will:
• Train, supervise, and state certify three (3) Peer Recovery Specialist, who are local community members with lived MAT or stimulant use disorder experience.
• Facilitate our bi-monthly TOR Community Advisory Committee.
• Meet monthly with our Integrated Care Committee.
• Screen 6,000 youth and adults for non-medical drug use with the DAST-10 each year (12,000 total).
• Deliver MAT services to our 25 existing MAT patients and to at least 15 new OUD patients each year (30 new patients total).
• Deliver outpatient treatment services to our 54 existing stimulant use disorder patients and to at least 25 new stimulant use disorder patients (50 new patients total).
• Purchase residential treatment, intensive outpatient, and recovery housing services for at least 20 patients each year (40 patients total).
• Conduct each week the MAT Case Conference meeting with medical providers, nurses, psychologists, psychiatrist, and chemical dependency counselors.
• Deliver effective and culturally appropriate prevention information (education, outreach, engagement, and messaging) at schools, COVID vaccination clinics, food drives, youth groups, conferences, and other community events/gatherings to 1,000 school-aged children and adult (including elder) community members each year (2,000 total).
• Purchase and disseminate naloxone and provide training on its use to at least 150 peers, first responders, and other key tribal members each year (300 total).