The Confederated Tribes of Grand Ronde is comprised of approximately 5,500 members which 3,358 members licensing in Oregon and 1,916 members living on historical tribal land. While the Tribe has a small satellite office in Portland the Reservation and most of the member population is in the three southern counties, Polk, Yamhill and Marion with the greatest concentration in the Grand Ronde – Willamina area on both sides of the Polk-Yamhill county line. Through IHS, Federal grants, and State funding, the Tribe can provide limited behavioral health and substance abuse services. As mentioned above, significantly higher rates in poverty, education, and employment, continue to be reported. These reports reveal deeper needs which have been directly impacted by the past termination of the Tribe’s federal recognition in 1954, historical trauma, and other socioeconomic factor. The Tribe is currently unable to meet the disproportioned strains of addition, abuse, poor health outcomes, lack of education, widespread unemployment, and poor mental health when robust substance abuse and behavioral health services are not provided as part of the continuum of care to members
Goal: The Tribe’s goal for Tribal Opioid Response is twofold. First, to decrease opioid use and second to prevent fatal and non-fatal opioid overdoses within the Tribal community by implementing evidence-based programs, MAT best practices, and emphasizing cultural based curriculums.
Objective 1: By the 6th month of the project period, the Tribe will have arranged two comprehensive peer support trainings for currently certified peer recovery specialists and those pursuing certification. Objective 2A: By the 8th month of the project period, the Tribe will have successfully distributed at least 100 units of naloxone to patients and the community. Objective 2B: By the 16th month of the project period, the Tribe will have successfully distributed an additional 100 units of naloxone to patients and the community, totaling 200 over the 2-year project period. Objective 3A: By the end of the 12th project month, the Tribe will have successfully assisted 5 new Tribal member intakes in opioid and substance abuse residential treatment. Objective 3B: By the end of the 24th project month, the Tribe will have successfully assisted 10 Tribal member intakes in opioid and substance abuse residential treatment, totaling 15 intakes within the 2-year project period. Objective 4A: By the end of the 12th project month, the Tribe will have successfully deployed a two peer support recovery vehicles and will have had 100 patient encounters. Objective 4B: By the end of the 24th project month, the Tribe will have successfully deployed a two peer support recovery vehicles and will have had 150 patient encounters.
The Tribe will undertake the required and allowable activities for this grant: Treatment in federally and state-regulated Opioid Treatment Programs; train peer recovery specialists and/or recovery coaches following the guidelines required in each state or jurisdiction; purchase and distribute naloxone; provide assistance to patients with treatment costs and develop other strategies to eliminate or reduce treatment costs for under- and uninsured patients; Address barriers to receiving MOUD by reducing the cost of treatment, developing innovative systems of care to expand access to treatment, engage and retain patients in treatment, address discrimination associated with accessing treatment, including discrimination that limits access to MOUD, and support long-term recovery; provide treatment transition and coverage for patients reentering communities from criminal justice settings or other rehabilitative settings; and other activities including reporting on activities, progress on objectives, and data elements indicating the impact of our project.