The Shingle Springs Band of Miwok Indians is a federally recognized Tribe residing in El Dorado County, California. The Shingle Springs Health and Wellness Center (SSHWC) is the tribal agency that will administer the proposed project. The SSHWC is owned and operated by the Tribe and provides direct healthcare services under the authority of a PL-638 Indian Self Determination contract with the federal Indian Health Services.
Our Population of Focus is SSBMI tribal members and other American Indian/Alaska Natives (AIAN) residing within the service area of the SSHWC (El Dorado County). The Tribe currently has 530 members, with approximately 45 % of them between the ages of 0-24 years old, 45% 24 to 54 years of age and 10% 54 and older. There are 51 elders, the oldest tribal member being 83.
Goals of the project include:
• Treatment – Implement service delivery in primary care where MOUD is provided and linkages to psychosocial services and recovery support services centered on patient needs related to the provision of comprehensive treatment of OUD.
• Recovery – Create Recovery Supportive Communities by facilitating recovery events and by designing space to support recovery group meetings and social gatherings.
• Prevention – Implement prevention and education services including training Tribal staff in Adverse Childhood Experiences (ACEs) and Social Determinants of Health (SDOH).
• Implement harm prevention/reduction services: Including training first responders and other key Tribal members on the recognition of opioid overdose and appropriate use of the overdose reversal medication naloxone.
The project intends to serve at least 25 unduplicated people with Medication for Opioid Use Disorder in year 1 and 35 in year 2.