Project Title: SCF TOR Four Directions
Applicant Name: Southcentral Foundation
Address: 4501 Diplomacy Drive, Anchorage, AK 99508
Organizational Overview: Southcentral Foundation (SCF) is an Alaska Native 501(c) (3) nonprofit health care organization established under the Tribal authority of Cook Inlet Region, Inc. in 1982. SCF's vision is "A Native Community that enjoys physical, mental, emotional and spiritual wellness." To reach this vision, SCF is committed to addressing the devastating impact of opioid use disorder and other substance abuse in our communities.
Project Need: Alaska has seen a 71% increase in overdose deaths based on preliminary 2021 data, with 75% of all the opioid overdose deaths involving fentanyl. A larger increase in overdose deaths of 200% was seen in young working adults aged 25 to 34. This sharp rise prompted a recent Official Warning from the Alaska Governor on the dangers of fentanyl in counterfeit pills, particularly prevalent in the Matanuska-Susitna Borough (MSB), where law enforcement has made recent busts of opioids and fentanyl – the largest in the state history. Under these crisis conditions, there are few service providers like SCF that can address the full continuum of care, with culturally appropriate services, SUD, and MOUD treatment in the MSB.
Population of Focus: The population of focus for the proposed project is adult residents of the MSB, including Alaska Native and American Indian adults who are experiencing opioid use disorder and other substance abuse.
Proposed Project: The goal of the SCF TOR Four Directions proposal is to reduce unmet treatment needs and opioid overdose-related deaths in Alaska’s Matanuska-Susitna Borough (MSB) through the provision of prevention, treatment and/or recovery activities for opioid use disorder and substance use disorder by increasing access to culturally appropriate and evidence-based treatment, including medication-assisted treatment and MOUD. This goal will be accomplished by expanding the SCF treatment model (Path to Healthy Living Plan) which is based upon evidence-based therapies and treatments, in our new Benteh Nuutah Four Directions Outpatient Services Clinic in the MSB. Throughout the two year project period, the following objectives will be accomplished: 1) provide a continuum of services in the MSB that is age-and gender-appropriate, patient-centered, community focused, and culturally competent, to a minimum of 100 unduplicated adult individuals in year 1 and 150 in year 2; 2) Provide outreach and education in the MSB on prevention education and treatment options to local MSB tribal councils, and health, education, and social service providers by the end of year 1; and 3) by the end of year 2, provide options for culturally appropriate activities and traditional practices to be included into the Path for Healthy Living Plan and program learning circles to decrease substance use among individuals in the program.