The communities of the Yukon Kuskokwim Delta were once healthy and self-sufficient;
free from alcohol and drugs. Our history of oppression, colonization, epidemics and boarding
schools devastated our villages and now it is the opioid epidemic that threatens our people, our
families and our children. The Yukon Kuskokwim Health Corporation has been fighting the rise
of opioid use and misuse in the YK Delta through our Opioid Treatment program and
Medication Assisted Treatment (MAT) Program. However, we must continue our efforts in order
to combat the opioid epidemic in our homeland. With the funds from SAMSHA’s Tribal Opioid
Response Grant, we will be able to do just that.
We must improve outreach efforts across YKHC’s many departments in order to provide
education, increase referrals to treatment and, ultimately, reduce the number of opioid overdoses
in the YK Delta. Forty-Five percent of our clientele are from the villages. There are 58 villages
in the YK Delta region and our program serves clients in nine of the 58 villages. Therefore, it is
vital that we expand our program to the remaining 49 villages. In order to meet the demand in
our community, our program must expand. We must continue to hire and train new staff. Current
staff members are continuing to earn the necessary credits to be Chemical Dependency
Counselors at either the tech, I, or II level. Furthermore, we will create new positions in our
program for Peer Support Specialists. We must identify candidates for the peer support division
and enroll them in training before they work with current clients.
Within the first three months of this grant cycle, we will build a working relationship
with the providers in the village clinics, village tribes, and the two school districts in the YK
Delta. With these connections, we will identify at risk community members through our referral
process. We will compile educational resources to be distributed with the harm reduction kits
that are dispensed through YKHC. Furthermore, within six months we will expand upon these
resources to provide a training on the administration of Naloxone and the symptoms of opioid
overdose. Additionally, within the first six months of the grant cycle we will identify prospective
peer support specialists and locate the appropriate trainings. Continuing to seek out training and
certifications for all staff will be ongoing throughout the grant in order to best incorporate
evidence-based practices.
In the last, TOR grant, our MAT and opioid treatment program has rapidly expanded.
With additional funds from the TOR grant, we will be able to increase our outreach and expand
our harm reduction efforts. Traveling to the villages is one of the most important of components
of our program and would not be possible without the TOR grant. As the only direct service
provider in our rural region, our program strives to be as comprehensive and as patient centered
as possible. It is with the help of the TOR grant, that we will be able to continue to reach and
help those struggling with substance abuse and misuse in the YK Delta