Office Based Medication Assisted Treatment Option - The Confederated Tribes of Siletz Indians runs a Medically Assisted Treatment Program from their Siletz Community Health Clinic, with the program's primary function is to address Opioid Use Disorder. While the Siletz MAT program has grown with the TOR funding awards, the program has also continued to grow in patient size, and so has the needs of clients. If funded, this grant will continue to sustain personnel positions that serve current MAT clients and allow for the programmatic growth needed to meet current service demands. These funds will expand current programming, identify and work to remedy service gaps for clients and make the program more comprehensive. This grant will sustain personnel positions and contracted professionals that are needed to respond to the growth and ever changing needs as the MAT program evolves and responds to what we know about the services our clients are most responsive to. Goal 1: Contract counselors for direct SUD and mental health outpatient treatment for 100 individuals to address the overdose crisis in the Siletz tribal community. Objective: Contract counselors will provide treatment both individually and ingroups offer by contracted providers to increase access and options for SUD treatment to 100 patients by September 29,2024. Goal 2: Provide 1 full time Peer Mentor position to meet 75 MAT patient's biggest treatment recovery support needs which are transportation, identifying and accessing resourced, accompaniment to social service appointments, and help receiving wrap around services to ensure the full continuum of services and combat the barriers of being in a rural community. Objective: The MAT Peer Mentor will provide 75 MAT patients support services to increase support services for those seeking a form of treatment for SUD, decrease the likelihood of overdoses, and increase the continuum of services available in Siletz/Lincoln County for SUD by September 29, 2024. Goal 3: Increase capacity for MAT clients to receive recovery support through creating a Recovery Support Community through facilitated events around major holidays, culturally relevant team activities such as Run to the Rogue, Pow Wow sacred space tent for recovery during Pow Wow gatherings and wellness retreats to enhance recovery support and honor the tribal value of connection as a vital aspect of recovery. Objective: The MAT program will utilize its Peer Support and partner with tribal and county programs to provide 20 events by September 29, 2024 to establish a Recovery Supportive Community which will also increase prevention through outreach around the space and activities. Goal 4: Partner with CTSI Prevention, Harm Reduction, and Tobacco Cessation program to provide prevention activities that utilize culturally specific strategic messaging at the high schools in Lincoln County and Siletz Youth Programming. Objective: The MAT program will partner on 6 prevention events that focus on and highlight the dangers and negative health outcomes of Opioid and Stimulant Use Disorder by September 29th, 2024. Goal 5: Siletz MAT program staff/providers will be sent to training on Contingency Management Training to then design and deploy a Contingency Management Program for the Siletz MAT clients to increase treatment engagement and recovery. Objective: 5 MAT program staff/providers will be sent to Contingency Management Training by April 30, 2023 to provide contingency management services to 75 individuals by September 29,2024. Goal 6: Partner with Siletz Harm Reduction to provide 50 patients Harm Reduction services on site and within the community to combat the overdose crisis. Objective: By September 29, 2024 50 MAT clients will engage in Harm Reduction services by being educated and given Naloxone kits to access free rapid testing for hepatitis and Human Immunodeficiency Virus (HIV) and homelessness resources by September 29, 2024.
