The Kiowa Tribe’s Tribal Opioid Response “Recovery Response” will initiate and create the medication-assisted treatment (MAT) services for Tribal Citizens and members of surrounding communities who are diagnosed with opioid use disorder (OUD) and are seeking or receiving MAT. Our Tribal jurisdiction is not located on a traditional reservation but spans bicultural communities under shared jurisdictions with Oklahoma governmental systems & other Tribal governments. The Kiowa Tribe is a federally recognized tribe with tribal enrollment numbers totaling 10, 600 with the large population residing in the Anadarko area in Southwest Oklahoma.
To reach our project goals of increasing the number of individuals with OUD receiving MAT and seeing a decrease in illicit opioid use and prescription drug misuse at 6-month follow-up our treatment regimen will provide outpatient treatment services, we will provide classes, & refer individuals with necessary resources for those suffering from UOD. The Kiowa Tribe will utilize the 2016 RAND Corporation’s MAT Guidebook for Health Center’s four phases of Assessment, Induction, Stabilization, & Maintenance. To increase the capacity of our Tribe to address our opioid crisis long-term we will adopt a Recovery Oriented System of Care (ROSC) approach. These efforts will support our MAT goals with added components of outreach, expansion of recovery supportive services, formal collaborations, community education to reduce stigma, and professional workforce development.
The evidence-based modalities we will use include Quick Screen (QS) from the National Institute for Drug Awareness, which is an evidence-based practice appropriate for all adult populations, including our population of focus: Native Americans. It is used to increase identification of patient’s risk of substance abuse disorder and to determine the depth of the substance abuse. We will also use the Brief Negotiation Interview (BNI) model, to increase the identification of candidates and the readiness for MAT services and is appropriate for all adult populations, including Native Americans.
