The Washoe Tribe of Nevada and California (herein Wašiw Nation – WN) is a federally recognized tribe residing at the base of the foothills of the Sierra Nevada Mountains. The WN Health Center’s (herein HC) service population is Washoe Tribal Members and their descendants and other federally recognized American Indian/Alaska Native (herein AI/AN) people and their descendants. HC’s geographic catchment area includes the four tribal colonies/communities of Stewart, Carson, Dresslerville, and Woodfords (California). Some travel over 100 miles to receive services. The Washoe Tribal Healing Center (Healing Center) has been working toward establishing a Medication Assisted Treatment (MAT) program, but progress has been slow due to limited funding. Our implementation approach for the MAT program is based on successful programs previously implemented, experience with our target population, and relies heavily on community, stakeholder, and tribal department engagement. The Healing Center, is a clinical outpatient agency providing a wide range of culturally appropriate mental health and substance abuse services, including community outreach services, outpatient services, consultation and liaison services, suicide prevention and awareness, case management services, crisis intervention, individual, couples and family counseling, group counseling, grief counseling, mental health assessments and psychological evaluation, psychiatric evaluation, inpatient placement supports, referrals, substance abuse evaluation and assessment, child play therapy, and wellness groups.The Washoe Tribal Health Center and Healing Center’s goal for SAMHSA’s Medication-Assisted Treatment – Prescription Drug and Opioid Addition (MAT-PDOA) are:
To develop a Medication Assisted Treatment program for individuals struggling with opioid use disorder. To assist with the reduction and elimination of the use and misuse of prescription and illicit opioids.
(1) By the end of Year One: The Medication Assisted Treatment (MAT) program will be developed and sustainably operating with a minimum of five individuals utilizing the MAT program.