The project will provide evidence-based services for 100 individuals with OUD or stimulant use disorder living within the Pueblo of Pojoaque, the Hispanic communities in Pojoaque Valley, and the surrounding tribal communities. The population of the service area is primarily Native American (21%) and Hispanic (63%) (U.S. Census Bureau, 2020). Clients that receive services at the Pueblo of Pojoaque Behavioral Health are American Indian at 74% followed by Hispanic at 21%. Clients speak English and Spanish. The project will serve all clients, including sexual gender minorities (SGM) and individuals of all ages and socioeconomic backgrounds. According to the 2020 Census data, 18% of the population of Pojoaque live below the federal poverty line, and in 2019 the median household income was $46,481, a 3% decline from the year prior (NM-IBIS, 2020). The median age in Pojoaque is 35.4 years, with 23% of the population under 18 (U.S. Census Bureau, 2020). Local data shows that between Rio Arriba County and Santa Fe County, 13% of the population are uninsured, and there is limited access to primary health care or behavioral health services outside of Santa Fe. These factors, coupled with rurality, discrimination, and stigma, make it difficult for tribal members to access effective substance abuse prevention and treatment services.
The Pueblo of Pojoaque Behavioral Health will address the local opioid crisis and impact of opioids within Pojoaque Valley through the MAT program. The project has one primary goal and three objectives. The overall goal of the MAT program is to increase the number of individuals with OUD receiving medication for opioid use disorder (MOUD) and decrease illicit opioid use and prescription opioid use. The three objectives are:
Objective 1. By the end of month three, the Pueblo of Pojoaque Behavioral Health will hire, contract with, and provide orientation to one Project Director, one licensed clinician, one peer recovery support specialists, and a MAT provider.
Objective 2. During the project period of September 30, 2022, to September 29, 2027, the ESR MAT will provide access to MAT and mental health services to at least 20 individuals with OUD per year (100 total) with at least 80% (16 per year) who will successfully complete the MAT program and a variety of culturally-based recovery support services. This will be measured by the GPRA core client outcome measures data elements at baseline, 6-month follow-up, and discharge.
Objective 3. The Pueblo of Pojoaque Behavioral Health will provide evidence-based services to participants and their families, to reach 20 unduplicated individuals per year impacted by OUD. The Pueblo of Pojoaque will utilize three locations to reach participants including the Annex Building, Tapia Building, and a mobile service unit.