Tribal Opioid Response - The Fort Hall Indian Reservation is located in Southern Idaho. As of June, 2024, there are 6,161 enrolled members of the Shoshone-Bannock Tribes (a federally recognized Indian Tribe), and many other Native Americans living on the Reservation. The Shoshone-Bannock Tribes received Tribal Opioid Response funding in 2018 and established the Four Directions Treatment Center (renamed Waapi Kani) Medication Assisted Treatment (MAT) Program for the Fort Hall Reservation. With this 2024 application, the Waapi Kani (Cedar House) is applying to continue, increase capacity, and sustain the MAT/MOUD (medication for the treatment of opioid use disorder) opioid addiction treatment program. Funding will be used to address opioid, fentanyl, stimulant and polysubstance drug disorders, to provide intensive case management, direct treatment services, outreach, wrap-around recovery support and resources, training for providers, and community prevention. Waapi Kani staff estimates that fifty percent of the Reservation population suffers from addiction and 100 percent of the community is impacted. Fifty-eight percent of the residents are Native American, and eleven percent are Hispanic or Latino. Twenty-two percent of the population has a disability. Twenty-one percent of Reservation households in the past 12 months had income that was below the poverty level. The Tribes are eligible to apply for $250,000 in Tribal Opioid Response (TOR) funding per year for five years. The Tribes are also eligible to receive “Highest Overdose Mortality Counties Need-Based Supplement Eligibility” as the Fort Hall Reservation lies in part within Bannock County, Idaho.