2024 TOR Project - A 2022 report form the U.S. Centers for Disease Control and Prevention found national overdose death rates increased 39 percent for American Indians from 2019 to 2020. The CDC report further stated that overdose death rates increased by 39% for American Indians from 2019 to 2020 and this trend continues. The current opioid-related overdose death rate for Native Americans nationwide is 13.7 deaths per 100,000 population, which exceeds the national rate of 13.1 per 100,000 (Tribal Epidemiology Center, March 14, 2018). The Turtle Mountain Tribal Opioid Response (TOR) program will continue to actively address the opioid crisis throughout our tribal community. While inroads regarding sales, reduction in usage and addiction have been made, the process has been slow but allows for optimism for our service area. The TM TOR program will continue to provide identified services such as mentoring (which will be paired with cultural activities and counseling to sustain recovery), Mommy and Me (parenting), increasing access to FDA-approved medications for the treatment of opioid use disorder (MOUD) clients of a minimum of 250 persons over 5 years and continued and enhanced community education and awareness regarding opioid misuse and opioid used disorder. Our program services will support prevention, harm reduction, treatment and recovery support services for stimulant misuse and use disorders, including for cocaine, fentanyl and methamphetamine. Efforts to combat opioid abuse on Indian reservations involve collaboration between health services, law enforcement and community members. Understanding the need for partnerships to make this a true community project, we will partner with local entities such as Indian Health Services, Tribal Public Health, Turtle Mountain Community College, Tribal Home Visiting Program, local schools, community business leaders, first responders and Tribal government to ensure we are providing the best services available and meeting real needs with measurable results. Our proposed program will reach more than 2500 Tribal community members over five years. Monthly data will be collected, recorded and submitted to the Tribe to ensure accurate analysis and measurement of program progress and results.