Thursday, April 3, 2025
4/3/2025
Integrated MOUD/SUD Treatment and Recovery Program: Enhancing Behavioral Health and Cultural Support for AIAN Communities - Chapa-De Indian Health Center is dedicated to enhancing its comprehensive healthcare services for American Indian, Alaska Native (AIAN), and other underserved patients through the proposed Treatment, Recovery & Harm Reduction project. This initiative aims to build on previous TOR grants to address the critical needs of individuals struggling with substance use disorders (SUD), particularly opioid use disorder (OUD), by expanding and improving the services. All services will be culturally relevant, integrating Native healing practices and culturally appropriate therapies to meet the unique needs of the AIAN community. We intend to serve the following unduplicated patients in the following categories: 207 in treatment, 185 in recovery, 868 in prevention, 1,418 in harm reduction, and our GPRA/SPARS target is 151. Goal 1: Effectively serve AIAN and other Chapa-De patients by offering timely, comprehensive Nurse Case Managed MOUD/SUD treatment and recovery services, supplemented with behavioral health care, therapy, and Native healing practices. - Objective 1.a: Hire a SUD Family Nurse Practitioner (FNP)/Program Manager by 12/31/24. - Objective 1.b: Hire a SUD Medical Assistant for the Grass Valley clinic by 2/1/25. - Objective 1.c: Hire a part-time SUD Counselor for the Grass Valley Clinic by 6/1/25. - Objective 1.d: Maintain a program retention rate of 30% after 30 days. - Objective 1.e: Provide MOUD/SUD treatment services to 207 unduplicated patients and recovery services to 185 unduplicated patients during the grant period. Goal 2: Expand measurement of program outcomes and processes to ensure the program's success and to measure program activities. - Objective 2.a: Implement the Recovery Capital Scale (RCS) by 2/1/25. - Objective 2.b: Finalize additional program metrics/conduct quarterly fidelity chart audits by 6/1/25. Goal 3: Continue harm reduction efforts, including equipping patients and community members with reversal medications and fentanyl test strips to prevent overdose deaths, and increasing community awareness of treatment and recovery programming. - Objective 3.a: Purchase and distribute 150 naloxone/Narcan doses and 4000 FTS by 9/30/25, and annually thereafter. Goal 4: Enhance and expand treatment services and models, including strengthening patients' cultural connections by offering culturally appropriate and relevant activities to adults and youth. - Objective 4.a: Leverage existing relationships to provide cultural activities by 3/1/25. - Objective 4.b: Offer at least one adult and two youth activities monthly by 5/1/25. - Objective 4.c: Implement a family education and support group by 2/1/25. Goal 5: Improve Chapa-De’s capacity to meet anticipated program growth and staff ability to provide culturally competent and appropriate treatment. - Objective 5.a: Send at least one staff member to the national meeting in Washington D.C. by 9/29/25, 9/29/27, & 9/29/29. - Objective 5.b: Ensure SUD program staff receive training in Motivational Interviewing and trauma-informed treatment approaches by 9/29/25. - Objective 5.c: Provide training for SUD program staff in working with criminal justice-involved individuals by 1/31/26. - Objective 5.d: Train SUD program staff in the Community Reinforcement Approach by 6/30/26. - Objective 5.e: Ensure each nurse case manager, SUD counselor, and therapist attend at least one training relevant to substance use in indigenous populations by 9/29/27.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).