Tribal Opioid Response - The Iowa Tribe of Oklahoma, Perkins Family Clinic Behavioral Health, Tribal Opioid Response Grant continues to grow and service the rural communities of Lincoln, Logan and Payne Counties in Oklahoma with medical, dental, behavioral health and substance use treatment to Iowa Tribal Members, clients with any Tribal affiliation and non-Native clients. Perkins Family Clinic and Perkins Family Clinic Behavioral Health have worked to improve capacity and increase integrated medical and behavioral health and substance use services since 2018. PFC-BH has increased capacity for individual, family and group counseling, peer recovery support services, case management, mediation assisted treatment, 12 Step and Wellbriety groups, and Positive Indian Parenting groups over the past two years; many of these efforts through funding by SAMHSA, Tribal Opioid Response Funding. During the last award cycle, White Bison Warrior Down Offender Reentry program has been implemented in Logan and Payne County jails on a weekly basis for men and women incarcerated. There is a projected plan to have this also implemented in Lincoln County jail by the end of that grant cycle. If awarded this funding cycle, goals and objectives for this project include the continuation of the MAT program at Perkins Family Clinic and will include integrated care to ensure that all MAT patients are provided resources for behavioral health and substance use services. This service may incorporate individual, family, and group counseling, peer recovery support services, case management, recovery groups including 12 Step and Medicine Wheel and Warrior Down. Through this grant cycle we will work to improve barriers for treatment that could include transportation by offering transportation to MAT appointments or providing telehealth services as needed. Key personnel will continue the distribution of harm reduction tools to local school and community partners that include Narcan, fentanyl test kits, xylazine test kids and safter sex kits. Staff will also be trained in trauma informed care to include the ACES and SDOHs. TOR Key Personnel will work to meet with every patient who enters MAT/Outpatient Opioid Based Treatment at PFC Medical Facility and strive to be providing integrated medical and BH services to a minimum of 75% of patients receiving MAT services by the end of the two-year grant period.