Shoshone-Paiute Tribes Opioid Prevention, Response and Treatment Project - The Shoshone-Paiute Tribes of the Duck Valley Indian Reservation in Idaho and Nevada propose a five-year Tribal Opioid Response Grant program whose goal is to engage staff to work in a coordinated, interdisciplinary manner to engage the whole community in healing from the opiate crisis. To further understand the scope of the problem, grant staff will host a listening session with the DVIR students involved in Hope Squad, a school-based peer suicide prevention program, to better understand the impact of opiates on youth in the community. Grant staff will continue to engage with SPT leadership and the OCHF Governing Health Board to understand community beliefs and needs. They will host a listening session with Traditional Healers who are contracted with the OCHF Behavioral Health Department. Lastly, they will consult with Community Mental Health Responders (CMHR), who are SPT enrolled members making home visits to at-risk community members. These CMHRs have lived experience and community engagement to further inform grant staff on the scope of the opiate problem, as well as community patterns that can inform care. The Tribes propose to implement Treatment service delivery models that enable a full spectrum of trauma-informed treatment and recovery support services. Likewise, the Tribes believe that Treatment must be synonymous with Recovery services, not just for individuals, but for families which can include the community. As part of Treatment and Recovery, it is inevitable that Prevention services will also be included. The Tribes propose to Serve the entire community over the grant period and deliver treatment services to at least 85 individuals, recovery support for 30 and prevention services to 800 community members.