NPAIHB Tribal Opioid Response Consortium Phase 6 - Established in 1972, Northwest Portland Area Indian Health Board (NPAIHB) is a non-profit 501(c)(3) tribally designated organization serving the 43 federally recognized Tribes of ID, OR, and WA. The mission of the NPAIHB is to assist NW Tribes in improving the health status and quality of life of member Tribes and American Indian/Alaska Native (AI/AN) people in their delivery of culturally appropriate and holistic health care. The NPAIHB's TOR6 will work to increase access to culturally appropriate treatment and recovery activities with the intent of reducing unmet treatment needs and substance use-related deaths, as well as a focus on using cultural and community strengths as prevention and intervention. The following 34 NW Tribes agreed to apply as a consortium in FY24 with the NPAIHB: Burns Paiute Tribe, Chehalis Tribe, Coeur d'Alene Tribe, Colville Tribes, Confederated Tribes of Coos Lower Umpqua and Siuslaw Indians, Confederated Tribes of Warm Springs, Confederated Tribes of the Umatilla Indian Reservation, Coquille Tribe, Cow Creek Band of Umpqua, Cowlitz Tribes, Hoh Tribe, Jamestown S'Klallam Tribe, Kalispel Tribe, Klamath Tribes, Kootenai Tribe, Lower Elwha Klallam Tribe, Makah Tribe, Nez Perce Tribe, Nisqually Tribe, NW Band of Shoshone, Port Gamble S'Klallam Tribe, Quileute Tribe, Quinault Indian Nation, Samish Indian Nation, Sauk-Suiattle Indian Tribe, Shoalwater Bay Indian Tribe, Snoqualmie Indian Tribe, Spokane Tribe, Squaxin Island Tribe, Stillaguamish Tribe, Suquamish Tribe, Swinomish Tribe, Tulalip Tribe, and the Upper Skagit Tribe. Our proposed activities will strengthen our partnerships with NW Tribes, the Substance Abuse and Mental Health Services Administration (SAMHSA), the Indian Health Service (IHS), and the states of ID, OR, and WA. The NPAIHB TOR6 will expand access to integrated health services, thus reaching critically underserved AI/AN people living in the United States. Through the project activities, this project has the opportunity to reach at least 59,017 tribal members annually through outreach, education, social marketing, and media messages, and providing GPRA treatment & recovery services to 40 tribal members. Substance use disorder (SUD) prevention, education, and treatment for this TOR6 grant are inclusive of opioid and stimulant use and misuse disorders. The goals and objectives for the grant are: Goal 1: Prevent new cases of substance use disorder in AI/AN communities by increasing the use of evidence and culture-based interventions and innovative community-based strategies. The objectives are (1) Include culture and tradition in SUD prevention strategies; (2) Increase awareness of tribal substance use response in AI/AN communities through social marketing & media materials and messaging; and (3) Educate community members, healthcare providers, and/or healers about opioids and stimulants. Goal 2: Increase access to treatment and recovery services and overdose reversal capacity by increasing access to tribal, evidence-based, and practice-based, training, treatment, and recovery services. The objectives are (1) Incorporate harm reduction into tribal treatment and recovery services; (2) Develop programs for sub-populations affected by SUD (e.g., pregnant mothers and babies, active military, veterans, and those incarcerated); (3) Develop an integrated and inclusive treatment model of care; (4) Develop comprehensive and inclusive recovery services; and (5) Offer ongoing training to providers. Goal 3: Increase capacity building within the Tribes for the sustainability of SUD prevention, care, and services. The objectives are (1) Cultivate responsive leadership; and (2) Cultivate responsive communities.
