Tribal Opioid Response: The purpose is address the OUDs and AODs in Tribal communities byproviding Medication Assisted Treatment, as well as counseling, prevention and recovery support. - Tribal Opioid Response Grant: The Fallon Paiute Shoshone Tribe (FPST) will primarily serve American Indians/Alaskan Natives in the geographic areas of Churchill County and Pershing Country where the FPST and the Lovelock Paiute Tribe (LPT) are located. However, it is common for the northern Nevada AIAN population to seek services through the FPST because it has a Health Center partially funded by Indian Health Services and any AIAN individual can receive services there. The AIAN population in Churchill County has approximately 1,523 people and Pershing County has a population of approximately 353 for a total of about 1,876. The number of people to be served through this grant increases each year starting with 4 individuals in Year 1, 6 individuals in Year 2, 8 individuals in Year 3, 10 individuals in Year 4, and 12 individuals in Year 5 for a total of 40 individuals receiving MAT throughout the lifetime of the project. There is a dearth of MAT providers in rural northern Nevada so we believe that as the MAT program develops it will attract more individuals seeking services. Data from the Behavioral Health Program from prior years shows that the majority of individuals with substance use disorders or co-occurring disorders were grouped into the 30-49 age group with a ratio of male to female being approximately 3:2. Individuals with substance use disorder oftentimes struggle in other parts of their lives. They may be involved in the criminal justice system, lack formal education, they may be living in poverty and unable to find employment, they may have children in out-of-home care, and they may have untreated health care issues. In addition to their substance use disorder, they may have a mental health disorder. Data from the FPST electronic health record shows that the most frequent diagnosis for clients served in behavioral health were anxiety disorder and post-traumatic stress disorder. Depression is also associated with substance use disorders. Serving individuals with these disorders and socio-economic struggles, the treatment approach must be wholistic and comprehensive. Through this grant, the FPST will provide MAT services to individuals with an opioid disorder or other substance use disorder that can be served through MAT. Individuals in MAT treatment will receive substance abuse counseling to address behaviors and maladaptive coping associated with addiction as well as mental health therapy as needed. Recovery support services will assist the individual with coordinating care and referral to and assistance with other needs such as housing, employment, social services, court services, health care, and more. The FPST has its own Vocational Rehabilitation Program, Court Services, Housing Department, Health Center, Youth and Family Services, and Food Bank that can provide support to individuals involved in the MAT program. Project goals are to: decrease opioid related addiction through MAT, through providing evidence-base practice to individuals, through providing recovery support services, and through Overdose Education and Naloxone Distribution (OEND). Other goals include disseminating workforce training and education to address opioid use disorders and to expand prevention efforts and increase community outreach. Objective are to: serve a total of 40 individuals over the 5-year project period, Implement OEND (Narcan kits), train staff and community members in OEND totaling 375 over 5-years of the grant period and conduct prevention activities including cultural practices that reaches at least 700 people over the 5-year project period. The FPST will address four of the SAMHSA Strategic Priorities in its objectives.
