Northwest Portland Area Indian Health Board Tribal Opioid Response Consortium Phase 7 (TOR7) - Established in 1972, Northwest Portland Area Indian Health Board (NPAIHB) is a tribally-designated organization serving the 43 federally recognized Tribes of Idaho (ID), Oregon (OR), and Washington (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 TOR7 will work with three NW Tribes: the Confederated Tribes of Siletz Indians, the Puyallup Tribe of Indians, and the Skokomish Indian Tribe, to increase access for their tribal members to culturally appropriate treatment and recovery activities with the intent of reducing unmet treatment needs and substance use-related deaths, with a focus on using cultural and community strengths for prevention and intervention. This funding will strengthen NPAIHB’s ability to provide leadership, coordination, data management and analytic support, training, and technical assistance to participating Tribes. 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 OR and WA. Through our proposed project activities, we plan to reach at least 5,105 tribal members annually through outreach, education, social marketing, and media messages, and provide SAMHSA Unified Performance Reporting Tool (SUPRT) treatment and recovery services to 12 tribal members. Substance use disorder (SUD) prevention, education, and treatment for this TOR7 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 Objective 1. Include culture and tradition in SUD prevention strategies Objective 2. Increase awareness of tribal substance use response in AI/AN communities through media messaging and education GOAL 2. Increase access to treatment and recovery services and overdose reversal capacity by increasing access to tribal-based, evidence-based, and evidence-informed training, treatment, and recovery services Objective 1. Incorporate opioid overdose prevention into tribal treatment and recovery services Objective 2. Develop an integrated and inclusive treatment model of care that is inclusive of programs for sub-populations affected by SUD Objective 3. Develop comprehensive and inclusive recovery services GOAL 3. Increase capacity building within the Tribes for sustainability of SUD prevention, care, and services Objective 1. Cultivate responsive leadership through policy development and professional training Objective 2. Cultivate responsive communities
