Treatment Drug Court Program: Hoopa Valley Tribe Adult and Family Healing to Wellness Court - The Hoopa Valley Tribe will expand substance use disorder treatment and recovery capacity in its operational Adult Tribal Healing to Wellness Court and joint-jurisdiction Family Wellness Court — one of only a small number of tribal courts in the nation that share jurisdiction with a county superior court — delivering seven-day assessment, medication access, peer recovery support, trauma care, family services, and culturally grounded healing to a remote Northern California tribal community whose opioid-overdose death rate has run many times the state average. Project name: Na:tini-x' we' Healing to Wellness Court Expansion. Geographic area: the Hoopa Valley Reservation (the largest in California, ~141 sq. mi.) and the Klamath-Trinity region of Humboldt and Del Norte Counties, where 100% of residents live in a federally designated Health Professional Shortage Area. Population: 3,649 enrolled Hoopa Valley Tribe members; county AI/AN population 11,576. Number served: no fewer than 45 unduplicated direct clients per year — 225 over five years — across an adult docket (justice-involved adults 18+) and a family docket (parents of children age five and younger in or at risk of dependency, served two-generationally), with additional family and household members reached through engagement, naloxone training, and recovery supports. Age range: adults 18 and older, with family-docket children reached through their parents. Clinical characteristics: opioid, methamphetamine, and alcohol use disorders; high rates of co-occurring depression, anxiety, and PTSD; and historical and intergenerational trauma. Strategies and interventions: medication for opioid and alcohol use disorder through K'ima:w Medical Center; Motivational Interviewing, the Matrix Model and cognitive-behavioral relapse prevention, Contingency Management, Seeking Safety, and Trauma-Focused CBT; contracted cultural recovery-support and reconnection workshops; two-generation family wellness and youth reconnection services; telehealth behavioral health and peer recovery support; and recovery/transition support resources — organized within the Tribal Healing to Wellness Court Ten Key Components and the All Rise Adult Treatment Court Best Practice Standards, and grounded in the evidence that cultural connectedness is a social determinant of health. Goals: (1) expand access to evidence-based SUD treatment; (2) prevent overdose and overdose death; (3) reduce recidivism and promote recovery, sobriety, and self-sufficiency; and (4) strengthen families and achieve safe, timely reunification. Measurable objectives include: ASAM-based assessment within 7 business days for 90% of clients; medication offered and referred within 72 hours for 85% of clinically indicated clients; naloxone and overdose-prevention training offered to 100% of clients and households; six-month retention of at least 75%; no new arrest during enrollment for the majority of clients, verified by court and probation records; gains in employment, education, or training from intake to discharge; and reunification or another safe, permanent placement for the majority of family-docket cases within 12 months. The Tribe requests up to $400,000 per year for five years (up to $2,000,000 total).
