H79TI084398

Comanche Nation MAT-PDOA Operation Over Opioids - The Comanche Nation's MAT-PDOA "Operation Over Opioids" project will expand and enhance access to Medication-Assisted Treatment (MAT) services for tribal citizens and members of surrounding communities who are diagnosed with Opioid Use Disorder (OUD) and are seeking or receiving MAT.

Our tribal jurisdiction is not located on a traditional reservation but spans bicultural communities under shared jurisdictions with Oklahoma governmental systems. The Comanche Nation is a federally recognized tribe with tribal enrollment numbers totaling 17,521, with roughly 7,779 members residing in southwest Oklahoma.

To reach our project goals of increasing the number of individuals with OUD receiving MAT and seeing a decrease in illicit opioid use and prescription drug misuse at 6-month follow-up, our treatment regimen will adhere to the evidence-based 2016 RAND Corporation's MAT Guidebook for Health Center's four phases of assessment, induction, stabilization, and maintenance.

To increase the capacity of our tribe to address our opioid crisis long-term, we will adopt a Recovery Oriented System of Care (ROSC) approach. The ROSC will support our MAT efforts with added components of outreach, development of recovery support and telehealth services, formal collaborations, community education to reduce stigma, and professional workforce development.

The evidence-based modalities we will use include Quick Screen (QS) from the National Institute for Drug Awareness, which is an evidence-based practice appropriate for all adult populations, including our population of focus: Native Americans. It is used to increase identification of patients' risk of substance abuse disorder and to determine the severity of those substance abuse issues.

We will also use the Brief Negotiation Interview (BNI) model developed by the Yale College of Medicine, used to increase the identification of candidates and the readiness for MAT services and is appropriate for all adult populations, including Native Americans.

Comanche Nation

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Oklahoma United States

State-Wide

Medication Assisted Treatment - Prescription Drug and Opioid Addiction (TI-21-006)

Amendment Since initial award the total obligations have increased 100% from $1,049,776 to $2,099,572.