H79TI085627

The Chickasaw Nation's Tribal Opioid Response 2022 Application - Abstract Summary

The Chickasaw Nation (CN) provides First Americans with comprehensive health services that promote healing and wellness. Any First American individual from a federally recognized tribe residing within the Indian Health Service (IHS) Ada Service Unit or any Chickasaw Nation citizen, regardless of residence, is eligible for care.

The goal of this project is to expand services and treatment modalities to First Americans who are 18 years old or older with Opioid Use Disorder (OUD), as well as those with other Substance Use Disorders (SUD) including stimulant misuse. In 2019 alone, 570 Oklahomans died due to a drug overdose. According to the Oklahoma State Department of Health, 38 percent of overdose deaths in Oklahoma involved an opioid, and subsequently, Oklahoma ranks 36th in the nation for opioid overdose deaths. Furthermore, the Centers for Disease Control and Prevention (CDC) state that Oklahoma has the fifth-highest opioid prescription dispensing rate in the United States (U.S.).

The CN will continue to promote the Medication-Assisted Treatment (MAT) clinic to CN medical staff through a pharmacy-led clinic and will serve 30 patients annually. To accommodate a growing need, a new TOR Navigator will be hired to connect services between multiple programs and track patients through the system.

To decrease wait times and improve access to recovery services, such as residential treatment and sober living, the CN will continue to sponsor eligible participants meeting the level of care established by the American Society of Addiction Medicine. Currently, the demand for these services exceeds what can feasibly be provided, so the CN will both sponsor an estimated 32 individuals annually for up to 90 days of residential treatment, as well as provide 40 scholarships annually to unique individuals so that they may stay in approved sober living facilities for three to six months.

The CN also plans to establish a Peer Recovery Specialist program and will hire two Peer Recovery Specialists to work within the men's, women's, and family support treatment systems.

True to prevention efforts, the CN will continue providing schools within its area with training in PAXIS Good Behavior Game (GBG), with plans to expand into self-sustaining programs through PAX Heroes, PAX Partners, and PAX Next Steps. These trainings are expected to educate up to 280 total participants. Currently, the CN has been able to reach 16 of the 76 school districts; however, the ultimate goal is to reach every one of them.

The CN will distribute 1,050 lock boxes, 1,040 lock bottles, 2,300 drug disposal systems, and 503 doses of naloxone. It will also sponsor a portion of the performance improvement for the Institutional Opioid Dashboard that tracks safety metrics for individuals with an opioid prescription.

The CN will train up to 20 clinicians and staff members in Motivational Interviewing and send 15 staff members to seminars and conferences to improve treatment skills in regard to the latest technologies, evidence-based practices, and culturally relevant treatments for OUD and stimulant misuse. Examples of these conferences are Pain Week, National Rx Drug Abuse and Heroin Summit, and the All Rise National Association of Drug Court Professionals' Meeting.

A TOR Coordinator will be hired to manage all the day-to-day programs and to ensure all objectives are met.

1 Oklahoma Opioid Overdose Fatality Review Board, Chairman's Report 2020
2 Oklahoma State Department of Health, Injury Prevention Service
3 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control

Chickasaw Nation

ADDRESSING THE OPIOID ABUSE CRISIS WITHIN SUCH STATES, USED FOR CARRYING OUT ACTIVITIES THAT SUPPLEMENT ACTIVITIES PERTAINING TO OPIOIDS UNDERTAKEN BY THE STATE AGENCY RESPONSIBLE FOR ADMINISTERING THE SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT UNDER SUBPART II OF PART B OF TITLE XIX OF THE PUBLIC HEALTH SERVICE ACT (42 U.S.C. 300X21 ET SEQ.), AND TRIBES AND TRIBAL ORGANIZATIONS TO ADDRESS THE OPIOID CRISIS WITHIN THEIR COMMUNITIES.

93.788 - Opioid STR

Division of Grants Management [HHS - SAMHSA]

Ada, Oklahoma 748203439 United States

Single Zip Code

Tribal Opioid Response Grants (TI-22-006)

Amendment Since initial award the End Date has been extended from 09/29/24 to 09/29/25 and the total obligations have increased 117% from $1,924,766 to $4,167,910.