H79TI087814

The Chickasaw Nation's Tribal Opioid Response application - The Chickasaw Nation (CN) Tribal Opioid Response (TOR) project prioritizes providing the full continuum of care for individuals struggling with opioid use disorder (OUD) and other substance use disorders (SUD).

The CN provides participants access to innovative medication assisted treatment (MAT), residential treatment and sober living support, while investing in CN workforce to offer effective, evidence-based services.

The CN is a federally recognized First American tribe located in rural Oklahoma (OK) whose 7,648 square miles of treaty territory includes 13 contiguous counties.

The Indian Health Service (IHS) 2023 ADA Service Unit (SU) population was 51,117.

There are 45,000 Chickasaw citizens residing in OK.

An additional 5,011 First American active users reside in OK County.

The target population of the CN’s TOR grant proposal are First American adults 18 years and older who are diagnosed with OUD, stimulant misuse or other SUDs putting them at a high risk of opioid misuse and overdose.

In 2022, 1,217 Oklahomans died due to a drug overdose; of those deaths, 60 percent were related to fentanyl/opioids, and 66 percent involved at least one stimulant.

Unintentional drug overdose deaths increased 112 percent from 2019 to 2022.

OK ranks 37th in the United States (U.S.) for opioid overdose deaths.

OK had the 7th highest opioid prescription dispensing rate in the U.S.

Over 3 million opioid prescriptions were filled in OK in 2022.

OK had the second largest overdose increase nationwide, at 22 percent.

The number of methamphetamine overdose deaths have more than doubled from 2018 to 2022, while fentanyl overdose deaths increased 12-fold from 2019 to 2022.

In 2022 the most commonly trafficked drugs in the state were methamphetamine and fentanyl.

According to the OK Bureau of Narcotics and Dangerous Drugs OK Drug Threat Assessment in 2023, fentanyl is the greatest drug threat to OK.

In the 13 counties that make up the CN’s treaty territory, from 2021 to 2022, First American people experienced the largest percent increase in the age-adjusted rate of drug overdose deaths, with the rate increasing from 56.6 to 65.2.

In the CN, between 2018 and 2022, there were 333 drug overdose deaths; 33 percent of those were caused by opioids.

In 2022, approximately 311,156 opioid prescriptions were filled in the 13 counties of the CN.

Five of the 13 CN counties – Love, Carter, Pontotoc, Stephens and Bryan – saw higher than average opioid prescription administration, at 55.5 per 100.

Of the CN’s 13 counties, 11 listed substance misuse/abuse as the number one health concern in their county.

To alleviate the threat OUDs and other SUDs pose in its communities, the CN plans to use TOR funds to achieve the following each year:

Offer MAT to 30 First Americans per year, totaling 150 for the project period;

Provide residential treatment scholarships for 25 First Americans per year, totaling 125 for the project period;

Provide sober living scholarships for 35 First Americans per year, totaling 175 for the project period;

And distribute 1,500 medication safety devices, 1,800 home drug disposal systems, 2,000 naloxone kits and 500 harm reduction kits to community members per year.

Project staff will provide education and training on the identification of possible overdose and the administration of naloxone to special populations, including five schools or youth-serving organizations, and 10 trainings provided to 50 CN employees per year, totaling 250 for the project period.

Additionally, project staff will do the following:

Attend 10 outreach events to educate on harm reduction/prevention messaging;

Offer training support for 10 clinicians providing education in the latest evidence-based, trauma-informed treatment for OUDs and other SUDs each year;

And train three pharmacists on MAT protocols each year.

Chickasaw 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]

Ada, Oklahoma 748203439 United States

Single Zip Code

Tribal Opioid Response (TI-24-009)

Amendment Since initial award the total obligations have increased 136% from $1,750,000 to $4,136,805.