H79TI087980

Navajo Nation Tribal Opioid Response - The Navajo Nation (NN) is a federally recognized tribe and proposes to lead efforts to coordinate activities and services related to the emerging public health concern of opioid misuse and to protect the health and safety of the NN.

The goal is to continue to identify the impact (morbidity and mortality) of opioid misuse and to strategize a holistic, comprehensive approach to expand the Navajo culture practice-based evidence and evidence-based practices for opioid prevention, treatment and recovery services.

In addition, opioid misuse surveillance can be developed through adequate data tracking systems.

According to the NN Division of Community Development database website, there are 392,962 enrolled NN members.

The Navajo Area I.H.S. 2021 user population was 238,951.

The Navajo Division of Behavioral and Mental Health Services (NDBMHS) is established under the Navajo Department of Health (NDOH) within the executive branch of the NN government.

The purpose of NDBMHS is to provide substance use, mental health and behavioral health, and to ensure that a quality, cultural and spiritual comprehensive approach is utilized for healing.

The project estimates to reach at least half of the I.H.S. user population at 120,900.

The NDBMHS proposes the three (3) priority areas:

1. Develop and implement an updated NN opioid response strategic plan.

2. Increase implementation of evidence-based practices for opioid prevention, treatment and recovery support.

3. Increase the capacity of NDBMHS to effectively gather data and implement opioid-related surveillance on the Navajo Nation.

The NDBMHS-NDOH acknowledges and incorporates the Tribal Behavioral Health Agenda's American Indian and Alaska Native Cultural Wisdom Declaration which highlights the importance of tribal identities, culture, spiritual beliefs, and practices for improving well-being.

NDBMHS proposes to use the Navajo Wellness Model (NWM) which is promising practice-based evidence and cultural-based practice that is a cycle interwoven practice of well-being of Nitsakahakees (thinking), Nahata (planning), Iina (implementation) and Sihasin (evaluation).

Overall, the beauty of this approach is that it speaks to the specific life way of the Navajo people and community through the Navajo language and cultural practices.

Navajo Nation Tribal Government

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]

Arizona United States

State-Wide

Tribal Opioid Response (TI-24-009)

Amendment Since initial award the total obligations have increased 1195% from $319,436 to $4,136,805.