The Native American Rehabilitation Association of the Northwest, Incorporated (NARA) was awarded a $500,000 Project Grant under the Department of Health and Human Services Indian Health Service's Demonstration Projects for Indian Health (CFDA 93.933) program. The grant, with a period of performance from February 1, 2025 to January 31, 2030, will be used by NARA to address the opioid crisis in tribal communities within the Portland, Oregon metropolitan area. The project aims to develop and expand community-based cultural education and awareness activities focused on prevention, treatment, and recovery for opioid misuse and opioid use disorder. Key goals include increasing knowledge and use of culturally appropriate interventions to encourage medication-assisted treatment, strengthening tribal and urban communities' capacity to provide culturally appropriate services, and expanding harm reduction strategies. As an urban Indian organization, NARA has a long history of providing integrated, culturally sensitive behavioral health, substance abuse, and wraparound social services to American Indian and Alaska Native populations in the region.