Project Grant H79TI085699

CHEROKEE INDIAN HOSPITAL - ANALENISGI'S MEDICATED ASSISTANCE PROGRAM - THE EASTERN BAND OF CHEROKEE INDIANS (EBCI) IS THE ONLY FEDERALLY RECOGNIZED TRIBE IN THE STATE OF NORTH CAROLINA AND SERVES APPROXIMATELY 12,190 ENROLLED MEMBERS WHO ARE PATIENTS AT CHEROKEE INDIAN HOSPITAL (CIHA). OF THOSE, MORE THAN ONE THIRD STRUGGLE WITH ONGOING SUBSTANCE USE. WE WILL EXPAND ACCESS TO ENROLLED MEMBERS IN THE COMMUNITY THROUGH PEER SUPPORT SERVICES, PROVIDE INDIVIDUAL AND GROUP EDUCATION TO MEMBERS ENGAGED IN RESIDENTIAL TREATMENT, EXPAND ACCESS TO SERVICES THROUGH EXPANDED BUSINESS HOURS, EXPAND ACCESS TO MAT IN THE JAIL SETTING AND INCORPORATE ADDITIONAL NATIVE TRADITIONS INTO CURRICULUMS OFFERED. WE WILL BE ABLE TO OFFER SERVICES TO AN ADDITIONAL 200 ENROLLED MEMBERS WITHIN THE FIRST GRANT YEAR AND 230 BY THE END OF THE SECOND GRANT YEAR. WE WILL UTILIZE APPROVED EVIDENCE BASED PRACTICES INCLUDING BUT NOT LIMITED TO: INDIVIDUAL/GROUP/FAMILY THERAPY, THE MATRIX, SEEKING SAFETY, WHITE BISON, WARRIOR DOWN, COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, AND EMDR IN COMBINATION WITH MEDICATION ASSISTED TREATMENT IN THE FORM OF BUPRENORPHINE OR METHADONE. GOAL 1: TO PROVIDE ASSERTIVE OUTREACH AND ENGAGEMENT AND ADDITIONAL PEER SUPPORT SERVICES TO CLIENTS IN THE MAT PROGRAM. MEASURABLE OBJECTIVE: 1. BY THE END OF THE FIRST GRANT YEAR, PEER SUPPORT STAFF WILL IMPLEMENT ONE ADDITIONAL WRAP CLASS WHICH WILL BE HELD EACH WEEK. 2. BY THE END OF THE FIRST GRANT YEAR, PEER SUPPORT STAFF WILL SERVE AN ADDITIONAL 50 CLIENTS. 3. BY THE END OF THE SECOND GRANT YEAR, 80 PARTICIPANTS WILL BE ACTIVELY PARTICIPATING IN TWO OR MORE THERAPEUTIC ACTIVITIES PER WEEK. GOAL 2: TO PROVIDE INDIVIDUAL SUPPORT AND GROUP EDUCATION TO MAT PARTICIPANTS ENGAGED IN RESIDENTIAL TREATMENT SERVICES. MEASURABLE OBJECTIVE: 1. BY THE END OF THE FIRST GRANT YEAR, THE CERTIFIED ALCOHOL AND DRUG COUNSELOR WILL IMPLEMENT ONE NEW GROUP BASED AT THE WOMEN'S HOME. 2. BY THE END OF THE SECOND GRANT YEAR, THE CERTIFIED ALCOHOL AND DRUG COUNSELOR WILL PROVIDE INDIVIDUAL SUPPORT TO 12 WOMEN'S HOME RESIDENTS. GOAL 3: TO PROVIDE MORE THERAPEUTIC SERVICE OPTIONS TO CLIENTS IN THE MEDICATION ASSISTED TREATMENT PROGRAM DURING ADDITIONAL EXTENDED HOURS. MEASURABLE OBJECTIVE: 1. BY THE END OF THE FIRST GRANT YEAR, THE MASTER'S LEVEL THERAPIST WILL HAVE PROVIDED THERAPEUTIC SERVICES TO 15 CLIENTS DURING EXTENDED EVENING HOURS. 2. BY THE END OF THE FIRST GRANT YEAR, THE MEDICATION ASSISTED TREATMENT TEAM WILL PROVIDE THERAPEUTIC SERVICES TO 10 CLIENTS DURING EXTENDED MORNING HOURS 3. BY THE END OF THE SECOND GRANT YEAR, THERE WILL BE THREE ADDITIONAL GROUP THERAPY SERVICES ADDED TO THE PROGRAM SCHEDULE OFFERED DURING EXTENDED HOURS. GOAL 4: TO DECREASE BARRIERS FOR PROGRAM PARTICIPANTS DISCHARGING FROM JAIL BACK INTO THE COMMUNITY. TO INCREASE PARTICIPANT FOLLOW-UP ENGAGEMENT IN SUBSTANCE USE SERVICES POST INCARCERATION. MEASURABLE OBJECTIVE: 1. THE RE-ENTRY SPECIALIST WILL WORK WITH AT LEAST 35 PROGRAM PARTICIPANTS WITHIN THE FIRST GRANT YEAR. 2. THE RE-ENTRY SPECIALIST WILL TRACK EACH PROGRAM PARTICIPANT'S ENGAGEMENT IN SUBSTANCE USE SERVICES AT CIHA FOR THE FIRST 60 DAYS POST RELEASE AND PROVIDE COMMUNITY BASED/HOME SERVICES TO INCREASE SUPPORT AND CONNECTION TO SERVICES. BY THE END OF THE FIRST GRANT YEAR, AT LEAST 70% OF PARTICIPANTS WILL HAVE ENGAGED IN SUBSTANCE USE SERVICES AT CIHA WITHIN 60 DAYS OF RELEASE. 3. THE RE-ENTRY SPECIALIST WILL ASSIST PROGRAM PARTICIPANTS WITH OTHER STATED AREAS OF NEED SUCH AS HOUSING, EMPLOYMENT, ACCESS TO ENTITLEMENTS, CONNECTION WITH A PRIMARY CARE PHYSICIAN, LINKAGE TO OTHER COMMUNITY RESOURCES. BY THE END OF THE SECOND GRANT YEAR, THE RE-ENTRY SPECIALIST WILL HAVE HAD AT LEAST ONE SUCCESSFUL INTERVENTION IN THE ABOVE DOMAINS WITH 90% OF PROGRAM PARTICIPANTS. GOAL 5: TO CONTINUE BUILDING TRADITIONAL NATIVE AMERICAN AND CULTURALLY COMPETENT PRACTICES INTO INDIVIDUAL AND GROUP SESSIONS. MEASURABLE OBJECTIVE: 1. BY THE END OF THE FIRST GRAN