Northern california tribal mat consortium - friendship house will develop and lead the northern california tribal mat consortium in response to the goals articulated by the mat-pdoa program

Through this project, we will increase access to moud for american indians and alaska natives (AI/ANS) living in urban, rural and tribal areas of northern california. As a direct service provider, friendship house will lead a consortium of tribal health programs operated by the indian health service and urban indian health programs in northern california. In doing so, we will create a more coordinated continuum of referral, treatment and recovery support services for AI/ANS experiencing opioid use disorder. The epidemic of opioid use disorder has disproportionately impacted AI/ANS, who experience the second highest rate of opioid overdose of all racial/ethnic populations. Unfortunately, AI/ANS have poor access to treatment. Nationally 71% of AI/ANS now live in urban areas, with that percentage closer to 90% in california. These urban areas lack culturally-informed systems and services. For AI/ANS in rural or tribal areas, they often live hours away from a tribal clinic or pharmacy, preventing access to OUD treatment. These access gaps are not unique to northern california. By addressing access gaps for AI/ANS in urban, rural and tribal areas, the northern california tribal mat consortium can serve as a national model, and a roadmap for other regions to create their own tribal mat consortium. As the lead direct service provider, friendship house will expand screening across a sprawling northern california region and increase the number of AI/ANS receiving residential treatment at our SAN francisco facility. This project will make our existing treatment program more accessible to AI/ANS living in more remote areas, establish recovery support services for AI/ANS when they return to their communities, and coordinate long-term moud and behavioral health care with tribal health programs. Friendship house will provide residential treatment and moud to 675 people throughout the 5 years of the project. Our recovery support services will reach an additional 433 unduplicated people over this period. The following are goals and measurable objectives of our proposed project: goal 1: increase access to medication-assisted treatment for individuals with OUD objective 1A: by the end of year 1, friendship house will have increased the number of annual individuals screened for OUD by 75% (from 500 to 875). Objective 1B: by the end of year 1, friendship house will have increased the number of annual individuals admitted for residential OUD treatment by 50% (from 70 to 105). Goal 2: improve care coordination for individuals with OUD from rural or tribal areas objective 2A: friendship house will have increased the number of annual referrals by tribal health programs and county courts by 50% (from 300 to 450). Objective 2B: 90% of individuals exiting residential OUD treatment will have stable housing and access to local behavioral and medical health care. Objective 2C: friendship house will have engaged with each IHS clinic to collaborate on care coordination. Goal 3: reduce relapse rates among individuals receiving mat objective 3A: 90% of individuals in residential treatment program will have CO-created an individualized recovery plan before discharge from residential treatment. Objective 3B: 75% of individuals in recovery will participate regularly in peer-based recovery support services for at least 3 months after discharge from residential treatment. Objective 3C: 90% of individuals in recovery will have successfully continued their prescribed mat for at least 3 months after discharge from residential treatment.