Project Grant H79TI087894

GREAT PLAINS TRIBAL OPIOID RESPONSE - PROJECT ABSTRACT SUMMARY FOUNDED IN 1986, GPTLHB IS A FORMAL REPRESENTATIVE BOARD OF THE SEVENTEEN TRIBAL NATIONS AND ONE SERVICE UNIT IN THE GPA. THE MISSION OF GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB), A 501(C)(3) COMMUNITY-BASED TRIBAL ENTITY, IS TO WORK WITH TRIBAL COMMUNITIES AND PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO IMPROVE THE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION'S TRIBAL MEMBERS. THE VISION OF THE GPTLHB IS FOR ALL TRIBAL NATIONS AND COMMUNITIES TO REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS AND CULTURALLY SIGNIFICANT VALUES EMPOWERED BY TRIBAL SOVEREIGNTY. HECEL OYATE KIN NIPI KTE, SO THAT THE PEOPLE MAY LIVE. GPTLHB INTENDS TO CONTINUE IMPLEMENTING A PROGRAM TO ADDRESS THE OPIOID OVERDOSE CRISIS FOR AMERICAN INDIAN AND ALASKA NATIVES RESIDING IN THE HE SAPA AREA (RAPID CITY, SOUTH DAKOTA), CHEYENNE RIVER SIOUX TRIBE COMMUNITY, AND CROW CREEK SIOUX TRIBE COMMUNITY. THE GREAT PLAINS TRIBAL OPIOID RESPONSE (GPTOR) PROGRAM, CURRENTLY FUNDED BY TI-22-006, WILL IMPLEMENT ACTIVITIES TO SUPPORT THE CONIUM OF PREVENTION, HARM REDUCTION, TREATMENT, AND RECOVERY SUPPORT SERVICES FOR OPIOID USE DISORDER AND CO-OCCURRING SUBSTANCE USE DISORDERS. OPIOID OVERDOSES SIGNIFICANTLY IMPACT THE HE SAPA AREA. BETWEEN JANUARY 1, 2020, AND DECEMBER 31, 2022, PENNINGTON COUNTY HAD 254 OVERDOSES ENCOMPASSING ALL AGES. ACCORDING TO DATA RELEASED FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES, PENNINGTON COUNTY HAD HIGHER RATES OF UNINTENTIONAL FATAL DRUG OVERDOSE (6.7), NON-FATAL DRUG OVERDOSE (11.3), AND SUBSTANCE USE TREATMENT ADMISSIONS (162.9) IN COMPARISON TO SOUTH DAKOTA STATEWIDE RATES FOR THE SAME CATEGORIES (5.6, 9.2,119.5). ON AVERAGE, CHEYENNE RIVER SIOUX TRIBE'S WAKPA WASTE COUNSELING SERVICES (WWCS) SERVES 163 INDIVIDUALS PER MONTH, MOST WITH CO-OCCURRING DIAGNOSES IN DEPRESSION/ANXIETY ACCOMPANIED BY ALCOHOL, MARIJUANA, METHAMPHETAMINE, OR OTHER DRUG USE DISORDERS. CROW CREEK SIOUX TRIBE HAS A NOTED NEED FOR SERVICES AMONG ITS YOUTH, WITH A 2017 REPORT REVEALING THAT VICODIN, OXYCONTIN, OR MORPHINE WITHOUT PRESCRIPTION WERE USED BY 3.6% OF 7TH-8TH GRADERS, 5.4% OF 9TH-10TH GRADERS, AND 15.4% BY 11TH-12TH GRADERS SERVICE GAPS AMONG THE THREE PROPOSED PROJECT GEOGRAPHIC AREAS INCLUDE LONG WAITING LISTS FOR SUBSTANCE USE TREATMENT AND BEHAVIORAL HEALTH APPOINTMENTS. NO DETOX OR INPATIENT SERVICES ARE LOCATED ON THE RESERVATION, AND OUTPATIENT TREATMENT IS LIMITED. TRANSPORTATION IS A HUGE BARRIER TO TREATMENT, WITH MANY SUD PATIENTS REFERRED TO SERVICES OVER 100 MILES AWAY. PENNINGTON COUNTY ALSO HAS AN IDENTIFIED NEED FOR ACCESS TO CULTURALLY BASED SERVICES. GPTOR PROPOSES TO BUILD UPON THE SUCCESSFUL WORK OF THE 2020-2022 GRANT AWARD TO ACHIEVE FOUR GOALS: 1) EXPAND RESOURCES TO STRENGTHEN THE CAPACITY OF THE CCST TO PREVENT, TREAT, AND RECOVER FROM OPIOID USE DISORDER (OUD) AND STIMULANT USE DISORDER (SUD); 2) PROVIDE CULTURALLY APPROPRIATE OUD, SUD PREVENTION, AND RECOVERY SUPPORT RESOURCES IN THE HE SAPA CATCHMENT AREA; AND 3) HOST THE GREAT PLAINS AREA TRIBAL OPIOID RESPONSE, OPIOID AND STIMULANT SUMMIT; 4) PROVIDE A SUBAWARD TO THE CRST WWCS TO SUPPORT TREATMENT AND RECOVERY PROGRAMMING. IN THE NEW FUNDING CYCLE, REQUIRED AND ALLOWABLE ACTIVITIES WILL INCLUDE PROVIDING CULTURALLY APPROPRIATE EDUCATION, FACILITATING HARM REDUCTION TRAINING FOR COMMUNITY MEMBERS AND PROVIDERS, ESTABLISHING A HARM REDUCTION VENDING MACHINE NETWORK, AND DEVELOPING THE FAMILY WELLNESS WARRIORS PROGRAM TO SUPPORT PEER RECOVERY.