Treatment drug court program: hoopa valley tribe adult and family healing to wellness court - the hoopa valley tribe will expand substance use disorder treatment and recovery capacity in its…

The Department of Health and Human Services Substance Abuse and Mental Health Services Administration awarded the Hoopa Valley Tribe $400,000 on September 30, 2026, under the Center for Substance Abuse Treatment Projects of Regional and National Significance program (CFDA 93.490) to expand substance use disorder treatment and recovery capacity in the tribe's operational adult and joint-jurisdiction family Healing to Wellness Court.

The Hoopa Valley Tribe will deliver seven-day assessment, medication access for opioid and alcohol use disorder through K'ima:w Medical Center, peer recovery support, trauma-focused cognitive-behavioral therapy, motivational interviewing, contingency management, family services, and culturally grounded healing interventions to a remote Northern California tribal community. The program will serve no fewer than 45 unduplicated direct clients per year across a five-year performance period ending September 29, 2031—225 clients total—across an adult docket (justice-involved adults 18 and older) and a family docket (parents of children age five and younger in or at risk of dependency). Additional family and household members will be reached through engagement, naloxone training, and recovery supports. The service population exhibits opioid, methamphetamine, and alcohol use disorders with high rates of co-occurring depression, anxiety, and PTSD; the Hoopa Valley Reservation and the Klamath-Trinity region of Humboldt and Del Norte Counties experience opioid-overdose death rates many times the state average and sit entirely within federally designated health professional shortage areas.

Performance takes place in Hoopa, California (zip code 95546), on the Hoopa Valley Reservation, the largest reservation in California at approximately 141 square miles.

Treatment drug court program: hoopa valley tribe adult and family healing to wellness court - the hoopa valley tribe will expand substance use disorder treatment and recovery capacity in its operational adult tribal healing to wellness court and joint-jurisdiction family wellness court - one of only a small number of tribal courts in the nation that share jurisdiction with a county superior court - delivering seven-day assessment, medication access, peer recovery support, trauma care, family services, and culturally grounded healing to a remote northern california tribal community whose opioid-overdose death rate has run many times the state average. Project name: NA:tini-x' we' healing to wellness court expansion. Geographic area: the hoopa valley reservation (the largest in california, ~141 SQ. MI.) and the klamath-trinity region of humboldt and DEL norte counties, where 100% of residents live in a federally designated health professional shortage area. Population: 3,649 enrolled hoopa valley tribe members; county AI/an population 11,576. Number served: no fewer than 45 unduplicated direct clients per year - 225 over five years - across an adult docket (justice-involved adults 18+) and a family docket (parents of children age five and younger in or at risk of dependency, served two-generationally), with additional family and household members reached through engagement, naloxone training, and recovery supports. Age range: adults 18 and older, with family-docket children reached through their parents. Clinical characteristics: opioid, methamphetamine, and alcohol use disorders; high rates of CO-occurring depression, anxiety, and ptsd; and historical and intergenerational trauma. Strategies and interventions: medication for opioid and alcohol use disorder through k'IMA:w medical center; motivational interviewing, the matrix model and cognitive-behavioral relapse prevention, contingency management, seeking safety, and trauma-focused CBT; contracted cultural recovery-support and reconnection workshops; two-generation family wellness and youth reconnection services; telehealth behavioral health and peer recovery support; and recovery/transition support resources - organized within the tribal healing to wellness court ten key components and the all rise adult treatment court best practice standards, and grounded in the evidence that cultural connectedness is a social determinant of health. Goals: (1) expand access to evidence-based SUD treatment; (2) prevent overdose and overdose death; (3) reduce recidivism and promote recovery, sobriety, and self-sufficiency; and (4) strengthen families and achieve safe, timely reunification. Measurable objectives include: asam-based assessment within 7 business days for 90% of clients; medication offered and referred within 72 hours for 85% of clinically indicated clients; naloxone and overdose-prevention training offered to 100% of clients and households; six-month retention of at least 75%; no new arrest during enrollment for the majority of clients, verified by court and probation records; gains in employment, education, or training from intake to discharge; and reunification or another safe, permanent placement for the majority of family-docket cases within 12 months. The tribe requests up to $400,000 per year for five years (up to $2,000,000 total).