Project Grant HB149858

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT TITLE ONE HEALTH RCORP-MAT ACCESS PROJECT REQUESTED AWARD AMOUNT $3,000,000 FOR 3 YEARS APPLICANT ORGANIZATION NAME BIGHORN VALLEY HEALTH CENTER, INC. DBA ONE HEALTH APPLICANT ORGANIZATION ADDRESS 10 4TH STREET WEST, HARDIN, MONTANA 59034 APPLICANT ORGANIZATION FACILITY TYPE FEDERALLY QUALIFIED HEALTH CENTER PROJECT DIRECTOR NAME AND TITLE PATTI JO HILL, MSW, LCSW ONE HEALTH, BEHAVIORAL HEALTH STAFF PROJECT DIRECTOR CONTACT INFORMATION PHONE: (406) 629-3015 EMAIL: PATTI.HILL@ONECHC.ORG OUR PARTNERS IN THIS PROJECT INCLUDE CENTRAL MONTANA HEALTH DISTRICT, BIG SANDY PHARMACY, AND MEADOWLARK COUNSELING SERVICES. WE PROPOSE TO ESTABLISH FOUR NEW MEDICATION ASSISTED TREATMENT (MAT) ACCESS POINTS (STANFORD, MT; HARLOWTON, MT; SHERIDAN, WY; AND CENTRAL MONTANA MOBILE MEDICAL CLINIC BASED OUT OF FERGUS COUNTY, MT) WITHIN OUR PROPOSED SERVICE AREA WHICH COMPRISES EIGHT ENTIRELY RURAL COUNTIES IN CENTRAL MONTANA AND NORTHEASTERN WYOMING: BIG HORN COUNTY, MT, FERGUS COUNTY, MT, GOLDEN VALLEY COUNTY, MT, JUDITH BASIN COUNTY, MT, MUSSELSHELL COUNTY, MT, PETROLEUM COUNTY, MT, WHEATLAND COUNTY, MT, AND SHERIDAN COUNTY, WY. MAT WILL BE DELIVERED IN A MODEL THAT INTEGRATES SUPPORTIVE MENTAL HEALTH SERVICES, ALONG WITH MEDICAL, DENTAL, AND HEALTHCARE NAVIGATOR SERVICES. ENCOUNTERS WITH MAT PRESCRIBERS WILL OCCUR VIA TELEHEALTH AND ROTATING IN-PERSON VISITS. THREE TARGET POPULATIONS HAVE BEEN IDENTIFIED FOR THIS PROJECT: AMERICAN INDIANS (12.6% OF SERVICE POPULATION), PREGNANT, PARENTING, OR OTHER WOMEN OF CHILD-BEARING AGE, AND YOUTH. ALL THREE POPULATIONS WERE SPECIFICALLY CHOSEN: HIGH RATES OF SERVICE AREA YOUTH REPORTING EARLY INITIATION OF DRUG USE; THE PERCENTAGE OF PREGNANT WOMEN RECEIVING PRENATAL CARE IS LOW, AND ACCURATE DATA REGARDING PREVALENCE OF SUD AMONG PREGNANT WOMEN ARE SCARCE; AND THE CROW RESERVATION LIES WITHIN THE SERVICE AREA. TRIBAL MEMBERS ARE KEY STAKEHOLDERS IN THIS PROPOSAL, AND ARE INVOLVED USING A RANGE OF STRATEGIES, INCLUDING PARTNERING WITH TRIBAL ORGANIZATIONS. WE WILL USE INCORPORATE MULTIPLE APPROACHES TO LEVERAGE THE LIMITED AVAILABILITY OF LICENSED MAT PRESCRIBERS INCLUDING USE OF CLINICAL PHARMACY, BEHAVIORAL HEALTH CARE MANAGERS, AND CERTIFIED BEHAVIORAL HEALTH PEER SUPPORTERS. WE ANTICIPATE THE MODEL WILL ATTAIN FINANCIAL SUSTAINABILITY BY THE END OF THE PERFORMANCE PERIOD.