Grants Dashboard

Abounding Prosperity, Inc. (AP, Inc.) is proposing a program to advance equity in health outcomes for all Black female identities (including cisgender, transgender, nonbinary, and genderqueer/fluid individuals) in Dallas County, TX who are experiencing disparities related to HIV/AIDS, VH, STIs, SUDs, and mental health conditions. AP, Inc. will serve 250 unduplicated individuals annually with grant funds and 750 over the entire project period. Populations to be served. The population of focus (POF) will be all Black female identities, including cisgender, transgender, nonbinary, and genderqueer/fluid individuals. The geographic catchment area where services will be delivered is Dallas County, TX. Strategies/interventions. Program activities will include: 1) resource mapping; 2) develop and submit a strategic plan; 3) form a steering committee; 4) provide prevention education, prevention outreach services, and prevention interventions for HIV, VH, STIs, substance use and SUDs, and/or mental health conditions; 5) provide substance use prevention, psychosocial support, and health education; and 6) participate in a peer-to-peer ""best practices"" learning collaborative. AP, Inc. will also implement 3 EBPs: Social Networking Strategy, Peer Support Services in Crisis Care, and Person Centered Care Planning (PCCP). Project goals and measurable objectives. The program’s goal is to advance equity in health outcomes for Black female cisgender, transgender, nonbinary, and genderqueer/fluid individuals in Dallas County who are experiencing disparities related to HIV/AIDS, viral hepatitis (VH), sexually transmitted infections (STIs), substance use and substance use disorders (SUDs), and/or mental health conditions. AP, Inc. will build on its experience conducting similar programming through its HRSA SPNS-funded Improving Care and Treatment Coordination: Focusing on Black Women with HIV project, through which AP, Inc. served 50 Black women living with HIV per year, as well as the agency’s recently funded SAMHSA High Risk Minority AIDS Initiative program. Objectives for the proposed program include: 1) Within four months, establish and cultivate relationships with two community anchor organizations to help implement and reach the goals of the project. 2) Within the first four months of the grant period, conduct resource mapping in collaboration with the POF to identify existing community assets, strengths, needs, and gaps relevant to the program’s goals. 3) By the tenth month of the grant period, form a steering committee that includes community anchors, racial and ethnic minority individuals, and/or people with lived or living experience (PWLLE) of HIV/AIDS, VH, STIs, substance use and substance use disorders, or mental health conditions. 4) Conduct prevention and education activities, reaching up to 250 persons from the POF through population-based prevention efforts including social media campaigns per year. 5) Link 90% of individuals in need of services to substance use prevention and/or treatment services per year. 6) Link 90% of individuals in need of services to mental health promotion and/or treatment services per year. 7) Link 90% of individuals in need of services to social support services including food, housing, and employment per year. 8) Test and screen 250 individuals for HIV, VH, and STIs per year. 9) Link at least 95% of those testing positive for HIV to HIV treatment services per year. 10) Link at least 90% of those who test negative to PrEP/PEP providers per year. 11) Link at least 95% of those testing positive for STI/HV to STI/HV treatment services per year. 12) Train staff at two community anchor organizations to provide HIV, VH, and STI testing, referral procedures, harm reduction practices, overdose prevention, substance use prevention and/or mental health first aid per year. 13) Distribute at least 200 safer sex kits that include, at a minimum, male and female condoms and lubricant per year. 14) Distribute 100 F

Syndemic Approach to Prevention at Centerstone (SAP-C) will take a syndemic approach to advance equity for racial/ethnic minority communities, especially all Black female identities, experiencing disparities related to HIV, viral hepatitis, STIs, substance use, substance use disorders, and/or any mental health condition. SAP-C services will be delivered in DeSoto, Hillsborough, Manatee, Pinellas, and Sarasota counties, FL; reach 3,500; and serve an unduplicated 300 persons (Y1: 80; Yrs. 2-3: 110/yr.). SAP-C’s population to be served includes persons from among 1,181,165 catchment area racial/ethnic minority (REM) individuals, who comprise 49% male and 51% female individuals, with 17% uninsured, in poverty, and with less than a high school diploma. Subpopulations of area REMs include an estimated 96,000 at risk for homelessness, 2,000 experiencing homelessness, and migrant workers in 87 area migrant housing sites. The 205,799 focus population Black female identities comprise 1.4% transgender/nonbinary and 5% ethnically Hispanic persons, with higher rates of poverty (17%), of unemployment (6%), without a high school diploma (10%), and with no health insurance (14%), as compared to the catchment area. These disparities, as well as expected risk factors among REM (e.g., 21% reported Adverse Childhood Experiences, 71%, racial discrimination), contribute to a higher risk of syndemic conditions (i.e., HIV, viral hepatitis [VH], sexually transmitted infections [STIs], substance use [SU] and substance use disorders [SUD], and/or any mental health [MH] conditions). Among area REMs, an estimated 92,000 have SUD; 110,000 any mental illness (AMI); 9,200 HIV; 13,230 VH; and 10,630 STIs. An anticipated 9,600 focus population individuals are expected to have SUD; 42,000 AMI; 2,000 HIV; 1,300 VH; and 3,290 STIs. SAP-C’s strategies/interventions will be trauma-informed, culturally-appropriate, and evidence-based, and guided by SAMHSA’s Strategic Prevention Framework and national guidelines (e.g., National HIV/AIDs Strategy). To address HIV/VH/STI risks, project will use Sister-to Sister and MPowerment. Motivational Interviewing and Cognitive Behavioral Therapy will be used to address SU/SUD/MH conditions. For health education, project will implement Whole Health Action Management, and Mental Health First Aid will be used to train anchors. SAP-C’s goals include: 1) Develop an infrastructure to implement/sustain a multi-pronged, syndemic approach to enhance prevention systems/services; 2) Provide evidence-based and culturally responsive prevention education/outreach/interventions for syndemic conditions; 3) Provide SU prevention/psychosocial support/health education for participants; 4) Advance equity in BH health outcomes for REM communities, including all Black female identities, who are at risk for/living with HIV; and 5) Develop/disseminate a model for replication. SAP-C will achieve the following measurable objectives: form a Steering Committee comprised of 20% of REM; conduct resource mapping and develop Strategic, Evaluation, and Sustainability Plans for 5 counties; expand relationships with 50 anchors; identify 7 agencies who will provide PrEP, PEP, HIV, VH, and STI treatment; enhance 2 agency procedures that initiate cultural norm shifts and prioritize syndemic efforts; develop 15 prevention resources tailored to REM/subpopulations; conduct outreach among 3,500; reach 100,000 people via social media; train 50 anchors; provide harm reduction education to 500 stakeholders; distribute 520 OD reversal kits; conduct support groups at 5 anchor sites; and produce 3 publications/presentations for model dissemination. SAP-C will develop a Prevention Plan for 300 participants; of those, 100% will receive, as appropriate, screening; indicated testing; linkage to needed services, including PrEP, PEP and HIV/VH/STI treatment; health care; and transportation and non-cash incentives.

The Mississippi Public Health Institute (MSPHI) program HEARD (Helping Empower, Advocate, and Reach the Delta) will increase engagement in care for adult Black females (ages 18 and over), including cisgender, transgender, nonbinary, and genderqueer/fluid individuals living with or at high risk for contracting HIV/AIDS, STIs, VH, or at-risk for substance use disorder (SUD) or mental health (MH) conditions in the Mississippi (MS) Delta. Population demographics include 74% Black, 24% White, and 2% Hispanic. Twenty-nine (29.8%) are living in poverty, 13.7% live without health insurance, and the median household income is $37,898. The geographic catchment area where services will be delivered is the 18-county MS Delta. In project year 1, MSPHI will prioritize two high-poverty, underserved counties, Leflore and Washington, with outreach extending into all Delta counties. MSPHI will expand services and increase community anchors in the following two years to reach all of the MS Delta. HEARD will increase engagement in care for Black females who are living with or at high risk for contracting HIV/AIDS, STIs, VH, or at risk for SUD or MH conditions in the MS Delta. HEARD expects to serve 135 individuals in year one, 202 in year two, and 303 in year three, totaling 640 clients. Goal 1: Increase access to culturally appropriate, women-and family-centered, trauma-informed HIV/viral hepatitis services, including HIV and hepatitis B and C testing among Black females living in MS Delta. Obj 1.1: Across the full grant term (FGT), provide HIV/HBV/HCV Counseling, Testing, and Linkages (CTL) to at least 640 clients from the priority population and their partners. Obj 1.2: By Sept. 2027, refer 100% of HIV- persons to Pre-Exposure Prophylaxis (PrEP) and 100% of those who test positive for confirmatory testing and supportive clinical care. Obj 1.3: By Sept. 2027, refer 100% of clients who are HIV+ or at high risk for HIV into Choosing Life: Empowerment, Action, Results! (CLEAR). Goal 2: Expand access to services and increase engagement in care to reduce SUD and MH symptoms among Black females who are living with or at high risk for contracting HIV/AIDS, STIs, VH, or at risk for SUD or MH conditions living in MS Delta. Obj 2.1: Pre-screen 640 clients for alcohol, drug use, and HIV/AIDS using Screening, Brief Intervention, and Referral to Treatment (SBIRT). Obj 2.2: Increase the number of individuals linked to social support and substance use treatment services by referring 100% of those whose SBIRT score indicates a referral need. Obj 2.3: Distribute at least 75 naloxone and fentanyl kits in project year (PY) 1, 85 kits in PY2, and 100 kits in PY3 using program referral records. Obj 2.4: By Sept. 2027, refer to MH promotion and/or treatment 100% of clients with co-occurring MH issues and SUD, as indicated by their SBIRT score. Goal 3: Educate and empower Black females to increase their awareness of safer sex practices (e.g., condom use) and make informed decisions about their behavioral health, including trauma-related risk behaviors. Obj 3.1: Provide HIV prevention/intervention using the Safe in the City program to 500 clients annually. Obj 3.2: Hold at least 3 SISTA programs annually in the MS Delta to prevent HIV transmission by promoting consistent condom use. Obj 3.3: Increase HIV awareness by providing the HIV Knowledge Questionnaire–18 (HIV KQ-18) to 640 women within the priority population. Goal 4: Increase the capacity of community anchors to assist Black females who are living with or at high risk for contracting HIV/AIDS, STIs, VH, or at risk for SUD or MH conditions. Obj. 4.1: By Sept. 2027, achieve a 50% expansion in community anchors by increasing members, as measured by the number of new signed letters of commitment. Obj. 4.2: By Sept. 2025, provide capacity-building training in HIV and SUD trauma-informed approaches to 90% of community anchors, as measured by attendance rosters, to reduce SUD/MH stigma and increase knowledge.

Empowerment Resource Center submits this grant application for the Integrated Care Partnership (ICP Program) under SAMHSA FY 2024 Syndemic Approach to Preventing HIV and Substance Use Among Racial and Ethnic Minority Communities (Short title: Syndemic Approach to Prevention) NOFO No. SP-24-004. Under the ICP Program, Empowerment Resource Center (ERC) will implement alternative models of service delivery and integration of services and programs in support of a syndemic model. The ICP Program will improve access to evidence-based, timely, and culturally appropriate mental health (MH) and substance use (SU) intervention, services, and treatment for underrepresented racial and ethnic minority adults struggling with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD), who are living with or at high risk of HIV, viral hepatitis (VH) and sexually transmitted infections (STI) and residing in the Atlanta metropolitan area. Under the ICP Program, ERC will place a priority focus on all Black female identities, including cisgender, transgender, nonbinary, and genderqueer/fluid individuals, who are at risk for or currently struggling with SUD and/or COD, and one or more of the following experiences: (1) depressive, self-injurious, or risk-taking behaviors; (2) history of trauma with extremely high Adverse Childhood Experience (ACE) scores; (3) uninsured or underinsured; or (4) unemployed or underemployed, regardless of income or ability to pay. During the course of the HIV epidemic in the United States, Black/African American women have been disproportionately affected. According to the Centers for Disease Control (CDC), 50% of women who received a new HIV diagnoses were Black/African American. Pre-exposure Prophylaxis (PrEP) is a proven strategy to reduce HIV transmission. Conversely, there is less awareness and uptake among cisgender Black women. CDC statistics indicate that only 4.4% of Black/African American women who would benefit from PrEP received treatment. Furthermore, the dual diagnoses of HIV infection and SUD/COD is a growing concern and augments HIV transmission. According to the CDC, alcohol and drug misuse can alter judgment and lead to risky sexual behaviors that increase the likelihood of getting or transmitting HIV. The Georgia NHBS indicated that 32% of respondents did not know the HIV status of their sexual partners and 41% had concurrent sexual relationships. Through the ICP Program, ERC will implement innovative approaches to prevention systems and services and improve the availability of and accessibility high-quality mental health (MH) and substance use (SU) interventions and treatment, targeting racial and ethnic minority individuals in Atlanta. ERC will increase capacity to reach individuals in nontraditional and unconventional prevention spaces through partnerships with community anchors and expand the SUD/COD continuum of care in Atlanta. ERC, located in Atlanta Fulton County), GA, is a not-for-profit, community-based organization with a valid IRS 501(C)(3) status. Services will be provided on-site and via telehealth. ERC is an approved behavioral health provider, offering substance use treatment and mental health therapy services for underserved Georgians through the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD). Shaniqua Smith, LCSW will serve as the ICP Program Director. ERC is a non-residential outpatient facility and is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and permitted by the Georgia Department of Community Health, Drug Abuse Treatment and Education Program. Jacqueline Brown is the CEO and will serve as Principle Investigator.

To effectively mitigate the immediate, unmet behavioral health needs that arise in the wake of a mass violence incident in Oakland County, Michigan, Oakland Community Health Network (OCHN) will utilize the SAMHSA Emergency Response Grant (SERG) funds to: • Expand the peer support program at the Oakland County Sheriff’s Office to provide county-wide mental health support to local law enforcement and first responders; • Increase awareness of existing, on-demand behavioral health services that are available for community members; • Cover co-pays and deductibles for community members receiving services; • Expand technological capacity of the myStrength Wellness mobile app; • Collaborate with Rochester Hills Community Schools; and • Adequately train clinical professionals to provide immediate mental health services to active and passive victims of mass violence. The programs funded through SERG will serve over 75,000 Rochester Hills residents and the surrounding Oakland County communities, including adults, children ages 5 – 18 and families, law enforcement and other first responders, and other community members. This need for the temporary expansion of behavioral health services comes in the wake of the mass shooting incident that occurred in June 2024 in Rochester Hills, Michigan, Oakland County, where nine (9) adults and children were seriously injured. Previously, Oakland County experienced a prior mass violence incident in November 2021 when a mass shooting occurred at Oxford High School, resulting in the deaths of four (4) students, injuries to seven (7) persons, and incomparable, ongoing mental health impacts to the Oxford community. The Rochester Hills mass shooting incident highlighted the need for additional behavioral health services in the Rochester Hills and surrounding communities. The previous Oxford High School mass shooting has only continued to exacerbate the mental health needs of Oakland County residents. After the June 2024 Rochester Hills mass violence incident concluded, mental health professionals were immediately available to render urgent, time-sensitive crisis response. After the immediate aftermath, the need for long-term, ongoing support was apparent. Through SERG funds, OCHN will fill the existing gaps in immediate, time-sensitive behavioral health services through collaboration with Oakland County Sheriff's Office (OCSO), Rochester Hills Community schools, and local mental health professionals to provide specialized training, recruit eligible staff, enhance peer support, and raise awareness of mental health services available throughout Rochester Hills and Oakland County. Funding will support two (2) full-time peer support staff with the OCSO, an outreach and education campaign to increase behavioral health service awareness, one (1) school mental health navigator to support local schools, funding for uninsured / underinsured residents who need help with co-pays and deductibles, and targeted training for mental health professionals. By fostering collaboration, enhancing awareness, and providing necessary resources for training and treatment, OCHN will ultimately improve behavioral health outcomes for Rochester Hills and Oakland County community members.

The KADAP program has committed to the reduction of Opioid overdose’s within our service area. With our current TOR grant we have fulfilled our many deliverables such as, increasing access to treatment and recovery supportive services, improving competencies of our workforce that serve those affected by substance use disorder and opioid use disorder and increasing promotion of treatment and prevention messaging. We have identified further barriers to those seeking relief from SUD and OUD, such as sober living environments where early recovery can fully root within ones personal journey. Rural participates will have the tools to reach us during a time of need, in order to reach a licensed counselor via telehealth for intervention and follow up care. Through this grant we will be asking for one PRSS or Culture Coach, telephone plans for those in rural areas that may be unable to get to groups or counseling, and recovery houses or payment for treatment facilities who are suffering from SUD that are not covered by state funds. We will be looking to obtain two separate homes to rent within Anadarko that will suffice as recovery housing, leasing up to 2,000.00 per location and phone plans for those rural clients so that they may receive tele-health care. We will continue to bring OUD awareness, harm-reduction kits, Naltrexone training and supply as well as treatment, detox and mental health referral. Under this TOR grant we expect to increase our clientele by 50%. We further expect to build high-capacity teams who can comprehensively strategize and determine how we can implement services that have previously been uncommonly used. These strategies fall in line with our mission “Committed to Providing High Quality, Technology Driven, Evidence & Cultural Based Practices,” Our highly trained team will ensure the funds are utilized in the best capacity needed

Established in 1972, Northwest Portland Area Indian Health Board (NPAIHB) is a non-profit 501(c)(3) tribally designated organization serving the 43 federally recognized Tribes of ID, OR, and WA. The mission of the NPAIHB is to assist NW Tribes in improving the health status and quality of life of member Tribes and American Indian/Alaska Native (AI/AN) people in their delivery of culturally appropriate and holistic health care. The NPAIHB's TOR6 will work to increase access to culturally appropriate treatment and recovery activities with the intent of reducing unmet treatment needs and substance use-related deaths, as well as a focus on using cultural and community strengths as prevention and intervention. The following 34 NW Tribes agreed to apply as a consortium in FY24 with the NPAIHB: Burns Paiute Tribe, Chehalis Tribe, Coeur d'Alene Tribe, Colville Tribes, Confederated Tribes of Coos Lower Umpqua and Siuslaw Indians, Confederated Tribes of Warm Springs, Confederated Tribes of the Umatilla Indian Reservation, Coquille Tribe, Cow Creek Band of Umpqua, Cowlitz Tribes, Hoh Tribe, Jamestown S'Klallam Tribe, Kalispel Tribe, Klamath Tribes, Kootenai Tribe, Lower Elwha Klallam Tribe, Makah Tribe, Nez Perce Tribe, Nisqually Tribe, NW Band of Shoshone, Port Gamble S'Klallam Tribe, Quileute Tribe, Quinault Indian Nation, Samish Indian Nation, Sauk-Suiattle Indian Tribe, Shoalwater Bay Indian Tribe, Snoqualmie Indian Tribe, Spokane Tribe, Squaxin Island Tribe, Stillaguamish Tribe, Suquamish Tribe, Swinomish Tribe, Tulalip Tribe, and the Upper Skagit Tribe. Our proposed activities will strengthen our partnerships with NW Tribes, the Substance Abuse and Mental Health Services Administration (SAMHSA), the Indian Health Service (IHS), and the states of ID, OR, and WA. The NPAIHB TOR6 will expand access to integrated health services, thus reaching critically underserved AI/AN people living in the United States. Through the project activities, this project has the opportunity to reach at least 59,017 tribal members annually through outreach, education, social marketing, and media messages, and providing GPRA treatment & recovery services to 40 tribal members. Substance use disorder (SUD) prevention, education, and treatment for this TOR6 grant are inclusive of opioid and stimulant use and misuse disorders. The goals and objectives for the grant are: Goal 1: Prevent new cases of substance use disorder in AI/AN communities by increasing the use of evidence and culture-based interventions and innovative community-based strategies. The objectives are (1) Include culture and tradition in SUD prevention strategies; (2) Increase awareness of tribal substance use response in AI/AN communities through social marketing & media materials and messaging; and (3) Educate community members, healthcare providers, and/or healers about opioids and stimulants. Goal 2: Increase access to treatment and recovery services and overdose reversal capacity by increasing access to tribal, evidence-based, and practice-based, training, treatment, and recovery services. The objectives are (1) Incorporate harm reduction into tribal treatment and recovery services; (2) Develop programs for sub-populations affected by SUD (e.g., pregnant mothers and babies, active military, veterans, and those incarcerated); (3) Develop an integrated and inclusive treatment model of care; (4) Develop comprehensive and inclusive recovery services; and (5) Offer ongoing training to providers. Goal 3: Increase capacity building within the Tribes for the sustainability of SUD prevention, care, and services. The objectives are (1) Cultivate responsive leadership; and (2) Cultivate responsive communities.

Feather River Tribal Health Inc. wants to utilize TOR funds to implement service delivery, implement prevention and education services, increase participants linkage to community resources, and increase access to cultural and traditional practices. FRTH proposes a target goal of providing 345 unduplicated patients with treatment services and completing 330 GPRA/SPARS assessments. FRTH is a tribal healthcare program located in Northern California. FRTH has a passion for providing holistic and wraparound services to individuals struggling with OUD and other substance use disorders.

To address the opioid overdose crisis in the Tribal community of the Fairbanks North Star Borough of Alaska (FNSB), Fairbanks Native Association (FNA), has developed the Alaska Native Recovery Coaching (ARC) project. ARC will increase access to medications for the treatment of opioid use disorder (MOUD) and add Recovery Coaching to its existing opioid and recovery continuum of care for American Indians and Alaska Natives (AI/AN). Escalating overdose death rates among AI/AN emphasize the need for tailored programs to address the opioid crisis. In 2021, Alaska experienced a 74% increase in the drug overdose death rate, the largest increase in the nation. Fentanyl overdose deaths more than doubled and the AI/AN overdose death nearly doubled. The AI/AN overdose death rate is the more than twice the state rate. AI/AN are an underserved and historically under-resourced population with higher socio-economic risk factors for OUD. The FNSB is included in the FY24 Tribal Opioid Response Grants Notice of Funding Opportunity Appendix B – List of Highest Overdose Mortality Counties. Recovery support services decrease opioid relapse rates by providing continuous care and support, addressing the physical, psychological, and social aspects of addiction. ARC will improve the continuum of BHS opioid services through Recovery Coaching, harm prevention/reduction services, and service coordination. ARC will increase the number of individuals receiving MOUD and/or other substance use disorder (SUD) treatment and increase access to naloxone and other harm reduction services that decrease mortality from drug overdoses. The goals of ARC are 1) improve OUD prevention services, 2) improve OUD harm prevention/reduction services and 3) increase recovery support services for OUD and COD. Outcomes include increased understanding of opioid and/or stimulant misuse, reduction in overdose deaths, increased access to treatment and retention in treatment, reduction in substance use, improvement in health and social functioning, reduction in criminal justice involvement, and increased & community engagement & outreach. ARC will train peers, first responders, healthcare workers, school personnel, human services personnel, and other key Tribal members on the recognition of opioid overdose and appropriate use of opioid overdose reversal medications such as naloxone. ARC will also increase access to naloxone and fentanyl test strips to reduce the incidence of fatal overdoses. ARC Recovery Coaches will assist AI/AN to initiate, stabilize, and maintain long-term SUD recovery. ARC will provide Recovery Coaching to 20 additional clients per year and harm reduction services (naloxone, fentanyl test strips, and opioid training) to a minimum of 20 individuals per year. The Project Director will train a minimum of 25 individuals per year (peers, first responders, other healthcare workers, school personnel, human services personnel, and other key Tribal members) on the recognition of opioid overdose and appropriate use of opioid overdose reversal medications such as naloxone.

The Shoshone-Paiute Tribes of the Duck Valley Indian Reservation in Idaho and Nevada propose a five-year Tribal Opioid Response Grant program whose goal is to engage staff to work in a coordinated, interdisciplinary manner to engage the whole community in healing from the opiate crisis. To further understand the scope of the problem, grant staff will host a listening session with the DVIR students involved in Hope Squad, a school-based peer suicide prevention program, to better understand the impact of opiates on youth in the community. Grant staff will continue to engage with SPT leadership and the OCHF Governing Health Board to understand community beliefs and needs. They will host a listening session with Traditional Healers who are contracted with the OCHF Behavioral Health Department. Lastly, they will consult with Community Mental Health Responders (CMHR), who are SPT enrolled members making home visits to at-risk community members. These CMHR's have lived experience and community engagement to further inform grant staff on the scope of the opiate problem, as well as community patterns that can inform care. The Tribes propose to implement Treatment service delivery models that enable a full spectrum of trauma-informed treatment and recovery support services. Likewise, the Tribes believe that Treatment must be synonymous with Recovery services, not just for individuals, but for families which can include the community. As part of Treatment and Recovery, it is inevitable that Prevention services will also be included. The Tribes propose to Serve the entire community over the grant period and deliver treatment services to at least 85 individuals, recovery support for 30 and prevention services to 800 community members.

The Navajo Nation (NN) is a federally recognized tribe and proposes to lead efforts to coordinate activities and services related to the emerging public health concern of opioid misuse and to protect the health and safety of the NN. The goal is to continue to identify the impact (morbidity and mortality) of opioid misuse and to strategize a holistic, comprehensive approach to expand the Navajo culture practice-based evidence and evidence based practices for opioid prevention, treatment and recovery services. In addition, opioid misuse surveillance can be developed through adequate data tracking systems. According to the NN Division of Community Development database website, there are 392,962 enrolled NN members. The Navajo Area I.H.S. 2021 User Population was 238,951. The Navajo Division of Behavioral and Mental Health Services (NDBMHS) is established under the Navajo Department of Health (NDOH) within the Executive Branch of the NN government. The purpose of NDBMHS is to provide substance use, mental health and behavioral health, and to ensure that a quality, cultural and spiritual comprehensive approach is utilized for healing. The project estimates to reach at least half of the I.H.S. user population at 120,900. The NDBMHS proposes the three (3) priority areas: 1. Develop and implement an updated NN Opioid Response Strategic Plan. 2. Increase implementation of Evidence-based Practices for opioid prevention, treatment and recovery support. 3. Increase the capacity of NDBMHS to effectively gather data and implement opioid related surveillance on the Navajo Nation. The NDBMHS-NDOH acknowledges and incorporates the Tribal Behavioral Health Agenda's American Indian and Alaska Native Cultural Wisdom Declaration which highlights the importance of tribal identities, culture, spiritual beliefs, and practices for improving well-being. NDBMHS proposes to use the Navajo Wellness Model (NWM) which is promising practice-based evidence and cultural-based practice that is a cycle interwoven practice of well-being of Nitsakahakees (Thinking), Nahata (Planning), Iina (Implementation) and Sihasin (Evaluation). Overall, the beauty of this approach is that it speaks to the specific life way of the Navajo people and community through the Navajo language and cultural practices.

The Cheyenne and Arapaho (C&A) Tribes are applying for the 2024 Tribal Opioid Response Project Grant funded by SAMHSA. The Cheyenne and Arapaho Tribes are a united, federally recognized tribe located in western Oklahoma. This typical Tribal jurisdictional/service area is comprised of eleven (11) counties: Beckham, Blaine, Canadian, Custer, Dewey, Ellis, Kingfisher, Major, Roger Mills, Woodward, and Washita Counties. This program is aiming to serve the Tribal jurisdiction area often and expanding to other Native communities throughout Oklahoma and will provide virtual as well as mail-out services to interested clients outside the typical service area. The C&A Tribes’ jurisdiction is vast, spanning 8,996 square miles across eleven (11) Oklahoma counties. The service area has pockets of rural disparities. Some areas of Canadian County are located in a suburb of Oklahoma City, with access to a wide variety of services. The other counties (including large areas of Canadian County) are in rural and medically underserved communities, with many barriers and service gaps. A significant number of C&A Tribal members live in areas far from the Tribe’s headquarters that house critical programs serving our communities; it is not unusual for a tribal member to reside 100 miles roundtrip from services. The Cheyenne and Arapaho Tribes will put forth efforts to address the SUD epidemic by providing a continuum of culturally appropriate evidence-based prevention and mentoring strategies. The Tribes Opioid Response (TOR) Program has a strong relationship with the Native Community as well as general population due to multiple awareness events addressing substance use throughout Oklahoma to reduce the chance of overdose through substance use to the Native Community, which has resulted in C&A TOR earning the 2024 7th Generation Tribal Community Impact Award. Section A.2: The tribal population has limited access to prevention/recovery services. Due to its large service area with many of the people being in rural areas most are not exposed to any preventative measures or have the knowledge of what OUD/SUD truly is. Additionally, there are very limited resources for the public in Western Oklahoma both private and state funded which has limited all residents of Western Oklahoma in finding resources and materials for Recovery. Most tribal members don’t have quick access to healthcare and have to travel great distances to see their primary care provider which in most instances is conducted through the Indian Health Service (IHS). Our goal will be to go to the individual’s community and provide education, cultural healing, and supply harm reduction materials since transportation has been a major obstacle for rural Oklahoma, they are often not able to come to larger events in the Oklahoma City Metro area. The current TOR office is located in Canadian county OK which has the highest rate of hospitalized youth that have overdosed, additional data for Tribal areas is not available due to the rural nature and data disparities are prevalent in western Oklahoma1. Currently, the only program providing outreach services regarding recovery and harm reduction is the TOR Project which is critically understaffed. There is a dire need for increased awareness campaigns and harm reduction approaches throughout all of Oklahoma however, the vast area the Tribe serves is not able to be met with current staffing limitations.

The proposal aims to build capacity for treatment of opioid use disorder (OUD) for members of the Rosebud Sioux Tribe through strengthening the existing inpatient residential treatment program. While South Dakota is among the states with the lowest rates of opioid deaths, Todd County, which is situated entirely within Rosebud, ranks closer to the national average. Most alarming is that the risk factors known to predispose populations to high rates of opioid use disorders are almost all present on the Reservation — general substance abuse, untreated psychiatric disorders, young populations with high rates of unemployment, and unstable socioeconomic and family situations. This community is at high risk for an increase in opioid use disorders. The primary goals of the proposal are support and strengthen: A) Recovery services; B) Treatment services; C) Prevention Services; D) Harm reduction services

The Red Lake Band of Chippewa Indians seeks to address the overdose crisis for Native Americans (NAs) living both on the reservation and also in Minneapolis/St. Paul urban areas (including all surrounding suburban areas) by further developing our culturally responsive continuum of services, including prevention, harm reduction, treatment, and recovery support services for stimulant misuse, opioid use disorder (OUD), and co-occurring substance use disorder through the development and expansion of behavioral and complementary health integration, expanding community education and awareness of prevention activities. NAs in MN have the highest rate of death due to drug poisoning (compared to Whites); and experience overdose deaths at seven times that of White counterparts (MHD, 2019). NAs also experience disparities in mental health disorders, and lack access to and drop out of mental health treatment at high rates. In order to enhance the continuum of care and help to better stabilize clients, we will add two new services: complementary medicine and community health education. Our goal is to: Increase and enhance the culturally responsive prevention, treatment, and recovery services to NA community members to reduce overdoses deaths across Minnesota; specifically in the rural Red Lake/Bemidji area and in Minneapolis/St Paul metro area. We have three main objectives: Objective 1. Expand Treatment Services; Objective 2. Increase Recovery Services; and Objective 3. Increase Prevention Services. Key activities include but are not limited to: recruiting staff for new roles, hosting recovery support groups in reservation-based jail, increasing awareness and access to Sober Talk - Izhitwaawin Studio podcast, and hosting additional Community Wellness Gatherings. We will serve 290 people in year one, 355 in year two, 420 in year three, 485 in year four, and 550 in year 5 for a total of 2,300 unique individuals.

The Delaware Tribe of Indians (DTI) is applying for the 2024 Tribal Opioid Response Project Grant funded by SAMHSA. The Delaware Tribe is a federally recognized nation located in northeastern Oklahoma and Montgomery County, Kansas. This tribal jurisdictional/service area is comprised of two counties: Washington, OK—serving only Delaware members, and Montgomery, KS—all Indians. This program aspires to serve the tribal jurisdiction area and spread our resources to other Natives in Kansas and Oklahoma and will provide in-person, virtual as well as mail-out services to interested clients in and outside the typical service area.

The Sokaogon Chippewa community is poised to make a significant impact on addressing the overdose crisis within our Tribal communities by enhancing access to FDA-approved medications for the treatment of opioid use disorder (OUD). Our proactive approach outlined in this application aims to increase availability and utilization of evidence-based treatments, thereby improving outcomes for individuals struggling with OUD. In addition to expanding access to medication-assisted treatment, the community remains steadfast in its commitment to providing comprehensive support services focused on prevention, harm reduction, treatment, and recovery for those affected by OUD. By bolstering our existing substance abuse services and treatment framework, the Sokaogon Chippewa community is committed to making a meaningful difference in combating the opioid crisis and supporting the well-being of Tribal community members.

The Winnebago Tribe will utilize the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) FY24 Tribal Opioid Response Program (TOR), to enhance and provide assessment and case management services to Winnebago youth and families struggling with opioid and substance abuse. The purpose of the project is to increase the capacity of the Winnebago Tribe’s Youth Crisis Intervention Center (YCIC) to maximize resources and enhance the overall continuum of care by implementing culturally adapted evidence-based practices to reduce opioid and substance abuse among our youth. Objectives include identifying opioid use from substance abuse, developing and implementing prevention and intervention classes for the local schools and community, and developing strategies and methods for after care services for clients completing their program and services at YCIC.

The Karuk Tribe/Tribal Opioid Response serves one of the most remote/poverty stricken and geographically isolated areas; northwestern Humboldt County and all of Siskiyou County in a large area approximately 6,000 square miles that is considered frontier with less than with fewer than 1.87 persons per square mile. The two counties within the Tribe’s service area, Siskiyou and Humboldt have an opioid prescription rate of 1,000 prescriptions per 1,000 residents (more than one per person). California Opioid Overdose Surveillance Dashboard ranks Humboldt County 4th and Siskiyou County 5th in the number of opioid involved overdose deaths. while California's overall opioid death rate is lower than some other states individual counties in the state and in particular rural counties are experiencing prescribing rates and death rates that are among the worst in the country. With 3,642 enrolled members, the Karuk Tribe is one of the largest Tribes in California. The Karuk Tribe has three primary service jurisdictions: Orleans, Happy Camp and Yreka CA. The mission of the Karuk Tribe Substance Use Disorder Program (KSUDP) is to provide timely assessment, referral and supportive treatment services to Native American (NA) community members whose substance use has led to a dependency qualified under DSM V criteria. A KSUDP priority will be integrating traditional/cultural practices and including traditional tribal practitioners within the service delivery systems and to provide training on cultural and organizational competency for all employees associated with treatment of tribal community members. The KSUDP will collaborate with tribal and community partners to conduct a needs assessment to identify ways to improve access to OUD treatment and related services. Information obtained through the process will assist in utilizing the funds received from the grant based on current information we have identified the following GOALS, 1) Increasing access to OUD treatment and improving retention in care for community members diagnosed with OUD. 2) increased access of FDA approved drugs to treat OUD and availability of education instruction of Narcan in tribal communities to prevent or reduce the occurrence of opioid overdose deaths. 3) Continuing to provide a sober Transitional Recovery Home —Ikrivraam for NA men afforded the opportunity to maintain their sobriety and begin the process of improving their lives towards self-sufficiency, and. 4) improving skills of KSUDP delivery of evidence-based services for OUD. Strategies and interventions will provide a comprehensive array of outreach services across the spectrum of prevention, treatment, and recovery. Individuals in recovery will have a meaningful role in community recovery support services such as peer supports, recovery coaches, spiritual support, drug and alcohol-free social engagement, and recovery housing. The KSUDP will serve 30 unduplicated opioid patients annually. For the two-year project we will serve a total of 44 unduplicated opioid patients and sustaining 44 unduplicated clients in years 3,4, and 5. Evidenced based treatment modalities include Medication Assisted Treatment, Matrix Model, and Promoting Awareness of Motivational Incentives (PAMI). The project will include consultation with the California Indian Rural Health Board in our Tribal Epidemiology Center.

Chickaloon Native Village (CNV) has been a federally recognized Tribal government since 1973 and is governed by Chickaloon Village Traditional Council (CVTC). CNV is located within the Matanuska-Susitna Borough (MSB) with 26,340 individuals in the Chickaloon Alaska Native Village Statistical Area (ANVSA). This area includes Palmer, Butte, Sutton, Chickaloon, and Glacier View, Alaska (U.S. Census 2022). CNV, in partnership with the C’eyiits’ Hwnax (Life House) Clinic and South-Central Foundation (SCF), is the only local healthcare and social service provider for the communities of Sutton, Chickaloon, and Glacier View, and provides services for Indian Health Services (HIS) and non-IHS beneficiaries. CVTC recognizes that the health and wellbeing of CNV Tribal citizens directly correlates to the wellness of others in the entire rural community. CVTC’s mission focuses on offering all services to CNV’s entire ANVSA community regardless of Tribal citizenship, affiliation, race, or ethnicity. No one is rejected from TOR Program case management, care, or resources for an inability to maintain long-term sobriety. Therefore, this program will provide support to any community member desiring to recover from Opioid Use Disorder (OUD), Opioid Misuse Disorder (OMD) or Substance Use Disorder (SUD).

This Program will provide SVBPI Tribal members access to quality Treatment and Recovery Services. SVBPI plans to primarily utilize the professional services of Campobello, a treatment center owned and operated by the Scotts Valley Band of Pomo Indians. SVBPI will also seek the services of treatment programs that are culturally informed, offer trauma informed care and with professional staff that are caring and effective. The program will assist individuals to walk a better path that is free of addiction barriers to wellbeing.

The Mille Lacs Band of Ojibwe will continue with successful SUD programming by addressing opioid and stimulant use in the MLBO community.

Project Name: The Nooksack Opioid Prevention Project Population to be Served: Nooksack Indian tribe youth ages 11-24. Currently we have an enrolled tribal population of 1,946 members, and a total of 454 youth in our target age category. Our efforts are not restricted to enrolled members however, so the target population is closer to 500. The Nooksack Tribal Opioid Response project will incorporate multiple opportunities for building and strengthening cultural identity among the tribe’s youth ages 11- 24, to counteract and prevent opioid and other drug use. During events and activities, education and awareness will be provided to participating youth and their families, regarding the short and long-term impact of drug use. We will utilize the Healing of the Canoe curriculum, as well as GONA (Gathering of Native Americans curriculum) as a planning tool for engaging the youth and community in development of preventive strategies. Project Goals: Objective #1: Provide public education and awareness to reduce drug addiction rates by 50% and misuse of prescription painkillers among youth and young adults. Objective #2: Reduce drug addiction rates by 50% (from baseline to year 5 of grant, measured by current use of opioids and misuse of prescription painkillers among youth and young adults. Objective 3: Annually provide up to 300+ of people receiving messages about the dangers of opioid use through community event and social media. Objective 4: Provide events and activities to 100+ people to build strong cultural identity among the Tribe and especially the youth of our Tribe, including Culture Night, educational materials, outreach, referrals, and programming for participants to learn about and grow traditional foods. Traditional gardens are a way for people to grow healthy culturally familiar vegetables in their back yard, and it helps improve overall well-being, helps improve socialization skills, and encourages physical activity. Objective 5: To provide evidence-based practices curricula such as Healing of the Canoe (HOC) and Nooksack Days, utilizing Gathering of Native Americans GONA) Curricula with these funds to 50+ youth at each event to promote internal strength and wellness among the Tribes young people. Objective 6: We will support access to existing services including treatment, MOUD, addiction and mental health counseling, medical services, legal services, and social services. We will serve 300 individuals in year 1, and each year anticipate we will serve those and an additional 25 individuals each year, totaling 400 unique individuals over the 5 year lifetime of the grant.