The Upriver Youth Leadership Coalition will utilize the Strategic Prevention Framework to strengthen community collaboration and infrastructure around youth alcohol and marijuana use in Kamiah, Idaho. Kamiah is a small frontier town located in central Idaho with a population of about 4500 within the 83536 zip code. Kamiah is located in two counties (Idaho and Lewis) and is on the Nez Perce Tribe Reservation. The mission of the Upriver Youth Leadership Council is to empower youth and adults to build a heathier community through prevention leadership. The three primary goals of the Upriver Youth Leadership Council are to: 1. Foster leadership and resilience skills in our community youth. 2. Prevent the initiation of youth substance use. 3. Build a collaborative, sustainable community-wide prevention infrastructure. Partners include: healthcare, law enforcement, school, media, churches, government entities, Nez Perce Tribe, youth serving organizations, business owners, civic organizations, youth and parents UYLC uses the Strategic Prevention Framework to address substance abuse issues in our community. The issues UYLC are specifically addressing with the 2017 DFC application are: Youth Alcohol Use: Grades 6-12 past year use rates for alcohol (28.5%); past 30 day use rates (16.1%) How? --Reduce access to alcohol; increase perception of harm of underage drinking. Youth Marijuana Use: Grades 6-12 past year use rates for marijuana (17.3%); past 30 day use rates (8.6%) How? --Reduce access to marijuana; increase perception of harm of using marijuana. UYLC will utilize the seven strategies for environmental change in the comprehensive 12-month action plan. UYLC has a data driven evaluation plan to evaluate the effectiveness of meeting the objectives in the 12 month action plan that address the local conditions.
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ID Discretionary Funding Fiscal Year 2018
The Salmon Substance Abuse Prevention Coalition is comprised of 12 different sectors of the community that come together to address community needs through collaboration. Its focus is the prevention and reduction of youth substance abuse. SSAPCO’s ultimate goal is to become a change agent in the lives of community members to help bring about healthier beliefs, perceptions, knowledge and behavior regarding substance abuse. The coalition serves Salmon, Idaho, a community of 3,052, city, and 7735 County. The goals of the coalition are to establish and strengthen community collaboration in support of local efforts to prevent youth substance abuse. The coalition will achieve its goals by implementing comprehensive strategies, which include providing information, including assemblies, media campaigns, a film festival, photo voice, Leadership & Law Enforcement meeting for community leaders and Town Hall meetings; building skills, including teaching parenting skills, classes, newsletters and website parenting tips; providing support, including alternative to drinking activities for youth, building a strong youth leadership team through training to plan and implement peer to peer and student to community substance abuse projects; enhancing access and reducing barriers, including law enforcement at student events, sticker shock campaigns, a billboard and banners at key events; changing consequences, including improving the enforcement of underage drinking, DUI and social hosting laws, encouraging consistent judicial, home and school consequences; altering physical design by encouraging law enforcement at all students events and encouraging adult chaperons at youth parties; modifying and changing policy, including enforcement and upgrades to school substance abuse policies, city and county policies, stressing the importance of consistent consequences and a clear, unified message throughout the community. Salmon Substance Abuse Prevention Coalition’s most important partner is Salmon’s youth. Salmon’s Drug-Free Youth not only plan alternative activities such as the New Year’s movie night, or Halloween Glow Dance, for 8-12th grade students, but it also is key in planning peer to peer substance abuse prevention projects such as The Mannequin Challenge and Every 15 Minutes, and youth to community projects such as the Reality Party for Parents and Photo Voice. The Drug-Free Youth exemplify a drug-free lifestyle, and demonstrate how much fun and personal freedom come with living that lifestyle. As Salmon’s community and youth become partners in prevention, beliefs and norms will change and the community of Salmon will move closer to realizing its vision of becoming a vibrant, healthy community, free of substance abuse by striving to promote a healthy environment that decreases youth substance abuse through education, empowerment and healthy alternatives.
SAMSHA Tribal Opioid Response Grant (TOR) FOA TI-18-016 CFDA 93.799 Project Name Marimn Health MAT Program The Marimn Health MAT Program incorporates the addition of outpatient Medically Assisted Treatment (MAT) services on-site at Marimn Health to close significant gaps in service. This addition will enhance the effectiveness of our Substance Use Disorder (SUD) treatment options. The program will serve two groups. The first are those in our SUD (Recovery) Program. The second are those candidates for the Emerge Program, a recovery program for pregnant or postpartum women and their infants. The Marimn Health Behavioral Health Services Department provides substance abuse evaluation and American Society of Addiction Medicine (ASAM) Level .05, Level 1, and Level 2 treatment for patients of Marimn Health (MH). The goal of the MAT program is to enhance these services through a decrease in the expense of referrals for in-treatment services, and, an increase in the provision of MAT out-patient services on-site. Presently, Marimn Health offers Substance User Disorder (SUD) treatment and has a continuous (SUD) patient population of about 70 patients annually. At present, MH Behavioral Health Department collaborates with Kootenai Hospital in Coeur d’Alene, Idaho for substance use disorder treatment for pregnant women. Pregnant mothers struggling with substance abuse are referred to the Kootenai Hospital Emerge Program for intake. A provider from the hospital conducts intakes into the hospital program at Marimn Health approximately one day per week. Emerge helps new mothers overcome the challenges with chemical dependency recovery, pregnancy and parenting, as well as helps with connection to resources. Marimn Health presently offers intensive outpatient and individual counseling, prenatal care and other medical needs. Part of Marimn Health’s strategic plan is to accommodate new incoming clients of Emerge with the establishment of an outpatient Emerge Program on-site at Marimn Health. Implementation is underway. Because there are a number of infants and children affected by opioids or other drugs, the MAT program plans to incorporate treatment for this group during the second year of the Tribal Opioid Response (TOR) project period. In 2017, there were 18 infants born with neonatal abstinence syndrome. Strategic planning includes training specific to the provision of therapy for infants and children affected by neonatal abstinence syndrome. The Coeur d’Alene Tribe Benewah Medical Center dba Marimn Health is located on the Coeur d’Alene Tribal Reservation in Plummer, Idaho. It is a Federally Qualified Health Center (FQHC) serving both Native Americans and non-Natives. In 2017, 6,201 patients were served. Of that total, 3,212 were Native American/Alaska Native. With (TOR) funding, MH anticipates providing MAT services for 15 individuals during the first year of the award. In Year Two of the Project Period MH anticipates serving a total of 25 individuals. MH proposes serving 40 participants throughout the entire TOR Two Year Performance Period. Through outreach and prevention the program will serve 3,212 Native Americans annually and throughout the lifetime of the project. Establishing and implementing MAT is part of the strategic plan to provide on-site outpatient services in a culturally appropriate manner which is patient centered and evidence based. We anticipate a decrease of in-patient treatment costs, an increase in adherence to recommended therapies, an increase in patient population, and, an increase in successful transitions into full and productive lives through increased access to MAT services.
The State Opioid Response (SOR) funding will enhance the Idaho’s Response to the Opioid Crisis (IROC) program. IROC provides opiate use disorder (OUD) treatment and recovery support services, including Medication Assisted Treatment, to uninsured Idahoans with an OUD that have an income under 200% of the Federal Poverty Level (FPL) and do not qualify for Medicaid. Idaho will 1) Coordinate statewide efforts to fight the opioid crisis; 2) Provide OUD services, including medication assisted treatment (MAT) to eligible participants; 3) Expand access to MAT, especially in rural and frontier communities; 4) Provide community-based recovery support services; 5) Train providers on Evidence-Based Practices (EBPs) specific to OUD; 6) Distribute Naloxone kits; 7) Disseminate materials to educate the public on the dangers of opiates and how to manage an OUD; 8) Coordinate services between emergency departments and treatment providers; 9) Pilot a pre-sentencing diversion program; 10) Collaborate with the five federally recognized Tribes in Idaho to address the individual needs of their communities; and 11) Develop a program for transition from jail and/or prison that can be implemented during year two. Idaho’s goals and objectives are to: 1) Increase access to OUD services for eligible participants. Community-based providers will deliver OUD services to 505 individuals during year 1 and year 2 for a total of 1,010. The number of OUD service providers in the provider network in rural areas will increase by 10% in year 1 and year 2 for a total of 20%. The Project Director will engage at least one (1) DATA 2000 waivered physician to become part of the OUD network in each of the seven (7) regions each quarter for years 1 and 2, for a total of 56 contacts. The Project Director will coordinate one (1) EBP training per year in years 1 and 2 for a total of two (2) EBP trainings. 2) Promote recovery and resilience. At least 70% of project participants will report being socially connected after six (6) months of admission to the project. At least 60% of participants will report abstinence from alcohol or illegal drugs in the past thirty (30) days after six (6) months of entry into the project. At least 75% of participants will report no arrests in the past thirty (30) days after six (6) months of entry into the project. 3) Reduce the number of opiate related deaths. The Office of Drug Policy will disseminate 100 Naloxone kits during year 1 and 50 during year 2 for a total of 150. Idaho RADAR will disseminate educational materials regarding OUD and MAT to stakeholders at least quarterly. 4) Develop a collaborative approach to providing services and supports. The Project Director will compare outcomes of diversion participants to non-diversion participants two (2) times per year during years 1 and 2 for a total of four (4). At least 60% of project participants will avoid readmission to Emergency Department settings within twelve (12) months of entry into the project. The Project Director will hold the first program development meeting for the Jail/Prison Transition pilots within six (6) months of project start date. Funding will be available to the tribes within sixty (60) days of project start date.
Idaho's Response to the Opioid Crisis (IROC) will address the opioid epidemic which Idaho is currently facing using a multifaceted approach that seeks to expand access to Medication Assisted Treatment (MAT), reduce access to opioids through prevention efforts, enhance the recovery oriented system of care, and reduce opioid-related deaths.
The Fort Hall Indian Reservation is located in Southern Idaho and is the home of the Shoshone-Bannock Tribes. The Tribes’ goal is to address the unmet need to increase access to culturally appropriate and evidence-based opioid treatment, through prevention, treatment and recovery activities. With Tribal Opioid Response grant funding, the Four Directions Treatment Center (FDTC) will provide FDA-approved medication-assisted treatment (MAT) for clients diagnosed with Opioid Use Disorder. There are 6,000 enrolled members of the Tribes, and many other Native Americans live on the Reservation. The Four Directions Treatment Center is a department of Tribal Health and Human Services (the tribal health department) and the alcohol and drug treatment provider. FDTC staff estimates that fifty percent of the Reservation population suffers from addiction. Alcohol and methamphetamine are the drugs of choice to deal with the hopelessness of historical trauma; however, opioid use is insidious and growing on the Reservation. Funding will provide capacity for the FDTC to address the unmet need for MAT, to educate the community on opioid addiction and recovery, and track outcomes to evaluate and improve the implemented MAT program. Four Directions will increase access to opioid treatment through increased case management, MAT, and peer recovery support. FDTC policies and infrastructure are in place for the current alcohol and drug treatment program; the MAT program will be incorporated into these established processes and MAT-specific policies developed. FDTC is experienced in drug and alcohol abuse treatment and will use its capability to competently implement MAT and increase opioid treatment and prevention. With community members and agency providers trained on the effects of opioids, the Reservation population will have a better understanding of how chemical substances and addiction negatively affects the Tribes. With recovery outreach, the public will learn opioid recovery is possible and very positive. With medication to manage cravings, and by reducing stigma and labels through outreach and recovery support, more opioid abusers will come to the FDTC for treatment. Data collection will allow the Four Directions Treatment Center to analyze patient information for program evaluation, and for improvement in treatment, recovery, and prevention services. FDTC will monitor and report data to determine the impact of the MAT program on opioid use, and opioid-related morbidity and mortality.
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