OR Discretionary Funding Fiscal Year 2021

Physician Assistant Student Training-Medication Assisted Treatment (PAST-MAT)

Summary. The Tribe’s 2021 MAT PDOA grant will assist the Tribe to startup, implement, evaluate and improve the Tribe’s Great Circle Recovery (GCR) opioid treatment program clinic in east Portland including methadone and suboxone. The grant helps provide assessment, counseling and case management staff time and a driver and vehicle to collect and transport clients to help them stay on track with treatment and with individual and group counseling. Population. The Tribe has 5,572 members with 2,496 in our six county service area. As a terminated Tribe (1953 to 1984) there was trauma from dislocation before restoration. During 2019 Children Family Services had 399 abuse/neglect reports and 86 involved drugs and Behavioral Health had 299 clients. Tribal health records show 65 clients with opioids, meth or cocaine and 136 clients with other substance abuse disorder not counting alcohol. Project Goals-Objectives & People Served. The Tribe started GCR in Salem this winter. This MAT PDOA project will start one in Portland where members have to drive even further to access care. Our recovery homes help but most affected members still fight addiction cravings after they leave the transition houses and recidivism is still a problem. Adding a Portland MAT clinic will help members block cravings and provide case management and counseling. GOAL: The Tribe’s goal for this MAT PDOA project is to decrease opioid use and to prevent opioid fatalities among our members and other Natives and clients in the Portland area through implementing MAT methadone and suboxone treatment, and supportive individual and group counseling using evidence-based programs, promising practices and cultural based programs. By the 12th project month the Tribe will have had 15 MAT client intakes and an overall 80% compliance rate of MAT clients staying on the program to: a) reduce the frequency of use for methadone and reaching a maintenance level of use. b) The Tribe will meet the GPRA requirement of following up with all clients that had an intake within 5-8 months previously; and c) reduce the frequency of use for suboxone and reaching a maintenance level of use. By the 24th project month the Tribe will have had 35 additional MAT client intakes; by 36th month 45 additional MAT client intakes; by the 48th 50; and by the 60th month 55 and an overall annual 80% compliance rate of MAT clients staying on the program. Goal 2: Develop and strengthen culture-based programming for OUD MAT clients in Portland. Create cultural-based programming. Reach out and partner with Native American Rehabilitation Association in Portland on culture based programming and arrange wrap-around OUD services.