Native Directions Inc

THREE RIVERS COMMUNITY OPIOID INTERVENTION PILOT PROJECT (THREE RIVERS) - NATIVE DIRECTIONS, INC., DBA AS THREE RIVERS INDIAN LODGE IS REQUESTING SUPPORT FOR THE THREE RIVERS COMMUNITY OPIOID INTERVENTION PILOT PROJECT (THREE RIVERS) SAN JOAQUIN COUNTY, CALIFORNIA IS HOME TO MANY AMERICAN INDIANS; HOWEVER, LITTLE IS KNOWN ABOUT THE AMERICAN INDIAN/ALASKA NATIVE (AIAN) IN SAN JOAQUIN COUNTY. RESEARCHERS COMPARING AIAN LIVING IN URBAN AREAS WITH THE GENERAL URBAN POPULATION IDENTIFIED DISPARITIES IN SOCIOECONOMIC, MATERNAL AND CHILD HEALTH, AND MORTALITY INDICATORS. AIAN ARE ABOUT TWICE AS LIKELY AS THE GENERAL POPULATION TO BE POOR, UNEMPLOYED, AND NOT COLLEGE EDUCATED. SIMILAR DIFFERENCES WERE OBSERVED IN BIRTHS AMONG MOTHERS WHO RECEIVED LATE/NO PRENATAL CARE OR CONSUMED ALCOHOL AND IN MORTALITY ATTRIBUTED TO SUDDEN INFANT DEATH SYNDROME, CHRONIC LIVER DISEASE, AND ALCOHOL CONSUMPTION. IN 2017, THERE WERE 57 OPIOID-RELATED DEATHS, THE HIGHEST AMONG ALL SURROUNDING COUNTIES.THREE RIVERS IS LOCATED IN MANTECA, SAN JOAQUIN COUNTY, CALIFORNIA AND SERVES A COUNTY-WIDE AMERICAN INDIAN/ALASKA NATIVE (AIAN) POPULATION OF 38,533 AIAN RESIDENTS. IT WAS FOUNDED IN 1972 BY A SMALL GROUP OF NATIVE MEN SEEKING A PLACE TO GAIN A SOBER WAY OF LIVING. THE LODGE MOVED FROM STOCKTON IN 1974 TO ITS PRESENT LOCATION IN MANTECA, CALIFORNIA, BETWEEN THE THREE RIVERS FLOWING THROUGH THE CENTRAL VALLEY--THE STANISLAUS, SAN JOAQUIN AND MOKELUMNE RIVERS. FOR OVER 45 YEARS, THREE RIVERS INDIAN LODGE HAS PROVIDED ALCOHOL AND SUBSTANCE ABUSE TREATMENT SERVICES THROUGH SPIRITUAL/CULTURAL PRACTICES SUCH AS SWEAT LODGE CEREMONIES, DRUMMING, BEADING, AND TALKING CIRCLES, COUPLED WITH RESIDENTIAL TREATMENT BASED UPON THE 12-STEP, WHITE BISON, AND RED ROAD RECOVERY MODELS TO TREAT THOUSANDS OF NATIVE MEN SEEKING RECOVERY FROM ADDICTION. IN 2018, THREE RIVERS SERVED 41 RESIDENTIAL CLIENTS. OF THESE, 39 WERE BEING TREATED FOR ALCOHOL ADDICTION, AND OF THESE, 36 WERE DUALLY DIAGNOSED FOR DRUG ADDICTION, INCLUDING 17 WITH OUD. OVER THE COURSE OF ITS HISTORY, THREE RIVERS HAS SUCCESSFULLY GRADUATED APPROXIMATELY 3,800 OUT OF 4,100 CLIENTS! THREE RIVERS IS ONE OF TWO SUBSTANCE ABUSE TREATMENT FACILITIES IN CALIFORNIA AND WORKS TO FILL GAPS IN ACCESS AND CARE THOUGH DIRECT SERVICES AND THROUGH PARTNERSHIPS WITH OTHER AIAN AND SOCIAL SUPPORT ORGANIZATIONS. AGENCY STAFFS HAVE THE EXPERTISE AND EXPERIENCE TO BUILD CAPACITY AMONG NATIVE AND NON-NATIVE TREATMENT PROVIDERS AND AWARENESS WITHIN THE AIAN COMMUNITY TO ADDRESS OPIOID USE DISORDER.THREE RIVERS HAS A PLAN TO HELP THE AIAN COMMUNITY IN SAN JOAQUIN COUNTY BY INCREASING KNOWLEDGE AND AWARENESS OF, AND ACCESS TO MEDICALLY-ASSISTED TREATMENT (MAT), INCREASING SCREENING FOR ALCOHOL AND DRUG USE, INCREASING REFERRALS TO NEEDED SERVICES, AND IMPROVING ACCESS TO CULTURALLY COMPETENT PROVIDERS.THE OVERARCHING GOAL OF THREE RIVERS COMMUNITY OPIOID INTERVENTION PILOT PROJECT IS TO INCREASE KNOWLEDGE OF, AND ACCESS TO, MEDICALLY ASSISTED TREATMENT (MAT) WITHIN THE AMERICAN INDIAN/ALASKA NATIVE COMMUNITY IN SAN JOAQUIN COUNTY, CALIFORNIA. THIS WILL BE ACCOMPLISHED THROUGH THREE OBJECTIVES AND RELATED ACTIVITIES.OBJECTIVE 1. INCREASE AIAN COMMUNITY AWARENESS AND EDUCATION ABOUT CULTURALLY-APPROPRIATE AND FAMILY-CENTERED OPIOID PREVENTION BY 25% BY PROGRAM END. OBJECTIVE 2. EXPAND ACCESS TO CULTURALLY ATTUNED MAT SERVICES BY 10% BY PROGRAM END.OBJECTIVE 3. BUILD A SUPPORT SYSTEM FOR REFERRALS TO STRENGTHEN NATIVE FAMILIES BY IMPLEMENTING CULTURALLY-APPROPRIATE APPROACHES BY PROGRAM END.

NATIVE CORE PROGRAM - ABSTRACT NATIVE DIRECTIONS IS ASKING FOR SUPPORT TO CONTINUE IHS-FUNDED OUD PREVENTION AND EDUCATION SERVICES CURRENTLY OFFERED IN SAN JOAQUIN AND EXPAND THESE SERVICES INTO STANISLAUS AND TUOLUMNE COUNTIES TO BETTER SERVE THE NATIVE COMMUNITIES IN THESE HIGH-NEED AREAS. NATIVE DIRECTIONS IS ONE OF TWO SUBSTANCE ABUSE TREATMENT FACILITIES IN THE REGION AND WORKS TO FILL GAPS IN ACCESS AND CARE THOUGH DIRECT SERVICES AND THROUGH PARTNERSHIPS WITH OTHER NA/AN AND SOCIAL SUPPORT ORGANIZATIONS. AGENCY STAFF HAVE THE EXPERTISE AND EXPERIENCE TO BUILD CAPACITY AMONG NATIVE AND NON-NATIVE TREATMENT PROVIDERS AND AWARENESS WITHIN THE NA/AN COMMUNITY TO ADDRESS OPIOID USE DISORDER. THE AGENCY HAS A PLAN TO INCREASE CARE FOR NATIVE COMMUNITIES BY BUILDING UPON THEIR OPIOID USE DISORDER PREVENTION AND OUTREACH WORK IN SAN JOAQUIN COUNTY BY EXPANDING THEIR SERVICES TO STANISLAUS AND TUOLUMNE COUNTIES. NA/AN COMMUNITIES WILL BENEFIT THROUGH AN INCREASED KNOWLEDGE AND AWARENESS OF, AND ACCESS TO MEDICALLY ASSISTED TREATMENT (MAT), INCREASED REFERRALS TO NEEDED SERVICES, AND IMPROVED ACCESS TO CULTURALLY COMPETENT PROVIDERS. AMONG OTHER SUCCESSES, NATIVE CORE HAS DISTRIBUTED 400 NARCAN KITS THAT RESULTED IN 40 REVERSALS! THIS THREE-COUNTY AREA IS HOME TO 69,292 NATIVE AMERICAN/ALASKA NATIVE (NA/AN) RESIDENTS. THE AREA INCLUDES RURAL AND NON-RURAL COMMUNITIES WITH THE PREPONDERANCE OF THE NATIVE POPULATION LIVING IN NON-RESERVATION AREAS. RESEARCHERS COMPARING NA/AN LIVING IN URBAN AREAS WITH THE GENERAL POPULATION IN URBAN COUNTIES IDENTIFIED DISPARITIES IN SOCIOECONOMIC, MATERNAL AND CHILD HEALTH, AND MORTALITY INDICATORS. NA/AN ARE 35% MORE LIKELY TO EXPERIENCE HOMELESSNESS THAN THE NON-NATIVE POPULATION. FURTHER, NA/AN ARE APPROXIMATELY TWICE AS LIKELY AS THE GENERAL POPULATION TO BE POOR, UNEMPLOYED, AND LACK A COLLEGE DEGREE. IN THIS TRI-COUNTY AREA IN 2022, SAN JOAQUIN COUNTY EXPERIENCED 315 EMERGENCY DEPARTMENT VISITS RELATED TO ANY OVERDOSE, RESULTING IN 93 HOSPITALIZATIONS AND 113 OPIOID-RELATED DEATHS. STANISLAUS EXPERIENCED 130 OPIOID-RELATED OVERDOSE DEATHS AND NA/AN HAD THE HIGHEST AGE-ADJUSTED DEATH RATE BY RACE. TUOLUMNE, THE SMALLEST COUNTY, EXPERIENCED TEN OPIOID-RELATED DEATHS AND BY RACE AND NA/AN HAD THE HIGHEST AGE-ADJUSTED RATE. THE GOAL OF THE PROJECT IS TO PROVIDE PREVENTION, TREATMENT, AFTERCARE, AND RECOVERY SERVICES TO NA/AN IN SAN JOAQUIN, STANISLAUS, AND TUOLUMNE COUNTIES TO ADDRESS THE IMPACT OF THE OPIOID CRISIS. OBJECTIVE 1. INCREASE NA/AN COMMUNITY AWARENESS AND EDUCATION ABOUT CULTURALLY APPROPRIATE AND FAMILY-CENTERED OPIOID PREVENTION BY 25% BY PROGRAM END. OBJECTIVE 2. CREATE COMPREHENSIVE SUPPORT TEAMS FOR STRENGTHENING AND EMPOWERING NATIVE FAMILIES IN ADDRESSING THE OPIOID AND OVERDOSE CRISIS BY IMPLEMENTING CULTURALLY APPROPRIATE APPROACHES BY COLLABORATING WITH 3 NEW PARTNERS. OBJECTIVE 3. INCREASE ACCESS TO MAT TREATMENT SERVICES THAT INCLUDE TRIBAL VALUES, CULTURE, AND TREATMENTS BY DEVELOPING A CME TRAINING MODULE FOR PHYSICIANS. OBJECTIVE 4. INCREASE HARM REDUCTION ACTIVITIES IN TRIBAL AND URBAN INDIAN COMMUNITIES BY HOLDING 2 ANNUAL EVENTS IN EACH COUNTY IN ADDITION TO OTHER OUTREACH ACTIVITIES.