Description of original award (Fiscal Year 2021, $600,000)
The Muscogee (Creek) Nation (MCN), the fourth largest federally recognized tribe in the United States, is proposing the MCN Comprehensive Opioid Stimulant and Substance Abuse Site-Based Program (COSSAP). MCN tribal headquarters are centrally situated within the Nation’s jurisdiction in the city of Okmulgee and consist of an 11 county reservation area. The service area consists of urban, rural, and very rural-remote areas. Population densities vary by small unincorporated communities, with fewer than 50 residents, to Tulsa, one of the largest urban areas within the State of Oklahoma.
The MCN Department of Health proposes a Category one (1) Local Application, Subcategory 1c to design and implement a comprehensive, locally driven responses to opioids, stimulants, and other substance of abuse that expand access to treatment and recovery support services across the system; and support law enforcement and other first responder diversion programs.
The Muscogee (Creek) Nation Department of Health is requesting a total federal amount of $600,000 for the life of the grant to enhance patient care, coordination, and prevention services delivery within 12 months, and increase training and support services available to patients within 24 months.
MCNDH will serve American Indians/Alaskan Natives within the MCN reservation as well as local law enforcement agencies, emergency management personnel, and rural volunteer firefighters. MCNDH’s activities for the project will include the following:
• Recruit, interview, and hire Project Coordinator and Client Navigator and establish a relationship with MAT provider.
• Provide annual professional training to all providers at all tribal health clinics.
• Review and update policy and procedures on opioid treatment and administration.
• Review the process to identify, screen, assess, and refer Opioid Use Disorder Patients.
• Establish case management and peer support for at least 100 patients total throughout the grant award.
• Establish HCV/HIV/STI diagnosis, treatment, and prevention care into MAT services.
The deliverables of the project will include:
• Personnel staffing form and contract with MAT provider.
• Sign-in sheets and training agenda.
• Policy and Procedures.
• Data on the number of referrals.
• Number and location of case management and peer groups.
• Number of patients seen for HIV treatment.
• Number of law enforcement officers, emergency management personnel, and rural firefighters trained and sign-in sheets.
• Number of people trained and sign-in sheets.
• Purchase order, and number of Naloxone Intranasal Kits distributed to law enforcement officers, emergency management personnel, and rural volunteer firefighters.
• Purchase order and locations of pharmaceutical disposal bins.
• Purchase order for 2,500 deactivation and disposal system pouches