OST COSSUP

The Oglala Sioux Tribe (OST) - Circles of Care Program/Division of
Behavioral Health (Circles of Care) will collaborate with OST Justice Programs to plan,
implement, and evaluate a tribal-wide strategic plan promoting wellness, addiction recovery, and
the reduction of criminal recidivism using the sequential intercept model. During the past seven
years the OST has successfully: 1. Integrated medical professionals into the addiction treatment
process through medication assisted treatment: 2. Implemented a recovery support/client
navigator approach; and 3. Initiated the utilization of best and promising practices for direct
service and population level interventions. The cycling and recycling of individuals through the
tribal justice system has been identified as a major social problem resulting in significant strain
on tribal systems. The OST will utilize funding from the Comprehensive Opioid, Stimulant, and
Substance Use Site-based Program (COSSUP) to continue capacity development within the
tribal justice system and behavioral health infrastructure to address several of the well-known
barriers to recovery and persistent drivers of criminal recidivism. The Pine Ridge Reservation is
the homeland of the Oglala Sioux Tribe and is among the largest land-based reservations in the
nation. Pine Ridge consists of over 3.5 thousand square miles with a population of over 30,000.
Circles of Care and OST Justice Programs are committed to developing a streamlined process to
increase access to behavioral health services at all points of the OST criminal justice system.
Circles of Care will coordinate Tribal resources to link more than 300 participants annually with
targeted case management, substance use education and treatment, and recovery support
services. Through the delivery of well-integrated and high quality services, Circles of Care aims
to achieve four measurable objectives: 1. Increase the proportion of individuals entering the OST
Justice System that are provided behavioral health screening and assessment by 15% annually; 2. Increase the number of eligible participants that successfully complete their targeted case
management goals by 25% annually; 3. Increase participant score within key quality of life
metrics by 10% from baseline to service completion annually; and 4. Reduce the proportion of
individuals within the OST justice system that reoffend within 2-years post reentry by 5%
annually.