The examples listed below were compiled by Seven Directions in An Environmental Scan of Tribal Opioid Overdose Prevention Responses: Community-Based Strategies and Public Health Data Infrastructure (2019).
The Mississippi Band of Choctaw Indians and Choctaw Nation of Oklahoma used TOR grant funding for culturally appropriate care and evidence-based prevention (Medication-Assisted Treatment).
Choctaw Nation of Oklahoma used this funding to hire Peer Recovery Support Specialists (PRSS), as well as began engaging with Choctaw Nation Health Services Authority (CNHSA) to provide collaborative training of medical residents, including family medicine and licensed psychiatrists. Training includes best practices and understanding of MAT.
Mississippi Band of Choctaw Indians also partnered with the Drug Enforcement Administration (DEA) and other community collaborators to conduct two drug take-back events and installed several safe disposal containers in the community.
In 2018, the Wabanaki Nation received four grants amounting to $440,011 from the Department of Health and Human Services to aid in developing a response to the opioid epidemic. The grants were disbursed to: Passamaquoddy Indian Township Tribal Government for the “Passamaquoddy Tribal Opioid Response Initiative”; Aroostook Micmac Council for the “Micmac Community Health and Wellness Project”; Penobscot Indian Nation for the “Penobscot Nation Health Department Tribal Opioid Response Grant-Aftercare Services”; and Wabanaki Health and Wellness to increase capacity and provide MAT treatments.
The Northwest Portland Indian Health Board (NPIHB) is a tribal advisory organization serving the 43 federally recognized tribes of Oregon, Washington, and Idaho. Their funding comes from agencies like the Substance Abuse and Mental Health Services Administration, Centers for Disease Control and Prevention, Indian Health Service, National Institutes of Health, and Environmental Protection Agency. Many grants involve partnerships with universities, state health departments, and other stakeholders.