Award detail

MASHANTUCKET PEQUOT TRIBAL NATION TRIBAL OPIOID RESPONSE - CAPACITY BUILDING AND LONG-TERM TREATMENT - THE MASHANTUCKET PEQUOT TRIBAL NATION (MPTN) TRIBAL OPIOID RESPONSE (TOR) GRANT FOCUSES ON 1,900 MPTN TRIBAL CITIZENS (TARGET POPULATION). THE CATCHMENT AREA IS NEW LONDON COUNTY, CONNECTICUT INCLUDING THE MPTN RESERVATION AND THE TWO HEALTH DISTRICTS LEDGE LIGHT AND UNCAS. THESE ARE SERVED BY THE MPTN HEALTH CLINIC AND THE TRIBE’S PURCHASED-REFERRED CARE DELIVERY AREA [PRCDA] AS DEFINED BY THE INDIAN HEALTH SERVICES [IHS], WHICH IS THE ENTIRE STATE OF CONNECTICUT. MPTN FORMED AN INTERDISCIPLINARY OPIOID USE TASKFORCE [MPTN-OUT] IN 2017 TO BETTER ADDRESS THE OPIOID USE DISORDER [OUD] EPIDEMIC. THE TASKFORCE HAS WORKED TO ENHANCE THE OUD ECO-SYSTEM, CULTIVATING ESSENTIAL PARTNERSHIPS TO ADVANCE OUD PREVENTION, TREATMENT, AND RECOVERY. THE TASKFORCE HAS RECENTLY IDENTIFIED KEY GAPS IN SERVICES: (1) INADEQUATE CASE MANAGEMENT RESULTING IN A LACK OF COMPREHENSIVE WRAPAROUND SERVICES; (2) A NEED FOR LONG-TERM (>30 DAYS) INPATIENT (IP) OUD TREATMENT FOR HIGH ACUITY PATIENTS; AND (3) A NEED FOR EXPANDED FAMILY SUPPORT SERVICES FOR PATIENTS RECEIVING OUD CARE. PROJECT GOALS AND OBJECTIVES ARE: GOAL 1: MPTN WILL STRENGTHEN MPTN-OUT PREVENTION PROGRAM BASED ON STRATEGIC PLAN AND IDENTIFIED SERVICE GAPS TO REDUCE HARM FOR THE HIGH-RISK SEGMENT OF THE TARGET POPULATION AND THE FAMILIES IMPACTED. OBJECTIVE 1A: WITHIN SIX MONTHS OF AWARD, MPTN-OUT WILL COMPLETE AN ASSESSMENT UNDER THE DIRECTION OF THE PROGRAM DIRECTOR AND INCLUDE THE BEHAVIORAL HEALTH DIRECTOR, SOCIAL SERVICES DIRECTOR, AND MEDICAL DIRECTOR TO DEFINE EXISTING CAPACITY, IDENTIFY SERVICE GAPS, AND ESTABLISH AN ACTION PLAN FOR MORE INTENSIVE, LONG-TERM TREATMENT THAT IS ALIGNED WITH EVIDENCE-BASED PRACTICE. OBJECTIVE 1B: WITHIN SIX MONTHS OF THE AWARD, MPTN-OUT WILL DEVELOP PROTOCOLS TO GUIDE MPTN TRIBAL CITIZENS AT THE HIGHEST RISK OF OUD TO LONG-TERM INPATIENT RECOVERY AND PACKAGE FAMILY SUPPORT SERVICES SO TO MINIMIZE IMPACT AND ENSURE SUSTAINED RECOVERY UPON RELEASE. OBJECTIVE 1C: WITHIN FOUR MONTHS OF GRANT AWARD, A PROGRAM DIRECTOR WILL BE HIRED TO OVERSEE PROGRAM DEVELOPMENT AND DAY-TO-DAY OPERATIONS, INCLUDING BUT NOT LIMITED TO PATIENT TRANSITION/HANDOFF, RECOVERY COACH SUPERVISION, PROGRAM EVALUATION, AND PROVIDER RELATIONS. THE PROGRAM DIRECTOR WILL PROVIDE OVERALL CASE MANAGEMENT COORDINATION WORKING ACROSS MULTIPLE MPTN DEPARTMENTS. GOAL 2: MPTN WILL PROVIDE LONG-TERM (>30 DAYS) INPATIENT OUD RECOVERY SERVICES THROUGH PREFERRED PROVIDERS AND OTHER CENTERS OF EXCELLENCE. OBJECTIVE 2A: WITHIN FOUR MONTHS OF GRANT AWARD, THE APPLICANT WILL ESTABLISH REFERRAL AND PATIENT HANDOFF PROTOCOLS FOR LONG-TERM, INPATIENT OUD RECOVERY WITH ROOT CENTER FOR ADVANCED RECOVERY, RIDGE RECOVERY CENTER OF HARTFORD HEALTHCARE, AND OTHERS TO ENSURE PROPER PATIENT HANDOFF AND SUSTAINED SUPPORT SERVICES. A MINIMUM OF FOUR PATIENTS WILL BE SUPPORTED A YEAR. GOAL 3: MPTN WILL STRENGTHEN THE MPTN-OUT RECOVERY SUPPORT SERVICES PROGRAM FOR TRIBAL MEMBERS SUFFERING FROM OUD AS WELL AS THEIR FAMILIES. OBJECTIVE 3A: WITHIN SIX MONTHS OF GRANT AWARD, MPTN-OUT WILL ESTABLISH A PROGRAM TO SUPPORT LONG-TERM RECOVERY TO PROVIDE A SOBER LIVING ENVIRONMENT THAT IS ALIGNED WITH EVIDENCE-BASED PRACTICE. OBJECTIVE 3B: WITHIN SIX MONTHS OF AWARD, DESIGN AND IMPLEMENT ENHANCED RECOVERY SUPPORT SERVICES FOR PATIENTS SUFFERING FROM OUD AS WELL AS THEIR FAMILIES BY IMPROVING COORDINATION OF SERVICES ACROSS MULTIPLE MPTN DEPARTMENTS AND PROGRAM PARTNERS.

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