Tribal Opioid Response National Strategic Agenda
The opioid epidemic has had profound effects on tribal communities. Since 1999, deaths due to drugs among American Indian and Alaska Native (AI/AN) people have quadrupled, and in 2017, Native people had the second-highest opioid death rate of any group in America. Across Indian Country, we have seen families torn apart, jobs lost, rising homelessness, the spread of disease, and impacts on community members’ ability to participate in aspects of their culture.
In response, the Northwest Portland Area Indian Health Board (NPAIHB), along with our partner, the National Indian Health Board (NIHB), developed this strategic agenda designed to comprehensively address the tribal opioid epidemic. The recommendations included are based on input from tribal policymakers, service providers, and community members; insights from national and regional experts; and feedback from people living with opioid use disorder (OUD). We want to specifically thank the attendees of the Indian Country roundtable at the 12th National Harm Reduction Conference, White Earth Nation 8th Annual Native Harm Reduction Summit, and the 10th Annual National Tribal Public Health Summit. This National Strategic Agenda would not be possible without input provided from attendees from these meetings.
Recommendations in this agenda span a wide breadth and include calls to action in several key actions areas through which we can all create measurable progress, help our relatives and relations walk the road to recovery, and prevent future opioid-related deaths.
These key action areas include:
- Preventing New Cases of OUD
- Offering Tribal, Evidence-based, and Practice-based Treatment and Recovery Services
- Protecting Mothers and Babies Affected by OUD
- Incorporating Harm Reduction into Tribal Treatment and Recovery Services
- Utilizing Data to Mount an Effective Community Response
- Growing the Evidence Base for Effective Tribal Opioid Interventions
- Cultivating Responsive Communities, Clinics, and Policies
It is our hope that, when appropriate, you are able to adapt the innovative approaches included in this agenda to meet your community’s needs through educating our community members about the potential harms of opioids, incorporating harm reduction policies, ensuring access to life saving treatments, and including the recommendations of those affected, we can all begin to walk the path toward healing.
To view the full Tribal Opioid Response National Strategic Agenda, click on the image to the right.