A Path to Wellness Treating Opioid Use Disorder In Hoopa The Hoopa - PowerPoint PPT Presentation

A Path to Wellness Treating Opioid Use Disorder In Hoopa

The Hoopa Valley • Na:tinixwe which means “people of the place where the trails return” • Tribe located in traditional territory – life and culture linked to this river and this land • Remoteness protected tribe from colonization longer than most • Many culture and traditions of the Hoopa people have remained intact and are still a part of their everyday lives - prayers, world renewal and seasonal dances, medicine and healing ways

K’ima:w Medical Center Model

Medication Assisted Treatment • Dispensed first script on May 22, 2018 • Two waived providers • Consulted with AEGIS, Open Door, and Chapa-De Indian Health, Telewell • Utilizing holistic approach – Medical – Nursing – Behavioral Health • Created Welcome, Pre-Induction, and Induction packets – Flow chart of process

Medication Assisted Treatment • Staff: • Two waived providers (one transitioned to admin) • MAT Counselor • MAT RN • Clinical Social Worker • Driver • KMC Departments: Behavioral Health, Medical, Diabetes/Cultural Wellness

Medication Assisted Treatment Individualized Treatment Plan; Buprenorphine/Naltrexone • Induction Phase (more coming in on nonprescribed suboxone) • Goal to do inductions on Tuesday but try to be there when • someone presents Groups: Tuesday and Thursday 2-3:30 with doctor visit/refills • Thursday evening Group Individual visit with MAT counselor • Option to attend AOD meetings Monday to Friday • Sweat Lodge • Cultural wellness activities • Diabetes Center: exercise equipment, Tai Chi • Challenges: child care/history violence/family conflict/ hesitancy to • commit to inpatient/juggling treatment within primary care clinic: competing for rooms and time needed with patients Team: Goal to meet weekly •

Medication for Opioid Use Disorder Treatment • Over 110 inductions • 80 individuals • Referred/Transferred: 22 residential or other outpatient programs for medication • 12 working • 9 moms at home • Care coordination for births and discharge planning • Average 35 active patients • Average 2-3 inductions per week

Medication for Opioid Use Disorder • Medical Complexities: • Endocarditis, Hepatitis C, Hypertension,Asthma, Diabetes, Chronic Pain from remote injuries, Arthritis/Avascular necrosis ( need joint replacement), Abscess/Cellulitis,Broken Needles in Neck • Behavioral Health Complexities: • Depression, PTSD, Bipolar Disorder, Anxiety,Other Drug Use Disorders: Cannabis, Methamphetamine, Alcohol • Social Complexities: • Homeless, No utilities, Transportation, Legal, Custody, Food Insecurity, Family Violence, Others using in residence, extended family needs , ACES

Medication for Opioid Use Disorder • Resources: • Staff that cares • Flexibility • Sober Living for Men: Awaiting for Women • Increase community 12 step meetings (6/7 days a week) • On site Behavioral Health/AOD Classes/Groups • Community Drug Coalition: • Narcan/Naloxone education and distribution • Cultural Practices

Cu Cult ltural P Path t to o Wellnes ness …Strives to promote  Awareness: Posters, Flyers, Awareness Campaigns, Activities, & Social Media  Information: Wellness Brochures, Booklets, Hupa Myplate, & Banners  Cultural Enrichment: Guest Speakers, Activities i.e. Art Therapy, Sweats, Gathering  Motivation: Health Screening, Statistics, Speakers, Workshops  Skills: Self-Help Material and Guided Information from K’ima:w Staff, Spiritual

Gill Net & Green Sturgeon Cleaning

Bear Grass gathering in a wild fire burn

Herbs, Forest Foods, and Basket Weaving Plant gathering activities

Upcoming Events • Gill Net Instruction • Basket Weaving • Mink Hair Wraps • Wood Carving • Elk Horn Carving Instruction • Storytelling • Dress Making Instruction • Necklace Making • Maple Bark Skirt Instruction • Art Therapy • Expression through Photography & More…

Our Home Forever K’ima:w Medical Center, Cultural Path to Wellness Program integrates traditional ways of the Hupa People’ teachings with how one approaches daily health by teaching traditional exercise, healthy eating, strengthening and maintaining an emotionally balanced life style. We strive to increase opportunities that unify our community, enrich our cultural teachings, bring awareness to self care, and increase healthy family units.

SOCIETY SOCIETIES ARE POPULATIONS OF PEOPLE LIVING IN ORGANIZED GROUPS WITH SOCIAL INSTITUTIONS AND EXPECTATIONS OF BEHAVIOR.

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