Funding: Harm Reduction

Provides funding to address immediate and short-term needs for substance use disorder (SUD) services in rural communities. Aims to establish or expand SUD prevention, harm reduction, treatment, and recovery services, with the goal of reducing and preventing overdoses in rural areas.

Offers formula grants to states to help develop and expand prevention, harm reduction, treatment, and recovery activities for opioid use disorder (OUD) and stimulant use. Seeks to improve the accessibility and effectiveness of treatment and services for individuals with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of OUD.

Helps American Indian and Alaska Native (AI/AN) tribal communities build and strengthen a comprehensive response to the opioid epidemic by providing prevention, harm reduction, treatment, and community-based recovery support services to AI/AN individuals with, or at risk for, opioid use disorder (OUD), including stimulant use disorder. Identifies and addresses gaps in services and systems of care for OUD in tribal communities, and coordinates with other federally supported opioid response efforts to increase access to innovative and culturally responsive services for people with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of opioid use disorder (MOUD).

Offers funding to recruit and train emergency medical services (EMS) personnel in rural areas with a primary focus on addressing substance use disorders (SUDs) and co-occurring mental health conditions (COD). Supports training on trauma-informed, recovery-based SUD/COD emergency care for rural residents, including the use of naloxone for the reversal of opioid overdose, and helps EMS staff meet federal or state licensing or certification requirements.

Aims to prevent and reduce suicidal behavior and substance misuse, reduce the impact of trauma, and promote mental health among American Indian and Alaska Native youth through age 24. Supports tribal communities in building and sustaining infrastructure for behavioral health systems that will positively impact American Indian and Alaska Native (AI/AN) youth by successfully integrating culture, resources, and readiness to address suicide and substance misuse among the target population.

Supports efforts to address the opioid crisis in American Indian and Alaska Native (AI/AN) communities through locally designed prevention, treatment, recovery, and aftercare services for mental health and substance use disorder (SUD). Aims to raise awareness and education of opioid interventions that are family-centered and culturally appropriate, create comprehensive community opioid support teams, and increase the use of medication-assisted treatment (MAT)/medications for opioid use disorder (MOUD) to meet treatment needs and reduce opioid overdose in AI/AN communities. COIPP is an initiative of IHS's Alcohol and Substance Abuse Branch (ASAB).

Provides funding to enhance the ability of state health departments to track and prevent nonfatal and fatal overdoses and identify emerging drug threats by supporting surveillance and prevention strategies designed to reduce overdose morbidity and mortality. Emphasizes activities focused on opioid, stimulants, and polysubstance use and works to address health inequities and increase access to care and services for populations at high-risk for overdose, including rural communities and tribal populations.

Provides funding for local health departments, special district health departments, and territorial governments to implement data-based surveillance and prevention strategies to reduce overdose morbidity and mortality in communities. Emphasizes activities focused on opioids and stimulants. Seeks to address health inequities and increase access to care for populations at high-risk for overdose, including rural communities and tribal populations.

Funds treatment, recovery, case management, and harm reduction services and programs in residential treatment facilities for pregnant and postpartum women with substance use disorder (SUD) to support and sustain recovery. Aims to reduce infant and maternal mortality; improve family dynamics through access to treatment; and increase access to evidence-based SUD residential services.