National Tribal Opioid Strategic Agenda
To assist tribes in successfully addressing the opioid epidemic, the Northwest Portland Area Indian Health Board along with our partners, including the National Indian Health Board, developed the Tribal Opioid Response National Strategic Agenda .

Recommendations include 7 key action areas that can result in measurable progress . These action areas are:
.>>... 1. Preventing New Cases of Opioid Use Disorder 
.>>... 2. Offering Tribal, Evidence-based, and Practice-based Treatment and .>>...>>. Recovery Services
.>>... 3. Protecting Mothers and Babies Affected by Opioid Use Disorder  
.>>... 4. Incorporating Harm Reduction into Tribal Treatment and Recovery
.>>..>>. Services  
.>>... 5. Utilizing Data to Mount an Effective Community Response  
.>>... 6. Growing the Evidence Base for Effective Tribal Opioid Interventions 
.>>... 7. Cultivating Responsive Communities, Clinics, and Policies

Recommendations included are based on:
.>>... Advice from tribal policymakers
..>>.. Insights from national and regional experts
..>>.. Feedback from people living with opioid use disorder (OUD)
..>>.. Advice from tribes successfully addressing the epidemic

New Tribal Education Tools
Tribal Opioid Response Print Materials
Now Available! 
Fact Sheets
How can you reverse an opioid overdose?
What’s the best way to help someone recover from opioid addiction?

You can learn the answers to these questions and more through a series of colorful fact sheets designed for tribal community members.

Educational Booklet
A Trickster Tale – Outsmarting Opioids through Education and Action is an educational booklet that encourages readers to consider stories of Trickster and think about how opioid misuse can similarly sneak into tribal communities and result in addiction.

Topics include: basic info about opioids, signs someone may be misusing opioids, reversing an overdose, seeking help, and supporting a family member or friend who may be struggling with opioid addiction.
New Educational Videos to Share
Stories Speak to Our Hearts and Minds
Stories are one of the best ways to learn.

In order to share the valuable insights of tribal community members with OUD and their providers, NPAIHB developed 3 educational videos:
.>>... One for tribal community members
.>>... One for healthcare providers
.>>... One about didgʷálič Wellness Center
Healing Ourselves and Our Communities
Watch this video for tribal community members to learn more about preventing, treating, and recovering from opioid use disorder.
Healing Our Patients with Opioid Use Disorder
Watch this video developed for healthcare providers to gain clinical insights about effective strategies for treating opioid use disorder and supporting Native patients walk the road to recovery.
didgʷálič Wellness Center
The didgʷálic (deed-gwah-leech) Wellness Center - owned and operated by the Swinomish Indian Tribal Community – is a multi-specialty community health organization that provides counseling, medication, primary care, and social services to both Native and non-Native patients with substance use and behavioral health disorders. Through applying community knowledge and evidence-based medicine, didgʷálic has helped turned the tide of the epidemic at Swinomish. 

Watch this video to learn more about the didgʷálič Wellness Center's unique model of care. To learn more visit: .
Keep In Touch
Do you have any new opioid policies, fresh recommendations, emerging literature, or stories of community successes you’d like to share?

Send them our way.

Want to connect? Contact Dr. Wendee Gardner, Consultant at the Northwest Portland Area Indian Health Board, at or 262-339-7892.
The Northwest Portland Area Indian Health Board (NPAIHB) Tribal Opioid Response Project is dedicated to providing you with fresh clinical and community insights to halt the tribal opioid epidemic in its tracks.

We offer free telehealth trainings for providers and educational tools to assist tribal communities in preventing and treating opioid use disorder, as well as resources for supporting those in recovery.

To learn more visit: