Cherokees take new approach to helping addicts

La Sala is a community center that provides harm reduction services to those in need. People can come in to exchange used needles for clean ones and other supplies to make drug use safer. The Center also provides naloxone and testing for HIV and other diseases, all for free. The Center reopened in mid-2019 and has had about 1,900 visits since then.

Multiple Native American tribal nations are incorporating traditional sweat lodge ceremonies into substance use disorder treatment programs. Participants attend sweat lodge sessions, either as part of court-ordered programs or voluntarily, where they engage in culturally relevant, spiritual practices. Many of the court-ordered clients consistently choose to return to sweat lodges beyond their required attendance, sometimes even preferring them to traditional AA/NA meetings.

While the decriminalization effort Measure 110 failed to fully meet the mark, the Health Justice Recovery Alliance joined forces with local law enforcement to create a pilot program that helped locals struggling with addiction. Through the program, police can contact an outreach worker who will come to the scene and connect the person struggling with addiction to support services such as detox care and housing, helping lead them toward long-term recovery. So far, the pilot program has helped over 200 people.

Studies show that people who received at least one dose of naloxone following an opioid overdose are 11 times more likely to survive. In response, state policies and community-level programs and organizations are working to make naloxone accessible to those who need it. Today, naloxone can be found in grocery stores, gas stations, provided at events like concerts and community spaces like libraries.

Talk Overdose provides peer-delivered education to youth in seventh to twelfth grade about overdose prevention. The group of teens also provides naloxone training, hosts guest speakers and interactive workshops that teach empathetic listening skills. Talk Overdose was formed in 2021 and has since reached over 1,500 youth across the country and has stated to offer Indigenous culture workshops, as a connection to culture has shown to have a positive impact on mental health and wellbeing.

Agencies like the SHARE Center are beginning to hire peer support specialists, who are individuals who have lived experience of recovery from mental health conditions and substance use disorders. Peer support specialists provide non-clinical, strengths-based support and build trusting relationships with those in need of care. Since the COVID-19 pandemic, demand for peer support specialists has grown exponentially and reports show that working with a peer support specialist can improve health outcomes and quality of life among other benefits.

Great Circle Recovery is the first tribally run opioid treatment clinic in the state and is opening up its second location. Approximately 250 people visit the clinic on a daily basis to access medications that help those suffering from addiction. The centers also provide access to counselors, case management and other medical services to support patients on their recovery journey.

To address overdose deaths, multiple organizations across Athens County and Ohio University have implemented free Narcan distribution and training programs since 2023, including overdose response training sessions and no-barrier access to free Narcan kits through campus cabinets, health departments, and community organizations partnered with Ohio's Project DAWN network. The programs have helped distribute hundreds of Narcan boxes and to normalize overdose response training and reduce stigma around addiction.

Chesterfield County, Virginia implemented a multi-faceted response to the opioid crisis, including a jail-based recovery program, Helping Addicts Recover Progressively (HARP), that brings people in recovery to the local jail to talk about addiction and treatment resources. Combined with other efforts, overdose deaths have dropped by half in a single year, and around 4,000 people have participated in HARP.

Health engagement hubs like Washington state’s Buprenorphine Pathways connect people with prescriptions for methadone and buprenorphine to help treat addiction. In addition to medication and a syringe-exchange program, the hub also connects patients to social services, taking a more holistic approach to addiction treatment.