Resources, Data, Forms & Contacts

Resources  

• Contacts for BH Services
• ASAM National Practice Guideline
• AHC TRIBAL TREATMENT AND RECOVERY INITIATIVE (TOTR) Final Report  2015-2017
• SAMHSA OUD and Pregnancy Taking helpful steps for a healthy pregnancy
• SAMHSA Treating OUD During Pregnancy
• SAMHSA Treating Babies Who Were Exposed to Opioids Before Birth
• SAMHSA Good Care for You and Your Baby While Receiving OUD Treatment
• SAMHSA Decisions in Recovery: Treatment for Opioid Use Disorder
• ASAM Sample Treatment Agreement
• SAMHSA Opioid Overdose Prevention TOOLKIT
• MCL 691-1503 Administration of an opioid antagonist; liability; definitions
• ASAM National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use

Data

• ITC AHC Drug Overdose Death Rates
• ITC AHC American Indian Clients with OUD: Descriptive Information 2015-2017
• ITC AHC Tribal Treatment and Recovery Initiative (STR-TOTR) Infographic

Forms 

• GPRA  - What is the purpose of the GPRA?
• GPRA -  Introduction to GPRA Intake and Follow-up Powerpoint  
• GPRA - Management Checklist  
  • Instructions for GPRA
    • Client Coding Record
    • Client Consent GPRA and Evaluations
    • Client Locator Form 
    • Client Program Enrollment Instructions 
    • Client Satisfaction Survey 
    • Client Tracking Log
  • Bay Mills Indian Community 
    
    • Bay Mills GPRA Form
  • Grand Traverse Band of Ottawa and Chippewa Indians 
    • GTB GPRA Form
  • Hannahville Potawatomi Indian Community 
  • Nottawaseppi Huron Band of  the Potawatomi
    • NHBP GPRA Form
  • Keweenaw Bay Indian Community 
    • KBIC GPRA Form
  • Lac Vieux Desert Band of Chippewa Indian Community
    • LVD GPRA Form 
  • Little Traverse Bay Band of Odawa Indians 
    • LTBB GPRA Form
  • Little River Band of Ottawa Indians
    • LRBOI GPRA Form 
  • Match-E-Be-Nash-She-Wish Band of Pottawatomi  Indians 
  • Pokagon Band of Potawatomi Indians 
    • Pokagon GPRA Form
  • Saginaw Chippewa Indian Tribe 
  • Sault Ste. Marie Tribe of Chippewa Indians
• Optional Client  Management Forms 
  • Dast Screening Tools 
  • Opioid Risk Tools  
  • Recovery Support Interest Assessment Tools 
  • Recovery Support Assessment Tools, Short Version
  • Staying in Touch:  A Fieldwork Manual of Tracking Procedures

Current project funding is provided by U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) and the Michigan Department of Health and Human Services (MDHHS)

• AHC Contacts

• Eva Petoskey, AHC/Behavioral Health Division Director
  (231) 357.4886
  epetoskey@itcmi.org 
• Sheila Hammock, Native Connections/Peer Recovery Support Program Manager
  (906) 632.6896 Ext 131
  shammock@itcmi.org 
• Lisa Corbiere-Moran, Education Manager /Tribal Gambling Disorder Manager
  (906) 632.6896 Ext 126
  lmoran@itcmi.org 
• Amanda Frazier, Data Program Manager/SOR2 Program Manager
  (906) 632.6896 Ext 130
  amanda.frazier@itcmi.org 
• Karen Alexander, A-SPF Program Manager/Evaluation Supervisor
  (906)632.6896 Ext 135
  kalexander@itcmi.org
• Josh Mayo, Epidemiologist
  (906) 632.6896 Ext 129
  jmayo@itcmi.org
• Laura Campbell, Data Coordinator (906)632.6896 Ext.  113                                                 laura.campbell@itcmi.org
• Cody Jodoin,  Education Coordinator  (906)632.6896 Ext.  160                                              cjodoin@itcmi.org