Resources, Data, Forms & Contacts

Resources  

• 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

Forms 

• Forms (Update all forms for providers)
  • Voucher System and Material for Client Management
    • Client Registration Form
    • DAST Screening Tool
    • Opioid Risk Tool
    • Client Consent PHI
    • Client Consent GPRA and Evaluation
    • Recovery Support Interest Assessment Tool
    • Recovery Support Assessment Tools, Short Version
    • Client Screening and Assessment Summary
    • Anishnaabek Healing Circle Service Rates
  • GPRA Form
    • Bay Mills Indian Community 
    • Grand Traverse Band 
    • Hannahville Indian Community 
    • Huron Band of Pottawatomi
    • Keweenaw Bay Indian Community 
    • Lac Vieux Desert Band
    • Little Traverse Bay Band 
    • Little River Band 
    • Match-E-Be-Nash-She-Wish-Potawatomi
    • Pokagon Band of Potawatomi 
    • Saginaw Chippewa Indians 
    • Sault Ste. Marie Tribe 

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 Director
  (231) 357.4886
  epetoskey@itcmi.org
• Sheila Hammock, Peer Recovery 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
• Jenna Holt, Program Manager
  (906) 632.6896 Ext 113
  jholt@itcmi.org
• Karen Alexander, Evaluation Manager
  (906)632.6896 Ext 135
  kalexander@itcmi.org
• Josh Mayo, Associate Evaluation Manager
  (906) 632.6896 Ext 129
  jmayo@itcmi.org