2929 3rd Ave N, Ste 300, Billings, MT 59101 - (406) 252-2550

Tribal Opioid Response (TOR)

Program Description

The Tribal Opioid Response (TOR) project serves to address the opioid epidemic in Yellowstone County and Urban Natives living in Yellowstone county through overdose prevention, workforce development and awareness.

TOR is funded through a two-year grant from SAMHSA and is currently in its second year

Current Projects

Workforce development through trainings provided in Billings and open to all providers locally and regionally. Topics include MAT and SUD best practices, DEA certification for prescribers, SSP best practices for syringe service programs and Naloxone distribution.

RMTLC TOR hosted two trainings last year in Collaboration with the Montana Primary Care Association and The National Indian Health Board and will be hosting additional trainings this year.  Trainings focused on best practices, Integrated Behavioral Health and the Tribal Behavioral Health Action.


Currently and set to launch March of 2020 is the (SSP) Syringe Service Program provided through and in partnership with Riverstone Health and Open Aid Alliance. Included in these harm reduction services is STI/HIV/HCV testing, Safe Syringe distribution and the distribution of Naloxone for the reversal of Opioid overdose.  Native Clients in the program seeking treatment will be referred to the Urban Clinic for treatment or other appropriate providers depending on the needed level of care.

  • Community Partnerships for prevention and treatment
  • Substance Abuse Connect
  • United Way of Billings
  • Billings Area Urban Native Health Clinic
  • Open Aid Alliance
  • SUD Task Force (DPHHS) Helena
  • Riverstone Health
  • Montana Primary Care Association
  • National Indian Health Board