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

Tribal Opioid Response (TOR)

Program Description

  • Tribal Opioids Response (TOR) is a two-year funded program through Substance Abuse and Mental Health Services Administration (SAMHSA) grant no. 1H79TI083252 awarded to the Rocky Mountain Tribal Leaders Council (RMTLC) to address the opioid crisis in Indian Country. The goal is to increase access to culturally appropriate and evidence-based treatment services to reduce the unmet treatment need and opioid overdose-related deaths through prevention, treatment, and recovery support services.
  • Collaborative partnerships with Urban Indian Health Centers and Little Shell Tribe to address the unmet need.

Previous Work

  • Workforce Development: Rocky Mountain Tribal communities TOR grantees and chemical dependency staff for opioids strategic planning and MAT treatment training. Weekly TA/discussion calls.
  • Cultural Activities/Prevention: Ceremonies and teachings
  • Harm Reduction: Partnered with Riverstone Health and The Open Aid Alliance for naloxone distribution, syringe exchange, referral, and testing.


    • Update strategic plan for Rocky Mountain region to address the opioids crisis facing Indian Country. Partners include States, Tribal Nations, Urban, and private entities that serve AI/AN populations in Montana and Wyoming.
    • Implement and support workforce development in Tribal and Urban communities by developing strategies to purchase, disseminate, and train for overdose-related prevention through MAT services and naloxone.
      • prioritize evidence-based MAT services in Urban Health Centers that serve AI/ANs to reduce prevalence of opioid misuse
      • Addressing barriers in receiving MAT services Referrals to medical and recovery support services
    • Support Prevention Activities in Urban communities by syringe exchanges and prescription drug disposal programs and/or naloxone distribution.
    • Develop culturally appropriate awareness and educational materials to increase opioids literacy for youth and elders’ outreach and engagement activities communication and messaging strategies
    • Promote cultural/spiritual activities for AI/ANs by hosting various cultural activities (i.e., sweat lodges, talking circles, spiritual recovery sessions, connecting individuals to Tribal healers, etc.)
    • Evaluate TOR program’s impact in the region.


RMTLC TOR Strategic Plan

The Tribal Opioid Response Strategic Plan Rocky Mountain Region 2020-2022 was produced by the Rocky Mountain Tribal Leaders Council (RMTLC) Tribal Opioid Response (TOR) project with funding from the Substance Abuse and Mental Health Services Administration (SAMHSA) Tribal Opioid Response grant (award no. 6H79TI083252).

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Opioids – The Body and the Brain

In the human body, we have natural pain killers known as endorphins. Endorphins work in our body for pain relief, calmness, and happy feelings.

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Harm, Reduction, and Overdose Prevention strategies

Harm Reduction is a person-centered approach that uses strategies to reduce the harms of substance use.

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Opioid Overdose Signs & Symptoms

Did you know American Indians and Alaskan Natives have the second highest opioid overdose rates (15.7 per 100,000 people) than all other US racial/ethnic groups?

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Opioid Use Disorder

Infographic of signs and symptoms.

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Opioid Misuse: Help is Available

Knowing reduces opioids impact among our people.

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A class of drugs that speeds up signals between the brain and body.

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Stimulants: Addiction on the Brain

All substances impact the brain in the same locations.

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Stimulant Misuse Disorder

Learn the signs and symptoms of stimulant misuse disorder.

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Prescription medication disposal product from safe removal from a home of prescription medications.


Opioid Information and Prevention

Support and Harm Reduction

Tribal Opioid Response Program - Nutrition 101 PowerPoint Series

Nutrition 101: Part 1

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Nutrition 101: Part 2

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Nutrition 101: Part 3

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Nutrition 101: Part 4

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Recovery and Nutrition

Key Staff