Fort Peck Tribal Harm Reduction Program Kristofer FourStar

The Need HCV in prenatal population 2003-2005 VHIP 2005-2006 HCV Study 5.1% of childbearing age were positive for HCV 2008 Outbreak investigation Requested by the Tribe IHS-DEDP (Division of Epidemiology and Disease Prevention) CDC

Decision on Needle Exchange No rural reservation program Harm Reduction Physiology Native orientated Kept focus on HCV Where to start? Talk with active users, 51 target

Tribal Council

Law Enforcement Tribal, City, County, DEA “Anything you can do to keep our officers safe we are supportive of.” MOU – Memorandum of Understand

Operations 100% outreach IHS disposed of Sharps Multiple Grants funded Texting 1 for 1 Close to 100 primary clients 2 workers IHS disposed of Sharps Multiple Grants funded Operational for 18 months, January 2011 Distributed ~8000 needles, collected ~9,000 needles

It’s BACK!!!!

Next Steps – Post Ban Lift Collaborations with IHS & County Possible fixed site location(s) Secure source of funding

Next steps – Beyond Prevention Hepatitis C Task Force Project ECHO at Fort Peck IHS (Brad Moran) – 1st non-New Mexico location Tribal Health & IHS Coordination of care Targeted Testing & Community Based Screening Non-existent since VHIP 2005

Questions? Thank you Kristofer FourStar kfourstar@nemont.net

Q&A and Discussion Please submit your questions for the panelists using the chat function in the webinar, or by emailing tbroder@nvhr.org A copy of this recording and the slides will be sent to everyone who registered and posted on www.nvhr.org Thank you for your participation!