TOR Resource Page

Tribal Opioid Response Resources

This is a resource page of training and technical assistance opportunities for groups that have already been awarded grants through the Tribal Opioid Response (TOR) Program. It contains resources that you will find helpful in planning and implementing your tribe's opioid response while also satisfying all SAMHSA grant requirements. We recommend reviewing each of the materials available here closely.

For an overview of the goals and objectives of the TOR program and its requirements, please view our orientation PowerPoint, "Grantee TA Orientation Meeting." A recording of this orientation meeting is also available here.

If you have questions that are not related to training or technical assistance, please contact your Government Program Officer (GPO).

If you do have questions about training or technical assistance, please send an email to or call 319-321-2555.  You can also join us every Wednesday at 3pm CDT for our weekly "Caring and Sharing through Technology" sessions to discuss TA requests by following the link below:


TOR Resources

  1. FAQs: Provision of methadone and buprenorphine for the treatment of Opioid Use Disorder in the COVID-19 Emergency
  2. Indigenous and Strengths-Based Approaches To Address Opioid Misuse
  3. A Collaborative Approach to the Treatment of Pregnant Women with Opioid Use Disorders
  4. Case Study: Supporting Pregnant Women with OUD and their Infants
  5. Prescription Drug Summit Update 2019
  6. Mystic Lake TA Proceedings Document
  7. TOR Implementation Plan
  8. TOR Project Director Job Description
  9. TOR Outreach Director Job Description
  10. TOR Director Interview Questions
  11. 2018 TOR Strategic Activities Planning Template
  12. NEW 2020 TOR Strategic Activities Planning Template
  13. Grantee TA orientation meeting - 10/16/2018 handouts
  14. MAT Policy Example
  15. The Opioid Crisis: Impact on Native American Communities
  16. Your Guide to Integrating HCV Services into Opioid Treatment Programs
  17. NEW Guidance on Spending Your Grant Funds
  18. The American Society of Addiction Medicine's Sample OUD Policy and Procedure Manual


      Specific for American Indian / Alaska Native Communities:

      1. CDC and Indian Country Working Together
      2. SAMHSA Report: Substance Use and Mental Health Issues among US-Born American Indians or Alaska Natives Residing on and off Tribal Lands
      3. TEC's Strategic Planning Toolkit
      4. Guided Imaging Visualization
      5. Native Connections: Opioid Misuse and Overdose Prevention in Native Communities
      6. National Congress of American Indians: Opioid Initiative
      7. National Congress of American Indians Policy research center: Update on the Opioid Epidemic March 2018
      8. National Congress of American Indians Policy research center:  Responding to the Opioid Crisis:  An Update for Tribal Leaders 2017
      9. Northwest Portland Area Indian Health Board: Opioid community resources
      10. National Indian Health Board: Addressing the Opioid Epidemic in American Indian and Alaska Native Communities
      11. Research: Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths Among American Indians and Alaska Natives,Washington,1999 - 2015
      12. Research: Urban-rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017
      13. Research: Characteristics and Current Clinical Practices of Opioid Treatment Programs in the US, Drug Alcohol Dependence, 2019
      14. National Tribal Behavioral Health Agenda
      15. National Congress of American Indians: News and Resources in Indian Country


      Relevant Resources Non-Specific to American Indian / Alaska Native Communities

      1. Addressing Stigma
      2. Guidance for Law Enforcement and First Responders Administering Naloxone
      3. OUD Treatment Overview
      4. USDA Launches Interactive Map of Opioid Epidemic Resources
      5. SAMHSA Opioid Overdose Prevention Toolkit
      6. White House Youth Opioid Prevention Toolkit
      7. Department of Health and Human Services Opioid Toolkit
      8. Suicide Prevention Resource Center: Preventing Opioid Abuse, Overdose and Suicide
      9. Dose of Reality
      10. XR-Naltrexone: A Step-by-Step Guide
      11. IHS HOPE Newsletter October 2019
      12. COVID-19: Potential Implications for Individuals with Substance Use Disorders
      13. Reduce your risk of serious lung disease caused by corona virus by quitting smoking and vaping