PEORIA TOR - PROJECT ABSTRACT SUMMARY AN INDIGENOUS DEFINITION OF HEALTH IS . . . NOT JUST THE PHYSICAL WELL-BEING OF AN INDIVIDUAL, BUT REFERS TO THE SOCIAL, EMOTIONAL, AND CULTURAL WELL-BEING OF THE WHOLE COMMUNITY IN WHICH EACH INDIVIDUAL IS ABLE TO ACHIEVE THEIR FULL POTENTIAL AS A HUMAN BEING THEREBY BRINGING ABOUT THE TOTAL WELL-BEING OF THEIR COMMUNITY. AMERICAN INDIAN AND ALASKA NATIVE COMMUNITIES ARE AWARE OF THE PHYSICAL HEALTH CHALLENGES OF THEIR PEOPLE, BUT THERE ARE ALSO BEHAVIORAL HEALTH CHALLENGES THAT ARE OFTEN MORE DIFFICULT TO DISCUSS AND THAT ALSO IMPACT OVERALL HEALTH AND WELL-BEING. THESE BEHAVIORAL HEALTH CHALLENGES ARE ASSOCIATED WITH INCREASED EXPOSURE TO TRAUMA, DEPRESSIVE SYMPTOMS, SUBSTANCE MISUSE, AND SUICIDAL THOUGHTS.1 IN AN EFFORT TO EXAMINE AND PRIORITIZE BEHAVIORAL HEALTH QUALITY PREVENTION, TREATMENT AND RECOVERY ELEMENTS, THE PEORIA TRIBE OF INDIANS OF OKLAHOMA WILL SERVE TRIBAL CITIZENS RESIDING IN OTTAWA COUNTY, OKLAHOMA (POPULATIONS OF FOCUS AND GEOGRAPHIC CATCHMENT AREA). PROPOSED IMPLEMENTATION APPROACH: EACH ACTIVITY WITHIN THE PEORIA PEER RECOVERY SUPPORT SERVICES PROGRAM SUPPORTS THE NATIONAL TRIBAL BEHAVIORAL HEALTH AGENDA'S CULTURAL WISDOM DECLARATION AND INCLUSION OF ANCESTRAL CULTURAL KNOWLEDGE, WISDOM, CEREMONY, AND PRACTICES OF AMERICAN INDIAN AND ALASKA NATIVE TRIBES. THROUGH A ROBUST PROGRAM, WE WILL ADDRESS THE OPIOID OVERDOSE CRISIS BY INCREASING ACCESS TO FDA-APPROVED MEDICATIONS FOR THE TREATMENT OF OPIOID USE DISORDER (GOAL ONE) AND SUPPORT THE CONTINUUM OF PREVENTION, HARM REDUCTION, TREATMENT, AND RECOVERY SUPPORT SERVICES FOR OPIOID USE DISORDER AND CO-OCCURRING SUBSTANCE USE DISORDERS (GOAL TWO). OVER THE SPAN OF FIVE YEARS, WE ANTICIPATE 1,101 UNDUPLICATED INDIVIDUALS WILL BE SERVED WITH AWARD FUNDS (58 THROUGH TREATMENT SERVICES, 88 THROUGH RECOVERY SUPPORT SERVICES, 850 THROUGH PREVENTION SERVICES, 60 THROUGH HARM REDUCTION SERVICES, AND 45 THROUGH GPRA/SPARS TARGET).