Grant funding has allowed for Jamestown Healing Clinic’s leaders to implement a long-range plan sooner than expected to bring opioid use disorder treatment options to the West End.

Starting Monday, March 4, a retrofitted RV, or mobile medication unit, will travel from Sequim to Clallam County Fire District 5’s fire station at 60 Eagle Crest Way in Clallam Bay. It opens 8:30 a.m.-1 p.m. Monday-Friday for assessments and various medical services.

Molly Martin, executive director of the Healing Clinic at 526 S. Ninth Ave. in Sequim, said they recommend prospective patients call in advance to 360-681-7755 and set up an assessment in either Clallam Bay or Sequim, because assessments can take several hours.

The Healing Clinic opened July 6, 2022, and sees about 160 patients a week for opioid use disorder treatment, who may receive doses of methadone or buprenorphine/naloxone (Suboxone), along with counseling, primary care, dental care and other health services.

Martin said they continue to have an even split of men and women with about 65% of patients from Clallam and Jefferson counties transported to and from the clinic. She estimates a few people come each week from the West End for counseling and other services.

Brent Simcosky, the tribe’s health services director, said the mobile unit offers a closer option for those unable to travel for several hours a day.

“It’s much needed,” he said.

Martin said they hear frequently about the level of unmet need in the Clallam Bay area and that they’ve consistently gotten calls from prospective patients and family members in the West End since the Healing Clinic opened in July 2022.

Jamestown received $1.6 million from the Washington State Healthcare Authority to develop a mobile medication unit that Simscosky said covered most of the vehicle and some training.

Martin said the mobile unit was a long-term goal of tribal leaders and the grant opportunity came about to help combat the opioid crisis.

“It was hard to let a grant go by that could cover much of the cost,” she said.

Simcosky said similarly to the Healing Clinic, they’ve invested a lot into training prior to beginning services.

Mobile unit

The mobile unit was made by Mission Mobile Medical and features an art wrap designed by Jamestown’s Bud Turner.

Inside, it features an exam room, a lab, enclosed medicine dispensary and a counseling area. Each area features walls or screens and noise-cancelling devices to protect privacy.

For a small space, Martin said, it works surprisingly well.

Narcan (Naloxone) will also be given to every patient and available upon request any time, she said.

The mobile unit also features a wheelchair ramp, and a generator in case the power goes out.

Tentatively, the unit will set up next to one of the fire station’s bays, so that patients can relax.

Martin said they plan to stagger patient arrival times, but noted “it’s important to take people when they’re ready to receive care.”

Since the mobile unit is a tribe-owned service, tribal members get priority care.

Following trends at the Healing Clinic, Martin anticipates that some patients will not have seen a primary care physician recently, so they’ll screen for other potential ailments such as high blood pressure, substance use disorder and liver problems.

Martin said mobile unit patients also have access to services at the Healing Clinic, and they plan to arrange for a dentist to do oral screenings in Clallam Bay so they can be seen for treatment, if needed.

The mobile unit will be staffed by nurses, a substance use counselor, a medical provider (a physician’s assistant, physician or nurse practitioner), and a driver/security guard.

Drug Enforcement Administration (DEA) rules mandate that medications be brought back nightly and stored within the Healing Clinic, Martin said.

She added that tribal leaders are looking into options how to safely keep the mobile unit in Clallam Bay overnight.

Demand for services

Tribal leaders are unsure how many patients to expect for the mobile unit.

Martin said 20 patients will make the program sustainable.

Last year, Clallam County experienced 28 confirmed overdose deaths, and 14 suspected overdoses where toxicology or autopsy results are still pending but overdose is likely, reports Dr. Allison Berry, health officer for Clallam and Jefferson counties.

Two-thirds of those overdoses involved an opiate.

“That means that we had the fourth-highest rate of overdose deaths per capita in Washington State,” she said.

“Among those deaths, the West End is over-represented, accounting for 14 percent of overdose deaths even though only 9 percent of our population lives there.”

Berry added that those totals only account for overdoses that resulted in death, but emergency department visits and EMS call totals “are just a fraction of the overdoses out there.”

“We know there is a deep need for more treatment resources on the West End, and we are thankful to the many community leaders who have spoken up and demanded better access for their neighbors,” Berry said.

She said many of her patients travel two-and-a-half hours for treatment when they can get fentanyl a block away.

“In order to get ahead of this epidemic, we have to change that,” she said.

“We at the health department are so grateful to the Jamestown Tribe for stepping in to try to fill some of that gap.”

Martin calls the partnership with the Clallam Bay Fire Department “serendipitous” as they’ve requested support with the opiate epidemic.

“If we can save lives, repair lives and families, then it’s worth it,” Martin said.

Representatives with Clallam County Fire District 5 could not be reached by press time.

In the coming weeks and months, tribal leaders said they plan to outreach to West End agencies, tribes, recovery groups and more to partner on referrals.

Simcosky said they want to collaborate with local providers, such as counselors.

“We want to work with anyone who wants to work with us,” he said.

With medication-assisted treatment, Simcosky said it’s a last resort for some people afflicted with opioid use disorder.

“It’s not rocket science,” he said. “It stops the cravings and that gives (medical professionals) the opportunity to help them with anything going wrong in their life.

“They can’t easily do it when they’re craving opioids. They’ll wake up and go to bed thinking about the cravings.”

For more about the Jamestown Healing Clinic and its medical mobile unit, visit jamestownhealingclinic.org or call 360-681-7755.

Sequim Gazette photo by Matthew Nash/ Inside the mobile medical unit is an enclosed medicine dispensary. Each day, medications are transported to and from Sequim’s Healing Clinic for storage, following federal guidelines.

Sequim Gazette photo by Matthew Nash An exam room and an area for counseling include noise cancelling equipment that provides more privacy between patient appointments inside Jamestown S’Klallam Tribe’s mobile medical unit.

Sequim Gazette photo by Matthew Nash/ An exam room, medicine dispensing room, and an area for counseling include noise cancelling equipment that provides more privacy between patient appointments inside Jamestown S’Klallam Tribe’s mobile medical unit.