Sarah Sense-Wilson, LMHC,CDP, NCGC-I, WSGCC-II Daniel Felizardo, MPA, CDP I. II. III. IV. V. Myths, History and Context Systems of Care Clinical Considerations Clinical Strategies and Techniques Intertribal Coalition 72 Tribes have per capita payments Casino Profits go to Fund tribal government operations and programs Provide general welfare for their members Promote tribal economics Donate to charitable organizations Help fund local government agencies 566 Federally Recognized Tribes 246 Tribes operate 480 gaming facilities 57% of Tribes don’t operate Casinos Every tribe is different Tribal Casino Gambling Tribes… Must establish their own gaming regulatory systems Must solely own Indian casinos Must use net revenue for restricted purposes… https://www.youtube.com/watch?v=B5xVRX LgLxw Inherent Authority to Self Rule and Self Determination Treaties: 1778-1871 Contracts Among Nations Indian tribes have sovereign powers, separate and independent from the federal and state governments. Washington State Gambling Commission Community Awareness Outreach Prevention Intervention Treatment Alumni/Peer Support Tribal Newsletters; articles and advertisements Tribal TV and Radio PSA’s Brochures Flyers Posters Banners Billboards Community Events Conferences Health Fairs Pow-Wows Tournaments Inter/Intra Department Employee Fairs Tribal Sporting events Cultural Gatherings and Celebrations Group Presentations Tribal Schools Youth Programs Elders Programs Housing Programs Domestic violence Programs Schools/Educational Activities Parenting Support Groups Children Services/ICW Consultations Screening Brief Intervention and Referral to Treatment SBIRT Referrals Assessments Individual Counseling Couples Therapy Family Counseling Youth and Adult Groups: Relapse Prevention/Intensive etc. Family Education and Support Consultation Referrals Reservations Urban Rural Suburban Traditional/Ceremonial Activities Seasonal activities; Hunting, Harvesting, Fishing, Fire fighting, Canoe Journey, Sundance, Smokehouse, Sweat Lodge, Native American Church ect… Funerals Per Capita, Payout and Bonuses Seasonal and Traditional income Historical Trauma Traditional Forms of Gambling Tribalism: Collectivistic Values vs. Individualistic (Western) Values Culture of Generational Poverty (Ruby Payne) Level of Acculturation/Assimilation Gift Giving Multiple Relationships Availability of Comprehensive Services Funding for Program Development Access to Spiritual Healer Access to GA or Other Support Groups Housing Protective Payee Systems Orientation Motivational interviewing Family Involvement Cognitive Behavior Therapy Culturally Responsive Brief Intervention Streamline Services Strengths Based Empowerment Food Learn and participate in community People don’t care how much you know until they know how much you care. Age and Generational Influence Developmental Disabilities Acquired Religion and Spiritual Orientation Ethnicity Social Economic Status Sexual Orientation Indigenous Heritage National Origin Gender (Hays 1996) Problem Gambling Services Casino EAP & HR Referrals Therapy Groups Youth Tribal Community Treatment Programs CD/MH Elders Community Outreach Program & Professional Development Program and Resource Sharing Consultation (Clinical and Administrative) Native Voice-national, Regional, and Local Inter-Tribal Collaboration Forum for Discussing Unique Issues and Opportunity in Tribal Communities Books Understanding Native American Culture, Don L Coyhis Every Day Is A Good Day , Reflections by Contemporary Indigenous Women, Wilma ManKiller Beyond Inclusion, Beyond Empowerment ; A development Strategy to liberate Everyone, Leticia Nieto and Margot Boyer For Indigenous Eyes Only ; A decolonization Handbook by Waziyatawin Angela Wilson, and Michael Yellow Bird A Framework for Understanding Poverty , Ruby PayneCulturally Responsive Cognitive-Behavioral Therapy (Hays, Pamela and Gayle Y. Iwamasa 2006) Addressing Cultural Complexities in Practice; A Framework for Clinicians and Counselors (Pamela Hays, PhD 2001) Videos/DVD’s Journey to Forgiveness’ White Bison Once Were Warriors’ Dakota 38 + 2’ The Fighter’ THANK YOU!!!