Sarah Sense-Wilson, LMHC,CDP, NCGC-I, WSGCC-II Daniel Felizardo, MPA, CDP

I. Myths, History and Context II. Systems of Care III. Clinical Considerations IV. Clinical Strategies and Techniques V. 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…

 LgLxw LgLxw  Inherent Authority to Self Rule and Self Determination  Treaties: 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.

 A ge and Generational Influence  D evelopmental  D isabilities Acquired  R eligion and Spiritual Orientation  E thnicity  S ocial Economic Status  S exual Orientation  I ndigenous Heritage  N ational Origin  G ender (Hays 1996)

Tribal Community Casino EAP & HR Referrals YouthElders Community Outreach Treatment Programs CD/MH Therapy Groups Problem Gambling Services

 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 ’  The Fighter’

THANK YOU!!!