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THE RECOVERY MOVEMENT As Anishnaabek we have endured a remarkable journey over time carrying the seeds of healing deep in our hearts. The grief and trauma resulting from boarding schools, rapid cultural change, lack of economic opportunity, and loss of land have contributed to the high rates of substance abuse and mental health problems experienced by the Anishnaabek families and communities today.

TRIBAL INITIATIVES The seeds of healing have grown into a strong recovery movement with committed people. Tribal governments have created behavioral health departments along with policies and procedures to guide the delivery of services including indigenous healing services that are integrated with western approaches.

The Anishnaabek Healing Circle ATR has been able to effectively access funding to support this tribal vision for healing. 4 Grand Traverse Band former and current Tribal Council members. One of twelve tribal governments representing the Anishnaabek people of Michigan. (Odawa, Potawatomi, and Ojibwa)

Working with multiple tribes on one project has its own set of challenges. There are multiple ways to collaborate. A shared vision is key to success. 5 Jingle dress dancers, dance for healing. Anishnaabek people of Michigan. (Odawa, Potawatomi, and Ojibwa)

 Vision Statement: “The spiritual strength of our ancestors will live in the hearts of our people.”  The Communication Network  is a group of tribal behavioral  health stakeholders committed to  finding indigenous solutions to substance abuse and behavioral health issues. The group is 30+ years old, meets quarterly at collaborating tribes.

“To advocate for and facilitate the development of indigenous methods for the prevention and treatment of substance abuse and mental health problems based on Anishnaabek values of Love, Respect, Honesty, Bravery, Humility, Truthfulness, and Wisdom; and to evaluate these methods based on indigenous indicators.” ATR is one of SAMHSA’s most effective initiatives.

 With a shared vision and mission, the tribes have moved forward with initiatives that bring the dream of healthy, drug-free communities to life. ATR is one of those successful initiatives.  There are key elements to working successfully with multiple tribes in one project. 8

 The Inter-Tribal Council of Michigan philosophy is to build the capacity of collaborating tribes.  12 tribes and one urban Indian center are the ATR Access & Care Coordination Centers – the gateway into ATR services.  Empowerment implies responsibility: every tribe builds on what resources already exist in their community to meet their own needs.

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TARGET POPULATION Enrolled members of Michigan tribes and other federally recognized, state recognized, and Canadian tribes residing in the project service area, age 12+. Non-native family members and descendants are also eligible. All clients must have a current or past problem with alcohol or other drug abuse. Anishnaabek Healing Circle ATR II: (5228 clients) Anishnaabek Healing Circle ATR III: (8752 target) 11

12 Grand Traverse Band Behavioral Health Services

 Enter into an MOU that spells out roles and responsibilities  Agrees to support ATR goals and objectives  Agrees to collaborate with ITC to enhance and expand ATR services 13

14 Winter Teaching Lodge Behavioral Health Cultural Service Expansion with ATR Saginaw Chippewa Tribe Behavioral Health Residential, Outpatient and Recovery Support Services

COLLABORATION TAKES MANY FORMS Development of Tribal Umbrella recovery support services includes:  Tribal programs & departments other than tribal Behavioral Health, such as recreation, community health care, language and culture, employment and education.  Inclusion of the local recovery community;  Support and/or help to organize local, tribal and regional Recovery activities;  Explore systems change for a recovery oriented system of care

Tribal feedback on collaboration identifies benefits:  Client Choice  Client Empowerment  Client Responsibility  Reduction of Stress/Barriers  Inclusion of cultural values/ceremonies for healing  Holistic care  Recovery Support Services-continuum of care  Identification and reinforcement for long term sobriety  Quarterly BH meetings with State,Tribal BH-support  Quality leadership and development with ATR Directors

Tribal Feedback Enhancement of Recovery Services  Transportation  Special Need Fund  Alcohol Drug testing  Acupuncture  Physical Fitness & Well-being  Traditional Healing Services  Housing support  Medical Care  Alcohol/Drug Free Social Activities

 Building relationships  Taking Time  Sharing stories and dreaming dreams  Including everybody  Forming a Learning Community  Building on community strengths and resiliency  Finding Commonalities  Staying focused on goals

TRIBAL RECOVERY ORIENTED SYSTEMS OF CARE Shifting the model of intervention from acute care of individuals to a sustained recovery management approach relies on partnerships with individuals, families and communities. White & Sanders (2004). ATR II started the “process” of integrating services into a ROSC. ATR III continues that process by identifying key elements to integration.

Readiness to Change and Recovery Tasks ATR Screening, Intake, GPRA Phase I Pre-Treatment Readiness Limited to motivational development and recovery coaching Phase II – Clinical Treatment Full array of clinical and recovery support services Phase III – Aftercare Full array of recovery support services Anishnaabek Healing Circle Phases

Strategies for building our capacity to provide recovery support services include:  A Recovery Coach Curriculum and Certification process  A Recovery Oriented System of Care within our tribal communities  The Recovery Workgroup consists of tribal community members who are in recovery, tribal behavioral health staff (also in recovery), technical assistance providers from SAMHSA, and ATR staff. 21

Strategies  Research materials and adopt/modify/develop a curriculum for Recovery Coach certification  Develop a Cultural Competency Module specific to the needs of the Anishnaabek People of the Three Fires (the target population for ATR). Utilize the module in the RC curriculum and to train ATR network providers  Conduct an Anishnaabek Recovery Coach Institute by April, 2012, in order to train the first cohort of certified recovery coaches from all 12 tribes.  Conduct a training for RC supervisors that includes “how to” integration of non-clinical approaches to recovery management 22

 Identify program qualities that will support a ROSC  Identify program qualities that will support Recovery Coaching  Develop a strategic plan to obtain “buy-in” from tribal behavioral health and health administrations to implement a ROSC in each of 12 tribes in Michigan  Implement the strategic plan to parallel the timeline for certification of the first cohort of Recovery Coaches 23

 Certified Recovery Coaches within each tribal community, who are from each tribal community, who can provide ATR billable recovery management services to the target population.  A Recovery Oriented System of Care that includes programs, people and resources, with the consumer at the center of the circle. x 13 24

Access to Recovery Anishnaabek Healing Circle 2956 Ashmun, Suite A Sault Ste. Marie MI (906) Staff Eva Petoskey, Director ( ) Terri Tavenner, Associate Director Donelda Harper, Training & Audit Specialist Lori McDonald, GPRA & Media Specialist Aagii Clement, Provider Liaison Specialist Connie DePlonty, Voucher Coordinator Cora Gravelle, Call In Center Client Access & Outreach Sheila Hammock, Call In Center Client Access & Follow-up Produced by the Inter-Tribal Council of Michigan with Access to Recovery (ATR) Anishnaabek Healing Circle Grant (1 H79 TI023118) funds from the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Administration (SAMHSA), U.S. Department of Health & Human Services (HHS). Content is solely the responsibility of the authors and does not necessarily represent the official views of the agency. 25