1. Health and Human Services
Cowlitz Indian Tribe
Health and Human Services

2. HHS Administration
Policy and Budgeting Set by Tribal Council and Health Board.
Bill Iyall, Chairman, Cowlitz Indian Tribe
Cassy Reck, Health Board Chair
Steve Kutz, HHS Executive Director
Jim Sherrill, Human Services Director (Acting Deputy Director)
Cowlitz Compacted for Title V
Self Governance in 2011.
Previously, Title I

3. Cowlitz HHS Programs I H S Non-IHS Longview Seattle Vancouver Toledo
Health Clinic
2004
New facility 2011 -
Mental Health – Outpatient
2010
2009
Adult Alcohol/CD - Outpatient
2003
2014
2006
Youth Alcohol/CD – Outpatient
2008
2012
Contract Health Services
2002
CHSDA Counties Include:
Clark, Cowlitz, Columbia (OR), Wahkiakum,
Skamania, Lewis, Thurston, Pierce, King, Kittitas
Indian Child Welfare
Children and Family services
All Washington State
Sexual Assault Advocacy
2005 - 
Domestic Violence Advocacy
2007
Vocational Rehabilitation
Elders Program  -
I H S
Non-IHS

4. Services by Site

5. Cowlitz Tribal Health- Longview

6. Longview- Health Clinic
Redesigned CHS Dollars
Primary Care
Opened Clinic in Longview,
2004 moved to current facility
in 2011
Current Providers:
1 FTE Clinic Manager
1 FTE Medical Director
.1 Physician
1.3 FTE Nurse Practitioner
1 FTE Registered Nurse
1 FTE Health Educator
1 FTE Community Health Representative
.15 FTE Registered Dietician
2 FTE Tribal Assistors
Currently recruiting for an additional 1 FTE Physician

7. Longview- Health Clinic
See all enrolled AI/AN, descendants, some family and employees with billable resource.
300 + Primary Care Visits per month.
About 50% of patients from 150+ tribes.
EHR has been fully implemented. (New enhancements implemented ongoing)

8. Longview- Mental Health
Began providing services in 2004
Provides individual and group therapy for youth and adults; provides family therapy and parenting groups.
Psych ARNP provides medication management and therapy.
Therapists work with local school districts to provide services for AI/AN youth and families.
Clinicians use EHR
CARF Accredited
Current Providers:
1 FTE Program Manager
4 FTE Mental Health Counselors
1.4 FTE Psych ARNP

9. Longview- Chemical Dependency
Began providing services in 2004
Provides adult and youth outpatient alcohol/chemical dependency services
WA State Certified
CARF Accredited
Currently, youth served are primarily non-Native.
Healing of the Canoe (HOC) Prevention curriculum has been developed and is being implemented in (HOC is funded by a county grant)
Counselors use EHR
Current Positions:
1 FTE Program Manager
8 FTE CDPs

10. Longview- Vocational Rehabilitation
Began providing services in 2004
Provides Job Preparedness and Search Support for enrolled members of federally and state recognized tribes from, Clark, Cowlitz, and Lewis Counties.
Must have a documented  disability that is a barrier to employment. (Physical, Mental, Learning, Substance, Etc.)
Helps dozens of AI/AN annually to attain and maintain sustainable employment.
CARF Accredited. Only Tribal 121 Program in the nation with this distinction.
Funded through the Department of Education, Rehabilitation Services Administration.

11. Cowlitz Tribal Health- Seattle
Purchased building in 2014 (Tukwila)

12. Cowlitz Tribal Health- Seattle
We offer co-occurring behavioral health services
3 dual credentialed providers (Mental Health Counselor and Chemical Dependency Professional)
Culture is incorporated into services

13. Seattle- Mental Health
Began providing services in 2010
Provides individual therapy for youth and adults; provides family therapy and parenting groups.
Hired 1 FTE Psych ARNP in December 2015.
Psych ARNP provides medication management and therapy.
Therapists work with local school districts to provide services for AI/AN youth and families.
Therapists conduct several hundred visits per/month
Therapists use EHR
CARF Accredited
Current Providers:
10 FTE Mental Health Counselors
1 FTE Psych ARNP
1 FTE PHD Psych
4 FTE Associate Mental Health Counselors

14. Seattle- Chemical Dependency
Began providing services in 2012
Provides adult and youth outpatient alcohol/chemical dependency services
WA State Certified
CARF Accredited
Working on MOU with School Districts in King County to provide services to AI/AN youth in coordination with current mental health program.
Counselors use EHR
Current Positions:
4 FTE CDPs

15. Cowlitz Tribal Health- Vancouver
Purchased building in 2014

16. Vancouver- Mental Health
Began providing services in 2009
Provides individual and group therapy for youth and adults; provides family therapy and parenting groups.
Psych ARNP provides medication management and therapy.
Therapists work with local school districts to provide services for AI/AN youth and families.
Clinicians use EHR
CARF Accredited
Current Providers:
2 FTE Mental Health Counselors
.6 FTE Psych ARNP

17. Vancouver- Chemical Dependency
Began providing services in 2006
Provides adult and youth outpatient alcohol/chemical dependency services
WA State Certified
CARF Accredited
Counselors use EHR
Current Positions:
2 FTE CDPs

18. Vancouver- Advocacy services “Pathways to Healing” Program
Provides advocacy services for self-identified AI/AN who have been affected by sexual assault, domestic violence, dating violence or stalking.
Serves Clark, Cowlitz, and South Lewis Counties.
Services may include: legal advocacy, education, transitional housing, clothing, transportation, other financial aid, etc.
Programs are funded through Washington State’s Office of Crime Victims Advocacy and the Department of Justice.

19. Toledo- Elders Program
Provides Congregate and Home Delivered Meals to AI/AN in Lewis and Cowlitz Counties.
Provides Transportation, Caregiver Support, Cultural Activities, Trips and More.
Funded through federal Agency on Aging.

20. Indian Child welfare
Staff one ICW Social Worker to manage cases across the state.
Case load ranges between at any given time.
Funded by WA DSHS Contract.
Kids Camp, 2010

21. Contract health services (CHS)
Began providing services in 2004
Serves Cowlitz Indian Tribal Members in the CHSDA.
CHSDA includes: Clark, Cowlitz, Skamania, Wahkiakum, Columbia (OR), Lewis, Thurston, Pierce, King, Kittitas.
Tribe has over 4000 members (About 2000 in CHSDA)
Following WA counties have 300+ members: Clark, Cowlitz, Thurston, Pierce, King.
CHS funds are used to provide specialty services such as optical and dental not available at a tribal clinic.

22. Support for canoe Family

23. Support for canoe Family

24. Support for youth program

25. Support for Youth Program