Behavioral Health

Contact Us

Phone: 509-606-2764
Toll-Free: 888-258-8903
Toll-Free Fax: 888-722-4146
Fax: 509-258-4480

Hours of Operation:
Monday – Friday
8:00a – 4:30p

2024 Holiday Schedule

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Our Mission:

To provide comprehensive behavioral health services that improve and support the mental, emotional, spiritual health, and wellbeing of American Indians, Alaska Natives, and residents of the surrounding communities while honoring and integrating culture, language, and a trauma informed approach.

The Team at Behavioral Health Values the Meaning of Confidentiality

We understand the need for strict confidentiality in a small community. Our counselors and staff are trained to manage your confidential information in accordance with all State and Federal laws. We honor your privacy when we’re in the community, at home, and in our offices at Health and Human Services. We strive to create a safe environment where you have confidence that your health related information is secure.

Behavioral Health Services and Resources

Substance Abuse Services

Detox Referral
Medication Assisted Treatment
DUI Assessment and Referral
Substance Use Disorder Assessment and Referral
Level 1.0 Outpatient Services
- Individual Counseling
- Group Counseling
Prevention
Wellbriety

Resources and Important Documents

Assessment and Diagnosis

Our program provides comprehensive bio/psycho/social assessments and evaluations to diagnose and treat mental health disorders.

Any Mental Illness

Any mental illness (AMI) is defined as a mental, behavioral, or emotional disorder. AMI can vary in impact, ranging from no impairment to mild, moderate, and even severe impairment (e.g., individuals with serious mental illness as defined below).

Serious Mental Illness

Serious mental illness (SMI) is defined as a mental, behavioral, or emotional disorder resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities. The burden of mental illnesses is particularly concentrated among those who experience disability due to SMI.

Mental health assessments are designed to:

diagnose mental health conditions such as anxiety, depression, schizophrenia, postnatal depression, eating disorders and psychotic illnesses
differentiate between mental and physical health problems
assess a person referred because of problems at school, work or home.

Things to consider before your assessment:

What kind of symptoms are you experiencing? (physical/emotional/both)
What are the thoughts, feelings or behaviors that have been troubling you?
Has a particular event, such as the death of a loved one, brought on these symptoms?
How often do you have the symptoms and what are you doing when you have them?
How long do the symptoms last?

DUI Assessment and Referral

Overview:
DUI (Driving Under the Influence) Assessment and Referral services are a critical component of the legal and rehabilitative process for individuals charged with DUI offenses. Based on Washington Administrative Code (WAC), these services are designed to evaluate an individual’s substance use and determine the most appropriate treatment or intervention needed.

What is a DUI Assessment?
A DUI assessment is a thorough evaluation conducted by a certified professional to determine the extent of an individual’s substance use issues and the impact on their driving. This assessment typically includes:
– Clinical Interview: An in-depth discussion about the individual’s substance use history, driving record, and personal circumstances.
– Standardized Screening Tools: Use of validated tools to assess the severity of substance use and related behaviors.
– Collateral Information: Gathering additional information from sources such as family members, employers, or law enforcement to provide a comprehensive view of the individual’s situation.

Referral Services:
Based on the assessment results, the individual may be referred to appropriate treatment or intervention programs, which can include:
– Outpatient Treatment: Structured counseling and therapy sessions designed to address substance use issues while allowing the individual to maintain daily responsibilities.
– Intensive Outpatient Programs (IOP): More intensive treatment involving several hours of therapy each week.
– Inpatient Treatment: Residential programs providing 24/7 support and intensive therapy.
– Education Programs: Courses designed to educate individuals about the dangers of substance use and driving under the influence.
– Support Groups: Peer-led groups offering ongoing support and encouragement for maintaining sobriety.

Cultural Sensitivity in a Rural Native American Community:
In a rural Native American community, DUI Assessment and Referral services are provided with a deep respect for cultural values and traditions. The program aims to:
– Respect Cultural Identity: Incorporate culturally relevant practices and beliefs into the assessment and treatment process.
– Community Engagement: Involve tribal leaders and community members in the design and implementation of programs to ensure they are culturally appropriate and effective.
– Holistic Approach: Address not only the substance use issues but also the underlying social, emotional, and spiritual needs of the individual.

By adhering to WA state WAC guidelines 246-341-0820 and integrating culturally sensitive practices, DUI Assessment and Referral services in a rural Native American community provide a comprehensive and respectful approach to addressing substance use and promoting recovery.

Substance Use Disorder (SUD) Assessment and Referral

Overview:

When seeking help for substance use disorder (SUD) at our agency located on the Spokane Indian Reservation, it is important for clients and their families to understand the assessment process. This initial step is crucial in developing a comprehensive treatment plan tailored to the individual’s needs. Our agency adheres to the Washington Administrative Code (WAC) regulations as defined in WAC 246-341 to ensure a thorough, respectful, and culturally sensitive assessment process.

Purpose of the Assessment:

The primary goal of the SUD assessment is to evaluate the extent of substance use, identify any co-occurring mental health conditions, and develop a personalized treatment plan. This process involves gathering detailed information about the client’s substance use history, current behavior, and overall health.

What to Expect During the Assessment:

Initial Intake:

– Scheduling: The assessment begins with scheduling an appointment. Our staff will work with you to find a convenient time and explain what documents or information you may need to bring.

– Welcome and Orientation: Upon arrival, you will be greeted by our staff and provided with an overview of the assessment process. We aim to create a welcoming and supportive environment.

Confidentiality and Consent:

– Privacy: Your privacy and confidentiality are of utmost importance. All information shared during the assessment is protected by law and will not be disclosed without your consent, except in cases required by law (e.g., harm to self or others).

– Consent Forms: You will be asked to sign consent forms allowing us to conduct the assessment and share necessary information with relevant healthcare providers and family members, as appropriate.

Comprehensive Interview:

– Substance Use History: The counselor will ask detailed questions about your substance use, including the types of substances used, frequency, duration, and patterns of use. Honest and accurate responses are crucial for an effective assessment.

– Medical and Mental Health History: You will be asked about your medical history, including any past or current mental health conditions, medications, and treatments. This helps identify any co-occurring disorders that need to be addressed.

– Social and Family History: Questions about your family background, living situation, education, employment, and relationships will be discussed to understand the broader context of your substance use.

Screening Tools and Questionnaires:

– Standardized Tools: You may be asked to complete standardized screening tools and questionnaires that help assess the severity of substance use and identify any underlying mental health issues.

Family Involvement:

– Family Interviews: With your consent, family members may be invited to participate in the assessment process. Their insights can provide valuable information about your substance use and its impact on your relationships and daily life.

– Support and Education: Family members will be provided with education about substance use disorders and the treatment process. This helps them understand what to expect and how they can support you during recovery.

Developing the Treatment Plan:

– Assessment Results: Based on the information gathered, the counselor will work with you to develop a personalized treatment plan. This plan will outline the recommended level of care, treatment goals, and specific interventions.

– Cultural Integration: Our agency respects and integrates Spokane Tribe cultural values and traditions into the treatment plan. Traditional healing practices, such as talking circles, sweat lodges, and involvement of tribal elders, may be incorporated.

Next Steps:

– Treatment Referrals: If needed, referrals to additional services such as detoxification, inpatient treatment, outpatient programs, or mental health services will be made.

– Ongoing Support: You will receive information about ongoing support and follow-up appointments to monitor your progress and adjust the treatment plan as necessary.

Conclusion:

The assessment for substance use disorder at our agency on the Spokane Indian Reservation is a comprehensive, respectful, and culturally sensitive process. By adhering to Washington State regulations and integrating traditional practices, we aim to provide a supportive environment for clients and their families. Understanding what to expect during the assessment helps set the stage for a successful recovery journey. If you have any questions or concerns, our staff is here to assist you every step of the way.

Referral to Detox

A referral to detox services is a crucial step in the recovery process for individuals struggling with substance abuse. In a client-centered, Native American substance abuse program, this referral aims to provide specialized medical and emotional support during the initial phase of withdrawal from substances.

What is Detox?

Detoxification, or detox, is the process of allowing the body to remove harmful substances while managing withdrawal symptoms safely and comfortably. This step is often necessary before beginning more comprehensive treatment for substance use disorders.

How Can Detox Services Help?

Medical Supervision: Detox services provide 24/7 medical supervision to ensure the safety and well-being of the client as their body clears itself of substances.
Symptom Management: Professional staff can manage withdrawal symptoms through medication and supportive care, reducing discomfort and preventing complications.
Emotional Support: Clients receive emotional support from trained counselors who understand the cultural and personal challenges faced during detox.
Preparation for Treatment: Detox is the first step towards long-term recovery. It prepares clients for subsequent treatment phases, such as counseling, therapy, and rehabilitation programs.
Client-Centered Approach: In a small, Native American substance abuse program, detox services are tailored to respect cultural values and traditions, ensuring that the client’s cultural identity and needs are honored throughout the process.

By referring clients to detox services, the program ensures they receive the essential medical care and support needed to begin their journey to recovery in a safe and supportive environment.

Medication Assisted Treatment (MAT)

Overview:

Medication Assisted Treatment (MAT) combines the use of FDA-approved medications with counseling and behavioral therapies to treat substance use disorders (SUD). This holistic approach is particularly effective for opioid and alcohol use disorders. In a Native American community on the Spokane Indian Reservation, MAT is tailored to respect cultural values and integrate traditional healing practices, offering a comprehensive pathway to recovery.

Benefits of MAT:

– Holistic Approach: MAT addresses the physical, emotional, and behavioral aspects of addiction.

– Reduced Cravings and Withdrawal Symptoms: Medications help manage cravings and withdrawal symptoms, making it easier for individuals to focus on their recovery.

– Improved Treatment Retention: Combining medication with counseling and support increases the likelihood of sustained recovery.

– Decreased Risk of Relapse: MAT reduces the risk of relapse by stabilizing brain chemistry and supporting behavioral change.

Medications Used in MAT:

Methadone:

– Benefits:

– Reduces opioid cravings and withdrawal symptoms.

– Blocks the euphoric effects of opioids.

– Long-acting medication, typically taken once daily.

– Risks:

– Potential for misuse and dependence.

– Side effects may include constipation, drowsiness, and respiratory depression.

– Requires daily visits to a certified clinic, which can be challenging in rural areas.

Buprenorphine (Suboxone, Subutex):

– Benefits:

– Reduces cravings and withdrawal symptoms.

– Lower potential for misuse compared to methadone.

– Can be prescribed by

certified healthcare providers and taken at home, increasing accessibility.

– Risks:

– Potential for misuse, although less than methadone.

– Side effects may include headache, nausea, and insomnia.

– Requires careful monitoring to ensure proper dosage and minimize risks.

Naltrexone (Vivitrol):

– Benefits:

– Blocks the euphoric effects of opioids and alcohol, reducing the incentive to use.

– Non-addictive and no potential for misuse.

– Available as a monthly injection (Vivitrol) or daily pill.

– Risks:

– Requires complete detoxification before starting, which can be challenging.

– Side effects may include nausea, headache, and fatigue.

– Individuals must be committed to regular follow-ups for injections.

Disulfiram (Antabuse) for Alcohol Use Disorder:

– Benefits:

– Creates an aversive reaction to alcohol, discouraging use.

– Supports abstinence by reinforcing negative effects when alcohol is consumed.

– Risks:

– Potential for severe reactions if alcohol is consumed, including nausea, vomiting, and cardiovascular complications.

– Side effects may include drowsiness, headache, and metallic taste.

– Requires strong commitment and compliance to avoid accidental alcohol intake.

Acamprosate (Campral) for Alcohol Use Disorder:

– Benefits:

– Helps maintain abstinence by stabilizing brain chemistry.

– Reduces cravings and withdrawal symptoms.

– Risks:

– Requires adherence to a three-times-daily dosing schedule.

– Side effects may include diarrhea, anxiety, and insomnia.

– Not effective for individuals who are still drinking when starting the medication.

Integrating MAT in a Native American Community:

Cultural Sensitivity and Respect:

– Incorporating Traditions: Integrate traditional healing practices, such as talking circles, sweat lodges, and spiritual guidance, alongside MAT. This holistic approach aligns with cultural values and promotes overall wellbeing.

– Community Involvement: Engage tribal leaders, elders, and community members in the design and implementation of MAT programs to ensure they are culturally appropriate and supported.

Accessible and Supportive Care:

– Local Healthcare Providers: Train and certify local healthcare providers to prescribe and monitor MAT, ensuring accessibility within the community.

– Transportation Solutions: Address transportation challenges in rural areas by offering mobile clinics or telehealth services for follow-up appointments and support.

Education and Awareness:

– Community Education: Conduct educational sessions to inform the community about the benefits and risks of MAT, reducing stigma and encouraging acceptance.

– Family Involvement: Involve family members in the treatment process to provide additional support and reinforce recovery efforts.

Conclusion:

Medication Assisted Treatment (MAT) offers a comprehensive and effective approach to treating substance use disorders in the Native American community on the Spokane Indian Reservation. By combining FDA-approved medications with culturally sensitive counseling and support, MAT addresses the multifaceted nature of addiction. Integrating traditional practices, ensuring accessibility, and fostering community involvement are key to the success of MAT in promoting long-term recovery and overall wellbeing.

Level 1.0 Outpatient Services

Overview:

Level 1.0 Outpatient Services are a fundamental component of substance abuse treatment programs, providing flexible and accessible care for individuals on the Spokane Indian Reservation. These services are designed to support individuals in their recovery journey while allowing them to maintain their daily responsibilities and stay connected to their community.

What is Level 1.0 Outpatient Services?

Level 1.0 Outpatient Services offer structured, yet less intensive, treatment for substance use disorders. This level of care is ideal for individuals who do not require 24/7 supervision and can benefit from a supportive treatment environment while continuing to live at home.

Key Features:

Individual Counseling:

– Personalized sessions with trained counselors to address the unique challenges and needs of everyone. These sessions focus on developing coping strategies, enhancing motivation, and setting recovery goals.

Group Therapy:

– Facilitated group sessions provide peer support, encourage shared experiences, and foster a sense of community. Group therapy helps individuals build social skills, gain different perspectives, and feel less isolated in their recovery journey.

Education and Skills Training:

– Educational workshops and skills training sessions cover topics such as relapse prevention, stress management, and healthy lifestyle choices. These sessions empower individuals with the knowledge and tools needed for long-term recovery.

Cultural Integration:

– Incorporation of Spokane Tribe cultural values and traditions into treatment plans, ensuring that services are culturally relevant and respectful. This includes the use of traditional healing practices, involvement of tribal elders, and community support.

Flexible Scheduling:

– Services are designed to accommodate individuals’ schedules, making it easier for them to attend sessions without disrupting their daily lives, work, or family commitments.

Family Involvement:

– Encouragement of family participation in the treatment process to provide additional support and strengthen family bonds. Family therapy sessions and educational programs help families understand substance use disorders and learn how to support their loved ones effectively.

Benefits:

– Accessibility: Outpatient services provide easy access to treatment for individuals living on the Spokane Indian Reservation, minimizing barriers to receiving care.

– Community Support: Staying within the community allows individuals to receive support from their social networks, enhancing the recovery process.

– Continuity of Care: Level 1.0 services offer ongoing support and monitoring, helping individuals maintain progress and prevent relapse.

Conclusion:

Level 1.0 Outpatient Services on the Spokane Indian Reservation offer a comprehensive, culturally sensitive approach to substance abuse treatment. By providing flexible, supportive care within the community, these services empower individuals to achieve and sustain recovery while honoring their cultural heritage.

Individual Counseling

Overview:

Individual counseling is a cornerstone of substance use disorder (SUD) treatment, providing personalized support and guidance. In the context of a Native American SUD program on the Spokane Indian Reservation, individual counseling is tailored to address the unique cultural, social, and emotional needs of Native American clients. This personalized approach fosters a deeper connection to the client’s cultural heritage and promotes holistic healing.

Benefits of Individual Counseling:

Culturally Relevant Treatment:

– Cultural Sensitivity: Counselors incorporate Native American traditions, values, and beliefs into the counseling process. This culturally sensitive approach helps clients feel understood and respected, enhancing their engagement in treatment.

– Traditional Practices: Integration of traditional healing practices, such as talking circles, sweat lodges, and spiritual guidance from tribal elders, complements conventional therapeutic techniques, providing a holistic approach to recovery.

Personalized Care:

– Individualized Treatment Plans: Counseling sessions are tailored to meet the specific needs of each client, addressing their unique experiences, challenges, and goals. This personalized care ensures that treatment is relevant and effective.

– Flexible Approach: Counselors can adapt their methods to suit the client’s progress and changing needs, ensuring that the treatment remains responsive and supportive throughout the recovery journey.

Building Trust and Rapport:

– Confidential and Safe Environment: One-on-one counseling provides a private and confidential setting where clients can freely express their thoughts and feelings without fear of judgment. This safe space is crucial for building trust and rapport between the client and counselor.

– Consistent Support: Regular counseling sessions offer consistent support and guidance, helping clients navigate the ups and downs of recovery with a trusted ally by their side.

Addressing Underlying Issues:

– Trauma-Informed Care: Many Native American clients may have experienced historical and intergenerational trauma. Individual counseling provides a platform to explore and address these deep-seated issues, which are often linked to substance use.

– Mental Health Support: Counselors can identify and treat co-occurring mental health disorders, such as depression and anxiety, that may be contributing to substance use. This comprehensive approach ensures that all aspects of the client’s wellbeing are addressed.

Developing Coping Skills:

– Relapse Prevention: Counselors work with clients to develop effective coping strategies and relapse prevention plans. These tools empower clients to manage triggers and stressors without resorting to substance use.

– Life Skills Training: Sessions may include training in essential life skills, such as communication, problem-solving, and stress management, which are crucial for maintaining long-term recovery.

Empowerment and Self-Efficacy:

– Goal Setting and Achievement: Individual counseling helps clients set realistic and achievable goals for their recovery. As clients reach these milestones, they build confidence and a sense of accomplishment, reinforcing their commitment to sobriety.

– Self-Discovery and Growth: Counseling encourages clients to explore their identity, values, and strengths. This self-discovery process fosters personal growth and empowers clients to take control of their recovery journey.

Strengthening Family and Community Ties:

– Family Involvement: Counselors can facilitate family therapy sessions to address family dynamics and strengthen support systems. Involving family members in the treatment process helps rebuild trust and fosters a supportive home environment.

– Community Connection: Counseling encourages clients to reconnect with their community and cultural heritage, providing a sense of belonging and purpose that supports long-term recovery.

Conclusion:

Individual counseling in a Native American SUD program on the Spokane Indian Reservation offers numerous benefits, from culturally relevant treatment and personalized care to trauma-informed support and skill development. By addressing the unique needs of Native American clients and fostering a holistic approach to healing, individual counseling empowers clients to achieve and sustain recovery, strengthening both their personal wellbeing and their connection to their community.

Group Counseling

Overview:

Group counseling is an integral component of substance use disorder (SUD) treatment, offering a communal approach to recovery. In a Native American SUD program on the Spokane Indian Reservation, group counseling sessions are designed to honor cultural traditions and foster a sense of community, support, and shared healing among participants. This collaborative environment enhances the recovery process by leveraging the collective strength and wisdom of the group.

Benefits of Group Counseling:

Cultural Relevance and Respect:

– Cultural Sensitivity: Group counseling incorporates Native American traditions, values, and healing practices. This culturally sensitive approach ensures that participants feel understood and respected, fostering greater engagement and comfort.

– Traditional Healing Practices: Elements such as talking circles, storytelling, and the involvement of tribal elders are integrated into group sessions, providing a holistic approach to healing that resonates with participants’ cultural backgrounds.

Peer Support and Shared Experiences:

– Community Building: Group counseling creates a supportive community where individuals can share their experiences, challenges, and successes. This sense of belonging is particularly important in Native American cultures, where community and kinship are highly valued.

– Shared Understanding: Participants benefit from the shared understanding and empathy of peers who have faced similar struggles. This mutual support helps reduce feelings of isolation and stigma associated with substance use disorders.

Learning and Growth:

– Knowledge Sharing: Group sessions provide a platform for participants to share knowledge, coping strategies, and insights. Learning from peers who have navigated similar paths enhances individual understanding and fosters personal growth.

– Skill Development: Group counseling often includes educational components that cover topics such as relapse prevention, stress management, and communication skills. These sessions equip participants with valuable tools for managing their recovery.

4. Increased Motivation and Accountability:

– Collective Motivation: Witnessing the progress and commitment of peers can inspire and motivate participants to stay committed to their recovery goals. The group’s collective energy reinforces individual determination.

– Accountability: Group members hold each other accountable for their actions and progress. This accountability encourages participants to remain dedicated to their treatment plans and make positive choices.

Safe and Supportive Environment:

– Safe Space: Group counseling provides a safe and non-judgmental environment where participants can express their thoughts and feelings openly. This emotional safety is crucial for healing and personal growth.

– Emotional Support: Group members offer emotional support and encouragement, helping each other navigate the ups and downs of recovery. This support network is invaluable for maintaining long-term sobriety.

Enhanced Communication Skills:

– Improved Interaction: Participating in group sessions helps individuals improve their communication and social skills. These enhanced skills are beneficial for rebuilding relationships and integrating back into the community.

– Conflict Resolution: Group counseling teaches participants effective conflict resolution techniques, which are essential for managing interpersonal challenges both within and outside the group setting.

Holistic Healing:

– Mind, Body, and Spirit: Group counseling in a Native American SUD program emphasizes holistic healing, addressing the physical, emotional, mental, and spiritual aspects of recovery. This comprehensive approach aligns with traditional Native American views of health and wellness.

– Cultural Connection: Reconnecting with cultural practices and traditions during group sessions fosters a sense of identity and belonging, which supports overall wellbeing and recovery.

Family and Community Involvement:

– Family Support: Some group sessions may include family members, helping to rebuild and strengthen family bonds. Family involvement provides additional support and reinforces the recovery process.

– Community Integration: Group counseling encourages participants to engage with and contribute to their community, fostering a sense of purpose and responsibility.

Conclusion:

Group counseling in a Native American SUD program on the Spokane Indian Reservation offers numerous benefits, including cultural relevance, peer support, skill development, and holistic healing. By creating a supportive and culturally sensitive environment, group counseling helps participants build strong, positive connections with their peers, families, and community, enhancing their recovery journey and promoting long-term sobriety.

Psychiatry

Psychiatry is the branch of medicine focused on the diagnosis, treatment and prevention of mental, emotional and behavioral disorders.

A psychiatrist is a medical doctor (an M.D. or D.O.) who specializes in mental health, including substance use disorders. Psychiatrists are qualified to assess both the mental and physical aspects of psychological problems.

People seek psychiatric help for many reasons. The problems can be sudden, such as a panic attack, frightening hallucinations, thoughts of suicide, or hearing “voices.” Or they may be more long-term, such as feelings of sadness, hopelessness, or anxiousness that never seem to lift or problems functioning, causing everyday life to feel distorted or out of control.

Psychiatrists use a variety of treatments – including various forms of talk therapy, medications, psychosocial interventions and other treatments (such as electroconvulsive therapy or ECT), depending on the needs of each patient.

Psychotherapy, sometimes called talk therapy, is a treatment that involves a talking relationship between a therapist and patient. It can be used to treat a broad variety of mental disorders and emotional difficulties. The goal of psychotherapy is to eliminate or control disabling or troubling symptoms so the patient can function better. Depending on the extent of the problem, treatment may take just a few sessions over a week or two or may take many sessions over a period of years. Psychotherapy can be done individually, as a couple, with a family, or in a group.

There are many forms of psychotherapy. There are psychotherapies that help patients change behaviors or thought patterns, psychotherapies that help patients explore the effect of past relationships and experiences on present behaviors, and psychotherapies that are tailored to help solve other problems in specific ways. Cognitive behavior therapy is a goal-oriented therapy focusing on problem solving. Psychoanalysis is an intensive form of individual psychotherapy which requires frequent sessions over several years.

Most medications are used by psychiatrists in much the same way that medications are used to treat high blood pressure or diabetes. After completing thorough evaluations, psychiatrists can prescribe medications to help treat mental disorders. While the precise mechanism of action of psychiatric medications is not fully understood, they may change chemical signaling and communication within the brain, which may reduce some symptoms of psychiatric disorders. Patients on long-term medication treatment will need to meet with their psychiatrist periodically to monitor the effectiveness of the medication and any potential side effects.

Class of Medications

Antidepressants – used to treat depression, panic disorder, PTSD, anxiety, obsessive-compulsive disorder, borderline personality disorder and eating disorders.
Antipsychotic medications – used to treat psychotic symptoms (delusions and hallucinations), schizophrenia, bipolar disorder.
Sedatives and anxiolytics – used to treat anxiety and insomnia.
Hypnotics – used to induce and maintain sleep.
Mood stabilizers – used to treat bipolar disorder.
Stimulants – used to treat ADHD.

Psychiatrists often prescribe medications in combination with psychotherapy.

Interventional psychiatry describes procedures used when medications and psychotherapy are ineffective in restoring a patient to full health. Electroconvulsive therapy (ECT), a medical treatment that involves applying electrical currents to the brain, is used most often to treat severe depression that has not responded to other treatments. Deep brain stimulation (DBS), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), and ketamine treatment are a few of the newer therapies being used to treat some mental health disorders. Psychedelic drugs such as psilocybin are being studied for future treatment potential.₂

Psychological Evaluation and Testing

What to Expect?

Psychological testing isn’t like taking a multiple-choice exam that you either pass or fail. Often the psychologist is working to collect information that gives them the clearest picture of an individual’s personal experiences to determine the best course of treatment for that individual. Psychologists use information from the various tests and assessments to reach a specific diagnosis and develop a treatment plan.

Some people are tempted to peek at the tests ahead of time. If they suspect they may have a particular problem, they may look online for a practice test of that problem. That’s a bad idea, experts say. In fact, practicing ahead of time usually backfires—when you try to take the test in a certain way, the answers may be inconsistent and make you appear to have more problems than you actually do.

Remember, psychological testing and assessment is nothing to fear. It’s not something you need to study for. Rather, it’s an opportunity for psychologists to determine the best way to help you.₃

Rehabilitative Case Management

Rehabilitative case management for mental health are targeted to meet the ongoing assessment, facilitation, care coordination and advocacy for programs and services to meet an individual’s needs to communicate available resources, promote quality of life, and effective outcomes during and following a hospitalization.

Our Rehabilitative case management services support individual employment, education, and participation in other daily activities appropriate to the individual’s age, gender, and culture, and assist individuals in resolving crises in the least restrictive setting.

Our Rehabilitative case management services include specific rehabilitative services that assist and support an individual’s discharge from an inpatient facility while working to minimize the risk of readmission to an inpatient setting.

Brief Intervention Treatment

Brief intervention treatment services are solution-focused and outcome-oriented cognitive and behavioral interventions, intended to resolve situational disturbances. These services do not require long term treatment, and do not include ongoing care, maintenance, or monitoring of the individual’s current level of function or assistance with self-care or life skills training.

Crisis Outreach

Each of our counseling staff is trained in crisis response and managing situations with community members who may be suicidal or having thoughts of suicide. When necessary our program works with North East Washington Alliance Counseling Services (NEWACS), for crisis services after-hours, weekends, and Holidays. NEWACS is also our Stevens County Designated Crisis Response (DCR). The DCR has the ability to detain and involuntarily commit individuals when they meet criteria for harm to self; harm to others; or being gravely disabled.

Group Therapy

Group therapy includes more than one individual being treated at the same time by at least one therapist. Some groups may have more than one therapist. Group sizes vary depending on the type of therapy. For instance, couples therapy, a type of group therapy that typically treats romantic partners, consists of two individuals; whereas, other groups, such as substance misuse groups, may include 10 to 12 people in one session. Researchers who study the effectiveness of group therapy generally recommend 6 to 12 individuals in a group. ₁

Family Treatment Services

Why Family Involvement Matters:

In the treatment of mental health and substance use disorders, the involvement of family can significantly enhance the recovery process, especially within Native American communities. Family is a cornerstone of Native American culture, providing essential support, understanding, and connection. Including family in the treatment process brings numerous benefits, fostering a holistic approach to healing.

Benefits of Family Involvement:

Enhanced Support System:

– Strengthened Relationships: Family involvement helps rebuild and strengthen relationships that may have been strained by mental health or substance use disorders. It creates a supportive environment that encourages the individual’s recovery journey.

– Emotional Support: Having family members actively participate in treatment provides emotional stability and reassurance, reducing feelings of isolation and enhancing motivation.

Cultural Relevance:

– Cultural Sensitivity: Integrating family into treatment aligns with Native American cultural values, where family and community are central to identity and wellbeing. This culturally sensitive approach respects traditions and promotes healing that resonates with the individual’s cultural background.

– Holistic Healing: Native American traditions often emphasize holistic healing, which includes the physical, emotional, mental, and spiritual dimensions of health. Family involvement supports this comprehensive approach, addressing all aspects of wellbeing.

Improved Communication:

– Open Dialogue: Family participation fosters open communication, allowing family members to express concerns, offer support, and understand the challenges faced by their loved ones. This improved dialogue can lead to better conflict resolution and a more cohesive support system.

– Education and Awareness: Families learn about mental health and substance use disorders, gaining insights into effective ways to support their loved ones. This education reduces stigma and promotes a more informed and compassionate response to recovery.

Increased Accountability and Encouragement:

– Shared Responsibility: Involving family in treatment creates a shared sense of responsibility for recovery. Family members can help monitor progress, encourage adherence to treatment plans, and celebrate milestones, fostering a collaborative effort towards healing.

– Motivation and Encouragement: Family members can provide ongoing encouragement and reinforcement, boosting the individual’s motivation to stay committed to their recovery goals.

Long-Term Recovery:

– Sustained Support: Recovery is a lifelong journey, and having a supportive family network is crucial for long-term success. Family involvement ensures that the individual has a continuous support system, reducing the risk of relapse and promoting sustained recovery.

Conclusion:

Including family in the treatment of mental health and substance use disorders within Native American communities is not just beneficial—it is essential. It respects cultural values, enhances support systems, and promotes holistic healing. By involving family, we create a nurturing environment that empowers individuals to achieve and maintain recovery, fostering a healthier and more connected community.

Individualized Counseling

Individual therapy is a shared process between a counselor and a person seeking support for problems related to mental health and/or substance use. Common goals of therapy can be to inspire change or improve quality of life. People may seek therapy for help with issues that are hard to face alone. Individual therapy is also called therapy, psychotherapy, psychosocial therapy, talk therapy, and counseling.

Therapy can help people overcome obstacles to their well-being. It can increase positive feelings, such as compassion and self-esteem. People in therapy can learn skills for handling difficult situations, making healthy decisions, and reaching goals. Many find they enjoy the therapeutic journey of becoming more self-aware. Some people even go to ongoing therapy for self-growth.

Least Restrictive Alternative

In most cases, an individual has been in a mental health or substance use crisis. A designated Crisis Responder for the county in which the crisis occurs is dispatched and has determined that the individuals meets criteria for being a risk to self and/or others. At that time the individual is involuntarily committed (similar to being arrested), to a facility for stabilization. During the time they spend in the facility they are evaluated and a course of treatment is very often initiated. It can be a combination of therapy and medication. When the individual stabilizes their case will be reviewed for release on a LRA.

A less restrictive alternative (LRA) is outpatient treatment provided to an individual who meets criteria for commitment but is not residing in a facility providing inpatient treatment. If the court finds that the individual meets the criteria for commitment, the court can either authorize commitment of the individual for inpatient treatment or for a less restrictive alternative treatment. Release under a less restrictive alternative is subject to conditions set by the court.

If the professional in charge of the outpatient treatment program or a Designated Crisis Responder (DCR) determines that an individual is failing to adhere to the conditions of the court for a less restrictive alternative treatment or conditions for the release or if there is deterioration in functioning, the individual can be taken into custody and transported to an inpatient evaluation and treatment facility. The DMHP must then file a petition with the court for revocation of less restrictive alternative treatment. RCW 71.34.740 (5), RCW 71.34.740 (10).

GETTING BETTER ALL THE TIME

One of the most important things to remember about mental illness is this:

People can and do recover. If you have a friend with mental illness, or if you have a mental illness yourself, remember that recovery is possible. Reach out to those around you with compassion, empathy, and understanding.

This program allows Spokane Tribal members, members of other Native American tribes and the community as a whole to learn and grow in a positive environment that encourages individual development.

“Before you can achieve anything in life, you need to envision it. What do you want out of life — who and where do you want to be? Don’t be afraid to reach for more than you think you can achieve.”

Ready to Start Services?

To schedule an assessment, or for more information, please call 509-606-2764. We respect your privacy and hold all information discussed in the strictest confidence.

Have Questions?

This form is for general questions about our Spokane Tribe Behavioral Health services, programs and admissions. The form IS MONITORED DURING NORMAL BUSINESS HOURS ONLY. If you are experiencing a medical emergency, DO NOT use this form. Allow up to 24-hours for a response. If you need more immediate assistance please call us.

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References

Substance Abuse and Mental Health Services Administration. (2021). Group Therapy in Substance Use Treatment.
Liu, H. M. (2023). What is Psychiatry? Washington, D.C.: American Psychiatric Association. Retrieved from https://www.psychiatry.org/patients-families/what-is-psychiatry
Eabon, M., & Abrahamson, D. (2022). Understanding psychological testing and assessment. Washington, D.C.: American Psychiatric Association. Retrieved from https://www.apa.org/topics/testing-assessment-measurement/understanding

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Behavioral Health

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The Team at Behavioral Health Values the Meaning of Confidentiality

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Any Mental Illness

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What is a Less Restrictive Alternative (LRA)?

GETTING BETTER ALL THE TIME

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