Sarah Sense-Wilson, LMHC,CDP,
NCGC-I, WSGCC-II
Daniel Felizardo, MPA, CDP
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V.
Myths, History and Context
Systems of Care
Clinical Considerations
Clinical Strategies and Techniques
Intertribal Coalition
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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
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566 Federally Recognized Tribes
246 Tribes operate 480 gaming facilities
57% of Tribes don’t operate Casinos
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Every tribe is different
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Tribal Casino Gambling
Tribes…
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Must establish their own gaming regulatory systems
Must solely own Indian casinos
Must use net revenue for restricted purposes…
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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
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Community Awareness
Outreach
Prevention
Intervention
Treatment
Alumni/Peer Support
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Tribal Newsletters; articles and advertisements
Tribal TV and Radio
PSA’s
Brochures
Flyers
Posters
Banners
Billboards
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Community Events
Conferences
Health Fairs
Pow-Wows
Tournaments
Inter/Intra Department
Employee Fairs
Tribal Sporting events
Cultural Gatherings and Celebrations
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Group Presentations
Tribal Schools
Youth Programs
Elders Programs
Housing Programs
Domestic violence Programs
Schools/Educational Activities
Parenting Support Groups
Children Services/ICW
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Consultations
Screening Brief Intervention and Referral to
Treatment SBIRT
Referrals
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Assessments
Individual Counseling
Couples Therapy
Family Counseling
Youth and Adult
Groups: Relapse Prevention/Intensive etc.
Family Education and Support
Consultation
Referrals
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Reservations
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Urban
Rural
Suburban
Traditional/Ceremonial Activities
Seasonal activities; Hunting, Harvesting, Fishing, Fire
fighting, Canoe Journey, Sundance, Smokehouse, Sweat
Lodge, Native American Church ect…
 Funerals
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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)
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Level of Acculturation/Assimilation
Gift Giving
Multiple Relationships
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Availability of Comprehensive Services
Funding for Program Development
Access to Spiritual Healer
Access to GA or Other Support Groups
Housing
Protective Payee
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Systems Orientation
Motivational interviewing
Family Involvement
Cognitive Behavior Therapy
Culturally Responsive
Brief Intervention
Streamline Services
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Strengths Based
Empowerment
Food
Learn and participate in community
People don’t care how much you know until
they know how much you care.
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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
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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
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Books
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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
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Journey to Forgiveness’ White Bison
Once Were Warriors’
Dakota 38 + 2’
The Fighter’
THANK YOU!!!