Working with Multiple Tribes - The Anishnaabek Healing Circle

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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.
Grand Traverse Band
former and current Tribal
Council members. One
of twelve tribal
governments
representing the
Anishnaabek people of
Michigan. (Odawa,
Potawatomi, and
Ojibwa)
The Anishnaabek Healing Circle ATR has
been able to effectively access funding to
support this tribal vision for healing.
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Jingle dress dancers,
dance for healing.
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.
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THE MICHIGAN NATIVE BEHAVIORAL
HEALTH COMMUNICATION NETWORK

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.

BEHAVIORAL HEALTH COMMUNICATION
NETWORK MISSION STATEMENT:
“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.”
THE ANISHNAABEK HEALING CIRCLE

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.
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ENHANCE AND EXPAND

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)
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Grand Traverse Band
Behavioral Health Services
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AS AN ATR TRIBAL ACCESS AND CARE
COORDINATION CENTER, EACH TRIBE
AGREES TO BASIC REQUIREMENTS:
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

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Winter Teaching Lodge
Behavioral Health Cultural Service
Expansion with ATR
Saginaw Chippewa Tribe
Behavioral Health Residential, Outpatient and
Recovery Support Services
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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

SEEING THE BIG PICTURE
KEY ELEMENTS TO WORKING
TOGETHER
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.
Anishnaabek Healing Circle Phases
ATR Screening, Intake,
GPRA
Phase III – Aftercare
Full array of recovery
support services
Readiness to
Change and
Recovery
Tasks
Phase II – Clinical
Treatment
Full array of clinical
and recovery support
services
Phase I Pre-Treatment
Readiness
Limited to
motivational
development and
recovery coaching
NEW DEVELOPMENTS
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.
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TRACK 1: RECOVERY COACHING
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
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TRACK 2: A RECOVERY-ORIENTED
SYSTEM OF CARE (ROSC)




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
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OUTCOME:

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
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Access to Recovery
Anishnaabek Healing Circle
2956 Ashmun, Suite A
Sault Ste. Marie MI 49783
(906) 632-6896
www.atrhealingcircle.com
Staff
Eva Petoskey, Director (231-357-4886) epetoskey@centurytel.net
Terri Tavenner, Associate Director ttav@itcmi.org
Donelda Harper, Training & Audit Specialist dharper@itcmi.org
Lori McDonald, GPRA & Media Specialist lorimac@itcmi.org
Aagii Clement, Provider Liaison Specialist aclement@itcmi.org
Connie DePlonty, Voucher Coordinator connied@itcmi.org
Cora Gravelle, Call In Center Client Access & Outreach cora@itcmi.org
Sheila Hammock, Call In Center Client Access & Follow-up shammock@itcmi.org
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.
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