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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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YRTC Network


The Youth Regional Treatment Center Network (Network) provides inpatient substance abuse and alcohol treatment to eligible American Indian and Alaska Native youth. The primary responsibility of the Network is to help California tribal youth find healthy directions in life. The Network supports youth by offering inpatient care, as well as technical assistance, training, and consultation to the tribal alcohol program counselors. The tribal communities assist their youth by participating in the network and by providing consulting care (aftercare) once the youth returns to the community.

Risk Pool
Task Force
Tribal Advisory Committee

Risk Pool

The main objective of the risk pool is to provide the opportunity and funding for California tribal programs to refer at-risk youth to residential substance abuse treatment facilities. 

Risk Pool Referral Form (pdf 279Kb) Please download and print this form for risk pool referrals, fill out the form, then email it to Dawn Phillips ( for review and approval.

The following policies and procedures, established by the Network Task Force, provide each tribal program an equitable chance to participate in the risk pool.

  • The California Area Indian Health Service will reimburse tribal programs by contract modification after a copy of the paid invoice or receipt are sent to our office.
  • The Network Task Force clinical review team will always consider special cases based upon clinical need and we will make exceptions to these procedures.
  • The payment from the risk pool will be limited to a maximum of four months per referral, at which point the task force coordinator will review the case for the appropriateness for further funded treatment.

Tribal programs shall use the following procedures to obtain risk pool funding:

  • Identify youth in need of treatment.
  • Team (alcohol, mental health, medical) assesses the at-risk youth and determines a diagnosis and treatment plan.
  • Contact a residential treatment center for admission.
  • Complete the Risk Pool Referral Form (at the above link).
  • Forward the completed Risk Pool Form to the Task Force Coordinator at
  • The Task Force Coordinator will approve the referral, frequently in consultation with David Sprenger, MD. Quarterly, tribal program counselors will be asked to take part in the scheduled conference call with participating Network Task Force clinicians.
  • Each tribal and urban Indian Health care program staff should update status of youths and provide after care once the youth is discharged.
  • Appeal process: If a tribal program does not agree with the decision made by the Network Clinical Task Force, the tribal program has the opportunity to present their appeal to the entire Network Task Force including the Behavioral Health Specialist, Dr. David Sprenger and / or the Behavioral Health Consultant, Dawn M. Phillips.  Call Dawn Phillips to arrange a conference call at (916) 983-3981, extension 331.

Task Force

The Network Task Force reviews all on-going efforts within California to provide eligible American Indian youth inpatient treatment services for alcoholism and substance abuse. The task force provides the Acting Area Director, Beverly Miller, and the Tribal Advisory Committee with recommendations as to how the Network will best serve the American Indian youths.   The Task Force is composed of one California Tribal Leader, Program Directors, Substance Abuse Clinicians, and Indian Health Service staff. To view members visit Task Force.

Tribal Advisory Committee

The Tribal Advisory Committee is responsible for the oversight of the Network's budget and policies. The committee advises the Area Director regarding Network issues.