Holistic care refers to healing and wellness for the mind, body and spirit. It is important to consider cultural spiritual beliefs and offer resources within the community to meet these needs.
- Identify tribal spiritual leaders
- Identify community or tribal resources
- Talking circles
- Sweat lodges
- Purification ceremonies
- Contracting with local resources to come into Federal or Tribal Health care environment and provide holistic care
- Providing Staff Education to improve and provide culturally sensitive care
- Cultural orientation
- Trauma informed care
12-Step Programs – Peer sharing facilitation therapy to guide and support engagement in recovery.
Recovery Programs - Peer sharing model promoting empowerment to exercise control over the treatment of and recovery from addiction.
- Alcohol and Substance Abuse Program - Indian Health Service
- Healing Tool: Guide for addressing behavioral health goals in Native communities [PDF - 1.6 MB] - Addiction Technology Transfer Network (ATTC) resource with talking points for talking to or meeting with tribal leaders, elders, community members, and others about substance use disorders (SUD), medication assisted treatment (MAT), and other behavioral health issues.
- National tribal and health agenda [PDF - 656 KB] - SAMHSA, 2016
CIVIL RIGHTS and the OPIOID CRISIS
In response to the national opioid crisis, the U.S. Department of Health and Human Services (HHS) launched a public education campaign under the Office for Civil Rights (OCR) to help inform those seeking evidence-based opioid use disorder treatment and recovery services about their civil rights protections.
Please visit HHS's Special Topics Civil Rights and Opioids page to learn more about how federal nondiscrimination laws apply to the treatment and recovery of those with opioid use disorder.
Wrap-around services include a variety of social components, often provided by a social worker or case manager. It is important to have a point person that is able to connect a patient to services that are individualized. The services should be patient centered and may include:
- Appointment Coordination
- Identifying and connecting patient to community resources; including housing and employment
Psychosocial treatment is a crucial component of Medication Assisted Treatment. The goal in treating opioid use disorder is to prevent relapse, through a comprehensive treatment program that includes pharmacotherapy along with psychosocial treatment. Integrated care is the collaboration between behavioral healthcare providers, medical providers, and chemical treatment programs. Integrated care should be in a shared location or co-located with primary care services. This serves to increase productivity, provide a consultative model, allow data sharing, and can help reduce the stigma surrounding mental health.
- Psychosocial assessment
- Supportive counseling
- Family support
- Community services
The Indian Health Service (IHS) Telebehavioral Health Center of Excellence (TBHCE) provides technical assistance, implementation, training, and evaluation support for remote health care, and serves isolated American Indian/Alaska Native (AI/AN) communities and areas with limited or no access to behavioral health services. TBHCE may present opportunities to offer consultation to waivered providers or primary care in a peer to peer consultation model.
- Telebehavioral Health Center of Excellence – Indian Health Service
The Indian Health Service Alcohol and substance Abuse Program provides additional information surrounding substance abuse.
Provider training can assist practitioners with developing well-rounded skills. Examples of training include Suicide Assessment.