1. Join the Anishnaabek Healing Circle Prepared by: Cora Gravelle, Client Access & Outreach Coordinator, Eva L. Petoskey, M.S. Director, Terri Tavenner, ATR Associate Director, Anishnaabek Healing Circle Assess to Recovery March, 29,2011

2. Anishnaabek Healing Circle Access to Recovery ATR & the Military Veterans, Active Military, National Guard: How can we work together to help active duty, returning servicemen and service-women, and veterans who are Native American, to access treatment and recovery resources?

3. ATR and the Military Goal: to introduce ATR as a referral source and resource to the military.

4. What is ATR? Access to Recovery – ATR – is a nationwide initiative of the Substance Abuse & Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT). The program issues vouchers to clients for the purchase of clinical treatment and recovery support services.

5. What is ATR? The Anishnaabek Healing Circle ATR is designed to support healing and recovery from addiction among the Michigan tribal population. The Inter-Tribal Council of Michigan is the grantee for the program.

6. ATR Goals The goals of the program are to:  expand capacity to serve Native Americans,  support client choice,  and increase the array of services. The Inter-Tribal Council and 12 tribes are collaborating partners in ATR:  ATR II started 10/2007 and ended 9/2010  ATR III started 10/2010 and will end 9/2014

7. Who are the Collaborators Collaborating Tribes and Organizations  Bay Mills Indian Community  Hannahville Indian Community  Lac Vieux Desert Band of Lake Superior Chippewa Indians  Saginaw Chippewa Indian Tribe  Grand Traverse Band of Ottawa/Chippewa Indians  Sault Ste. Marie Tribe of Chippewa Indians  Keweenaw Bay Indian Community  Little Traverse Bay Bands of Odawa  Little River Band of Ottawa Indians  Pokagon Band of Potawatomi  Nottawaseppi Huron Potawatomi  Match-e-be-nash-she-wish Band of Potawatomi  American Indian Health and Family Services

9. ATR Provider Network Tier 1 Providers are tribal behavioral programs. Tribes provide access and care coordination and are the entry point into ATR for a client. Tier 1 Tribal Providers offer an array of services under the tribal umbrella. Tier 2 non-Tribal Providers are clinical treatment and recovery support organizations who share vouchers and provide services.

10. Clinical Treatment Program Qualifications Organizations will be licensed by the State of Michigan or under Tribal Codes for the services they are providing. Clinical staff will be licensed, registered or certified in their specialty. Substance Abuse counselors must meet Tribal, Indian Health Services, Michigan or the IC & RC certification standards. Appropriate certifications include CADC I, CAD-II, or CADC-III from UMICAD (www.umicad.org) or the CAC-M, CAC-R, or CAAC from MCBAP (www.mcbap.com). For other specialties the appropriate Tribal or Michigan standards will apply.www.umicad.orgwww.mcbap.com

11. Recovery Support Staff Qualifications  Cultural resource people must be recognized and sanctioned by their Tribal communities. Faith-based resource people/programs will be recognized and sanctioned by their respective faith communities.  If required by Tribal or State law or policy, organizations and individuals will be licensed by the State of Michigan or under Tribal Codes for the services they are providing.  If an individual service provider has less than one year of experience working with ATR Tribal clients, he/she must provide documentation of at least six hours of cultural competence training dealing specifically with Michigan Tribal history and culture. This documentation must be submitted to ITC within 60 days of becoming an approved provider

12. Target Population Eligible clients are enrolled members of the collaborating tribes and members of other federally recognized, state recognized, and Canadian tribes residing in the project service area. Non-native family members and descendants are also eligible. All clients must have a current or past problem with alcohol or other drug abuse. The project will serve clients age 12 and older. 8752 clients over four years. 2188 clients/year. 12

13. ATR III Enhancements Expand age range to include 12-13 year olds. Enhance care coordination for ATR. Enhance cultural interventions/grassroots community engagement. Enhance provider recruitment and selection. Expand services to urban Indian population in Michigan.

14. ATR III Enhancements Expand outreach to under-served Native American populations, such as the Active Military Service, Veterans, Prison re-entry, homeless and hard to reach populations.

15. ATR III Resource Allocation ATR III funding is a payor of last resort. Insurances or Veterans benefits will be used first. ATR is a supplement and can add/ enhance what VA already has to offer. ATR III can be a new Referral Source for the VA.

16. ATR III Resource Allocation ATR III has a new approach to placement of client (Phases) that encourages clients to progress toward full engagement in treatment and/or recovery. ATR III vouchers have been restructured to create a match with the recovery support assessment and service options.

17. ATR Client Registration and Placement Process – Client is registered at one of the Tribal Access centers. – Client is screened (AUDIT/DAST/CRAFFT) and if eligible, is assigned a unique Client ID # that never changes. – GPRA is completed. – Client is assigned to an Anishnaabek Healing Circle Phase. – Clinical and/or recovery support assessment is completed if the client is in Phase II or III.

18. Client Choice – It is the client’s choice of what provider they will use as long as the provider is in the ATR Network, is accessible, and provides the level of care the client needs, based on assessment. – The Tribal Access Center provides Care Coordination and will stay with the Client throughout the ATR process. – The Care Coordinator helps the client navigate the system and find providers that match the client’s treatment and recovery plan.

19. Anishnaabek Healing Circle Phases Readiness to Change and Recovery Tasks ATR Screening, Intake, GPRA Phase I Pre- Treatment Readiness Limited to motivational development and recovery coaching Phase II – Clinical Treatment Full array of clinical and recovery support services Phase III – Aftercare Full array of recovery support services

20. Phase I (New for ATR III) Phase IIPhase III Criteria=Positive Screen and willingness to participate in education or coaching. Criteria=Positive screen and willingness to complete a clinical assessment and enter treatment. Criteria= Willingness to continue to work on recovery tasks appropriate for the level of recovery. Motivational Services Educational services Recovery coaching Clinical treatment services Recovery Support Services Motivational services Recovery Support Services Motivational services Community outreach Engagement of clients Very early recoveryEarly, Middle, Late Recovery Thinking about RecoveryMaybe Engaged in Recovery Engaged in Recovery 20 ATR III Phases

21. Voucher Structure 21 VouchersPhase I VouchersPhase IIPhase III Client GPRA Follow-up** Auto Client GPRA Discharge** Auto Access Center** Auto Motivational Development and Readiness Available Care Coordination Voucher** Auto Brief Intervention Not AvailableAvailableNot Available Outpatient Not AvailableAvailableNot Available Intensive Outpatient Not AvailableAvailableNot Available Residential Treatment (Max 30 days) Not AvailableAvailableNot Available Sub-acute Detox (Max 3 days) Not AvailableAvailableNot Available Medical Services Not AvailableAvailable Housing Support Services Not AvailableAvailable Transitional Living Facilities Not AvailableAvailable Employment and Education Not AvailableAvailable Peer Support & Relapse Prevention Available Family & Parenting Support Not AvailableAvailable Financial/Basic Needs Not AvailableAvailable Legal Support Not AvailableAvailable Health & Global Wellness Not AvailableAvailable Spiritual / Cultural Support Not AvailableAvailable Transportation Available Mental Health Services / Co-Occurring Not AvailableAvailable

22. What Makes the Anishnaabek Healing Circle Unique We offer culturally-based recovery support to Native Americans & their families. We work with the client before and after clinical treatment to attain and then to maintain long-term sobriety. We offer care coordination to support a substance abuse free lifestyle. We recognize recovery as a life-long journey.

23. ATR II Clients by Age Group

24. ATR II Gender

25. ATR II Outcomes 25

26. ATR III Targets

27. ATR & the VA We would like to be a referral source to Native American veterans in Michigan. We would like to find ways to work together and explore options to serve vets. Miigwetch (thank you) for your time and interest.

28.  Access to Recovery  Anishnaabek Healing Circle  2956 Ashmun, Suite A  Sault Ste. Marie MI 49783  (906) 632-6896  www.atrhealingcircle.comwww.atrhealingcircle.com Staff  Eva Petoskey, Director (231-357-4886) epetoskey@centurytel.netepetoskey@centurytel.net  Terri Tavenner, Associate Director ttav@itcmi.orgttav@itcmi.org  Donelda Harper, Training & Audit Specialist dharper@itcmi.orgdharper@itcmi.org  Lori McDonald, GPRA & Media Specialist lorimac@itcmi.orglorimac@itcmi.org  Aagii Clement, Provider Liaison Specialist aclement@itcmi.orgaclement@itcmi.org  Connie DePlonty, Voucher Coordinator connied@itcmi.orgconnied@itcmi.org  Cora Gravelle, Call In Center Client Access & Outreach cora@itcmi.orgcora@itcmi.org  Sheila Hammock, Call In Center Client Access & Follow-up shammock@itcmi.orgshammock@itcmi.org Produced by the Inter-Tribal Council of Michigan with Access to Recovery (ATR) Anishnaabek Healing Circle Grant (1 H79 TI023118-01) 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. 28