MWRS Outpatient A&D Services is an adult program (18 and above). While MWRS serves all eligible adults in a co-ed environment, some services
are gender specific in recognition of the evidence of healing that happens when gender issues are addressed. MWRS utilizes the Medicine Wheel
in a variety of ways, including as a guide for human development, connection to others, wellness, and to conceptualize and connect the skills
that are promoted in individual and group session, and recovery related activities.
All service recipients are placed according to ASAM level of care criteria, and participate at the least intrusive level where therapeutic
gains can occur. Regular service review ensures fluidity in level of care and planning of service activities. Mental health
symptoms are examined as important issues as they connect to recovery and general life functioning.
MWRS strives to provide effective, culturally informed services that restore health to individuals, families, tribes, and communities.
The MWRS team has a strong social justice foundation; issues such as poverty, racism, and all forms of discrimination impact
the mental and emotional wellness of the individuals receiving addictions/co-occurring treatment services,
and are therefore priorities to be addressed in service planning and delivery.
are gender specific in recognition of the evidence of healing that happens when gender issues are addressed. MWRS utilizes the Medicine Wheel
in a variety of ways, including as a guide for human development, connection to others, wellness, and to conceptualize and connect the skills
that are promoted in individual and group session, and recovery related activities.
All service recipients are placed according to ASAM level of care criteria, and participate at the least intrusive level where therapeutic
gains can occur. Regular service review ensures fluidity in level of care and planning of service activities. Mental health
symptoms are examined as important issues as they connect to recovery and general life functioning.
MWRS strives to provide effective, culturally informed services that restore health to individuals, families, tribes, and communities.
The MWRS team has a strong social justice foundation; issues such as poverty, racism, and all forms of discrimination impact
the mental and emotional wellness of the individuals receiving addictions/co-occurring treatment services,
and are therefore priorities to be addressed in service planning and delivery.
MWRS Outpatient program includes:
Integration between substance abuse/addiction services, mental health counseling, problem gambling services, cultural activities and spiritual mentorship, and supportive services. This includes individualized, culturally informed, goal oriented service planning and ongoing assessment and service review.
Therapeutic interventions delivered in a variety of learning environments, including groups, individual therapy sessions,
activities, and experiential learning.
Cognitive and/or Behavioral interventions that are culturally sensitive, informed, and respectful.
MWRS utilizes multiple curriculum, evidence based practices, and therapy models during service delivers, including but not limited to:
Integration between substance abuse/addiction services, mental health counseling, problem gambling services, cultural activities and spiritual mentorship, and supportive services. This includes individualized, culturally informed, goal oriented service planning and ongoing assessment and service review.
Therapeutic interventions delivered in a variety of learning environments, including groups, individual therapy sessions,
activities, and experiential learning.
Cognitive and/or Behavioral interventions that are culturally sensitive, informed, and respectful.
MWRS utilizes multiple curriculum, evidence based practices, and therapy models during service delivers, including but not limited to:
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Dialectical Behavior Therapy-DBT (emotional regulation, including anger awareness and management)
Native Wellness Healthy Relationships and Youth Empowerment Curriculums White Bison Resources Cognitive Behavioral Therapy (CBT) Cognitive Behavioral Interventions, including CBI-CC, Thinking for Change, Mentoring Against Negative Actions Seeking Safety Motivational Interviewing, and MI adapted for use with Native Americans Trauma informed practices Trauma Recovery and Empowerment Model Narrative Therapy, Solution Focused Brief Therapy, Acceptance and Commitment Therapy Multi-Stage Relapse Prevention including Introduction to relapse prevention and advanced relapse prevention DARE to be You with family emphasis GEAR for Gambling, Want to Stop Gambling, Problem Gamblers and Their Finances |
Matrix for Relapse Prevention, and Matrix adapted for use with Native Americans
Motivational Interviewing and regular attention to stage of change Peace Education Program Involvement of family in service planning and treatment, when appropriate Regular and random drug screening (urinalysis) Peer support from Certified Recovery Mentors and Peer Support Specialists Incentives and positive reinforcement Domestic violence education Tribal best practices, including Talking Circle, Art Therapies, Prayer, Cradleboard lessons, Storytelling, Positive Indian Parenting, and Drumming We R Native Youth Curriculum including: Circle of Life, Healing of the Canoe, Native Its Your Game, Native Stand, Native Voices, Safe in the Village Moral Reconation Therapy (MRT) ASSIST for suicide assessment and prevention Historical Trauma and Unresolved Grief Medicine Wheel Recovery Services Participant Workbook |
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Co-Occurring Services and supports for individuals diagnosed with co-occurring disorders (basic criteria of having a DSM-V diagnosis of both a substance use disorder and a mental health disorder) delivered by providers holding Addictions and Mental Health credentialing (with direct supervision) or appropriate licensure to deliver these services. All co-occurring services are delivered simultaneously with substance abuse services, including integrated
assessment, service record, and triaged service planning. Service recipients participate in service planning and creation of a proactive safety
and crisis plan. All co-occurring services support the individual in obtaining and maintaining sobriety.
Co-occurring services provided by MWRS include:
assessment, service record, and triaged service planning. Service recipients participate in service planning and creation of a proactive safety
and crisis plan. All co-occurring services support the individual in obtaining and maintaining sobriety.
Co-occurring services provided by MWRS include:
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Integrated Bio/Psycho/Social/Spiritual assessment and continued, ongoing assessment
All services provided with responsiveness to the individual’s trauma history Service planning with individual input and collaboration between service providers, and individualized care Regular reassessment of level of care, and service planning that supports appropriate LOC and stage of change Strengths-based approach, with integrated treatment methods Personalized education, including how substance use impacts mental health wellness Individual therapy/counseling Skill building to increase ability to manage symptoms Skill building to increase self-awareness and manage emotions |
Cultural assessment and inclusion of culture and spirituality in service planning
Support to engage in family and community Family involvement, when appropriate Group therapy sessions with opportunity for process, education, and practicing skills Referral for medication management to community partners Collaboration with partnering agencies, as appropriate Integrated relapse prevention that lessens the risk of substance and behavioral relapse due to poor emotional functioning Referral to community partners (mental health programs) for individuals with severe and persistent mental health issues that MWRS is not specialized in providing Safety and crisis planning |
Collaboration with Community Partners
MWRS works hard to provide the best services possible to the individuals we serve. Some of our service participants may be involved with and/or need assistance with issues such as drug court/criminal justice systems, DHS systems, Veterans court, tribal courts and social service systems, federal
court systems, etc. We work alongside community partners and entities to assist and advocate for our participants in establishing the
strongest foundation possible for successful re-entry back into their families and communities. MWRS recognizes some of the
unique challenges for individuals involved in the criminal justice system, including barriers to housing, employment,
education, stigma, and broken trust with family and the community.
MWRS provides services to address many of these issues, including:
MWRS works hard to provide the best services possible to the individuals we serve. Some of our service participants may be involved with and/or need assistance with issues such as drug court/criminal justice systems, DHS systems, Veterans court, tribal courts and social service systems, federal
court systems, etc. We work alongside community partners and entities to assist and advocate for our participants in establishing the
strongest foundation possible for successful re-entry back into their families and communities. MWRS recognizes some of the
unique challenges for individuals involved in the criminal justice system, including barriers to housing, employment,
education, stigma, and broken trust with family and the community.
MWRS provides services to address many of these issues, including:
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Regular assessment for risk of recidivism
Collaborative integrated substance abuse, mental health, and problem gambling services Collaborative treatment planning that includes that referent, and regular reporting of progress to referent (per individual consent) Renters Education |
Education on navigating community resources
Providing support to access needs for cultural and spiritual health identified by participant Community relationships to provide service/volunteer opportunities for individuals in treatment Parenting classes |
F.I.S.T Referrals to programs with community partners
Life Skills groups that address employment readiness and education preparedness Communication education and skills training Family Involvement & Support Team (F.I.S.T.) Additional supports for individuals/families involved with Children's Protective Services |