Sarah Sense-Wilson, LMHC,CDP, NCGC-I, WSGCC-II Daniel Felizardo, MPA, CDP.

TRIBAL BASED PROBLEM GAMBLING

PROGRAMSSarah Sense-Wilson, LMHC,CDP,

NCGC-I, WSGCC-IIDaniel Felizardo, MPA, CDP

Overview

I. Myths, History and ContextII. Systems of CareIII. Clinical ConsiderationsIV. Clinical Strategies and TechniquesV. Intertribal Coalition

Myth: All Indians Get Money from Casino Profits

72 Tribes have per capita payments Casino Profits go to

Fund tribal government operations and programs

Provide general welfare for their members Promote tribal economics Donate to charitable organizations Help fund local government agencies

Myth: All Tribes have Casinos

566 Federally Recognized Tribes 246 Tribes operate 480 gaming facilities 57% of Tribes don’t operate Casinos

Myth: All Natives Live in Teepees

Every tribe is different

History and Context

Indian Gaming Regulatory Act (1988 )

Tribal Casino Gambling

Tribes… Must establish their own gaming regulatory

systems Must solely own Indian casinos Must use net revenue for restricted

purposes…

Tribal Sovereignty

https://www.youtube.com/watch?v=B5xVRXLgLxw

Inherent Authority to Self Rule and Self Determination

Treaties: 1778-1871 Contracts Among Nations

Indian tribes have sovereign powers, separate and independent from the federal and state governments.

566 Federally recognized Tribes in U.S.

29 Tribes of Washington State

21 Tribes operating 27 facilities

Washington State Gambling Commission

Systems of Care

Community Awareness Outreach Prevention Intervention Treatment Alumni/Peer Support

Community Awareness

Tribal Newsletters; articles and advertisements

Tribal TV and Radio PSA’s Brochures Flyers Posters Banners Billboards

Outreach

Community Events Conferences Health Fairs Pow-Wows Tournaments Inter/Intra Department Employee Fairs Tribal Sporting events Cultural Gatherings and Celebrations

Prevention

Group Presentations Tribal Schools Youth Programs Elders Programs Housing Programs Domestic violence Programs Schools/Educational Activities Parenting Support Groups Children Services/ICW

Intervention

Consultations Screening Brief Intervention and Referral

to Treatment SBIRT Referrals

Treatment

Assessments Individual Counseling Couples Therapy Family Counseling Youth and Adult Groups: Relapse Prevention/Intensive etc. Family Education and Support Consultation Referrals

Questions

Cultural Considerations

Reservations Urban Rural Suburban

Traditional/Ceremonial Activities Seasonal activities; Hunting, Harvesting, Fishing, Fire

fighting, Canoe Journey, Sundance, Smokehouse, Sweat Lodge, Native American Church ect…

Funerals

Cultural Consideration

Per Capita, Payout and Bonuses Seasonal and Traditional income Historical Trauma Traditional Forms of Gambling Tribalism: Collectivistic Values vs.

Individualistic (Western) Values Culture of Generational Poverty (Ruby

Payne)

Cultural Consideration

Level of Acculturation/Assimilation Gift Giving Multiple Relationships

Community Resources

Availability of Comprehensive Services Funding for Program Development Access to Spiritual Healer Access to GA or Other Support Groups Housing Protective Payee

Clinical Treatment Strategies

Systems Orientation Motivational interviewing Family Involvement Cognitive Behavior Therapy Culturally Responsive Brief Intervention Streamline Services

Clinical Treatment Strategies

Strengths Based Empowerment Food Learn and participate in community People don’t care how much you know

until they know how much you care.

Clinical Treatment Strategies

Age and Generational Influence Developmental Disabilities Acquired Religion and Spiritual Orientation Ethnicity Social Economic Status Sexual Orientation Indigenous Heritage National Origin Gender

(Hays 1996)

Tribal Communit

y

Casino EAP & HR Referrals

Youth

EldersCommuni

ty Outreach

Treatment Programs

CD/MH

Therapy Groups

Problem Gambling Services

NW Tribal Problem Gambling Coalition

Program & Professional Development Program and Resource Sharing Consultation (Clinical and

Administrative) Native Voice-national, Regional, and

Local Inter-Tribal Collaboration Forum for Discussing Unique Issues

and Opportunity in Tribal Communities

Resources

Books Understanding Native American Culture, Don L Coyhis Every Day Is A Good Day , Reflections by Contemporary Indigenous Women,

Wilma ManKiller Beyond Inclusion, Beyond Empowerment ; A development Strategy to liberate

Everyone, Leticia Nieto and Margot Boyer For Indigenous Eyes Only ; A decolonization Handbook by Waziyatawin Angela

Wilson, and Michael Yellow Bird A Framework for Understanding Poverty , Ruby PayneCulturally Responsive Cognitive-Behavioral Therapy (Hays, Pamela and Gayle Y. Iwamasa 2006) Addressing Cultural Complexities in Practice; A Framework for Clinicians and

Counselors (Pamela Hays, PhD 2001)

 Videos/DVD’s Journey to Forgiveness’ White Bison Once Were Warriors’ Dakota 38 + 2’ The Fighter’

Questions

THANK YOU!!!