For Provider

What is the Tribal Umbrella? 

 

Tribal organizations have multiple programs or departments that can provide recovery support services to ATR clients.  These tribal programs and services, as well as activities provided by community resource people for whom the tribe bills ATR are considered to be under the “Tribal Umbrella.”


A tribe may have a substance abuse or behavioral health department that provides recovery support activities in addition to clinical treatment. For example, the behavioral health department may sponsor sobriety gatherings, retreats, and recovery support groups. The tribe may have a recreational department, a cultural division, an education department, a social services division, a health division. The health division employees may offer health education in nutrition; heart, diabetes, smoking cessation, chronic disease management; access to a traditional healer; and complementary medical interventions for stress management.  The social services division may offer parenting or domestic violence classes, family education activities and life skills.  The cultural division could offer language, culture, and traditional teachings; men’s and women’s circles, sweat lodges, fasting camps and teaching circles. Human resources could provide job readiness and employment activities. Recreation and Education departments offer a wealth of fitness, social and educational opportunities.  Any and all of these services could be provided for recovery support under the tribe’s “umbrella.”
 

Recovery Community and Peer Recovery Support under the Tribal Umbrella:  In addition to tribal programs and departments providing activities through their paid employees, the Tribal Umbrella can include local recovery community resource people who provide a variety of recovery support services for ATR clients to choose from.  These resource people can be contracted by a tribal program or volunteer. The tribal Behavioral Health Program Care Coordinator case manager the type and amount of services; the program bills ITC monthly for voucher transactions; receives a check and pays the resource people for pre-approved, vouchered services. For example, the tribe may contract with a local massage therapist, a yoga teacher, an elder who teaches beadwork and regalia making, a story-teller, a pastoral counselor, and a traditional healer. The tribe may also contract a GPRA Tracker and several Peer Recovery Coaches to maintain ongoing contact with ATR clients.  The tribe bills for services rendered and pays the resource people from the reimbursement at a rate established by the tribe as the employer as established in the contract. Every person providing an ATR service must complete Part 5 of this application and pass a background check, regardless of their status as an employee, contractor or volunteer.