Behavioral Health

Cowlitz Indian Tribe Behavioral Health (CITBH) program treats the whole person, not just the symptoms. Mental health disorders, substance use, and other addiction behaviors often stem from a combination of emotional, psychological, social, and sometimes physical factors. Many people experiencing mental health struggles may turn to substances as a coping mechanism, and substance use can trigger mental health symptoms. CITBH fosters true healing by identifying needs in all aspects of a person’s life and addressing them together with integrated planning and care.

Services & Programs

• Mental Health Therapy
• Psychiatric Medication Management
• Substance Use Disorder Treatment
• Peer Support
• Medication Assisted Treatment
• Responsible Gaming

Mental Health Therapy:

Our counseling services provide culturally responsive support that honors and integrates traditional practices and values, promoting healing and resilience for individuals.

• Comprehensive Diagnostic Assessments for Behavioral Health Disorders
• Co-Occurring Services
• Individual Therapy
• Family Therapy
• Group Therapy
• Peer Support Services

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Psychiatric Medicine:

Psychiatric medicine can provide essential support when psychological interventions alone are insufficient, helping to stabilize mood, reduce distress, and improve overall well-being.

• Medication Evaluation
• Medication Management

Telehealth may be available on a case-by-case basis. Please notify the client support specialist during your registration orientation appointment if your circumstances might require it.

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Substance Use Disorder Treatment:

We provide culturally tailored, comprehensive treatment for individuals seeking recovery from substance use disorders. Our dedicated staff offer guidance and support throughout the recovery journey, delivering integrated services that foster hope and healing for both our clients, their families, and the community.

Outpatient Services:

• Assessment
  • Please make sure to arrive 10 minutes early for your appointment.
  • You and the counselor will decide on the most suitable treatment program for your needs.
• Individual Counseling
• Group Counseling
• Aftercare
• Relapse Prevention
• Moral Reconation Therapy (MRT)
• Seeking Safety
• Cultural Rooted Curriculum
• Traditional Teachings with Elders
• Life Skills Groups

Care Coordination & Referral:

• Coordination & Support with Accessing Needed Services
• Referral to Detox
• Inpatient Bed Placement
• Coordination with Specialty Courts

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Peer Support:

Peer Support Specialist utilize lived experience and training to help their peers find hope and make progress in their wellness journey. To obtain peer support services you must be actively involved in behavioral health services. When receiving behavioral health services, your primary clinician can refer you to peer support services and will collaborate with the peer to ensure everyone is supporting your efforts to achieve the goals you’ve identified. Peer Support Specialists can:

• Assist individuals and families in developing recovery goals.
• Provide scheduled activities that promote wellness.
• Help clients with self-advocacy, development of natural supports systems, and community living skills.

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Medication Assisted Treatment (MAT):

CIT Behavioral Health offers MAT services, which is a diverse service pathway that supports individual recovery journeys, recognizing that each patient’s needs are unique. We aim to reduce stigmas around addiction, emphasizing that recovery is personalized and not solely based on abstinence. We provide a rich cultural environment with Native practices integrated into our treatment, while also offering comprehensive support beyond medication.

We focus on reducing overdose risk and removing treatment barriers by offering:

• Scheduled Appointments with an ARNP, Nurse Care Manager, or Dual-Credentialed Licensed Therapist
• Walk-in Clinics (dependent on location)
• Same-Day Prescriptions
• Integrated Medical and Support Services
• Weekly Groups Steeped in Native Culture
• Naloxone and Training in its Use
• Mobile MAT Services (dependent on location)

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Responsible Gaming:

Our mission is to provide holistic recovery options for individuals with gambling disorders and their loved ones, while raising awareness about problem gambling prevention. This issue affects adults, older adults, and youth, leading to significant harm in finances and relationships. We offer free treatment services, including assessments and therapy sessions, to both Native and non-Native individuals, supported by ilani Casino. There is hope for recovery, and treatment is effective!

• Assessments
• Individual Sessions
• Group Therapy
• Family Sessions
• Education and Outreach

If you or a loved one are struggling with problem gambling, here are some signs to look out for:

• A growing obsession with gambling
• A need to bet more money, more often
• Using credit cards or loans to get funds to gamble
• Bragging about wins and losses, or lying about wins and losses
• Restlessness or irritability when trying to cut back or stop
• Losing track of time while gambling
• Neglecting family members, friends, or work to gamble
• Loss of control even though it is causing damage

If you currently have a self-exclusion, you cannot remove yourself. If you would like to go to a restaurant or an event at a casino, you must contact the casino directly to learn about their self-exclusion policies. For more information on self-exclusion, please visit: Self-exclusion: Voluntarily exclude yourself from gambling activities | Washington State Gambling Commission