The Muckleshoot Indian Tribe is a federally recognized Indian tribe, which can trace its ancestors in Central Puget Sound for thousands of years. With both outpatient and residential substance abuse services for adults and outpatient for adolescents, Muckleshoot Behavioral Health Program offers free treatment for tribal members in Auburn, Washington and surrounding counties.
Accommodations and Food
The residential facility is located in Auburn, on reservation land just south of Spokane. The building is a two-story structure resembling a cabin. There are 16 beds upstairs for men with eight beds for women on the ground floor. Also on the ground floor are the dining room, kitchen and TV room. All rooms are double occupancy and there are two full bathrooms on each floor.
Clients are responsible for preparing all of their own meals, which come from either the local food bank or by signing up for food stamps. They often plan meals and eat together in the dining room, but whether or not this happens is entirely up to them.
Chores are assigned on a month-to-month basis—Muckleshoot residents are responsible for keeping the house clean and doing their own laundry.
Smoking is allowed in designated areas during breaks.
Treatment and Staff
Residential clients remain at Muckleshoot for anywhere from six months up to two years. While they are living in the house, they attend treatment with the outpatient clients at the behavioral health center across the street. For the first 30 days, they are in something of a blackout period—no cell phones or visitors. After six months, they have to have jobs and are expected to schedule treatment and 12-step meetings around their work schedule.
A Suboxone outpatient detox is offered to all eligible clients. If approved by the staff doctor and psychiatrist, participants are subject to weekly urine tests, are required to attend Suboxone support group on Tuesdays and Thursday evenings and they have to see the psychiatrist every two weeks.
The intensive outpatient program (IOP) meets three times a week for three-hour intervals. Clients attend a mix of group and individual therapy. Therapists use CBT, Motivational Interviewing and trauma informed care, in addition to addiction education. Group topics include grief counseling, introduction to the 12 steps, re-orienting to sober life, addiction studies and relapse prevention. IOP usually runs for up to eight weeks, but could be shorter or longer depending on the client’s progress. Dual diagnosis clients attend individual therapy and group sessions targeted to their specific diagnosis. They also see the psychiatrist monthly for medication management. IOP clients are required to attend three outside 12-step meetings a week and proof of attendance slips must be signed.
Outpatient clients attend groups once a week and individual therapy is based on need. Topics are similar to IOP and, as with IOP, all sessions are 6o minutes long. Outpatient clients are required to attend two 12-step meetings per week.
Adolescent Outpatient group meets twice a week for two hours. Peer pressure, coping skills and family systems are added to the treatment schedule.
The Muckleshoot treatment team consists of psychiatrists, physicians, MFTs, CADCs, treatment technicians and LPNs. There is also a house manager who lives on-site to supervise residential clients. This makes for a staff-to-client ratio of seven-to-one.
Treatment at Muckleshoot incorporates the principles of the Native American medicine wheel, a healing circle and equine therapy. Weekly outings are also scheduled in the hopes of showing clients they can have sober fun.
The families of adolescent clients meet as a unit once a week for the family program.
Muckleshoot Behavioral Health Program offers well structured, evidence-based treatment services for free to tribal members—why not try it? A significant bonus is the extended length of the residential program. Two years is a long time to be able to live in a safe and sober environment.
Muckleshoot Behavioral Health Program
17813 SE 392 St.
Auburn, WA 98092
Muckleshoot Behavioral Health Program Cost: Free. Reach Muckleshoot Behavioral Health Program by phone at (253) 804-8752. Find Muckleshoot Behavioral Health Program on Facebook
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