The Confederated Tribes of the Colville Reservation works to ensure all Native Americans have the support needed to have the quality of life desired through culturally infused behavioral health services. Behavioral Health services support the emotional, psychological, social, and spiritual well-being of individuals, families, and communities.

We provide:
• Information and Referrals
• Evaluations/Screening
• Individual Therapy
• Group Therapy
• Family Counseling
• Culturally Relevant Treatment

Substance use disorders used to be thought of as a social problem in which an individual lacked the necessary willpower to stop using a substance. Today, however, substance use disorders are considered a mental health problem and a chronic disease characterized by compulsive and impulsive behavior that leads to changes in brain function and chemistry.

Luckily, there are options available for people who are dealing with substance use disorders. These options include abstaining from use, harm reduction treatment, residential treatment, and medication assisted treatment.

​Our trained counselors provide:
• Information and Referrals
• Evaluations/Screening
• Individual Therapy
• Group Therapy
• ADIS
• ​Intensive Outpatient
• Culturally Relevant Treatment

**For tips on overdose prevention, call Never Use Alone, your Overdose Prevention Lifeline, at 877-696-1996.

We can help your child with self-esteem, bullying, relationships, isolation, mood swings, aggression, self-harm, suicide talk or attempts, drug & alcohol use, or other issues that arise during their school years.

No one plans for a crisis or emergency - they happen.
We are here to help you.

During regular office hours (Mon.-Thurs. 7a-5:30p) call (509) 634-2610 or stop by HHS at the Lucy Covington Government Center (1st floor just before the elevators) and someone will help support you.

If you require a mental health or chemical dependency screening, we will schedule one and make referrals to other community support agencies when needed.

After hours

Call (509) 634-2610 at any time of day to reach our on-call counselor.

Other resources:

Native and Strong Lifeline - Call 988, option 4. Text, chat or call and speak with a trained Native counselor if you need support for suicidal, mental health, and/or substance use. Website: 988lifeline.org; Crisis Chat: 988lifeline.org/chatCrisis

Text the word “NATIVE” to 741741 and you’ll be connected with a trained crisis counselor - ​free, confidential, and available 24/7.

Veterans Crisis Line. You don't have to be enrolled in VA benefits or health care to call. Access free, confidential support 24/7, 365 days a year. ​Call 988 and Press 1 or Text 838255.

The StrongHearts Native Helpline, (844) 762-8483, ​is a 24/7 safe, confidential and anonymous domestic and sexual violence helpline for Native Americans and Alaska Natives, offering culturally-appropriate support and advocacy.

The Trevor Project - Crisis services for LGBTQ2S people are available 24/7 at (866) 488-7386 or by texting START to 678678.

The Support Center, crime victim services for Okanogan County (domestic violence, sexual assault and other crimes) offers support 24/7 at 509-826-3221 or 888-826-3221. All services are free and confidential. www.TheSupportCenter.org.

Call Blackline is a community resource to promote social justice in crisis interventions for BIPOC communities. This resource also provides people with an avenue to report harmful, physical, and inappropriate contact with police and vigilantes. Phone: 1-800-604-5841; Website: callblackline.com

Project LETS offers a Trans Lifeline to provide support to individuals in crisis or approaching a crisis without police involvement to prevent ongoing systemic disparities for trans populations. Phone: 877-565-8860 Website: projectlets.org/crisis-support

Warmlines are non-crisis lines that individuals can reach out to speak with someone about their issues. Most often, warmlines are operated by consumer-run organizations that exist in various states. You can find a list of warmlines at warmline.org.