Health and Human Services of the Tohono O’odham Nation offers services to members of their nation including: mental health, addiction, disease prevention and management, health promotion, wellness programs, social services, child protection, emergency shelter, special needs services, and more. For more information, visit their website here. 

The Pascua Yaqui Health Services Division offers members of their nation services including: alternative medicine, behavioral health, dialysis clinic, dental center, diabetes programs, disease prevention, traditional healing and more. For more information, please visit their website here. 

The Indian Health Service (IHS) offers inpatient and outpatient services. For more information, please visit their website.

The IHS is a federal agency that provides health care services to American Indians and Alaska Natives regardless of health insurance coverage through facilities operated by the IHS, tribal entities, or Urban Indian Health Programs. In order to access IHS or tribally operated facilities, you must be in-person and present proof of your enrollment as a member of a federally recognized tribe. 

IHS is not health insurance. Health insurance will pay for health care covered by your plan, and may cover services that IHS does not provide such as: 

• – Health specialists 
• – Health care for covered services without IHS Purchase/Referred Care authorization 
• – Health care when you are away from home 

You can use both IHS and other health insurance (Marketplace, Medicaid, and CHIP), and have a choice if you want to continue your care at the Indian health clinic or get healthcare somewhere else. Having health insurance can expand your options for needed care if IHS is not able to provide certain services. 

These are the local Pima County Indian Health Service, Tribal or Urban Indian Health Program facilities available: 

 Click here to learn more facts about IHS

American Indian Health Program (AIHP) is one of the Medicaid insurance plans through the Arizona Health Care Cost Containment System (AHCCCS) that provides coverage for medically necessary, preventative, and behavioral health services. The main difference from AIHP to other insurance plans through AHCCCS is the coverage of services at American Indian Health Facilities that are listed under the “Indian Health Services” section. If these facilities do not offer services that are needed, you are able to receive services from any AHCCCS-registered providers that accept AIHP.  

To find services, you can: 

• – Call 1-800-334-5283 to find AHCCCS-registered providers that can accept AIHP 

• – Call a provider/agency and ask if they are contracted with AIHP 

If you want services from a provider that does not accept AIHP, you have the right to switch plans from AIHP to one of the other AHCCCS managed care plans. You also have the right to switch back to AIHP. You can only switch plans once a year. To learn how to switch plans and for more information, please visit their website. 

Having treatment that is culturally specific to you and your needs can make a difference on your recovery journey. Feeling heard and giving space to your experience can help you heal. Below are culturally specific substance use treatment services that are in Pima County that can be utilized. In general, substance use treatment services in Pima County are committed to diversity, equity, and inclusion to make sure their services are culturally responsive based on the individual. 

You can find all treatment providers here: Click here to search for treatment providers! 

This list is to highlight specific substance use treatment programs that provide culturally specific programming to indigenous communities: 

The Wellbriety Movement is a culturally based healing program specific to indigenous indviduals. Wellbriety goes beyond sobriety and recovery and extends to committing to a life of wellness and healing. It supports healing within the individual, families, and whole communities. The program concentrates on the whole person and focuses on healing spiritually, mentally, emotionally, and physically to reach personal awareness, balance, and growth. It incorporates the teachings of Native culture, such as the Medicine Wheel, 12 Steps and Cycle of Life, and incorporates it to everyday life. This cultural approach centers your identity, values, and cultural traditions to heal from the harms of substance use, intergenerational and current trauma.  

Addressing generational trauma, abuse, and shame unique to indigenous communities is often overlooked while in treatment. The Wellbriety Movement allows for a culturally based approach addressing the root emotions of anger, guilt, and shame to make room for healing. It is inclusive of all cultures and invites anyone who could benefit from this approach. There are various programs that incorporate Wellbriety Movement into substance use treatment, as well as Wellbriety Circles that you can join. 

Resources for Wellbriety Circles: