Welcome to HIR counseling services. Please see below to get you started for your first visit. If you forget a step, we will get it worked out when you arrive. We look forward to meeting you and your family.
DO YOU OFFER SLIDING SCALE RATES?
The simple answer is yes. We believe that mental health and wellness services should be the last thing you have to be worried about when you need it the most. We offer reduced or free counseling and wellness services for all. Please contact us today to learn more. We also contract with other health care providers who do accept insurance and will work with you to find the right services to meet your needs.
DO YOU HAVE TO BE INDIGENOUS/AMERICAN INDIAN/FIRST NATIONS TO RECEIVE SERVICES?
No, you don't. Although HIR was founded to address the unique mental health concerns due to systemic, historical, and contemporary traumas impacting Indigenous people today, we also know that systemic oppression and disenfranchisement impacts many other communities. HIR is here to support you regardless of your cultural identity. It is our vision to walk with you and your community and encourage the process of healing intergenerational roots "HIR" for All Nations - One Tribe (Human tribe).
HOW LONG DOES EACH THERAPY SESSION TAKE?
The average counseling session will be 50 minutes long, once a week. The length of the session will depend on the counseling needs you have. We also offer school-based mental health services, and for more information, please contact us.
WHAT TYPE OF THERAPY DO WE OFFER?
We offer a therapeutic approach that meets you where your child or youth is and identify their strengths and potential for growth and wellness. In doing this, we consult with other trained professionals and cultural advisors to provide culturally responsive care.
WHAT IS PRACTICED BASED EVIDENCE (PBE) v. EVIDENCED BASED PRACTICE (EBP)?
These are different approaches to delivering therapeutic care, assessment, and monitoring progress. EBP is rooted in clinical-trials, evidenced-based research, and scholarship whereas PBE allows for cultural practices to be utilized within therapy process that can be measured and monitored for efficacy. Click here to learn more.
WHAT IS COMMUNITY ACTIVATED MEDICINE (CAM)?
CAM is where healing ways and community activism intersect to create action-oriented wellness
CAM is our unique approach to community healing and was developed by our founder, Lea S. Denny, to take a systemic approach to healing systemic trauma. CAM happens when community members come together to learn, grow and activate their minds, body, heart, and spirit towards wellness and community belonging. Community members are usually the first line of defense when it comes to having contact with a crisis, mental health concerns, criminal activity, natural disasters and other issues impacting their families and communities alike. We believe that everyone has the power to support change and make a difference. Therefore, CAM supports systemic community change and agency for healthier, more connected, and thriving communities.
WHAT IS TRAUMA-INFORMED CARE (TIC)?
A shift from "What is wrong with you" to "What has happened to you?". Public education, prevention, early identification and intervention, and effective trauma treatment are all necessary to break the cycle of violence. We need to intensify educational efforts to expand the availability of trauma-informed care. Trauma-informed care means treating a whole person, taking into account past trauma and the resulting coping mechanisms when attempting to understand behaviors and treat the patient. To better understand this approach, here are a few examples. Sometimes people only believe victims of rape when they are incredibly emotional when describing the details of the assault because that reaction is perceived to be the normal reaction to such trauma. But many of victims speak matter-of-factly and without affect or visible emotion about these traumatic events. This doesn’t mean that a victim is lying, or exaggerating claims. Rather, the stoicism is often tied to a victim’s desperate attempt to cope with trauma through detachment.
WHAT IS TRAUMA INFORMED HEALING (TIH)?
TIH is an approach to growing and moving forward despite the hurt, pain, and adversity in our lives, with the purpose of healing our generations together. Our founder, Lea S. Denny, first identified trauma-informed healing as our next step in growing beyond TIC. This approach addresses and recognizes the healing our families and communities need from generational experiences of historical and contemporary trauma. TIH means moving from being trauma-informed (education) to the ACT of doing and learning how to use, incorporate, encourage, and foster trauma-informed healing practices that have been identified through both evidence-based practices and practice-based evidence. TIH uses therapy and wellness approaches that are rooted in cultural ways of knowing and requires therapist and families to learn together a purposeful and relevant psychoeducation in neurobiology and the impact of toxic stress and developmental and complex trauma. In doing this, we believe in having all our therapists and therapy team be NMT informed. NMT (Neurosequential Model of Therapeutics) is a clinical therapeutic problem-solving tool that helps to identify treatment approaches that will best support long-term healing (neurobiological, cultural, relational) fostering a tailored approach to therapy. NMT was developed by Dr. Bruce Perry and his colleagues with the ChildTrauma Academy and our founder CEO, and therapist, is trained in using this method for the families she serves.
WHAT IS COMMUNITY-BASED PARTICIPATORY RESEARCH & WHY DO WE USE IT TO INFORM OUR SERVICES?
CBPR is a partnership approach to research and program development that equitably involves, community members, organizational representatives, and researchers in all aspects of the research process and in which all partners contribute expertise and share decision making and investment in the final outcomes of this collaborative work.
WHAT IS HISTORICAL TRAUMA & TRANSGENERATIONAL TRAUMA TRANSMISSION?
Historical Trauma (HT) is a theory developed by Maria Yellow Horse Brave Heart and colleagues in 1998. This theory identifies the collective trauma that consisted of the psychological and physical wounding throughout a lifespan and across generations for Indigenous people of North America.
Dr. Brave Hearrt identified a cluster of six symptoms:
1st Contact: life shock, genocide, no time for grief, a Colonization Period in which the introduction of disease and alcohol occurred, and traumatic events such as Wounded Knee Massacre.
Economic competition: which resulted in loss from spiritual and tangible dimensions.
The occurrence of Invasion/War Period, which involved extermination and refugee symptoms.
A Subjugation/Reservation Period where confinement and translocation occur, a relationship of forced dependency on oppressor is formed, and a lack of security occur.
Boarding School Period: in which the family system is destroyed, beatings, rape, and prohibition of Native language and religion ensue. The lasting effect being ill-preparation for parenting, identity confusion.
Forced Relocation and Termination Period: transfer to urban areas, prohibition of religious freedom, racism and being viewed as second class; loss of governmental system and community.
She also proposed a three-pronged intervention mode: education, sharing the effects of trauma and grief resolution through collective mourning and healing
WHAT IS INTERGENERATIONAL HEALING?
Intergenerational healing (IH) considers current, familial, community, and historical stressors, collective trauma experiences, unresolved grief, and the impact of transgenerational trauma transmission. This approach goes beyond individual resilience and looks towards the systems and relationships that foster pathways for resilience & post-growth. It is here, that healing goes beyond one’s personal healing journey and extended to the lives of those ones is in a relationship with and therefore generations to come. Healing Intergenerational Roots means the presence always contains the past and the past shapes who we are and who we will be. Therefore, learning from our past and collective stories, learning how to navigate our current stressors, and identifying the strengths and resilience beyond the individual – with holding the spirit of carrying the knowledge of seven generations before and ahead of us as a guiding light.