Feasibility Study for
the Confederated tribes of the
Colville Reservation

Executive Summary
The primary objective of this document is to present findings of a feasibility study for a residential substance abuse treatment facility and recovery homes for the Confederated Tribes of the Colville Reservation (Colville).

This feasibility study contains the following sections: Executive Summary;
Methods; Background; Understanding Treatment Services; Health Care and Treatment Access; Clients and Areas Served, Services; Case Studies & Washington Tribes’ Behavioral Health; Accreditations, Licensures, & Certifications; Challenges, Opportunities, and Keys to Success; Next Steps; References; and Appendixes. This Executive Summary provides highlights from the full document. Our investigation was informed by Tribal administration, the Colville Business Council, historical and contemporary Tribal documents, qualitative and quantitative data, the Native American Connections’ model of holistic residential care and transitional/supportive group housing, and a modified SWOT (Strengths,
Weaknesses, Opportunities, and Threats) methodology.

A new treatment facility and recovery homes are integral components of Colville’s broader vision of wellness, as described below. Development of such facilities will also help fill a gap in Colville’s overall health services delivery system by serving those who suffer with substance abuse challenges. The new treatment facility will not only serve Colville citizens, but also other American Indians and Alaska Natives, and non-Natives from within the region, the State of Washington, and across the U.S. who have been medically determined to need residential substance abuse treatment services.

Careful planning and implementation of local, easy to access, residential treatment services are not only important to the overall health and wellness of the community, but such services are cost effective. Health care facilities, child welfare agencies, justice systems, police forces, fire departments, and other tribal entities save limited financial and staff resources when fewer community members are actively addicted to substances. We conclude that the development, construction, and sustainability of a new residential substance abuse treatment facility and four recovery homes are feasible and in the Tribes’ best interest. Our analysis indicates the following:

● An initial 24-bed residential substance abuse treatment facility is a reasonable endeavor
for the first two to four years of operations.
● As the Tribes expand its workforce and build systems capacity to provide additional
treatment services to a larger population, the residential substance abuse treatment
facility can be expanded up to 48 beds.
● As individuals complete residential treatment, many will be at risk for relapse; therefore,
it is advised that up to four recovery group homes be established to help sustain healthy
living among those who have been successful in completing their residential treatment.

The process and data that informed each of these conclusions is discussed in more detail the full report as are the conclusions themselves.