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For NBCC Counselor (NCC), click here: NCC CE Requirements.

Behavioral Health Services for American Indians and Alaska Natives

$ – For pricing details, see our Pricing page.  **Make sure you are logged in prior to taking any exam or purchasing units.**

You will need to purchase 1 unit for every 1 hour of coursework to gain access to the certificate of completion.

You will receive a certificate of completion after passing the exam, completing the course evaluation, and purchasing the appropriate number of units.  The certificate of completion will then be accessible on your myCourses page in the Your Course History section under the tab “Aspira Courses I’ve Passed”.  There will be a “Download” button under the “Certificate” column that you will be able to click on to pull up your certificate once all requirements listed above have been met.

To access the course document, click on the “View Coursework” button below (you may need to scroll down on the page). If the course is a video course the button will read “View Webinar” or “View Video”.  If the course is a Book course the button will display “Buy Book”.

Behavioral Health Services for American Indians and Alaska Natives – Online CE Course

Behavioral Health Services for American Indians and Alaska Natives Course Objectives and Outline:

Course Objectives:

  1. Explain at least one strategy for facilitating American Indian and Alaska Native individuals’ access to and engagement in behavioral health services.
  2. Explain at least one contributor to American Indian and Alaska Native mental health enduring disparities.
  3. Discuss at least two symptoms of historical trauma.
  4. Describe at least two ways in which historical loss Among American Indians and Alaska Natives is associated with greater risk for mental health issues.
  5. Discuss at least one clinical strategy in working with the concept of historical trauma among American Indians and Alaska Natives.
  6. Explain at least one culturally responsive, engaging, holistic, trauma-informed service provided to American Indian and Alaska Native clients.
  7. Discuss at least two cultural competence skills specific to working with individuals who identify with American Indian and Alaska Native cultures.
  8. Discuss at least one specific clinical competency for providing behavioral health services to American Indians and Alaska Natives.
  9. Describe the “RESPECT” mnemonic for culturally responsive attitudes and behaviors.
  10. Identify at least two culturally adapted treatment approaches when working with American Indian and Alaska Native clients.

Course Outline:

    1. Foreword
    2. Introduction
    3. Overall Key Messages
    4. Content Overview
    5. Terminology
    6. TIP Development Participants.
    7. Publication Information


  1. Part 1, Chapter 1
    1. Introduction
    2. Choosing a Path for Your Learning Journey
    3. Beginning in the East: The Direction of Cultural Knowledge
    4. Moving to the South: The Direction of Cultural Awareness and Competence
    5. Continuing West: Cultural Perspective on Behavioral Health
    6. Arriving in the North: The Direction of Culturally Specific and Responsive Skills and Practices
  2. Part 1, Chapter 2
    1. Introduction
    2. Vignette 1—Vicki: Establishing Relationships, Acknowledging the Past, and Choosing Treatment
    3. Vignette 2—Joe: Addressing Methamphetamine Dependence, Reconnecting With Family, and Recovering on the Reservation
    4. Vignette 3—Marlene: Facilitating Support, Creating Family Connections, Honoring Traditional Ways, and Recovering in Remote Alaska Villages
    5. Vignette 4—Philip: Making Connections Between Losses and Alcohol Use, Using One-Stop Outreach and Case Management Services for Homelessness and Treatment Service Needs, and Building Relationships Using Traditional Practices in Recovery
  3. Exhibits
    1. Exhibit 1 1-1 Timeline of Significant Events in Native American History
    2. Exhibit 1 1-2 Cycle of Historical Trauma
    3. Exhibit 1 1-3 Cycle of Assimilation and Reconnection
    4. Exhibit 1 1-4 Traditional American Indian and Alaska Native Values and Beliefs
    5. Exhibit 1 1-5 Examples of Culturally Adapted Treatment Approaches
    6. Exhibit 1 2-1 Vignette Summary Table
    7. Exhibit 1 2-2 The Stages of Change Model


  1. Part 2, Chapter 1
    1. Introduction
    2. Becoming a Culturally Responsive Organization
    3. Workforce Professional Development
  2. Part 2, Chapter 2
    1. Introduction
    2. Developing a Culturally Competent and Responsive Workforce
    3. Developing Native EBPs
    4. integrating Care: Traditional Practices in Behavioral Health Programs
    5. Creating Sustainability
  3. Exhibits
    1. Exhibit 2.1-1. Evidence-Based Tribal Practices
    2. Exhibit 2.1-2. Navigating Life Curriculum Sessions
  5. INDEX


Instructors: Nicole Hiltibran, MA LMFT; Julie Campbell, Phd

Author: SAMHSA

The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities.

Center for Behavioral Health Statistics and Quality. (2015). Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health (HHS Publication No. SMA 15-4927, NSDUH
Series H-50). Retrieved from


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Behavioral Health Services Online continuing education for lmfts, online courses accepted by BBS, online ce/ceus, ceus for MFTs, ce courses for counselors, Social Worker CE, continuing education units for LPCs, MHC ce/ceus, LCSW, ASW and MFT Intern ce, Board approved ce/ceus in many states, national board approval ce, alcohol and drug abuse counselor ce.  See chart below for your state and license.

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Approved States

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  • Guam
  • Wisconsin
  • West Virginia
  • Wyoming
  • North Dakota
  • Nebraska
  • New Hampshire
  • New Jersey
  • New Mexico
  • Nevada
  • New York
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Virginia
  • Vermont
  • Washington
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Iowa
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Kentucky
  • Louisiana
  • Massachusetts
  • Maryland
  • Maine
  • Michigan
  • Minnesota
  • Missouri
  • Mississippi
  • Montana
  • North Carolina
  • Washington, DC
  • Connecticut
  • Colorado
  • Arizona
  • Alaska
  • Arkansas
  • Alabama
  • California