Provides integrated and holistic outpatient alcohol and drug (A&D) services, co-occurring disorder services, services for DUI offenders, gambling treatment, mental health counseling, and cultural activities. Cultural and spiritual health are core elements of service planning.

Participants are placed according to American Society of Addiction Medicine (ASAM) level of care criteria and participate at the least-intrusive level thought to be effective. Co-occurring services are delivered simultaneously with substance use disorder services and include individualized integrated bio/psycho/social/spiritual assessments, individual and group therapy, and safety and crisis planning. Provides referrals to community partners for medication management and persistent mental health issues that the agency is not specialized in providing.

Staff work with community partners to help participants involved with drug court/criminal justice systems, DHS, veterans court, tribal courts and social service systems, federal courts, etc., with re-entry, addressing barriers to housing, employment, education, stigma, and broken trust with family and community. Provides assessments for risk of recidivism, Rent Well classes, life skills groups that address employment and education readiness, parenting classes, navigation of community resources, and service/volunteer opportunities.

Totem Lodge offers integrated wraparound services including physical health, mental health, addictions treatment, and outreach services. Care is provided by a team of primary care providers, mental health providers, case managers, care coordinators, certified addictions counselors, psychiatric providers, and medical assistants.