Provides abstinence-based treatment to Native American adults.  Focuses on the issues that typically accompany patterns of chronic relapse. Treatment is directed toward issues of unresolved grief and the trauma of physical and sexual abuse. An emphasis is placed on respect and compassion while providing the expectations and structure for responsible behavior and a positive identity that supports life change.  The Northwest Indian Treatment Center is a 24-bed residential drug and alcohol treatment program for Native Americans operated by the Squaxin Island Tribe. The length of stay is 45 days. The center is certified by the Division of Alcohol and Substance Abuse and both the residential and outpatient programs are accredited by the Rehabilitation Accreditation Commission (CARF).