{"id":7911,"date":"2026-05-19T18:32:36","date_gmt":"2026-05-19T18:32:36","guid":{"rendered":"https:\/\/siliconvalleymovingpost.com\/?p=7911"},"modified":"2026-05-19T18:32:36","modified_gmt":"2026-05-19T18:32:36","slug":"cherokee-nation-integrates-culture-into-new-treatment-center-built-with-opioid-settlement-funds","status":"publish","type":"post","link":"https:\/\/siliconvalleymovingpost.com\/?p=7911","title":{"rendered":"Cherokee Nation integrates culture into new treatment center built with opioid settlement funds"},"content":{"rendered":"<div><p><strong>By SARAH LIESE and SIERRA PFEIFER<\/strong><\/p>\n<p>TAHLEQUAH, Okla. (AP) \u2014 Culture is vital for recovery. That\u2019s a lesson Juli Skinner, a citizen of the Ponca Tribe of Oklahoma, learned during her time in foster care, years later working in child welfare and now, as the senior director of the Cherokee Nation\u2019s behavioral health center.<\/p><p>Read more <a href=\"https:\/\/siliconvalleymovingpost.com\/?p=7906\">Appeals court judges appear to be divided over Pentagon\u2019s legal dispute with AI company Anthropic<\/a><\/p>\n<p>Tribal traditions have given her a healthy way to self-regulate and strengthen her connection with Spirit.<\/p>\n<p>\u201cCulture is such a protective factor,\u201d Skinner said. \u201cHistorical trauma has hit a lot of people \u2014 Native Americans, tribes \u2014 hard. Lost language, lost traditional ways, and we\u2019ll never get all of that back.\u201d<\/p>\n<p>Despite seeing the benefits, culture has never been baked into the inpatient treatment options available to citizens of the Cherokee Nation in Oklahoma, a tribe Skinner has worked with for more than a decade. That is changing next year.<\/p>\n<p>Cherokee Nation plans to open a residential and intensive outpatient treatment center in Tahlequah, where the tribe is headquartered. It will incorporate centuries-old traditions into recovery, including the game of stickball and an on-campus garden to grow selu, or corn.<\/p>\n<p>Money for the facility comes from the roughly $150 million the tribe recovered through settlements with opioid manufacturers. The 45,000-square-foot (4,180-square-meter) campus will have 100 inpatient beds and an outpatient hub with follow-up support.<\/p>\n<iframe allow=\"geolocation\" allowfullscreen=\"yes\" allowtransparency=\"1\" class=\"iframe\" height=\"930px\" id=\"6a0cacb61306b\" loading=\"lazy\" scrolling=\"yes\" src=\"https:\/\/interactives.ap.org\/embeds\/livHU\/3\/\" width=\"100%\"><\/iframe>\n<h4>Suing opioid manufacturer<\/h4>\n<p>Tribes \u2014 like thousands of state and local governments \u2013 sued drugmakers, wholesalers, pharmacies and other businesses starting in the last decade over the toll of an opioid crisis that has now been linked to more than 900,000 deaths in the U.S. since 1999.<\/p> <div>\n<\/div>\n<p>The companies have so far reached settlements worth nearly $58 billion, according to a tally kept by Christine Minhee, who runs Opioid Settlement Tracker. Most of the money must be used to address the crisis. For some communities, it\u2019s been a struggle to figure out how to use the funds.<\/p>\n<p>About $1.3 billion of the total is going to hundreds of tribes and Alaska Native corporations over time.<\/p>\n<p>The largest of 575 federally recognized tribes, Cherokee Nation was the first to sue opioid manufacturers in 2017. The tribe has more than 450,000 citizens, many of whom reside in Oklahoma due to federal policies that forced Cherokee people to leave the southeastern United States.<\/p>\n<p>Principal Chief Chuck Hoskin Jr. said Cherokee leaders wanted to take an active role in opioid litigation after missing the chance to do so during a similar series of lawsuits against tobacco companies in the late 1990s.<\/p> <div>\n<\/div>\n<p>\u201cThere will never be another era in which there\u2019s some industry that does damage to the Cherokee Nation, damage to the Cherokee people, where we will be bystanders looking for state legislatures, state attorney(s) general to get us justice,\u201d he said.<\/p>\n<h4>\u2018Existential effort\u2019<\/h4>\n<p>The opioid crisis has had three waves: First, prescription pain pills that were the biggest killer, then heroin and for the last decade or so, fentanyl and other synthetic opioids. The opioid-related death rate for Native Americans was similar to that for white Americans until fentanyl took hold. Since then, and especially through the coronavirus pandemic, Native Americans have had a higher rate of opioid-related deaths.<\/p>\n<p>It\u2019s something Ashley Caudle, a citizen of the Cherokee Nation, saw firsthand while running her small business last year. She would regularly put free Narcan outside her storefront in Stilwell, a small city 20 miles east of Tahlequah.<\/p>\n<p>\u201cI had to restock that thing every week, almost daily,\u201d Caudle said.<\/p>\n<p>In the 14 counties that make up Cherokee Nation, more than 1,000 people died between 2020 and 2024. Hoskin Jr. said many of the deaths were in rural areas, where language and culture are often strongest. Investing in behavioral health preserves the lifeblood of the tribe, he said.<\/p><p>Read more <a href=\"https:\/\/siliconvalleymovingpost.com\/?p=7904\">Graduates are booing pep talks on AI at college commencements<\/a><\/p>\n<p>\u201cIn many ways, our success here is part of an existential effort,\u201d Hoskin Jr. said. \u201cWhether what it means to be Cherokee is going to continue on; that\u2019s only true if we have people that continue our lifeways and continue to speak our language and pass that down.\u201d<\/p>\n<div><ul><div><div><li><div>\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" alt=\"Rolling hills and grazing cattle\" class=\"wp-image-7908\" height=\"683\" src=\"https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/af834aa630c4139ceb93175a436935b0-1024x683.webp\" width=\"1024\" srcset=\"https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/af834aa630c4139ceb93175a436935b0-1024x683.webp 1024w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/af834aa630c4139ceb93175a436935b0-300x200.webp 300w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/af834aa630c4139ceb93175a436935b0-768x512.webp 768w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/af834aa630c4139ceb93175a436935b0-1536x1024.webp 1536w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/af834aa630c4139ceb93175a436935b0.webp 1860w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<div>Rolling hills and grazing cattle surround the Cherokee Nation\u2019s new residential and intensive outpatient addiction treatment center in Tahlequah, Okla., March 26, 2026. (Sarah Liese\/KOSU via AP)\n<\/div><\/div><\/li><li><div>\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" alt=\"Chuck Hoskin Jr., center, talks with Juli Skinner (left) and Jon Asbill (right)\" class=\"wp-image-7909\" height=\"682\" src=\"https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/c1415dbcce84e7e3470bab3925a14df3-1024x682.webp\" width=\"1024\" srcset=\"https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/c1415dbcce84e7e3470bab3925a14df3-1024x682.webp 1024w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/c1415dbcce84e7e3470bab3925a14df3-300x200.webp 300w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/c1415dbcce84e7e3470bab3925a14df3-768x512.webp 768w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/c1415dbcce84e7e3470bab3925a14df3-1536x1023.webp 1536w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/c1415dbcce84e7e3470bab3925a14df3.webp 1860w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<div>Cherokee Nation Principal Chief Chuck Hoskin Jr., center, discusses progress of a new treatment center with Juli Skinner, left, the senior director of the tribe\u2019s behavioral health center, and Jon Asbill, right, the tribe\u2019s senior construction administrator March 26, 2026, in Tahlequah, Okla. (Sarah Liese\/KOSU via AP)\n<\/div><\/div><\/li><li><div>\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" alt=\"Ashley Caudle, a citizen of the Cherokee Nation, wraps her arms around her son, Elliot,\" class=\"wp-image-7910\" height=\"683\" src=\"https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/997d47c0f4e17c83908a3727545e1eab-1024x683.webp\" width=\"1024\" srcset=\"https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/997d47c0f4e17c83908a3727545e1eab-1024x683.webp 1024w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/997d47c0f4e17c83908a3727545e1eab-300x200.webp 300w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/997d47c0f4e17c83908a3727545e1eab-768x512.webp 768w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/997d47c0f4e17c83908a3727545e1eab-1536x1024.webp 1536w, https:\/\/siliconvalleymovingpost.com\/wp-content\/uploads\/2026\/05\/997d47c0f4e17c83908a3727545e1eab.webp 1860w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<div>In this photo provided by KOSU, Ashley Caudle, a citizen of the Cherokee Nation, wraps her arms around her son, Elliot, next to her garden in Stilwell, Okla., on Friday, May 1, 2026. (Sarah Liese\/KOSU via AP)\n<\/div><\/div><\/li><\/div><\/div><\/ul><div><div>Rolling hills and grazing cattle surround the Cherokee Nation\u2019s new residential and intensive outpatient addiction treatment center in Tahlequah, Okla., March 26, 2026. (Sarah Liese\/KOSU via AP)\n<\/div><span>Expand<\/span><\/div><\/div>\n<h4>A safe place to recover<\/h4>\n<p>Culture is integrated into every part of the new treatment center\u2019s design. While choosing the layout, the tribe hosted listening sessions with community members and elders. Cherokee language experts are finalizing a name for the center.<\/p>\n<p>The facility has large windows that offer a view of rolling hills and grazing cattle. It faces the east to greet the rising sun and is a short drive from a sweat lodge. Residential patients will also have access to a stickball court, garden space for traditional foods, a gym and room for meditation.<\/p>\n<p>Skinner said there are typically 50 to 70 tribal citizens who need to be connected to residential treatment each month. Right now, if someone goes to an emergency room, primary care doctor or local clinic and asks for help with substance abuse, the tribe will refer them to a contracted facility, not owned by the tribe.<\/p>\n<p>The new center will be the first of its kind, completely operated by Cherokee Nation, and comes at no cost for tribal citizens.<\/p>\n<p>\u201cI can hardly wait until we have our own,\u201d Skinner said.<\/p>\n<p>The new treatment center in Tahlequah will also be one of three locations on the reservation offering intensive outpatient care to Cherokee Nation citizens.<\/p>\n<p>Skinner said the tribe is building a continuum of care, which will include a variety of treatment options, not just inpatient care. When someone returns home to where they were living in active addiction, it can be difficult to stay sober.<\/p>\n<p>Caudle, the Cherokee Nation citizen in Stilwell, also knows people who could have benefited from the resources the tribe is building. Both her mother and brother struggled with substance abuse, which eventually led to their deaths.<\/p>\n<p>When thinking about how the new facility in Tahlequah could have impacted their lives, Caudle said, \u201cI guess there\u2019s a lot of \u2018what ifs\u2019 and \u2018woulda, coulda, shouldas,\u2019 and that will never change. But the opportunities that people will have with this facility and the potential is huge.\u201d<\/p>\n<p>Caudle continues to find her own ways of healing and is passing this knowledge down to her son, Elliot.<\/p>\n<p>\u201cIf he messes up, it\u2019s not \u2018get out of my house. I never want to see you again,\u2019\u201d Caudle said. \u201c(It\u2019s) let\u2019s pick yourself back up and let\u2019s try again. Same concept I want people to embrace as a community.\u201d<\/p>\n<p><em>Associated Press writer Geoff Mulvihill in Haddonfield, New Jersey, contributed to this story.<\/em><\/p>\n<p><em>This story is published through the Global Indigenous Reporting Network at The Associated Press.<\/em><\/p><p>Read more <a href=\"https:\/\/siliconvalleymovingpost.com\/?p=7902\">Orange County scores and player stats for Monday, May 18<\/a><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>The Cherokee Nation in Oklahoma is using opioid settlement funds to build a culturally competent healthcare system.<\/p>\n","protected":false},"author":1,"featured_media":7907,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-7911","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-national-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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