Dual diagnosis substance use and mental health intensive outpatient treatment (Wiinodewe IOP) in partnership with Red Lake Nation. Culturally centered, trauma-informed program featuring daily prayer and cultural teachings by an Elder in Residence, medication-assisted treatment (MAT — Wiidookodaadiwin program with buprenorphine/naloxone for opioid use disorder), individual and family and group therapy, peer recovery support, health education, relapse prevention planning, sober housing navigation, and equine therapy (twice monthly off-site). Drop-in groups also available.