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Traditional Health Care Practices Benefit Implementation

For Traditional Health Care Practices Implementation

Your Partners in Tribal & Urban Indian Health

The traditional health care practices Technical Assistance (TA) Team includes professionals from Kauffman and Associates, Inc., and the California Consortium for Urban Indian Health. We offer a range of no-cost training designed for Indian Health Care Programs (IHCPs) and DMC-ODS counties, and available to all tribal and urban Indian health programs, and other entities that play a role in implementing traditional health care practices within the continuum of care for substance use disorders.

Knowledge Collective

Josh Severns

Joshua Severns, MSW, LCSW, ACADC

THCP Project Director
Little Shell Chippewa Tribe
Joshua “Josh” Severns (Enrolled Little Shell Chippewa Tribe) is KAI’s Project Director for California’s Traditional Health Care Practices 1115 Waiver Implementation Project. He also provides strategic support to strengthen tribal partnerships in crisis response and behavioral health systems across the state.
 
With a clinical background rooted in both western and traditional native frameworks, Josh is a licensed clinical social worker, advanced certified alcohol and drug counselor, and registered clinical supervisor. His experience spans direct care, program leadership, and policy-level advising—bridging tribal, federal, and state systems. As a doctoral researcher in Indigenous and Rural Health, his scholarship focuses on positioning Native American culture, land, and community as core to healing.
 
A former firefighter and EMT, Josh brings grounded knowledge of crisis systems into his work, ensuring that tribal perspectives shape the design and delivery of care. His leadership is informed by lived experience, frontline service, and a commitment to protecting the rights of Native people to define health on their own terms.

Joshua Severns, MSW, LCSW, ACADC

THCP Project Director
Little Shell Chippewa Tribe
Art Martinez

Art Martinez, PhD

Native Psychologist Consultant
Northern Band of Chumash Indians
As a Native American, a member of the Chumash tribe, and a clinical psychologist, Dr. Art Martinez shares a unique melding of cultural and clinical experiences. He has served as a forensic expert witness in many state and tribal courts within the US. Dr. Art has been active in cultural ways and traditional ceremonies throughout his lifespan. Dr. Martinez has many publications to his credit which focus upon cultural engagement in care and evaluation. While Dr. Martinez currently serves as a consultant in the development of programs and services primarily to the Tribal Law and Policy Institute and Kauffman and Associates, he continues in consultation with courts and clinicians alike. In 2024 Dr. Martinez was appointed to the Nevada Indian Commission by the Governor of Nevada.

Art Martinez, PhD

Native Psychologist Consultant
Northern Band of Chumash Indians
Holly Echo-Hawk

Holly Echo-Hawk, MSc.

Senior Behavioral Health Advisor
Pawnee Nation
Holly Echo-Hawk is a former county mental health director and former Lummi Nation behavioral health director. Currently, she serves as National co-chair for Indigenous Communities Workgroup, Opioid Response Network. She is the founder and creative lead for Reclaiming Native Psychological Brilliance series and has special knowledge in the areas of traditional practices within behavioral health services, tribal council and tribal health board briefings, licensing and accreditation, long-term sustainability, and international Indigenous behavioral health partnerships.

Holly Echo-Hawk, MSc.

Senior Behavioral Health Advisor
Pawnee Nation
Joan Kandel

Joan Kandel, DO, FAAFP, FASAM

Consulting Addiction Medicine Physician
Ally to Indian Country
Board certified in family medicine and addiction medicine. She has lived and worked in tribal communities for most of her career. She worked as an Indian Health Service primary care provider for Navajo Nation and Jicarilla Apache Nation for 23 years. She spent the next four years providing direct care via telehealth to patients with opioid use disorder.
Dr. Kandel serves as an addiction medicine consultant for Kauffman & Associates, Inc. (KAI), helping to implement tribal and urban Indian MAT and traditional practice programs for California Native communities. She is also a treatment consultant for the Opioid Response Network and is a member of the ORN Indigenous Communities Advisory Team. She lives in Taos, New Mexico.

Joan Kandel, DO, FAAFP, FASAM

Consulting Addiction Medicine Physician
Ally to Indian Country

Danica Love Brown, PhD, MSW, CAC

Vice President of Behavioral Health Transformation
Choctaw Nation of Oklahoma
Danica Love Brown, MSW, CACIII, PhD, is a citizen of the Choctaw Nation of Oklahoma born and raised in Northern New Mexico. Danica is the Vice President for Resilience and Healing at Kauffman and Associates, Inc and has worked as a mental health and substance use counselor, social worker, and youth advocate for 30 years. She is an Indigenous Wellness Research Institute ISMART fellow alumni, Council of Social Work Education, Minority Fellowship Program fellow alumni, and Northwest Native American Research Center for Health fellow alumni. Her research has focused on Indigenous Ways of Knowing and decolonizing methodologies to address historical trauma and health disparities in Tribal communities.

Danica Love Brown, PhD, MSW, CAC

Vice President of Behavioral Health Transformation
Choctaw Nation of Oklahoma
Twila Mallari

Twila Mallari, MSW

KAI TA Lead
Diné- Navajo Nation
Twila Mallari (Diné/Navajo) born and raised on the Diné – Navajo Reservation in Nakaibito, New Mexico. She has more than 13 years of experience working with AI/AN populations, across multiple systems, which include social services, healthcare, and policy and legislation. She serves as a technical assistant specialist for California’s groundbreaking 1115 waiver implementation supporting traditional health care practices in the Drug Medi-Cal Organized Delivery System. Twila earned a master’s degree in social work from the University of Washington and a bachelor of arts degree in sociology, with a minor in pre-law, from Fort Lewis College. She is currently pursuing an advance paralegal certificate approved by the American Bar Association at Edmonds College.

Twila Mallari, MSW

KAI TA Lead
Diné- Navajo Nation
Karol Dixon

Karol Dixon, JD, MPH

Native Policy Advisor
Deg Hit’an Athabascan
Karol is Deg Hit’an Athabascan and an enrolled Tribal member. Karol has a B.A. in economics from the University of Alaska Anchorage, a Juris Doctor from the University of New Mexico School of Law, and a Master of Public Health from Johns Hopkins University.  She also achieved Improvement Advisor status from the Institute for Healthcare Improvement. Karol brings significant experience working with Medicaid, Medicaid waiver programs, public health and tribal health organizations. Karol has managed health programs from planning and design through implementation and evaluation, including ensuring compliance with federal, state, and nonprofit requirements. She has a personal commitment to health and well-being. When not working, Karol recently started playing pickleball and enjoys spending time outside, hiking, camping, and traveling.

Karol Dixon, JD, MPH

Native Policy Advisor
Deg Hit’an Athabascan
Caroline Cruz

Caroline Cruz, BA

Tribal-Based Practices Advisor
Wasco – Confederated Tribes of Warm Springs
Caroline Cruz is an enrolled member of the Confederated Tribes of Warm Springs and Tenino, Nisqually, Pit River, Hawaiian and Yaqui. Caroline is an internationally recognized health systems change leader. With over 35 years of experience across the full continuum of care in behavioral health, substance use, and human services, she serves as KAI’s tribal-based practices advisor. She currently serves as Health and Human Services Tribal Liaison for her Tribe, advising health, behavioral health, and human services systems that center community wellness. Caroline has held key leadership roles at Oregon’s Department of Human Services, where she authored the Oregon Tribal Best Practices framework and led statewide training, prevention, and diversity initiatives. Her expertise spans prevention, mobilization, treatment, curriculum development, grant writing, and administration. A former Deputy Sheriff and award-winning advocate, Caroline’s work has been cited globally and continues to shape policy and practice across Indian Country.

Caroline Cruz, BA

Tribal-Based Practices Advisor
Wasco – Confederated Tribes of Warm Springs
Monica Super

Monica Super, CADC, CPS

Tribal Technical Assistance Specialist
Pit River Tribe
Monica Super serves on KAI’s training and technical assistance (TTA) team as a TTA specialist, bringing more than 20 years of experience in social and health care services. Monica specializes in behavioral health and substance use disorders, especially for American Indian and Alaska Native youth, and tribal communities. Her experience includes leadership, project and grant management, American Society of Addiction Medicine assessments and treatment planning, individual/group counseling, and training.

Monica Super, CADC, CPS

Tribal Technical Assistance Specialist
Pit River Tribe
William 'Bill' Affholter

William “Bill” Affholter, MS

KAI Project Specialist
Ally to Indian Country
Bill Affholter serves as Project Specialist in KAI’s Project Management Office, bringing over six years of experience to the organization’s holistic health initiatives. With expertise in workplan management, documentation, and budget tracking, Bill provides essential coordination and insight that enables KAI teams to deliver effective technical assistance to community partners.
 
His meaningful contribution to KAI’s Tribal and Urban Indian Community Defined Best Practice projects demonstrate his dedication to Traditional and Community-Defined Best Practices. Through these initiatives, Bill supports KAI staff in their technical assistance work with California tribal communities, helping to create environments where traditional healing approaches are honored and integrated into contemporary healthcare frameworks.
 
Bill’s background in client advocacy and process refinement enhances KAI’s community support efforts – centering the community voice in all aspects of project implementation and community engagement.

William “Bill” Affholter, MS

KAI Project Specialist
Ally to Indian Country
Nicole Pino

Nicole Pino

KAI Project Manager
Diné/Navajo
Nicole Pino (Diné/Navajo) serves as a project manager at KAI, where she is responsible for overseeing contracts, staffing, budgets, timelines, and deliverables. She holds a Master of Public Health degree from New Mexico State University and a Bachelor of Science degree in Health Education from the University of New Mexico. With over six years of experience in public health and has developed a strong focus on program management and community outreach. In her previous role as a tribal program development supervisor at Western Sky Community Care, she was tasked with managing tribal relations and facilitating community engagement initiatives related to Medicaid and healthcare systems.

Nicole Pino

KAI Project Manager
Diné/Navajo

Request TA Support Today

The traditional health care practices TA Team provides a wide range of support including:

  • Assistance with traditional health practices implementation 

  • Support for DMC-ODS counties with cultural understanding of traditional healers as complementary medical care

  • Facilitation of tribal–county planning discussions 

Request customized TA from the traditional health care practices TA Team online by clicking here.

We look forward to supporting your work to bring traditional health care practices to your local community.