Sacred Fire Health by Ascension Recovery Services
Build Lasting Healing and Economic Opportunity in Tribal Communities. Transform Opioid Settlement Dollars into Sustainable, Tribally Owned Behavioral Health Infrastructure
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A Proven Model for Sovereign, Sustainable Care
The Sacred Fire Health approach is rooted in:
- Tribal sovereignty and self-determination
- Culturally responsive clinical design
- Long-term financial sustainability
- Community-driven workforce development
Together, we co-develop facilities on Tribal land that:
- Create 40–60 high-quality local jobs
- Stimulate regional economic growth
- Expand access to comprehensive behavioral health services
- Deliver enduring community savings alongside new revenue streams
This is not a short-term program. It is infrastructure for generational healing.
Case Study: Pawnee Nation Behavioral Health Center
Sacred Fire Health by Ascension RS partnered with the Pawnee Nation to bring a long-held vision to life—a tribally owned; culturally grounded behavioral health center designed to restore hope, strengthen community, and expand access to life-saving care.
At a glance:
- Selected through a national search to co-design a comprehensive behavioral health model integrating clinical excellence with traditional Native healing practices
- Launched a 26-bed residential and outpatient treatment center serving both local and regional communities
- Expanded access to MAT, IOP, psychiatric services, and peer-led recovery support
- Developed a multi-layered financing strategy to ensure long-term sustainability
- Projected to generate $114.7M in revenue and up to $172.6M in long-term community savings for the Pawnee Nation

This partnership demonstrates what is possible when Tribal leadership, sustainable financing, and culturally responsive care are aligned.

