Counseling Information

The Otoe-Missouria Tribe

The Otoe-Missouria Tribe


The Otoe-Missouria Counseling Services offers a wide range of services including individual therapy, family and couples therapy, group therapy, Substance Abuse Counseling , psycho-educational information and assessments. The program also has an alcohol and drug component consisting of assessments, treatment, and community wide prevention/intervention services. We know how important it is to preserve the Native American community and therefore play an active role in mentoring children and teens.

Related Issues
The staff at the Otoe-Missouria Counseling Services are trained to work with the following symptoms, problems, or related issues:

  • Depression
  • Anxiety
  • Relationship issues
  • Family issues
  • Trauma
  • Sleep disturbances
  • Eating disorders
  • Culture/ethnicity
  • Low self-esteem
  • Anger
  • Suicide
  • Normal development issues
  • Grief
  • Mood swings
  • Poor concentration
  • Substance abuse
  • Career issues
  • Lifestyle issues
  • Domestic Violence

Counseling Information:

Currently we service Native Americans residing within Noble County and Otoe-Missouria Tribal members that reside within a 50 mile radius from our office. We see children, adolescents, adults, and elders either as individuals, groups, families, and/or couples.

If someone would like to receive behavioral health and/or substance abuse services, they must establish a chart through our health department. Therefore, if they do not have a chart, they will need to bring their Tribal membership card, proof of residence, and fill out a health services application. If someone does have a chart established through our health department and would still like to receive behavioral health and/or substance abuse services, then an intake along with other relevant paperwork will need to be completed with one of our counselors to determine what services would best fit their needs.


Clifford Springwater
Substance Abuse Specialist
580-723-4466 ext 253