 The purpose of this study is to provide American Indian trauma patients, treated at the Harborview Level 1 urban trauma center, compassionate and culturally sensitive care and to link them to care in their distant tribal communities. The specific aims include 1 interview Native healers to gather information on culture-specific aspects of recovery from traumatic injury and on linking care to tribal communities, 2 conduct a randomized controlled trial to evaluate the implementation and effectiveness of the intervention. The investigators hypothesize that intervention patients will demonstrate greater improvement than controls in post-traumatic stress disorder PTSD symptoms, depression, functioning, diagnoses, and fewer new injuries during the 6 months after the index injury. 