What's the process for medical professionals when they witness or are made aware of physical or sexual abuse on reserves?  Report to the chief?  Report to separate native child welfare services?  Report to local native police?

They can blame everyone else all they want but this is a serious, serious issue, and instead of focusing on healing circles and reducing prison times, they need to vigorously attack these problems, sadly it's not in scope for the missing native women inquiry, and definitely will not be even considered as a root cause for higher suicide rates.  They have to really look to the predators within their community and handle them aggressively rather than trying to paint a boogeyman that doesn't exist (e.g non-natives).

Sadly the focus is not on these kids but creating more conditions to leverage their victimhood for financial gain.  That's pretty much it, all the doctors and counsellors in the world won't help an abused kid if the abuser is always there.