The LISTEN Approach originally came about during the ACHH National work. When speaking with the participating Elders, clinicians and youth the belief of re-establishing balance was mentioned. The notion of balance refers back to the Scared Medicine Wheel and how health is a balance of each dimension. In relation to balance, the necessity to re-establish or maintain balance was considered extremely important. As a result, the LISTEN acronym was conceptualized as strategies to re-establish or maintain balance.