Through centuries of oppression and violence, American Indian women have proven their resilience and strength. However, the oppression and violence still continues with the data suggesting that large numbers of American Indian women have been sexually victimized with sexual victimization rates ranging from 12 to 49 percent. Many barriers exist, facing not only American Indian women who have been sexually victimized, but agencies and organizations seeking to improve services to American Indian women. Some of the most challenging barriers discussed in this article include: victim blaming and prejudice; conflict of values; language barriers; economic and geographic barriers; community size affects confidentiality, stigma, and perception of choices; fear of law enforcement and the community justice system; and lack of funding. However, despite these barriers and the traumatic history endured, American Indian communities have some significant resources offered which include: (1) spirituality and cultural; (2) tribal justice forums; (3) free Western-style health care; (4) outreach by advocates; and (5) Federal funds. Despite the long-term effects of oppression, racism, and violence, the spirituality and traditions of many American Indian communities offer the potential to help victims heal. References