This is Treuer's first book. He's gone on to write (among other things) a truly visionary contemporary novel ("The Translation of Dr. Apelles") and has made a name for himself as trying hard to redefine the idea of Native American writing and its place in the world.
His first novel is short (or unfocused) on plot, but he was clearly more concerned with the craft. It still has a ways to go, but this is definitely a worthwhile read. Very descriptive. Successful in conveying the particularities of place.
This passage is a particular gem:
"It was dark and she lay against the wall in a pile of quilts made from rotting panels of fabric that I had cut from the pants legs of drunken loggers as they lay passed out along the boarded walls of the town bar."
There are many, many descriptions like this one: honest, unromanticized, but thickly layered, rich, well-grounded descriptions that do everything they can to convey the living conditions on the reservation -- not only of the Natives, but of the white folk who live there as well. The destitute conditions of the Natives are artfully mixed in with the similarly destitute conditions of the surrounding poor white farmers, or the white trash who operate the few businesses on the rez.
This conflation is the book's strength -- it is honest about the poverty of all, and deals with the Native plight (racism, etc.) by subtle measures within that encompassing destitution. The book is never "about Indians". It strives, from the outset, to be about everyone.