1、1,Accessing Community Behavioral Health Resources,Developed by DATA of Rhode Island Through a special grant from the Rhode Island Department of Human Services September 2006,2,Treatment - The System of Care,3,Components of SA Treatment System,Substance Abuse continuum of care comprises 9 major compo
2、nents: Detoxification Intensive treatment (Inpatient or Outpatient) Residential Programs Outpatient Services Pharmacotherapy Aftercare Maintenance Education and Psycho-Education Adjunctive Services,4,Detoxification Programs,Medical, Hospital Detoxification General hospital or special hospital unit M
3、ust be admitted by a Physician Medical, Non Hospital Detoxification Community based / Social detox centers Admission procedures vary Length of stay in detox. programs depends upon substances being used and insurance providers,5,Detoxification,Medications administered most frequently for withdrawal i
4、nclude: Librium for Alcohol Phenobarbital for Barbiturate Methadone or Clonidine for heroinEffectiveness of Detoxification: In terms of reducing subsequent drug-taking behavior and / or relapse, detox alone has no discernible effect,6,DETOXIFICATION,ADCARE (MA) 800-252-6465 Bournewood (MA) 800-468-4
5、358 Butler Hospital 455-6220 Gosnold (MA) 800U44-1554 High Point (MA) 508-224-7701 Norcap (MA) i 800-331-2900 Phoenix House 295-0960 Roger Williams 456-2363 SSTAR 294-0419 800-RI-SOBERSSTAR (MA) 508-679-5222 Stonington Institute (CT) 800-832-1022 Veterans Hospital 457-3083,7,Intensive Treatment,Inte
6、nsive Inpatient Care: Duration of stay varies Relatively expensive Difficult to get approval Often have long waiting lists Most programs are based on “Minnesota Model”, which is an abstinence oriented, comprehensive, multi-professional approach to treatment,8,Intensive Treatment (Cont.),Intensive Ou
7、tpatient Care: Preferred method of Insurance providers due to reduced costs Preferred method for: Single parents People with limited resources Those who cant afford to be away from their job for a long period of time Others who can safely continue to function at home and in the community Typical pro
8、gram runs three or four nights a week for two to twelve weeks,9,Intensive Treatment (Cont.),Day Treatment: Another type of Intensive Outpatient Program Generally lasts longer than other intensive treatment programs Often used by clients with co-occurring disorders, physical impairments, or substanti
9、al cognitive impairments that require a longer period of rehabilitation Services are similar to those provided by most inpatient programs,10,Residential Programs,Halfway Houses A transitional place of indefinite residence Residents must abstain from alcohol & drugs Structure and services vary Size a
10、nd credentials of staff also varies Many have resident or community government Fees are usually relatively modest compared to other alternatives A few are designed for women with children,11,Residential Programs (Cont.),Therapeutic Communities (TCs) Designed to treat addicts who abused heroin or oth
11、er illegal drugs TC staff are often addicts with a substantial period of recovery Generally provide a combination of intensive treatment and residential care Lengths of stay range from a couple of months to two years Tend to use high confrontation group process and peer pressure Residents earn privi
12、leges as they progress,12,Residential Programs (Cont.),Domiciliaries: A type of residential facility designed to assist those with severe physical or mental debilitation resulting from substance abuse Provides an opportunity for residents to achieve a substantial period of recovery before moving to
13、a Halfway House Usually have 24 hour staff supervision Often referred to as farms Care is mostly custodial with some group therapy,13,Residential Programs (Cont.),Missions and Shelters: Assist those who are homeless, transient, or living on the street A few of them could be classified as Halfway Hou
14、ses due to their relatively long 30 to 90 day periods of stay, but most are more like a shelter with “Three hots & a cot” A religious program is generally a component of services. Many require individuals to leave the premises after breakfast and dont allow them to return until evening check in time
15、,14,ADULT RESIDENTIAL- MENS,Programs with an asterisk (*) accept individuals who are prescribed methadone. Galilee House 789-9390 Kent House 781-2700 MAP 785-0050 Robert J. Wilson House* 728-4010 Tri-Hab* 766-1665,15,ADULT RESIDENTIAL WOMENS,Programs with an asterisk (*) accept individuals who are p
16、rescribed methadone. Eastman House* 463-8829S STARBIRTH (Pregnant/post-partum women and children) 463-6001 Teen Challenge 467-2970 Tri-Hab King House* 766-4740,16,ADULT RESIDENTIAL- MENS AND WOMENS,Programs with an asterisk (*) accept individuals who are prescribed methadone. Phoenix House 295-0960
17、Providence Center (Short and long term care) 276-4020 Salvation Army 421 -5270,17,ADOLESCENT RESIDENTIAL,Programs with an asterisk (*) accept individuals who are prescribed methadone. ADOLESCENT MALES: Corkery House* 539-3002 Phoenix Academy 568-1770 ADOLESCENT FEMALES: Caritas House* 722-4644,18,RE
18、COVERY HOUSES,* Adolescent treatment provided Advent House* Co-Ed Providence 273-8946 Alexs Place (Turning)* Co-Ed Pawtucket 621-7143 Brisan House Male Providence 467-7933 Captain Tom House Male Narragansett 789-9390 Concord House Male Providence 359-1226 Concord House II Male Providence 359-1226 Cr
19、oft House Female West Warwick 295-5670 Family Resources* Female Woonsocket 797-0866,19,RECOVERY HOUSES,* Adolescent treatment provided Highlander House Co-Ed Pawtucket 724-0610 Hope House I Male Providence 383-6493 Hope House II Male Providence 273-0282 Jeremiah 6:16 Male Warwick 467-8530 Johnson (T
20、urning)* Co-Ed Pawtucket 621-7143 Joy is in the Journey Male Pawtucket 475-7125 Miracle House Co-Ed Cranston 359-1226 Murray St. Recovery I Male Providence 837-6101 Murray St. Recovery II Male Providence 837-6101,20,RECOVERY HOUSES,* Adolescent treatment provided New Beginnings I Co-Ed Cranston 359-
21、1226 New Beginning II Male Cranston 359-1226 New Foundation Male Cranston 270-6122 Salvation House Male Cranston 941-0103 Tanner House Co-Ed Providence 454-8827 The Turning* Co-Ed Providence 621-7143 Tommy V. House Male Cranston 275-4979 Warrens House Male Warwick 739-1208,21,Outpatient Services,Var
22、ious theoretical orientations and treatment philosophies Frequency varies - Most provide weekly sessions Content of sessions usually similar to those of intensive and residential treatment programsGroup therapy is usually “treatment of choice” Individual therapy is used as an adjunct Brief & very br
23、ief interventions are utilized,22,Substance Abuse Outpatient Services,* Adolescent treatment provided. Ad-Care* 732-1500 Butler Hospital* 455-6220 Caritas Inc.* (Corkery) 722-4644 Center for Behavioral Health 596-0969 Child and Family Services of Newport* 849-2300 Centre La Familia 724-7845 Comprehe
24、nsive Community Action Program* 828-5335,23,Substance Abuse Outpatient Services,* Adolescent treatment provided Community Counseling Center* 729-8701 Counseling and Intervention* 866-541-5252 CODAC Cranston* 461-5056 CODAC East Bay* 434-4999 CODAC East Providence 434-4999 CODAC Newport* 846-4150 COD
25、AC Providence* 942-1450 CODAC Wakefield 792-7048 Comprehensive Community Action 467-9610 Discovery House 461-9110,24,Substance Abuse Outpatient Services,* Adolescent treatment provided Eastbay Mental Health* 431-9870 Family Resources* 766-0900 Family Services 294-6138 Kent Center 732-5656 Kent House
26、* 781-2700 MAP* 785-0500 Meadows Edge* 294-6170 Newport County CMHC* 846-1213,25,Substance Abuse Outpatient Services,* Adolescent treatment provided NRI Community Services* 283-7000 Partners in Health and Wellness* 434-0913 Phoenix House* 783-0782 Phoenix House Westerly 348-9995 Project Link*(pregna
27、nt and post-partum) 453-7618 Providence Community Action* 272-0660,26,Substance Abuse Outpatient Services,* Adolescent treatment provided SSTARofRI 800-747-6237 South County Community Action 884-4282 South Shore Mental Health* 364-7705 The Providence Center 276-4020 Tri-Hab 726-8080 Tri-Hab* 765-404
28、0 Tri-Town* 351-2750,27,Pharmacotherapy,Several types of drugs are used to assist alcoholics and addicts in pursuit of recovery Disulfiram: (Antabuse) Used as an adjunct deterrent to impulsive drinking Interferes with normal metabolism of alcohol, resulting in a serious physical reaction when alcoho
29、l is ingested Contraindicated for those with serious mental illness, heart disease, diabetes, epilepsy, pregnancy Methadone: (Synthetic Narcotic) In addition to its use for detoxification, methadone is used in long term dependency treatment as a substitute for narcotic analgesic drugs,28,Pharmacothe
30、rapy (Cont.),Methadone: (Continued) Although its use is controversial, and critics argue we are simply replacing one drug with another, it has been instrumental in reducing addicts illegal activities Advantages of methadone over other forms of maintenance therapy are: It can be administered orally I
31、t acts on the body for 24 to 36 hours It causes no serious side effects At proper dose levels, it blocks the effects of heroin When taken orally - No substantial euphoric effects Disadvantage is that Dependency develops,29,Pharmacotherapy (Cont.),LAAM: Methadone analog with longer lasting effects Ad
32、vantages: Taken three times a week Equally as effective as methadone at: Reducing heroin use Decreasing arrests Reducing treatment dropout Helping to maintain employment Disadvantages: Appears to be more addictive than methadone with more severe withdrawal symptoms Not approved for pregnant or nursi
33、ng women,30,Pharmacotherapy (Cont.),Buprenorphine: An analgesic and opioid antagonist that seems to block the effects of opiates Appears to only create low physical dependence and mild withdrawal symptoms Clonidine: An anti-hypertensive drug described as the first non-addictive, non-euphoriagenic pr
34、escription medication with demonstrated efficacy in relieving the effects of opiate withdrawal Not for everyone - It lowers blood pressure,31,Pharmacotherapy (Cont.),Naltrexone: A synthetic narcotic antagonist that is used primarily for: Treatment of narcotic overdose because it can reverse respirat
35、ory depression caused by narcotic drugs Longer term treatment to block the euphoric effects of narcotics It is reportedly not addictive and its effects last for a few days. It is best suited for: Adolescent users with short term heroin use Recently paroled prisoners Helping people off of methadone m
36、aintenance,32,MEDICATION ASSISTED THERAPY (METHADONE MAINTENANCE),ARI - Addiction Recovery Institute- North 7252520- South 7374788 CBH - Center for Behavioral Health Johnston 9460650 Westerly 5960969 CODAC CODAC II 9421450 CODAC III 8464150 East Bay 4345999 Wakefield 7927048,33,MEDICATION ASSISTED T
37、HERAPY (METHADONE MAINTENANCE),CTR - Center for Treatment and Recovery 727-1287 Discovery House Providence 461-9110 West Warwick 821-8866 Woonsocket (suboxone) 762-1511 Providence Metro Treatment Center 941-4488 VA Hospital 273-7100x4246,34,BUPRENORPHINE (SUBOXONE),To locate a physician authorized t
38、o prescribebuprenorphine near you use the physician locator at www.buprenorphine.samhsa.gov Alternatively you can call The Rhode Island Council on Alcoholism and Other Drug Dependence at 1-866-Alc-drug (1-866-252-3784),35,Aftercare,An extension of intensive treatment, residential and outpatient serv
39、ices along the continuum of careHelps prevent relapse by: Providing ongoing support Assisting clients in monitoring their progress and addressing the problems or obstacles they encounter in trying to maintain recovery,36,Maintenance,Recovery is a lifelong process usually assisted through participati
40、on in 12 Step and other self-help groupsMay require periodic return to short term aftercare or brief treatment when a crises occursTIME FOR A BREAK,37,Education & Psychoeducation,A crucial element of all substance abuse treatment programs is didactic education Psychoeducational groups combine presen
41、tations of didactic information with other techniques like: Role plays Structured exercises Reading and Homework assignments Keeping journals Group discussions,38,Recovery Support Services,A multi-dimensional approach requires assisting clients with resolving major problems that impact their lives l
42、ike: Employment Legal issues Family issues Health Spiritual Other significant problems A referral may be sufficient for some, but most will need some type of additional assistance These services are usually coordinated through case management,39,BREAK,40,Rhode Island Community Mental Health Organiza
43、tions,East Bay Mental Health Center, Inc.Fellowship Health Resources, Inc.Gateway Healthcare, Inc. The Kent Center for Human & Organizational Development Newport County Community Mental Health Center, Inc. NRI Community Services, Inc. The Providence Center Riverwood Mental Health Services South Shor
44、e Mental Health Center, Inc.,41,East Bay Mental Health Center, Inc. (Serving Barrington, Bristol, East Providence and Warren),42,Fellowship Health Resources, Inc.,State of Rhode Island Regional Director: Virginia Werbicki Regional Office: 59 West Shore Road Warwick, RI 02889 Phone: 401/739-8333 Fax:
45、 401/739-0644 Email: vwerbickifellowshiphr.org 25 Blackstone Valley Place, Suite 300, Lincoln, RI 02865 Main #401-333-3980 Services# 401-739-8333 www.fellowshiphr.org Fellowship Community Reintegration Services Correctional Discharge Planning Adult Correctional Institution P.O. Box 8312 - Dix 2nd fl
46、oor Cranston, RI 02920 Phone: 401/462-3468 Fax: 401/462-0848 Contact Person: Dawn OGorman Fellowship House Residential Program Cranston, RI,Hope Street Apartments Supported Housing Office 255 Hope Street, Providence, RI 02906-2173 Phone: 401/351-8833 Fax: 401/274-8210 Apartment Locations: Providence
47、, RI Ocean State Outreach Mobile Treatment Team Office 59 West Shore Road, Warwick, RI 02889 Phone: 401/739-6611 Fax: 401/739-0644 Apartment Locations: Cranston, RI Providence, RI Westwick House West Warwick, RI,43,Gateway Healthcare, Inc.,Administrative Offices 249 Roosevelt Avenue, Pawtucket, RI 0
48、2860 Main#:401-724-8400 Intake #: 401-729-8701 Emergency#:401-723-1915 or 401-553-1031 www.gatewayhealth.org Program Locations 160 Beechwood Avenue, Pawtucket, RI 02860, (401) 722-5573 Children/Adolescent Services Family Services Adventures in Learning Administration 101-103 Bacon Street, Pawtucket,
49、 RI 02860, (401) 722-3560 Adult Services Emergency Services 105 Bacon Street, Pawtucket, RI 02860, (401) 727-7034 Childrens Intensive Services 1516 Atwood Avenue, Johnston, RI 02919, (401) 553-1000 Adult Services Family Outpatient Services Substance Abuse Treatment (Satellite Office) 1443 Hartford Avenue, Johnston, RI 02919, (401) 273-8100 Adult Services 311 Doric Avenue, Cranston, RI 02910, (401) 784-3600 Children/Adolescent Services Family Services,
