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
Components ofSA Treatment System • Substance Abuse continuum of care comprises 9 major components: • Detoxification • Intensive treatment (Inpatient or Outpatient) • Residential Programs • Outpatient Services • Pharmacotherapy • Aftercare • Maintenance • Education and Psycho-Education • Adjunctive Services
Detoxification Programs • Medical, Hospital Detoxification • General hospital or special hospital unit • Must 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
Detoxification • Medications administered most frequently for withdrawal include: • Librium for Alcohol • Phenobarbital for Barbiturate • Methadone or Clonidine for heroin • Effectiveness of Detoxification: • In terms of reducing subsequent drug-taking behavior and / or relapse, detox alone has no discernible effect
DETOXIFICATION • ADCARE (MA) 800-252-6465 • Bournewood (MA) 800-468-4358 • 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
Intensive Treatment • Intensive 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
Intensive Treatment (Cont.) • Intensive Outpatient Care: • Preferred method of Insurance providers due to reduced costs • Preferred method for: • Single parents • People with limited resources • Those who can’t 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 program runs three or four nights a week for two to twelve weeks
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 substantial cognitive impairments that require a longer period of rehabilitation • Services are similar to those provided by most inpatient programs
Residential Programs • Halfway Houses • A transitional place of indefinite residence • Residents must abstain from alcohol & drugs • Structure and services vary • Size and 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
Residential Programs (Cont.) • Therapeutic Communities (TC’s) • Designed to treat addicts who abused heroin or other 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 privileges as they progress
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 a Halfway House • Usually have 24 hour staff supervision • Often referred to as farms • Care is mostly custodial with some group therapy
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 Houses 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 don’t allow them to return until evening check in time
ADULT RESIDENTIAL- MEN’S • 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
ADULT RESIDENTIAL –WOMEN’S • Programs with an asterisk (*) accept individuals who are prescribed methadone. • Eastman House* 463-8829S • STARBIRTH (Pregnant/post-partum women and children) 463-6001 • Teen Challenge 467-2970 • Tri-Hab King House* 766-4740
ADULT RESIDENTIAL-MEN’S AND WOMEN’S • Programs with an asterisk (*) accept individuals who are prescribed methadone. • Phoenix House 295-0960 • Providence Center (Short and long term care) 276-4020 • Salvation Army 421 -5270
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
RECOVERY HOUSES * Adolescent treatment provided Advent House* Co-Ed Providence 273-8946 Alex's 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 Croft House Female West Warwick 295-5670 Family Resources* Female Woonsocket 797-0866
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 (Turning)* 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
RECOVERY HOUSES * Adolescent treatment provided • New Beginnings I Co-Ed Cranston 359-1226 • 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 • Warren's House Male Warwick 739-1208
Outpatient Services • Various theoretical orientations and treatment philosophies • Frequency varies - Most provide weekly sessions • Content of sessions usually similar to those of intensive and residential treatment programs • Group therapy is usually “treatment of choice” • Individual therapy is used as an adjunct • Brief & very brief interventions are utilized
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 • Comprehensive Community Action Program* 828-5335
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 • CODAC Providence* 942-1450 • CODAC Wakefield 792-7048 • Comprehensive Community Action 467-9610 • Discovery House 461-9110
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* 781-2700 • MAP* 785-0500 • Meadows Edge* 294-6170 • Newport County CMHC* 846-1213
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*(pregnant and post-partum) 453-7618 • Providence Community Action* 272-0660
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* 765-4040 • Tri-Town* 351-2750
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 alcohol 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
Pharmacotherapy (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 • It 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
Pharmacotherapy (Cont.) • LAAM: • Methadone analog with longer lasting effects • Advantages: • 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 nursing women
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 prescription medication with demonstrated efficacy in relieving the effects of opiate withdrawal • Not for everyone - It lowers blood pressure
Pharmacotherapy (Cont.) • Naltrexone: • A synthetic narcotic antagonist that is used primarily for: • Treatment of narcotic overdose because it can reverse respiratory 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 maintenance
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
MEDICATION ASSISTED THERAPY (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
BUPRENORPHINE (SUBOXONE) • To locate a physician authorized to prescribe buprenorphine 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)
Aftercare • An extension of intensive treatment, residential and outpatient services along the continuum of care • Helps 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
Maintenance • Recovery is a lifelong process usually assisted through participation in 12 Step and other self-help groups • May require periodic return to short term aftercare or brief treatment when a crises occurs TIME FOR A BREAK
Education & Psychoeducation • A crucial element of all substance abuse treatment programs is didactic education • Psychoeducational groups combine presentations of didactic information with other techniques like: • Role plays • Structured exercises • Reading and Homework assignments • Keeping journals • Group discussions
Recovery Support Services • A multi-dimensional approach requires assisting clients with resolving major problems that impact their lives like: • 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
Rhode Island Community Mental Health Organizations • 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 Shore Mental Health Center, Inc.
East Bay Mental Health Center, Inc.(Serving Barrington, Bristol, East Providence and Warren)
State of Rhode IslandRegional Director: Virginia WerbickiRegional Office: 59 West Shore RoadWarwick, RI 02889Phone: 401/739-8333 Fax: 401/739-0644Email:email@example.com 25 Blackstone Valley Place, Suite 300, Lincoln, RI 02865 Main #401-333-3980 Services# 401-739-8333 www.fellowshiphr.org Fellowship Community Reintegration ServicesCorrectional Discharge Planning Adult Correctional InstitutionP.O. Box 8312 - Dix 2nd floorCranston, RI 02920Phone: 401/462-3468 Fax: 401/462-0848Contact Person: Dawn O'Gorman 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, 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, RIWestwick House West Warwick, RI Fellowship Health Resources, Inc.
Administrative Offices 249 Roosevelt Avenue, Pawtucket, RI 02860 Main#:401-724-8400 Intake #: 401-729-8701 Emergency#:401-723-1915 or 401-553-1031www.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, RI 02860, (401) 722-3560 Adult Services Emergency Services 105 Bacon Street, Pawtucket, RI 02860, (401) 727-7034  Children's 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 82 Pond Street, Pawtucket, RI 02860, (401) 725-0450 Youth Guidance Division Administration Empowered Families CEDARR Center 58 Hamlet Avenue, Woonsocket, RI 02895, (401) 765-4040 Tri-Hab Division Administration Substance Abuse Services 51 Clay Street, Central Falls, RI 02863, (401) 726-8080 [ Outpatient Substance Abuse Counseling Latino Services (Centro La Familia) 422 Post Road, Warwick, RI 02888, (401) 781-0033 Outpatient Substance Abuse Services Valley Community School: (401) 722-3513 249 Roosevelt Avenue, Pawtucket, RI 02860 [ 83 & 85 Rolfe Square, Cranston, RI 60 Hammarlund Way, Middletown, RI ] Valley Day Program: (401) 722-3513 249 Roosevelt Avenue, Pawtucket, RI 83 & 85 Rolfe Square, Cranston, RI Children’s and Adult Residential programs are located throughout the state. Gateway Healthcare, Inc.
THE KENT CENTERWarwick Executive Park/The Summit300 Centerville RoadSummit South - Suite 301-SWarwick RI 02886-0208(401) 732-5656 www.thekentcenter.org • Administration• Registration• Counseling Services• Youth & Family Services• Breaking Free Addiction Services THE KENT CENTER50 Health LaneWarwick, RI 02886-2780(401) 738-4300 • Emergency Services• Community Support Services• Psychiatric Services• Older Adult Services• Compeer Program HILLSGROVE HOUSE70 Minnesota AvenueWarwick, RI 02888-6011(401) 732-0970 • Rehabilitation Clubhouse Program Transitional Employment Vocational/Educational Rehab. Services BUTTONWOODS(401) 738-6060• Adult Residential Treatment Program CEDAR AVENUE(401) 884-3006• Adult Residential Treatment Program MOBILE TREATMENT CENTER (MTT 1)70 Minnesota AvenueWarwick, RI 02888-6011(401) 732-0685• Mobile Treatment Team Continuous Intensive, Assertive Case Management Services MOBILE TREATMENT CENTER (MTT 2)1315 Main StreetWest Warwick, RI 02893 The Kent Center for Human & Organizational Development
Office Facilities & Program Sites Main Office 127 Johnnycake Hill RoadMiddletown - 846.1213 www.nccmhc.org Branch OfficeJudson StreetTiverton - 624.6634 Case Management 65 Valley RoadMiddletown - 846.6620 Day TreatmentPhoenix One Club65 Valley RoadMiddletown - 846.3135 Child and Adolescent ServicesAuxiliary Office26 Valley RoadMiddletown - 848.6363 Residential Programs and Facility Sites Washington Square Residential ProgramNewport Bridgeview CondominiumsNewport Buck Road DuplexMiddletown Oxbow ApartmentsMiddletownBayside Village ApartmentsNewport Independent Living Apartment ProgramNewport Anita Jackson HouseMiddletown Forest Avenue CondominiumsMiddletown Newport County Community Mental Health Center, Inc.
NRI Community Services, Inc.P.O. Box 1700 (515 Social Street), Woonsocket, RI 02895Main#:401-235-7000 Intake#:401-235-7121 Emergency#:401-235-7120 www.nricommunityservices.org To Access Services Emergency Services & Crisis Intervention Available 24-Hours a Day, 365 Days a Year (401) 235-7120 Non-Urgent Screening & Intake Services Available Monday - Friday, excluding Holidays, 8:30 AM - 4:30 PM (401) 235-7121 Adult Services Emergency Services Counseling and Therapy Vocational and Rehabilitation Services Residential Services Medication/Psychiatric and Nursing Services Co-occurring Mental Health and Substance Abuse Services For Individuals with Serious Mental Illness Treatment and Education Groups Wellness and Recovery Center NRI Community Services, Inc.
Adult Counseling Services Counseling for Individuals, Couples and Families Mental Health Intensive Outpatient ProgramFor privately insured adults in Rhode Island who suffer from serious depression and/or anxiety. Seriously Mentally Ill Adults Comprehensive Services for Seriously Mentally Ill Adults Dual-Diagnosis Treatment ServicesTreating people who are diagnosed with both an addictive disorder and a mental illness. Educational and Vocational Support Specialized Treatment Teams for the Seriously Mentally IlllMulti-disciplinary teams devoted to providing comprehensive services for seriously mentally ill clients. Substance Abuse Treatment Programs and Services Substance Abuse Counseling Substance Abuse Treatment for WomenAn intensive outpatient program that addresses the unique recovery needs of addicted women. Residential Drug and Alcohol Treatment Programs Dual-Diagnosis Treatment ServicesTreating people who are diagnosed with both an addictive disorder and a mental illness. Drug and Alcohol Detoxification Programs Workplace Services Workplace Training and Education Services The Providence Center 951 North Main Street, Providence, RI 02904Main#:401-528-0123 Intake#:401-276-4020 Emergency#:401-274-7111 www.provctr.org
Residential Group Homes - Barrington - Portsmouth -Tiverton Riverwood Mental Health ServicesResidential Group HomesBarrington • Portsmouth • Tiverton For more information or to make a referral, contact: Riverwood Mental Health Services25 Railroad Avenue, Warren, RI 02885 The Mobile Treatment Team provides Services in the Community that Help a Person Live Independently Riverwood Mental Health Services Mobile Treatment Team For more information or to make a referral, contact: Riverwood Mental Health Services25 Railroad Avenue, Warren, RI 02885 Phone: 401-247-4278Fax: 401-247-4569 Riverwood Mental Health Services P.O. Box 226, Warren, RI 02886 Main#:401-247-4278 Intake#:401-247-4278 Emergency#:401-253-1812 www.riverwoodmhs.org
South Shore Mental Health Center, Inc. P.O. Box 899 (4705A Old Post Road), Charlestown, RI 02813Main#:401-364-7705 Intake#:401-364-7705 Emergency#:401-364-7705 www.ssmhc.org
Community Health Centers • Increasingly, local community health centers are providing medication services for patients that don’t meet mental health center criteria for serious and persisting mental illness.