Accessing Community Behavioral Health Resources

Transcription

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

2 Treatment - The System of Care 2 2

3 Components of SA Treatment System Substance Abuse continuum of care comprises 9 major components: 1. Detoxification 2. Intensive treatment (Inpatient or Outpatient) 3. Residential Programs 4. Outpatient Services 5. Pharmacotherapy 6. Aftercare 7. Maintenance 8. Education and Psycho-Education 9. Adjunctive Services 3 3

4 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 4 4

5 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 5 Detoxification [slide 5] Detoxification varies with the drug of abuse CLASSIFICATION OF DRUGS Alcohol Sedative hypnotics Narcotic analgesics Stimulants Hallucinogenics Inhalants Steroids Other Several examples are cited Detoxification alone is an ineffective treatment intervention as the client is drug-free but has no coping skills to deal with carvings & urges. 5

6 DETOXIFICATION ADCARE (MA) Bournewood (MA) Butler Hospital Gosnold (MA) 800U High Point (MA) Norcap (MA) i Phoenix House Roger Williams SSTAR RI-SOBERSSTAR (MA) Stonington Institute (CT) Veterans Hospital RI Detoxification Programs [slide 6] Information about RI service providers 6

7 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 7 Intensive Inpatient Treatment Programs [slide 7] inpatient treatment: a 7-28 day program in a hospital or other residential facility that focuses on detoxification, therapy, and education. Typically requires insurance & a pre-authorization Class Exercise Ask class to get out their health insurance card & read information on accessing SA services 7

8 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 8 week for two to twelve weeks Intensive Outpatient Treatment Programs [slide 8] 8

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 substantial cognitive impairments that require a longer period of rehabilitation Services are similar to those provided by most inpatient programs 9 Intensive OutpatientTreatment Programs [slide 9] Read slide 9

10 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 10 Residential Programs [slide 10] Halfway house: a residential treatment facility where the addict is allowed to work and have outside contacts while being involved in a treatment program. Read slide 10

11 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 11 Residential Programs [slide 11] Therapeutic community: any long-term (6 months 1 year) residential inpatient program that provides full rehabilitative and social services for addicts and alcoholics. Read slide 11

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 a Halfway House Usually have 24 hour staff supervision Often referred to as farms Care is mostly custodial with some group therapy 12 Residential Programs [slide 12] Read slide 12

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 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 13 Residential Programs [slide 13] Read slide 13

14 ADULT RESIDENTIAL- MEN S Programs with an asterisk (*) accept individuals who are prescribed methadone. Galilee House Kent House MAP Robert J. Wilson House* Tri-Hab* RI Residential Programs [slide 14] Information about RI service providers for males Has 24 hour supervision Various levels of care Strong 12 step emphasis Some will take clients with MH problems 14

15 ADULT RESIDENTIAL WOMEN S Programs with an asterisk (*) accept individuals who are prescribed methadone. Eastman House* S STARBIRTH (Pregnant/post-partum women and children) Teen Challenge Tri-Hab King House* RI Residential Programs [slide 15] Information about RI service providers for females Has 24 hour supervision Various levels of care Strong 12 step emphasis Some will take clients with MH problems 15

16 ADULT RESIDENTIAL- MEN S AND WOMEN S Programs with an asterisk (*) accept individuals who are prescribed methadone. Phoenix House Providence Center (Short and long term care) Salvation Army RI Residential Programs [slide 16] Information about RI service providers for males & females Has 24 hour supervision Various levels of care Strong 12 step emphasis Some will take clients with MH problems 16

17 ADOLESCENT RESIDENTIAL Programs with an asterisk (*) accept individuals who are prescribed methadone. ADOLESCENT MALES: Corkery House* Phoenix Academy ADOLESCENT FEMALES: Caritas House* RI Residential Programs [slide 17] Information about RI service providers for adolescents Has 24 hour supervision Various levels of care Strong 12 step emphasis Some will take clients with MH problems 17

18 RECOVERY HOUSES * Adolescent treatment provided Advent House* Co-Ed Providence Alex's Place (Turning)* Co-Ed Pawtucket Brisan House Male Providence Captain Tom House Male Narragansett Concord House Male Providence Concord House II Male Providence Croft House Female West Warwick Family Resources* Female Woonsocket RI Residential Programs [slide 18] Information about RI service providers Does NOT have 24 hour supervision Have individualized admission criteria Strong 12 step emphasis Some will take clients with MH problems Not covered by insurance Either self pay or client must be employed 18

19 RECOVERY HOUSES * Adolescent treatment provided Highlander House Co-Ed Pawtucket Hope House I Male Providence Hope House II Male Providence Jeremiah 6:16 Male Warwick Johnson (Turning)* Co-Ed Pawtucket Joy is in the Journey Male Pawtucket Miracle House Co-Ed Cranston Murray St. Recovery I Male Providence Murray St. Recovery II Male Providence RI Residential Programs [slide 19] Information about RI service providers Does NOT have 24 hour supervision Have individualized admission criteria Strong 12 step emphasis Some will take clients with MH problems Not covered by insurance Either self pay or client must be employed 19

20 RECOVERY HOUSES * Adolescent treatment provided New Beginnings I Co-Ed Cranston New Beginning II Male Cranston New Foundation Male Cranston Salvation House Male Cranston Tanner House Co-Ed Providence The Turning* Co-Ed Providence Tommy V. House Male Cranston Warren's House Male Warwick RI Residential Programs [slide 20] Information about RI service providers Does NOT have 24 hour supervision Have individualized admission criteria Strong 12 step emphasis Some will take clients with MH problems Not covered by insurance Either self pay or client must be employed 20

21 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 21 Outpatient Programs [slide 21] Read slide 21

22 Substance Abuse Outpatient Services * Adolescent treatment provided. Ad-Care* Butler Hospital* Caritas Inc.* (Corkery) Center for Behavioral Health Child and Family Services of Newport* Centre La Familia Comprehensive Community Action Program* RI Outpatient Programs [slide 22] Information about RI service providers 22

23 Substance Abuse Outpatient Services * Adolescent treatment provided Community Counseling Center* Counseling and Intervention* CODAC Cranston* CODAC East Bay* CODAC East Providence CODAC Newport* CODAC Providence* CODAC Wakefield Comprehensive Community Action Discovery House RI Outpatient Programs [slide 23] Information about RI service providers 23

24 Substance Abuse Outpatient Services * Adolescent treatment provided Eastbay Mental Health* Family Resources* Family Services Kent Center Kent House* MAP* Meadows Edge* Newport County CMHC* RI Outpatient Programs [slide 24] Information about RI service providers 24

25 Substance Abuse Outpatient Services * Adolescent treatment provided NRI Community Services* Partners in Health and Wellness* Phoenix House* Phoenix House Westerly Project Link*(pregnant and post-partum) partum) Providence Community Action* RI Outpatient Programs [slide 25] Information about RI service providers 25

26 Substance Abuse Outpatient Services * Adolescent treatment provided SSTARofRI South County Community Action South Shore Mental Health* The Providence Center Tri-Hab Tri-Hab* Tri-Town* Town* RI Outpatient Programs [slide 26] Information about RI service providers 26

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 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 27 Pharmacotherapy [slide 27] Use of various medications as an adjunct to treat substance abuse problems Antabuse (disulfuram): a drug that creates unpleasant side effects if alcohol is drunk; helps a recovering alcoholic to stay sober. methadone: a long-acting synthetic opiate used orally to treat heroin addiction. 27

28 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 28 Pharmacotherapy [slide 28] agonist maintenance treatment: a harm reduction program (e.g., methadone maintenance) that consists of pharmacotherapy maintenance approaches coupled with counseling. methadone maintenance: a treatment and harm reduction technique that keeps a heroin addict on methadone for long periods of time, even a lifetime. It helps them avoid infections from needle use, the need to break the law to support their habit, and the desire to return to the heroin lifestyle. 28

29 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 29 Pharmacotherapy [slide 29] Use of various medications as an adjunct to treat substance abuse problems LAAM (levomethadyl acetate): a long-acting opiate used as an alternative to methadone for heroin addiction treatment 29

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 prescription medication with demonstrated efficacy in relieving the effects of opiate withdrawal Not for everyone - It lowers blood pressure 30 Pharmacotherapy [slide 30] buprenorphine: a drug that can help block both withdrawal symptoms and the effects of heroin; useful in detoxification. 30

31 Naltrexone: Pharmacotherapy (Cont.) 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 31 Pharmacotherapy [slide 31] Read slide 31

32 MEDICATION ASSISTED THERAPY (METHADONE MAINTENANCE) ARI - Addiction Recovery Institute- North South CBH - Center for Behavioral Health Johnston Westerly CODAC CODAC II CODAC III East Bay Wakefield RI Methadone Maintenance Programs [slide 32] Information about RI service providers 32

33 MEDICATION ASSISTED THERAPY (METHADONE MAINTENANCE) CTR - Center for Treatment and Recovery Discovery House Providence West Warwick Woonsocket (suboxone) Providence Metro Treatment Center VA Hospital x x RI Methadone Maintenance Programs [slide 33] Information about RI service providers 33

34 BUPRENORPHINE (SUBOXONE) To locate a physician authorized to prescribe buprenorphine near you use the physician locator at Alternatively you can call The Rhode Island Council on Alcoholism and Other Drug Dependence at Alc-drug ( ) 34 Buprenorphene [slide 34] Information about locating RI service providers 34

35 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 35 Aftercare [slide 35] Read slide 35

36 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 36 Maintenance [slide 36] Read slide 36

37 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 37 Education [slide 37] Read slide 37

38 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 38 Adjunctive services [slide 38] Read slide 38

39 BREAK 39 39

40 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. 40 RI MH Service providers [slide 39] Read slide 40

41 East Bay Mental Health Center, Inc. (Serving Barrington, Bristol, East Providence and Warren) Facility Services Contact Numbers 2 Old County Road Barrington, RI Medication Clinic, Community Support, Case Management, Emergency Services, Vocational Services Mobile Treatment Team (MTT) (401) (401) Emergency Adams-Farley Counseling Center 610 Wampanoag Trail East Providence, RI Administration, Adult Outpatient Services, Children's Outpatient Services, Children's Intensive Services(CIS), Substance Abuse Outpatient (401) (401) Emergency 41 East Bay MHC [slide 40] Read slide Web link has most up-to-date information 41

42 Fellowship Health Resources, Inc. State of Rhode Island Regional Director: Virginia Werbicki Regional Office: 59 West Shore Road Warwick, RI Phone: 401/ Fax: 401/ Blackstone Valley Place, Suite 300, Lincoln, RI Main # Services# Fellowship Community Reintegration Services Correctional Discharge Planning Adult Correctional Institution P.O. Box Dix 2nd floor Cranston, RI Phone: 401/ Fax: 401/ Contact Person: Dawn O'Gorman Fellowship House Residential Program Cranston, RI Hope Street Apartments Supported Housing Office 255 Hope Street, Providence, RI Phone: 401/ Fax: 401/ Apartment Locations: Providence, RI Ocean State Outreach Mobile Treatment Team Office 59 West Shore Road, Warwick, RI Phone: 401/ Fax: 401/ Apartment Locations: Cranston, RI Providence, RI Westwick House West Warwick, RI 42 Fellowship Health Resources [slide 41] Read slide Web link has most up-to-date information 42

43 Gateway Healthcare, Inc. Administrative Offices 249 Roosevelt Avenue, Pawtucket, RI Main#: Intake #: Emergency#: or Program Locations 160 Beechwood Avenue, Pawtucket, RI 02860, (401) Children/Adolescent Services Family Services Adventures in Learning Administration Bacon Street, Pawtucket, RI 02860, (401) Adult Services Emergency Services 105 Bacon Street, Pawtucket, RI 02860, (401) [] Children's Intensive Services 1516 Atwood Avenue, Johnston, RI 02919, (401) Adult Services Family Outpatient Services Substance Abuse Treatment (Satellite Office) 1443 Hartford Avenue, Johnston, RI 02919, (401) [Adult Services 311 Doric Avenue, Cranston, RI 02910, (401) [Children/Adolescent Services Family Services 82 Pond Street, Pawtucket, RI 02860, (401) Youth Guidance Division Administration Empowered Families CEDARR Center 58 Hamlet Avenue, Woonsocket, RI 02895, (401) Tri-Hab Division Administration Substance Abuse Services 51 Clay Street, Central Falls, RI 02863, (401) [ Outpatient Substance Abuse Counseling Latino Services (Centro La Familia) 422 Post Road, Warwick, RI 02888, (401) Outpatient Substance Abuse Services Valley Community School: (401) Roosevelt Avenue, Pawtucket, RI [ 83 & 85 Rolfe Square, Cranston, RI 60 Hammarlund Way, Middletown, RI ] Valley Day Program: (401) Roosevelt Avenue, Pawtucket, RI 83 & 85 Rolfe Square, Cranston, RI Children s and Adult Residential programs are located throughout the state. 43 Gateway Healthcare [slide 42] Read slide Web link has most up-to-date information 43

44 The Kent Center for Human & Organizational Development THE KENT CENTER Warwick Executive Park/The Summit 300 Centerville Road Summit South - Suite 301-S Warwick RI (401) Administration Registration Counseling Services Youth & Family Services Breaking Free Addiction Services THE KENT CENTER 50 Health Lane Warwick, RI (401) Emergency Services Community Support Services Psychiatric Services Older Adult Services Compeer Program HILLSGROVE HOUSE 70 Minnesota Avenue Warwick, RI (401) Rehabilitation Clubhouse Program Transitional Employment Vocational/Educational Rehab. Services BUTTONWOODS (401) Adult Residential Treatment Program CEDAR AVENUE (401) Adult Residential Treatment Program MOBILE TREATMENT CENTER (MTT 1) 70 Minnesota Avenue Warwick, RI (401) Mobile Treatment Team Continuous Intensive, Assertive Case Management Services MOBILE TREATMENT CENTER (MTT 2) 1315 Main Street West Warwick, RI The Kent Center [slide 43] Read slide Web link has most up-to-date information 44

45 Newport County Community Mental Health Center, Inc. Office Facilities & Program Sites Main Office 127 Johnnycake Hill Road Middletown Branch Office Judson Street Tiverton Case Management 65 Valley Road Middletown Day Treatment Phoenix One Club 65 Valley Road Middletown Child and Adolescent Services Auxiliary Office 26 Valley Road Middletown Residential Programs and Facility Sites Washington Square Residential Program Newport Bridgeview Condominiums Newport Buck Road Duplex Middletown Oxbow Apartments MiddletownBayside Village Apartments Newport Independent Living Apartment Program Newport Anita Jackson House Middletown Forest Avenue Condominiums Middletown 45 Newport County MH Services providers [slide 44] Read slide Web link has most up-to-date information 45

46 NRI Community Services, Inc. NRI Community Services, Inc. P.O. Box 1700 (515 Social Street), Woonsocket, RI Main#: Intake#: Emergency#: To Access Services Emergency Services & Crisis Intervention Available 24-Hours a Day, 365 Days a Year (401) Non-Urgent Screening & Intake Services Available Monday - Friday, excluding Holidays, 8:30 AM - 4:30 PM (401) 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 46 NRI MH Service (Northern RI) [slide 45] Read slide Web link has most up-to-date information 46

47 The Providence Center Adult Counseling Services Counseling for Individuals, Couples and Families Mental Health Intensive Outpatient Program For 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 Diagnosis Treatment Services Treating people who are diagnosed with both an addictive disorder and a mental illness. Educational and Vocational Support 951 North Main Street, Providence, RI Main#: Intake#: Emergency#: Specialized Treatment Teams for the Seriously Mentally Illl Multi-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 Women An intensive outpatient program that addresses the unique recovery needs of addicted women. Residential Drug and Alcohol Treatment Programs Dual-Diagnosis Diagnosis Treatment Services Treating 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 47 Providence Center [slide 46] Read slide Web link has most up-to-date information 47

48 Riverwood Mental Health Services P.O. Box 226, Warren, RI Main#: Intake#: Emergency#: Residential Group Homes - Barrington - Portsmouth - Tiverton Riverwood Mental Health Services Residential Group Homes Barrington Portsmouth Tiverton For more information or to make a referral, contact: Riverwood Mental Health Services 25 Railroad Avenue, Warren, RI 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 Services 25 Railroad Avenue, Warren, RI Phone: Fax: River wood MH Services [slide 47] Read slide Web link has most up-to-date information 48

49 South Shore Mental Health Center, Inc. P.O. Box 899 (4705A Old Post Road), Charlestown, RI Main#: Intake#: Emergency#: Facility Services Contact Numbers P.O. Box 899 (Old Post Road) Charlestown, RI *Administration *General Outpatient Services *Substance Abuse Services *Emergency Services *Medication Clinic (401) (401) Emergency 55 Cherry Lane Wakefield, RI *Mobile Treatment Team (MTT) *Case Management *Day Treatment *Vocational Services *Medication Clinic *Comprehensive Emergency Services (Children's Program) (CES) (401) (401) Emergency Clock Place 730 Kingstown Road Wakefield, RI *General Outpatient Services (GOP) *Children's Intensive Services (CIS) *Adolescents Coping With Transition (ACT) *Medication Clinic (401) (401) Med. Clinic (401) Emergency 49 South shore MH Center [slide 46] Read slide Web link has most up-to-date information 49

50 Community Health Centers Increasingly, local community health centers are providing medication services for patients that don t t meet mental health center criteria for serious and persisting mental illness

51 TWELVE STEP/SUPPORT GROUPS Alcoholics Anonymous Alanon/Alateen CODA (Co-dependents) Delivered Women (Emotional Support) Gambler's Anonymous Nar-Anon Narcotics Anonymous Nicotine Anonymous Overeaters Anonymous Sex & Love Anonymous Spiritual Journey (Life Recovery Bible) Ste groups [slide 49] Read slide 51

52 Veterans Gateway to Independence (transitional housing men & women) VA Medical Center (inpatient medical, detox. & outpatient) VET center (outpatient) Veterans [slide 50] Read slide 52

53 Problem Gambling If you are concerned about your gambling or that of someone you know the Rhode Island Council on Problem Gambling can be reached at or on their 24 hour confidential hotline GAMBLE. On-line screenings, treatment resources, information, and phone support are all available. 53 Problem gambling [slide 51] Read slide Web link has most up-to-date information 53

54 Rhode Island Hospital Psychiatry RI Gambling Treatment Program RI Gambling Treatment Program Services are available at two locations. For information or an appointment call State-funded by MHRH Bayside Medical Building 235 Plain Street, Suite 501 Providence, RI RI Gambling Treatment program [slide 52] Read slide Web link has most up-to-date information 54

55 RI Gamblers Anonymous Meetings Rhode Island Hotline Number: (401) MONDAY Pawtucket G.A. 7:00 PM St. Matthew Trinity Church (Basement) 690 Newport Avenue Pawtucket, RI Non-Smoking Providence G.A. New Beginnings Red Book Study 6:30-7:30 PM Butler Hospital (Ray Conference Center) 345 Butler Avenue Providence, RI TUESDAY Providence G.A. 7:00-8:30 PM St. Anthony's Parish Center Mineral Spring Avenue North Providence, RI Rumford G.A. 7:00 PM St. Michael & Grace Church Pawtucket Avenue Rumford, RI Non-Smoking WEDNESDAY Cumberland G.A. 7:00 PM St. Joseph's Parish Center 1303 Mendon Road Cumberland, RI Non-Smoking THURSDAY Providence G.A. 11:30 AM -12:30 PM St. Raymond Church 1240 North Main St. Providence, RI THURSDAY Warwick G.A. 7:30 PM St. Paul's Lutheran Church 389 Greenwich Avenue (Near Apex) Warwick, RI Gam-Anon Meeting Gam-anon; anon; Non-Smoking FRIDAY Warwick G.A. 7:30 PM Kent House (Basement) 2020 Elmwood Avenue Warwick, RI Non-Smoking SATURDAY Warwick G.A. 9:30-11:30 AM Care New England Wellness Center 2191 Post Road, Room B (Behind Chellos) Warwick, RI Non-Smoking SUNDAY Women in Recovery East Greenwich G.A. 6:00-8:00 PM St. Luke's Church (Pierce & Church Street) East Greenwich, RI Women Preferred 55 RI gamblers Anonymous meetings [slide 53] Read slide 55

56 Other Resources AIDS Care Ocean State Child Abuse 800-RI RI-CHILD Crossroads DATA of RI Dept. of Behavioral Health Division of Substance Abuse Department of Health Domestic Violence Food Stamps Mental Health Advocate National Domestic Violence Network RI JOBS NRI Community Services Smoking Cessation 56 Other Resources [slide 54] Read slide Travelers Aide Web link has most up-to-date information 56

57 Other Resources Project AIDS Project Link Public Defenders Office RI Coalition for the Homeless RI Coalition againstdomestic Violence SAFERI Council on Alcoholismand other Drug Dependence RI Disability Law Center RI Health Center Association RI Runaway Project 521 SAFE Samaritans Sexual Assault & Trauma Resource Center Social Security Sojoumer House TDI Unemployment Welfare-DHS WIC Program Other Resources [slide 55] Read slide Travelers Aide Web link has most up-to-date information 57

58 How to Find a 12 step Meeting Info. about AA in RI aa.org/ RI AA meetings list aa.org/meetings/ Info. about NA in RI Island.htm RI NA meetings list m?site= 58 How to Find a 12 Step meeting [slide 56] Read slide Web link has most up-to-date information 58

59 Questions? 59 QUESTIONS? : [SLIDE 55] Close the training by taking questions Ask for volunteers to share their experiences with making referrals for clients Maintain a + focus what worked Avoid a focus bitch & moan session Close the training by taking questions 59

60 1. Something I liked? Closing Exercise 2. Something I ll use? 3. This training will help me? 4. Something more I wanted more of? 60 CLOSING EXERCISE: [SLIDE 58] Something I liked? Something I ll use? This training will help me? Something more I wanted more of? 60

61 Suggested Articles or Readings RICAAD. (2004). Directory of RI SA Treatment & Prevention Program. RICAAD: Pawtucket, RI [ to obtain a copy] RICARES. (2006) RICARES Service Directory. RICARES: Providence, RI. [ to obtain a copy] 61 Suggested Articles or Readings [slide 59] 61

62 Suggested Websites Crossroads United Way Rhode Island Council on Alcoholism and Other Drug Dependence DATA of RI Rhode Island Council of Community Mental Health Organizations, Inc 62 Suggested Websites [slide 60] 62