Accessing Community Behavioral Health Resources



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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 1 1

Treatment - The System of Care 2 2

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

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

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

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 6 RI Detoxification Programs [slide 6] Information about RI service providers 6

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

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

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

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

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

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

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

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 14 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

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 15 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

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 16 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

ADOLESCENT RESIDENTIAL Programs with an asterisk (*) accept individuals who are prescribed methadone. ADOLESCENT MALES: Corkery House* 539-3002 3002 Phoenix Academy 568-1770 ADOLESCENT FEMALES: Caritas House* 722-4644 17 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

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 7933 Captain Tom House Male Narragansett 789-9390 9390 Concord House Male Providence 359-1226 Concord House II Male Providence 359-1226 Croft House Female West Warwick 295-5670 5670 Family Resources* Female Woonsocket 797-0866 18 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

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 19 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

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 20 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

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

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 7845 Comprehensive Community Action Program* 828-5335 22 RI Outpatient Programs [slide 22] Information about RI service providers 22

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 23 RI Outpatient Programs [slide 23] Information about RI service providers 23

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 24 RI Outpatient Programs [slide 24] Information about RI service providers 24

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) partum) 453-7618 Providence Community Action* 272-0660 25 RI Outpatient Programs [slide 25] Information about RI service providers 25

Substance Abuse Outpatient Services * Adolescent treatment provided SSTARofRI 800-747 747-6237 South County Community Action 884-4282 4282 South Shore Mental Health* 364-7705 The Providence Center 276-4020 Tri-Hab 726-8080 Tri-Hab* 765-4040 Tri-Town* Town* 351-2750 26 RI Outpatient Programs [slide 26] Information about RI service providers 26

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

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

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

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

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

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 32 RI Methadone Maintenance Programs [slide 32] Information about RI service providers 32

MEDICATION ASSISTED THERAPY (METHADONE MAINTENANCE) CTR - Center for Treatment and Recovery 727-1287 Discovery House Providence 461-9110 West Warwick 821-8866 8866 Woonsocket (suboxone) 762-1511 Providence Metro Treatment Center 941-4488 4488 VA Hospital 273-7100x4246 7100x4246 33 RI Methadone Maintenance Programs [slide 33] Information about RI service providers 33

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) 34 Buprenorphene [slide 34] Information about locating RI service providers 34

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

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

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

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

BREAK 39 39

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

East Bay Mental Health Center, Inc. (Serving Barrington, Bristol, East Providence and Warren) Facility Services Contact Numbers 2 Old County Road Barrington, RI 02806 Medication Clinic, Community Support, Case Management, Emergency Services, Vocational Services Mobile Treatment Team (MTT) (401) 246-1195 (401) 246-0700 Emergency Adams-Farley Counseling Center 610 Wampanoag Trail East Providence, RI 02915 Administration, Adult Outpatient Services, Children's Outpatient Services, Children's Intensive Services(CIS), Substance Abuse Outpatient (401) 431-9870 (401) 246-0700 Emergency 41 East Bay MHC [slide 40] Read slide Web link has most up-to-date information 41

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: 401/739-0644 Email: vwerbicki@fellowshiphr.org 25 Blackstone Valley Place, Suite 300, Lincoln, RI 02865 Main #401-333 333-39803980 Services# 401-739-8333 www.fellowshiphr.org Fellowship Community Reintegration Services Correctional Discharge Planning Adult Correctional Institution P.O. Box 8312 - Dix 2nd floor Cranston, RI 02920 Phone: 401/462-3468 Fax: 401/462-0848 Contact Person: Dawn O'Gorman Fellowship House Residential Program Cranston, RI Hope Street Apartments Supported Housing Office 255 Hope Street, Providence, RI 02906-2173 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 0644 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

Gateway Healthcare, Inc. Administrative Offices 249 Roosevelt Avenue, Pawtucket, RI 02860 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, 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. 43 Gateway Healthcare [slide 42] Read slide Web link has most up-to-date information 43

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 02886-0208 (401) 732-5656 www.thekentcenter.org Administration Registration Counseling Services Youth & Family Services Breaking Free Addiction Services THE KENT CENTER 50 Health Lane Warwick, RI 02886-2780 (401) 738-4300 Emergency Services Community Support Services Psychiatric Services Older Adult Services Compeer Program HILLSGROVE HOUSE 70 Minnesota Avenue Warwick, 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 Avenue Warwick, RI 02888-6011 (401) 732-0685 Mobile Treatment Team Continuous Intensive, Assertive Case Management Services MOBILE TREATMENT CENTER (MTT 2) 1315 Main Street West Warwick, RI 02893 44 The Kent Center [slide 43] Read slide Web link has most up-to-date information 44

Newport County Community Mental Health Center, Inc. Office Facilities & Program Sites Main Office 127 Johnnycake Hill Road Middletown - 846.1213 www.nccmhc.org Branch Office Judson Street Tiverton - 624.6634 Case Management 65 Valley Road Middletown - 846.6620 Day Treatment Phoenix One Club 65 Valley Road Middletown - 846.3135 Child and Adolescent Services Auxiliary Office 26 Valley Road Middletown - 848.6363 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

NRI Community Services, Inc. NRI Community Services, Inc. P.O. Box 1700 (515 Social Street), Woonsocket, RI 02895 Main#: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 46 NRI MH Service (Northern RI) [slide 45] Read slide Web link has most up-to-date information 46

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 02904 Main#:401-528 528-0123 Intake#:401-276 276-4020 Emergency#:401-274 274-71117111 www.provctr.org 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

Riverwood Mental Health Services P.O. Box 226, Warren, RI 02886 Main#:401-247 247-42784278 Intake#:401-247 247-42784278 Emergency#:401-253 253-1812 www.riverwoodmhs.org 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 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 Services 25 Railroad Avenue, Warren, RI 02885 Phone: 401-247 247-42784278 Fax: 401-247 247-45694569 48 River wood MH Services [slide 47] Read slide Web link has most up-to-date information 48

South Shore Mental Health Center, Inc. P.O. Box 899 (4705A Old Post Road), Charlestown, RI 02813 Main#:401-364 364-7705 Intake#:401-364 364-7705 Emergency#:401-364 364-7705 www.ssmhc.org Facility Services Contact Numbers P.O. Box 899 (Old Post Road) Charlestown, RI 02813 *Administration *General Outpatient Services *Substance Abuse Services *Emergency Services *Medication Clinic (401)364-7705 (401)789-3545 Emergency 55 Cherry Lane Wakefield, RI 02879 *Mobile Treatment Team (MTT) *Case Management *Day Treatment *Vocational Services *Medication Clinic *Comprehensive Emergency Services (Children's Program) (CES) (401)789-1367 (401)789-3545 Emergency Clock Place 730 Kingstown Road Wakefield, RI 02879 *General Outpatient Services (GOP) *Children's Intensive Services (CIS) *Adolescents Coping With Transition (ACT) *Medication Clinic (401)783-1150 (401)789-1166 Med. Clinic (401)789-3545 Emergency 49 South shore MH Center [slide 46] Read slide Web link has most up-to-date information 49

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. 50 50

TWELVE STEP/SUPPORT GROUPS Alcoholics Anonymous 438-8860 Alanon/Alateen 781-0044 CODA (Co-dependents) 978-952-6510 Delivered Women (Emotional Support) 751-3535 Gambler's Anonymous 886-6850 Nar-Anon 353-6119 Narcotics Anonymous 461-1110 Nicotine Anonymous 421-6487 Overeaters Anonymous 732-9190 Sex & Love Anonymous 617-625-7961 Spiritual Journey (Life Recovery Bible) 751-3535 51 12 Ste groups [slide 49] Read slide 51

Veterans Gateway to Independence 351-2279 (transitional housing men & women) VA Medical Center 457-3083 (inpatient medical, detox. & outpatient) VET center (outpatient) 739-0167 52 Veterans [slide 50] Read slide 52

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 www.ricpg.net or on their 24 hour confidential hotline1-877 877-9GAMBLE. 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

Rhode Island Hospital Psychiatry RI Gambling Treatment Program RI Gambling Treatment Program Services are available at two locations. For information or an appointment call 401-277-0707 0707. State-funded by MHRH Bayside Medical Building 235 Plain Street, Suite 501 Providence, RI 02905 54 RI Gambling Treatment program [slide 52] Read slide Web link has most up-to-date information 54

RI Gamblers Anonymous Meetings Rhode Island Hotline Number: (401) 886-6850 6850 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

Other Resources AIDS Care Ocean State 273-1888 Child Abuse 800-RI RI-CHILD Crossroads 351-6500 DATA of RI 521-5759 5759 Dept. of Behavioral Health Division of Substance Abuse 462-3201 Department of Health 222-2321 2321 Domestic Violence 800-494 494-8100 Food Stamps 222-7276 Mental Health Advocate 462-2003 2003 National Domestic Violence 800-494 494-8100 Network RI 888-616 616-JOBS NRI Community Services 521-3300 Smoking Cessation 56 Other Resources [slide 54] Read slide Travelers Aide Web link has most up-to-date information 56

Other Resources Project AIDS 831-5522 Project Link 453-7618 Public Defenders Office 222-3492 RI Coalition for the Homeless 421-6426 RI Coalition againstdomestic Violence 800-799 799-SAFERI Council on Alcoholismand other Drug Dependence 866-252 252-3784 RI Disability Law Center 800-733 733-5332 RI Health Center Association 274-1771 RI Runaway Project 521 SAFE Samaritans 272-4044 Sexual Assault & Trauma Resource Center 421-4100 Social Security 528-4501 Sojoumer House 658-4334 TDI 462-8420 Unemployment 243-9100 Welfare-DHS 222-7000 WIC Program 222-3940 57 Other Resources [slide 55] Read slide Travelers Aide Web link has most up-to-date information 57

How to Find a 12 step Meeting Info. about AA in RI http://www.rhodeisland-aa.org/ aa.org/ RI AA meetings list http://www.rhodeisland-aa.org/meetings/ aa.org/meetings/ Info. about NA in RI http://theagapecenter.com/nainusa/rhode- Island.htm RI NA meetings list http://alcoholism.about.com/gi/dynamic/offsite.ht m?site=http://www.newenglandna.org 58 How to Find a 12 Step meeting [slide 56] Read slide Web link has most up-to-date information 58

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

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

Suggested Articles or Readings RICAAD. (2004). Directory of RI SA Treatment & Prevention Program. RICAAD: Pawtucket, RI [1-866-252-3784 to obtain a copy] RICARES. (2006) RICARES Service Directory. RICARES: Providence, RI. [ 521-5759 to obtain a copy] 61 Suggested Articles or Readings [slide 59] 61

Suggested Websites Crossroads http://www.crossroadsri.org/ United Way http://www.uwri.org/wheretoturn.cfm Rhode Island Council on Alcoholism and Other Drug Dependence http://www.ricaodd.org/ DATA of RI http://www.dataofri.org/ Rhode Island Council of Community Mental Health Organizations, Inc http://www.riccmhc.org/ 62 Suggested Websites [slide 60] 62