11

Accessing Community Behavioral Health Resources

Developed by DATA of Rhode IslandDeveloped by DATA of Rhode IslandThrough a special grant from the Rhode Island Through a special grant from the Rhode Island

Department of Human Services Department of Human Services September 2006September 2006

22

Treatment -The System of Care

33

Components ofComponents of

SA Treatment SystemSA 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

44

Detoxification Programs

Medical, Hospital DetoxificationGeneral hospital or special hospital unit

Must be admitted by a Physician

Medical, Non Hospital DetoxificationCommunity based / Social detox centers

Admission procedures vary

Length of stay in detox. programs depends upon substances being used and insurance providers

55

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

66

DETOXIFICATIONDETOXIFICATION

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

77

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

88

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

99

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

1010

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

1111

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

1212

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

1313

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

1414

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

1515

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

1616

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

1717

ADOLESCENT RESIDENTIALADOLESCENT RESIDENTIAL

Programs with an asterisk (*) accept Programs with an asterisk (*) accept individuals who are prescribed individuals who are prescribed methadone.methadone.

ADOLESCENT MALES:ADOLESCENT MALES:

Corkery House* Corkery House* 539-3002539-3002

Phoenix Academy Phoenix Academy 568-1770568-1770

ADOLESCENT FEMALES:ADOLESCENT FEMALES:

Caritas House* 722-4644Caritas House* 722-4644

1818

RECOVERY HOUSESRECOVERY HOUSES

* Adolescent treatment provided* Adolescent treatment providedAdvent House* Advent House* Co-Ed Providence 273-8946Co-Ed Providence 273-8946Alex's PlaceAlex's Place(Turning)* (Turning)* Co-Ed Pawtucket 621-7143Co-Ed Pawtucket 621-7143Brisan House Brisan House Male Providence 467-7933Male Providence 467-7933Captain Tom House Captain Tom House Male Narragansett 789-9390Male Narragansett 789-9390Concord House Concord House Male Providence 359-1226Male Providence 359-1226Concord House II Concord House II Male Providence 359-1226Male Providence 359-1226Croft House Croft House Female West Warwick 295-5670Female West Warwick 295-5670Family Resources* Family Resources* Female Woonsocket 797-0866Female Woonsocket 797-0866

1919

RECOVERY HOUSESRECOVERY HOUSES

* Adolescent treatment provided* Adolescent treatment providedHighlander House Co-Ed Pawtucket 724-0610Hope House I Male Providence 383-6493Hope House II Male Providence 273-0282Jeremiah 6:16 Male Warwick 467-8530Johnson (Turning)* Co-Ed Pawtucket 621-7143Joy is in the Journey Male Pawtucket 475-7125Miracle House Co-Ed Cranston 359-1226Murray St. Recovery I Male Providence 837-6101Murray St. Recovery II Male Providence 837-6101

2020

RECOVERY HOUSESRECOVERY HOUSES

* Adolescent treatment provided* 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

2121

Outpatient ServicesVarious 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

2222

Substance Abuse Outpatient Substance Abuse Outpatient ServicesServices

* Adolescent treatment provided.* Adolescent treatment provided.Ad-Care* Ad-Care* 732-1500732-1500Butler Hospital* Butler Hospital* 455-6220455-6220Caritas Inc.* (Corkery) Caritas Inc.* (Corkery) 722-4644722-4644Center for Behavioral Health 596-0969Center for Behavioral Health 596-0969Child and Family Services of Newport* Child and Family Services of Newport*

849-2300849-2300Centre La Familia Centre La Familia 724-7845724-7845Comprehensive Community Action Program* Comprehensive Community Action Program* 828-5335828-5335

2323

Substance Abuse Outpatient Substance Abuse Outpatient ServicesServices

* * Adolescent treatment providedCommunity Counseling Center* 729-8701Counseling and Intervention* 866-541-5252CODAC Cranston* 461-5056CODAC East Bay* 434-4999CODAC East Providence 434-4999 CODAC Newport* 846-4150CODAC Providence* 942-1450CODAC Wakefield 792-7048Comprehensive Community Action 467-9610Discovery House 461-9110

2424

Substance Abuse Outpatient Substance Abuse Outpatient ServicesServices

* Adolescent treatment provided* Adolescent treatment providedEastbay Mental Health* Eastbay Mental Health* 431-9870431-9870Family Resources*Family Resources* 766-0900766-0900Family Services Family Services 294-6138294-6138Kent Center Kent Center 732-5656732-5656Kent House* Kent House* 781-2700781-2700MAP* MAP* 785-0500785-0500Meadows Edge* Meadows Edge* 294-6170294-6170Newport County CMHC* Newport County CMHC* 846-1213846-1213

2525

Substance Abuse Outpatient Substance Abuse Outpatient ServicesServices

* Adolescent treatment provided* Adolescent treatment providedNRI Community Services*NRI Community Services* 283-7000283-7000Partners in Health and Wellness* 434-0913Partners in Health and Wellness* 434-0913Phoenix House* Phoenix House* 783-0782783-0782Phoenix House Westerly Phoenix House Westerly 348-9995348-9995Project Link*(pregnant and post-partum) Project Link*(pregnant and post-partum)

453-7618453-7618Providence Community Action* Providence Community Action* 272-0660272-0660

2626

Substance Abuse Outpatient Substance Abuse Outpatient ServicesServices

* Adolescent treatment provided* Adolescent treatment providedSSTARofRI SSTARofRI 800-747-6237800-747-6237South County Community Action 884-4282South County Community Action 884-4282South Shore Mental Health* South Shore Mental Health* 364-7705364-7705The Providence Center The Providence Center 276-4020276-4020Tri-Hab Tri-Hab 726-8080726-8080Tri-Hab* Tri-Hab* 765-4040765-4040Tri-Town* Tri-Town* 351-2750351-2750

2727

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

2828

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

2929

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

3030

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

3131

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

3232

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

3333

MEDICATION ASSISTED THERAPY (METHADONE MAINTENANCE)

CTR - Center for Treatment and Recovery CTR - Center for Treatment and Recovery 727-1287 727-1287 Discovery HouseDiscovery House Providence Providence 461-9110461-9110 West Warwick West Warwick 821-8866821-8866 Woonsocket (suboxone) Woonsocket (suboxone) 762-1511762-1511

Providence Metro Treatment Center Providence Metro Treatment Center 941-4488941-4488

VA Hospital VA Hospital 273-7100x4246273-7100x4246

3434

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)

3535

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

3636

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

3737

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

3838

Recovery Support ServicesA multi-dimensional approach requires assisting clients with resolving major problems that impact their lives like:

EmploymentLegal issuesFamily issuesHealth SpiritualOther 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

3939

BREAKBREAK

4040

Rhode Island Community Mental Rhode Island Community Mental Health Organizations Health Organizations

East Bay Mental Health Center, Inc.East Bay Mental Health Center, Inc.

Fellowship Health Resources, Inc.Fellowship Health Resources, Inc.  

Gateway Healthcare, Inc.Gateway Healthcare, Inc.

The Kent Center for Human & Organizational DevelopmentThe Kent Center for Human & Organizational Development  Newport County Community Mental Health Center, Inc.Newport County Community Mental Health Center, Inc.

NRI Community Services, Inc.NRI Community Services, Inc.    The Providence CenterThe Providence Center

Riverwood Mental Health Services Riverwood Mental Health Services

South Shore Mental Health Center, Inc.South Shore Mental Health Center, Inc.

4141

East Bay Mental Health Center, Inc.East Bay Mental Health Center, Inc.(Serving Barrington, Bristol, East Providence and Warren)(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

4242

Fellowship Health Resources, Inc.Fellowship Health Resources, Inc.State of Rhode IslandState of Rhode IslandRegional Director:Regional Director: Virginia Werbicki Virginia WerbickiRegional Office:Regional Office: 59 West Shore Road 59 West Shore RoadWarwick, RI 02889Warwick, RI 02889Phone:Phone: 401/739-8333 401/739-8333 Fax: 401/739-0644Fax: 401/739-0644Email:Email: vwerbicki@fellowshiphr.orgvwerbicki@fellowshiphr.org25 Blackstone Valley Place, Suite 300, 25 Blackstone Valley Place, Suite 300, Lincoln, RI 02865Lincoln, RI 02865Main #401-333-3980   Services# 401-739-Main #401-333-3980   Services# 401-739-83338333www.fellowshiphr.orgwww.fellowshiphr.orgFellowship Community Reintegration Fellowship Community Reintegration ServicesServicesCorrectional Discharge Planning Correctional Discharge Planning Adult Correctional InstitutionAdult Correctional InstitutionP.O. Box 8312 - Dix 2nd floorP.O. Box 8312 - Dix 2nd floorCranston, RI  02920Cranston, RI  02920Phone: 401/462-3468 Fax: 401/462-0848Phone: 401/462-3468 Fax: 401/462-0848Contact Person: Dawn O'GormanContact Person: Dawn O'GormanFellowship House Fellowship House Residential Program Residential Program Cranston, RI Cranston, RI 

Hope Street Apartments Hope Street Apartments Supported Housing Office Supported Housing Office 255 Hope Street, Providence, RI 255 Hope Street, Providence, RI 02906-2173 02906-2173 Phone: 401/351-8833 Fax: Phone: 401/351-8833 Fax: 401/274-8210 401/274-8210 

Apartment Locations: Apartment Locations: Providence, RI Providence, RI 

Ocean State Outreach Ocean State Outreach Mobile Treatment Team Office Mobile Treatment Team Office 59 West Shore Road, Warwick, RI 59 West Shore Road, Warwick, RI 02889 02889 Phone: 401/739-6611 Fax: Phone: 401/739-6611 Fax: 401/739-0644 401/739-0644 

Apartment Locations: Apartment Locations: Cranston, RI Cranston, RI Providence, RIProvidence, RI

Westwick House Westwick House West Warwick,West Warwick, RI RI

4343

  Gateway Healthcare, Inc.Gateway Healthcare, Inc.Administrative Offices 249 Roosevelt Avenue, Pawtucket, RI 02860Main#:401-724-8400 Intake #: 401-729-8701 Emergency#:401-723-1915 or 401-553-1031

www.gatewayhealth.org

Program Locations160 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) 725-0450Youth 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) 722-3513249 Roosevelt Avenue, Pawtucket, RI 02860   [

83 & 85 Rolfe Square, Cranston, RI  60 Hammarlund Way, Middletown, RI  ]

Valley Day Program: (401) 722-3513249 Roosevelt Avenue, Pawtucket, RI   83 & 85 Rolfe Square, Cranston, RI  

Children’s and Adult Residential programs are located throughout the state.

4444

The Kent Center for Human & OrganizaThe Kent Center for Human & Organizational Developmenttional Development

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. ServicesBUTTONWOODS(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

4545

  Newport County Community Mental HeNewport County Community Mental Health Center, Inc.alth Center, Inc.Office Facilities & Program Sites

Main Office 127 Johnnycake Hill RoadMiddletown - 846.1213www.nccmhc.org

Branch Office Judson StreetTiverton - 624.6634Case Management 65 Valley RoadMiddletown - 846.6620Day Treatment Phoenix One Club65 Valley RoadMiddletown - 846.3135Child and Adolescent Services Auxiliary Office26 Valley RoadMiddletown - 848.6363

Residential Programs and Facility SitesWashington Square Residential ProgramNewportBridgeview CondominiumsNewportBuck Road DuplexMiddletownOxbow ApartmentsMiddletownBayside Village ApartmentsNewport Independent Living Apartment ProgramNewportAnita Jackson HouseMiddletownForest Avenue CondominiumsMiddletown

4646

NRI Community Services, Inc.NRI Community Services, 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 ServicesEmergency Services & Crisis InterventionAvailable 24-Hours a Day, 365 Days a Year(401) 235-7120Non-Urgent Screening & Intake ServicesAvailable Monday - Friday, excluding Holidays,8:30 AM - 4:30 PM(401) 235-7121

Adult ServicesEmergency 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

4747

  The Providence CenterThe Providence Center

Adult Counseling ServicesAdult Counseling Services Counseling for Individuals, Couples and Counseling for Individuals, Couples and Families Families

Mental Health Intensive Outpatient ProgramMental Health Intensive Outpatient Program For privately insured adults in Rhode Island For privately insured adults in Rhode Island who suffer from serious depression and/or who suffer from serious depression and/or anxiety. anxiety. Seriously Mentally Ill AdultsSeriously Mentally Ill Adults Comprehensive Services for Seriously Mentally Comprehensive Services for Seriously Mentally Ill AdultIll Adultss

Dual-Diagnosis Treatment ServicesDual-Diagnosis Treatment Services Treating Treating people who are diagnosed with both an people who are diagnosed with both an addictive disorder and a mental illness. addictive disorder and a mental illness.

Educational and Vocational Support Educational and Vocational Support

Specialized Treatment Teams for the Seriously Specialized Treatment Teams for the Seriously Mentally IlllMentally Illl Multi-disciplinary teams devoted to providing Multi-disciplinary teams devoted to providing comprehensive services for seriously mentally comprehensive services for seriously mentally ill clients. ill clients.

Substance Abuse Treatment Programs and Substance Abuse Treatment Programs and ServicesServicesSubstance Abuse Counseling Substance Abuse Counseling

Substance Abuse Treatment for WomenSubstance Abuse Treatment for WomenAn intensive outpatient program that An intensive outpatient program that addresses the unique recovery needs of addresses the unique recovery needs of addicted women. addicted women.

Residential Drug and Alcohol Treatment ProResidential Drug and Alcohol Treatment Programs grams Dual-Diagnosis Treatment ServicesDual-Diagnosis Treatment ServicesTreating people who are diagnosed with Treating people who are diagnosed with both an addictive disorder and a mental both an addictive disorder and a mental illness. illness.

Drug and Alcohol Detoxification Programs Drug and Alcohol Detoxification Programs   

Workplace ServicesWorkplace ServicesWorkplace Training and Education Services Workplace Training and Education Services

951 North Main Street, Providence, RI 02904951 North Main Street, Providence, RI 02904Main#:401-528-0123 Main#:401-528-0123 Intake#:401-276-4020Intake#:401-276-4020

Emergency#:401-274-7111Emergency#:401-274-7111www.provctr.orgwww.provctr.org

4848

RiverwoodRiverwood Mental Health Services Mental Health Services

Residential Group Homes - Residential Group Homes - Barrington - Portsmouth -Barrington - Portsmouth -Tiverton Riverwood Mental Tiverton Riverwood Mental Health ServicesHealth ServicesResidential Group HomesResidential Group HomesBarrington • Portsmouth • Barrington • Portsmouth • TivertonTivertonFor more information or to For more information or to make a referral, contact:make a referral, contact:Riverwood Mental Health Riverwood Mental Health ServicesServices25 Railroad Avenue, Warren, 25 Railroad Avenue, Warren, RI 02885RI 02885

The Mobile Treatment Team The Mobile Treatment Team provides Services in the provides Services in the Community that Help a Person Live Community that Help a Person Live IndependentlyIndependentlyRiverwood Mental Health Services Riverwood Mental Health Services Mobile Treatment TeamMobile Treatment TeamFor more information or to make a For more information or to make a referral, contact:referral, contact:Riverwood Mental Health ServicesRiverwood Mental Health Services25 Railroad Avenue, Warren, RI 25 Railroad Avenue, Warren, RI 0288502885Phone: 401-247-4278Phone: 401-247-4278Fax: 401-247-4569Fax: 401-247-4569

P.O. Box 226, Warren, RI 02886P.O. Box 226, Warren, RI 02886Main#:401-247-4278  Main#:401-247-4278  Intake#:401-247-4278Intake#:401-247-4278

Emergency#:401-253-1812Emergency#:401-253-1812www.riverwoodmhs.org www.riverwoodmhs.org

4949

  South Shore Mental Health Center, Inc.South Shore Mental Health Center, Inc.

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

P.O. Box 899 (4705A Old Post Road), Charlestown, RI 02813P.O. Box 899 (4705A Old Post Road), Charlestown, RI 02813Main#:401-364-7705 Main#:401-364-7705

Intake#:401-364-7705 Intake#:401-364-7705 Emergency#:401-364-7705Emergency#:401-364-7705

  www.ssmhc.org www.ssmhc.org

5050

Community Health CentersCommunity Health Centers

Increasingly, local community health Increasingly, local community health centers are providing medication services centers are providing medication services for patients that don’t meet mental health for patients that don’t meet mental health center criteria for serious and persisting center criteria for serious and persisting mental illness. mental illness.

5151

TWELVE STEP/SUPPORT GROUPS

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

5252

Veterans

Gateway to Independence 351-2279

(transitional housing men & women)

VA Medical Center 457-3083

(inpatient medical, detox. & outpatient)

VET center (outpatient)__________739-0167

5353

Problem Gambling

If you are concerned about your gambling If you are concerned about your gambling or that of someone you know the Rhode or that of someone you know the Rhode Island Council on Problem Gambling can Island Council on Problem Gambling can be reached at be reached at www.ricpg.netwww.ricpg.net or on their 24 or on their 24 hour confidential hotline1-877-9GAMBLE. hour confidential hotline1-877-9GAMBLE. On-line screenings, treatment resources, On-line screenings, treatment resources, information, and phone support are all information, and phone support are all available.available.

5454

Rhode Island Hospital PsychiatryRhode Island Hospital PsychiatryRI Gambling Treatment ProgramRI Gambling Treatment Program

RI Gambling Treatment ProgramRI Gambling Treatment ProgramSServices are available at two locations. ervices are available at two locations. For information or an appointment call For information or an appointment call 401- 277-0707401- 277-0707..

State-funded by MHRHState-funded by MHRH

Bayside Medical BuildingBayside Medical Building235 Plain Street, Suite 501235 Plain Street, Suite 501Providence, RI 02905Providence, RI 02905

5555

RI Gamblers Anonymous MeetingsRI Gamblers Anonymous MeetingsRhode Island Hotline Number: (401) 886-6850Rhode Island Hotline Number: (401) 886-6850MONDAYMONDAY

Pawtucket G.A.Pawtucket G.A.7:00 PM7:00 PMSt. Matthew Trinity Church (Basement)St. Matthew Trinity Church (Basement)690 Newport Avenue690 Newport AvenuePawtucket, RIPawtucket, RINon-SmokingNon-SmokingProvidence G.A.Providence G.A.New Beginnings Red Book StudyNew Beginnings Red Book Study6:30 - 7:30 PM6:30 - 7:30 PMButler Hospital (Ray Conference Center)Butler Hospital (Ray Conference Center)345 Butler Avenue345 Butler AvenueProvidence, RIProvidence, RI

TUESDAYTUESDAYProvidence G.A.Providence G.A.7:00 - 8:30 PM7:00 - 8:30 PMSt. Anthony's Parish CenterSt. Anthony's Parish CenterMineral Spring Avenue NorthMineral Spring Avenue NorthProvidence, RIProvidence, RIRumford G.A.Rumford G.A.7:00 PM 7:00 PM St. Michael & Grace ChurchSt. Michael & Grace ChurchPawtucket Avenue Pawtucket Avenue Rumford, RIRumford, RINon-SmokingNon-Smoking

WEDNESDAYWEDNESDAYCumberland G.A.Cumberland G.A.7:00 PM7:00 PMSt. Joseph's Parish CenterSt. Joseph's Parish Center1303 Mendon Road1303 Mendon RoadCumberland, RICumberland, RINon-SmokingNon-Smoking

THURSDAYTHURSDAYProvidence G.A.Providence G.A.11:30 AM -12:30 PM11:30 AM -12:30 PMSt. Raymond ChurchSt. Raymond Church1240 North Main St.1240 North Main St.Providence, RIProvidence, RI

THURSDAYTHURSDAYWarwick G.A.Warwick G.A.7:30 PM7:30 PMSt. Paul's Lutheran ChurchSt. Paul's Lutheran Church389 Greenwich Avenue (Near Apex)389 Greenwich Avenue (Near Apex)Warwick, RIWarwick, RIGam-Anon MeetingGam-Anon MeetingGam-anon; Non-SmokingGam-anon; Non-Smoking

FRIDAYFRIDAYWarwick G.A.Warwick G.A.7:30 PM7:30 PMKent House (Basement)Kent House (Basement)2020 Elmwood Avenue2020 Elmwood AvenueWarwick, RIWarwick, RINon-SmokingNon-Smoking

SATURDAY SATURDAY Warwick G.A.Warwick G.A.9:30 - 11:30 AM9:30 - 11:30 AMCare New England Wellness CenterCare New England Wellness Center2191 Post Road, Room B2191 Post Road, Room B(Behind Chellos)(Behind Chellos)Warwick, RIWarwick, RINon-Smoking Non-Smoking

SUNDAYSUNDAYWomen in RecoveryWomen in RecoveryEast Greenwich G.A.East Greenwich G.A.6:00 - 8:00 PM 6:00 - 8:00 PM St. Luke's ChurchSt. Luke's Church(Pierce & Church Street)  (Pierce & Church Street)  East Greenwich, RIEast Greenwich, RIWomen Preferred Women Preferred

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Other ResourcesOther ResourcesAIDS Care Ocean State AIDS Care Ocean State 273-1888273-1888Child Abuse Child Abuse 800-RI-CHILD800-RI-CHILDCrossroads Crossroads 351-6500351-6500DATA of RI DATA of RI 521-5759521-5759Dept. of Behavioral HealthDept. of Behavioral Health

Division of Substance Abuse Division of Substance Abuse 462-3201462-3201

Department of Health Department of Health 222-2321222-2321Domestic Violence Domestic Violence 800-494-8100800-494-8100Food Stamps Food Stamps 222-7276222-7276Mental Health Advocate Mental Health Advocate 462-2003462-2003National Domestic Violence National Domestic Violence 800-494-8100800-494-8100Network RI Network RI 888-616-JOBS888-616-JOBSNRI Community Services NRI Community Services 521 -3300521 -3300Smoking CessationSmoking Cessation

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Other ResourcesProject AIDS Project AIDS 831-5522831-5522Project Link Project Link 453-7618453-7618Public Defenders Office Public Defenders Office 222-3492222-3492RI Coalition for the Homeless RI Coalition for the Homeless 421-6426421-6426RI Coalition againstDomestic Violence RI Coalition againstDomestic Violence 800-799-SAFERI 800-799-SAFERI Council on Alcoholismand other Drug Dependence Council on Alcoholismand other Drug Dependence 866-252-3784866-252-3784RI Disability Law Center RI Disability Law Center 800-733-5332800-733-5332RI Health Center Association RI Health Center Association 274-1771274-1771RI Runaway Project RI Runaway Project 521 –SAFE521 –SAFESamaritans Samaritans 272-4044272-4044Sexual Assault & Trauma Resource Center Sexual Assault & Trauma Resource Center 421 -4100421 -4100Social Security Social Security 528-4501528-4501Sojoumer House Sojoumer House 658-4334658-4334TDI TDI 462-8420462-8420Unemployment Unemployment 243-9100243-9100Welfare-DHS Welfare-DHS 222-7000222-7000WIC Program WIC Program 222-3940222-3940

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How to Find a 12 step MeetingHow to Find a 12 step MeetingInfo. about AA in RIInfo. about AA in RIhttp://www.rhodeisland-aa.org/http://www.rhodeisland-aa.org/RI AA meetings listRI AA meetings listhttp://www.rhodeisland-aa.org/meetings/http://www.rhodeisland-aa.org/meetings/Info. about NA in RIInfo. about NA in RIhttp://theagapecenter.com/NAinUSA/Rhode-Islahttp://theagapecenter.com/NAinUSA/Rhode-Island.htmnd.htmRI NA meetings listRI NA meetings listhttp://alcoholism.about.com/gi/dynamic/offsite.hthttp://alcoholism.about.com/gi/dynamic/offsite.htm?site=http://www.newenglandna.orgm?site=http://www.newenglandna.org

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Questions?

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Closing Exercise

1. Something I liked?

2. Something I’ll use?

3. This training will help me?

4. Something more I wanted more of?

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Suggested Articles or ReadingsRICAAD. (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]

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Suggested WebsitesCrossroadshttp://www.crossroadsri.org/United Wayhttp://www.uwri.org/wheretoturn.cfmRhode Island Council on Alcoholism and Other Drug Dependencehttp://www.ricaodd.org/DATA of RIhttp://www.dataofri.org/Rhode Island Council of Community Mental Health Organizations, Inc http://www.riccmhc.org/