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AODA Resource Guide Overdose Prevention and Treatment Providers March 2014 Printed and distributed as a community service by The Green Bay Police Department This booklet contains information and materials that is meant to help those with substance abuse addictions. Resources are provided to assist those with addictions from overdosing. In addition there are resources for friends and family members of those people struggling with addiction. The information contained within could save your life, or someone else’s. In addition to information on overdose detection and prevention there is a comprehensive list of resources available to help those struggling with substance abuse in Brown County. This project was made possible by contributions from the Aging and Disability Resource Center (ADRC) of Brown County, the AIDS Resource Center of Wisconsin (ARCW), The Green Bay Police Department, and Substance Abuse and Mental Health Services Administration (SAMHSA). Table of Contents Overdose Prevention 2 Symptoms of Overdose 3 How to Prevent an Overdose 3-4 What to do if Someone Overdosed 5 Rescue Breathing 9-11 Administering Naloxone (Narcan) 12-15 Hepatitis C, HIV, Testing, and Referrals 16-18 Catalog of Local Treatment Providers 19 1 Overdose Prevention Overdose Prevention Overdose is caused the system's inability to process a certain substance. If too much of the substance is absorbed by the system too quickly, it can have a dangerous, even fatal effect. 2 The body reacts differently to different substances. Heroin and other opiates as well as sedative substances, like alcohol and benzodiazepines, (e.g. Diapam), slow down the vital functions. This can lead to respiratory paralysis. A complete respiratory paralysis also leads to dysfunctions in cardiac functions. Overdoses of stimulants, such as cocaine and amphetamine, can lead to heart attacks, convulsions or fainting. An overdose of cocaine can lead to an increase in the internal temperature of the body, which, in turn, may cause brain damage and death. Not all overdoses are fatal, however. After the substance has been taken, it usually takes 1-3 hours for the overdose to cause death. There may be time to get help. In other words, you do not necessarily die if you take an overdose. Symptoms of over dosage: Weak or no respiration The face is blue or very pale Limp body Weak or no pulse Frothing of the mouth Trembling or convulsions Vomiting Chest pain; the chest feels pressured or tight Loss of consciousness Stertorous or muffled breathing How to prevent an overdose? Do not mix various substances. A heroin overdose is often brought about by a mixed use of substances, e.g. alcohol, benzodiazepines and heroin. 3 Do not use substances when you are alone. Try to have company when you use substances: if something goes wrong, there is someone nearby who can seek help. If you do use substances alone, try to find a place others can get to you. If you are given substance you do not recognize, test it before use. It is better to snort or smoke substances. These are less dangerous ways of use than intravenous use as the substance is taken in small, consecutive doses instead of a single shot. Know what your body can take. If you are ill or malnourished, your tolerance is weaker. Your tolerance can also be weakened if you have just got out of rehab or you haven’t used substances for a few days. After a break of a few days the risk of over dosage is considerably higher. Know the state of your health. If you suffer from respiratory problems or if you have, or have recently had pneumonia, heroin can make it all the more difficult to breath. Talk to other users about the substances that are available. Make a plan with friends who are also users: if something does happen, you are prepared to act in an emergency. Do not use saline solution, adrenaline, amphetamine or cocaine to try to resuscitate a person who has taken an overdose. They do not help and their use may even lead to criminal charges. Do not immerse the victim in a cold bath. It may lead to shock or even drowning. Ecstasy and antidepressants Deaths have been traced to the use of either ecstasy or ecstasy together with antidepressants. When used together with ecstasy, ”happiness pills” (under the brand names of Aurorix, Fontex, Seronil etc.) can lead to the serotonine syndrome (overheat, high temperature), which can be fatal. 4 What should you do if someone has taken an overdose? When someone has taken an overdose, he / she is not necessarily aware of it themselves, or if he/she is, they may be unable to get help. It is very important that others act quickly. 1. Check if the person is conscious. Can he open his eyes or talk? 2. If the person does not respond but is breathing, try to help them regain consciousness. You can call them by theirs name, shake them by the shoulders, pinch their earlobe or rub your knuckles on their breastbone. If the person is conscious, make sure they can talk and walk. Keep them as alert as possible so they don’t lose consciousness. It is very important that you do not leave them alone. 3. If the person is not breathing (they may still have a heartbeat), they require immediate help. a. Call the emergency number 911. It is important to mention that you suspect an overdose, so the emergency personnel are prepared to give medical assistance. b. Begin mouth-to-mouth resuscitation. c. When the victim begins to breath or you must leave in order to guide the ambulance personnel to the scene, turn him on his side. This prevents him from suffocating in his own vomit. Instructions for calling the emergency number 911 Find a quiet spot. Loud background noise, shouting and screaming may give the dispatcher a reason to send the police to the scene. In Helsinki the police are not called unless the safety of the ambulance personnel is at jeopardy. Stay calm and clearly tell what has happened. If you are asked about the overdose, tell the truth. 5 When you are waiting for the help to arrive, make sure that the ambulance personnel have free access to the scene. Make sure the ambulance personnel know where to come. If possible, leave the door open or ask someone to wait on the street and give directions. When the ambulance personnel arrive, try to give them as much information as possible. Tell them what substance(s) the victim has taken, what he might have taken earlier and if he is on any medication. Ambulance units carry an antidote to heroin. (Naloxone is a morphine derivative. It is used to counteract neural paralysis and respiratory problems caused by morphine and morphine-related painkillers. Naloxone affects the same parts of the system as morphine derivatives and thereby lessens the effects of the derivatives. The dose is prescribed by a doctor. The drug is given intravenously and sometimes also intramuscularly or intradermally. Soon after the drug has been administered the patient may suffer from nausea, vomiting, perspiration, palpitations or trembling for a while.) Web pages on overdoses: http://www.harmreduction.org http://store.samhsa.gov/shin/content//SMA134742/Overdose_Toolkit_2014_Jan.pdf http://www.nlm.nih.gov/medlineplus/ency/article/002861.htm 6 7 8 RESCUE BREATHING Rescue breathing means you are breathing for someone unable to breathe on his or her own. If someone is not breathing, you must start rescue breathing immediately. Brain cells begin to die after 4-6 minutes without oxygen. 9 Steps in Rescue Breathing With the person’s head tilted back, chin lifted, and nose pinched shut: 1. Give 1 slow breath every 5 seconds (count one-one thousand, two-one thousand, three-one thousand. Take a breath on four-one thousand, and breathe into the person’s mouth on five-one thousand.) 2. Continue for 12 breaths (about 1 minute) and then recheck pulse and breathing. 3. If no pulse, start CPR (if someone knows it) and call 911. 4. If there is a pulse but no breathing → give Naloxone and continue rescue breathing until the person is breathing on their own or until EMS arrives. 10 NOTE: During rescue breathing, air can enter the person’s stomach (instead of lungs) in three ways: 1. If you breathe too hard (you should breathe only enough to make the chest rise 2. If you breathe too fast (you need to let the lungs empty and the chest fall before breathing again) 3. If you don’t tilt the head back far enough to completely open the airway. The three mistakes above can force air into the person’s stomach and cause vomiting. This can be very serious in an unconscious person, because the vomit can go into their lungs → death. If a person vomits while you are doing rescue breathing, quickly turn them on their side, clear the vomit from their mouth using the 2-fingered sweep, and then continue rescue breathing. RECOVERY POSITION The recovery position is used if a person is unconscious, vomiting, or in danger of choking on vomit or saliva. Place the person on the floor, on their side, with legs bent, and head resting on their arm. (See picture for proper position). The recovery position lets fluid drain from the person’s mouth so they do not choke. Place the person in the recovery position whenever you are not doing rescue breathing. 11 Naloxone administration (NARCAN) Naloxone is a drug that reverses the effects of heroin overdose by blocking heroin’s action on the brain and restoring breathing. 1. Prepare a syringe of Naloxone – In tube - 5 pre filled syringes of Naloxone are ready to go. Removing the plastic cap from the needle. 2. Stretch the skin at the injection site and, with the opposite hand, insert the needle at least half way into the upper arm at a 90º angle in one quick movement. 3. Release the skin and inject the Naloxone slowly. 4. When all the Naloxone has been injected, remove the needle quickly. 5. Safely dispose of the syringe (into a sharps container or another hard, puncture-proof container) so that no one gets a needle stick. 6. Naloxone may take 2-3 minutes to work, so you may need to continue rescue breathing. 7. If respirations do not increase to more than 8 per minute after 3 minutes, inject another 1ml syringe of Naloxone (repeat steps 1-4). 8. Naloxone may only last for 30-60 minutes. When it wears off, they may overdose again from the drug still in their system. Stay with them – you may have to give more Naloxone. 9. Although the low dose suggested here usually will not cause severe withdrawal symptoms, they are possible, and may include sweating, nausea/vomiting, shaking, agitation, and anger at losing their high. 12 NOTES ON NALOXONE: Storage: Naloxone needs to be stored away from extreme heat or cold and kept away from direct sunlight. Color: Naloxone should be clear in color. Clients should bring it back and exchange it for a refill if it appears cloudy. Expiration Date: Clients should check the expiration date on the syringe of Naloxone on a regular basis (maybe once per month). Clients should bring it back and exchange it for a refill if it is expired. A PROGRAM OF THE AIDS RESOURCE CENTER OF WISCONSIN (ARCW) IS THE LIFEPOINT CLEAN NEEDLE EXCHANGE PROGRAM. ARCW PROVIDES CLEAN SYRINGES AND OTHER SAFER INJECTION SUPPLIES. ARCW ALSO PROVIDES NALOXONE AND TRAINING ON HOW TO USE NALOXONE. IF INTERESTED IN THESE FREE SERVICES, PLEASE CALL OR VISIT OUR OFFICE AT: 445 S. ADAMS STREET, GREEN BAY, WI 54301 920-437-7400 13 NALOXONE In order to help us provide the best services that we can for you, and to continue receiving funding for this product, it is very important that we obtain some very essential information about who we are serving. A staff member will ask you for, and enter electronically, several basic questions. This information is strictly confidential and only the demographic details (not your name) will be utilized for funding purposes. Please report the following: IMPORTANT NOTES Store Naloxone out of extreme heat, cold, light. If it is expired it may not be as effective. If it is cloudy it is not any good. It should be discarded, but we prefer you return it to us for a refill. Always keep the Rx with the Narcan. (When you do an exchange or return for a refill) Date you used the Naloxone. Gender – Age – Race of the person you helped. Number of shots administered. OD Symptoms – not breathing, unconscious, etc. Situation – e.g., drinking & injected heroin, gave 1 shot, waited 3 mins., called 911, etc. Result - ambulance/EMT, ER, hospital, death, unknown. 14 AT TRAINING YOU RECEIVE: 1) (5) 1cc Naloxone prefilled syringes. 2) 1 prescription 3) 4 page instructions (“SCARE ME”) LIVE! Using Injectable Naloxone to Reverse Opiate Overdose The video you watched for Naloxone training is available on the Internet for your review or to have others learn what to do in case you fall out. Go to: www.youtube.com and enter all of the following in the search box: “live+naloxone”. If you do not have access to the Internet and would like a DVD copy of the video, please let the LIFEPOINT staff person know and s/he will get one for you if possible. 15 Hepatitis C. Who should be tested for Hepatitis C? Persons who ever shared ANY (works) injection equipment, including those who injected once or a few times many years ago. Sexual partners of HCV infected persons, although the risk of transmission is low. Any other BLOOD to BLOOD Contact. When should you get tested? 6 months after: An exposure to blood. Or if your sexual partner is hepatitis C positive Free Rapid Hepatitis C Testing For at-risk individuals 20 minute result time 16 HIV Human Immunodeficiency Virus These body fluids have been shown to contain high concentrations of HIV: blood semen vaginal fluid breast milk other body fluids containing blood Who should be tested for HIV ? Persons who ever shared ANY (works) injection equipment, including those who injected once or a few times many years ago. Had sex with someone who injects any substance. Men who have sex with other men. Traded sex for drugs, money, food, or shelter. Had sex with someone who in HIV positive. Have / Had multiple Sexually Transmitted Infections (STD’s) When should you get tested? 3 months after an exposure Free Rapid HIV Testing 15 minute result time 17 Referrals The Wisconsin HIV/STD/Hepatitis C Information & Referral Center 1-800-334-2437 or go to: www.irc-wisconsin.org United Way Call (2-1-1) or go to: www.get211.org Testing Wisconsin ARCW offices La Crosse - 800-947-3353 Appleton 800-773-2068 Madison - 800-518-9910 Eau Claire - 800-750-2437 Milwaukee - 800– 359-9272 Green Bay - 800-675-9400 Wausau - 800-551-3311 Kenosha - 800-924-6601 Superior - 877-242-0282 Ask for Prevention Services Jim Brunner Outreach – HIV & Hepatitis C Testing Needle Exchange Specialist 445 South Adams Street Green Bay, WI 54301 Direct: 920-437-7400 Ext. 3108 Mobile: 920-619-2270 (10a.m. to 4p.m.) Toll Free: 800-675-9400 Ext. 3108 18 Methadone Treatment Quality Addiction Management - qAM 2979 Allied St., Unit C Green Bay, WI 54304 920-337-6740 Fax 920-337-6741 Website: qam-inc.com Private – Low Cost Physician Directed Methadone Convenient Confidential Treatment Services Medical Initial intake history and physical exam. Prescribe and dispense methadone Treatment plan review Appropriate health counseling Yearly physical exam Urine drug testing Comfortable detox. 19 Counseling Psychosocial assessment Treatment planning and review Individual counseling Family education AODA Treatment Providers of Brown County A listing of agencies that provide services for Alcohol and Other Drug Abuse (AODA) treatment in Brown County March 2013 AODA Treatment Providers of Brown County Handbook Mission Statement: This handbook is a compilation of AODA service providers’ information as provided by representatives of their prospective service. It was developed to increase the knowledge of and appropriate referral to AODA treatment services. This publication was accomplished as a collaborative effort between Family Services, Brown County Human Services, and the Aging and Disability Resource Center of Brown County. Publication printing costs provided by: Aging and Disability Resource Center of Brown County Inclusion of agencies in this handbook does not constitute endorsement nor does omission constitute disapproval. Information in this booklet is updated as needed. To find this publication on the web, go to: www.adrcofbrowncounty.org and click on Help Finding Services-Mental Health & AODA 2 LEVELS OF AODA SERVICES & TREATMENT The AODA services listed below are in order of the least restrictive to the most restrictive options. If you are unsure what level of service is appropriate for your situation, please contact any of the providers listed under ASSESSMENT in the index on pages 5-6. Addictions Support Group (i.e., Alcoholics Anonymous, Narcotics Anonymous, Life Ring) Attended voluntarily, free of charge; most have a non-religious, spiritual component and follow 12 step guidelines. Assessment Meet with an AODA counselor who will ask & answer questions about your alcohol or other drug use, then give recommendations about the appropriate level of services. Individual Therapy Meet individually with a therapist; some providers refer to individual therapy as “one-on-ones.” Group Therapy Clients meet together in a group context with others who share similar issues 1-3 x per week; facilitated by a therapist. Intensive Outpatient Therapy (IOP) Meets up to 12 hours per week for group therapy (average in most programs is 9 hours, 3 hours/3 x per week). Day Treatment Meets during the day more than 12 hours weekly, allowing participants to return home in the evening. Residential Treatment 24/7 treatment in a non-medical, homelike unlocked environment. Medically Monitored/Managed Inpatient Treatment 24/7 treatment in a hospital-like setting with medical staff available to administer medications/provide medical evaluations and care. Detoxification Hospitalization 24/7 medical care to medically stabilize and assist a patient through severe and/or life threatening withdrawal symptoms. 3 INDEX OF PROVIDERS (listed alphabetically) Aging & Disability Resource Center of Brown County .............................. 9 AIDS Resource Center AODA Services………………………………………..9 Al-Anon/Alateen .................................................................................... 16 Alcoholics Anonymous ........................................................................... 16 Bellin Psychiatric Center………………………………………………………10 Bonnie M. Lee & Associates .................................................................... 10 Brown County Human Services—AODA Unit ......................................... 11 Brown County Community Treatment Center......................................... 11 Family Services of Northeast Wisconsin, Inc ............................................ 11 Gamblers Anonymous ............................................................................ 17 Independent Assessment & Counseling Services....................................... 12 Jackie Nitschke Center, Inc ...................................................................... 13 Libertas Treatment Center ....................................................................... 13 My Brother’s Keeper…………………………………………………………..14 Narcotics Anonymous ............................................................................ 17 NEW Wellness Associates........................................................................ 14 Oneida Behavioral Health ...................................................................... 14 Options Treatment Program ................................................................... 15 Recovery Works Counseling Services, Inc. ............................................... 15 Riverside Psychiatric…………………………………………………………..15 Wisconsin Council on Problem Gambling ............................................... 17 Women’s Recovery Journey of Family Services Northeast Wisconsin, Inc. ....................................................................... 12 4 INDEX BY SERVICES PROVIDED ADDICTIONS SUPPORT GROUPS Al-Anon/Alateen ............................................................................................ 16 Alcoholics Anonymous ................................................................................... 16 Gamblers Anonymous .................................................................................... 17 Narcotics Anonymous .................................................................................... 17 Wisconsin Council on Problem Gambling ....................................................... 17 ADOLESCENT SERVICES Family Services of Northeast Wisconsin, Inc..................................................... 11 Libertas Treatment Center............................................................................... 13 My Brother’s Keeper……………………………………………………………..…14 Options Treatment Program ........................................................................... 15 Riverside Psychiatric…………………………………………………………………15 AFTERCARE* *One time weekly group therapy (16 to 32 weeks) facilitated by a therapist, typically following an intensive outpatient or residential treatment Bellin Psychiatric Center ................................................................................. 10 Brown County Human Services—AODA Unit ................................................. 11 Jackie Nitschke Center, Inc ............................................................................. 13 Libertas Treatment Center…...........................................................................13 My Brother’s Keeper………………………………………………………………..14 NEW Wellness Associates.………………………………………………………….14 Oneida Behavioral Health .............................................................................. 14 Recovery Works Counseling Services, Inc. ...................................................... 15 Women’s Recovery Journey of Family Services Northeast Wisconsin, Inc. ............................................................................... 12 ASSESSMENT Bellin Psychiatric Center ................................................................................. 10 Bonnie M. Lee & Associates ............................................................................ 10 Brown County Human Services—AODA Unit ................................................. 11 Brown County Community Treatment Center ................................................. 11 Family Services of Northeast Wisconsin, Inc..................................................... 11 Independent Assessment & Counseling Services .............................................. 12 Jackie Nitschke Center, Inc ............................................................................. 13 Libertas Treatment Center............................................................................... 13 5 My Brother’s Keeper………………………………………………………………...14 NEW Wellness Associates ................................................................................ 14 Oneida Behavioral Health ............................................................................... 14 Options Treatment Center .............................................................................. 15 Recovery Works Counseling Services, Inc. ....................................................... 15 Riverside Psychiatric………………………………………………………………....15 CO-OCCURRING DISORDERS TREATMENT SERVICES* *Services that address both AODA and Mental Health Issues AIDS Resource Center AODA Services……………………………………………..9 Bellin Psychiatric Center ................................................................................. 10 Bonnie M. Lee & Associates ............................................................................ 10 Brown County Human Services—AODA Unit ................................................. 11 Brown County Community Treatment Center ................................................. 11 Family Services of Northeast Wisconsin, Inc..................................................... 11 NEW Wellness Associates ............................................................................... 14 Oneida Behavioral Health .............................................................................. 14 Options Treatment Program ........................................................................... 15 Riverside Psychiatric ....................................................................................... 15 Women’s Recovery Journey of Family Services Northeast Wisconsin, Inc. ............................................................................... 12 DAY TREATMENT AIDS Resource Center AODA Services……………………………………………..9 Bellin Psychiatric Center ................................................................................. 10 DETOXIFICATION HOSPITALIZATION (WITHDRAWAL) If you have any concerns about you or a loved one experiencing withdrawal symptoms, go to any area hospital’s emergency room to have a doctor assess the need for inpatient detoxification. Based on the assessment, the doctor will recommend appropriate services. GROUP THERAPY AIDS Resource Center AODA Services……………………………………………. 9 Brown County Human Services—AODA Unit ................................................. 11 Brown County Community Treatment Center ................................................. 11 Independent Assessment & Counseling Services .............................................. 12 Libertas Treatment Center………………………………………………………….13 6 INDIVIDUAL THERAPY AIDS Resource Center AODA Services……………………………………………..9 Bellin Psychiatric Center ................................................................................. 10 Bonnie M. Lee & Associates ............................................................................ 10 Brown County Human Services—AODA Unit ................................................. 11 Brown County Community Treatment Center ................................................. 11 Family Services of Northeast Wisconsin, Inc..................................................... 11 Independent Assessment & Counseling Services .............................................. 12 Jackie Nitschke Center, Inc……………………………………………………….…13 Libertas Treatment Center…………………………………………………………..13 NEW Wellness Associates ............................................................................... 14 Oneida Behavioral Health .............................................................................. 14 Options Treatment Program………………………………………………………. 15 Riverside Psychiatric ....................................................................................... 15 INTENSIVE OUTPATIENT PROGRAMS (IOP) Bellin Psychiatric Center ................................................................................. 10 Independent Assessment & Counseling Services .............................................. 12 Jackie Nitschke Center, Inc ............................................................................. 13 Libertas Treatment Center............................................................................... 13 My Brother’s Keeper………………………………………………………………..14 NEW Wellness Associates ............................................................................... 14 Oneida Behavioral Health .............................................................................. 14 Options Treatment Program………………………………………………………. 15 Recovery Works Counseling Services, Inc. ...................................................... 15 Women’s Recovery Journey of Family Services Northeast Wisconsin, Inc. ............................................................................... 12 MEDICALLY MONITORED OR MANAGED INPATIENT TREATMENT Bellin Psychiatric Center ................................................................................. 10 Brown County Community Treatment Center ................................................. 11 Libertas Treatment Center (for adolescents only) ............................................ 13 7 RELAPSE PREVENTION* *Typically provides group therapy for clients who have attended treatment in the past and have a relapse history. This treatment focuses on relapse triggers, warning signs, and assists clients in developing a relapse prevention plan. Independent Assessment & Counseling Services .............................................. 12 Recovery Works Counseling Services, Inc. ...................................................... 15 RESIDENTIAL TREATMENT Jackie Nitschke Center, Inc ............................................................................. 13 8 AGING & DISABILITY RESOURCE CENTER OF BROWN COUNTY www.adrcofbrowncounty.org 300 S. Adams Street Phone: 920-448-4300 Green Bay, WI 54301 Hours: Monday—Friday 8:00am-4:30pm Information, assistance, and referral to community services for AODA, co-occurring, and mental health issues Services are provided free of charge AIDS RESOURCE CENTER AODA SERVICES www.arcw.org 445 S. Adams Street Green Bay, WI 54301 Phone: 920-437-7400 Hours: Monday-Friday 8:30am-4:30pm AODA and Co-occurring services for adults: One-on-one therapy; Group therapy offered Monday, Wednesday, Friday, 1:00pm-3:30pm Accepts insurance, self-pay; offers a sliding fee scale Services open to anyone; counseling based on the Harm Reduction philosophy 9 BELLIN PSYCHIATRIC CENTER www.bellin.org 301 E. St. Joseph Street Green Bay, WI 54301 Phone: 920-433-6073 Hours: See Below AODA and co-occurring services for adults: Day Treatment, one-onone therapy, Aftercare, Medically Managed Inpatient Detoxification Hospitalization (Detox) Morning Intensive Outpatient Program: Monday, Tuesday, Thursday, and Friday; 8:00am-11:00am Evening Intensive Outpatient Program: Monday, Tuesday, and Thursday, 5:30pm-9:00pm; Friday, 5:30pm-7:00pm Aftercare: Wednesdays, 8:30am-10:00am; 4:30pm-6:00pm; 6:30pm8:00pm Emergency detox only and inpatient services offered 24 hours per day. Individuals must meet admission criteria before a psychiatrist will order admission. Accepts most insurances, UBH Medicaid, and self-pay BONNIE M. LEE & ASSOCIATES 2200 Dickinson Road, #4B De Pere, WI 54115 Phone: 920-347-3500 Hours: By appointment AODA and co-occurring services. One-on-one and family therapy. Accepts insurance and self-pay (no sliding fee) 10 BROWN COUNTY HUMAN SERVICES-AODA UNIT www.co.brown.wi.us/human_services 3150 Gershwin Dr. Phone: 920-391-4720 Green Bay, WI 54311 Hours: Monday—Friday, 8:00am-3:30pm AODA and co-occurring services for Brown County residents, including: Court-ordered assessments; Individual, group & family therapy; Co-occurring group, Spanish speaking group therapy, and case management. Outpatient services are located at the Brown County Community Treatment Center Court-ordered OWI assessments: Monday through Friday. Self-pay only; payment in full due before assessment Accepts Medicaid, self-pay, and sliding fee BROWN COUNTY COMMUNITY TREATMENT CENTER 3150 Gershwin Dr. Green Bay, WI 54311 Phone: 920-391-4700 Hours: Open 24 hours, 7 days Acute Psychiatric Inpatient Unit Accepts Medicaid, insurance, and self-pay FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. www.familyservicesnew.org 300 Crooks Street Phone: 920-436-6800 or 1-800-998-9609 Green Bay, WI 54301 Hours: Monday--Thursday 8:00am-8:00pm Friday 8:00am-4:30pm Co-occurring, outpatient individual sessions for adults and adolescents Accepts Medicaid (case by case basis), private insurance, and self-pay 11 WOMEN’S RECOVERY JOURNEY OF FAMILY SERVICES NORTHEAST WISCONSIN, INC. www.familyservicesnew.org 300 Crooks Street Green Bay, WI 54301 Phone: 920-436-4360, ext. 1279 Hours: Inquire about day/time Women’s Recovery Journey is an AODA/mental health integrated Intensive Outpatient Program for women and their families Intensive Outpatient Program (3 times/week) and continuing therapy group-transitioning from two mornings per week to one morning per week on a continuum Accept Medicaid (case by case) and private insurance. Grant funding available for those unable to pay. Pregnant women receive priority services INDEPENDENT ASSESSMENT & COUNSELING SERVICES 1345 W Mason Street Suite 201 Green Bay, WI 54303 Phone: 920-438-8141 Hours: See Below AODA services for adults. AODA Assessment, individual therapy, group therapy, Intensive Outpatient Program, Relapse Prevention, Anger Management, AWARE (OWI education) Anger Management Group: adult co-ed, Tuesday or Wednesday, 7:00pm-9:00pm; 12 session program Outpatient Group: adult co-ed, Tuesday, 9:00am-12:00pm; Weeknights, 5:00pm-8:00pm Intensive Outpatient Program: adult co-ed, Monday, Wednesday, and Thursday, 5:00pm-7:00pm; 10 session program Relapse Prevention Group: adult co-ed, Tuesday, 5:00pm-7:00pm; 8 session program AWARE (OWI Self-awareness): Monday, 9:00am-11:00am & 7:00pm9:00pm; Wednesday, 7:00pm-9:00pm; Saturday, 9:00am-noon; 4 session program Accepts self-pay and insurance 12 JACKIE NITSCHKE CENTER, INC. www.jackienitschkecenter.com 630 Cherry Street Phone: 920-435-2093 Green Bay, WI 54301 Hours: See Below AODA services for adults: Residential, Intensive Outpatient Program, and Outpatient/Aftercare. AODA assessments, individual substance abuse counseling, Operating While Intoxicated provider. Residential: 28 days; Intensive Outpatient—18 sessions in six weeks Intensive Outpatient Program: Monday, Tuesday, Thursday, 5:30pm8:30pm Aftercare: Jackie Nitschke Center Intensive Outpatient Program clients only; one time/week for 16 weeks Accepts insurance, self-pay, and county contracts LIBERTAS TREATMENT CENTER www.libertasgb.org 1701 Dousman Green Bay, WI 54303 Phone: 920-498-8600 Hours: see below AODA assessment, Intensive Outpatient Program, Group Therapy, Individual Therapy and Aftercare services for adolescents and adults. Inpatient treatment for adolescents Adolescent Intensive Outpatient Program: Monday, Wednesday, Thursday, 3:30pm-5:30pm; Family session: Tuesday, 6:00pm-8:00pm Adult Intensive Outpatient Program: Tuesday, Wednesday, Thursday, 10:00am-1:00pm; Monday, Tuesday, Wednesday, 6:00pm-9:00pm Adult Group Therapy: Tuesday, 5:00pm-7:00pm; Adolescent Group Therapy: Wednesday, 3:30pm-5:30pm Aftercare (adolescent): 1st, 3rd, 4th Tuesdays, 3:30pm-5:30pm; 2nd Tuesday, 6:00pm-8:00pm Aftercare (adult): Thursday, 5:30pm-7:30pm; Friday, 10:00am-11:30am Accepts self-pay, private insurance and Medicaid 13 MY BROTHERS KEEPER www.mybrotherskeeperinc.net 1039 W Mason St Green Bay, WI 54303 Phone: 920-884-1150 Hours: Monday, Tuesday, Friday: 8:00am-5:00pm Wednesday, Thursday, 8:00am-8:00pm Court ordered AODA assessment and outpatient services Accepts private insurance and self-pay; can make an appointment through the website NEW WELLNESS ASSOCIATES 2733 S. Ridge Road Green Bay, WI 54304 Phone: 920-497-6200 Hours: Monday-Thursday: 9:00am-6:00pm Friday: 9:00am-2:00pm AODA and dual diagnosis services for adults & adolescents. Intensive Outpatient Program, Court-Ordered Assessments, Individual therapy, Aftercare Accepts insurance, self-pay, or Medicaid (Managed Care only) ONEIDA BEHAVIORAL HEALTH (Ka?nikuhli·yo’ Family Center) 2640 West Point Road Green Bay, WI 54304 Phone: 920-490-3860 Hours: Monday-Friday: 8:00am-5:00pm AODA and co-occurring services for eligible Native Americans: Intensive Outpatient Program, Corrective Thinking, Aftercare, and individual therapy Accepts Medicaid and private insurance 14 OPTIONS TREATMENT PROGRAM 442 S. Monroe St. Ste 201 Green Bay, WI 54301 Phone: 920-445-0170 Hours: Monday-Thursday: 8:00am-5:00pm Friday by appointment AODA services for adults and adolescents, including assessment, individual therapy, family therapy, and after care treatment Accepts commercial/private insurance, Medicaid and self-pay RECOVERY WORKS COUNSELING SERVICES, INC. 635 Pine Street Green Bay, WI 54301 Phone: 920-366-7401 Hours: Call for hours Intensive Outpatient Program, Relapse Prevention and Aftercare; Couples and family therapy Accepts insurance and self-pay RIVERSIDE PSYCHIATRIC www.riversidepsych.com 1325 Angels Path De Pere, WI 54115 Phone: 920-338-2855 Hours: 8:00am-5:00pm AODA services for adults and adolescents. Outpatient individual and/or family sessions, co-occurring services, AODA assessment Accepts insurance and self-pay 15 ADDICTIONS SUPPORT GROUPS The addictions support groups listed below are volunteer-run and are not facilitated by a therapist. There is no fee to attend these groups. While they are not considered “treatment,” support groups are an important part of AODA recovery for many people. Some of the groups listed are not specific to AODA issues, but are included because people who struggle with alcohol and drug issues often experience problems with other addictions. AL-ANON/ALATEEN PO Box 12231 Green Bay, WI 54301 www.afg-grb.org Hotline: 920-430-1420 Al-Anon Meetings: 920-490-7700 Support groups for relatives and friends of alcoholics. Meetings held at various locations and times throughout Brown County. Call or visit website for a list of meetings ALCOHOLICS ANONYMOUS 1270 Main St. Green Bay, WI 54301 www.aagreenbay.org Phone: 920-432-2600 Support group for people experiencing difficulties with alcohol abuse and family members affected by alcohol abuse. Meetings held at various locations and times throughout Brown County. Call or visit website for a list of meetings 16 GAMBLERS ANONYMOUS www.gamblersanonymous.org Hotline: 414-299-0901 Provides a structured meeting agenda, fellowship and support to individuals and family members who are suffering from a gambling problem. Meetings are held daily at various times and locations. Call or see website for more information NARCOTICS ANONYMOUS www.wisconsinna.org Phone: 920-232-9615 Substance abuse support group for people recovering from drug addiction. Meetings held daily at various locations and times in the Green Bay area. Call or visit the website for a list of meetings WISCONSIN COUNCIL ON PROBLEM GAMBLING www.wi-problemgamblers.org Toll free: 800-426-2535 Statewide organization that offers problem gamblers and their family information about compulsive gambling and where to find help. Callers are referred to counselors, Gamblers Anonymous or Gam Anon meetings closest to them. Call for further information 17 The ADRC of Brown County is an equal opportunity employer and provider functioning under an affirmative action plan. Information is compiled courtesy of the Aging & Disability Resource Center of Brown County and may be reproduced so long as credit to the agencies listed is retained and distribution is for noncommercial purposes only. For additional information contact the ADRC at (920)448-4300. www.adrcofbrowncounty.org w:communityresources\mentalhealth&aoda\aodatreatment providersnetwork 3/2013 18