Detoxification, Central Assessment & Drop-In Center Detoxification, Central Assessment &...

Detoxification, Central Assessment & Detoxification, Central Assessment & Drop-In CenterDrop-In Center

Christopher Richardson, PC, ManagerKathy Parsons, Ph.D., PCC-S, LICDC

Counselor CoordinatorKathleen Essik, RN, Nursing Supervisor

Detoxification, Central Assessment & Detoxification, Central Assessment & Drop-In CenterDrop-In Center

In 1995, the Summit County Alcohol, Drug Addiction, and Mental Health Services Board opened the ADM Crisis Center. Oriana House Inc., was chosen as the agency to oversee the Detoxification, Central Assessment and Drop-In Center.

Where Are We Located?Where Are We Located?

15 Frederick Ave., Akron, OHSouth EntranceLocated on the 1st floor of the ADM Crisis Center

Who Do We Serve?Who Do We Serve?

Summit County Residents Individuals who need AoD Assessments

Court ordered

Referred by Probation Departments and other community agencies

Self-referred

Need for outpatient and-or residential AoD treatment based on the ASAM-LOC

What Makes Us Special!!What Makes Us Special!!

We are centrally locatedAll staff are certified and/or licensed Located below Psychiatric Emergency Services (PES)Adjacent to St. Thomas HospitalDetox/Drop-In are in same facilityOpen 7 Days a week/24 hours a day Intra-agency referrals are providedAppointments for needed treatment services are given following every assessment service.

Detoxification UnitDetoxification Unit

16 bed sub-acute facility

Target population: Adults in Summit County who are intoxicated and/or experiencing sub-acute withdrawal symptoms

Detoxification UnitDetoxification Unit

Clients may be self referred, referred by family or friends, physicians, community agencies, police, court personnel, or probation and parole officers.

Detoxification UnitDetoxification Unit

Services provided at the Detoxification unit are voluntary.

Detoxification UnitDetoxification Unit

Admission to Detox is based on a nursing assessment that suggests the client requesting admission is experiencing or is expected to experience sub-acute withdrawal symptoms.

Detoxification UnitDetoxification Unit

Some types of drugs for which individuals may commonly suffer withdrawal symptoms are:

OpiatesBenzodiazepinesAlcohol

Detoxification UnitDetoxification Unit

Once the client is admitted they are provided with medical support by a physician and nursing staff which is provided 24 hours a day.

Detoxification UnitDetoxification Unit

During the average 3 to 5 day stay clientele are not only provided a supportive environment where they are assured to have a safe withdrawal, but they are also evaluated by a Licensed Chemical Dependency Counselor.

Detoxification UnitDetoxification Unit

The Licensed Chemical Dependency Counselor completes a comprehensive AoD assessment with the client, determines the ASAM level of care for treatment and assures the client has a follow up appointment scheduled prior to discharge.

Detoxification UnitDetoxification Unit

Clients are considered successfully released if they’ve completed their medical regimen.

However, if the client leaves the unit before completing their medical regimen, they will be leaving against medical advice (AMA).

Detoxification UnitDetoxification Unit

Individual and Group counseling is provided for clientele during their stay.

Furthermore, there are volunteers who are in recovery from addiction who offer words of encouragement and hope to clients in withdrawal.

The Waiting List For IBH/RAMARThe Waiting List For IBH/RAMAR

High Risk clients placed on the top of the list: Pregnant, IV users, HIV/AIDS, Mental HealthFirst come, first bed based on assessment dateCall-in’s once a week to the Program AssistantWait can take from 12-16 weeks (IBH) Women’s list usually shorter than male listRAMAR recommends IOP treatment prior to residential placement

Detoxification UnitDetoxification Unit

Cost to client is based on a sliding fee scale, however, nobody is ever turned away because of a inability to pay.

Drop-In CenterDrop-In Center

Provides a safe, supportive environment where clients can recuperate from the acute effects of alcohol and/or drugs intoxication.

Accommodates 16 males/females

Drop-In CenterDrop-In Center

Clients are self-referredMay be brought to the facility by local law

enforcement agenciesReferred by other community agencies

Drop-In CenterDrop-In Center

Eligibility criteria is the following:

1. Alcohol BAC is .005 or higher2. The client is noticeably under the influence

of a substance3. Client has an unsteady gait, slurred speech

and other signs of intoxication.

Drop-In CenterDrop-In Center

Clients are evaluated by a nurse upon intake and are monitored by a staff nurse to assure they have a safe recuperation in the Drop-In Center.

Clients remain in the Drop-In Center six to ten hours so they can rest.

Drop-In CenterDrop-In Center

Based on needs the client can shower, launder clothing, and/or receive a snack.

Drop-In CenterDrop-In Center

The client is monitored for withdrawal symptoms and other medical problems.

Assessment and referral services are available to clients willing to participate.

Drop-In CenterDrop-In Center

There is no cost to the client for this service.

Central Assessment DepartmentCentral Assessment Department

Provides AoD assessments to individuals who are in need of assessment and referral services for substance-related disorders

Five (5) Licensed Counselors staff the Central Assessment Department

Central Assessment Department Central Assessment Department

Referrals are often initiated for the individual seeking assessment services.

Most times referrals are initiated by probation and parole officers, court personnel, family members or friends.

Central Assessment DepartmentCentral Assessment Department

The client meets with a Licensed Independent Chemical Dependency Counselor for the assessment interview, and completes a SASSI-3, to determine the DSM IV-TR diagnosis for eligibility for treatment services.

Central Assessment DepartmentCentral Assessment Department

Alco-sensor tests and urinalysis drug screens are conducted for all court and Summit Link referralsCA is open until 6:00 pm Monday through Thursday and until 4:00 pm on Friday.Walk-ins are accepted Community Voice Mail is provided for clients on the Waiting List for Residential treatment services

Central AssessmentCentral Assessment

Cost is based on a sliding fee scale, however, nobody is ever turned away for an inability to pay

Summit Link ProgramSummit Link Program

Identify, assess and recommend eligible offenders for substance abuse/dependence assessment and referral services, thereby providing the court system a method to divert appropriate offenders to treatment.

Summit Link ProgramSummit Link Program

Target Population is: male/female misdemeanant offenders or traffic offenders in need of assessment and treatment for substance-related disorders.

Referrals come from the court system

Summit Link ProgramSummit Link Program

A Summit Link Court Liaison is designated to manage the referrals that come through the program.

Summit Link ProgramSummit Link Program

Assessment ServicesCase ManagementTreatment referrals based on level of careFollow up communication with the Akron

and Summit County legal system

Summit Link ProgramSummit Link Program

There is no cost for services provided by the Summit Link Program

Successful completion is based on the client following the mandate arranged by the referring court

Questions?Questions?

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Thank You!