1. The Counseling Center, Inc. Devoted to the prevention and treatment of alcoholism and other drug addictions. We promote opportunities for individuals and families to experience physical, emotional, and spiritual recovery through education, counseling, and participation in 12 Step recovery groups. We know that addiction is a primary, progressive disease that is best treated in an environment of compassion, understanding, and honest self-appraisal. We believe in miracles!

2. A little history… We recently celebrated our 25th anniversary having grown from a very small (2 staff) outpatient program to a multi-county prevention, outpatient and residential provider serving over 2,000 youth and adults per year and employing 130 staff.

3. Our programs  Outpatient: Scioto, Adams, Lawrence counties  Substance Abuse Prevention Programs  Residential Programs  Transitional Living Programs  Work Development Program

4. Scioto County

5. Prevention & Outreach

6. Youth Outreach Programs

7. Summer Day Camp

8. School-based prevention and intervention programs

9. Residential Services

10. Residential Programs  James K. Marsh House for Men  Stepping Stone House for Women  Bridges: Adolescent Treatment for Girls  Kindred Spirits: Adolescent Program for Adolescent Males  Transitional Living

11. James K. Marsh House for Men

12. Stepping Stone House for Women

13. Kindred Spirits: Program for Adolescent Males

14. HopeWorks  Job development & Training  Employment and Job Placement  Advocacy

15. Loved Ones  For concerned family members/others  Wednesday evening: 6:00 p.m.  Understanding addiction and its impact on family  Helping families help their loved ones find recovery

16. Medication-Assisted Treatment for Opioid Addiction  Our Community Alcohol still #1 Marijuana Opiates: analgesics, heroin…over 50% increase in last five years Benzodiazapines Cocaine, crack cocaine Methamphetamine

17. A Continuum of Care  Detoxification  Outpatient/Education  Intensive Outpatient  Short-term Residential  Long-term Residential  Transitional Housing  Job Development  Aftercare  Relapse Management

18. Ambulatory Detox  Buprenorphine/Suboxone Admission Criteria Opiate-dependent: not in need of additional protocol Willing to commit to full treatment program If on methadone, current dose less than 30 mg No allergy or sensitivity to buprenorphine

19. Why Suboxone?  Buprenorphine is a partial opioid agonist; combined with naloxone, a opioid agonist…..Suboxone  Suppresses symptoms of opioid withdrawal  Decreases cravings for opioids  Blocks the effects of other opioids  Increases treatment completion

20. The Treatment Process  Intake  Induction; mild to moderate withdrawal  Stabilization  Maintenance  Supervised withdrawal

21. The Program  Intake-Assessment  Ambulatory Detox  Intensive Outpatient (5 days per week, three hours per day)  Residential  Relapse Prevention  Aftercare/Job development/housing