Crossroads Center

4b adult residential care unit (arc) revenue: 855,413, expenses: 730,231 mental health court: hamilton county courts have teamed up with mental health providers in an effort to provide treatment for those with chronic mental illness (in lieu of incarceration) from re-offending repeatedly. "the goal of the mental health court is to break that cycle," based on the concept that recovery is important and obtainable. The goal is to get this targeted population -- mostly sufferers of bi-polar disorder and schizophrenia -- psychiatrically stable, compliant with their own treatment goals and then to obtain stable housing or supportive living arrangements to facilitate remediation of the psychiatric symptoms and reduce recidivism. Short term rehabilitation: this program is a non-medical community residential treatment program providing a wide continuum of services in support of the recovery process and home/community reintegration. Linkages to other formal and informal services are based on client needs. Clients must have a substance abuse disorder requiring short term residential care and residing in hamilton county. Intensive outpatient program: these are organized therapeutic services provided in non-residential setting at least three days per week, three hours a day in a professionally supervised program.

4c general outpatient services revenue: 706,124, expenses: 606,577 chemical dependency can be described as any repeated drinking or drug use that interferes with one or more areas of a person's life. Research and experience have indicated that not all chemically dependent individuals require residential treatment. Outpatient chemical dependency treatment is a viable, flexible modality of treatment. Outpatient services often allow an individual to maintain work, school, and/or family schedules while receiving effective treatment. There are two area of the outpatient program, stop and sami. Stop (substance abuse treatment outpatient program): the program is designed to assist individuals who can utilize an outpatient environment, both as a mode of intervention for the illness of substance dependence and as a means of maintaining sobriety once the illness has been arrested. The program provides services primarily to adults referred through the criminal justice system. However, individuals referred through other sources are also seen within this outpatient program. The stop program recognizes the importance of collaboration between the treatment system and the criminal justice system and encourages a team approach in the management and support of client's cases. This program can provide primary care in the treatment of substance abuse and dependence or provide follow-up maintenance of sobriety for those moving further into their recovery. Sami (substance abuse and mental illness): some individuals seeking services at the crossroads center suffer from mental health problems either as a primary issue or secondary to their substance abuse problems. If the mental health diagnosis does not meet the criteria for admission to the sami program, the individual will be admitted to the stop program and have treatment plans developed to meet their specific needs. The targeted population for the stop dual diagnosis program is adult men and women with co-existing substance abuse and mental health problems. Adolescent outpatient program: the adolescent alcohol and other drugs (aod) treatment program: this outpatient program is designed to provide community-based treatment to youth and their families. The program uses a community-based approach, providing treatment in the home, school or at the agency, which is less restrictive than an institutional approach and more family centered. Parental and family involvement is encouraged under this model. The goal of the family centered community-based alcohol and drug intervention and treatment program is to decrease the active incidence of substance abuse while strengthening the family members' functional and self-sufficient behavior. Our program provides full treatment for individuals ages 11 -18 who are suffering from alcohol and drug-related problem and other self-harming behaviors. The level of intensity and duration of treatment is designed to flow on a continuum based on specific patient characteristics. Adolescent prevention programs: our adolescent prevention program is based on the premise that early intervention may prevent more serious social adjustment problems. Our program aim is to prevent substance abuse, substance-related disorders, and other behavioral problems that place families and children at risk. The prevention setting is at schools and community sites. Prevention activities include open ended prevention and education groups focusing on cognitive restructuring. Youth participate in weekly group sessions. Group topics include value clarification, life skill development and rites of passages. Participants include area junior and senior high schools, community centers or juvenile detention centers. In addition, outreach and referral & information can be done to contact persons into the appropriate treatment activity. Prevention/intervention services for juvenile offenders: each participant receives an individual assessment as well as individual and/or group intervention. Youth can participate in daily group sessions which focus on topics such as life skills, anger management, cultural re-grounding and alcohol & other drug information. Participants of this program are adolescents identified as being at "high risk" for school adjustment problems, drug use and delinquency who have been referred to the crossroads center by odys, their school, parents and/or social agencies. Adolescent home-based mental health: the adolescent home-based mental health program is designed on the family preservation model. The overall goal is to provide treatment to adolescents whose behavioral problems and mental illnesses make it difficult for them to adjust to the structure and demands of traditional programs. Services include home-based family centered support and treatment focused on building family coping skills, problem solving and life management skills and identification of positive values that help families cope with mental illness, anger and aggression. The population served is youth ages 11 - 18 with severe mental health problems who have been denied treatment in other systems. Recovery link outreach program: this project, under crossroad's administration, sprang from "medicaid expansion- and involves all the hamilton county providers that are regrouped under recovery link. The hamilton county mental health and recovery services board is providing funding for an outreach worker who will visit healthcare environments and offer sign-up opportunities for medicaid. The outreach worker will sign up interested persons on site and refer them to treatment as appropriate. A 3-5 brief screening for aod issues will be administered. If screening suggests possible need for aod services, the person will be referred to rhac or talbert house (on a round robin basis) to schedule an appointment for an assessment. Once the assessment is completed, rhac or talbert house will triage the consumer to the provider most suited for his/her treatment needs.

4d medication assisted treatment program: revenue: 3,499,805 expenses: 2,372,956 methadone clinic: in november 2013, the methadone clinic opened its doors and began treating people addicted to opiates. This medication managed program also known as medication assisted program (map) has a staff of 11 and over 500 patients. The clinical staff includes a medical director, specializing in addiction medicine and addiction psychiatry, a physician specialized in addiction medicine, four registered nurses, six licensed alcohol and drug counselors all with significant experience in treating opiate dependence, and a full time clinic administrator. The medication assisted program philosophy and objectives are to provide respectful, humane, state of the art clinical and holistic care for all its patients. By achieving remission of their addiction, the patient can then focus on relearning healthy sober coping behaviors in an effort to improve their lifestyle and become once again an integral part of their family and community. What sets map apart from other treatment programs, is the care it provides for all its patients as well as other services usually not seen with this type of program. Map provides onsite psychiatric care for many of its patients. With local ob-gyn clinics, it follows pregnant patients, in this way markedly improving the health of the baby and mother. Map is able to provide the level of care needed for all phases of recovery. Map is also a resource for several community agencies and the legal system. Medication assisted treatment/ suboxone (buprenorphine) treatment: suboxone is a tablet that contains the combination of the narcotic buprenorphine and the narcotic blocker naltrexone. It has been approved by the fda and used for treating opiate addiction since early 2003. All research to date shows that suboxone in the right person is at least as effective as methadone maintenance in treating addiction to opiates. Suboxone also works quite well in the treatment of acute or chronic withdrawal from other opiates. Suboxone treatment is a voluntary outpatient procedure that focuses on medication management for opiate addiction. If the patient is unable to abstain from illicit drug use, the program will either provide additional addiction treatment or make the appropriate referral. Suboxone treatment at the crossroads center is not time limited; it is individualized to each individual patient's needs. The common goals of treatment include stopping illicit opiate use and regaining an unimpaired lifestyle. All prospective patients receive a phone screen by one of the medical staff within 24 hours of contacting us and if appropriate will usually be seen for their initial evaluation within one week. 4e intake program: revenue: 350,902 expenses: 281,716 the intake and assessment department is in charge of providing centralized admission to the various treatment programs residential and outpatient. The admission process involves intake screening, intake scheduling, intake assessment, and case assignments. The department also provides referrals to other agencies and programs as necessary.