Consumer Guide for Substance Use Treatment NAVAJO & APACHE COUNTIES

Arizona Center for Rural Health • Sonoran Prevention Works

August 2018 Natural San Juan Enterprise Dixie National Kanarraville Bridges NM Forest National Henrieville Glen New Harmony Bryce Forest Canyon Canyon White Mesa Alton National Park NRA Halls Crossing HovenweepColorad NM o Cortez White River Pahranagat NationalNevada Utah Wildlife Zion Glendale Bluff Montezuma Creek Refuge Toquerville National Mesa La Verkin Orderville Tselakai Dezza Aneth Towaoc Verde Leeds Park National Park Paiute Mexican Hat Ivins Virgin Springdale Reser Hurricane Lake Santa Clara Rockville Powell Ute Mountain Washington Halchita Rainbow Reservation Bridge NM St. George Kanab Big Water Hildale Navajo Mountain Are you or a loved one worried about substance use, like drugs Oljato-Monument Valley Red Mesa Colorado City Fredonia Kaibab Reser Teec Nos Pos

Kaibab Beclabito and alcohol? Health, recovery, and wellness are possible, even if Page Lechee Shiprock Desert National Mesquite Moapa Town Wildlife Range Virgin Dennehotso Nellis River AFB Rock Point it is a bumpy journey. A person with substance use issues may Bunkerville Navajo NM Kayenta Moapa Valley Kaibab National Bitter Springs Kaibito need different types of support. This resource guide has county- Moapa Forest River Reser Shonto Chilchinbito Round Rock Sanostee specific options to meet those needs. Recovery from substance Chaco Rough Rock River Chinle Wash Lukachukai North Las Vegas Navajo Reservation Many Farms Newcomb use can look like harm reduction. Some examples include Tonalea Tsaile Colorado River Nellis AFB Supai Las Vegas Grand Canyon avoiding infectious disease and overdose, enrolling in medication Sheep Springs Spring Valley Sunrise Manor Lake Mead Havasupai Paradise National Park Reservation Tuba City Chinle Whitney Pinon Lake Mead Naschitti National Recreation Area Moenkopi Grand Canyon Village Coconino Canyon assisted treatment, reunifying with family and friends, and more. Henderson Crystal de Chelly NM

Enterprise Tusayan Sawmill Nazlini Navajo Colorado Hotevilla-Bacavi Tohatchi Change does not happen overnight. With support from friends, Second Mesa River Boulder City Kykotsmovi Village First Mesa Nakaibito Shongopovi Cameron Keams Canyon Burnside Hopi Jeddito Fort Defiance Brimhallfamilies, Nizhoni and treatment, it is possible to make any positive Steamboat Hubbell Trading Little Reservation Colorado River Post Ganado Window Rock Twin Lakes Red Colorado River NHS Hualapai St. Michaels L. Tse Bonito Yah-ta-hey Dolan Springs Reservation Rock Springs change one day at a time. Gallup Peach Springs Wupatki NM Greasewood Church Rock Searchlight Mohave Ft Wingate Depot Activity (Closed) Navajo Cibola Sunset Crater Apache What’sNational in this guide? Volcano NM Dilkon Forest Seligman Cal-Nev-Ari L. Monove New Kingman-Butler Leupp Houck Golden Valley Williams Naval Obervation Mojave Ash Fork Parks This guide has information about local resources including Kingman Station Flagstaff National Laughlin Rogers L. Black Rock Res Preserve Navajo Army Walnut Bullhead City Canyon NM Black Rock Depot (Closed) Kachina Village Mountainaire Zuni Pueblo treatment, recovery, and health support. There is no one-size-fits- Colorado Winslow River Petrified Zuni Reservation Mohave Valley Winslow West Ft Mojave Forest Mormon L. Zuni- Ramah Navajo Reser Reser National Park Willow Valley Munds Park Cibola NHP all method of substance use treatment. We have included many Paulden Sedona Holbrook Needles Tuzigoot NM Big Park options like detox, peer support, medication assisted treatment, Chino Valley Williamson Clarkdale Jerome Coconino Cornville Havasu Wilderness Prescott National Havasu L. Cottonwood Zion National Forest Camp Verde Forest Res residential, and outpatient services. We also included information Reser Lake Montezuma Yavapai Montezuma Reser Prescott Valley Castle NM Bagdad Yavapai St. Johns Desert Hills Prescott Chemehuevi Reser Snowflake Lake Havasu City Dewey-Humboldt about community supports such as food, housing, and health care. Havasu National Camp Verde Wildlife Refuge Taylor Heber Wilhoit Mayer Sitgreaves Colorado River Strawberry Lyman L. Alamo L. Overgaard National Forest Spring Valley Pine Bill Williams Cordes Lakes California Parker Strip National Peeples Valley Arizona New Wildlife Refuge Yarnell Show Low Show Payson Sun Valley Low L. Bluewater Congress Springerville Danby L. Big River MexicTABLEo OF CONTENTS Young McNary Gisela Eagar Black Canyon City White Mtn Res Parker Tonto Apache National Poston National Verde River Cibecue Forest Crisis Services ...... 1 Bouse Forest Wickenburg La Paz Pleasant L. Tonto Basin New River Colorado Wenden Whiteriver River Reser Cave Creek Salome Peer Support Organizations ...... 2 Peoria Carefree Ft Apache East Fork Luke Air Force Cave Reser Canyon Day Creek Res Auxiliary Field Reserve Rio Verde Quartzsite Scottsdale Theodore Blythe Ehrenberg Sun City West Verde River Roosevelt L. Sun City Ft McDowell Reser Outpatient Services ...... 3 East Blythe Surprise Fountain Hills Tonto Youngtown Saguaro L. NM Apache L. Gila El Mirage Phoenix Salt River Paradise Valley Luke AFB Reser Colorado River Kofa Buckeye National Glendale National Wildlife Litchfield Park Refuge Guard Target Range Residential Treatment Services ...... 4 Palo Verde Tolleson Bouse Claypool Cibola Buckeye Mesa Apache Junction San Carlos Reser Wash Tempe Globe Maricopa Guadalupe Gold Camp Miami Kofa Gilbert Gila Wilderness Avondale Chandler San Carlos National Peridot Prevention Programs ...... 4 Queen Valley Cibola National Goodyear Queen Creek Superior Forest Wildlife Refuge Greenlee Buckeye Gila River Queen Creek Rittenhouse Air Force Auxiliary Field Imperial Reser Hohokam Refuge Pima NM San Carlos L. Wilderness Santan Florence Military Reservation Opioid Treatment Services ...... 5 Imperial National Sacaton Graham Wildlife Refuge Gila Bend Kearny Chocolate Mountain Naval Maricopa Blackwater Morenci Reser Maricopa Reser Aerial Gunnery Range Clifton Ak-Chin Village Florence Imperial Res Casa Grande Hayden Casa Winkelman Grande NM Assistance Programs ...... 5 Gila Bend Pinal Yuma Proving Ground Yuma Stanfield Pima Dudleyville Ft Yuma Colorado River Safford Reser Duncan Winterhaven Chuichu Arizona City Virden Yuma Marine Tacna Mammoth Corps Air Station Barry M. Goldwater Air Force Range Eloy Fortuna Foothills Wellton Cocopah Reser Oracle Gila River Somerton San Manuel Gadsden Yuma San Luis Catalina Oro Valley

Tahono O'odham Reservation Avra Valley Marana Ajo Tortolita Organ Pipe Picture Rocks Casas Adobes Lordsburg Cactus Wilderness Santa Rosa Catalina Foothills Flowing Wells Cabeza Prieta Tanque Verde Willcox National Wildlife Tucson Refuge Saguaro South Tucson Ft Bowie NHS Cabeza Tucson Estates National Wilcox Prieta Wilderness Playa Drexel Heights Davis- Park Willcox Dry L. Valencia West Littletown Monthan AFB Bombing Range Organ San Xavier Air Force Chiricahua Pima Plant No. 44 NM Pipe Cactus NM Pisinemo Reservation Summit Vail Sahuarita Three Points East Sahuarita Benson St. David Sells Cochise Green Valley

Tombstone Sonoita Whetstone Amado Elgin Leslie Canyon National Tubac Huachuca City Wildlife Refuge Buenos Aires National Wildlife Rio Rico Northeast Ft Refuge Tumacacori NHP Patagonia Huachuca Mormon L. Santa CruCoronadz o Sierra Vista Coronado Rio Rico Northwest National Forest Sierra Vista Southeast National Rio Rico Southwest San Bernardino Forest Bisbee National Nogales Pirtleville Douglas Wildlife Refuge Coronado Naco National CRISIS SERVICES There are times when a person needs immediate mental health support, & that means crisis services. Crisis hotlines are often available 24/7 to provide support & resources to an individual who needs them. We have also listed phone numbers to local crisis centers who can provide in-person assistance with urgent psychiatric assessment, medications, and short-term stabilization.

Crisis Phone Numbers Alice’s Place Domestic Violence Shelter 928-289-3003 Navajo County Family Advocacy Center 888-SOS-CHILD (767-2445) Community Bridges, Inc. Winslow Stabilization & 928-289-3151 Recovery Unit (SRU) ChangePoint Integrated Health - Show Low 928-537-2951 Crisis Response Network Northern AZ 877-756-4090 Arizona Coalition to End Sexual & Domestic Violence 602-279-2900 or 800-782-6400 Arizona Humane Society Project Safe House 602-997-7585 Teen Life Line 602-248-TEEN (8336) National Suicide Prevention Lifeline 800-273-TALK (8255) National Substance Use & Disorder Issues Referral & 800-662-HELP (4357) Treatment Hotline Arizona Opioid Assistance & Referral Line 1-888-688-4222 Online Resources NAMI Arizona http://www.namiarizona.org/ Lifeline Chat www.suicidepreventionlifeline.org/chat/ TheHopeLine www.thehopeline.com Other Resources Text the word “HOME” to 741741 www.azahcccs.gov/BehavioralHealth/crisis.html

Apache and Navajo County Consumer Guide for Substance Use Treatment | 1 PEER SUPPORT ORGANIZATIONS It is well documented that having the support of a “peer” — a person who has been through similar difficult experiences — is an important part of the recovery journey. Below we have listed information about peer & family support groups & agencies that provide individualized peer support as a recovery service.

ChangePoint Integrated Health - Community Bridges, Inc. Winslow Little Colorado Behavioral Health Holbrook Stabilization & Recovery Unit (SRU) Centers – St. Johns Individual & family counseling, inte- Crisis, detox, individual & family coun- Individual & family counseling, peer grated health & behavioral services, seling, peer support, referral, short- support, referral, stabilization. peer support, referral. term inpatient (3-5 days), stabilization. www.lcbhc.org/careandservices.php www.mychangepoint.org/alcohol- www.communitybridgesaz.org/ 928-337-4301 substance-abuse-treatment program-directory/ 470 W Cleveland, St. Johns, Arizona 928-524-6126 928-289-3151 103 N. 1st Ave., Holbrook, AZ 105 N. Cottonwood Ave., Winslow, AZ Navajo Nation Dilkon Counseling, domestic violence sup- ChangePoint Integrated Health – Fort Defiance Outpatient Treat- port, parenting, peer support. Show Low ment Center www.nndoh.org/ Crisis, detox, individual & family coun- Peer support, substance use & trauma 928-657-8000 seling, integrated health & behavioral counseling, traditional tribal services. P.O. 709 Window Rock 86705 services, opioid treatment medication, www.nndoh.org/dbhs.html (Behind Bashas), Winslow, AZ peer support, referral. 928-729-4012 www.mychangepoint.org/alcohol- Old Fort Defiance Chapter House Alcoholics Anonymous - Navajo substance-abuse-treatment Fort Defiance, Arizona County 928-537-2951 12 Step peer recovery. 2500 E Show Low Lake Rd Hopi Behavioral Health Services 928-537-7800 & 928-368-7172 Show Low, AZ Dual diagnosis, intensive outpatient, Multiple Locations peer support, substance use & trauma ChangePoint Integrated Health - counseling. Alcoholics Anonymous Snowflake www.sobernation.com/listing/hopi- 12 Step peer recovery. Individual & family counseling, inte- behavioral-health-polacca-az/ www.flagstaffaa.org grated health & behavioral services, 928-737-6300 928-779-3569 peer support, referral. Highway 264 Milepost 388 Locations vary, Flagstaff, AZ www.mychangepoint.org/alcohol- Polacca, AZ substance-abuse-treatment Alcoholics Anonymous 928-536-6869 Kayenta Outpatient Treatment 12 Step peer recovery. 423 S Main St., Snowflake, AZ Center www.aa-meetings.com/arizona/ Intensive outpatient, peer support, TubaCity.html ChangePoint Integrated Health - substance use & trauma counseling. 602-264-1341 Winslow www.sobernation.com/listing/ Locations vary, Tuba City, AZ Individual & family counseling, inte- kayenta-outpatient-treatment- grated health & behavioral services, center-kayenta-az/ Narcotics Anonymous peer support, referral. 928-697-5570 12 Step peer recovery. www.mychangepoint.org/alcohol- Highway 160 Mile Post 394.3 www.arizona-na.org/WP/?page_ substance-abuse-treatment Kayenta, AZ id=53 928-289-4658 928-368-7286 1015 E. 2nd St., Winslow, AZ Little Colorado Behavioral Health Locations vary Centers – Springerville Individual & family counseling, peer Al Anon support, referral, stabilization. 12 Step peer recovery for friends & www.lcbhc.org/careandservices.php family. 928-333-2683 www.al-anon.org/al-anon-meetings/ 50 N Hopi Dr find-an-al-anon-meeting-1/ Springerville, Arizona 888-425-2666 Locations vary

2 | Apache and Navajo County Consumer Guide for Substance Use Treatment OUTPATIENT SERVICES Outpatient services are an excellent option for those who prefer to stay in their communities. These services can include individual & family counseling, medication, & mental health assistance, & can range in frequency from daily contact to one hour a month, depending on the treatment provider & the individual’s need.

ChangePoint Integrated Health - Community Bridges, Inc. Winslow Little Colorado Behavioral Health Holbrook Outpatient Centers – St. Johns Individual & family counseling, inte- Counseling, opioid treatment Individual & family counseling, peer grated health & behavioral services, medication. support, referral, stabilization. peer support, referral. http://communitybridgesaz.org/ www.lcbhc.org/careandservices.php www.mychangepoint.org/alcohol- program-directory/ 928-337-4301 substance-abuse-treatment 928.289.1222 470 W Cleveland, St. Johns, Arizona 928-524-6126 110 E 2nd St 103 N. 1st Ave., Holbrook, AZ Winslow, AZ Navajo Nation Dilkon Counseling, domestic violence sup- ChangePoint Integrated Health – Fort Defiance Outpatient port, parenting, peer support. Show Low Treatment Center www.nndoh.org/ Crisis, detox, individual & family coun- Peer support, substance use & trauma 928-657-8000 seling, integrated health & behavioral counseling, traditional tribal services. P.O. 709 Window Rock 86705, behind services, opioid treatment medication, www.nndoh.org/dbhs.html Bashas, Winslow, AZ peer support, referral. 928-729-4012 www.mychangepoint.org/alcohol- Old Fort Defiance Chapter House Project Recovery substance-abuse-treatment Fort Defiance, Arizona Domestic violence outpatient, individ- 928-537-2951 ual, family, & group counseling, inten- 2500 E Show Low Lake Rd Hopi Behavioral Health Services sive outpatient. Show Low, AZ Dual diagnosis, intensive outpatient, www.winslowga.org peer support, substance use & trauma 928-524-6413 ChangePoint Integrated Health - counseling. 309 E Hopi Dr., Holbrook, AZ Snowflake www.sobernation.com/listing/hopi- Individual & family counseling, inte- behavioral-health-polacca-az/ Sage Behavioral Health Clinic grated health & behavioral services, 928-737-6300 Individual, family, & group counseling, peer support, referral. Highway 264 Milepost 388 psychiatric evaluation & treatment. www.mychangepoint.org/alcohol- Polacca, AZ www.sagememorial.com substance-abuse-treatment 928-755-4500 928-536-6869 Kayenta Outpatient Treatment US-191 & State Highway 264 423 S Main St., Snowflake, AZ Center Ganado, Arizona Intensive outpatient, peer support, ChangePoint Integrated Health - substance use & trauma counseling. White Mountain Counseling Winslow www.sobernation.com/listing/ Grief, domestic violence support, indi- Individual & family counseling, inte- kayenta-outpatient-treatment- vidual & group counseling. grated health & behavioral services, center-kayenta-az/ www.whitemountaincounseling.org/ peer support, referral. 928-697-5570 services.html www.mychangepoint.org/alcohol- Highway 160 Mile Post 394.3 928-532-3238 substance-abuse-treatment Kayenta, AZ 141 E Cooley, Show Low, AZ 928-289-4658 1015 E. 2nd St., Winslow, AZ Little Colorado Behavioral Health Winslow Guidance Associates, Inc. Centers – Springerville Domestic violence outpatient, individ- Individual & family counseling, peer ual, family, & group counseling, inten- support, referral, stabilization. sive outpatient. www.lcbhc.org/careandservices.php www.winslowga.org 928-333-2683 928-289-2650 50 N Hopi Dr 1301 W 2nd St., Winslow, AZ Springerville, Arizona

Apache and Navajo County Consumer Guide for Substance Use Treatment | 3 RESIDENTIAL TREATMENT SERVICES These services provide drug & alcohol treatment in a residential setting, meaning that the individual receives treatment while temporarily living at the treatment center. This can be helpful for a person who needs a higher level of support, or who does not have another place to live while receiving treatment. ChangePoint Psychiatric Hospital Community Bridges, Inc. Albert Community Bridges, Inc. Payson Detox & psychiatric hospital. Must Long Residential Treatment Center Stabilization & Recovery Unit (SRU) be referred from a doctor or other Men’s 30-day inpatient. & Outpatient ChangePoint clinic. https://communitybridgesaz.org/ Crisis, detox, individual & family coun- https://www.mychangepoint.org/ program-directory/ seling, peer support, referral, short- alcohol-substance-abuse-treatment 928-524-1151 term inpatient (3-5 days), stabilization, 928-368-4110 993 N Hermosa Dr. women’s 30-day inpatient. 1920 W Commerce Dr Holbrook, AZ https://communitybridgesaz.org/ Lakeside, AZ program-directory/ 928-468-0022 803 W Main St., Payson, AZ

PREVENTION PROGRAMS Unhealthy substance use may be prevented through the support of community prevention agencies. The organizations listed here can provide information about safe prescription opioid use and disposal of unwanted opioid medications, teach overdose prevention education, and provide other interventions to prevent substance abuse in communities. Additionally, resources like hospitals are included which can help to prevent medical issues or further harm from substance use. Apache County Health Department Navajo County Health Department Summit Healthcare HIV/STI testing & prevention, naloxone/ – Show Low Emergency department, inpatient Narcan, overdose prevention education. HIV/STI prevention, testing, & treat- hospital, laboratory, naloxone/Nar- www.co.apache.az.us/let-us-help- ment, naloxone/Narcan, overdose can, overdose prevention education, you-find-us/public-health-services- prevention education. outpatient medical, pharmacy, surgery, district/ www.navajocountyaz.gov/Departments/ women’s health, wound care. 928-337-4364 Public-Health-Services/Programs-and- www.summithealthcare.net 323 S Mountain Ave., Springerville, AZ Services/Nursing-Services/Sexually- 928-537-4375 Transmitted-Diseases 2200 E Show Low Lake Rd Little Colorado Medical Center 928-532-6050 Show Low, AZ Emergency department, inpatient 600 N. 9th Pl, Show Low, AZ hospital, laboratory, naloxone/Nar- Tsehootsooi Medical Center can, overdose prevention education, Navajo County Health Department Dental, emergency department, inpa- outpatient medical, pharmacy, surgery, – Winslow tient hospital, laboratory, outpatient women’s health. HIV/STI prevention, testing, & treat- medical, pharmacy, surgery, women’s www.lcmcwmh.com ment, naloxone/Narcan, overdose health. 928-289-4691 prevention education. www.fdihb.org 1501 N Williamson Ave, Winslow, AZ www.navajocountyaz.gov/Departments/ 928-729-8000 Public-Health-Services/Programs-and- Corner of Rt N 12 & Rt N 7 Navajo County Health Department Services/Nursing-Services/Sexually- Fort Defiance, AZ - Holbrook Transmitted-Diseases HIV/STI prevention, testing, & treat- (928) 289-6830 White Mountain Regional Medical ment, naloxone/Narcan, overdose 619 E 3rd St, Winslow, AZ Center prevention education. Emergency department, inpatient www.navajocountyaz.gov/Departments/ North Country HealthCare – hospital, naloxone/Narcan, outpatient Public-Health-Services/Programs-and- Show Low medical, overdose prevention educa- Services/Nursing-Services/Sexually- HIV/AIDS testing & treatment, family tion, pharmacy, surgery. Transmitted-Diseases medicine, women’s health. www.wmrmc.com/getpage. 928-524-4750 www.northcountryhealthcare.org php?name=contact&sub=About+Us 117 E. Buffalo St. 928-537-4300 928-333-4368 Holbrook, AZ 2650 E Show Low Lake Rd, Suite 1 118 S Mountain Ave., Springerville, AZ 4 | Apache and Navajo County Consumer Guide for Substance Use Treatment OPIOID TREATMENT SERVICES Opioid use disorder impacts the opioid receptors in the brain. When a person stops using opioids after using them consistently, the brain experiences physiological symptoms that can make it very difficult for a person to learn new skills. Opioid treatment, also called “medication assisted treatment,” uses medication to stabilize the brain while a person engages in counseling & skill- building. It is the most effective treatment for opioid use disorder. ChangePoint Integrated Health – Community Bridges, Inc. Winslow Show Low Outpatient Crisis, detox, individual & family coun- Counseling, opioid treatment seling, integrated health & behavioral medication. services, opioid treatment medication, www.communitybridgesaz.org/ peer support, referral. program-directory/ www.mychangepoint.org/alcohol- 928-289-1222 substance-abuse-treatment 110 E 2nd St., Winslow, AZ 928-537-2951 2500 E Show Low Lake Rd.

ASSISTANCE PROGRAMS Listed below are additional resources that may be of use, such as food banks, WIC, health insurance sign-up, and more. Everybody can use a little help now and then, and that’s exactly what these agencies are here to provide.

Alice’s Place Domestic Violence Arizona Department of Economic New Covenant Church Community Shelter Security Food Bank Domestic violence shelter. Cash assistance, child care, child sup- Food boxes & assistance. www.alicesplace.org port services, developmental disabil- www.newcovenantchurch.ws/ 928-289-3003 ity services, disabled veterans out- ncc-community-foodbank.html Winslow, AZ reach program (DVOP), employment 928-337-3205 service, medical assistance, nutrition 820 W Cleveland St Arizona Center for Rural Health assistance (food stamps), vocational St Johns, AZ Navigator Consortium rehabilitation. Assistance in enrolling in health care https://des.az.gov/find-your-local- Women Infants & Children (WIC) coverage. office Federally-funded health & nutrition pro- http://crh.arizona.edu/programs/ 855-432-7587 gram for women, infants, & children. navigator Multiple locations: Chinle, Eagar, www.co.apache.az.us/let-us-help- 520-343-0660 Kayenta, Kykotsmovi, Show Low, you-find-us/public-health-services- [email protected] Whiteriver, Window Rock, Winslow district/ Northern AZ Association of Arizona Food Banks http://www.navajocountyaz.gov/ Food boxes & assistance. Departments/Public-Health-Services/ www.azfoodbanks.org Programs-and-Services/Women- 800-445-1914 Infants-and-Children PREVENTION (cont.) Call for nearest location & referral, Heber/Overgaard: 928-535-7115 statewide. Nexus Coalition for Drug Holbrook: 928-524-4750 ext. 4 Prevention Navajo Nation Food Bank Show Low: 928-532-6050 ext. 2 Substance abuse prevention coalition. Food boxes & assistance. http://ncdp.rocks Snowflake: 928-536-4656 www.azfoodbanks.org/images/ (928) 358-1645 Springerville: 928-337-2415 uploads/EN-025_8-13.pdf PO Box 1596, Pinetop, AZ 928-871-6868 Winslow: 928-289-6834 Window Rock, AZ Apache County Drug Free Alliance Substance abuse prevention coalition. http://www.acdrugfree.org 928-551-3416

Apache and Navajo County Consumer Guide for Substance Use Treatment | 5 HOPI HEALTH CARE CENTER

Design: Paul Akmajian, AZ Center for Rural Health • Photos: Jill Bullock, AZ Center for Rural Health and Ken MIller (cover) 6 | Apache and Navajo County Consumer Guide for Substance Use Treatment