DOCSLIB.ORG

Addiction Treatment in the U.S. One Reference Everyone Cites Outline

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Addiction Treatment in the U.S. One Reference Everyone Cites Outline Michael M. Miller, MD, FASAM, FAPA History of Addiction Treatment [email protected] in North America And the History of Addiction Medicine Medical Director, Herrington Recovery Center Rogers Memorial Hospital, Oconomowoc, Wisconsin Past President and Board Chair Executive Committee, Public Policy Committee Michael M. Miller, MD, FASAM, FAPA American Society of Addiction Medicine Past President, ASAM Director Medical Director American Board of Addiction Medicine and The ABAM Foundation Herrington Recovery Center, Rogers Memorial Hospital Clinical Adjunct Professor University of Wisconsin School of Medicine and Public Health Assistant Clinical Professor Medical College of Wisconsin, Dept of Psychiatry & Behavioral Health ASAM Disclosure of Relevant Financial Relationships ASAM Review Course 2014 Addiction Treatment in the U.S. Name Commercial Interests Relevant Financial Relevant Financial Relationships: Relationships: What Was Received For What Role • “The Minnesota Model” Michael M. Miller, MD Rogers Memorial Hospital Salary Primary professional position • Hazelden Foundation Honorarium Speakers Bureau training • Willmar State Hospital Alkermes • Miller MM. “Treatment of Addiction: A Clinical Overview." Braeburn Consulting Fee Advisory Board Member Pharmaceuticals, Inc. In Principles of Addiction Medicine, First Edition, 1994 Orexo Honorarium Speakers Bureau training (ASAM) • Miller MM. “Traditional Approaches to the Treatment of Curry Rockefeller Group Consulting Fee Advice re: educational materials to patients Addiction." In Principles…, Second Edition, 1998. BioDelivery Sciences Honorarium Speakers Bureau training Leavitt Partners Honorarium Advice re: population health & prevention approaches to • Addiction Treatment in the U.S. is often caricatured as substance use and addiction nothing other than that One Reference Everyone Cites Outline 1. How do we conceptualize what we’re treating? “Slaying the Dragon” 2. Early treatment approaches in America The History of Addiction Treatment and 3. AA (but it is not treatment) Recovery in America 4. Hazelden and the Minnesota Model 5. Treatment Programs –East Coast, SE, Midwest 6. Treatment Programs –West Coast, et al. William L. White 7. General Musings about Addiction Treatment –so, Bloomington, IL: Chestnut Health Systems. 1998 what is Addiction Treatment anyway? 1 Outline Addiction How the Condition is Conceptualized 8. History of Addiction Treatment Research • The signatory of the U.S. Declaration of 9. History of Addiction Policy and Advocacy Independence, Dr. Benjamin Rush, had described 10. History of Addiction Medicine the “alcoholic disease syndrome” in 1779 (Li, 11. Broadening the Base of Treatment Hewitt, Grant, 2007). 12. Pharmacotherapy • 13. Treatment Criteria The two terms most frequently used to refer to 14. Chronic Disease Management alcoholism at the end of the nineteenth century 15. Contemporary Addiction Treatment were dipsomania and inebriety (White, 2004), 16. Living History as it Happens with both referring to the behaviors of excessive drinking and intoxication. The Journal of Inebriety Weiner, B., & White, W. The Journal of Inebriety (1876–1914): history, topical analysis, and photographic images. Addiction, 102 (1): 15‐23, 2007. Addiction: Addiction How the Condition is Conceptualized How the Condition is Conceptualized • The term “addiction to alcohol” appears to have first been used in the German medical literature in 1901 (Bonhoeffer, 1901; Blakemore, Jennett, 2001), but it became established enough that the National Conference on • Alcoholism is one thing Nomenclature of Disease, the 1933 American process that had inspired the International Classification of Disease (the latest edition, from • Drug Addiction is another 1992, is ICD‐9), had a diagnostic code for "alcohol addiction (code 000‐ 332)” (Keller, 1976). • Jellinek himself (Jellinek, 1942) referred to “alcohol addiction” (Robinson, 1972) for almost two decades prior to the publication of his best known work, The Disease Concept of Alcoholism (Jellinek, 1960). He also described phases of alcohol addiction in an attempt to capture the heterogeneity in manifestations of the disease (Jellinek, 1952). 2 WHO Expert Committee on Mental Health, The Broader Context Alcoholism Subcommittee (1st Report, 1950) “Alcoholism: any form of drinking which in its • The American Medical Society on Alcoholism extent goes beyond the traditional and and Other Drug Dependencies customary ‘dietary’ use, or the ordinary • Alcohol vs. Drugs compliance with the social drinking customs of the whole community concerned, irrespective • Alcoholics Anonymous of the etiological factors leading to such • Narcotics Anonymous behavior….” • Alcohol, Nicotine, and Other Drugs WHO Technical Report Series No. 42, December 1950, pg 5 WHO Expert Committee on Mental Health, WHO Expert Committee on Mental Health, Alcoholism Subcommittee (2nd Report, 1952) Alcoholism Subcommittee (2nd Report, 1952) “The subcommittee has distinguished two “The subcommittee would now consider it categories of alcoholics, ‘alcohol addicts’ and more appropriate to use the preceding ‘habitual symptomatic excessive drinkers’. For definition to define the term ‘excessive brevity’s sake the latter will be referred to as non‐addictive alcoholics. In both groups, the drinking’ and would add to it the excessive drinking is symptomatic of underlying following definition of alcoholism:” psychological or social pathology….” WHO Technical Report Series No. 48, August 1952, pg 16 WHO Technical Report Series No. 48, August 1952, pp. 26‐27 WHO Expert Committee on Mental Health, WHO Expert Committee on Alcoholism Subcommittee (2nd Report, 1952) Drugs Liable to Produce Addiction “…but in one group after several years of “Drug addiction is a state of periodic or excessive drinking ‘loss of control’ over the chronic intoxication, detrimental to the alcohol intake occurs, while in the other individual and to society, produced by the group this phenomenon never develops. The group with ‘loss of control’ is designated repeated consumption of a drug (natural as ‘alcohol addicts’.” or synthetic). Its character‐istics include: (1) an overpowering desire or need (compulsion) to continue taking the drug WHO Technical Report Series No. 48, August 1952, pp 26‐27 and to obtain it by any means 3 WHO Expert Committee on WHO Expert Committee on Mental Health, Drugs Liable to Produce Addiction Alcoholism Subcommittee (1st Report, 1950) “(2)a tendency to increase the dose; “…the Subcommittee recommends that (3) a psychic (psychological) and sometimes a consideration should be given to the physical dependence on the effects of the setting‐up of a subcommittee on Alcohol drug.” of the Expert Committee on Drugs Liable to Produce Addiction.” WHO Technical Report Series No. 21, 1950 WHO Technical Report Series No. 42, December 1950, pg 6 The Definition of Alcoholism What is Addiction? (NCADD / ASAM – 1990, JAMA 1992: Morse et al.) American Society of Addiction Medicine • April 2011 Alcoholism is a primary, chronic disease with genetic, Definition of Addiction: psychosocial, and environmental factors influencing its “Addiction is a primary, chronic disease of brain reward, development and manifestations. The disease is often motivation, memory and related circuitry. Dysfunction in progressive and fatal. It is characterized by continuous these circuits leads to characteristic biological, or periodic: impaired control over drinking, psychological, social and spiritual manifestations. This is preoccupation with the drug alcohol, use of alcohol reflected in an individual pathologically pursuing reward despite adverse consequences, and distortions in and/or relief by substance use and other behaviors.” thinking, most notably denial. Definition of Addiction Models for Understanding Addiction American Society of Addiction Medicine • April 2011 Joseph Westermeyer, MD, PhD, MPH “Addiction is characterized by inability to consistently Moral Model, Criminal Model, Epidemic Model, Illness Model, Personality Disorder Model, Learning Model, Self‐treatment Model, Genetic Model, abstain, impairment in behavioral control, craving, et al. diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a The Illness Model: dysfunctional emotional response.Like other chronic “This model evolved over two centuries ago when addicted persons were diseases, addiction often involves cycles of relapse and unable to cease addictive use of psychoactive substances on their own.” remission. Without treatment or engagement in recovery activities, addiction is progressive and can Westermeyer J. “Chapter 1: Historical Understandings of Addiction.” In: result in disability or premature death.” Principles of Addiction (Peter M. Miller, ed.). Elsevier (2013), page 4. 4 Models for Understanding Addiction Joseph Westermeyer, MD, PhD, MPH Responses to Addiction “First, the addicted person must view him‐ or her‐self as a blighted • The Washingtonians – 1840‐1845 or diseased person in need of outside help. This step, involving illness behavior, occurs after a period of misery and dysfunction. • The Washingtonian Total Abstinence Society Second, those around the person must be willing to deed the person • “The Washingtonian program of recovery consisted of (1) a period of relief from ordinary social expectations and responsibilities, in order to permit treatment and recovery. This public confession, (2) public commitment, (3) visits from involved social assignment of a temporary sick
Load more

Recommended publications
  • Interview with John Schwarzlose President and CEO of the Betty Ford Center
    Published in abridged form in Counselor. Pioneer Series A Purposeful Life: An Interview with John Schwarzlose President and CEO of the Betty Ford Center William L. White, MA In April 1978, former President and First Lady Jerry and Betty Ford announced to the nation that Mrs. Ford had sought treatment and was recovering from addiction to alcohol and other drugs. It was a riveting moment in the history of addiction treatment and recovery in America, but the Ford family had further contributions to make to that history. On October 4, 1982, the Betty Ford Center opened on the grounds of the Eisenhower Medical Center in Rancho Mirage, California. When Mrs. Ford sought a leader for the treatment center that would bear her name, she chose John Schwarzlose. Since then, the Betty Ford Center has achieved international esteem under his leadership and has treated more than 80,000 patients (half of whom have been women). Through these years, the Center also developed specialized treatment for licensed professionals, innovative programs of focused continuing care, state-of-the-art family and children’s programs, and an independent Betty Ford Institute whose mission includes recovery-focused research dissemination, public and professional education, and policy advocacy. I have known John Schwarzlose as a valued colleague and friend for most of my career and welcomed the opportunity to interview him in between sessions of the 2010 annual meeting of the National Association of Addiction Treatment Providers. Join me in this sweeping discussion of John’s career and the work of the Betty Ford Center. Education and Early Career Bill White: John, let me start with the question all of us in this field are often asked: “How did you choose to work in this most unusual profession?” John Schwarzlose: Well, it’s an interesting story.
    [Show full text]
  • The Human Factor
    The Human Factor By Sally Satel Tuesday, July 10, 2007 Filed under: Big Ideas, Health & Medicine Drug abuse causes hundreds of billions of dollars in economic losses and untold personal heartache. How to limit the damage? SALLY SATEL suggests we start by ditching the ‘brain disease’ model that’s popular with scientists and focus on treating addicts as people with the power to reshape their own lives. Despite its own prejudices, an HBO series transmits just this message of responsibility and optimism. For nearly a century, the United States government has been waging one unsuccessful anti-drug crusade after another. Today, more than 20 million Americans abuse drugs and alcohol[1]. And while the users themselves pay a high price in stunted lives and heartache, the social and economic costs are staggering. The direct effects of addiction— homelessness, unemployment, and disease—and the costs of interdiction and incarceration are estimated at over $200 billion annually[2]. The annual burden in lost productivity in the workplace, mainly from absenteeism and accidents, is another $129 billion, and employees’ drug- and alcohol- related healthcare costs add $16 billion[3]. In all, that’s about 3 percent of our gross domestic product. Addicts and their families—and the rest of us who help pick up the pieces—have it hard enough. The last thing we need is a confusing public health message about the nature of addiction. Yet that is exactly what was purveyed earlier in the year by an ambitious television series on HBO about substance abuse. While much of the series preached an ultra-medicalized philosophy of addiction—one I find woefully misleading—the broader message, paradoxically, was powerful and accurate: namely, that addicts are endowed with the ability to change their own lives.
    [Show full text]
  • Return of Organization Exempt from Income
    lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 934933160554951 990 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form Under section 501 (c), 527, or 4947 ( a)(1) of the Internal Revenue Code ( except private foundations) 201 4 Department of the Treasury Do not enter social security numbers on this form as it may be made public Internal Revenue Service 1-Information about Form 990 and its instructions is at www.IRS.gov/form990 A For the 2014 calendar year, or tax year beginning 07-01-2014 , and ending 01-01-2015 C Name of organization B Check if applicable D Employer identification number THE BETTY FORD CENTER F Address change 95-3863994 F Name change Doing business as BETTY FORD CENTER 1 Initial return E Telephone number Final Number and street (or P 0 box if mail is not delivered to street address) Room/suite 39000 BOB HOPE DRIVE F return/terminated (760) 773-4100 1 Amended return City or town, state or province, country, and ZIP or foreign postal code RANCHO MIRAGE, CA 92270 G Gross receipts $ 17,836,880 1 Application pending F Name and address of principal officer H(a) Is this a group return for MARK MISHEK subordinates? (-Yes No 15251 PLEASANT VALLEY ROAD CENTER CITY, MN 55012 H(b) Are all subordinates 1 Yes (- No included? I Tax-exempt status F 501(c)(3) 1 501(c) ( ) I (insert no ) (- 4947(a)(1) or F_ 527 If "No," attach a list (see instructions) J Website :1- WWWHAZELDENBETTYFORD ORG H(c) Group exemption number- K Form of organization F Corporation 1 Trust F_ Association (- Other 0- L Year of formation 1983 M State of legal domicile CA Summary 1 Briefly describe the organization's mission or most significant activities TO PROVIDE EFFECTIVE ALCOHOL AND OTHER DRUG DEPENDENCY TREATMENT SERVICES, INCLUDING PROGRAMS OF EDUCATION AND RESEARCH, TO HELP WOMEN, MEN AND FAMILIES BEGIN THE PROCESS OF RECOVERY w 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets 3 Number of voting members of the governing body (Part VI, line la) .
    [Show full text]
  • Alcohol & Addictions Resource Center 818 E. Jefferson Boulevard South Bend, in 46617
    ALCOHOL & ADDICTIONS RESOURCE CENTER 818 E. JEFFERSON BOULEVARD SOUTH BEND, IN 46617 (574) 234.6024 Email: [email protected] Website www.aarcinfo.org Lending Library Book Listing 1 A A.A. Service Manual Combined with Twelve Concepts for World Service; Bill W. (2002- 2003/1987-1988/1983-84 About Alcohol & Other Drugs; FYI Series About Methodone; the Lindesmith Center – Drug Policy Foundation Addiction; Alcohol Policy and the Public Good: An International Debate; Edited by Griffith Edwards Addiction & Grace; Gerald G. May, M.D. Addiction Process, The - from enabling to intervention; Helena Roche Addiction to Perfection; Marion Woodman Ad*dic*tion*ary; Jan R. Wilson & Judith Wilson Addictive Behaviors, The; Howard Shaffer, Ph.D., Barry Stimmel, M.D. Addictive Organization, The – Why We Overwork Cover Up, Pick Up the Pieces, Please the Boss and Perpetuate Sick Organizations; Anne Wilson Schaef and Diane Fassel Addictive Thinking – Understanding Self-Deception; Abraham Twerski, M.D. (2 copies) Adolescent Peer Pressure: Theory, Correlates and Program Implications for Drug Abuse Prevention; U. S. Department of Health & Human Services (2 copies) Adult Children of Alcoholics; Janet Geringer Woititz, Ed.D. (2 copies) Adult Children of Alcoholics Syndrome, The; Wayne Kritsbeg Adventure of Sobriety, The; David A Stewart Afraid to Live/Afraid to Die; Pat O. (2 copies) AIDS: The Drug & Alcohol Connection; Larry Siegel, M.D., Milan Korcok Alateen, Hope for Children of Alcoholics; Alanon (3 copies) Alcohol – A Family Affair; John E. Keller Alcohol and
    [Show full text]
  • Community Health Needs Assessment
    2018 Community Health Needs Assessment: Implementation Plan Betty Ford Center License #250000049 To provide feedback about this Implementation Strategy, please email [email protected] HARC, Inc. (Health Assessment and Research for Communities) is a nonprofit research and evaluation firm located in Palm Desert, CA. For more information about HARC, please visit www.HARCdata.org. Community Health Needs Assessment Team: Dr. Jenna LeComte-Hinely, Chief Executive Officer Chris Morin, MS, Research Associate Dr. Casey Leier, Director of Research Gerardo Quintana, BA, Research Assistant HARC would like to thank the Betty Ford Center team members who contributed to this project, including: Dr. Christopher Yadron, Vice President of the West Region and Administrator of the Betty Ford Center Jerry Moe, National Director of the Children’s Program Dr. Tracy Pobuda, Manager of Mental Health Services Mark Baumgartner, Executive Director of Betty Ford Center Dr. Stanton Segal, Medical Director Laurie Skochil, Executive Assistant to Dr. Yadron Contents Introduction ........................................................................................................................ 4 About Betty Ford Center .................................................................................................. 4 Programs & Services ..................................................................................................... 4 About the Community Health Needs Assessment .......................................................... 5
    [Show full text]
  • In This Issue NAATP Names New President/CEO
    Vol. 18 No. 4 VISIONS July/August 2012 NAATP Names New President/CEO Kermit Dahlen, Chair of the National Association of member support services that Addiction Treatment Providers (NAATP) Board of Directors assure the continued availability is pleased to announce that the Board has unanimously and highest quality of addiction selected Michael E. Walsh as the new President/CEO of treatment to those we serve.” the organization. Mr. Dahlen said, “We are very pleased to bring somebody with Michael’s background and It is expected Walsh will enthusiasm into our organization. We had the opportunity assume his new position in to look at some outstanding candidates for the position, early August. For at least the and believe Michael will bring us the kind of leadership foreseeable future, the principle we need to lead us into our next decade of growth as the office of NAATP will remain in leading organization of treatment providers. He is well Lancaster, Pennsylvania, with all acquainted with our field and the recovery community, current staff remaining in their and is passionate about what we as providers do. This is positions. Current President Dennis Gilhousen will remain an exciting day for us!” for a yet to be determined period of time to help assure a smooth transition of leadership. Mr. Walsh is currently serving as a Director of Development for the Hanley Center in West Palm Beach, Florida, a CARON The National Association of Addiction Treatment Providers, Treatment Center. He has been involved in the provision founded in 1978, is the leading professional and advocacy of treatment services for nearly two decades.
    [Show full text]
  • Lending Library List
    ALCOHOL & ADDICTIONS RESOURCE CENTER 818 E. JEFFERSON BOULEVARD SOUTH BEND, IN 46617 (574) 234.6024 Email: [email protected] Website www.aarcinfo.org Lending Library Book Listing 1 A A.A. Service Manual Combined with Twelve Concepts for World Service; Bill W. (2002- 2003/1987-1988/1983-84 About Alcohol & Other Drugs; FYI Series About Methodone; the Lindesmith Center – Drug Policy Foundation Addiction; Alcohol Policy and the Public Good: An International Debate; Edited by Griffith Edwards Addiction & Grace; Gerald G. May, M.D. Addiction Process, The - from enabling to intervention; Helena Roche Addiction to Perfection; Marion Woodman Ad*dic*tion*ary; Jan R. Wilson & Judith Wilson Addictive Behaviors, The; Howard Shaffer, Ph.D., Barry Stimmel, M.D. Addictive Organization, The – Why We Overwork Cover Up, Pick Up the Pieces, Please the Boss and Perpetuate Sick Organizations; Anne Wilson Schaef and Diane Fassel Addictive Thinking – Understanding Self-Deception; Abraham Twerski, M.D. (2 copies) Adolescent Peer Pressure: Theory, Correlates and Program Implications for Drug Abuse Prevention; U. S. Department of Health & Human Services (2 copies) Adult Children of Alcoholics; Janet Geringer Woititz, Ed.D. Adult Children of Alcoholics Syndrome, The; Wayne Kritsbeg Afraid to Live/Afraid to Die; Pat O. (2 copies) Aging & Addictions; Carol Colleran and Debra Jay AIDS: The Drug & Alcohol Connection; Larry Siegel, M.D., Milan Korcok Alateen, Hope for Children of Alcoholics; Alanon (2 copies) Alcohol – A Family Affair; John E. Keller Alcohol and Birth
    [Show full text]
  • Selected Papers of William L. White
    Selected Papers of William L. White www.williamwhitepapers.com Collected papers, interviews, video presentations, photos, and archival documents on the history of addiction treatment and recovery in America. Citation: White, W. (2013). Fallen giants: The loss of addiction treatment and recovery pioneers in the United States. Alcoholism Treatment Quarterly, 31(4), 495-502. Posted at www.williamwhitepapers.com Commentary Fallen Giants: The Loss of Addiction Treatment and Recovery Pioneers in the United States William L. White Emeritus Senior Research Consultant Chestnut Health Systems [email protected] If I have seen further it is by standing on the The rise of addiction as a modern shoulders of giants. specialty field of knowledge and practice --Isaac Newton, 1675 over the course of the past half century was forged through intersecting social and The recent death of Griffith Edwards, professional movements. These movements MD (1928-2012), psychiatrist, addiction were led by pioneers in the arenas of mutual specialist, and long-standing editor of aid, public education and advocacy, social Addiction, forced me to pause to reflect on policy, scientific research, primary and the many modern pioneers of addiction secondary prevention, clinical practice, treatment who have died over the span of my professional education, and program career. Based in the UK, Griffith Edwards management and administration. It is fitting made innumerable contributions to the study that we pause as a field and acknowledge of addiction. His conceptualization of alcohol the contributions of such pioneers. This short dependence exerted a profound influence essay will focus on a few such pioneers from on modern diagnostic schemas for the United States.
    [Show full text]
  • Together Magazine, Spring 2019
    A magazine for alumni, donors, friends and colleagues of the Hazelden Betty Ford Foundation SPRING 2019 | VOLUME 5: ISSUE 1 MEANT TO BE TOGETHER In 1980, Hazelden president Dan Anderson welcomed former First Lady Betty Ford to tour the Center City, Minnesota, campus and meet with staff as she developed plans to open an inpatient treatment center in Rancho Mirage, California. Three decades later, the two organizations would merge. See page 6. TOGETHER SPRING 2019 HazeldenBettyFord.org 1 INSIDE 4 Pass It On Sharing what works so more people can heal from addiction 4 Courage to Change A history of innovation that helped shape an entire industry 6 Meant to Be Together One man’s remarkable role in the relationship between Hazelden and the Betty Ford Center 10 What’s a Family to Do? Our first-of-its-kind program helps families navigate their own healing journey 12 Brothers in Recovery Meet three alumni who’ve become “family” to one another over 26 years of sobriety 14 We Belong Together As our alumni, donors, friends and colleagues know, the best part of recovery is sharing it 16 For the Kids Our pioneering program helps children heal from the hurt of addiction LISTEN IN, FRIENDS Hear what leading addiction and recovery experts are talking about—trends, topics, challenges and research. William C. Moyers hosts our interview-style podcast series, Let’s Talk Addiction & Recovery. Listen in via Apple Podcasts, Google Play or YouTube. Subscribing is free, and episodes are easy to share. Visit HazeldenBettyFord.org/Podcasts to learn more and browse episode topics.
    [Show full text]
  • CITY COUNCIL MEETING Thursday, August 20, 2020 – 1:00 P.M
    Planning Division 69-825 Highway 111 Rancho Mirage, CA 92270 [email protected] – (760) 328-2266 P U B L I C H E A R I N G N O T I C E CITY COUNCIL MEETING Thursday, August 20, 2020 – 1:00 p.m. Environmental Impact Report Case No. EIR19001 Preliminary Development Plan Case No. PDP19005 Applicant: Hazelden Betty Ford Foundation Request: Consideration to modify the existing Hazelden Betty Ford Center (HBFC) campus which includes the removal of four residential buildings totaling 51,694± square feet. Which will be replaced by two 2-story residential buildings, each will have an overall height of 30± feet. Each new residential building will encompass 30,935± square feet for a total of 61,870± square feet. The two proposed residential buildings will be located on the west end of the HBFC campus. The project also includes the construction of a new one-story, 22,748± square foot day-treatment building to be located on a currently vacant and undeveloped portion of the campus. A new primary access drive onto the campus from the adjoining Vista Del Sol is also proposed. Location: Immediately west of Vista Del Sol, north of Country Club Drive and east of the Eisenhower Medical Center campus (APN: 685-270-017 and 685-280- 016, -017, and -028) NOTICE IS HEREBY GIVEN that a Public Hearing will be held before the City of Rancho Mirage CITY COUNCIL RE: consideration of the above referenced application pursuant to Rancho Mirage Municipal Code Title 17. Pursuant to CEQA an Environmental Impact Report has been prepared for consideration.
    [Show full text]
  • Haymarket Center
    Haymarket Center EXPERT, COMPREHENSIVE SOLUTIONS IN AN ERA OF CRISIS: HOPE STARTS HERE HAYMARKET CENTER | ANNUAL REPORT | 2017 CENTER | ANNUAL REPORT HAYMARKET Haymarket Center is the Chicago area’s largest and most comprehensive provider of substance use and mental health treatment. HAYMARKET CENTER brings hope to individuals and families. Founded in 1975 by Father Ignatius McDermott and Dr. James West, Haymarket Center has grown to serve over 12,000 individuals annually. Through a Dear Donors and Friends, range of specialized treatment programs, Haymarket Center provides During our four decades of service to the greater Chicago area, our niche has been exceptional care, allowing each patient to focus on personal success. one of extraordinary commitment to patients with addictions. Because behavioral health conditions affect people from all walks of life, our approach has always Haymarket Center recognizes that one solution does not fit all. Our been—and always will be—to keep our doors open to everyone in need. services go far beyond the scope of most treatment programs — for We extend our deepest thanks to our donors and supporters who make treatment example with integrated family medicine and psychiatry, recovery and recovery possible at Haymarket Center. There is no better way to express our gratitude than by continuing to pursue excellence in our work and hope and caring counseling, recovery housing, transitional services, child care, fatherhood in our approach. programming, and job training. As daily headlines attest, our nation is facing an opioid crisis that is severe and urgent. In 2017, every single day, four people in Chicago and surrounding No one is turned away from Haymarket Center due to financial barriers.
    [Show full text]
  • Community Health Needs Assessment
    2018 Community Health Needs Assessment Betty Ford Center License #250000049 Approved by the Betty Ford Center Board of Directors on X, 2018. To provide feedback about this Community Health Needs Assessment, please email [email protected] Authors Jenna LeComte-Hinely, PhD Chris Morin, MS HARC, Inc. (Health Assessment and Research for Communities) is a nonprofit research and evaluation firm located in Palm Desert, CA. For more information about HARC, please visit www.HARCdata.org. Community Health Needs Assessment Team: Dr. Jenna LeComte-Hinely, Chief Executive Officer Chris Morin, MS, Research Associate Dr. Casey Leier, Director of Research Gerardo Quintana, BA, Research Assistant HARC would like to thank the Betty Ford Center team members who contributed to this project, including: Dr. Christopher Yadron, Vice President of the West Region and Administrator of the Betty Ford Center Jerry Moe, National Director of the Children’s Program Dr. Tracy Pobuda, Manager of Mental Health Services Mark Baumgartner, Executive Director of Betty Ford Center Dr. Stanton Segal, Medical Director Laurie Skochil, Executive Assistant to Dr. Yadron Acknowledgements The Betty Ford Center Community Health Needs Assessment (CHNA) was a major undertaking with many individuals and organizations contributing their input. Betty Ford Center and HARC would like to thank the following community partners and CHNA stakeholders for contributing to the report by sharing their perspectives. ABC Recovery Center, Inc. FAIR Foundation Addiction Therapeutic
    [Show full text]