Caring About People

specializing in addiction recovery

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1417 North Anthony Blvd Fort Wayne, IN 46805

260.424.5814

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Historically, the organization originally served clients referred from court systems for substance use violations. In 1995, services were expanded to serve families in crisis. Throughout the years Caring About People, Inc. has expanded our professional network by serving on community committees, collaborating on charitable and funded projects, providing educational presentations on both the local and state level. We have positive relationships with other community agencies through collaborations with other social service agencies, local colleges, churches, and schools.

Our dedication is to provide high quality comprehensive mental health services. These services are focused upon the clients, families, and groups who are interested in understanding how choices affect lifestyle. This is accomplished through a professional assessment, planned intervention, comprehensive education and prevention programming. Caring About People, Inc.’s goal is to enhance the resources of our consumer so that they may develop and maintain their physical, psychological, social, and spiritual health.

Caring About People, Inc. has successfully been in operation since 1987. Operating as C.A.P., Inc., a for profit company, C.A.P. provided services to adults from 1987 through 2001, and to youth and families since 1995. As of January 1, 2002 C.A.P., Inc. became Caring About People, Inc., a non-profit agency serving individuals of all ages, infants through adults. Caring About People, Inc. serves as a catalyst and resource for people to develop and improve their quality of life.

CARINGABOUTPEOPLEINC.COM

SUBSTANCE ABUSE PARENTING PROGRAMS DRUG SCREEN TESTING AND MANY MORE SERVICES

We offer counseling, support, and guidance to individuals that are having trouble coping mentally or emotionally.

Caring About People, Inc.

Our purpose at Caring About People is our dedication to providing high quality, comprehensive mental health services. These services are focused around the clients, families, and groups who are interested in understanding how choices affect lifestyle. This is accomplished through professional assessments, planned interventions, comprehensive education, and prevention programming. Our goal is to enhance the resources of our clients so that they may develop and maintain their physical, psychological, social and spiritual health. Our purpose Our mission Our mission at Caring About People, Inc. serves as a catalyst and resource for people to develop and improve their quality of life. We educate and counsel individuals to realize their potential for a healthy lifestyle by enriching family relationships, living without substance abuse, and modifying high risk behaviors.

THEY ARE MORE THAN YOU THINK LIKE YOU

Caring About People, Inc.

80 percent of the babies born to heroin-addicted mothers are born addicts. Like mommy, like baby. Let us help be a part of the solution. Call 260.424.5814

Caring About People, Inc.

Addiction There is a way out

1417 North Anthony Blvd Fort Wayne, IN 46805 260.424.5814

Substance Abuse Caring About People provides a comprehensive experience for individuals over 18 to address substance abuse issues that may be impeding them towards better functioning in life. Thinking Errors The program uses a problem- solving approach integrating cognitive restructuring and social skills interventions to increase one’s awareness of self and others. Anger Management This program assists participants in discovering the irrational and faulty thinking that often supports an inappropriate response.

Transitional Intervention Program TIP is designed to intervene and deter further criminal activities, to assist individuals in developing pro-social skills, and to motivate and empower consumers to develop functional skills to come with stress and life problems and in turn improve their overall functioning. Aftercare and Relapse Intervention Program (Adults) This program utilizes “Commitment to Sobriety - A Relapse Prevention Guide for Adults in Recovery a relapse prevention manual and “Relapse Prevention Therapy” a behavioral guide.

Parenting Programs Caring About People provides parenting education and training using resources from Active Parenting Publishers. Active Parenting Publishers has provided award-winning, video-based parenting classes for helping professionals since 1983. developed to intervene with individuals and families that are in need of improvement in personal functioning. Drug Screen Testing Urine specimens and saliva samples are collected at the office or designated location. If appropriate, a 10 panel urine instant screen is available with results in five (5) minutes and lab verification within 48 hours. Individual & Family Counseling This program has been

Seeking Safety Seeking Safety is a new

emerging empirically evaluated treatment approach to working with dual diagnosis consumers who struggle with both PTSD and substance use disorders.

Story

This program taught me many valuable life skills about managing money, and how to manage stress and anger. I would recommend this program to anyone that needs help.

Brett, 18 Transitional Intervention Program

Caring About People, Inc. 1417 North Anthony Blvd Fort Wayne, IN 46805 260.424.5814

“There’s a lot of information that can be gained from when somebody relapses.”

- Dr. Stephanie Carreiro, University of Massachusetts

Fitness trackers could help prevent relapses

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Dr. Carreiro says wearable biosensors can detect a relapse event for some substances (like heroin and cocaine) by sensing a change in heart rate or other physical conditions. The treatment provider can then use the tness tracker’s other information, like the time and location of the relapse event, to develop a prole about the conditions that prompt a patient to use. “It gives us very specic contextual information and serves as that reminder to the patient that someone could potentially know right away when they relapse,” Dr. Carreiro says.

Fitness trackers, or wearable biosensors, like Fitbit and Jawbone are the latest tness trend to gain widespread popularity. But some believe they could be used to treat addiction as well. New research suggests the devices can be used to reliably detect relapses, which could then give treatment providers the information they need to prevent relapses in the future. “There’s a lot of information that can be gained from when somebody relapses,” says Dr. Stephanie Carreiro, a researcher from the University of Massachusetts.

ACCOUNTABILITY MATTERS That accountability to someone who could see the relapse is an important step in moving past simple self-reporting and drug testing. People can lie during self-reports and drug testing will only show that drugs were used, but not information like how much was used, when it was used, and where. Because the sensors can be easily removed, the system will only work for patients who are truly motivated to stay sober. Dr. Carreiro says rather than a big brother scenario with treatment providers tracking a patient’s movements, the devices simply connect a patient to their support network.

“We could potentially trigger an interaction with a patient just seeing if they’re okay and need some help,” Dr. Carreiro says.

“It definitely served as a reminder that there was something motivating them to stay sober.”

- Dr. Stephanie Carreiro

SIMPLE REMINDER In a study of 15 patients, nearly everyone kept wearing the devices even when relapsing. Dr. Carreiro says that’s because many people are already used to wearing tness trackers, and the treatment plan simply ts into the daily routines they’ve already established. Researchers also say just having a physical object on a patient’s wrist to remind them about their dedication to sobriety can be enough to prevent a relapse. “Multiple people looked at it and thought of going back to jail or being there for their children,” Dr. Carreiro says. “It denitely served as a reminder that there was something motivating them to stay sober.”

WHAT ABOUT PREVENTION? The ultimate goal is to prevent relapses and keep patients on the path to sobriety. While the technology is advancing quickly, researchers say the collective knowledge base simply isn’t there yet to predict a relapse event. But as they conduct more studies and develop better algorithms with the information gained, they should be able to tailor interventions to a specic patient and hopefully keep them from relapsing. “We need to continue to dene different proles so that we can get a more complete understanding of what’s happening,” Dr. Carreiro says. “That’s when it will be the most powerful.”

Feeling Trapped?

Don’t face opioid addiction alone. Get help today.

Caring About People, Inc.

1417 North Anthony Blvd Fort Wayne, IN 46805 260.424.5814

RESTORE BALANCE

LIFE AND

260.424.5814 CONTACT US 1417 North Anthony Blvd Fort Wayne, IN 46805

One of the most significant, relatively new tools to help people recover from drug and alcohol addiction is peer support specialists, an idea that originated in the mental health field but has been adopted by the addiction recovery community.

The role peer support specialists play is somewhat similar to that of 12-step group sponsors, with some differences. The Substance Abuse and Mental Health Services Administration (SAMSHA) defines PSS as specialized assistance that is delivered by a person in recovery from a serious mental illnesses, substance use, or co-occurring mental and substance use condition, before, during, and after treatment, to facilitate a recipient’s long-term recovery in the community Adults receiving addiction treatment who also participated in peer support groups reported that the peer support helped them develop behaviors that increased the likelihood of long-term recovery. These behaviors included reductions in substance use, improved treatment engagement, reduced craving, and increased self-efficacy. Further, those who received peer support also reported reduced HIV/HCV risk behaviors. Medicaid is the main payer for peer support services, although many state departments of behavioral health offer grant funding for these services. Currently, 39 state Medicaid programs cover peer support services for either individuals with mental illness, individuals with addiction disorders, or both groups, according to the website OpenMinds.com. But few states are using their Medicaid programs to fund peer services for addiction recovery, at least not through Medicaid. Back in 2007, the Centers for Medicare & Medicaid services encouraged states to start funding peer support as a part of both mental health services and substance abuse treatment. While more than 30 states have started paying for mental health peers, only a handful pay for peers to help with addiction recovery.

If a state Medicaid program covers peer support under the fee-for-service benefit, the health plans providing coverage in that state are also required to cover those services. Some states have special provisions that allow them to only cover peer supports for limited groups of individuals, such as those enrolled in managed care. Some states also allow peer support specialists to act as qualified health care professionals for certain types of behavioral health services, but do not allow for the specific reimbursement of peer support services. According to Open Minds.com, a comparison of Medicaid fee-for-service reimbursement rates for selected states found a wide variation in reimbursement. Group rates for a 15-minute period ranged from less than $2.00, to over $5.00 and individual rates ranged from $6.50 to $24.36 per 15 minutes. Comparatively, average peer specialist compensation was $15.42 in 2015 (see National Survey of Compensation Among Peer Support Specialists). According to the International Association of Peer Supporters, the peer support specialist workforce has been growing and expanding since Medicaid established funding for these services in 2007. A majority of states have developed training and certification standards, and research has continued to expand and support the evidence base for these services. One of the traits that makes peer support specialists different from sponsors is that

they are trained, certified and paid professionals.

260.424.5814 caringaboutpeopleinc.com

We educate and counsel individuals to realize their potential for a healthy lifestyle by enriching family relationships, living without substance abuse, and modifying high risk behaviors.

Caring About People, Inc.

Sign of the times Experts say the newly approved implant also provides a big boost to the concept of medication-assisted treatment (MAT) in general. For years, the idea that someone could achieve recovery through the use of drugs like methadone and buprenorphine was rejected by many professionals in the eld who saw complete abstinence as the only true sobriety. Many still hold that belief, but attitudes appear to be changing. Top government oŽcials say they want to increase the amount of MAT taking place at the country’s treatment centers. Several states as well as the federal government have enacted laws making it easier for physicians to prescribe medications like buprenorphine, but they say too few patients receive the medication they need. National Institute on Drug Abuse, in a statement. “is product will expand the treatment alternatives available to people suering from an opioid use disorder.” ] [ "Opioid abuse and addiction have taken a devastating toll on American families.” - Dr. Robert M. Cali, FDA Commissioner “Scientic evidence suggests that maintenance treatment with these medications in the context of behavioral treatment and recovery support are more eective in the treatment of opioid use disorder than short-term detoxication programs aimed at abstinence,” said Dr. Nora Volkow, director of the

M

edication-assisted treatment is growing in popularity and acceptance among addiction recovery professionals. And now it’s taken a revolutionary step forward that could oer renewed hope to thousands of people struggling with an addiction to opioids. is summer, the U.S. Food and Drug Administration approved a new buprenorphine implant to treat opioid dependence. Buprenorphine had previously been available only as a pill or a dissolvable lm placed under the tongue. But the new implant, known as Probuphine, can administer a six-month dose of the drug to keep those dependent on opioids from using by reducing cravings and withdrawal symptoms. "Opioid abuse and addiction have taken a devastating toll on American families,” FDA Commissioner Dr. Robert M. Cali said in a statement. “We must do everything we can to make new, innovative treatment options available that can help patients regain control over their lives.” e implant comes in the form of four one-inch rods that are placed under the skin on the upper arm.e implant must be administered surgically and comes with the possibility of certain side eects, but experts say it could be more convenient and more eective for patients.ey say by eliminating the need to take pills, ll prescriptions and generally manage their medication, it makes it easier for people to focus on the other areas of their recovery while making it less likely someone will lapse in their treatment plan.

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Although the implant is certainly a new alternative, it has yet to show any increased success in keeping people from relapsing compared to the pill or lm tablet. In a study of the implant’s eectiveness, they found that 63 percent of people given the implant were free of illicit drugs at six months, compared to 64 percent of people who took buprenorphine by pill. Still, those rates are much higher than the success rates of people who follow abstinence-only treatment plans. And oŽcials hope the new implant will lead more people to get MAT, increasing the number of successful recoveries across the country.

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Caring About People, Inc.

Learning to Drink

Study finds alcohol changes the brain from the very first drink

“ Drugs of abuse basically hijack the normal learning and memory processes. ” - Dr. Dorit Ron University of California - San Francisco

Preventing escalation

The NIAAA-funded study did not establish a relationship between initial use and addiction, or even problematic drinking. But the hope is that further understanding of how alcohol affects the brain initially could lead to better treatment and prevention efforts down the road. “If we can control that step, we may be able to prevent further escalation,” Dr. Ron says. More research is needed to determine which other components of the brain are affected by initial alcohol exposure. Dr. Ron says she believes the changes that occur during first exposure could be reversed with prolonged abstinence from alcohol. But she said the more a person drinks, the harder it is to reverse those changes as the brain forms stronger connections to drinking.

One drink is all it takes. That’s what one research team found when studying how even the first exposure to alcohol can affect a person’s brain. A team from the University of California - San Francisco exposed mice to alcohol and then studied the synapses (connections) in their brains.The team found that even the first drink produced significant changes in the brain’s biological structure, calling the changes a “learning event.” “This is basically the first step,” says Dr. Dorit Ron, one of the chief researchers. “You are basically placing a memory trace.” Dr. Ron says the entire study was based on the idea that “addiction, and not just alcohol addiction, is thought to be a maladaptive form of learning and memory.” In essence, the study showed that first exposure to alcohol primes the brain for further use and lays the foundation for future “learning.” “Drugs of abuse basically hijack the normal learning and memory processes,” Dr. Ron says. “The behavior becomes habit.”

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Predicting behavior

A new study also suggests that the earlier a person starts drinking, the stronger those connections may become. Researchers recently set out to identify which substance people use first in their lives and found the majority of people try alcohol before any other substance.The team also looked at how a person’s age when they start drinking affects substance use later in life. Researchers say the earlier someone starts drinking, the more likely they are to use more than one illicit substance, and they’re also more likely to develop an addiction. “It’s a very nice predictor for polysubstance use,” says Dr. Adam Barry, the study’s chief author. “The later you delay, the closer you are to 21, the less likely you are to be alcohol dependent or dependent on other substances.”

“ Alcohol consumption among youth doesn’t occur in a vacuum. ” - Dr. Adam Barry, Texas A&M University

 strategies that prevent drug use and then applying those in an alcohol setting.” Curbing use Researchers acknowledge there’s a difference between a first sip and a first binge drinking event. But they say age at first use of any kind is still a good predictor of behavior later in life. To combat problematic drinking, Dr. Barry says educators need to address all factors of a child’s life, not just the substance itself. In keeping with new guidelines from the National Institute on Drug Abuse, Dr. Barry and his team recommend beginning substance education as early as third grade. “Alcohol consumption among youth doesn’t occur in a vacuum,” Dr. Barry says. “It’s really just trying to find evidence-based

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Caring About People, Inc.

1417 Nth Anthy Blvd Ft Wayne, IN 46805 260.424.5814

Finding a balance for my physical and mental health is my goal!

Caring About People, Inc.

1417 North Anthony Blvd. Fort Wayne, IN 46805 | 260.424.5814

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