CROSSROADS CENTER
311 MARTIN LUTHER KING DRIVE EAST, CINCINNATI, OH 45219 thecrossroadscenter.org

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Organizations Filed Purposes: THE PURPOSE OF THE ORGANIZATION IS TO PROVIDE ALCOHOL AND OTHER DRUG TREATMENT, EDUCATION, PREVENTION AND TRAINING SERVICES, MENTAL HEALTH SERVICES AND CHILDREN AND FAMILY WELFARE SERVICES.

4ACHANEY ALLEN WOMEN'S SERVICES EXPENSES: 1,327,417 REVENUE: 1,694,667 CHANEY ALLEN WOMEN'S CONTINUUM OF CARE: THE CROSSROADS CENTER'S CHANEY ALLEN WOMEN'S CONTINUUM OF CARE (CAWCC) PROGRAM IS DESIGNED TO PROVIDE STRUCTURED, PROGRESSIVE TREATMENT TO SUBSTANCE ABUSING WOMEN, WITH AN EMPHASIS ON TREATING WOMEN WITH DEPENDENT CHILDREN AND WOMEN OF CHILDBEARING AGE. THE PROGRAM IS CULTURALLY SENSITIVE, INTEGRATING CULTURALLY APPROPRIATE PROTOCOLS WITH EVIDENCE-BASED TREATMENT PRACTICES. IN ADDITION, THE PROGRAM IS GENDER SPECIFIC WITH A FOCUS ON ISSUES RELEVANT FOR WOMEN SUCH AS PHYSICAL AND SEXUAL ABUSE, AND PARENTING. THE PROGRAM IS STRUCTURED TO PROVIDE A CONTINUUM OF CARE BEGINNING WITH FOCUSED COMMUNITY OUTREACH AND EDUCATION, CENTRALIZED ASSESSMENT WITH SCREENING TO THE APPROPRIATE LEVEL OF CARE, INDIVIDUAL AND GROUP THERAPY AT AN OUTPATIENT OR RESIDENTIAL LEVEL OF CARE, CASE MANAGEMENT SERVICES, STRUCTURED DAY AND EVENING CHILDCARE AND PSYCHIATRIC TREATMENT. THE GOALS OF THE TREATMENT PROGRAM ARE MULTIFACETED AND FOCUS ON THE FOLLOWING: "TO REDUCE RECIDIVISM BY EDUCATING AND LINKING RETURNING WOMEN OFFENDERS TO COMMUNITY-BASED SERVICES. "TO DECREASE THE ACTIVE INCIDENCE OF MARIJUANA, COCAINE, ALCOHOL AND OTHER DRUG USE AMONG WOMEN, ESPECIALLY THOSE OF CHILDBEARING AGE. "TO ENHANCE SOCIAL, CULTURAL, FAMILY, ECONOMIC AND SPIRITUAL FUNCTIONING. "TO REDUCE THE RATES OF RELAPSE AMONG SUBSTANCE ABUSING WOMEN. "TO REDUCE THE ADVERSE EFFECTS OF MATERNAL SUBSTANCE ABUSE ON CHILDREN. MOREOVER, THE PROGRAM IS DESIGNED TO PROVIDE SERVICES AND ACTIVITIES THAT IMPACT SEVERAL CO-OCCURRING PROBLEMS SUCH AS CHILD ABUSE/NEGLECT, TRAUMA ISSUES, CHRONIC HEALTH ISSUES, DUAL DISORDERS, EMPLOYMENT AND SELF- SUFFICIENCY, AND HOME MANAGEMENT DEFICIENCIES. CHANEY ALLEN PERINATAL/POSTPARTUM: THE CROSSROADS CENTER'S CHANEY ALLEN PERINATAL/POSTPARTUM WOMEN'S PROGRAM (PPW) IS DESIGNED TO PROVIDE OUTPATIENT OR RESIDENTIAL TREATMENT TO SUBSTANCE-ABUSING WOMEN WHO ARE PREGNANT OR HAVE GIVEN BIRTH, EXPERIENCED A MISCARRIAGE OR HAD AN ABORTION WITHIN 12 MONTHS PRECEDING ADMISSION. THE PROGRAM IS CULTURALLY SENSITIVE; INTEGRATING AN AFRICAN AMERICAN WORLDVIEW (I.E. FAITH AND THE IMPORTANCE OF FAMILY) WITH SCIENCE BASED TREATMENT PRACTICES. IN ADDITION, THE PROGRAM IS GENDER SPECIFIC WITH A FOCUS ON PHYSICAL AND SEXUAL ABUSE, PARENTING AND RELATIONSHIPS RELEVANT TO FEMALES. THE PROGRAM IS STRUCTURED TO PROVIDE A CONTINUUM OF CARE INCLUDING PRIORITY ASSESSMENT, INDIVIDUAL AND GROUP THERAPY, CASE MANAGEMENT SERVICES STRUCTURED DAY AND EVENING CHILDCARE AND MEDICAL SOMATIC. THE GOALS OF THE PROGRAM ARE MULTIFACETED AND FOCUS ON THE FOLLOWING CUSTOMER BEHAVIORS: "DECREASING THE ACTIVE INCIDENCE OF MARIJUANA, COCAINE, ALCOHOL AND OTHER DRUG USE AMONG WOMEN, ESPECIALLY PREGNANT AND THOSE OF CHILDBEARING AGE. "IMPROVING FAMILY FUNCTIONING, ESPECIALLY FOR ALL PARENTING CUSTOMERS. "ENHANCING SOCIAL, CULTURAL AND SPIRITUAL FUNCTIONING. "REDUCING THE RATES OF RELAPSE AMONG SUBSTANCE ABUSING WOMEN. "REDUCING THE ADVERSE EFFECTS OF MATERNAL SUBSTANCE ABUSE ON CHILDREN. MOREOVER, THE PROGRAM IS DESIGNED TO PROVIDE SERVICES AND ACTIVITIES THAT IMPACT SEVERAL CO-OCCURRING PROBLEMS SUCH AS HEALTH PROBLEMS, CHILD ABUSE/NEGLECT, EMPLOYMENT, SELF-SUFFICIENCY AND HOME MANAGEMENT DEFICIENCIES. THE ASSESSMENT PROCESS IS EXPEDITED FOR PREGNANT CLIENTS. A STRUCTURE REFERRAL PROCESS PROVIDES LINKAGE WITH A UNIVERSITY HIGH RISK PREGNANCY CENTER, COURT AND CRIMINAL JUSTICE SYSTEMS, THE DEPARTMENT OF JOBS AND FAMILY SERVICES, COMMUNITY MENTAL HEALTH CENTERS, CASE MANAGEMENT AGENCIES AND PSYCHIATRIC EMERGENCY SERVICES. OUTPATIENT SERVICES: THESE ARE ORGANIZED THERAPEUTIC SERVICES PROVIDING OUTPATIENT CARE FOR WOMEN NEEDING LESS THAN A 24-HOUR STRUCTURED ENVIRONMENT. THESE INDIVIDUALS CAN TAKE ADVANTAGE OF EITHER INTENSIVE OUTPATIENT OR TRADITIONAL OUTPATIENT TREATMENT. THESE WOMEN ARE ALSO ABLE TO BRING CHILDREN UNDER THE AGE OF FIVE TO THE FACILITY. THE CHILDREN RECEIVE EARLY DEVELOPMENTAL SERVICES WHILE THE MOTHERS ARE IN THEIR OUTPATIENT COUNSELING SESSIONS/GROUPS. PRE & POST RELEASE PROGRAM: THIS IS A COLLABORATION BETWEEN THE CROSSROADS CENTER, FRANKLIN PRE RELEASE CENTER, MARYSVILLE CORRECTIONAL INSTITUTE AND LOCAL JAILS AND COURTS. THIS PROGRAM TARGETS UNDER-SERVED AND HIGH RISK OFFENDERS RETURNING TO THE SOUTHWESTERN PORTION OF THE STATE OF OHIO, INCLUDING HAMILTON, BUTLER, MONTGOMERY, WARREN AND CLERMONT COUNTIES. SERVICES PROVIDED TO THESE INSTITUTIONS INCLUDE ASSISTING WITH ON-SITE REHABILITATION, AS WELL AS ASSISTING WITH THE PLANNING FOR COMMUNITY RE-ENTRY OF WOMEN PRIOR TO THEIR RELEASE. THE WOMEN'S PRE & POST RELEASE PROGRAM UTILIZES CULTURALLY AND GENDER APPROPRIATE PROBLEM-SOLVING PROCESSES TO ENGAGE AND SUPPORT THE RETURNING OFFENDER IN HER EFFORTS TO SUCCESSFULLY RE-ENTER THE COMMUNITY AND BECOME A PRODUCTIVE, RESPONSIBLE AND DRUG-FREE ADULT.- THE GOALS OF THE PROGRAM ARE: "REDUCE THE RATE OF RECIDIVISM THROUGH LINKING RETURNING FEMALE OFFENDERS WITH HISTORIES OF SUBSTANCE ABUSE TO COMMUNITY-BASED SERVICES. "IMPROVE THE CAPACITY OF THE RETURNING FEMALE OFFENDERS FOR A PRODUCTIVE LIFESTYLE. "IMPROVE THE CAPACITY OF THE RETURNING FEMALE OFFENDER FOR FAMILY, SOCIAL, CULTURAL AND ECONOMIC FUNCTIONING. THE PARTICIPANTS OF THE PROGRAM ARE ASSESSED FOR SERVICE NEEDS AND REFERRED BY STAFF TO HALFWAY HOUSES, AFTERCARE TREATMENT, JOB TRAINING PROGRAMS, WORK RELEASE PROGRAMS, COMMUNITY SUPPORT PROGRAMS AND OTHER COMMUNITY RESOURCES. SERVICES PROVIDED BY CROSSROADS INCLUDE SUBSTANCE ABUSE EDUCATION, COMMUNITY AND PRISON OUTREACH, REUNIFICATION PLAN DEVELOPMENT, AND LINKAGE WITH COMMUNITY RESOURCES OR SUPPORT. CHILD CARE SERVICES: THE CHANEY ALLEN WOMEN'S SERVICE PROGRAM PROVIDES ONSITE CHILDCARE TO YOUNG CHILDREN (AGE 0 - 5) OF MOTHERS ENROLLED IN RESIDENTIAL OR OUTPATIENT TREATMENT IN THE PROGRAM. TWO CHILDREN MAY ENTER TREATMENT WITH MOM. THESE SERVICES INCLUDE A FAMILY INTERVENTION PROGRAM THAT CONSISTS OF A RESIDENTIAL CHILDREN'S EVENING AND WEEKEND PROGRAM AND A SUNDAY FAMILY ENRICHMENT PROGRAM. THE RESIDENTIAL EVENING AND WEEKEND PROGRAM PROVIDE ONSITE EVENING CHILDCARE SERVICES DESIGNED TO PROVIDE A SAFE AND NURTURING ENVIRONMENT FOR CHILDREN SO THEIR MOTHERS CAN CONCENTRATE ON THEIR ADDICTION TREATMENT DURING EVENING HOURS AT CHANEY ALLEN WOMEN'S SERVICES. AND THE SUNDAY FAMILY ENRICHMENT PROGRAM IS DESIGNED TO PROMOTE FAMILY BONDING BY BRINGING TOGETHER THE MOTHER AND HER CO-RESIDING OR WEEKEND VISITING CHILDREN, IN A SAFE FAMILY CENTERED ENVIRONMENT. THE GOAL OF THE PROGRAM IS TO PROMOTE PARENTING SKILLS.

4BADULT RESIDENTIAL CARE UNIT (ARC) EXPENSES: 937,467 REVENUE: 913,060 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.

4CGENERAL OUTPATIENT SERVICES EXPENSES: 895,312 REVENUE: 694,314 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, SAMI AND STOP. 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. 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.

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