RAMARRAMAR

SINCE 1980, RAMAR HAS BEEN A VITAL PART OFSINCE 1980, RAMAR HAS BEEN A VITAL PART OF

RECOVERY FOR CHRONICALLY ADDICTED RECOVERY FOR CHRONICALLY ADDICTED

INDIVIDUALS IN NEED IN SUMMIT COUNTY. WE INDIVIDUALS IN NEED IN SUMMIT COUNTY. WE

SERVE 14 MALES AND 14 FEMALES AT OUR SERVE 14 MALES AND 14 FEMALES AT OUR CENTER WITH QUALITY HEALTH CARE AND CENTER WITH QUALITY HEALTH CARE AND RECOVERY SOLUTIONS IN A RESIDENTIAL AND RECOVERY SOLUTIONS IN A RESIDENTIAL AND OUTPATIENT SETTING.OUTPATIENT SETTING.

CURRENT RESEARCH INDICATES THAT THE LONGER AN INDIVIDUAL REMAINS IN TREATMENT THE GREATER LIKELIHOOD THAT THEY WILL E ABLE TO ACHIEVE LONG TERM SOBRIETY.

90 DAYS IN PATIENT

4 WEEKS INTENSIVE OUT PATIENT RELAPSE PREVENTION

4 MONTHS AFTER CARE GROUP

ADDICTIONADDICTION

ADDICTION IS A CHRONIC, BUT TREATABLE, BRAIN ADDICTION IS A CHRONIC, BUT TREATABLE, BRAIN DISORDER. PEOPLE WHO ARE ADDICTED CANNOT DISORDER. PEOPLE WHO ARE ADDICTED CANNOT CONTROL THEIR NEED FOR ALCOHOL OR OTHER DRUGS,CONTROL THEIR NEED FOR ALCOHOL OR OTHER DRUGS, EVEN IN THE FACE OF NEGATIVE HEALTH, SOCIAL OR EVEN IN THE FACE OF NEGATIVE HEALTH, SOCIAL OR LEGAL CONSEQUENCES. THIS LACK OF CONTROL IS THELEGAL CONSEQUENCES. THIS LACK OF CONTROL IS THE RESULT OF ALCOHOL-OR DRUG-INDUCED CHANGES IN RESULT OF ALCOHOL-OR DRUG-INDUCED CHANGES IN THE BRAIN. THOSE CHANGES, IN TURN CAUSE THE BRAIN. THOSE CHANGES, IN TURN CAUSE BEHAVIORBEHAVIOR CHANGES. CHANGES.

THE BRAINS OF ADDICTED PEOPLE “HAVE BEEN THE BRAINS OF ADDICTED PEOPLE “HAVE BEEN MODIFIED BY THE DRUG IN SUCH A WAY THAT ABSENCE MODIFIED BY THE DRUG IN SUCH A WAY THAT ABSENCE OF THE DRUG MAKES A SIGNAL TO THEIR BRAIN THAT OF THE DRUG MAKES A SIGNAL TO THEIR BRAIN THAT ISIS EQUIVALENT TO THE SIGNAL OF WHEN YOU ARE EQUIVALENT TO THE SIGNAL OF WHEN YOU ARE STARVING”.STARVING”.

WHY DO THEY KEEP USING?

40% GENETIC – BLUNTED PLEASURE CIRCUIT

60% LIFE EXPERIENCE – PRIMARILY THOSE IN SITUATIONS WHICH PRODUCE EXCESSIVE STRESS (I.E. ABUSE, POVERTY, ADDICTION IN THE HOME, UNTREATED MENTAL ILLNESS).

HOW DOES THE BRAIN BECOME ADDICTED?HOW DOES THE BRAIN BECOME ADDICTED?

REDUCED DOPAMINE ACTIVITY. WE DEPEND ON OUR REDUCED DOPAMINE ACTIVITY. WE DEPEND ON OUR BRAIN’S ABILITY TO RELEASE DOPAMINE IN ORDER TO BRAIN’S ABILITY TO RELEASE DOPAMINE IN ORDER TO EXPERIENCE PLEASURE AND TO MOTIVATE OUR EXPERIENCE PLEASURE AND TO MOTIVATE OUR RESPONSES TO THE NATURAL REWARDS OF EVERYDAY RESPONSES TO THE NATURAL REWARDS OF EVERYDAY LIFE, SUCH AS THE SIGHT OR SMELL OF FOOD. DRUGS LIFE, SUCH AS THE SIGHT OR SMELL OF FOOD. DRUGS PRODUCE VERY LARGE AND RAPID DOPAMINE SURGES AND PRODUCE VERY LARGE AND RAPID DOPAMINE SURGES AND THE BRAIN RESPONDS BY REDUCING NORMAL DOPAMINE THE BRAIN RESPONDS BY REDUCING NORMAL DOPAMINE ACTIVITY. EVENTUALLY, THE DISRUPTED DOPAMINE ACTIVITY. EVENTUALLY, THE DISRUPTED DOPAMINE SYSTEMS RENDERS THE ADDICT INCAPABLE OF FEELING SYSTEMS RENDERS THE ADDICT INCAPABLE OF FEELING ANY PLEASURE EVEN FROM THE DRUGS THEY SEEK TO ANY PLEASURE EVEN FROM THE DRUGS THEY SEEK TO FEED THEIR ADDICTION.FEED THEIR ADDICTION.

ALTERED BRAIN REGIONS THAT CONTROL DECISION ALTERED BRAIN REGIONS THAT CONTROL DECISION MAKING AND JUDGMENT. DRUGS OF ABUSE AFFECT THE MAKING AND JUDGMENT. DRUGS OF ABUSE AFFECT THE REGIONS OF THE BRAIN THAT HELP US CONTROL OUR REGIONS OF THE BRAIN THAT HELP US CONTROL OUR DESIRES AND EMOTIONS. THE RESULTING LACK OF DESIRES AND EMOTIONS. THE RESULTING LACK OF CONTROL LEADS ADDICTED PEOPLE TO COMPULSIVELY CONTROL LEADS ADDICTED PEOPLE TO COMPULSIVELY PURSUE DRUGS, EVEN WHEN THE DRUGS HAVE LOST THEIR PURSUE DRUGS, EVEN WHEN THE DRUGS HAVE LOST THEIR POWER TO REWARD.POWER TO REWARD.

CO-OCCURRING DISORDERS

MANY, IF NOT MOST PEOPLE WHO ARE ADDICTED TO ALCOHOL OR OTHER DRUGS SUFFER FROM ANOTHER MENTAL HEALTH DISORDER AT SOME POINT.

PEOPLE WITH ADDICTION AND CO- OCCURRING MENTAL HEALTH DISORDERS MUST BE TREATED FOR BOTH DISORDERS AT THE SAME TIME TO IMPROVE THE LIKELIHOOD OF RECOVERY.

ILLNESSES THAT FREQUENTLY CO-OCCUR WITH ADDICTION

ATTENTION DEFICIT HYPERACTIVE DISORDER

BIPOLAR DISORDER

CONDUCT DISORDER

DEPRESSION

POST-TRAUMATIC STRESS DISORDER

SCHIZOPHRENIA

WHAT ARE THE BEST WAYS TO TREAT PEOPLE WHAT ARE THE BEST WAYS TO TREAT PEOPLE WHO ARE ADDICTED?WHO ARE ADDICTED?

MEDICATIONS. MEDICATIONS.

BEHAVIORAL THERAPY OR OTHER BEHAVIORAL THERAPY OR OTHER

PSYCHOTHERAPY. PSYCHOTHERAPY.

COMBINED MEDICATIONS AND BEHAVIORAL COMBINED MEDICATIONS AND BEHAVIORAL

THERAPY.THERAPY.

MULTI-PRONGED APPROACH. MULTI-PRONGED APPROACH.

TRAUMA INFORMED CARE

EMPHASIZES CORE VALUES OF SAFETY, TRUSTWORTHINESS, CHOICE, COLLABORATION AND EMPOWERMENT IN EVERY FACET OF PROGRAM ACTIVITIES, PHYSICAL SETTINGS AND RELATIONSHIPS.

RELAPSE: RELAPSE: PART OF ADDICTION AS A CHRONIC DISEASEPART OF ADDICTION AS A CHRONIC DISEASE

RELAPSE HAPPENS AT RATES SIMILAR TO THE RELAPSE HAPPENS AT RATES SIMILAR TO THE

RELAPSE RATES FOR OTHER WELL KNOWN RELAPSE RATES FOR OTHER WELL KNOWN

CHRONIC MEDICAL ILLNESSES LIKE DIABETES, CHRONIC MEDICAL ILLNESSES LIKE DIABETES,

HYPERTENSION AND ASTHMA.HYPERTENSION AND ASTHMA.

WHAT LEADS TO RELAPSE?WHAT LEADS TO RELAPSE?

MULTIPLE AND OFTEN INTERACTIVE FACTORS CANMULTIPLE AND OFTEN INTERACTIVE FACTORS CAN INCREASE THE LIKELIHOOD OF RELAPSE. THESE ARE INCREASE THE LIKELIHOOD OF RELAPSE. THESE ARE SOME OF THE COMMONLY CITED PRECURSORS TOSOME OF THE COMMONLY CITED PRECURSORS TO RELAPSE.RELAPSE.

DRUG RELATED “REMINDER” CUES (SIGHTS, SMELLS, DRUG RELATED “REMINDER” CUES (SIGHTS, SMELLS, DRUG THOUGHTS OR DRUG DREAMS) TIGHTLY LINKED TODRUG THOUGHTS OR DRUG DREAMS) TIGHTLY LINKED TO USE OF THE PREFERRED DRUG(S) CAN TRIGGER CRAVINGUSE OF THE PREFERRED DRUG(S) CAN TRIGGER CRAVING AND DRUG SEEKING.AND DRUG SEEKING.

NEGATIVE MOOD STATES OR STRESSNEGATIVE MOOD STATES OR STRESS

POSITIVE MOOD STATES OR CELEBRATIONSPOSITIVE MOOD STATES OR CELEBRATIONS

SAMPLING THE DRUG ITSELF, EVEN IN VERY SMALL SAMPLING THE DRUG ITSELF, EVEN IN VERY SMALL AMOUNTS.AMOUNTS.