Adapt offers behavioral health and addiction treatment for youth and adults

December 12, 2018

Adapt offers a range of primary care, behavioral health and addiction treatment services, and those were the topics of a recent interview on the Talking Health program on News Radio 1240 KQEN.

Ron Farley, the director of Youth Outpatient and Residential Treatment Services at the Deer Creek program in Roseburg, and Human Resources Director Susan Jeremiah were interviewed by Lisa Platt.

The following is an edited version of that program.

Lisa: What are some of the services that Adapt provides?

Susan: Adapt offers primary health care, behavioral health and addiction treatment services.

We have a 22-bed adult residential addictions treatment program called The Crossroads. We also have a nine-bed, adult sub-acute medical detox program and a 14-bed youth residential treatment program called Deer Creek.

We have a prevention program in the schools, an outpatient opiate treatment program in Roseburg and in North Bend and adult and youth outpatient substance abuse treatment programs in Grants Pass and North Bend.

We have transitional housing projects in Winston and North Bend and are opening another in Grants Pass in 2019.

Two years ago, we took over all of the mental health services in Douglas County. Twelve years ago, we opened a primary care clinic in Winston called South River Community Health Center where we provide to literally thousands of patients every year.

Lisa: How many employees do you have?

Susan: About 400, and I think we are the third-largest nonprofit in the county.

Lisa: What happens through your crisis intervention service?

Susan: If someone is in a critical state of mental health where they need some intervention, then they either go to the hospital or they are seen on an outpatient basis.

If it’s critical and after business hours, and they go to the emergency room, Compass staff and Mercy staff come together and offer treatment.

Lisa: What medical services does South River provide?

Susan: South River Community Health Center is a thriving medical care facility with 60 employees, two doctors and several nurse practitioners and physician assistants.

In addition to primary health care, we offer behavioral health care in a model that we call integrated care. This means, if needed, a patient could get primary care, substance abuse care and mental health care all in one place.

South River is a Federally Qualified Health Center, so we are able to offer treatment to people who can’t afford to pay or don’t have insurance. It’s an important resource in the community.

Lisa: Ron, what is the Deer Creek facility all about?

Ron: Saving kids is what it’s really all about. We take 13- to 17-year-olds who have drug and alcohol problems. Most of them have mental health issues as well.

We provide support and care so they can get back into society in a way that helps them become successful individuals in our community.

Lisa: Give us an overview of some of the programs and services you offer?

Ron: We’re looking at the whole person instead of just the addiction because we believe there’s more to it than just the addict part of it. There are deeper underlying causes that we need to address.

Our social worker works with kids on mental health issues as well as their addiction and we provide all kinds of services, including a recreation program.

We use the YMCA to get kids working out, and we offer school for five hours a day, every day.

Lisa: Once the kid transitions out, tell us about the continual care program?

Ron: It’s really different for each community. We really work hard in getting them back in school and just getting the framework for them to have a successful life.

Lisa: Where are the kids’ parents in this?

Ron: There’s a lot of variance. We know not every parent is able to be present. When parents can be available, obviously, the success rate goes up a lot.

We’re dealing with a lot more poverty than we ever have before. When you throw addiction and poverty together, you really set up some roadblocks for kids. So we try to remove those roadblocks and get them in places where they can get their needs met.

Lisa: How are they seeing the transition with behavioral issues?

Susan: From the kids that I hear about and see, it’s that the drugs are more accessible. It’s one thing to have a kid try to buy some beer, but it’s a whole different thing if marijuana is growing in their yard and there are no boundaries.

Ron: Now we’re back into a new marijuana era, and it is much stronger than the “old” days. We’re talking about 8 percent THC back then. Today, when you’re buying something from the dispensaries, it’s 24 percent.

So it’s very strong, and as you get the edibles and you move into 80 percent THC, or Dabs that are 80 and 90 percent THC, you’re really talking about a very strong drug.

Lisa: Would you talk about the importance of parents being present?

Ron: Obviously, despite the fact that we spend a lot of time talking about how peer-to-peer is really how kids work, it’s amazing when we have parents come to our parent group and participate in their kid’s treatment. It really sets a precedent for getting kids moving in the right direction.

Lisa: What should parents be on the lookout for when they have a child in crisis?

Ron: That’s a difficult question because there are so many things to be aware of. I have lots of parents say “I just knew I would know. I smoked pot when I was in college or drank when I was in school,” feeling like they have that extrasensory moment when they can pick that up.

But a lot of these kids have been using for some time, and by the time people are aware there’s a problem going on, they’ve been using for three or four years, so it makes it tough.