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2016 Vol. 1 Issue 1

FRONT COVER Magazine Urban Minority Alcoholism & Drug Abuse Outreach Program

Striving to make our communities healthier and stronger for our families. Reconnecting Families

UMADAOP of Ohio, Inc.

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In theearly yearsofUMADAOP, themainprogramming emphasiswasoncommunityoutreachandeducation. Clevelandwas the first tobecomea freestanding agency, followedbyCincinnatiandColumbus. The Urban Minority Alcoholism and Drug Abuse Outreach Program Federation.

History /Founder

History /Founder TheUrbanMinorityAlcoholismandDrugAbuseOutreach Programs (UMADAOP)ofOhiowereestablished in 1980 via legislation spearheadedby former StateRepresentative William L.Mallory

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UMADAOP FEDERATION

History /Founder

History /Founder TheUrbanMinorityAlcoholismandDrugAbuseOutreachPrograms (UMADAOP)ofOhiowereestablished in1980via legislation spearheadedby former StateRepresentativeWilliam L.Mallory

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CONTENTS INTERESTED IN MORE FROM UMADAOP? To learn more about our resources for living a healthy lifestyle, contact one of our many locations thoughout the state of Ohio:

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UMADAOP MAGAZINE

Akron UMADAOP

36 DR. JANICE MERCIER-WADE Pioneering work 40 DR. KAMARIA TYEHIMBA A career inspired by community need

(330)379-3467

Cincinnati UMADAOP

(513)541-7099

Cleveland UMADAOP

8 WILLIAMMALLORY Legendary advocate 16 CRAIG COMEDY Always here for people in recovery 20 MARKETA ROBINSON Aiding her own community 24 RUTHWILLIAMS Treatment for minorities: an evolving approach 28 DARRYL ALEXANDER Investing youth for the long haul 32 JESSICA HORNE Using street-smarts to build a path to recovery

(216)361-2040

Columbus UMADAOP

(614)227-9694

Dayton UMADAOP

(937)276-2176

Hispanic UMADAOP

44 NELSON RAMIREZ Building a bridge between mental health & substance abuse treatment 48 MYRTLE LIGHTON Creating a sense of support 52 DENNIS BAKER Former prison administrator finds meaning in addiction recovery 56 JOHN EDWARDS Life is more than a sum of your problems

(216)459-1222

Lima UMADAOP

(419)222-4474

Lorain UMADAOP

(440)246-4616

Mansfield UMADAOP

(419)525-3525

Lucas County UMADAOP

(419)255-4444

Youngstown UMADAOP

(330)743-2772

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Copyright 2016 by AVA Consultants. No part of this publication may be reproduced in any form or by any means without the prior written permission of the publisher, excepting brief quotations in connection with reviews written specifically for inclusions in magazines or newspapers, or limited excerpts strictly for personal use. Printed in the United States of America. All rights reserved.

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Rep. William L. Mallory “Bill Mallory truly was one of the lions of the Democratic Party. He knew instinctively that all politics is local.” —Tim Burke, chairman of the Hamilton County Democratic Party

Since their inception, the UMADAOPs of Ohio have grown to become a vital force in meeting the substance abuse education, prevention, and treatment needs of African and Hispanic Americans throughout the state of Ohio, and a model for the nation. The original programs were called The Urban Minority Alcoholism Outreach Programs (UMAOP) and operated under the guidance of implementing agencies. The name was later changed to the Urban Minority Alcoholism and Drug Abuse Outreach Program. The eight original programs were located in Akron, Cincinnati, Cleveland, Cleveland Hispanic, Columbus, Dayton, Toledo and Youngstown. Through the years, other programs were added.

A vital force William Leslie Mallory, Sr. (October 4, 1931 – December 10, 2013) was elected to the Ohio House of Representatives in 1966 and served for 28 years in the Ohio legislature. In 1974 he won election as Majority Floor Leader, the first African American to serve in that role. When he retired in 1994, he was the longest serving majority leader in the history of Ohio. Rep. Mallory grew up in a poor family in Cincinnati’s West End, and his interest in politics began when he was only 12. Despite being a high school dropout, Mallory later graduated from East Vocational High School and entered Central State University in 1951. Following his graduation from Central State, Rep. Mallory worked as a unit leader for the juvenile court, a case worker for the Hamilton County Welfare Department and a highway inspector. He also taught elementary school for eight years in the Cincinnati Public Schools. His political career began in 1965 when he ran for president of the West End Community Council and won. In November 1966, he won election to the Ohio House. Eight years later, he was elected Majority Floor Leader, the first African-American to hold that position. He retired in 1994, as the longest serving majority leader in Ohio’s history and the longest-serving Ohio representative from Hamilton County.

Legendary Advocate During his 28 years in the Ohio House of Representatives, Rep. William L. Mallory sponsored or co-sponsored more than 600 pieces of legislation. One of the most significant was the bill he authored and co-sponsored creating Ohio’s first state-wide drug prevention program, the Urban Minority Alcoholism Drug Abuse Outreach Program (UMADAOP).

A lasting legacy After Rep. Mallory’s passing in 2013, Tim Burke, chairman of the Hamilton County Democratic Party, said that “he changed the color of justice in Hamilton County. Bill Mallory truly was one of the lions of the Democratic Party. He knew instinctively that all politics are local. He would walk the streets of the city from the family home on Dayton Street to downtown, always stopping to talk to people and listening to what they had to say,’’ Burke says. “He knew that good politics was the art of the possible and the science of compromise.” Jessica Horne, executive director of the Cleveland UMADAOP, says, “Rep. Mallory was a quintessential man. He was as close to the embodiment of a perfect public servant as you could get. He loved being with his constituents on the streets, at the corner eateries, barbershops, clubs and churches. He enjoyed talking, eating, dancing and sharing with them. He gave all of himself to being a diligent servant of the people and if those he mentored follow his lead, the community will be well-represented and served, long into the future.” In late January, Lima UMADAOP plans to open its first supportive recovery home for women and children. The Mallory Home for Women and Children will be named for the late Rep. Mallory, according to Myrtle Lighton, Lima UMADAOP’s executive director. “It’s another way to say thanks for what he did.”

minority community. The Urban Minority Alcoholism Drug Abuse Outreach Programs of Ohio (UMADAOPs of Ohio) were established in 1980 via legislation spearheaded by Mallory and other pioneers such as State Sen. William Bowen; State Sen. Ray Miller, Jr.; Jacqueline Butler; Don Turner, a Vice President of the Volunteer Resource Division of the Cincinnati Community Chest; and Jewell Neely of the Ohio Department of Alcohol and Drug Addiction Services. The bill provided $200,000 to establish the state UMADAOP network .

Responding To Need Back in the late 1970’s, Rep. Mallory had been informed by a group of substance abuse treatment professionals that existing treatment programs were not meeting the culturally specific needs of African Americans, as evidenced by a high percentage of minority clients leaving programs early without having completed treatment. University of Cincinnati Prof. Jacqueline P. Butler, a longtime advocate for under-served populations, shared with Mallory and others that state funds might be available to fund a substance abuse service delivery system specifically targeting Ohio’s

“ Health care providers should have a one-on-one discussion with teens who indicate any substance use to assess level of risk, provide brief advice, and, if necessary, recommend further assessment for a treatment intervention. “

Talkin’ ‘Bout My Generation

NIDA Researchers Develop Screening Tool for Teen Substance Use This article is a condensed version of a piece that originally appeared on the National Institute on Drug Abuse (NIDA) website.

-Dr. Sharon Kelly, Friends Research Institute

Analysis of the data showed that almost all teens who reported on the BSTAD that they had consumed an alcoholic beverage on two or more days during the past year had an AUD. Conversely, teens who reported drinking on fewer than two days were unlikely to have this disorder.The corresponding BSTAD cut point for an NUD was nicotine use on two or more days during the past year and for a CUD was marijuana use on two or more days. BSTAD enables early detection Using these cut points, the researchers found that the BSTAD was highly sensitive. Ninety-six percent of teens with an AUD, 95 percent with an NUD, and 80 percent with a CUD would be flagged as likely in need of further assessment for a brief intervention or referral to treatment. BSTAD’s specificity was also high: 85 percent of teens without an AUD, 97 percent without an NUD, and 93 percent without a CUD reported use below the cut points, and so would be correctly classified. “Very low substance use frequencies were found to be optimal in identifying these disorders,” Dr. Kelly comments. The BSTAD does not distinguish

Researchers encourage regular screening Both the World Health Organization and the American Academy of Pediatrics recommend screening all adolescent patients for substance use since problems later in life often originate in adolescence. Still, many providers do not regularly screen their patients for substance abuse. “Providers are extremely busy and need a quick and valid screening measure for identifying teens who use substances,” says Dr. Kelly. She and colleagues developed the BSTAD in response to a NIDA call for new tools to fill this need. To create the BSTAD, Dr. Kelly and colleagues added the questions about tobacco and marijuana to the widely disseminated National Institute on Alcohol Abuse and Alcoholism screen for youth alcohol use. In the validation study, the FRI research team administered the BSTAD in person to half of the participants, and the rest of the participants self-administered the instrument on an iPad. The teens reported a strong preference for the iPad. The iPad version offers the potential extra convenience that results can be automatically transferred into a teen’s electronic medical record. 

Teens’ use f addictive substances often goes undetected by health care providers. But NIDA-supported researchers have developed a Brief Screener for Tobacco, Alcohol and other Drugs (BSTAD), to help spot teens’ problematic habits. In a recent study, BSTAD developers Dr. Sharon Kelly and colleagues at the Friends Research Institute in Baltimore examined the frequencies of use likely to qualify a teen for a diagnosis of an alcohol use disorder (AUD), nicotine use disorder (NUD), or cannabis use disorder (CUD). The frequencies proved to be surprisingly low, according to the researchers.

the severities of the disorders, she notes, so when it flags a teen, providers need to follow up with questions to determine appropriate interventions or referrals to treatment. Furthermore, Dr. Kelly says, “Health care providers should have a one-on-one discussion with teens who indicate any substance use to assess level of risk, provide brief advice, and, if necessary, recommend further assessment for a treatment intervention.” Providers also should rescreen teens regularly, because onset of substance use can occur abruptly during adolescence. Pediatrics recommend screening all adolescent patients for substance use since problems later in life often originate in adolescence. Both the World Health Organization and the American Academy of

Teen drug substance use revealed For the study, the BSTAD survey employed a few, simple questions about teens’ use of alcohol, tobacco or drugs within the past year.The teens’ BSTAD responses revealed that 22 percent had used alcohol in the past year, 16 percent had used marijuana, 10 percent had used tobacco, and 3 percent had used at least one illicit substance other than marijuana.

(Original article by Eric Sarlin, M.Ed., M.A., NIDA Notes Contributing Writer)

Treatment Centers for More Cultural Understanding STRIVE

We Get it

“

CULTURAL COMPETENCY IS The capacity for people to increase their knowledge and understanding of cultural differences, the ability to acknowledge cultural assumptions and biases (and) the willingness to make changes in thought and behavior

“ SAMHSA researchers note that it’s not enough to try to understand other cultures. True cultural competency comes from understanding one’s own culture in relation to other cultures. A 2014 SAMHSA study lists the following axioms for the culturally competent counselor:

CULTURAL COMPETENCY IS “The ability to honor and respect the beliefs, languages, interpersonal styles, and behaviors of individuals and families receiving services, as well as staff members who are providing such services. Cultural competence is a dynamic, ongoing developmental process that requires a long-term commitment and is achieved over time.” -U.S. Department of Health & Human Services (HHS) “ America, designed as a melting pot made to withstand any ingredient, is more diverse than ever. Researchers predict the U.S. will be a majority-minority country by the mid-2040’s as minority births far outpace white births. Indeed, more than half of all Americans under five are non-white. Institutional awareness and inclusion of differing cultures has always been a challenge, and the field of addiction recovery care is no exception. However, treatment centers have made strides in cultural competency, thereby providing clients with better care and clinicians with more diverse and efficient treatment models. 12

CULTURAL COMPETENCY FOR ADDICTION TREATMENT PROFESSIONALS

to address those biases. -U.S. Substance Abuse & Mental Health Services Administration

Frame issues in culturally relevant ways Allow for complexity of issues based on cultural context Make allowances for variations in the use of personal space Be respectful of culturally specic meanings of touch (e.g., hugging) Explore culturally based experiences of power and powerlessness Adjust communication styles to the client’s culture Interpret emotional expressions in light of the client’s culture Expand roles and practices as needed

Experts agree that acknowledging, appreciating and understanding varying cultures is critical to effective treatment. Cultural competency provides those in recovery with more options and equips treatment professionals with more tools. “Every culture has specific values that can be used in treatment,” write researchers from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA), “such as the support of extended families and of religious or spiritual communities. By appreciating a client’s culture, staff can tap into the most effective treatment strategies: those based on the personal and social strengths of each individual.” Indeed, treatment centers that don’t recognize and implement cultural competency practices stand to lose funding. Attention to cultural competence is a requirement for accreditation by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). JCAHO currently is reviewing and is expected to adopt some form of the national standards for culturally and linguistically appropriate services in health care.

TRAITS OF CULTURAL COMPETENCY SAMHSA researchers lay out the tenets of a culturally competent treatment staff: Staff knowledge of or sensitivity to the rst language of clients Staff understanding of the cultural nuances of the client population Staff backgrounds similar to those of the client population

Treatment methods that reect the culture- specic values and treatment needs of clients Inclusion of the client population in program

As addiction treatment centers develop new modalities for effective treatment and the U.S. population grows ever more diverse, the need for cultural competency in the industry will only increase.

policy-making and decision-making An understanding of race, ethnicity and culture

What we offer...

Welcome to Franklin County UMADAOP

UMADAOP Urban Minority Alcoholism & Drug Abuse Outreach Program of Franklin County

Our Mission is to create healthy communities in Columbus, Ohio. We have partnered with a wide array of service providers, businesses, schools, and other organizations and agencies to insure our community is being provided with sufficient resources that are culturally relevant in order to build healthy, productive, drug free lifestyles. Through the years, we have found that the most important asset residents have is themselves. Once they believe they can overcome what many may feel are insurmountable obstacles, they will have the necessary energy and fortitude to be successful.

Children and teens receive the guidance and support needed to make positive choices about friends, school, and drugs. We offer the resources needed to attain your personal, family and employment goals – enabling you to lead the people you love. Create a custom life plan, build your life and social skills, and learn the secrets of success from ex-offenders who are now productive members of society.

YOUTH SERVICES

FAMILY SERVICES

CALL TODAY 614.227.9694

We provide professional development and ATOD prevention training to social service agencies, schools, and other community organizations and professionals. Workshops and professional development offerings are tailored to the needs of each individual or organization.

REENTRY PROGRAM

Training topics are tailored to the needs of each individual or organization.

TRAINING PROGRAM

Millions of Americans suffer from the grip of drugs and alcohol.

www.umadaopfederation.com

Preaching prevention is the Franklin County UMADAOP’s lone objective. Investing in the lives of adolescents, before they might enter a life of substance dependency, not only saves the individual lives of countless youth, but also saves the state from having to treat them down the road. Youth services include after-school programs and some in-school programming in conjunction with certain activities within the school system. Services are not on a short term basis. Comedy believes long term commitments are the only way to properly invest in the community’s youth. A six-week program, or shorter, like what is offered by other organizations, is inadequate, Comedy says. “We provide longitudinal programing. We like to be in the same community year, after year, after year.” There is plenty cause for that level of commitment. Comedy says the community that the Franklin County UMADAOP serves is one of the worst for academic performance in the state. According to the statewide report, the main elementary school in the county is PREVENTION, PREVENTION, PREVENTION

PUTTING THE COMMUNITY FIRST Comedy CRAIG PUTTING THE COMMUNITY FIRST

failing in every criteria. Test scores are almost half of state averages in reading, writing and math. In response, Comedy says, academic enrichment is a strong part of the youth programming. The aim is not just having adolescents in the area perform better academically, but perform better generally, Comedy says. The comprehensive scope is designed to increase academic performance, bolster personal identity and breed condence in individual abilities regardless of the environment. “Many (students) believe either you have it or you don’t,” Comedy says, adding, “parents don’t do well academically and it gets passed down and becomes a part of the culture of family and community.” The youth program combats this insidious notion, getting to adolescents before they begin to believe that they are simply a product of their environment, and giving them the tools to control their own destiny.

PEOPLE HERE FOR IN RECOVERY ARE

TAKING OWNERSHIP Franklin County UMADAOP also offers a drug free youth-led component to their prevention services. “Advocating for themselves and their peers to help shape a new drug free movement that impacts the community,” is the purpose of allowing students to take the reins of meetings, Comedy says, adding that the power of witnessing a peer take ownership of their sobriety can permeate the entire community. As students get older and their exposure to substances increases, the temptation to use goes up, Comedy says. Targeting students as young as possible, before they use, is the best way to equip them for when temptation inevitably rears its ugly head. “We begin in elementary school and strengthen their skills in middle and high school,” Comedy says, “We want to be there every time they face something that is traumatic.” TAKING OWNERSHIP Franklin County UMADAOP also offers a drug free youth-led component to their prevention services. “Advocating for themselves and their peers to help shape a new drug free movement that impacts the community,” is the purpose of allowing students to take the reins of meetings, Comedy says, adding that the power of witnessing a peer take ownership of their sobriety can permeate the entire community. As students get older and their exposure to substances increases, the temptation to use goes up, Comedy says. Targeting students as young as possible, before they use, is the best way to equip them for when temptation inevitably rears its ugly head. “We begin in elementary school and strengthen their skills in middle and high school,” Comedy says, “We want to be there every time they face something that is traumatic.”

LIFESTYLE SKILLS The program cultivates well-rounded students by offering activities to enhance skills. Students learn the devastating consequences of giving in to the risk factors in their environment. Students are not mandated to come to the program, Comedy says. But once a few students begin to make investments at a young age, their peers recognize their healthy behavior and follow them to the program. One key, Comedy says, is getting the students to understand that it only hurts them to wait till adulthood to evaluate their habits. The program forces the young people to make decisions as to what they are going to do with their time. One important concentration area is conict resolution, which focuses on getting the students to think through their issues and nd the source of their anger. Comedy says students learn to ask themselves, “What are the real issues? What are my insecurities? How can I talk through something without losing face?” Putting the students in a healthy peer environment, Comedy says, helps them overcome conicts and begin growing relationships in a healthy way. LIFESTYLE SKILLS The program cultivates well-rounded students by offering activities to enhance skills. Students learn the devastating consequences of giving in to the risk factors in their environment. Students are not mandated to come to the program, Comedy says. But once a few students begin to make investments at a young age, their peers recognize their healthy behavior and follow them to the program. One key, Comedy says, is getting the students to understand that it only hurts them to wait till adulthood to evaluate their habits. The program forces the young people to make decisions as to what they are going to do with their time. One important concentration area is conict resolution, which focuses on getting the students to think through their issues and nd the source of their anger. Comedy says students learn to ask themselves, “What are the real issues? What are my insecurities? How can I talk through something without losing face?” Putting the students in a healthy peer environment, Comedy says, helps them overcome conicts and begin growing relationships in a healthy way.

“We are a community based agency,” says Comedy. This means the priority is not tracking numbers of successes or creating reports for more funding. “We don’t play that game,” he says. “Our success is seeing kids become adults.” Success for Comedy and the staff is seeing adults on Facebook, after graduating from the program and high school, posting about their life and work and relationships. “We are a community based agency,” says Comedy. This means the priority is not tracking numbers of successes or creating reports for more funding. “We don’t play that game,” he says. “Our success is seeing kids become adults.” Success for Comedy and the staff is seeing adults on Facebook, after graduating from the program and high school, posting about their life and work and relationships.

When Craig Comedy, the executive director for the Franklin County UMADAOP, was young, he would play pool with the clients of his mother, who was a social worker who worked with people “We’d get on the bus and friends would ask how I know the person talking to themselves,” Comedy says. “I realized everyone is human, that people are valuable.” A tting foundation for his current line of work, Comedy centers his approach to prevention on the sentiments he learned watching his mother. When Craig Comedy, the executive director for the Franklin County UMADAOP, was young, he would play pool with the clients of his other, ho as a social orker ho orked ith people suffering fro schizo hrenia. “ e’ t t s a fri s ld ask I t rs t l i t t s l s, s . I r li r i , t t l r l l . tting fo i f i li , Comedy center i i l suffering from schizophrenia.

We provide longitudinal

programing. We like to be in the same community year, after year, after year. — Craig Comedy, Franklin

“Our success is seeing kids become adults.” — Craig Comedy, Franklin County UMADAOP executive director

County UMADAOP Executive Director

AD 2 UMADAOP LOCATION 2 UMADAOP URBAN MINORITY ALCOHOLISM & DRUG ABUSE OUTREACH PROGRAMS UMADAOP OF DAYTON

AD 2 UMADAOP LOCATION 2

PROGRAMS & SERVICES All programming activities are structured to provide a foundation to build and rebuild positive, violence and substance free lifestyles, families and communities. Seven of the UMADAOPs also provide alcohol and other drug recovery support services to reduce the recidivism rate of African American males returning to prison due to alcohol or drug related and/or involved offenses.

We provide services to African-American and Hispanic/Latino American communities in Ohio, outlined by the Center for Substance Abuse Prevention (CSAP). Prevention services strategies include: Information Dissemination Education, Alternatives, Problem Identication & Referral Community Based Process & Environmental Strategies Our Purpose

UMADAOP of Dayton Inc.

“It’s very fullling to come back into the community I was born and raised in and be an intricate part of the community.” — Marketa Robinson, Dayton UMADAOP executive director services

PREVENTION PRE EN

more than a passive activity for the adolescents. There are programs that are youth-led, Robinson says, so that younger generations take ownership of their individual health and the well-being of their peers and community. It allows our young modeling within the community and also breeds an established pool of peers to cultivate further prevention efforts at the state and local level. INTERVENTION SERVICES Intervention programming also accesses at-risk students through schools, youth probation and the Departments of Youth Services. Once it has been determined that a youth has tried drugs, they are referred to the program. These students are then brought to Dayton UMADAOP to work with professionals who deter them from further use, violence and other negative behaviors. ReENTRY PROGRAM The reentry program specializes in helping ex-offenders recently released from prison or county jail. Dayton UMADAOP has knit a m i Dayton UMADAOP to work with i i li i i l l i j il i people to have a voice, demonstrate positive role

close relationship with the criminal justice system as well as

parole authorities and adult probation services. “We help you reintegrate back into your community, regardless of how long you have been away,” Robinson says. “People out of penal institutes are facing a stigma of being a felon. Unemployment is a barrier. They are dealing with housing issues,” Robinson notes. The program provides them with support on practical housing and employment, but also services to help reconcile the social struggles of being an offender. SENIOR PROGRAMS No matter what the age, every segment of every community needs to be informed on substances. The senior program provides education and awareness about substance abuse as well as health and wellness. The need to educate about drugs and addiction is the same for every age group or demographic. What’s different is the ways in which each group is introduced to drugs. For the elder population, Robinson says, l l i l i i i i i i i i l i il i i i li in i l l i l il i l l i , i i . i i i ll l ll . i i i every age group or de i . ’ iff i the ways in which each group is introduced to drugs. For the el l i , i , re-assimilation tasks and reintegration, like nding

high blood pressure, diabetes, lupus and other medical issues are more prevalent. Turning to drugs as a way to relieve stress from the struggles and illnesses of old age is one way seniors are at higher risk. Another factor for seniors is the medication prescribed to help with the diseases they are more i l , i , l i l i a l . i li l ill l i i i i . i i i i i l susceptible to. With more prescriptions come more i i l . i potential for a person to grow dependent on being medicated and resorting to illicit means to maintain the high. WORKING FOR THE COMMUNITY Robinson began working for UMADAOP at the Lima location in 2004, starting in the eld as a prevention educator. While there, she also worked on the treatment side, gaining experience as she worked to attain her licensures in prevention and treatment. “I enjoy doing the work that I do,” Robinson says. Her continuation in the eld has led her to the Executive Director position in Dayton, but she is not yet done exploring, learning or growing. She has decided to further her education and is on her way to achieving her doctorate in human services. i i a i illi i i i i . I THE COMMUNITY Robinson began working for i l i i , i i l i . il here, she also worked on t treatment side, gaining i r t t i li r i ion and treatment. “I j i t r t t I , inson says. Her conti ti in the l l r t t ti ir t r iti i t , ut she i t t exploring, learning or growing. She i t f rt r r ti i r t hi i r t r t i r i . i i i i l

“It’s very rewarding to be able to give back, to be part of a solution,” Dayton UMADAOP Executive Director Marketa Robinson says of her role. “It’s very fullling to come back into the community I was born and raised in and be an intricate part of the community.” The Dayton native, a member of the Dayton UMADAOP family since 2015, is responsible for the day-to-day functions of the agency, which include, among others, reporting to a board of directors, establishing funding for program services, staff development and grant writing. The Dayton UMADAOP offers prevention, intervention and empowerment programs to adults, youth and families. They are committed to reducing the barriers which prevent early identication and treatment. The agency believes that early education and providing a positive community environment is evident in its prevention, intervention, education, referrals and community information dissemination services. A FULL YOUTH PREVENTION AGENCY Youth prevention programs promote resiliency for improved health and wellness as well as DAOP i i i empowerment programs to adults, ili Th i i i i l i i i li l i i i i i i i i i i i prevention, intervention, education, l i i i i i i i . I i ili i l D

encouraging positive cultural

and social values, leadership skills, appropriate communication

skills and solid decision-making skills in the areas of teen sexuality, violence, tobacco and substance use and abuse. Programs are designed to reach students who have yet to succumb to the risks of their environment by equipping them with tools to avoid drug temptations and rebuff pressure from peers. Youth begin to develop positive lifelong habits to deter drug dependency and other negative inuences. At-risk individuals are identied by school staff at area schools. The program is used to prevent students who have yet to use from using or to empower those who have to turn their back on substances. “Our youth today are exposed to a high level of risk factors for violence, tobacco, alcohol and other drugs,” Robinson says. YOUTH LED PROGRAM Investing in the region’s youth is ch students who have yet t with tools to avoid drug temptations and rebuff pressure from peers. Youth begin to develop positive dependency and other negative i At-risk individuals are identied by school staff at area schools. The program is used to prevent students who have yet to use i their back on substances. “Our youth today are exposed to a high level of risk factors for violence, tobacco, alcohol and other drugs,” Robinson says. i i i ’ i I

“Seeing somebody overcoming obstacles and barriers holding them down has been very rewarding.” — Marketa Robinson, Dayton UMADAOP executive director

AIDING HER OWN COMMUNITY

For inquiries please call us (440) 246-4616

Aiming High For The Future: ATOD prevention in a school setting Youth Mentoring Programs The Circle For Recovery: A Educational Program For Ex Offenders A Community Drug-free Coalition For Lorain County THE LORAIN UMADAOP SIGNATURE PROGRAMS

Outpatient Treatment

Anger Management Lupus(Where R U): Optimal support group for individuals with Lupus

Lorain UMADAOP has worked to improve the quality of life for Lorain County residents by providing services that build self reliance and foster personal and educational achievement.

UMADAOP of Lorain, Inc 22

be a major challenge, especially in urban communities where wait lists are long, Williams notes. But she’s optimistic that resources to treat addiction will continue to grow and evolve. For treatment providers and prevention organizations like Lorain UMADAOP, one of the major current challenges is dealing with an epidemic of opiates, especially heroin use. Suboxone has been rapidly gaining favor as a better treatment alternative to methadone, which carries something of a stigma among the treatment population. But not enough research has been done on suboxone to fully assess who it can best be employed on as a recovery tool, Ruth notes. “That’s one of our next goals, to really get a handle on suboxone and nd out if it is a better approach.” be a major challenge, especially in urban com unities wher wait list are long, Will ams notes. But she’s optimistic that resources to treat ad iction will continue to grow and evolve. For treatment providers and prevention organizations like Lorain UMADAOP, one of the major current challenges is dealing with an epidemic of opiates, especially heroin use. Suboxone has be n rapidly gain g favor as a better treatment alternative to methadone, which carries omething of a stigma mong the treatment population. But not enough res arch has be n done on suboxone to fully assess who it can best be mployed on as a recovery to l, Ruth notes. “That’s one of our next goals, to really get a handle on suboxone and nd out if it is a better ap roach.”

dissemination, problem identication and referrals. Talking with participants one-on-one is an important prevention strategy,” Williams says. “Sometimes, when kids come in they just want to sit down and talk.” UMADAOP has developed a minority youth-mentoring program to give clients ages ve to 19 exposure to positive role models. “Our mentoring programs are unique in the sense that the kids we serve are looking for mentors who look like them. And we provide that. We occasionally get some youth who been through the program to come back and provide mentoring or peer support,” Williams says. “In working with young folk, you just have to keep repeating the information to them and show them that you care about them, and care about the outcome. You’re able to enhance self-esteem. Plus, kids love that attention,” Williams notes. By watching her mother work with her clients, Williams also learned about the power of positive reinforcement. “You need to compliment (clients) and let them know they are doing a good job. It’s important to point those things out to help people stay strong in sobriety. I still see individuals I worked with 15 or 20 years ago who are still sober. That’s very satisfying.” NEW CHALLENGES One of the newer resources Lorain UMADAOP offers to clients is an anger management counseling program. Another special needs program is a support group for minority women with the lupus, a chronic and often misdiagnosed disease that attacks the immune system. Treatment can be and frequently is a life-changing experience. But access to treatment resources can dissemination, problem identication and ref rrals. Talking with partic pants one-on-one is an important prevention strategy,” Will ams ays. “Sometimes, when kids come in they just want o sit down and talk.” UMADAOP has developed a minority outh-mentoring program to give clients ages ve to 19 exposure to positive role models. “Our mentoring programs are unique in the sense that he kids we serve are lo king for mentors who lo k like them. And we provide that. We oc asionally get some youth who be n through the program to come back and provide mentoring or pe r sup ort,” Will ams ays. “In working with young folk, you just have to ke p repeating the information to them and show them that you care about hem, and care about he outcome. You’re able to enhance self-este m. Plus, kids love that attention,” Will ams notes. By watching her mother work with er clients, Will ams also learned about he power of posit ve reinforcement. “You ne d to compliment (clients) and let hem know they are doing a go d job. It’s important o point hose things out o help eople stay strong in sobriety. I still se indiv duals I worked with 15 or 20 years ago who are still sober. That’s very satisfying.” NEW CHAL ENGES One of the newer esources Lorain UMADAOP offers to clients is an anger management counseling program. Another special ne ds program is a sup ort group for minority women with the lupus, a chronic and often misdiagnosed disease that attacks the im une sy tem. Treatment can be and frequently is a life-changing experience. But ac ess to treatment resources can

TREATMENT FOR MINORITIES:

In recent years, one positive trend in the addiction-recovery treatment eld has been a movement to offer more culturally specic treatment and recovery resources for African Americans and other minorities. Throughout her three decades in the eld, Lorain UMADAOP Executive Director Ruth Williams has been involved in helping further that ongoing evolution. Williams, who has worked in the eld since1983, was inspired to enter the eld by the example of her mother Geraldine “Ma” Black, a counselor and civil rights/welfare activist. “I watched my mom helping people. It was a calling.” CULTURAL COMPETENCY Williams, who has worked in the addiction eld for three decades, arrived at the Cleveland UMADAOP during a time when the treatment eld was rapidly evolving, particularly in its An evolving approach In recent years, one posit ve trend in the ad iction-recovery treatment eld has be n a movement o ffer more culturally specic treatment and recovery resources for African Americans and other minorit es. Throughout her thre decades in the eld, Lorain UMADAOP Executive Director Ruth Will ams has be n involved in helping further that ongoing evolution. Will ams, who has worked in the eld since1983, was inspired to enter the eld by the xample of her mother Geraldine “Ma” Black, a counselor and civ l rights/welfare activ st. “I watched my mom helping people. It was a calling.” CULTURAL COMPETENCY Will ams, who has worked in the ad iction eld for thre decades, arrived at he Cleveland UMADAOP during a time when the treatment eld was rapidly evolving, particularly in its

approach to treating minority populations. “The eld was changing at the time,” says Williams, who has a B.A. degree in social work and an M.A. degree in psychology from Cleveland State University. “Researchers were nding that many minorities were leaving treatment early due to a lack of culturally-specic programs.” And among treatment providers, there was a general lack of awareness of the different cultural needs of minority clients. For example, “at one facility, they expected the women patients to wash their hair every day. At that point African Americans didn’t do that; we oiled our hair. But they didn’t allow clients to bring those things into treatment.” Williams’ job involved outreach to “make sure that other agencies understood how to work with African Americans and Hispanics, and nd out what they needed to assist with providing appropriate treatment. We’ve come a long way. ap roach to treating minority populations. “The eld was changing at he time,” says Will ams, who has a B.A. degre in social work and an M.A. degre in psychol gy from Cleveland State University. “Researchers wer nding that many minorit es wer leaving treatment early due to a lack of culturally-specic programs.” And among treatment providers, ther was a general lack of awareness of the differ nt cultural ne ds of minority clients. For example, “at one facility, they expected the women patients to wash their hair every day. At hat point African Americans di n’t do that; we oiled our hair. But they di n’t allow clients to bring those things into treatment.” Will ams’ job involved outreach to “make sure that other agencies understo d how to work with African Americans and Hispanics, and nd out what they ne ded to assi t with providing ap ropriate treatment. We’ve come a long way. Now we have programs that are specically designed for African American and Hispanic clients.” In addition, certication as an addiction counselor requires culturally specic training as well as other requirements. As a result, a number of researchers have documented improvement in treatment outcomes. “Minority people are staying in treatment longer, and having better success rates,” Williams notes. PREVENTION FOCUS Helping prevent substance abuse is another integral part of the UMADAOPs’ mission. “What we provide are prevention services that include education about alternatives, information Now we have programs that are specically designed for African American and Hispanic clients.” In ad it on, certication as an ad iction counselor equires culturally specic train g as well as other requirements. As a result, a number of researchers have documented improvement in treatment outcomes. “Minority people are staying in treatment longer, and having better suc ess rates,” Will ams notes. PREVENTION FOCUS Helping prevent substance abuse is another integral part of the UMADAOPs’ mission. “What we provide are prevention services that include education about alternatives, information

I still see individuals I worked with 15 or 20 years ago who are still sober. That’s very satisfying. —Ruth Williams

Executive Director Lorain UMADAOP

RUTH Williams Many minorities are leaving treatment early due to a lack of culturally-specific programs.

Talking with participants one-on-one is an important prevention strategy. Sometimes, when kids come

in they just want to sit down and talk. — Ruth Williams Executive Director Lorain UMADAOP

AD 5 UMADAOP LOCATION 5 YOUNGSTOWN UMADAOP Violence prevention programs Substance abuse prevention programs Pregnancy prevention programs Mentoring

YUMADAOP

Summer Day Camp mentoring institute Re-entry programs for incarcerated adults Community service & recreational alternatives Prevention program development consulting services Dissemination of ATOD literature Cultural Competency training

OUR MISSION To provide culturally and gender appropriate violence, alcohol, tobacco and other drug (ATOD) prevention and offender reentry services to residents of Mahoning County in the state of Ohio, and to others internationally.

1327 Florencedale Ave Youngstown, OH 44505

P (330) 743-2772 F (330) 743-2238

yumadaop@yahoo.com www.yumadaop.com

Hours of Operation: Monday-Friday 8:30am-4:30 pm

www.yumadaop.com

DARRYL Alexander

Alexander says. It starts with substance abuse and moves on to violence prevention before nishing with pregnancy prevention programming. An afterschool program is Alexander says. It starts with substance abuse and moves on to violence prevention before nishing with pregnancy prevention programming. An afterscho l program is offered. It helps students improve their grades and prepares them for offer d. It helps students improve their grades and prepares them for sta e mandated test . Youth-led groups are headed by leadership teams, Alexander says. The aim of the program is to impact their pe rs, causing a rip le ffect within the community of adolescents positively inuencing adolescents. Program leaders concentrate the me tings on “not becoming engaged in pregnant or fathering a child or committing acts of interpersonal violence,” Alexander says. Relapse prevention programming aims to empower those who have been released from prison. They work to develop the necessary skills so that they do not commit another offense and end up back in jail, admitted into the program through referral. The environmental prevention strategies mobilize the state mandated tests. Youth-led groups are headed by leadership teams, Alexander says. The aim of the program is to impact their peers, causing a ripple effect within the community of adolescents positively inuencing adolescents. Program leaders concentrate the meetings on “not becoming engaged in pregnant or fathering a child or committing acts of interpersonal violence,” Alexander says. Relapse prevention programming aims to empower those who have been released from prison. They work to develop the necessary skills so that they do not commit another offense and end up back in jail, admitted into the program through referral. The environmental prevention strategies mobilize the drug and alcohol usage, becoming drug and alcohol usage, becoming Alexander says. Individuals are Alexander says. Individuals are

community through forming a coalition to effect or to change policy, laws and community norms. “The community, in essence, is determining what our priorities are to prevent underage use of drugs and alcohol by teens within the community,” Alexander says. COMMITTED TO ENACTING CHANGE The Youngstown UMADAOP does more than the average prevention organization to inuence the lives of the community’s youth, Alexander says. The organization works with the same group of youth throughout the entire school year and calendar year. In contrast, Alexander says, many organizations may only work with youth for month-long or 12-week-long programs. Not only does the Youngstown location work with students year round, it offers youth-led services throughout the whole year. Enacting change is not just an aspiration, Alexander says. The organization has already yielded tangible, quantiable results. “We just did an independent evaluation of our prevention programs this past year and com unity through forming a coalition to effect or to change policy, laws and com unity norms. “The com unity, in es ence, is determining what our priorities are to prevent underage use of drugs and alcohol by te ns within the com unity,” Alexander says. COM IT ED TO ENACTING CHANGE The Youngstown UMADAOP does more than the average prevention organization to inuence the lives of the com unity’s youth, Alexander says. The organization works with the same group of youth throughout he entire scho l year and calendar year. In contrast, Alexander says, many organizations may only work with youth for month-long or 12-we k-long programs. Not only does the Youngstown location work with students year round, it offers youth-led services throughout the whole year. Enacting change is not just an aspiration, Alexander says. The organization has already yielded tangible, quantiable results. “We just did an independent evaluation of our prevention programs this past year and

we’ve had a number of results deemed statistically signicant.” HELPING HIS FELLOW (WO)MAN Alexander took a path of stewardship to education and helping others before landing at Youngstown UMADAOP. He spent time teaching at Penn State University, the corrections eld and the developmental disabilities eld. “This eld was something that I was curious about,” Alexander says about working in prevention. After taking the role in 1986, he hasn't looked back. He’s responsible for the overall operation of the agency, including scal and program management as well as insuring the organization complies with all licensure standards. “There is a good core group of people to work with that really makes it an enjoyable experience.” In terms of the clients, “when it's all said and done, you're about doing what you can do to insure that they will have successful lives,” Alexander says, noting that “the dysfunctions that tend to hit people, you really are on a mission to do all that you can do to enable them to not end up having those dysfunctions impact their lives negatively.” we’ve had a nu ber of results de ed statistically signicant.” HELPING HIS FEL (W )M Alexander to k a path of stewardship to education and helping others before lan in at Youngsto n U . H spent time teaching at Pen State University, the cor ectio s eld and the develop ental disabil ties eld. “This eld was so ethin t at I was curious about,” Alexan r says about working in prevention. After takin the r le in 1986, he hasn't looke ack. He’s responsible for the overal operation of the agency, including scal and progra manage ent as well as insurin the organization co plies ith all licensure standards. “There is a good core group of people to work with that really makes it an enjoyable experience.” In terms of the clients, “when it's all said and done, you're about doing what you can do to insure that they will have successful lives,” Alexander says, noting that “the dysfunctions that tend to hit people, you really are on a mission to do all that you can do to enable them to not end up having those dysfunctions impact their lives negatively.”

“The community, in essence, is determining what our priorities are to prevent underage use of drugs and alcohol by teens within the community.” — Darryl Alexander, Youngstown UMADAOP executive director

investing in youth for the

have to reorient ourselves in terms of how we fund and our funding mechanisms,” says Alexander. have to reorient ourselves in terms of how we fund and our funding mechanisms,” says Alexander. INVESTING IN YOUTH The Youngstown location concentrates on school-based INVESTING IN YOUTH The Youngstown location concentrates on school-based substance abuse and violence and pregnancy prevention. It also offers a youth led prevention program, relapse prevention for those who have been incarcerated, an environmental prevention program, and community coalition-building that outlines environmental prevention strategies. The school-based substance abuse, violence and pregnancy prevention program is done sequentially, substance abuse and violence and pregnancy prevention. It also offers a youth led prevention program, relapse prevention for those who have been incarcerated, an environmental prevention program, and community coalition-building that outlines environmental prevention strategies. The school-based substance abuse, violence and pregnancy prevention program is done sequentially,

“If we don't invest in youth properly, not short term but long term, then these problems of adolescent behavior that impact youth will maximize,” says Youngstown UMADAOP Executive Director Darryl Alexander. Alexander, who has held his position since 1988, follows a tradition at his UMADAOP location of staffers joining the team and staying for the long haul. That sentiment, of committing and investing in the community through supporting adolescents, is evident in how the organization executes its programming and reaches out to the community. “As a society, if we really want to insure that youth really have the greatest possibilities of success, we “If we don't invest in youth properly, not short term but long term, then these problems of adolescent behavior that impact youth will maximize,” says Youngstown UMADAOP Executive Director Darryl Alexander. Alexander, who has held his position since 1988, follows a tradition at his UMADAOP location of staffers joining the team and staying for the long haul. That sentiment, of committing and investing in the community through supporting adolescents, is evident in how the organization executes its programming and reaches out to the community. “As a society, if we really want to insure that youth really have the greatest possibilities of success, we

“If we don't invest in youth properly, not short term but long term, then these problems of adolescent behavior that impact youth will maximize.” — Darryl Alexander, Youngstown UMADAOP executive director

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