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URBAN MINORITY ALCOHOLISM & DRUG ABUSE OUTREACH PROGRAM UMADAOP

reframing M ental H ealth From C RISIS to Recovery

EMPOWERING

VOICES

Family Matters

SHATTERING MYTHS: Dispelling Stigma and Fostering Open Conversations about Mental Health in the African American Population

cincyumadaop.org To administer Narcan, a nasal spray, place the nozzle into one nostril of the person who has overdosed and firmly press the plunger, delivering the medication that can reverse the effects of opioid overdose.

THINK ACT LIVE N aloxone/ Narcan kits are FREE and readily available at all UMADAOP locations.

ONE PILL CAN KILL

TABLE OF CONTENTS

UMADAOP Magazine is published by UMADAOP Lucas County. 2447 NEBRASKA AVE, TOLEDO, OH 43607 Copyright 2023 by UMADAOP Lucas County. No part of this publication may be reproduced in any form or by any means without the prior writ- ten 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.

04-07

36-39

Reframing Mental Health: Suicide Prevention

Culturally Competent Care

08-11

42-45

Strategies for Combating Opioid Addiction and Overdose

Breaking Silence: Promoting Mental Health Awarness in African American Population

16-19

50-53

Family Matters: The Impact of Family Dynamics on Mental Health

Deadly Dangers: Fentanyl-Laced Cocaine

20-23

54-57

Smashing Boundries: Providing Mental Health Awarneess to Hispanic Teens

Alcohol Consumption and the Effects in the African American Communities

24-27

60-63

From Outreach to Treatment: Heroin Prevention Tailored to Hispanic Populations

Shattering Myths: Dispelling Stigma and Fostering Open Conversations about Mental Health

28-31

64-67

Community Collaborations: Promoting Support for Addiction Recovery

The Impact of Language Barriers

32-35

68-70

The Vital Role of the Ohio UMADAOP Federation: A Model for the Nation

Empowering Voices: Addressing Trauma Through Advocacy for African American Women

Reframing Mental Health

R eframing M ental H ealth : Help-Seeking in African American Populations for Suicide Prevention

Think, Act & Live

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513.541.7099

199 William Howard Taft Rd, Cincinnati, OH 45219 | 5

reframing M ental H ealth : Help-Seeking in African American Populations for Suicide Prevention I n recent years, discussions surrounding mental health have gained momentum, shed- ding light on the critical need for mental health awareness and access to care. Despite growing conversations, stigma continues to persist as a significant barrier to seeking help, particularly within African American communities. The intersection of cultural, historical, and systemic fac- tors often contributes to the reluctance to discuss mental health concerns, making the prevention of suicide an urgent and complex challenge.

Think, Act & Live

Because life is better with you here. Because life life is better is better here.

6 | UMADAOP Magazine

Cultural Influences and Barriers

Understanding the cultural influences that shape mental health perceptions in African American communities is crucial to addressing stigma effectively. Many traditional beliefs emphasize the importance of strength, resilience, and family unity. While these values can be protective factors, they can also discourage open conversations about mental health struggles. Additionally, the legacy of mistrust stemming from historical medical abuses such as the Tuskegee syphilis experiment has led to skepticism about mental health care systems. Reframing Perceptions To combat mental health stigma, efforts must be made to reframe perceptions and emphasize that seeking help is an act of courage and strength. Highlighting stories of resilience and recovery within the African American community can challenge stereotypes and provide hope to those who may be struggling in silence. Initiatives that showcase successful individuals who have overcome mental health challenges can encourage others to step forward and seek support.

Promoting Education Educational campaigns are essential in dispelling myths and misinforma- tion about mental health. By providing accurate information about com- mon mental health conditions and available resources, individuals can bet- ter understand that seeking help is a rational and responsible choice. The journey to overcoming mental health stigma and promoting help-seek- ing within African American communities is a multifaceted endeavor that requires a comprehensive approach. By reframing perceptions, fostering culturally competent care, and engaging in collaborative efforts, we can cre- ate an environment where individuals feel empowered to seek support for their mental health concerns. This shift in mindset is not only critical for individual well-being but also vital for preventing suicides and ensuring that every member of the community has the opportunity to lead a healthy and fulfilling life.

Collaborative Community Approaches

Community-led initiatives play a pivotal role in foster- ing open dialogue about mental health within the Afri- can American community. Faith-based organizations, schools, and grassroots advocacy groups can create safe spaces for discussions, education, and support. Collab- oration between mental health professionals and com- munity leaders can help bridge the gap between clinical interventions and community needs.

Breaking the Silence

B reaking the S ilence : Mental Health Awareness and Access in African American Adult Populations

199 William Howard Taft Rd, Cincinnati, OH 45219 | 9 513.541.7099

B REAKING THE S ILENCE : Mental Health Awareness and Access in African American Adult Populations

M ental health awareness and access to care are vital components of overall well-be- ing, yet numerous barriers continue to impede African American adults from seeking the help they need. Stigma, cultural factors, and systemic inequalities have contributed to a concerning lack of mental health support within this community. This article explores the importance of breaking the silence sur- rounding mental health and highlights strategies to promote awareness and access in African American adult populations. Cultural Factors and Mental Health Cultural factors play a significant role in shaping mental health perceptions within African American communities. The concept of "strong black woman/man" can lead to the suppression of emotions and a reluctance to acknowledge vulnerabilities. Moreover, historical trauma, such as experiences of slavery and racism, can influence mental health struggles that may manifest as present-day challenges.

Systemic Inequalities and Access to Care Systemic inequalities in healthcare access have disproportionately affected African American communities. Limited access to quality mental health services, insurance disparities, and geo- graphic barriers hinder individuals from receiv- ing appropriate care. Lack of culturally compe- tent providers further exacerbates the problem, leading to mistrust and dissatisfaction among those who do seek help. Promoting Mental Health Awareness Breaking the silence surrounding mental health requires comprehensive awareness campaigns that challenge stigma and misinformation. Community-led initiatives, utilizing influential figures within the African American communi- ty, can foster open discussions and educate indi- viduals about the importance of mental health.

Community Support and Education

Community organizations, churches, and social networks play a pivotal role in promoting men- tal health awareness and support. Creating safe spaces for dialogue, organizing workshops, and incorporating mental health education into ex- isting community activities can foster a sense of belonging and validation. Empowering Individuals Empowering African American adults to ad- vocate for their mental health is essential. En- couraging self-advocacy, providing resources for self-care, and emphasizing the importance of seeking help early can empower individuals to prioritize their well-being. Breaking the silence surrounding mental health within African American adult populations is a critical step towards promoting well-being and reducing disparities. By challenging stigma, in- creasing cultural competence, and creating ac- cessible resources, we can create an environment where individuals feel supported in seeking help. Through collaborative efforts involving commu- nity leaders, healthcare providers, and policy- makers, we can address the unique challenges faced by African American adults and ensure that mental health becomes a priority in every corner of the community.

UMADAOP Magazine | 11 |

Nurturing Mental Health: Addressing the Challenges Faced by African American Teens

M ental health is a vital component of overall well-being, yet it is often overlooked, misunderstood, or stigmatized, especially within the context of African American teenagers. The unique challenges faced by African American teens, stemming from a combination of societal, cultural, and individual factors, necessitate a comprehensive approach to promoting mental health awareness, access to care, and supportive environments.

Socioeconomic Disparities and Environmental Factors Socioeconomic disparities are significant stressors for African American teens, impacting their mental health outcomes. These disparities often lead to limited access to quality healthcare, education, and safe living environ- ments. Discrimination, racial profiling, and exposure to community violence contribute to a sense of insecurity and unease that can negatively affect mental well-being. Cultural Influences and Identity Development Cultural factors play a crucial role in shaping the mental health experiences of African American teens. Balancing a dual identity—between African heritage and American culture—can lead to feelings of conflict or marginaliza- tion. The cultural stigma surrounding mental health in some African American communities can create addition- al challenges in seeking help. Academic Pressures and Expectations High expectations for academic achievement and fu- ture success can place immense pressure on Af- rican American teens. Striving to excel academi- cally while navigating systemic barriers can lead to stress, anxiety, and even depression.

Barriers to Seeking Help African American teens often face barriers when seeking mental health support. These barriers include stigma, lack of access to cul- turally competent care, and a shortage of mental health profession- als who understand their unique experiences. Promoting Mental Health Awareness Promoting mental health awareness in African American teens re- quires multifaceted strategies that address cultural norms, systemic inequalities, and access to resources. Providing Accessible Resources Increasing access to mental health resources tailored to the needs of African American teens is essential. School-based counseling services and community programs can bridge the gap between need and support. Community Support Creating safe spaces within the community where teens can openly discuss their mental health experiences can foster a sense of be- longing and understanding. Mentorship and Role Models Engaging African American role models, mentors, and community leaders can offer guidance and show teens that they are not alone in their struggles. Empowerment Through Art and Expression Art, music, and creative expression can serve as therapeutic out- lets, allowing African American teens to process their emotions and experiences. Collaborative Efforts Collaboration among schools, healthcare providers, mental health organizations, and families can ensure a comprehensive approach to supporting African American teens' mental health. Addressing mental health challenges in African American teens requires acknowledging the unique factors that contribute to their experiences. By fostering understanding, providing accessible re- sources, and promoting culturally sensitive approaches, we can create an environment where African American teens are empow- ered to prioritize their mental well-being. Through collective ef- forts, we can break down stigmas, address systemic inequalities, and pave the way for a future where mental health is valued and nurtured within the African American teen community. cincyumadaop.org

Intervention

UMADAOP of Cincinnati Kinship Care Family Recovery Wrap Around Program will increase family bonding and successful family reunification, as well as provide weekly instructional services focusing on the knowledge of parenting and living a healthy lifestyle free from drugs, alcohol and other substances. In addition to social emotional learning skills for the children to address trauma issues along with a timed cognitive behavioral group sessions and activities.

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Family Matters F amily M atters : The Impact of Family Dynamics on Mental Health and Well-being

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F amilies serve as the foundational pillars of our lives, shaping our values, beliefs, and behaviors from an early age. The intricate web of family dynamics plays a pivotal role in influencing our mental health and overall well-being. From the bonds we form to the communication patterns we establish, family interactions have a profound impact on our emotional development. Family Matters: The Impact of Family Dynamics on Mental Health and Well-being The Role of Family in Mental Health

Attachment and Relationships Attachment theory emphasizes the importance of early caregiv- er-child relationships in shaping adult emotional well-being. Secure attachments can lead to healthy self-esteem, trust, and the ability to form positive relationships. Insecure attachments, on the other hand, may lead to difficulties in forming and maintaining healthy relation-

Families provide a sense of belonging, safety, and support that is essential for mental health. Positive family dynamics can foster re- silience, self-esteem, and emotional regulation. On the other hand, dysfunctional family dynamics can contribute to stress, anxiety, and other mental health challenges. Communication Patterns Communication within a family sets the tone for emotional ex- pression and conflict resolution. Open and honest communica- tion can lead to the sharing of emotions and the development of problem-solving skills. Conversely, miscommunication, silence, or aggressive communication styles can create an environment of ten- sion and emotional isolation.

ships, contributing to mental health struggles. Inter-generational Patterns

Family dynamics often repeat across generations, impacting mental health outcomes. Patterns of behavior, coping mechanisms, and com- munication styles are learned within the family and can perpetuate both positive and negative aspects of mental health.

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Support Networks Families can act as crucial support networks during times of stress and adversity. Emotional, financial, and practical support from family members can buffer the impact of life's challenges on mental health. Mental Health Dysfunctional family dynamics can contribute to mental health challenges. High levels of conflict, neglect, abuse, or unrealistic expectations can lead to anxiety, depression, and other emo- tional struggles. Breaking Negative Cycles Recognizing and addressing negative family dynamics is essen- tial for breaking cycles that perpetuate mental health challeng- es. Seeking therapy, attending family counseling, or engaging in open conversations can help address underlying issues.

Creating Positive Family Dynamics

Creating positive family dynamics requires effort and understanding. Encouraging open communication, active listening, and respecting individual boundaries can contribute to a healthier family environment. Family dynamics are intricate and multifaceted, shap- ing our perceptions of ourselves, relationships, and the world around us. The impact of family on mental health is undeniable, with both positive and negative interactions influencing well-being. Recognizing the role that family dynamics play in mental health allows us to cultivate healthy relationships, address challeng- es, and build resilient individuals who can navigate life's complexities. By fostering open communication, empathy, and understanding, we can ensure that fam- ily truly matters in the journey toward mental health and well-being.

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Smashing Boundries

S mashing B oundaries : Mental Health Awareness and Support in Hispanic Teen Communities

199 William Howard Taft Rd, Cincinnati, OH 45219 | 21 513.541.7099

T he teenage years are a critical period of growth and development, marked by challenges and opportunities. For Hispanic teens, this phase is influenced not only by the typical pressures of adoles- cence but also by unique cultural and social factors. While the importance of mental health awareness and support is universally recognized, it is essential to acknowledge that the Hispanic teen population faces distinct barriers that can hinder their access to proper care. S mashing B oundaries : Mental Health Awareness and Support in Hispanic Teen Communities

Cultural Dynamics and Mental Health Cultural factors play a significant role in shaping mental health perceptions and behaviors among Hispanic teens. The strong emphasis on family bonds and the values of collectivism often mean that teens may prioritize familial harmony over their personal well-being. This can result in suppressed emotion- al expression and a reluctance to seek help for mental health concerns. Additionally, the stigma surrounding mental health within some Hispanic communities can deter open conversa- tions and prevent early interventions. Language and Access to Care Language barriers can pose significant challenges for Hispanic teens and their families seeking mental health care. Many teens serve as interpreters for their parents, leading to a potential mismatch of information and understanding. Accessing cultur- ally competent mental health services can be challenging due to a lack of resources available in Spanish or tailored to the specific needs of Hispanic individuals. Navigating Acculturation Hispanic teens often find themselves navigating the complex- ities of acculturation – balancing their heritage with the influ- ences of mainstream American culture. This process can lead to

feelings of identity conflict, isolation, and cultural detachment, which may exacerbate mental health struggles. Educational Efforts Promoting mental health awareness within Hispanic teen communities requires a multi-faceted approach. Schools play a crucial role in offering mental health education that is sensitive to cultural nuances. Comprehen- sive mental health curricula can empower Hispanic teens with the knowl- edge to recognize signs of distress in themselves and their peers. Community and Family Involvement Engaging families and community leaders is essential in creating an envi- ronment that fosters mental health discussions. Community centers, places of worship, and social organizations can serve as platforms for open dia- logue and support networks. Encouraging parents to participate in mental health discussions can break down generational barriers and help parents

become advocates for their children's well-being. Culturally Tailored Support

Mental health services must be tailored to the needs and preferences of Hispanic teens. This includes offering resources in Spanish, incorporating cultural values and practices into treatment, and creating safe spaces where teens can express themselves without fear of judgment.

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Technology and Outreach Utilizing technology, such as mental health apps and online re- sources, can provide Hispanic teens with confidential platforms for seeking information and support. Social media campaigns that use culturally relevant content can raise awareness, reduce stigma, and encourage help-seeking behaviors. Promoting mental health awareness and support among Hispan- ic teen communities requires a commitment to understanding and addressing their unique challenges. Breaking down language barriers, combating stigma, and offering culturally competent care are pivotal steps toward creating a holistic approach to well-being. By collaborating with schools, families, and com- munity organizations, we can break the barriers that stand in the way of Hispanic teens accessing the mental health re- sources they need to thrive during their formative years. Let’s Spread the Love

From Outreach to Treatment

F rom O utreach to T reatment

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Heroin Prevention and Intervention Approaches Tailored for Hispanic Populations

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F rom O utreach to T reatment : Heroin Prevention and Intervention Approaches Tailored for Hispanic Populations T he heroin epidemic has posed significant challenges to communities across the United States, including the Hispanic population. To effectively address the complexities of heroin use and its associat- ed harms within this community, it is crucial to develop culturally sensitive prevention and intervention strategies. The Heroin Crisis in Hispanic Communities

Cultural Factors in Heroin Use and Prevention Cultural factors play a significant role in heroin use and prevention within Hispanic populations. Cultural norms, family values, and acculturation dynamics can influence attitudes toward substance use and seeking help. Effective prevention efforts must take into account these cultural nuances.

The heroin crisis has impacted Hispanic commu- nities with its own set of unique challenges. Factors such as acculturation stress, socioeconomic dispar- ities, and limited access to healthcare have contrib- uted to vulnerabilities within this population.

26 | UMADAOP Magazine

Think, Act & Live, Know the Real. Because life is better with you here.

Outreach Competent outreach involves understanding the cultural context and engaging with community leaders, organizations, and trusted figures. Cultivating relation- ships within the community can help establish trust, dispel myths, and deliver tar- geted prevention messages that resonate. Education Campaigns Developing education campaigns that resonate with Hispanic populations requires acknowledging cultural values, using relatable messaging, and showcasing success stories within the community. Addressing common misconceptions and raising awareness about the risks of heroin use can be pivotal. Community Support Systems Heroin prevention involves creating supportive environments within His- panic communities. Building connections with community organizations, places of worship, and cultural centers can establish safe spaces for open dialogue, education, and access to resources. Early Intervention and Treatment Recognizing the signs of heroin use and intervening early is crucial for successful outcomes. Culturally competent treatment programs that ad- dress language barriers, cultural sensitivities, and familial involvement can improve engagement and success rates. Family-Centered Approaches Hispanic culture places a strong emphasis on family. Integrating fami- ly-centered approaches into interventions can provide a supportive net- work for individuals struggling with heroin use. Family involvement can contribute to healing and recovery. Heroin prevention and intervention approaches tailored for Hispanic populations require a deep understanding of cultural values, norms, and systemic factors. By addressing language barriers, acknowledg- ing family dynamics, and fostering trust through culturally compe- tent strategies, we can develop interventions that resonate with His- panic individuals and communities. By recognizing the importance of cultural nuances and engaging in collaborative efforts, we can create a future where effective prevention and treatment initiatives make a positive impact on the lives of Hispanic individuals affected by heroin use. cincyumadaop.org

The Impact of Language Barriers

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T he I mpact of L anguage B arriers :

Language Barriers in the Hispanic Community Concerning Opioid Misuse Prevention and Intervention

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3305 W 25th St., Cleveland, Ohio 44109 | 29 216.459.1222

The Impact of Language Barriers . in the Hispanic Community on Opioid Misuse Prevention and Intervention

T he opioid epidemic affects individuals from all backgrounds, including the Hispanic commu- nity. However, language barriers can create significant challenges in opioid misuse prevention and inter- vention efforts within this population. In diverse Hispanic communities, where languages other than En- glish are spoken, effective communication and access to resources become essential for combating opioid misuse. Limited Access to Information Language barriers can hinder the dissemination of vital information about opioid misuse prevention and available resources. Many educa- tional materials, brochures, and support services may primarily be in English, leaving non-English speaking Hispanics with limited access to crucial information. El impacto de las barreras del idioma en la comunidad hispana en Prevención del abuso de opioides e Intervención

216.459.1222

30 | UMADAOP Magazine

Miscommunication and Misunderstanding In healthcare settings and prevention programs, miscommunication due to lan- guage barriers can lead to misunderstandings. Non-English speaking individu- als may not fully grasp medical advice, treatment options, or the risks associated with opioid misuse, which can have serious consequences for their well-being. Reluctance to Seek Help The presence of language barriers may discourage Hispanic individuals from seeking help for opioid misuse. Fear of being misunderstood or experiencing cultural insensitivity can deter non-English speakers from approaching health- care professionals, leading to delayed intervention. Cultural Sensitivity Hispanic communities have unique cultural beliefs and practices that should be considered in opioid misuse prevention and intervention efforts. Without addressing language barriers and incorporating culturally sensitive approaches, interventions may fail to resonate with the community and may not effectively address their specific needs. Utilizing Bilingual Professionals Bilingual healthcare providers and professionals play a crucial role in bridging language gaps in the Hispanic community. Their ability to communicate with patients in their native language fosters trust, understanding, and effective care delivery. Empowering Community Members as Advocates Empowering bilingual members within the Hispanic community to act as ad- vocates for opioid misuse prevention and intervention can be transformative. These community members can serve as liaisons between non-English speaking individuals and support services, making resources more accessible.

Language barriers should never be a barrier to opioid mis- use prevention and intervention in the Hispanic commu- nity. By acknowledging the impact of language limitations and adopting culturally sensitive, multilingual approach- es, we can ensure that non-English speaking Hispanics have equal access to vital information and support. Creating a healthier Hispanic community necessitates collaborative efforts from healthcare providers, policy- makers, community organizations, and society at large. By embracing linguistic inclusivity and cultural diversity, we can break down language barriers, enhance communi- cation, and provide the Hispanic community with the re- sources they need to prevent opioid misuse and seek time- ly intervention. Together, we can build a more inclusive and resilient community that empowers all individuals to lead healthier, substance-free lives.

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Empowering Voicecs

E mpowering V oices : Addressing Trauma through Advocacy and Support for African American Women and Children

199 William Howard Taft Rd, Cincinnati, OH 45219 | 33 513.541.7099

E mpowering V oices : Addressing Trauma through Advocacy and Support for African American Women and Children T rauma is a powerful force that can shape lives for generations. African American women and children face unique challenges when it comes to trauma, often stemming from a history of systemic oppression, racial discrimination, and socioeconomic disparities. Addressing trauma within this community requires an intersectional approach that recog- nizes the interconnectedness of race, gender, and historical context.

Trauma in African American Women and Children

African American women and children have historically faced various forms of trauma, ranging from the legacy of slavery and segre- gation to present-day racial discrimination and microaggressions. These experiences can lead to a complex trauma response that impacts emotional, physical, and psycholog- ical well-being. Intersectionality and Trauma Intersectionality, the overlapping of multiple marginalized identities, plays a critical role in understanding trauma. African American women and children navigate not only the traumas associated with their race but also those associated with their gender, socioeco- nomic status, and other identities.

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Historical Trauma Historical trauma refers to the intergenerational impact of his- torical atrocities on communities. For African American women and children, the trauma of slavery, Jim Crow laws, and ongoing systemic racism contributes to present-day challenges in mental health, self-esteem, and resilience. Breaking the Cycle: Advocacy and Awareness Empowering voices through advocacy is crucial for breaking the cycle of trauma. Organizations, activists, and individuals play a vi- tal role in raising awareness about the impact of trauma on African American women and children. By highlighting stories, sharing experiences, and advocating for policy changes, they can foster

Generational Healing Breaking the cycle of trauma requires a focus on generational heal- ing. Empowering African American women to address their trau- ma can lead to positive outcomes for future generations by model- ing healthy coping mechanisms and emotional expression. Intersectional Approach to Healing An intersectional approach recognizes that the experiences of Af- rican American women and children are shaped by the intersec- tion of their race, gender, and other identities. Tailoring support to address these complex intersections is crucial for holistic healing. Empowering African American women and children to address trauma requires a multifaceted approach that considers historical context, systemic inequalities, and the intersectionality of identi- ties. By amplifying voices through advocacy, providing culturally competent support, and creating healing spaces, we can begin to break the cycle of trauma and foster resilience in this community. By acknowledging the strength of their narratives, we can pave the way for a future where trauma is transformed into empowerment, healing, and hope.

change and amplify the need for support. Community Healing Spaces

Creating safe spaces for healing is essential. Community organi- zations, support groups, and cultural centers can provide environ- ments where African American women and children can share their stories, access resources, and engage in collective healing.

UMADAOP Magazine |35

Culturally Competent Care

Think, Act & Live Know The Real One Pill Can Kill One Pill Can Kill

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36 | 199 William Howard Taft Rd, Cincinnati, OH 45219 513.541.7099

C ulturally C ompetent C are : Opioid Interventions for Improved Outcomes in the African American Community

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T he opioid crisis has disproportionately affected com- munities across the United States, with the African American com- munity facing its own set of unique challenges. Achieving improved outcomes in opioid interventions within this community requires an approach that considers historical, cultural, and systemic factors. Cul- turally competent care stands as a cornerstone of addressing this crisis effectively. Culturally Competent Care: Opioid Interventions for Improved Outcomes in the African American Community The Opioid Crisis in the African American Community The opioid crisis has exposed deep-seated disparities within the African American community. Historical traumas, including the impact of slavery, systemic racism, and unequal access to healthcare, have contributed to complex challenges in opioid interventions. Cultural Factors in Opioid Use Cultural factors play a crucial role in opioid use and interventions. The strong emphasis on community, family, and historical mistrust of health- care systems can influence individuals' perceptions of pain management and seeking help for substance use disorders.

38 | UMADAOP Magazine

Collaboration Collaborating with community leaders, organizations, and cultural ex- perts can enhance the effectiveness of opioid interventions. These part- nerships can provide insights into community needs, help develop cultur- ally appropriate programs, and enhance engagement. Culturally competent care is an essential framework for tailoring opioid interventions to improve outcomes in the African American community. By understanding the complex interplay of cultural factors, historical con- text, and systemic inequalities, healthcare providers can create interven- tions that are respectful, effective, and responsive to the unique needs of this community. By fostering trust, addressing stigma, and collaborating with community stakeholders, we can begin to address the opioid crisis in a way that respects the dignity and well-being of every individual within the African American community.

Building Trust and Rapport Building trust is a foundational aspect of culturally compe- tent care. Acknowledging the history of systemic discrim- ination and acknowledging mistrust of healthcare systems is crucial in establishing meaningful relationships between healthcare providers and African American individuals seeking opioid interventions. Community Engagement Engaging the community in opioid interventions is vital. Community organizations, faith-based groups, and grass- roots initiatives can play a pivotal role in raising awareness, providing resources, and fostering a supportive environ- ment.

Think, Act & Live, Know The Real, One Pill Can Kill

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Women Specialized Treatment

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The Women Specialized Treatment is a ten-week group designed to support the specific needs of women. We recognized that the recovery process is

not the same for both men and women and women are treated optimally in a gender-specific setting. The

SAMHSA Matrix for women stimulant use disorders is utilized.

From Crisis to Recovery

F rom C risis to R ecovery : Strategies for Combating Opioid Addiction and Overdose

Think, Act & Live Know the Real. One Pill Can KILL!

Because life is better with you here.

199 William Howard Taft Rd, Cincinnati, OH 45219 | 43 513.541.7099

T he opioid crisis has emerged as a critical public health challenge, affecting individuals, fami- lies, and communities across the globe. The devastat- ing consequences of opioid addiction and overdose demand comprehensive strategies that address pre- vention, treatment, and recovery. The opioid crisis is characterized by the widespread misuse of prescrip- tion painkillers and illicit opioids, leading to addiction, overdose, and loss of life. Understanding the root causes, including overprescribing, lack of access to comprehensive pain management, and social factors, is essential for developing effective strategies. Prevention Through Education Education plays a pivotal role in preventing opioid addiction. Compre- hensive educational campaigns, aimed at healthcare professionals, pa- tients, families, and schools, can raise awareness about the risks of opi- oid misuse, proper pain management, and safe disposal of medications. Pain Management Alternatives Addressing opioid addiction begins with exploring alternatives for pain management. Encouraging healthcare providers to prioritize non-opi- oid pain relief options and interdisciplinary approaches can reduce the likelihood of addiction while still managing pain effectively. Prescription Monitoring Programs Implementing prescription monitoring programs can help curb over- prescribing and "doctor shopping," where individuals seek multiple prescriptions from different providers. Monitoring programs ensure that prescriptions are tracked and used responsibly. From C RISIS to Recovery : Strategies for Combating Opioid Addiction and Overdose

Know the REAL.

One Pill Can KILL!

44 | UMADAOP Magazine

Think, Act & Live

Medication-Assisted Treatment (MAT) MAT combines medications with counseling and behavioral therapies to treat opioid addiction. Medications like methadone, buprenorphine, and naltrexone can help individuals manage withdrawal symptoms and cravings while working toward re- covery. Harm Reduction Strategies Harm reduction approaches focus on minimizing the negative consequences of opioid addiction. Initiatives such as needle ex- change programs, supervised injection sites, and distribution of naloxone (a medication that reverses opioid overdoses) are es- sential for preventing overdose deaths. Recovery-Oriented Systems of Care Developing recovery-oriented systems of care involves integrat- ing support services into various aspects of an individual's life. This approach recognizes that recovery extends beyond medical treatment and requires ongoing support in areas such as hous- ing, employment, and social connections.

Comprehensive Policies and Legislation Governmental and legislative efforts are vital to combat the opioid crisis. Policies should focus on enhancing access to treatment, reducing stigma, supporting harm reduction initiatives, and improving prescribing prac- tices. Data-Driven Approaches Collecting and analyzing data is essential for monitoring progress and adjusting strategies. Data can help identify trends, evaluate interventions, and ensure that resources are directed where they are most needed. Combating the opioid crisis and transitioning from crisis to recovery re- quires a concerted effort from healthcare providers, policymakers, com- munities, and individuals. By embracing prevention, expanding access to treatment, supporting harm reduction, and fostering recovery-oriented systems of care, we can create a future where opioid addiction is effec- tively managed, overdose deaths are prevented, and individuals have the support they need to lead healthy, fulfilling lives.

LIFE IS BETER WITH YOU HERE Recovery is a journey , and you don’t have to do it alone.

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Purpose The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is dedicated to leading a comprehensive mental health and addiction prevention, treatment, and recovery network that is both effective and highly regarded by all residents of Ohio. Aspiration OhioMHAS is committed to alleviating the impact of mental illness, substance use disorders, and problem gambling among individuals of all ages, their families, and communities in Ohio. Principles The OhioMHAS team is devoted to upholding these fundamental principles in our interactions with constituents statewide, collaboration with sister agencies, and internal operations. • Contribute and Collaborate • Demonstrate Compassion • Deliver Excellence • Embrace Accountability

We strive to end suffering from mental illness, substance use disorders, and problem gambling for all Ohioans .

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Thank You Jessica Horne Executive Director of Cleveland UMDAOP for nearly 40 years! DAYTON

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Deadly Dangers

Think, Act & Live because life is better with you here.

D eadly D angers : The Emergence of Fentanyl-Laced Cocaine and Its Impact on African American Communities

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199 William Howard Taft Rd, Cincinnati, OH 45219 | 51 513.541.7099

DANGERS: The Emergence of Fentanyl-Laced Cocaine and Its Impact on African American Communities

T he illicit drug landscape has taken a dangerous turn with the emergence of fentanyl-laced cocaine, posing an alarming threat to individuals, families, and communities across the United States. This deadly combination presents unprecedented risks, with African American communities facing disproportionate consequences. The Fentanyl Epidemic and Its Intersection with Co- caine Use Fentanyl, a synthetic opioid that is exponentially more potent than heroin, has become a focal point in the opioid epidemic. Recent trends have shown an increasing prevalence of fentanyl-laced cocaine, leading to heightened risks of overdose and death. This alarming phenomenon blurs the lines between stimulant and opioid use, creating a perfect storm of addiction and mortality. SIGNS OF OVERDOSE Unresponsiveness: The person cannot be woken up, or responds only minimally. Slow or Shallow Breathing: Breathing may be slow, irregular, or very shallow. Blue Lips or Fingertips: Skin or lips may appear bluish or grayish. Choking or Gurgling Sounds: Gurgling or choking sounds while breathing. Pinpoint Pupils: Pupils may become extremely small. Loss of Consciousness: The person is unconscious or semi-conscious. Limp Body: The person’s body feels limp or unresponsive. Vomiting: The person may vomit or have difficulty staying conscious. Confusion or Disorientation: They may appear confused or disoriented. Seizures : In some cases, seizures may occur. Weak Pulse: Pulse may become weak or irregular.

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Think, Act & Live

Understanding the Impact on African American Communities African American communities, already grappling with system- ic inequalities and disparities, are disproportionately affected by the emergence of fentanyl-laced cocaine. Historical trauma, limited access to healthcare, and socioeconomic challenges ex- acerbate the risks associated with this lethal combination. The Lethal Synergy: Cocaine and Fentanyl The combination of cocaine and fentanyl presents unique dan- gers. Cocaine, a stimulant, and fentanyl, an opioid, create a sce- nario where users may not be aware of the presence of a potent opioid, leading to accidental overdoses. Challenges in Detection and Prevention Detection of fentanyl-laced cocaine poses significant challenges. Users and law enforcement may not be

able to visually identify the presence of fentanyl, increasing the risk of unintentional exposure.

The emergence of fentanyl-laced cocaine poses an unprecedented threat to African American com- munities already grappling with systemic challenges. Addressing this crisis requires swift and coordinated action across multiple fronts. By raising awareness, providing harm reduction resources, expand- ing access to treatment, and fostering community support, we can protect the lives of individuals with-

in African American communities and create a future where the deadly dangers of fentanyl-laced cocaine are effectively mitigated.

Untold Stories

28.2% of African American adults participated in binge drinking. Only 1.5% of African American adults received specialty substance

Think, Act & Live

use treatment for alcohol use disorder in the past year.

A lcohol C onsumption and I ts E ffects in the A frican A merican C ommunity

199 William Howard Taft Rd, Cincinnati, OH 45219 | 55 513.541.7099

A lcohol consumption has been a significant aspect of human culture for centuries, shaping social interactions, celebrations, and daily life. However, within the African American community, alcohol consumption carries distinct cultural, historical, and health-related implica- tions. Cultural and Historical Context Alcohol consumption has played different roles across cultures, and the African American experience is no exception. From com- munal celebrations to spiritual practices, alcohol has held diverse meanings in African American history. Slavery's legacy of coping mechanisms and social bonding, coupled with the challenges of systemic racism, has influenced the ways alcohol is integrated into daily life. Alcohol Consumption and Its Effects in the African American Community

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Patterns of Alcohol Consumption Patterns of alcohol consumption in the African Ameri- can community are influenced by social factors, includ- ing socioeconomic status, peer influences, and stressors unique to this population. These patterns vary across age groups, gender, and regions, highlighting the need for targeted interventions. Health Disparities and Alcohol- Related Consequences While alcohol-related health consequences affect all communities, African Americans often face dispropor- tionate impacts due to underlying health disparities. Conditions such as hypertension, diabetes, and liver disease can be exacerbated by alcohol use, underscor- ing the importance of addressing alcohol consumption within a broader health context. Alcohol as a Coping Mechanism The complexities of systemic racism and discrimination contribute to stressors that drive some African Ameri- cans to use alcohol as a coping mechanism. Understand- ing the role of alcohol in managing emotional distress is crucial for developing effective interventions.

Alcohol and Mental Health The intersection between alcohol consumption and mental health within the African American communi- ty is complex. While alcohol may temporarily alleviate emotional pain, it can also exacerbate mental health is- sues and hinder recovery. Healthcare providers should integrate alcohol-related assessments and interventions into routine care. Rec- ognizing the connection between alcohol consumption and other health conditions can inform personalized treatment plans. Exploring alcohol consumption and its effects in the Af- rican American community requires a lens that consid- ers cultural, historical, and health-related dimensions. By amplifying untold stories, we can foster understand- ing, empathy, and targeted interventions that acknowl- edge the complexities of this issue. By offering support, education, and resources, we can empower individuals and communities to make informed choices about alco- hol consumption, leading to improved well-being and a stronger sense of resilience within the African American community.

S e p t e m

b e r

"Strength grows in the moments when you think you can't go on, but you keep going anyway ."

NATIONAL RECOVERY MONTH

Recovery Month initiated in 1989, is an annual nationwide event taking place each September. Its purpose is to advocate for and endorse innovative evidence-backed treatment and recovery methods, honor the nation's resilient and proud recovery community, and recognize the unwavering commitment of service providers and communities that enable various forms of recovery.

FIND OUT MORE @

SAMHSA.GOV/RECOVERY-MONTH

Shattering Myths

S hattering M yths : Dispelling Stigma and Fostering Open Conversations about Mental Health in the African American Population

Because life is better with you here.

199 William Howard Taft Rd, Cincinnati, OH 45219 | 61 513.541.7099

M ental health is an integral component of overall well-being, yet stigmati- zation and misconceptions surrounding mental health persist in many communities. In the Af- rican American population, the impact of historical trauma, systemic inequalities, and cultural norms has contributed to a climate of silence and misunderstanding around mental health. SHATTERING MYTHS: Dispelling Stigma and Fostering Open Conversations about Mental Health in the African American Population

The Stigma Stigma surrounding mental health remains a significant barrier to seek- ing help and support. Within the African American community, this stigma is exacerbated by historical context, cultural expectations of strength, and systemic inequalities that have led to mistrust of mental health systems. Historical Trauma The legacy of slavery, racial discrimination, and ongoing injustices has left a profound impact on mental health within the African American population. The intergenerational transmission of trauma highlights the need for culturally sensitive interventions that address historical context. Cultural Norms of Strength Cultural norms that celebrate strength, resilience, and self-reliance can inadvertently discourage individuals from seeking help for mental health concerns. Breaking down these norms requires recognizing that seeking help is not a sign of weakness, but rather an act of courage. Systemic Inequalities and Access to Care Systemic inequalities in healthcare access disproportionately affect Af- rican American communities. Limited access to mental health services, insurance disparities, and a lack of culturally competent providers con- tribute to disparities in mental health care.

Promoting Open Conversations Promoting open conversations about mental health re- quires a multi-pronged approach that challenges stigma and encourages dialogue within the African American community. Awareness Raising awareness about the realities of mental health is essential. Community education campaigns that address common misconceptions and provide accurate informa- Influential African American figures, including celebri- ties, athletes, and community leaders, can play a crucial role in normalizing conversations about mental health. Their openness can inspire others to seek help without fear of judgment. Community Support Systems Creating support networks within the community is es- sential. Faith-based organizations, community centers, and peer support groups can provide safe spaces for shar- ing experiences and providing mutual encouragement. tion can break down barriers to seeking help. Role Models and Public Figures

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