Opioid Addiction & Pregnancy

Contributed by: Jessica Nevil, LMHC, Clinical Director at WIN Recovery, and Zach Jenkins, Public Relations Specialist at Hamilton Center, Inc.

Here’s what you need to know.

Opioid addiction during pregnancy is treatable and here’s what you need to know.

First, addiction to opioids can happen to anyone at any point in life. The fact is addiction of any kind is a physical and behavioral disorder and should be recognized as such. The act of seeking help takes great courage, and is one that requires fostering support; without a strong system of support the likelihood of treatment and recovery dramatically decreases.

Opioid drug use, and certainly drug abuse, can cause significant health risks to an unborn child, however, abruptly stopping the use of opioids can also be dangerous, even life threatening.

When a pregnant women uses an opioid her baby is exposed to the drug as well as the “highs and lows” of chronic use, including dependency and withdrawal. There is a common misconception that babies are born addicted to a substance, which is incorrect and misleading. Addiction is a physical, mental, and emotional cycle of behaviors that effects an individual often times over the span of a lifetime. Babies born during addiction are not guaranteed to experience addiction later in life; other environmental variables lead to this.

When consuming high doses of opioids the risks of neonatal abstinence syndrome (NAS) greatly increases. NAS is a condition that requires medical attention for the symptoms of withdrawal and often appears as rapid shaking or sucking of the fists. These symptoms are managed through breast feeding, strengthening of the mother-child bond, and medical treatment.

With the opioid epidemic sweeping the country many federal, state, and local funds have been granted to community health centers across the state to develop opioid treatment programs (OTP). Indiana has opened nearly 20 opioid treatment programs in areas of the state hardest hit by the opioid issue. These programs offer medication assisted treatment (MAT) in several forms including buprenorphine, vivitrol, and methadone, some of which are coupled with comprehensive behavioral health services. Many programs are working closely with local hospitals to connect pregnant women to treatment. The collaboration of medical and behavioral health services found in opioid treatment programs is recognized as the most effective form of treatment when compared to abstinence or other programming options.

So what is the best drug option?

Today methadone is used as the gold standard for treatment of opioid use disorder (OUD) for most populations, including pregnant women. Used only for the treatment of opioid related addictions methadone is administered in daily dosing with mandatory addiction counseling. With the primary goal of harm reduction pregnant mothers will experience decreased risk of transmittable diseases including HIV, AIDS, and Hepatitis-C, decreased risk of overdose, and increased employability and social engagement.

If you are struggling with opioid use disorder during or after pregnancy it is important for you to seek medical help and have open and honest communication with your provider about past, current, and future drug use. Continued use will increase health risks for both you and your baby. WIN Recovery, the first OTP of its kind in the area, offers medication assisted treatment in the form of methadone, coupled with individual and group counseling, and case management. For more information about opioid use disorder, treatment, and recovery please contact 1-812-231-8484 or visit www.winrecovery.org.

www.drugabuse.gov
www.samhsa.org

“The opioid epidemic is impacting more than just the lives of those struggling with addiction”

Co-authored by: Anastasia Godsey, M.S. LMHC, Director of Child and Adolescent Services and HCI West at Hamilton Center, Inc. and Zach Jenkins, Public Relation Specialist, Hamilton Center, Inc.

With 52 percent of children removed from a home due to parental substance abuse and 51 percent of displaced children living with a relative who may struggle to support them, issues, like the opioid epidemic, are impacting more than just the lives of those struggling with addiction.

For children and youth being separated from family and familiar surroundings can be traumatizing. Separations that are sudden, unexpected, or prolonged can interfere with a child’s ability to develop healthy coping strategies, putting them at increased risk of social and behavioral issues later in life. Unfortunately, children are impacted by both witnessing the parental substance use as well as their parent’s decreased ability to provide for their needs due to their altered state of being. Children who witness parental substance use are put at higher risk for future substance abuse which can lead to multigenerational cycles of addiction.

In the event of child displacement as a result of abuse or neglect, a child is placed with a family member, often referred to as kinship care. These types of displacements are typically categorized as informal, formal, and voluntary. Child welfare services are involved in both formal and voluntary kinship care. In these arrangements many cite more access to services but less overall flexibility. Informal kinship care is the most common form of child displacement, with grandparents most commonly receiving placement of the child without involvement of child welfare services.

Recent data suggests grandparents, as kinship care givers, may face additional emotional and financial challenges that other care givers involved with child welfare services do not. Of grandparents who are responsible for their grandchildren 41 percent are older than 60 years of age, 43 percent received Supplemental Security Income, public assistance income, or Food Stamps/SNAP Benefits, and 22 percent live in poverty. All of these factors contribute to financial burdens most commonly associated with receiving custody of a child. Furthermore, the majority of grandparents receiving placement of a child are not licensed in the foster care system and therefore may not be eligible for the same services and financial support as licensed foster parents, further complicating the issue.

The good news is that there are ways to break the cycles of multi-generational addiction. Kinship care promotes family bonds, stability, as well as a sense of belonging for children, all of which are considered risk factors when absent during a child’s earliest years of growth and development. Utilizing community resources for parental support and trauma related to parental substance use as well as seeking treatment for the child/children involved can minimize the risks associated with childhood displacement.
Hamilton Center, Inc. is a regional behavioral health system serving central and west central Indiana. The organization is “building hope and changing lives” through a broad array of behavioral health services for adults, children, adolescents, and families. Services are individualized, trauma informed, and evidence-based. Needs and strengths are assessed and utilized to develop a person-centered treatment plan.

Hamilton Center provides Infant and Toddler Services programs especially designed for children from birth until three years of age and their families. These services include: Healthy Families and Early Head Start. Admission criteria is different for each program, but all services are free of charge to families. Infant and Toddler Services’ programs are operated by Hamilton Center, Inc., a not-for-profit 501(c)(3) corporation. Both programs are offered in Vigo County; the Healthy Families program is also offered in Greene County, Sullivan County, and Vermillion County.

Hamilton Center also offers treatment services for adults and children who are impacted by trauma including: individual, crisis, family, school based therapy, and group therapy. Hamilton Center also offers skills training, case management, and wraparound services in the community and home as an opportunity to meet the needs of the consumers in multiple areas of their lives. Hamilton Center is currently a DMHA grantee for the Transition Aged Youth Grant which provides funding for ages 14-26. This grant focuses on helping individuals in being able to successfully navigate into early adulthood.

Hamilton Center, Inc. Announces New Nurse Practitioner

Hamilton Center, Inc. welcomes psychiatric nurse practitioner Kendall Coniglio, BSN, MSN, PMHNP, to the Parke and Vermillion satellite offices.
Ms. Coniglio completed a Bachelor of Science in Nursing in 1998 at Lakeview College of Nursing and went on to complete a Master of Science in Nursing at Indiana Wesleyan University. She is now a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP). Ms. Coniglio has experienced the nursing field from many levels, including through medical and psychiatric direct patient care, as a patient care coordinator and as director of nursing. After 20 years in the field she is experienced in direct patient care, de-escalation techniques, and consumer advocacy. She has served many populations including those with terminal illnesses as well as those who are incarcerated, while specializing in treatment for those with mental illness.
Hamilton Center, Inc. is a regional behavioral health system in Central and West Central Indiana with corporate offices located in Terre Haute, IN. Services are provided to children, youth and adults, with specialized programs for expectant mothers, infants, and people who may be struggling with stress, life changes, or relationship issues as well as more serious problems such as depression, anxiety disorders, and serious mental illnesses.
For information on Hamilton Center Services call (800) 742-0787.

Another Hamilton Center Employee Celebrates 40 Years

Hamilton Center, Inc. recognizes Rhoda Lamb for her 40 years of service to the organization and the community.

Ms. Lamb started with the organization in 1979 and has since served as a program assistant for several departments in the organization including community support services, group homes, and currently, 24-hour services and outpatient services. In forty years she has often been the first Hamilton Center staff to engage with consumers, taking great care to deliver quality, compassionate, and comprehensive care to those in need of services. In 1988 she was recognized by the organization as an outstanding staff member for her commitment to consumers and the communities mental and behavioral health needs.

“Ms. Lamb is a matriarch of the Hamilton Center organization with great empathy for those in need,” said Melvin Burks, CEO of Hamilton Center. “Hamilton Center, Inc. staff, leadership, and the board of directors thanks Ms. Lamb for her unwavering commitment to consumers, the organization, and the community” he added.

Hamilton Center, Inc. is a regional behavioral health system in Central and West Central Indiana with corporate offices located in Terre Haute, IN. Services are provided to children, youth and adults, with specialized programs for expectant mothers, infants, and people who may be struggling with stress, life changes, or relationship issues as well as more serious problems such as depression, anxiety disorders, and serious mental illnesses.

For information on Hamilton Center Services call (800) 742-0787.

Hamilton Center Shows Support for Community Youth

“We Live!” event provides 500 school supplies.

Terre Haute, IN- Saturday July 27, 2019 Hamilton Center, Inc. hosted the 3rd annual “We Live!” back-to-school bash from 11 a.m. to 2 p.m. at Herz-Rose Park, located at 1515 Locust St. in Terre Haute, IN.
The event offered free food, information on community resources, and other fun activities like games, music, giveaways, and bounce houses. In addition, a 3-on-3 basketball tournament for kids ages 13 to 15 was included. Lastly, the event featured the Outstanding Community Member Awards, recognizing individuals for their strong community service.
Hamilton Center, with the support of community partners like First Farmers Bank and Trust, provided free school supplies for over 500 kids including folders, pencils, tissues, erasers, and much more.
“The focus of this event is to let the youth of our community know that they matter and that their life has great value,” said Melvin L. Burks, CEO of Hamilton Center, Inc. “Hamilton Center appreciates the continued support of all our community partners who help us provide this fun and educational day for the Rose Park neighborhood.”
Dr. Frank Draper was recognized as one of the event’s 2019 Outstanding Community Member recipients. Originally from South Bend, Dr. Draper moved to Terre Haute to attend Indiana State University where he completed a bachelors, two masters, and a doctorate in education in 1976. He was a professor at the College of Health and Human Services at ISU from 1969 to 2005, and head coach of the cross country team from 1973 to 1979. As a public servant he has lead organizations like the Indiana State Civil Rights Commission and the Board of the Indiana Black Expo where he advocated for social justice and equality.
Sheriff John Plasse was also recognized as one of the 2019 Outstanding Community Member recipients. As a member of the 38th Infantry Division of the Army National Guard he has acquired several awards in recognition of his bravery, service achievements, and marksmanship. After 10 years as a lieutenant with the Terre Haute Police Department, Sheriff Plasse was elected in 2018 to the Vigo County Sheriff’s Department. Sheriff Plasse currently serves on the board of several community organizations including Hamilton Center, Inc., The Terre Haute Boys and Girls Club, and The Happiness Bag.
Hamilton Center, Inc. is a regional behavioral health system in Central and West Central Indiana with corporate offices located in Terre Haute, Ind. Services are provided to children, youth and adults, with specialized programs for expectant mothers, infants, and people who may be struggling with stress, life changes, or relationship issues as well as more serious problems such as depression, anxiety disorders, and serious mental illnesses. For more information about Hamilton Center, visit www.hamiltoncenter.org or call 812-231-8323.

Hamilton Center holds Annual Employee Kick-off

Event features former NFL Standout, Tony McGee

July 19, 2019, Terre Haute, IN- Hamilton Center, Inc. hosted its annual Employee Kick-off on Friday July 19 from 7:00 a.m. to 12:00 p.m. at Tilson Auditorium on the campus of Indiana State University. The event, in its 8th consecutive year, celebrated Hamilton Center staff and the start of a new fiscal year, all while showing support to local businesses. Special guest speaker Tony McGee, a Terre Haute native and former NFL football player, was present to deliver a message of community service, leadership, and being the best you can be.
Hamilton Center, Inc. staff were out in force to take over downtown Terre Haute and eight area restaurants by wearing bright orange shirts. Downtown looked like a “sea of orange”, said an observer.
After enjoying fellowship and a hearty breakfast a “sea of orange” converged on Tilson Auditorium. Mr. Melvin L. Burks, Hamilton Center’s CEO was the MC for the event; prizes were handed out to well-deserved staff.
“The Employee Kick-off is meant to show appreciation to all Hamilton Center staff and the board of directors, by acknowledging their hard work in serving our consumers” said Melvin L. Burks. “Our staff put their heart and soul into our communities and this event is just one way to show them how grateful I am for their efforts,” he added.
Guest speaker Tony McGee attended Terre Haute South Vigo High School and was a standout athlete in both basketball and football. He later played football as a tight end at the University of Michigan, the Cincinnati Bengals, and the Dallas Cowboys. After retiring from the NFL he started a career as an entrepreneur and began to give back to the communities from which he came. He was invited to the event to share his story of struggle, success, and leadership. He offered sentiments of appreciation to over 500 Hamilton Center employees in attendance for their unwavering service and commitment to their communities.
“I am proud of the Hamilton Center and all of their efforts to serve communities across west central Indiana,” said McGee. “Their unique programs, like the Mentor Program, work to serve underprivileged populations by offering guidance and mentorship- something which I was fortunate enough to have benefitted from in my youth.”
Hamilton Center, Inc. is a regional behavioral health system in Central and West Central Indiana with corporate offices located in Terre Haute, Ind. Services are provided to children, youth and adults, with specialized programs for expectant mothers, infants, and people who may be struggling with stress, life changes, or relationship issues as well as more serious problems such as depression, anxiety disorders, and serious mental illnesses. For more information about Hamilton Center, visit www.hamiltoncenter.org or call 812-231-8323.

Hamilton Center Foundation distributes over $14,000 to Hamilton Center Inc.

Mini grant program funds a diverse group of programs

Hamilton Center Foundation Inc. is pleased to announce the distribution of $14, 574 to 15 programs reaching a ten county area. The distribution was made during a reception and media event July 15, 2019. Hamilton Center staff and Foundation Board members were present. Programs funded included:
o Healthy Families (Vigo, Sullivan and Greene counties): $1,000 for safety products and educational materials for parents of infants
o Vigo County Child & Adolescent Services (including West Terre Haute): $1,000 for summer activities for children in services
o Vigo County Adult Services: $1000 for implementation of an evidenced based psychotherapy treatment for those who have experienced trauma
o Vigo County Addiction Services: $1000 for educational materials and supplies for a parenting group
o Vigo County Primary Care Services: $1000 for appointment fees for those without an ability to pay
o Hendricks County: $1458 for summer activities for under served youth
o Clay County: $750 for materials to support Matrix (substance use disorder) groups
o Greene County/Linton: $1000 support for critical basic needs
o Sullivan County: $1000 support for critical basic needs
o Parke & Vermillion county (and entire service area): $1000 for hiking/outdoor equipment to start a hiking group two times per month
o Putnam County: $750 for materials to support Matrix (substance use disorder) groups
o Greene County/Bloomfield: $812 for materials to begin a relapse prevention substance abuse group
o Owen County: $804 for play equipment for play therapy
o All counties/Central and West Central Indiana: $1000 to assist clients in paying the initial fees required to secure health insurance, $1000 for a community wide campaign/event focused at suicide prevention, and $1000 hiking/outdoor equipment to start a hiking groups
“We are grateful to the financial support the Foundation has given our organization,” said Melvin L. Burks, CEO of Hamilton Center. “ The money will enhance several of our services, “ he said.
“This is exactly the kind of funding that the Foundation is well positioned to distribute,” said Margie Anshutz, President of Hamilton Center Foundation and Chief Development Officer at Hamilton Center. “Hamilton Center has been successful in obtaining grants, but those grants can be very prescriptive in focus. Foundation funds can be allocated to areas of need identified by the organization,” she said.
“A relatively small amount of money can have great impact on these programs,” said Bob Rhodes, Foundation Chair. “The Foundation is grateful for the impact these services make in our community,” he said.
The mission of the Foundation is to strengthen the community by providing consistent and lasting support to Hamilton Center, as it provides the highest quality behavioral healthcare and wellness services in Indiana. People are encouraged to give to the Foundation to ensure a strong mental health system is available in central and west central Indiana in perpetuity. To give, go to www.hamiltoncenterfoundation.org or call (812) 231-8416.

Hamilton Center, Inc. is a regional behavioral health system in central and west central Indiana. The organization provides behavioral health, addiction and other support services to 13,000 consumers a year in a 10 county area. Hamilton Center employs 550 staff including physicians, nurses, social workers, therapists, case managers among others.

Kids and families invited to “We Live!” back-to-school bash

On Saturday, July 27, kids and families are invited to Rose Park in Terre Haute for the annual “We Live!” back-to-school bash, presented by Hamilton Center, Inc., and sponsored by First Farmers Bank & Trust.
The free event will feature lots of fun activities for children, including games, giveaways, bounce houses, and a 3-on-3 basketball tournament, as well as live music and free food. Several community partners will also be on hand to provide information on resources that are available in our community, such as healthcare navigation services and information on after-school programming.
“Our focus for the event is to offer the youth in our community, particularly the Rose Park area, an opportunity to feel valued, motivated, determined and receive some educational information. We want them to know that they matter,” said Melvin L. Burks, CEO of Hamilton Center, Inc. “Hamilton Center appreciates all the community organizations who have partnered with us to provide a fun and educational day for the Rose Park neighborhood.”
“We Live!” will take place on Saturday, July 27, from 11 a.m. to 2 p.m. at Rose Park, 1515 Locust Street in Terre Haute. Registration is requested, and those who register will be entered into a drawing to win prizes on the day of the event. To register, visit www.weliveterrehaute.com. For more information about the event, contact Tatu Brown at 812-231-8107 or tbrown@hamiltoncenter.org.
Hamilton Center, Inc. is a regional behavioral health system in Central and West Central Indiana with corporate offices located in Terre Haute, Ind. Services are provided to children, youth and adults, with specialized programs for expectant mothers, infants, and people who may be struggling with stress, life changes, or relationship issues as well as more serious problems such as depression, anxiety disorders, and serious mental illnesses. For more information about Hamilton Center, visit www.hamiltoncenter.org or call 812-231-8323.

Hamilton Center Receives DMHA Grant

Starts “The Life Project” to Serve Transitioned Aged Youth

Hamilton Center has been awarded a 2-year, $220,000 grant by the Division of Mental Health and Addiction (DMHA) to provide a new program for transitioned aged youth. The program entitled “The Life Project” will teach daily living skills to youth ages 14 to 26 years who reside in Vigo, Clay, and Sullivan counties. These group-based services will support the growth of independent living skills, employment, and interpersonal skills.
According to the Indiana Youth Institute’s Kids Count in Indiana 2019 Data Book, one in three high school students have reported feeling sad or hopeless in the past year. Adolescents with mental illness are at higher risk of participating in substance abuse, unprotected sex, and other high-risk behaviors. Additionally, Indiana has the highest rate in the nation of teens who have considered suicide in the past year- 19.8 percent or 1 in 5. Furthermore, Vigo, Clay, and Sullivan counties exhibit higher percentages in the following areas than the state average: unemployment, children in poverty, single-parent household, and Children In Need of Services (CHINS).
Sabrina Harroll, will serve as the Grant Facilitator for The Life Project. Overseeing the program will be Stacie Amerman, Program Manager, and Anastasia Godsey, LMHC, Director of Child and Adolescent Services at Hamilton Center. Daily living skills groups will be provided and cover a variety of topics including budgeting, home maintenance, hygiene, and cooking. Hamilton Center is expected to begin accepting referrals for The Life Project in July 2019. Any youth, ages 14-26 years old, are eligible to apply. Groups for The Life Project are anticipated to begin late summer 2019.
Hamilton Center, Inc. is a regional behavioral health system in Central and West Central Indiana with corporate offices located in Terre Haute, IN. Services are provided to children, youth and adults, with specialized programs for expectant mothers, infants, and people who may be struggling with stress, life changes, or relationship issues as well as more serious problems such as depression, anxiety disorders, and serious mental illnesses.
For questions regarding the The Life Project please contact, Grant Facilitator, Sabrina Harroll at (812)-231-8328, or email her at sharrol@hamiltoncenter.org.

Hamilton Center Celebrates 40-year Employee

Hamilton Center, Inc. recognizes Virgil Macke, LCSW, for his 40 years of service to the organization and the community.
Mr. Macke graduated from Illinois State University with a bachelor of arts in psychology and later went on to complete a Master of Social Work from the University of Illinois in Champaign, Illinois. Today, as a licensed clinical social worker he provides individual and group therapy, as well as crisis intervention, for adults with a serious mental illness.
Since 1999, Mr. Macke has developed and implemented several programs designed specifically to combat recidivism in our community and increase the delivery of behavioral health services to individuals involved in the court systems. Several diversion programs have been developed through his work. The Misdemeanor Psychiatric Assertive Identification and Referral (P.A.I.R.) program works with local officials to divert those with mental illnesses and/or substance use disorders who have been arrested for a misdemeanor from jail to treatment programs. Similar programs were developed for those with adults with felonies and for those juveniles involved in the court system. Hamilton Center, Inc. staff, leadership, and the board of directors thanks Mr. Macke for his tireless efforts to combat recidivism and serve the communities behavioral health needs.
Hamilton Center, Inc. is a regional behavioral health system in Central and West Central Indiana with corporate offices located in Terre Haute, IN. Services are provided to children, youth and adults, with specialized programs for expectant mothers, infants, and people who may be struggling with stress, life changes, or relationship issues as well as more serious problems such as depression, anxiety disorders, and serious mental illnesses.
For information on Hamilton Center Services call (800) 742-0787.