IACP and TASC Announce National Initiative to Combat the U.S. Opioid Epidemic and Mainstream Pre-Arrest Diversion Programs

(Chicago)  – The International Association of Chiefs of Police (IACP) and Treatment Alternatives for Safe Communities (TASC) have come together to promote an initiative to create robust alternative-to-arrest diversion programs for state, county, and local law enforcement agencies across the United States, in line with the White House announcement responding to the national opioid emergency.

The IACP/TASC collaboration seeks to greatly improve the means, ease, and speed with which law enforcement can partner with substance use and mental health treatment providers so that police can help people in need access treatment as rapidly as possible. This collaboration is particularly timely given the announced national opioid epidemic emergency. For example, “Naloxone Plus” models are specially designed for law enforcement and treatment partnerships to prevent future overdose deaths.

“At this critical time for our communities, law enforcement efforts to connect people with drug treatment could not have greater urgency,” said IACP President Donald De Lucca, chief of the Doral, Florida, Police Department. “Law enforcement officers, working side-by-side with treatment providers and community, will together help form the solution.”

To launch this effort, IACP and TASC will work through the Police, Treatment, and Community (PTAC) Collaborative, the first national effort to build a multi-disciplinary approach that ensures law enforcement, treatment professionals, and community members collaborate as equal partners to reduce crime in the United States.

The IACP and TASC initiative will: 1) identify the many variations on the concept of diversion across the United States, pinpointing programs with the most promising and measurable outcomes; 2) launch a significant nationwide pilot implementation approach using the identified promising models; 3) leverage the resources of the IACP Center for Police Research and Policy at the University of Cincinnati to measure and evaluate the results of the pilot implementation to ensure an evidenced-based approach; and 4) launch one of the largest pre-arrest diversion initiatives in the United States, seeking a sea change in policing (and justice) practices.

While diversion to treatment is not a new concept, this initiative adds a critical element that’s been missing: a dynamic and sustainable partnership that brings together TASC’s expertise in evidence-based responses to substance use and mental health disorders, along with IACP’s expansive and knowledgeable law enforcement network.

“We know from four decades of research and experience that formal connections to treatment can improve access and outcomes,” said Pam Rodriguez, president and CEO of TASC. “Across the U.S., prisoner reentry programs, court intervention programs, and prosecutorial diversion programs have proven successful for decades. Their lessons can be applied even earlier in the justice system—ideally before people even enter it.”

“This initiative can yield value across the U.S., including safer communities, healthier families, and officers returning home safely from duty,” said De Lucca.

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About TASC

TASC, Inc. has a 40-year history of bridging justice systems and community-based substance use treatment programs. Offering direct services to more than 20,000 people annually in Illinois, TASC works in partnership with law enforcement, courts, prisons, child welfare programs, and community-based service providers to implement evidence-based services that increase health and reduce recidivism.

About the IACP

The International Association of Chiefs of Police (IACP) is a professional association for law enforcement worldwide. For more than 120 years, the IACP has been launching internationally acclaimed programs, speaking on behalf of law enforcement, conducting groundbreaking research, and providing exemplary programs and services to members across the globe.

Today, the IACP continues to be recognized as a leader in these areas. By maximizing the collective efforts of the membership, IACP actively supports law enforcement through advocacy, outreach, education, and programs. Through ongoing strategic partnerships across the public safety spectrum, the IACP provides members with resources and support in all aspects of law enforcement policy and operations. These tools help members perform their jobs effectively, efficiently, and safely while also educating the public on the role of law enforcement to help build sustainable community relations.

About PTAC

 The Police, Treatment and Community Collaborative (PTAC Collaborative) was launched in April 2017 with a mission to strategically widen community behavioral health and social service options available through law enforcement diversion. The purpose of the PTAC Collaborative is to provide national vision, leadership, voice, and action to reframe the relationship between law enforcement, treatment, and community. PTAC promotes the development and dissemination of a wide variety of pre-arrest diversion efforts, not limited to any single approach. PTAC seeks to avoid issues of racial disparity in practice as pre-arrest diversion initiatives grow across the country. We welcome the participation of representatives from law enforcement and other criminal justice entities, behavioral health, research, community, advocacy and related organizations in any of the strategic areas.

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TASC 2016 Awards Luncheon Honors Civic and Philanthropic Leaders

(Chicago) – Business leaders, government officials, service providers, and community partners were among the more than 300 guests who filled the ballroom of the Westin Michigan Avenue on December 14 as TASC presented its 2016 Leadership Awards to The Chicago Reporter and John Kaul Greene.

Several past honorees—Congressman Danny Davis, Cook County Sheriff Tom Dart, attorney and former Cook County State’s Attorney Dick Devine, attorney and former Illinois Appellate Judge Gino DiVito, and recently retired WGN news anchor Robert Jordan—were on hand to congratulate the 2016 award recipients and celebrate TASC’s 40-year anniversary.

Justice Leadership Award

In presenting TASC’s 2016 Justice Leadership Award to Susan Smith Richardson, editor and publisher of The Chicago Reporter, TASC President Pam Rodriguez observed, “We know that the landscape of journalism has changed dramatically in the last several years. In this environment, quality journalism is a gift and a necessity for a free society.

The Reporter has explored the racial inequities in state and federal drug laws, and the complexities of undoing the damage of those laws,” Rodriguez said. “They have explored the links between poverty and incarceration, including the importance of repairing the cash bail system. They have reported extensively on the juvenile justice system in Illinois, and their reports have helped to inform policies that have significantly reduced our juvenile justice population.”

“Good journalism can help connect us to one another as a community, and it helps us to make informed decisions,” she said.

“I want to thank Pam for describing exactly why journalism in the public interest is important,” said Richardson in accepting the award, also crediting the founders and staff of The Chicago Reporter, as well as the Community Renewal Society with which it is aligned. She emphasized the importance of facts, figures, and numbers in measuring the city’s progress toward racial equality.

“What we hope we can do in this din, where facts are up for grabs, and certainly truth is always up for dispute, is to consistently pound away… using data, using rigorous reporting to be able to document what is actually happening in this community. We want to tell those stories.”

Public Voice Leadership Award

TASC Executive Vice President Peter Palanca spoke of the recently released Surgeon General’s Report on Alcohol Drugs and Health, which highlights the importance of diverting people to treatment, delivering evidence-based care, and enhancing the coordination of care and sustained recovery.

“Our work is as important and relevant today as it was 40 years ago,” said Palanca. More than 27 million people report misusing drugs, and 66 million report binge drinking. But only 10 percent get the help they need.

“It takes all of us to create communities of support for those we serve,” Palanca said, recognizing the diversity of public sector and private sector partners in the room. He praised TASC’s 2016 Public Voice Award honoree, John Kaul Greene, as “a man who cares deeply about doing the right thing, and about making our world a better place.

“John Greene is a husband, father, mentor, scholar, and a gentleman in every sense of the word. He is a longtime and consistent advocate for the work that brings us together today.”

Greene built businesses in Europe and Chicago for William Blair & Company before retiring as a partner in 2004. Among his many volunteer endeavors, he served on the board of a prominent addiction treatment organization when he met Palanca.

“It is through Peter Palanca that I have come to understand more about TASC, and what a significant role it plays in helping the most needy with addictive problems,” said Greene.

“My strongest impression of TASC is that you are down there in the trenches working with people who need it most… Through seeing your work, and in my own life, I have witnessed what can happen when you plant the seeds of recovery. For each person you help today, you are also helping his or her family members, friends, neighbors, future employers, and fellow citizens.”

40 Years and Looking Forward

“TASC is celebrating its 40th birthday this year,” noted TASC Board Chair Cecil Curtwright, associate vice provost at the University of Illinois at Chicago. “It is my belief that TASC is just entering its prime. It is still a young organization… always reinventing and coming up with new ideas.”

TASC’s 2016 event helped raise funds for the Supportive Release Center, a new initiative that will provide immediate connections to services for individuals in need who are leaving the Cook County Jail. A collaborative effort between TASC, the Cook County Sheriff’s Office, Heartland Health Outreach, and The University of Chicago Urban Labs through their Health Innovations Award, the SRC also has received support from several Chicago-area foundations and will open in 2017.

Curtwright offered special appreciation to the event’s 2016 presenting sponsor, PBC Advisors, and elite sponsor, Alkermes, as well as select sponsors John Kaul Greene, Janssen, Bill and Lezlie O’Donnell, William Blair, and Yes Lifecycle Marketing. He thanked sponsors at all levels, as well as this year’s event chair, John Zielinski, who helped ensure that this year’s event was the most successful ever.

“TASC remains committed to advocating for our clients and to improving the systems in which they are involved, no matter where, no matter when, and no matter what,” said Rodriguez. “And we have all of you—old friends and new—working beside us, inspiring new ideas and innovation.

“We are all leaders in this work, and we are all necessary in this work, and because of what I know about all of you, I remain hopeful and optimistic as we encounter the changes and opportunities that lie ahead.”

Founded in Illinois in 1976, TASC (Treatment Alternatives for Safe Communities) offers programs and promotes public policies that divert people who have substance use and mental health conditions out of the justice system and into recovery in the community.

TASC presents its 2016 Justice Leadership Award to the Chicago Reporter. Left to right: Peter Palanca, TASC; Susan Smith, The Chicago Reporter; Pam Rodriguez, TASC; Rev. Curtiss DeYoung, Community Renewal Society

TASC presents its 2016 Justice Leadership Award to the Chicago Reporter. Left to right: Peter Palanca, TASC; Susan Smith Richardson, The Chicago Reporter; Pam Rodriguez, TASC; Rev. Curtiss DeYoung, Community Renewal Society.

 

John Kaul Greene (center right) accepts TASC's 2016 Public Voice Leadership Award from (left to right): TASC Board Chair Cecil Curtwright, TASC President Pam Rodriguez, and TASC Executive VP Peter Palanca

John Kaul Greene (center right) accepts TASC’s 2016 Public Voice Leadership Award. Left to right: TASC Board Chair Cecil Curtwright; Pam Rodriguez, TASC; John Greene; Peter Palanca, TASC.

The Chicago Reporter and John Kaul Greene to Receive TASC’s 2016 Leadership Awards

(Chicago) — TASC is pleased to announce that it will present its 2016 Leadership Awards to The Chicago Reporter and John Kaul Greene at the agency’s annual luncheon on December 14.

TASC’s Justice Leadership Award will be presented to Susan Smith Richardson, editor and publisher of The Chicago Reporter, an award-winning online news organization and program of the Community Renewal Society.

Susan Smith Richardson, Editor and Publisher, The Chicago Reporter

Susan Smith Richardson, Editor and Publisher, The Chicago Reporter

“The Chicago Reporter consistently gives voice to issues that deeply affect TASC clients, our communities, and society at large,” said TASC President Pam Rodriguez. “To succeed in addressing pervasive challenges such as poverty and injustice, we must be able to tell the truth about what’s happening. The Chicago Reporter helps tell that truth.”

2016 TASC Public Voice Leadership Award Honoree John Kaul Greene

2016 TASC Public Voice Leadership Award Honoree
John Kaul Greene

TASC’s 2016 TASC Public Voice Leadership Award honoree is John Kaul Greene, a lifelong civic leader and philanthropist whose respected voice has helped to reduce the quiet stigma that families face when confronted with addiction and mental health challenges. Greene initiated and led new businesses for William Blair & Company in Europe and Chicago, retiring as a partner in 2004.

“John is a leader who has helped elevate the conversation around issues of health and recovery,” said TASC Executive Vice President Peter Palanca. “He has helped countless families to and through the winding roads of recovery, and he is a powerful champion for the work we do.”

TASC’s luncheon will take place at the Westin Michigan Avenue on Wednesday, December 14 from 11:30 AM to 1:30 PM. Please visit tasc.org for tickets and sponsorship opportunities.

International Policy Experts Visit TASC, Explore Alternatives to Incarceration

(Chicago) – Highlighting the value of evidence-based alternatives to incarceration for people with substance use disorders, TASC hosted a three-day visit last week of representatives from the White House Office of National Drug Control Policy (ONDCP), the U.S. State Department, the Organization of American States, and the judiciary of India.

Through conversations and site visits with justice and service partners in Cook and Lake counties, the visit highlighted the necessity of coordinated linkages between public health and justice systems.

In Illinois, TASC serves some 27,000 people each year by serving as a bridge between public systems and health services in the community.

“By the nature of what we do at TASC, and by the very definition of case management, we know that we cannot do our work alone,” said TASC President Pam Rodriguez. “Our successes come about through the combined efforts of partners who design and implement sound policies and practices every day.”

Partnerships highlighted during last week’s visit included prosecutorial diversion programs led by the Cook County State’s Attorney’s Office; strategies led by the Cook County Public Defender’s Office; Lake County’s A Way Out initiative organized by police, prosecutors, and the health department; Medicaid enrollment, treatment, and continuity of care at the point of release from jail, led by the Cook County Department of Corrections; alternative sentencing and problem-solving courts within the criminal division of the Circuit Court of Cook County; and community-based treatment, along with TASC case management.

The purpose of the visit was to highlight core components and strategies of successful alternatives to incarceration for people with substance use disorders. The team of visitors included Charlotte A. Sisson, senior foreign affairs officer with the Bureau of International Narcotics and Law Enforcement Affairs (INL) at the U.S. Department of State; Richard Baum, international division director with ONDCP; Antonio Lomba, acting chief of the Institutional Strengthening and Policy Coordination Section with the Organization of American States; and Chritharth Palli, law clerk to Justice T.S.Thakur, 43rd Chief Justice of India. Melody M. Heaps, president of MMH & Associates, worked closely with Rodriguez and TASC leaders to plan the visit.

For more than a decade, TASC has worked with federal and international partners to promote community-based systems of addiction recovery around the world. Through the leadership and support of INL, TASC Vice President George Williams has led curriculum development and week-long training events provided by TASC teams in South Africa, the Philippines, Sri Lanka, and Thailand. Rodriguez and Williams direct TASC’s international activities, working alongside partners at INL, ONDCP, the United Nations Office of Drugs and Crime, the Colombo Plan, and MMH & Associates.

Together, these entities share the goal of reducing substance use disorders and their consequences worldwide.

Rodriguez noted that local strategies and successes can elevate conversations at national and international levels. “We are grateful for the tremendous partnerships in Cook and Lake counties that showcase what system-wide interventions can do,” said Rodriguez. “It is gratifying to know that our work here can have an impact for families and communities around the world.”

TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Charlotte Sisson, U.S. State Dept.; George Williams, TASC; Richard Baum, White House Office of National Drug Control Policy; Antonio Lomba, Organization of American States; Chritharth Palli, India judiciary; Pamela F. Rodriguez, TASC; Dr. Nneka Jones-Tapia, Cook County Dept. of Corrections; Melody M Heaps, MMH & Associates

Sept. 14-16, 2016: TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Charlotte Sisson, U.S. State Dept.; George Williams, TASC; Richard Baum, White House Office of National Drug Control Policy; Chritharth Palli, India judiciary; Pam Rodriguez, TASC; Dr. Nneka Jones-Tapia, Cook County Dept. of Corrections; Melody M. Heaps, MMH & Associates; Antonio Lomba, Organization of American States.

 

TASC President Pam Rodriguez (center) describes the roles of case management in connecting justice systems to services in the community.

TASC President Pam Rodriguez (center) describes the roles of case management in connecting justice systems to services in the community.

Fundamentals of Alternatives to Incarceration

(Chicago) – In the United States, the majority of people who come into the criminal justice system have a substance use problem, which is a treatable health condition. As a response to non-violent offenses related to drug use and addiction, there are many alternatives to incarceration that are more effective and less expensive than keeping people behind bars.

“Program models are not enough,” said TASC President Pam Rodriguez. “What’s much harder to sustain—but what’s necessary if we want to achieve real impact—are whole systems where justice partners and health services in the community work together by design.

“Too often,” she added, “the justice system is the first place where people have a chance to get drug treatment and other health services. Adequate health services must be available in the community far before people reach the point of incarceration.”

For cash-strained governments, overburdened justice systems, and communities and families suffering the consequences of addiction, alternative sanctions for non-violent, drug-related offenses make sense.

First, incarceration is costly. In Illinois, it costs an average of $38,000 to keep someone in prison for a year. A single day in the Cook County Jail costs an average of $143, and even more in the segment of the jail that detains people with serious mental illness.

To borrow a term from the medical field, incarceration is iatrogenic, meaning that in and of itself it is harmful. Incarceration usually leaves people worse off—in terms of recidivism risk, job and family disruption, financial destabilization, and more—than when they went in. Even three days in jail has deleterious consequences.

Furthermore, without intervene early on, there are costs and consequences of a criminal conviction that last far beyond the period of incarceration or probation. The American Bar Association keeps a record of these consequences in each state.

Like other chronic health conditions, substance use disorders are treatable. It is estimated that 23 million people in the United States once had an alcohol or drug problem and no longer do.

Among individuals with a drug problem who were sent to TASC’s court and probation services, there was a 71 percent reduction in arrests for drug and property crimes over a two-year period after program enrollment.

“We know that addiction is treatable,” said Rodriguez. “We know that incarceration is expensive and iatrogenic. We also know that there are effective alternatives to incarceration. For these reasons and more, it makes sense to divert eligible individuals with substance use problems out of the justice system and into treatment and recovery support services in the community.”

There are numerous evidence-based practices and policies for preventing and stopping cycles of drug use and crime. The National Institute on Drug Abuse, the Institute of Behavioral Research at Texas Christian University, and TASC’s Center for Health and Justice are among many entities that publish and promote what works.

“What we know from extensive research and experience is that interventions must be matched to individuals’ risks for reoffending and their clinical needs,” said Rodriguez. “Mismatched interventions—such as the wrong level of care or supervision—not only waste resources, but actually can have the opposite of the intended effect.”

Sept. 14-16, 2016: TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Antonio Lomba, Organization of American States; Chritharth Palli, India judiciary; Melody M Heaps, MMH & Associates; Pamela F. Rodriguez, TASC; Charlotte Sisson, U.S. State Dept.; Richard Baum, White House Office of National Drug Control Policy

Sept. 14-16, 2016: TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Antonio Lomba, Organization of American States; Chritharth Palli, India judiciary; Melody M. Heaps, MMH & Associates; Pam Rodriguez, TASC; Charlotte Sisson, U.S. State Dept.; Richard Baum, White House Office of National Drug Control Policy.

TASC Consulting Supports New White House Data-Driven Justice Initiative

(Chicago) – On June 30, the White House launched the Data-Driven Justice Initiative with a bipartisan coalition of 67 city, county, and state governments who have committed to using data-driven strategies to divert low-level offenders with mental illness out of the criminal justice system. Coalition participants are changing approaches to pretrial incarceration so that people with lower-level charges no longer stay in jail simply because they cannot afford a bond.

These innovative strategies, which have measurably reduced jail populations in several communities, help stabilize individuals and families, better serve communities, and often save money in the process.

“The Data-Driven Justice communities are leading by example by committing to adopt these proven strategies that reduce unnecessary arrests and incarceration. These approaches provide much needed stability to individuals and families, and make our communities stronger while saving taxpayer dollars,” ‎said DJ Patil, U.S. Chief Data Scientist.

To help advance these efforts, TASC responded to the White House’s call to action and will provide telephone and on-site consulting to several jurisdictions within the coalition that are developing data-driven diversion practices.

“We are thrilled to be working with the White House and with partners across the country to support good diversion policies and practices, based on the evidence of what works,” said TASC President Pam Rodriguez.

The DDJ communities will implement the following strategies that have proven to be effective in reducing unnecessary incarceration in jails:

  • Use data to identify and proactively break the cycle of incarceration. DDJ communities will bring data together from across criminal justice and health systems to identify the individuals with the highest number of contacts with police, ambulance, emergency departments, and other services, and link them to health, behavioral health, and social services in the community, with a goal of reducing over-reliance on emergency healthcare and encounters with the criminal justice system.
  • Equip law enforcement and first responders with the tools they need to respond and divert. Recognizing that police officers, emergency medical technicians (EMTs), and firefighters are often front-line responders to people experiencing mental health crises, DDJ communities will create systems and protocols to help effectively de-escalate crisis situations and safely divert people to the appropriate service providers instead of arresting them.
  • Use data-driven, validated, pretrial risk assessment tools to inform pretrial release decisions. DDJ communities will work towards using objective, data-driven, validated risk-assessment tools to identify low-risk defendants held in jail and identify opportunities for their safe release.

“Just as the power of ‘big data’ is being used in the private sector to have greater insight and impact than ever before on their decision making, so too is it the right time for it be put to use by criminal justice decision makers for the same reasons,” said Jac Charlier, who directs training and consulting services for the Center for Health and Justice at TASC. “The vision of safer communities and our citizens leading better lives is very compelling.”

Each year, more than 11 million people move through America’s 3,100 local jails, many on low-level, non-violent misdemeanors, costing local governments approximately $22 billion a year.

Leveraging the opportunities of Medicaid expansion, TASC and its Center for Health and Justice have been working with local, state, and national partners to develop and implement strategies to safely divert people out of the justice system as early as possible.

Maureen McDonnell, who directs healthcare strategies for TASC and provides consulting services nationally, sees the tremendous advances possible through such diversion strategies.

“Through coordinated efforts taking place within jurisdictions across the country, millions of people with substance use and mental health disorders ultimately can be diverted away from the front end of the justice system and into appropriate care in the community,” she said. “This is a very exciting time.”

(left to right): TASC’s Jac Charlier, Pam Rodriguez, and Maureen McDonnell participated in the Data-Driven Justice inaugural workshop at the White House on June 13.

(left to right): TASC’s Jac Charlier, Pam Rodriguez, and Maureen McDonnell participated in the Data-Driven Justice inaugural workshop at the White House on June 13.

Paths to Addiction Treatment Fraught With Barriers; Misinformed Expectations Can Set Up Disappointment

(Chicago) – For people in need of addiction treatment, and for families struggling to find help for a loved one, the barriers can be overwhelming.

Desperation can lead families to fall prey to unsavory treatment marketing practices, reported Alison Knopf in the June 13 edition of Alcoholism and Drug Abuse Weekly. The issue’s lead article describes how a Florida treatment center targets Illinois patients who have out-of-network insurance, which has no contract-based cost limitations.

TASC’s Peter Palanca was one of the experts quoted:

“These are predatory marketing tactics,” said Peter Palanca, executive vice president and chief operating officer of TASC, based in Chicago. “I don’t think there’s any question about that,” he told ADAW. “To prey on families who are scared to death, grasping at straws, terrified about their son or daughter dying” is wrong, he said.

Knopf also spoke with Illinois experts Kathie Kane-Willis, director of the Illinois Consortium on Drug Policy at Roosevelt University; Jud DeLoss, external counsel for the Illinois Alcoholism and Drug Dependence Association, and Phil Eaton, president and CEO of Rosecrance, all of whom expressed concern over certain business models and tactics that take advantage of uninformed consumers. The treatment center in Florida, for example, employs a full-time Midwest outreach coordinator, making Illinois the center’s main referral source.

“You shouldn’t have to get on a plane to get treatment,” advised TASC President Pam Rodriguez. “Recovery doesn’t happen magically in a program far away from home. It’s a long process involving changes in physiology, changes in behavior, changes in relationships, and changes in many other aspects of a person’s life. Ultimately, it happens day by day, in the community where people live and work and learn.”

Common barriers to entering treatment can be external influences, such as lack of access, funding, or time, or internal factors, such as stigma, depression, and personal beliefs. These barriers may be compounded by variables such as insurance coverage, geography, race and ethnicity, genderage, and other factors.

Misinformed expectations about treatment also contribute to people not getting to into treatment, or not getting the treatment that works for them, said Rodriguez.

The biggest misconception about treatment is that it’s going to magically fix you,” she said. “People often have wrong expectations about what’s going to happen as a result of going to treatment. You don’t go to treatment to get fixed. You go to treatment to learn entirely new ways to live your life. And that can be scary and difficult.

“You need to find treatment that feels right for you,” she added. “If your gut says it isn’t right, it probably isn’t. Just as with any other health issue, you might go through a few doctors before you find one that works for you. It’s the same with treatment.”

The Illinois Department of Human Services, Division of Alcoholism and Substance Abuse publishes a county-by-county list of substance use disorder treatment programs. Nationwide, call or visit the Substance Abuse and Mental Health Services Administration at 1-800-662-HELP.