The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County is responsible for the planning, funding and monitoring of public mental health and addiction treatment and recovery services delivered to the residents of Cuyahoga County. Under Ohio law, the ADAMHS Board is one of 50 Boards coordinating the public mental health and addiction treatment and recovery system in Ohio.

The Board is a quasi-independent part of county government, governed by a volunteer Board of Directors. The Board contracts with provider agencies to deliver services that assist clients on the road to recovery.

Mental Health Response Advisory Committee 2019 Report Submitted

In accordance with the Memorandum of Understanding between the City of Cleveland and the ADAMHS Board of Cuyahoga County, the Mental Health Response Advisory Committee (MHRAC) officially submitted the MHRAC 2019 Annual Report to the City of Cleveland and the ADAMHS Board of Cuyahoga County on January 31, 2020.

The Settlement Agreement between the City of Cleveland and the Department of Justice required that the MHRAC be developed by the City and the Cleveland Division of Police. The City selected the ADAMHS Board to assist with establishing and implementing the charge of the MHRAC.

Learn more about the MHRAC here.  

Health and Human Services Levy - Issue 33 

About Issue 33
In Cuyahoga County, the Health and Human Services levy sustains critical programming that helps ensure that children are safe, seniors have access to meals and in-home care, healthcare is accessible to all, and families in poverty are linked with programs that provide lifesaving services. One in three Cuyahoga County residents access Health and Human Services programs every year. Health and Human Services programs focus on healthcare access, mental health and addiction treatment, trauma services, and vital programs that serve children, seniors, and persons with disabilities.

On Tuesday, March 17, Cuyahoga County voters are being asked to VOTE YES on Issue 33, a replacement Health and Human Services levy of 4.7 mills. If passed, Issue 33 would increase the current millage rate of 3.9 mills by 0.8 mills and would be effective from 2021-2028.

On January 29, the ADAMHS Board of Directors voted unanimously to pass a resolution in support of Issue 33 - the Health and Human Services Levy.

Join us on Saturday, February 15 for the Yard Sign Assembly Party being held from 8:00 a.m. - noon at the Greater Cleveland Foodbank, 15500 S. Waterloo Road, Cleveland.

Health and Human Services Levy Resources:

Spring 2020 Training Institute

The ADAMHS Board offers trainings year-round to help behavioral health professionals earn necessary CEUs/RCHs. The following are this spring's workshops:

April 13: The Neurobiology of Substance Use Disorder/Addiction

April 27: Supervisory Toolbox

April 28: Addressing Homelessness: History and Clinical Implications in the United States

May 4: Ethical Slippery Slopes: From Good Intentions to Blurred Boundaries

May 11: Ethics for Professional Providing Prevention Services

May 15: Teen Depression and Suicide

June 12: What Does Sexual Orientation Orient? Working with LGBT+ Adolescents and Adults Beyond Coming Out

June 19: Overcoming Client Resistance

You can access the Spring 2020 Workshop Schedule here. Please be sure to read through the "important information" section on page one of the workshop schedule before registering for a training. More information about the Spring Training Institute can be found under the 'Education" tab.

First Responder Appreciation Week: May 3 - 9, 2020
2 Ways to Help Us Say THANK YOU!

May 3-9, 2020 is the statewide celebration of First Responder Appreciation Week to recognize first responders for their work on the opioid epidemic. We want to thank first responders for their care and compassion when responding to overdoses and administering Narcan to save lives. Here are the two ways you can participate:

 1. Individuals in recovery, family members, friends and others can write thank you cards to first responders. Free thank you cards are available to use, which can be picked up at the ADAMHS Board.

Once you're done writing cards, they can be sent to or dropped off at the ADAMHS Board so we can send them out during First Responder Appreciation Week. There will be a basket at the reception desk at the ADAMHS Board where you can drop them off. If you would like to mail them, please send to:

ADAMHS Board of Cuyahoga County
ATTN: Jake Rosebrock
2012 W. 25th Street, 6th Floor
Cleveland, OH 44113

Thank you cards are due by April 17.

 2. Are you in recovery from a substance use disorder? We are looking for twelve people in recovery to share a photo and short thank you message for a calendar that will be sent to police, fire and EMS stations across Cuyahoga County. By creating a calendar we can share thank you messages with first responders year-round!

Please send your photo, Calendar Thank You Message Form, and Photo Release Form (which can be downloaded here) to Please make sure you take your photo in front of a plain background and hold up a handwritten thank you sign.

Calendar thank you message submissions are due by March 6.

Sponsorship Opportunities for Upcoming Conference: Racial Disparity, Social Justice and the Opioid Crisis

The ADAMHS Board is supporting an upcoming conference that will address how the current opioid crisis is increasingly impacting communities of color. We invite you to support this conference with us! It is taking place April 17-18, 2020 at Case Western Reserve University. The sponsorship deadline in March 6, 2020.

You can view the sponsorship packages here.

Sponsorships can be purchased on Eventbrite here.

Conference registration is also now open and can be accessed here.

2020 Advocacy Action Agenda

The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County has develop and updates its Advocacy Action Agenda each year to guide its advocacy efforts. This agenda was developed with the overarching goal of promoting recovery of individuals living with mental illness and addictions by adopting and acting on the five Recovery Oriented System of Care principles:

  • Focusing on Clients and Families.
  • Ensuring Timely Access to Care.
  • Promoting Healthy, Safe, and Drug-Free Communities
  • Prioritizing Accountable and Outcome-Driven Financing
  • Locally Managing Systems of Care

The ADAMHS Board uses the Advocacy Action Agenda to develop messages to legislators, state agencies, policy makers, clients, providers and the community to advance important behavioral health issues. The 2020 Advocacy Action Agenda was approved by the Board at the General Board meeting on November 20, 2019.

Items on this agenda are in addition to the advocacy that the Board provides on a daily basis through its work of ensuring that mental health, addiction treatment and prevention services and supports are available to help children and adults reach recovery.

The Board also collaborates with other groups, such as the Mental Health Advocacy Coalition, NAMI and the Ohio Association of County Behavioral Health Authorities in promoting other advocacy efforts. Some items on the Advocacy Action Agenda may take higher priority at different times throughout the year.

Additional Funds for Grassroots Fentanyl Test Strip Distribution Program in 2020

Grassroots fentanyl test strip distribution will continue into 2020 with 60,000 more test strips being made available through funding from the County and ADAMHS Board. Fentanyl test strips are easy to use and can detect fentanyl in drug residue. Anyone using illicit drugs – heroin, cocaine, crack – can use these strips to see if the drugs they bought contain fentanyl and make an informed decision about using that drug. Learn more about fentanyl test strips and where to get them at Want to become a fentanyl test strip distribution site? Please contact Beth Zietlow-DeJesus, Director of External Affairs.

Fentanyl, a deadly synthetic opioid that is 50 times more powerful than morphine, is now being found in powdered and crack cocaine, meth and heroin. Fentanyl has also been found in illicit pills made to look like OxyContin and Xanax.

Fentanyl is the leading cause of drug overdoses and overdose deaths in Cuyahoga County. 

Naloxone is an opiate blocker (antagonist) that can reverse the effects of an opiate overdose. The ADAMHS Board encourages everyone in the community to carry naloxone. Free Narcan/Naloxone kits are available through Project DAWN.

If you know someone struggling with substance use, make sure they know about fentanyl test strips and Project DAWN. Help us share the message and save lives: "Your drugs may contain fentanyl. Test your drugs, never use alone and carry Naloxone/Narcan."

Are you or someone you know ready for help?
Call the 24-hour Suicide Prevention, Mental Health/Addiction Crisis, Information and Referral Hotline at 216-623-6888.

2020 Census

The 2020 Census is quickly approaching. The ADAMHS Board is working alongside community partners as part of the Hard to Count Communities subcommittee. It’s important that we get everyone in Cuyahoga County counted in the 2020 Census because there’s a lot of decisions made based on Census results. Did you know that the distribution of more than $675 billion in federal funds, grants and support to states, counties and communities are based on census data? That’s one reason why it’s important that we get everyone counted in the 2020 Census.
Click here  to learn more about the importance of the Census. Want to learn more about how you'll be asked to complete the Census? Click here.

24-Hour Suicide Prevention/Mental Health & Addiction Crisis Services

If you or someone you know is thinking about suicide call the 24-Hour Cuyahoga County Suicide Prevention Hotline operated by Frontline Service, Inc. at 216-623-6888.

24-hour Crisis Text "4HELP" to 741741. A live, trained crisis counselor will respond within five minutes. The crisis counselor helps you move from a hot moment to a cool calm to stay safe and healthy using effective active listening and suggested referrals – all through text message using Crisis Text Line’s secure platform. 

The Suicide Postvention Response Team serving Cuyahoga County responds to those most immediately affected by suicide loss. The team of volunteers will provide timely response to survivors, a listening ear and information about local resources available to survivors. 

FREE Online Behavioral Health Screenings - With Video Doctor!
The ADAMHS Board of Cuyahoga County is pleased to offer FREE and anonymous online screenings that feature Video Doctor (for depression and alcohol screenings), an online tool that simulates a conversation with a doctor and guides a person through a series of questions about his/her emotional well-being and readiness to seek help. Video Doctor launches after a person completes an online screening and scores positive for having symptoms of depression or alcohol abuse.

We offer the following screenings: 

     - Alcohol Addiction (with Video Doctor) 

     - Depression (with Video Doctor)

     - Bipolar Disorder

     - Eating Disorders

     - General Anxiety Disorder

     - Posttraumatic Stress Disorder

     - Brief Screen for Adolescent Depression

These screenings are anonymous and are not intended to be a diagnosis. The screening tools can help you identify signs that you or someone you know might have a mental health and/or addiction issue. The results only indicate that you may benefit from a professional consultation and services. 

Click this link to access the screening program:

Please Note: The online screening program is an education initiative of Screening for Mental Health, Inc. (SMH), and all screenings are informational, not diagnostic. The online screenings, like the paper and pencil screenings held on SMH national screening days, are conducted anonymously and diagnoses and treatment recommendations are not provided.  

Information on Opioid/Heroin Addiction and Help

Heroin is an opiate. Fentanyl and carfentanil are synthetic opioids. Opioids in all forms can be dangerous and are addictive. Anyone can become addicted and often times, heroin addiction begins with a prescription for painkillers. There were 722 overdose deaths in Cuyahoga County in 2017 and 551 in 2018. Opioid addiction is a brain disease that can lead to physical changes like depression, personality changes, respiratory and G.I. problems, and general infections. When the drug is ingested into the body, it lights up a feeling of euphoria in the brain, and works to mimic many of the body's systems. After a user's first time getting high, it takes a higher and higher dose to recreate the feeling.

Recovery from opioid addiction is possible. And, those in recovery from addiction often play a vital role in helping others who are living with substance use disorders, including heroin addiction. Medication Assisted Treatment is also successful in aiding with recovery from opioid addiction.

Individuals abusing opioids/heroin/fentanyl need professional help. There are detoxification and treatment programs available in Cuyahoga County: contact our 24-hour information and referral line at 216-623-6888, or visit our Finding Help page for a list of treatment providers. Talk to your primary care physician or even go to the hospital emergency room for help.

The first step to recovery is seeking help. From there, sticking to treatment and getting support are the most important things. Behavioral therapy, counseling, help with withdrawal symptoms - which can be important if the drug has done significant organ damage - is available.

Recovery Speakers Bureau If you are living in recovery from mental illness and/or addiction and would like to share your story as a Recovery Advocate, please complete this interest form.

Looking for a speaker about heroin addiction, treatment and recovery?

Contact Madison Greenspan, External Affairs Officer via email or phone: 216-241-3400 ext. 861.

Recovery is Beautiful

Ohio’s community mental health and addiction services system is in transition from a system that focuses on acute care to a Recovery Oriented System of Care (ROSC) that focuses on recovery management to help individuals not only get well, but stay well.

This transition is called Recovery is Beautiful. The ADAMHS Board of Cuyahoga County is the organization responsible for ensuring that this transition to the ROSC takes place in Cuyahoga County.

If you want to learn more about the ROSC
click here.  

Problem Gambling & Resources

The ADAMHS Board of Cuyahoga County provides Problem Gambling information, warning signs and community resources on its website.

Click here or the icon to the left to be directed to the Problem Gambling page.

Project DAWN (Deaths Avoided With Naloxone): Naloxone Saves Lives

The ADAMHS Board of Cuyahoga County supports MetroHealth's Project DAWN.

Naloxone is an opiate blocker (antagonist) that can reverse the effects of an opiate overdose. Overdose deaths are especially common after an individual has had a period of sobriety, such as immediately after detoxification, upon leaving residential treatment, or when leaving jail or prison.

Naloxone is easily given to an unconscious patient as a nasal spray. It will not harm someone who is not experiencing an overdose. However, it has no effect on those who overdose on cocaine, methamphetamines, or alcohol.

Free Naloxone Kits are available to a person addicted to heroin and/or friends and family on a walk-in basis at the following locations:

Cuyahoga County Board of Health, 5550 Venture Dr., Parma, OH 44130
Fridays, 9:00 a.m. to 12:00 p.m.

Circle Health Services (formerly The Free Medical Clinic of Greater Cleveland), 12201 Euclid Ave., Cleveland, OH 44106
Tuesdays, 12:00 p.m. to 4:00 p.m. and Fridays, 1:00 p.m. to 5:00 p.m.

Thomas F. McCafferty Center, 4242 Lorain Ave., Cleveland, OH 44113

Walk-in hours: Monday and Wednesday, 8 a.m. - 4:30 p.m.

City of Cleveland-EMS Headquarters, 1701 Lakeside Ave., Cleveland OH 44114 Monday through Friday, 9:00 a.m. to 4:00 p.m.

Ohio law contains a “Good Samaritan” clause that blankets prosecution of someone who gives naloxone to an overdosing person and then calls 9-1-1, even if the caller was using drugs, to eliminate the fear of calling for help. All first responders including police, firefighters and paramedics can also carry naloxone. Call 216-778-2100 for more information about Project DAWN.

Every person with opiate addiction and their families and friends should know about the potentially life-saving Project DAWN. Click here to download a Project DAWN flyer with contact information.

RX Drug Drop Program:

Click here to view a flyer about the Cuyahoga County Prescription Drug Drop-off Program. To find a drop-off site near you, visit

Parking at the ADAMHS Board: Free parking is available on a first-come, first-served basis. All visitors must check-in at the Parking Attendant Booth located in the lot directly behind the building on the east side of West 26th Street. 

Visitors are to inform the attendant that they are visiting the ADAMHS Board and will be directed to available parking spaces

Free and metered parking is also available on the street.  




211: First Call for Help                                   

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2012 W. 25th Street, 6th Floor
Cleveland, OH 44113