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.

Stand Up to Suicide - Join Us for the September QPR-a-Thon!
Question, Persuade, Refer (QPR) Suicide Prevention Training

During National Suicide Prevention Month in September, The ADAMHS Board of Cuyahoga County is offering FREE Question, Persuade, Refer (QPR) Training so that residents of Cuyahoga County can recognize a crisis and warning signs that someone may be contemplating suicide. In just 90 minutes, you can learn three simple steps to help save a life.

These QPR trainings are part of a statewide QPR-a-Thon initiative to train as many people in QPR as we can, and we need YOU to join us!

To schedule a QPR Training for your church, school, business or community group, contact Carmen Gandarilla, Training Officer, via email to

View the QPR-a-Thon flier

Register Today!
Roads to Recovery '19 Conference: Navigating Person-Centered Care...Recovery, Resiliency and Beyond

Join us on the road to recovery - register today for the ADAMHS Board Roads to Recovery '19 Conference being held on Monday, October 21, 2019 at the Cleveland Airport Marriott Hotel, 4277 West 150th Street.

Click here for the registration brochure. 

Click here to register for the conference on Eventbrite.

Would you like to share resources from your agency at the conference? Want to send multiple people from your staff to the conference at a discounted rate? If so, contact Madison Scagnetti, External Affairs Officer, via email at to learn more about conference sponsorship opportunities.

Next Addiction Recovery Advocacy Meeting: September 23, 2019

The ADAMHS Board of Cuyahoga County invites you to participate in an Addiction Recovery Advocacy Meeting on Monday, September 23, 2019 from 5:30 p.m. to 7:30 p.m. at the Tri-C Jerry Sue Thornton Center.

This meeting will include state and local updates, recovery stories and work groups focused on moving ideas forward from last meeting's strategic planning session regarding RecoveryOhio Advisory Council Initial Report in the areas of Stigma and Education, Workforce Development, Prevention, and Treatment and Recovery Supports.

Please join us to continue important conversations about addiction and recovery in our community. RSVP here.

The NEXT Meet Your Legislator Series is Monday, September 23 with Representative Dave Greenspan (R), District 16

The Meet Your Legislators Series is an opportunity for individuals and families affected by mental illness and/or substance use disorders, providers, and other stakeholders to interact with legislators about various issues affecting the behavioral health community.

On September 23, at 10:00 a.m. Ohio House Representative Dave Greenspan (R) of District 16 will be at the ADAMHS Board to meet with mental health and addiction stakeholders. We will meet in the Ohio Room of the ADAMHS Board offices located on the 6th Floor of 2012 West 25th St.

The Meet Your Legislators Series is free to attend. Please RSVP

The Woodruff Foundation Hosts Learning Collaborative On Improving Workforce Recruitment and Retention In Behavioral Health Organizations

Request for Applications is NOW OPEN!

To assist behavioral health organizations in addressing recruitment and retention challenges, technical assistance is being offered through a Learning Collaborative. The Collaborative is open to non-profit mental health and substance use service providers in Cuyahoga County. Up to 10 organizations will be accepted initially.

It is common for these organizations to have positions that remain vacant for extended periods of time and turnover rates are often quite high. Finding and keeping specific types of workers, such as prescribers, can be particularly challenging. High vacancy and turnover rates are costly to organizations, place a heavy burden on remaining employees, and decrease access to quality care for individuals seeking services.

Organizations that apply and are selected to participate will each create a small Change Management Team for this initiative. All teams will participate in a one-day Launch meeting of the Learning Collaborative and receive:

  1. Information on best practices in recruitment and retention,
  2. Technical assistance on developing a recruitment and retention plan for their organizations, and
  3. Guidance on managing the change process in their organizations.

After the meeting, teams will return to their organizations to develop their recruitment and retention plans, and then implement their plans with ongoing technical assistance from the Learning Collaborative leader.

There is no fee for organizations to participate in this Learning Collaborative. Organizations are responsible for covering any travel costs for their teams to attend the one-day Launch meeting in Cleveland, Ohio.

An Informational Webinar on this Request for Applications will be held on Monday, September 23, 2019 at Noon EDT. To register go to: Participation in the Webinar is encouraged but not required to apply.

Click here to review the entire Request for Applicationswhich includes information about eligibility, exclusion criteria, the collaborative process, expected outcomes, key dates and required organizational commitment. It also includes the application and directions on how to apply.

The application deadline is Monday, October 7, 2019 at 5:00 pm EDT.

Cleveland Municipal Court to Host Art Show at the ADAMHS Board

Cleveland Municipal Court's Mental Health Specialized Docket is hosting their 2nd Annual Art Show on Thursday, October 10 from 10:00 am to 12:00 pm at the ADAMHS Board! There will be nearly 100 pieces of art on display and live music from Councilman Kevin Conwell's band Footprints. Light refreshments will be served. This event is open to the public and all are welcome to come enjoy art and celebrate recovery.

ALERT: Fentanyl Awareness!



ALERT: Fentanyl Awareness!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.

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

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 mental health and addiction crisis 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 Scagnetti, 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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Cleveland, OH 44113