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.

Coronavirus (COVID-19) Updates and Resources

State Update: The Governor has issued a Stay at Home Order beginning Monday, March 23 at 11:59 p.m. and will remain in effect until 11:59 p.m. on April 6, unless the order is rescinded or modified. Questions about what the order means for you? Click here for FAQs. To read the full Stay at Home Order, click here.

ADAMHS Board Update:

  • All trainings and events scheduled for March and April have been cancelled.
  • Staff is working remotely during our normal business hours between 7:30 a.m. and 6:00 p.m. If you need to reach a staff member, a full email list can be found on our website here. Our main phone line will also be available during business hours: 216-241-3400. Please leave a message and we will return your call. If you or someone you know is experiencing a mental health and/or addiction crisis or is having thoughts of suicide, please call the Cuyahoga County 24-hour crisis hotline at 216-623-6888.

  • Board Meetings Update:

    State legislators passed the Open Meetings amendment in HB197 – the Emergency Relief Legislative Package for Ohio related to COVID-19. The bill allows for public boards to meet electronically, in any format, so long as the public can still participate and the rules of the revised code related to public meetings still be met. The order is issued from March 9, 2020 – December 1, 2020 and is considered effective immediately.


    The following must apply:

    • Any resolution, rule, or formal action of any kind shall have the same effect as if it had occurred during an open meeting or hearing of the public body.
    • Members of a public body shall be considered present as if in person at the meeting or hearing, shall be permitted to vote, and shall be counted for purposes of determining whether a quorum is present at the meeting or hearing.
    • Public bodies shall provide notification of meetings (including the date, time and manner in which the meeting will be held) to the public, to the media that have requested notification of a meeting at least twenty-four hours in advance of the meeting.
    • The public body shall provide the public access to a meeting and ensure that the public can observe and hear the discussions and deliberations of all the members of the public body, whether the member is participating in person or electronically.


    The entire amendment is here for your review.


    The ADAMHS Board will be hosting Board meetings via telephone conference. The public can attend the meeting by calling (toll free): 1-701-801-1220. When prompted, enter Meeting Access ID: 421-126-914 (numbers only, no dashes) followed by the pound (#) sign. If you get a busy signal when calling in, please keep trying. Because of the strain on the system, it may take a few tries for you to get connected.


    The schedule of ADAMHS Board meetings can be found here:


As Ohio and Cuyahoga County take big steps to prevent the spread of the COVID-19 Coronavirus Disease, the ADAMHS Board encourages community members to follow some important guidance from our local and statewide public health officials.

1) Get your information from a reliable source

Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. The virus that causes COVID-19 is a novel coronavirus that was first identified during an investigation into an outbreak in Wuhan, China. Symptoms include fever, cough and shortness of breath.

Some Individuals are at Higher Risk for Illness including persons who have chronic illness (asthma, cancer, diabetes, HIV/AIDS), are over 60, are pregnant or have a weakened immune system. Click here to read guidance for people with high risk for illness.

Get regular updates on COVID-19 and useful information from the Ohio Department of Health, Cuyahoga County Board of Health or CDC.

  • If you have questions about the COVID-19 Coronavirus Disease, the Ohio Department of Health has established a phone line for people to ask questions at 1.833.4.ASK.ODH (1.833.427.5634). The phone line is open 7 days a week from 9 a.m. to 8 p.m.
  • The Cuyahoga County Board of Health is partnering with United Way 2-1-1 to run a Cuyahoga County Coronavirus Help Line: 855-711-3035.
  • MetroHealth has a COVID-19 hotline for patients and the general public to access: 440-592-6843. This hotline can assist persons with questions, allow people to talk through symptoms they may be experiencing, and if necessary, connect them to a doctor for a telehealth or video consult to assess if direct care is needed.
  • Cleveland Clinic Call Ahead Line related to COVID-19 for patients: 855-697-3750.

2) Follow suggested prevention strategies

Remember to wash your hands and stay home if you are sick. The Ohio Department of Health COVID-19 website: has many resources, including a list of prevention strategies.

Also practice social distancing by avoiding crowded areas and keeping at least six feet between yourself and others. Here are more tips on social distancing.

3) Ask for help if needed

If you feel sick:

Follow these Ohio Department of Health guidelines, which include instructions to call your healthcare provider.

If you are experiencing stress or anxiety:

  • You can call Cuyahoga County's 24-Hour Warmline at 440-886-5950 to talk though things with a peer.
  • You can text "4hope" to 741741, the Crisis Text Line.

    If you are in crisis:

  • Please call the 24-hour Suicide Prevention, Mental Health/Addiction Crisis, Information and Referral Hotline at 216-623-6888.

4) Find ways to manage your stress/anxiety

OhioMHAS has provided some tips and guidance for managing Coronavirus-related stress. Make sure to unplug from time to time to take a break from the news and social media. Take time to do things you enjoy like go for a walk outside or read a book. Talk to friends and families about your concerns, and be there for others when they need someone to talk to also.

Addiction Recovery Support:

Addiction Policy Forum’s new Recovery App

Here's a list of virtual recovery meetings available:

Other helpful resources:

Ohio Suicide Prevention Foundation’s media toolkit to promote mental health and safety during this period of uncertainty

Resources for providers on OhioMHAS website

NAMI’s COVID-19 Resource and Information


ADAMHS Board Annual Meeting: May 18, 2020

Tickets are Now on Sale!

WHEN: Monday, May 18 from 9:00 a.m. - Noon

WHERE: Cleveland Marriott East, 26300  Harvard Road, Warrensville Heights

Tickets are $40/person and $380/table of 10. Discounted tickets are available for individuals receiving mental health and/or addiction treatment and recovery support services in Cuyahoga County. Please call Madison Greenspan, External Affairs Officer, for information on discounted tickets: 216-241-3400 ext.861.

Click here to purchase your tickets today!

Ticket sales end on May 8, 2020.



Issue 33, the Health & Human Services Levy, which is on the ballot for this year’s spring primary. It is the last item on the ballot, but please make it your first priority!


The primary election was scheduled for March 17, but voting at the polls did not take place on that day because of public health concerns.If you voted already, either in-person through early voting or via mail, your vote will count!


If you have not voted yet, the primary has been extended until April 28 and vote-by-mail is the only way to cast your vote.


To Vote-By-Mail please use the following link to the Board of Elections’ website to request a vote-by-mail application:


You will need to enter your last name and date of birth, then hit "submit."

This will bring up your registration and allow you to print the application or have it mailed to your home. 


Please do this as soon as possible to ensure you have enough time to get your ballot. You will need to mail it back to the Board of Elections. Please note that there will be no in-person voting at the polls or at the Board of Elections.


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.

Issue 33 is 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.

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 CANCELLED

April 27: Supervisory Toolbox CANCELLED

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

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

May 7 - 8: Mental Health First Aid

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.

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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