Help and FAQs

/Help and FAQs
Help and FAQs 2016-10-12T06:37:21+00:00

Mental Health Articles

Major Depression & Suicide
Better Mental and Physical Health


Please read through our FAQ section.  If you don’t see an answer to your question, please contact us

Children of Alcoholics 2014-04-01T15:52:38+00:00

Growing up as a child of an alcoholic can be challenging, terrifying, miserable and lonesome.  Often times the child blames themselves even though the parent may have been abusing before they were born.  They will constantly worry about their parents and feel embarrassed to bring friends home or ask for help.  The parent gives them mixed signals of love and hate and does not rely on a regular schedule for meals or sleeping.  Later in life the child may not be able to have close relationships, become very angry with the world or become depressed.  The child may try to keep this situation a secret, but friends, teachers, relatives and other adults need to be vigilant for warning signs.


  • Poor performance or failure in school
  • Lack of friends or withdrawal from peers
  • Defiant and careless behavior
  • Repeated complaints of physical pain. i.e. stomach and headaches
  • Aggression toward adults or other children
  • Depression
  • Excessive risk taking
  • Preoccupation with death, dying or suicide
  • Drug/Alcohol use


  • Research has shown that there is a genetic link, especially between mothers who are alcoholic and their children.  The probability of a child becoming an alcoholic also increases because they witness the events.
  • Over 6 million children under 18 live in households with at least one alcoholic parent.
  • Several studies indicate that children who were raised in homes where their parent was an alcoholic, report more instances of depression and anxiety and have a greater amount of stress than do children from non-alcoholic families.


  • It is important for the child to get help and support
  • Talk to the child about their feelings and life at home
  • Children often benefit from educational programs and help groups
  • Help the child learn positive ways to cope and resources for help
What is Anger Management 2016-10-12T06:37:21+00:00

Anger is a completely normal, usually healthy, human emotion.  But when it gets out of control and turns destructive, it can lead to problems – problems at work, in your personal relationships, and in the overall quality of your life.  Anger is an emotional state that varies in intensity from mild irritation to intense fury and rage.  Like other emotions, it is accompanied by physiological and biological changes; when you get angry, your heart rate and blood pressure go up, as do the levels of your energy hormones, adrenaline, and noradrenaline.  Anger can be caused by both external and internal events.

Expressing Anger

The instinctive, natural way to express anger is to respond aggressively.  Anger is a natural, adaptive response to threats; it inspires powerful, often aggressive, feelings and behaviors, which allow us to fight and to defend ourselves when we are attacked.  A certain amount of anger, therefore, is necessary to our survival.

Anger Management

The goal of anger management is to reduce both your emotional feelings and the physiological arousal that anger causes.  You can’t get rid of, or avoid, the things or the people that enrage you, nor can you change them, but you can learn to control your reactions.  Simple relaxation tools, such as deep breathing and relaxing imagery, can help calm down angry feelings.

Some simple steps you can try:

  • Breathe deeply, from your diaphragm; breathing from your chest won’t relax you.
  • Picture your breath coming up from your “gut”.
  • Slowly repeat a clam word or phrase such as “relax,” “take it easy.” Repeat it to yourself while breathing deeply.
  • Use imagery; visualize a relaxing experience, from either your memory or your imagination.
  • Non-strenuous, slow yoga-like exercises can relax your muscles and make you feel much calmer.

Practice these techniques daily.  Learn to use them automatically when you’re in a tense situation.  Remind yourself that getting angry is not going to fix anything, that it won’t make you feel better (and may actually make you feel worse).

Do You Need Counseling?

If you feel that your anger is really out of control, if it is having an impact on your relationships and on important parts of your life, you might consider counseling to learn how to handle it better.
A psychologist or other licensed mental health professional can work with you in developing a range of techniques for changing your thinking and your behavior.

What is an Abusive Relationship? 2016-10-12T06:37:23+00:00

Abusive relationships are characterized by extreme jealousy, emotional withholding, lack of intimacy, raging, sexual coercion, infidelity, verbal abuse, threats, lies, broken promises, physical violence, power plays and control games.

  • Abuse does not have to be physical.
  • Emotional abuse is as damaging as physical abuse, though it is often harder to recognize, and therefore to recover from.
  • Emotional abuse causes long term self-esteem issues and profound emotional repercussions for the partners of abusers.
  • Abuse typically alternates with declarations of love and statements that they will change, providing a “hook” to keep the partner in the relationship.
  • Abusive relationships are progressive – they get worse over time. Emotional and verbal abuse frequently shifts to more overt threats or physical abuse, particularly in times of stress. Abusers re generally very needy and controlling; the abuse escalates when they feel they may lose their partner, or when the relationship ends.
  • A specific relationship is not the source of the abuse – Abusive patterns are part of the emotional make up of both the parties involved.  Without help and outside intervention the abusive patterns will be repeated in all relationships.  The emotional volatility of substance abusers create an abusive relationship climate.
  • Abusers are often survivors of abuse themselves.
  • The abuser acts out of deep seated shame and feelings of inadequacy.  They seek to pull their partner down to make themselves feel better.
  • Abuse is a family dysfunction that repeats through generations. The abused becomes the abuser and so continues the cycle.

You may be in an abusive relationship if he or she:

  • Is jealous or possessive toward you. (Jealousy is the primary symptom of abusive relationships)
  • Tries to control you by being very bossy or demanding.
  • Tries to isolate you by demanding you cut off social contacts and friendships.
  • Is violent and/or loses his or her temper quickly.
  • Pressures you sexually, demands sexual activities you are not comfortable with.
  • Abuses drugs or alcohol.
  • Claims you are responsible for his or her emotional state.
  • Blames you when he or she mistreats you.
  • Has a history of bad relationships.
  • Your family and friends have warned you about the person or told you that they are concerned for your safety or emotional well being.
  • You frequently worry about how he or she will react to things you say or do.
  • Makes “jokes” that shame, humiliate, demean or embarrass you, whether privately or around family and friends.
  • Your partner grew up witnessing an abusive parental relationship, and/or was abused as a child.
  • Your partner “rages” when they feel hurt, shame, fear or loss of control.
  • Both parties in abusive relationships may develop or progress in drug or alcohol dependence in a (dysfunctional) attempt to cope with the pain.
  • You leave and then return to your partner repeatedly, against the advice of your friends, family and loved ones.
  • You have trouble ending the relationship, even though you know inside it’s not the right thing to do.

Does the person you love…

  • constantly keep track of your time?
  • act jealous and possessive?
  • accuse you of being unfaithful or flirting?
  • discourage your relationships with friends and family?
  • prevent or discourage you from working, interacting with friends or attending school?
  • constantly criticize or belittle you?
  • control all finances and force you to account for what you spend? (Reasonable cooperative budgeting excepted.)
  • humiliate you in front of others? (Including “jokes” at your expense.)
  • destroy or take your personal property or sentimental items?
  • have affairs?
  • threaten to hurt you, your children or pets? Threaten to use a weapon?
  • push, hit, slap, punch, kick, or bite you or your children?
  • force you to have sex against your will, or demand sexual acts you are uncomfortable with?

Abuse relationships do not change without sustained therapy specifically targeted toward the abusive relationship patterns.  These relationships cannot be changed from one side, it takes mutual honesty, openness and willingness from both parties to work through these issues.  Group therapy is highly recommended for abusers, as it helps them to break through the denial that is generally a part of the abusive patterns.

If the abuser is unwilling to own their behavior and seek help the prudent course of action is to remove yourself totally from the situation.  This is painful, but is generally safer and ultimately better for both parties than allowing the cycle of abuse to continue.  Be prepared for the abuse to increase after you leave – stepping out of the cycle enrages the abuser, as it shatters their illusion of control. (75% of women killed by their abusive partners are murdered after they leave.) Learn how to protect and care for yourself.  Detachment with love is difficult, but the best solution if your partner is unwilling to work through the issues.

Help is readily available for both parties in abusive relationships.  These relationships cannot be changed from one side.  Remember that by staying you are condoning and enabling the abuse – and helping your partner to stay sick.  If your partner is unwilling to het help the only safe course of action is to totally remove yourself from the situation and seek help on your own.



What can you tell me about Cocaine? 2016-10-12T06:37:23+00:00

Cocaine is a strong central nervous system stimulant.  It is the most potent stimulant of natural origin and can be snorted, smoked or injected.


  • Approximately 34.2 million people ages 12 and older have reported trying cocaine at least once in their lives.


  • Physical effects may include constricted blood vessels, increased temperature, heart rate, blood pressure, respiratory problems and increased risk of transmitting diseases (through shared needles).
  • Psychological effects may include feelings of restlessness, irritability and anxiety.
  • When cocaine is mixed with alcohol its effects are intensified as are its health risks.  Cocaine-related deaths are often a result of cardiac arrest or seizures followed by respiratory arrest.


  • Cocaine is a highly addictive and dangerous drug.  If you are using cocaine or suspect that someone you love is, contact a health care professional immediately for help and to learn about treatment options.
What do you mean when you refer to “Club Drugs”? 2016-10-12T06:37:23+00:00

“Club drug” is a collective term to include certain drugs that have emerged and become popular among teens and young adults at dance clubs and raves.

Club drugs:

  • MDMA – “Ecstasy”, “X”, and “Adam”
  • Rohypnol – “Roofie” and “Roche”
  • GHB – “G”, “Liquid Ecstasy” and “Georgia Home Boy”
  • Ketamine – “Special K”
  • Methamphetamine – “Speed”, “Ice”, “Chalk”, and “Meth”


  • MDMA – 10.9 million Americans aged 12 or older reported using MDMA at least once in their lifetimes.
  • Rohypnol – Nearly 2 percent of high school seniors in the United States reported using Rohypnol at least once in the last year.
  • Methamphetamine – An estimated 8.8 million people have tried methamphetamine at some time in their lives.


  • MDMA – effects include confusion, depression, anxiety, paranoia, nausea, faintness and significant increases in heart rate and blood pressure.  Additionally, chronic MDMA use can cause hypothermia, muscle breakdown, seizures, stroke, kidney failure and possible brain damage.
  • Rohypnol – muscle relaxation, loss of consciousness, partial amnesia.  Rohypnol is colorless, odorless and tasteless.  It is used in the commission of sexual assaults due to its ability to sedate and intoxicate.
  • GHB – anxiety, insomnia, relaxation, nausea, difficulty breathing, tremors, sweating, liver failure and respiratory problems.  GHB is colorless, odorless and tasteless and has become known as a “date rape” drug because of its ability to sedate and intoxicate, much like Rohypnol.
  • Ketamine – hallucinations, violence, loss of self control, respiratory distress, elevated blood pressure, rapid heart rate, slurred speech, loss of coordination, vomiting and as little as one gram of ketamine can cause death.
  • Methamphetamine – convulsions, dangerously high body temperature, stroke, cardiac arrhythmia, stomach cramps and shaking.  Meth use also increases energy and alertness while decreasing appetite.  Chronic meth use can result in paranoia, hallucinations, and violent episodes.


  • Club drugs are highly dangerous and addictive.  If you are using drugs or suspect that someone you love is, contact a health care professional immediately for help and to learn about treatment options.



What is Alcoholism? 2016-10-12T06:37:23+00:00

Alcoholism or alcohol dependence syndrome is a disease that is characterized by a strong need or craving to drink, the inability to stop drinking, physical dependence on alcohol and tolerance.


  •  Craving – a strong need or compulsion to drink
  • Loss of control – the frequent inability to stop drinking once a person has begun
  • Physical dependence – the occurrence of withdrawal symptoms, such as nausea, sweating, shakiness and anxiety, when alcohol use is stopped after a period of heavy drinking
  • Tolerance – the need for increased amounts of alcohol in order to feel its effects


  • Nearly 14 million Americans abuse alcohol or are alcoholic
  • Approximately 53 percent of men and women in the United States report having a close relative with a drinking problem
  • In economic terms, alcohol abuse problems cost approximately $100 billion each year


  • Increased risk for developing cancers including liver, esophagus, throat and larynx
  • Increased risk for dev3eloping liver cirrhosis, immune system problems and brain damage
  • Increased risk for death from alcohol-related accidents including automobile crashes, recreational accidents, on-the-job accidents and the likelihood of suicide


  • The following four questions may help you to determine if you or a loved one has a problem with alcohol.
  1. Have you ever felt you should cut down on your drinking?
  2. Have people annoyed you by criticizing your drinking?
  3. Have you ever felt bad or guilty about drinking?
  4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?
  • One “yes” response suggests a problem with alcohol; More than one “yes” response indicated a high risk that a problem exists.

Getting Help

  • Seeking help for your alcohol problem is the smart choice; alcoholism is a treatable disease, but without the proper help it can take over your life.
  • Treatments can include detoxification, doctor-prescribed medications, individual and/or group counseling.
  • Relapses are common and are not a sign of failure.


What are Opiates? 2014-04-01T14:57:13+00:00

Opiates are central nervous system depressants. Opiates have a high potential for abuse and are found in a variety of forms. Some opiates are prescribed by doctors for pain relief, like morphine and codeine. Others, like heroin, the most potent and commonly used opiate, are dangerous and illegal.


  • Studies show that an estimated 2.4 million people have used opiates at some time in their life.
  • Heroin is the most common substance derived from opium. In addition, oxycotin is a highly abused opiate. Oxycotin is sometimes referred to as hillbilly heroin, oxy or oxycotton. Continued use of oxycotin can lead to severe respiratory depression and even death.
  • 19.9 million Americans have abused pain relievers (like Oxycotin) in their lifetime.


  • Side effects of opiate use can include feelings of euphoria, slowed breathing, reduced heart rate and brain activity, depressed appetite, thirst and high tolerance for pain.
  • Opiates are often injected; this type of use increases the risk for disease contraction, especially for diseases like hepatitis, tetanus or AIDS.


  • Opiates are highly dangerous and addictive.  If you are using drugs or suspect that someone you love is, contact a health care professional immediately for help and to learn about treatment options.
  • Methadone treatment – Methadone suppresses narcotic withdrawal for between 24 and 36 hours.  Because methadone is effective in eliminating withdrawal symptoms, it is used in detoxifying opiate addicts.  Methadone treatment does work, but should only be administered by a licensed health care professional.


What is the Recovery to Work Program? 2014-03-20T13:55:06+00:00

Recovery to Work is a program in partnership with Opportunities for Ohioans with Disabilities to assist individuals with addiction or serious mental illness find and maintain employment. If you have problems finding and keeping a job because of your addiction or mental illness, contract our Coordinator, Brian Penrod, at 419-617-2456. Call or Text.  He has office hours in both Marion and Crawford Counties.

What if someone I know needs Detox? 2014-03-20T08:56:11+00:00

The Crawford-Marion Board area does not have an inpatient detoxification facility. In order to go to a facility outside of our board area, you need insurance or some other way to pay for the service.

If you are a Crawford County resident, ambulatory detox is available for opiates only at Maryhaven in Bucyrus          (419-562-1740).

An ambulatory program means that you have to come to the agency everyday for medication to ease the withdrawal symptoms for approximately 2-3 weeks.

In Marion County, Medication Assisted Treatment is available at Marion Area Counseling Center for individuals who have Medicaid.

What if I’m not satisfied with my care? 2016-10-12T06:37:23+00:00

Although Network agencies try to ensure that you are well served, sometimes a family or person in treatment feels their needs and concerns are not being addressed properly.  If this is the case, you are encouraged to discuss this with your treatment provider.  If the problem persists, you may want to consider filing a formal grievance.

Each agency, as well as Crawford-Marion ADAMH, has a plan for dealing with such complaints.  To begin this process, ask to speak to ADAMH’s Client Rights Officer.  To discuss a situation of concern, obtain a copy of the clients’ rights, or file a grievance, call 740-387-8531.

Which agencies accept my Insurance? 2014-03-10T19:03:48+00:00

All of our providers accept Medicaid.  If you have private insurance, you need to contact your insurance company to verify if the agency you want to use, is on their list of providers.

What if I can’t afford to pay for my services? 2014-03-10T19:04:10+00:00

Help is provided for people of various income levels on a sliding fee scale.  This means that the amount you pay is based on your income level.  The benefits are provided according to need and the fees are fair and affordable.  Priority is given to those most in need.  You must be a resident of Marion or Crawford County to be eligible for plan benefits.  Non-residents can receive services in a crisis situation.

Where do Network funds come from? 2014-03-10T19:04:29+00:00

ADAMH’s Network Benefit Plan is funded by your tax dollars.  Voters have approved a levy to help individuals in your county get help for mental health and recovery care.  Major funding also comes from the Ohio Department of Mental Health and Addiction Services.

How can I receive these services? 2016-10-12T06:37:23+00:00

You may contact the intake department at Community Counseling Services in Crawford County or the Marion Area Counseling Center in Marion and request an appointment.  A professional staff person will ask you about your situation to make sure the services which that agency provides are appropriate for your needs.

How do I enroll in the Network Benefit Plan? 2014-03-10T19:04:49+00:00

You are enrolled by the provider agency when you present for services.

What does enrollment involve? 2016-10-12T06:37:23+00:00

When you enroll, you will be asked to sign a billing authorization statement.  This form permits the provider to bill ADAMH for public funds to help offset the cost of your treatments.  During intake, you will be asked about your income, family size, whether you have medical insurance or whether you are covered by Medicaid or Medicare.  This information will be entered into a computerized billing system operated by ADAMH in cooperation with the Ohio Department of Mental Health and Addiction Services and the Ohio Department of Job and Family Services.

At intake and enrollment, the agency will also collect specific personal data.  This will be kept in the computer system in a confidential file labeled with an anonymous number.  Information gathered by the agency will be submitted to ADAMH.  Only information necessary for billing will be stored with your name.

Agencies also accept various health insurance benefits.  Some Network agencies and specific staff professionals are on managed care panels and will work with you to determine whether your treatment is covered under your private insurance plan.

What about more serious Mental Illness? 2014-03-10T19:05:05+00:00

Serious mental illness – sometimes referred to as brain disorders – are conditions such as major depression, bipolar disorder, schizophrenia, and obsessive compulsive disorder.  These psychiatric conditions may range from mild to severe and are treated by qualified providers via the Network Benefit Plan.  Treatment is most successful when you are working in cooperation with your treatment team towards your goals.


142 South Prospect Street Marion OH 43302

Phone: 740.387.8531

Fax: 740.382.0455

Web: MCAMH Web Site


907 North Sandusky Avenue Bucyrus, OH 44820

Phone: 419.562.7288

Fax: 419.562.5260

Web: MCADAMH Web Site


The mission of the Crawford-Marion ADAMH Board, under local leadership, is to assure the availability of high quality alcohol, drug addiction, and mental health services to all residents through planning (assessing needs and resources, and determining priorities); purchasing cost effective services to the extent resources are available; coordinating services; and evaluating these services.
We envision communities where recovery is possible, resiliency is innate, communities are supportive, stigma is eliminated and resources are plentiful..
Giving hope. Providing treatment. Teaching independence. Gaining peace of mind...Read More.