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Y <br /> } <br /> Cape clinics are Falmouth, l lashpe , Centerville, Hyannis and Pr vin et wn. Those clinics do a full <br /> range of addiction work: psychology, psychiatry, mental health therapists, family work, individual <br /> and group therapy. There are family support groups in Centerville and Falmouth. There is a recent <br /> program targeted to 18 to 28 year old opiate-dependents who require extended follow-up-up after <br /> returning home. <br /> Mr. Tamasl tallied about a local work force made up of four recovery coaches, a program started in <br /> May 2013. The coaches work with patients after recovery program and stay engaged with the <br /> patients and their families. There are currently 25 young people in the program. Mr. Tamasi stated' <br /> that this is a very challenging age group; opiate dependency is now the primary drug of dependence <br /> in about % of the Gosnold patients; Gosnold has the highest ratio of under 24 year olds corning to <br /> acute care in the State. <br /> Gosnold is working with a Philadelphia research institute to develop gays for young addicts to have <br /> fury being sober. i.e., ski trips, Cape Symphony concerts. <br /> etoxifi ation withdrawal on ars outpatient bans is a new program being developed. Mr. Tamasi <br /> stated that % of the young population has supportive family involved in their care. <br /> In an effort to identify some of these conditions leading to drug addiction, Gosnold has partnered <br /> with some primary care medical practices to put clinical care patients in their offices, to help patients <br /> who are depressed, have anxiety, with conditions that have a behavior element to them in terms of <br /> lifestyle choices. An agreement with a 10,000 patient 0 BGYN specialty practice has just been <br /> signed to have a counselor in that practice by November I st. Gosnold is also doing a lot of work <br /> with the Community Health Center in l la hpee and Falmouth Hospital to identify possible addiction <br /> individuals. <br /> Mr. Tamasi stated that of the 60% of Gosnold patients addicted to opiate drugs: % are <br /> prescription pain subscribers. Many patients who become addicted to prescribed drugs migrate to <br /> heroin because it is less costly. Gosnold just completed two educational seminars at Falmouth <br /> Hospital for the physicians and both were felly attended, indicating that there is a growing <br /> awareness of the overdose problem. With the older patients, doctors are still liberal to a fault with <br /> their prescription pain medications. <br /> The sentiment in Washington is that than is no great urgency to address the addiction problem <br /> which affects the number of individuals added in to the family members affected; it is half the <br /> population, yet it is totally stigmatized, totally underrepresented, totally underfunded, with really no <br /> great urgency to it. The problem is that there is no political capital being gained by supporting than <br /> issues. <br /> Gosnold is looking more seriously toward developing a Prevention services Division, but has none <br /> at the moment. Gosnold has a fulltirne counselor at Barnstable High school, a 3-day per week <br /> counselor in the middle school, and one two days a weep at the elementary school. Gosnold 9s <br /> objective for next year is to have counselors in four nigh schools and four middle schools: Falmouth, <br /> llashpee. Barnstable and CapeTech. <br /> Mr. Tamasi commented on his joint appearances across the country with Chris Herren before <br /> groups of young people. Chris is very charismatic and his story is very compelling, but the <br /> compelling nature of his story has a shelf life. Mr., Tamasi airs to come in behind Mr. Herren's <br /> charisma with some substance and sustainability. The targeted program toward the young adults <br /> and the school counseling is the area Gosnold is looking to external sources for funding support. <br /> 2 <br />