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The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County












About Us

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 alcohol and other drug addiction services delivered to the residents of Cuyahoga County.


Promote and enhance the quality of life for residents of our community through a commitment to excellence in mental health, alcohol, drug, and other addiction services.

Under Ohio law, the ADAMHS Board is one of 50 Boards coordinating the public behavioral health system in Ohio.


Mental health, alcohol, drug, and other addiction services will be available and accessible for every county resident in need and the ADAMHS Board will provide a preeminent, seamless and integrated system of care.

Alcoholism Facts

Alcohol is a drug, a depressant, which slows down thinking and actions. It acts on the brain and affects all parts of the body. An average-size person's liver can break down about one drink per hour; the rest of the alcohol circulates throughout the body, affecting behavior, judgment, perception, and motor skills - such as driving and operating machinery.

Alcohol affects each individual differently. People with a history of alcoholism in their family may also be affected differently than people who have no history of alcoholism in their family.

Alcohol abuse is a health risk. Abuse of alcohol can cause damage to many of the body's organs. Researchers report damage to brain tissue, heart muscle, and reproductive organs in both males and females. Alcohol may cause the drinker's blood pressure to rise, putting him or her at risk for heart attack and stroke. Stomach ulcers, poor nutrition, and sexual dysfunction have all been related to alcohol abuse.

Drug Addiction

What Is Drug Addiction?

Addiction is a chronic, often relapsing brain disease that causes compulsive drug seeking and use, despite harmful consequences to the addicted individual and to those around him or her. Although the initial decision to take drugs is voluntary for most people, the brain changes that occur over time challenge an addicted person’s self-control and hamper his or her ability to resist intense impulses to take drugs.

Heroin Epidemic:

Cuyahoga County is truly experiencing the devastating effects of prescription drug addiction that has led to a resurgence of heroin addiction. The number of deaths by heroin has quadrupled since 2007 when there were 40 deaths by heroin overdose in Cuyahoga County. In 2012, that number spiked to 161.

The epidemic is so severe in Cuyahoga County that the Medical Examiner says that it claimed the lives of over 170 people in 2013, and is expected to be near 200 by the time the final report is released – with the deaths equally split between the city and the suburbs.

  • Heroin use is increasing because:
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  • Demand among younger users,
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  • Pill progression from prescription opiates,
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  • And pressure from dealers to switch from crack and prescription drugs to more-profitable heroin.

Gambling Problems

Problem Gambling

Problem gambling refers to any gambling that goes beyond the normal bounds of gambling for fun, recreation or entertainment. Also known as compulsive or pathological gambling, problem gambling is a recognizable and treatable illness.

The ADAMHS Board of Cuyahoga County and other state and local organizations are committed to helping players be responsible. If you think that you or someone you care about might have a problem, call the Ohio Problem Gambling Hotline:


Problem gambling is not limited to casinos. Other types of gambling includes bingo, sports betting, online gambling, horse racing, lottery, fantasy football and more.

Suicide Prevention

If you or someone you know is thinking about suicide, call the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County’s Mental Health Emergency and Addiction Crisis hotline 24 hours a day, seven days a week, at 216-623-6888.

You may also text to 741741 and chat online at

Free Depression Screenings

The ADAMHS Board also provides free, confidential screenings that check for warning signs of depression. These screenings help identify warning signs of depression or other mental health and addiction issues and suggest if you should connect with a mental health professional for further help.

Many people who die by suicide, or think about suicide, are suffering from depression.

Depression Facts

Depression is a chemical brain disease that can be treated. When you know the warning signs of someone in a suicidal crisis, suicide may be preventable. One person dies by suicide every 13 minutes which equals 111 deaths by suicide every day in the United States.

Suicide Facts

In 2012, suicide was the 10th ranking cause of death in the United States.  90% of people in a suicidal crisis will give some kind of warning of their intention to those around them.
Warning signs of someone contemplating suicide include:

        -Direct clues such as saying I wish I were dead; My family would be better off

        -Behavioral clues such as a previous suicide attempt; purchasing a gun or

        -Situational clues like getting fired; a recent unwanted move; loss of a major without me; I           just want out; I won’t be around much longer; increased use of alcohol or drugs; unexplained           anger or mood swings, or relationship.

If you think someone is suicidal, do not leave him or her alone. Try to get the person to seek immediate help from his or her doctor or the nearest hospital emergency room, or call 911. Eliminate access to firearms or other potential tools for suicide, including unsupervised access to medications.


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