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SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
    Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.

    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

PLEASE NOTE: Your personal information and the search criteria you enter into the Locator is secure and anonymous. SAMHSA does not collect or maintain any information you provide.

Please enter a valid location.

please type your address

  • FindTreatment.

    gov

    Millions of Americans have a substance use disorder. Find a treatment facility near you.

  • 988 Suicide & Crisis Lifeline

    Call or text 988

    Free and confidential support for people in distress, 24/7.

  • National Helpline

    1-800-662-HELP (4357)

    Treatment referral and information, 24/7.

  • Disaster Distress Helpline

    1-800-985-5990

    Immediate crisis counseling related to disasters, 24/7.

  • Overview
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  • Other Locator Functionalities
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  • Icon from Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers). Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers).
  • Icon from Find practitioners and treatment programs providing buprenorphine for opioid addiction (heroin or pain relievers). Find programs providing methadone for the treatment of opioid addiction (heroin or pain relievers).

The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

ENTEROVIRUS INFECTION

Enteroviruses are so named because after infection they multiply initially in the gastrointestinal tract. Despite this, they usually do not cause intestinal symptoms, most often they actively spread and cause symptoms and diseases of such organs as: heart, skin, lungs, brain and spinal cord Enteroviruses occur worldwide, but infection most often occurs in areas with low level of hygiene and high overcrowding. The virus is most often transmitted by the fecal-oral route, as well as through contaminated food or water. Inhalation of certain strains of the virus into the body can lead to respiratory diseases. Breast milk contains antibodies that can protect newborns. The incubation period for most enteroviruses is 2 to 14 days. In temperate regions, infections occur mainly in summer and autumn. nine0005

Enterovirus most often enters the human body through the gastrointestinal tract (GIT) or respiratory tract. Once in the gastrointestinal tract, viruses stop in the local lymph nodes where they begin the first stage of reproduction. Around the third day after infection, the viruses enter the bloodstream and begin to circulate throughout the body. On the 3-7th day, viruses with blood can enter the organ systems where the second stage of reproduction can begin and, as a result, cause various diseases. The production of antibodies to the virus occurs during the first 7-10 days. nine0005

Symptoms and signs of enterovirus infection

Enteroviruses cause a huge number of infections per year. More than 90% of these cases are either asymptomatic or cause a nonspecific febrile illness. Usually the range of symptoms is very wide, but in most cases it almost always includes: fever (increase in body temperature up to 39-40 ° C), general weakness, headache, muscle pain and gastrointestinal symptoms. nine0017 Enteroviruses entering the human body can cause several symptoms.

  • Runny nose and stuffy nose and sinuses , sore nose, sore throat, earache, difficulty swallowing, loss of smell or taste.
  • Nausea, indigestion, reflux, bloating , upper and lower abdominal pain, cramps, constipation alternating with diarrhoea.
  • Rapid weight loss due to indigestion and reduced calorie intake or weight gain due to inactivity. nine0023
  • Numbness in limbs , muscle twitching and spasms. Facial tingling and numbness may be observed.
  • Miscellaneous headaches (acute, aching, throbbing).
  • Pain in bones, muscles and joints . Leg pain is quite common.
  • Chest pain and tightness, palpitations .
  • Cough, shortness of breath, wheezing .
    • nine0020 Heart rhythm disorder (arrhythmias) or tachycardia (palpitations)
  • Intermittent fever - characterized by a rapid, significant increase in temperature (38-40 ° C), which lasts for several hours, and then is replaced by its rapid fall to normal values), chills and severe night sweats.
  • Blurred vision, reduced visual acuity .
  • Blisters or ulcerations in the mouth, pharynx and, in women, in the vagina/cervix .
  • Psychological problems - Anxiety or depression.
  • Problems with concentration . Cognitive problems, short-term memory problems.
  • Sleep disorder .
  • Seizures are rare but do occur.
  • Swollen lymph nodes in the neck and armpits
  • Rash
    • nine0092

    It is impossible to talk about any specific symptoms characteristic of the entire group of enteroviruses in addition to those listed above, but it is possible to group the symptoms manifested in complications of enterovirus infection:

    Treatment of enterovirus infection

    or any specific treatment. The basis is symptomatic and supportive treatment. Bed rest, plenty of fluids, vitamins, antipyretic in case of high temperature. nine0003 Do not forget that even if the slightest and slightest symptoms appear, you should immediately consult a doctor, especially if the child has symptoms! DO NOT SELF-MEDICATED!

    Prevention

    General hygiene and frequent handwashing are effective in reducing the spread of these viruses. If soap and clean water are not available, use an alcohol-based "hand sanitizer". It is important to note that breast milk contains antibodies that can protect the baby. nine0005

    Sudden weight loss

    Sudden weight loss can be a sign of a serious illness.

    Weight fluctuations of 1-2 kilograms are normal. But if you have lost more than 5% of your original weight, and this is in no way explained by changes in your diet and lifestyle, you should be wary and undergo a medical examination.

    A person loses weight when the organs of our body - the brain, heart, muscles - no longer have enough nutrients for normal work, and they send a signal to the adipose tissue that it is time to use additional resources. In response to this signal, fat cells begin lipolysis - the breakdown of fat - and provide the body with the necessary energy. nine0005

    Reason for weight loss: DEPRESSION

    One of the most common causes of sudden weight loss is depression. Depressed people have impaired taste perception. Any food seems tasteless, appetite decreases. In addition, neurosis and depression are often accompanied by an exacerbation of diseases of the gastrointestinal tract, such as gastritis. Discomfort after eating aggravates the symptoms.

    What to do? If, in addition to losing weight, you notice that you have a constant bad mood, apathy, lethargy and lethargy, contact a psychotherapist. Only a qualified specialist can make the correct diagnosis and prescribe treatment. nine0005

    Signs of anorexia in a woman. The disease usually begins on the background of normal nutrition, but every day the patient eats less and less. The reason for this, in her opinion, is the excessive fullness of her arms and legs. The less she eats, the less she wants to eat, and even becoming like a skeleton, she still sees herself as fat and is horrified at the seeming weight gain. She will be reluctant to undress in front of anyone to hide her weight loss. In order to escape the pressure of loved ones and normal nutrition, she will hide and throw away food or make herself vomit after eating. Such patients often take large amounts of laxatives, mistakenly believing that this will help them maintain their reduced weight. nine0005

    With increasing weight loss, most women with anorexia stop menstruating. The skin becomes yellowish, a gentle fluff appears on the body. Without proper treatment, many sufferers develop severe depression and, in some cases, thoughts of suicide.

    Cause of weight loss: HORMONAL DISORDERS

    Thyroid, adrenal, pituitary and pancreatic hormones are responsible for the intensity of metabolism in the body, so problems with these endocrine organs are immediately reflected in weight. In patients with hyperthyroidism and type 1 diabetes, body weight decreases despite increased appetite. Such diseases are accompanied by weakness, dry skin, increased heart rate and mood disorders. nine0005

    What to do? Be sure to visit an endocrinologist and get tested for thyroid hormones (TSH, T3, T4). Blood tests are also needed: general and glucose.

    Reason for weight loss: Gastrointestinal DISEASES

    Some diseases of the gastrointestinal tract cause weight loss. In the "list of suspects" enterocolitis, atrophic gastritis and celiac disease. These diseases lead to atrophy of the lining of the stomach and intestines, resulting in impaired absorption of nutrients, and this leads to weight loss. Symptoms can vary: pain, bloating, a feeling of heaviness, diarrhea or constipation. The lack of vitamins and microelements can manifest itself in the form of anemia, dry skin, brittle nails, bleeding gums. nine0005

    What to do? Address to the gastroenterologist. Most likely, he will prescribe a gastroscopy and fecal analysis in order to make an accurate diagnosis.

    Cause of weight loss: Diseases of the pancreas and gallbladder

    Weight loss in chronic pancreatitis and chronic cholecystitis. Due to these diseases, digestion is disturbed and the body loses the ability to absorb certain nutrients. Patients feel discomfort after eating, nausea, diarrhea appear, with cholecystitis - pain in the right hypochondrium. The stool changes consistency and acquires a greasy sheen. nine0005

    What to do? Consult with a gastroenterologist. It is necessary to do an ultrasound of the abdominal organs and pass a stool test. Follow a diet: exclude fatty and spicy foods from the diet, eat little and often.

    Reason for weight loss: INFECTIONS AND PARASITES

    Weight loss can be a sign of serious viral diseases. Hepatitis C or HIV can develop for a long time without significant symptoms, and often it is weight loss that is the first sign of the disease.

    Tuberculosis can be another reason for weight loss. Patients lose their appetite, in addition, the body spends a lot of energy to fight the infectious agent. In addition to weight loss, the classic signs of pulmonary tuberculosis are a prolonged cough with sputum production, as well as a prolonged rise in temperature above 37 ° C, general weakness and night sweats.

    A person can lose weight dramatically if helminths or parasitic protozoa, such as Giardia, have settled in the intestines. Infection may be accompanied by nausea, bloating, stool disorders, and skin rashes or fever. nine0005

    What to do? Self-diagnosis is useless, you need to contact a therapist or infectious disease specialist. Depending on your symptoms, you may be prescribed a chest x-ray, stool test, and various blood tests.

    Cause of weight loss: oncology and blood diseases

    Oncological diseases are often accompanied by significant weight loss and worsening of the general condition of patients - cancer cachexia. Patients lose their appetite, the perception of taste is disturbed. There are metabolic pathologies - muscle mass and the volume of adipose tissue decrease even with good nutrition. In addition, psychological factors can cause weight loss: patients with a recently confirmed diagnosis lose weight due to developing depression. Chemotherapy also leads to temporary weight loss. nine0005

    Weight loss is one of the main symptoms of lymphoma and Hodgkin's disease. In addition to weight loss, these diseases are evidenced by painless enlargement of lymph nodes in the neck, armpits, and groin. With leukemia, weight loss is also observed.

    What to do? Constant weakness, fatigue, prolonged fever are symptoms that should alert you. You need to visit a general practitioner who can refer you to the right specialist - an oncologist or a hematologist. It will be necessary to pass a general and biochemical blood tests, make an x-ray. If lymphoma or lymphogranulomatosis is suspected, computed tomography of the chest and abdominal cavity, a biopsy of the lymph nodes are prescribed, and a puncture of the pelvic bone is performed to exclude leukemia. nine0005

    Which doctors to contact if weight loss occurs :

    Changes that occur in the body during weight loss cause serious disorders of the digestive system, metabolism, weaken the immune defense, cause dysfunction of the endocrine glands, therefore, when the first signs of a symptom appear urgently need to contact a general practitioner (therapist, pediatrician, family doctor).

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