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Patient information to help you in your recovery

ZION Integrated Behavioral Health Services provides information to help you in your recovery including hotline numbers, self-assessment information, patient rights, Medicaid information, and more.

Patient Information

See details below about what to bring when you come to Zion, STD/AIDS/HEP-C/Tobacco info, detox information, hotline numbers, patient rights, and medicaid information.


Learn what to do for self-assessments for substance abuse, depression and gambling to find out if you need professional help.

patient information

ZION Integrated Behavioral Health Services Substance Use Disorder Program


Educational Information on Tuberculosis (TB),

Sexually Transmitted Disease (STD’s),

Tobacco, and HIV/AIDS

Tuberculosis (TB)

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. TB most commonly affects the lungs but can also involve almost any organ of the body. A person can become infected when someone who is infected with TB coughs, sneezes, shouts, or spits. Tuberculosis is transmitted primarily from person to person by breathing infected air. Anyone can become infected with TB, but certain people are at higher risk: alcoholics and intravenous drug users, individuals who have a close relationship or proximity with high risk individuals, homeless or transient, persons who have been recently incarcerated, people with diabetes, certain cancers, and HIV infection. TB can be tested through a skin test and chest X-rays. Tuberculosis is treated with a combination of medications and usually lasts for many months and sometimes years. Untreated tuberculosis can be fatal.

Human Immunodeficiency Virus (HIV)-Acquired immunodeficiency syndrome (AIDS)

HIV is transmitted by sexual contact with an infected person when the mucous membrane lining the mouth, vagina, penis, or rectum is exposed to contaminated body fluids. HIV can also be transmitted by injection or infusion of contaminated blood, contact with an HIV contaminated needle or through transfer from an infected mother to a child before or during birth, or through the mother’s milk. When initially infected with HIV, many people have no noticeable symptoms however within a few weeks, fever, rashes, swollen lymph nodes, fatigue and various other symptoms may appear, generally lasting from a few days to 1-2 weeks. The advanced stage of HIV infection is called AIDS. Common symptoms are weight loss, fatigue, recurring fever, diarrhea, anemia, and thrush (a fungal infection of the mouth or vagina). If infection is diagnosed, blood tests should be done regularly. Treatment options of HIV/AIDS include antiretroviral drugs, which must be taken consistently for the rest of their lives. To prevent the transmission of HIV, abstinence, the use of a latex condom, avoidance of unsterilized needles, and/or wearing latex gloves when touching body fluids are recommended.


Nicotine is a drug which is addicting and affects the chemistry of the brain, central nervous system and the mood and temperament of the nicotine user.  There are over 4000 chemicals found in tobacco smoke including cyanide, formaldehyde, acetylene (the fuel used in welding torches), tar, ammonia and poisonous gases nitrogen oxide and carbon monoxide. A low tar cigarette can be just as harmful as a high tar cigarette. Smoking is the single most preventable cause of death in our society. The amount of nicotine absorbed by smokeless tobacco is 2-3 times the amount delivered by one cigarette. Besides lung cancer, tobacco use also causes increased risk for numerous cancers, heart disease, emphysema, chronic bronchitis, and strokes. For pregnant women, risks include spontaneous abortion, pre-term delivery and low birth weight. Nicotine replacement therapy, including nicotine patches, gum, lozenges and medications is often successful to quit the habit but should be used with a cessation program. You should check with your doctor first. For more information, go to QUITLINEIOWA.ORG.

Hepatitis C

Hepatitis C is a disease caused by a virus that infects the liver. In time, it can lead to permanent liver damage as well as cirrhosis, liver cancer, and liver failure. Hepatitis C is spread by contact with an infected person’s blood. The use of unsanitary equipment when getting a tattoo or a piercing or sharing needles increases your risk of contracting the virus. Symptoms of hepatitis C include feeling tired, joint and belly pain, itchy skin, sore muscles, dark urine, and jaundice. Hepatitis C is diagnosed though blood tests. There is no vaccine to prevent hepatitis C but you can reduce your risk of becoming infected by not sharing needles to inject drugs and make sure the practitioner sterilizes the instruments and supplies if you get a tattoo, have your body pierced, or have acupuncture. If you have hepatitis C, you can help prevent spreading it to others by not sharing needles or other equipment such as cotton, spoons, and water. Keep cuts, scrapes, and blisters covered to prevent others from coming in contact with your blood and other body fluids. Do not donate blood or sperm. Wash your hands and any object that has come in contact with your blood thoroughly with water and soap, and do not share your toothbrush, razor, nail clippers, diabetes supplies, or anything else that might have your blood on it. For more information go to

Sexually Transmitted Diseases

A sexually transmitted disease is any disease transmitted by sexual contact; caused by microorganisms that survive on the skin or mucus membranes of the genital area; or transmitted via semen, vaginal secretions, or blood during intercourse. They include AIDS, Chlamydia, genital herpes, genital warts, gonorrhea, syphilis, yeast infections, and some forms of hepatitis.  Many STD’s have symptoms that look the same however each disease needs its own test and treatment. You can have more than one STD at a time and it is possible to catch the same infection over and over. Minors do not have to have their parent’s permission to be tested or treated. Latex condoms when used correctly can help prevent infection. One should not use Vaseline, baby oil or anything with oil in it because it can weaken the condom. Even if a woman is using the birth control pill, she and her partner must still use a condom to protect themselves from STD infections. For more information on sexually transmitted disease go to

Detox Information

Detox Information

Detox Information:

The goal of detox is the removal of poisonous toxins in the body that are accumulated from drug use. This can be a very frightening and painful experience unless properly treated. Because of the physical dependence, associated with drug abuse, the body may go into withdrawal in a matter of hours making it very difficult and sometimes physically dangerous to abruptly stop using.

Withdrawal is a process that starts when the drug use is discontinued. The body begins to crave the chemicals it has become used to having. The severity and nature of the withdrawal symptoms will vary greatly depending on the drug or drugs used as well as the frequency and length of use.


In short alcohol detox is the process of ridding your body of all alcohol. Alcohol detox generally describes the time from the last drink, through the next 5-7 days. Detoxification is needed when your body becomes physically dependent on alcohol. You may or not be physically dependent on alcohol, however there are some symptoms that can cue you into whether or not you are suffering a physical addiction.

Mild to moderate psychological symptoms:

  • Feeling of jumpiness or nervoussnes
  • Feeling of shakiness
  • Anxiety
  • Irritability or easily excited
  • Emotional volatility, rapid emotional changes
  • Depression
  • Fatigue
  • Difficulty with thinking clearly
  • Bad dreams

Mild to moderate physical symptoms:

  • Headache – general, pulsating
  • Sweating, especially the palms of the hands or the face
  • Nausea
  • Vomiting
  • Loss of appetite
  • Insomnia, sleeping difficulty
  • Paleness
  • Rapid heart rate (palpitations)
  • Eyes, pupils different size (enlarged, dilated pupils)
  • Skin, clammy
  • Abnormal movements
  • Tremor of the hands
  • Involuntary, abnormal movements of the eyelids

Severe symptoms:*

  • A state of confusion and hallucinations (visual) — known as delirium tremens
  • Agitation
  • Fever
  • Convulsions
  • “Black outs” — when the person forgets what happened during the drinking episode

-Source: National Institute of Health
*Severe alcohol withdrawal symptoms especially those that include Delirium Tremors, seizures or hallucinations require immediate medical attention. These are not to be taken lightly and have resulted in severe physical harm and even death. If you experience these symptoms we recommend you visit your local emergency room or talk with your doctor before attempting to quit alcohol abruptly.


Detox from prescription drugs is often one of the most uncomfortable detox’s unless done under medical supervision.

Prescription drug detox is next to impossible if attempted by a person on their own accord due to the physical withdrawal.

Withdrawal symptoms include shakes, sweats, nausea, vomiting, insomnia, headaches, and depression. Prescription drugs form a physical dependence within the body making it almost impossible to stop suddenly without getting sick and going into withdrawal. Prescription drug detox should be done under close medical supervision using medications to prevent withdrawal symptoms and side affects. Before treatment can effectively begin, the body must be rid of all the poisonous toxins from these medications.


Benzodiazepine detox can result in severe health complication if not done in a medical setting.

Benzodiazepines are classified as depressants, tranquilizers, or sedatives depending on their pharmacology, and chemistry.

A benzo detox is a medical necessity for a person addicted to them. Valium, Xanax, and Klonapin are the most widely used benzodiazepines in the world today. Usually these drugs are prescribed for sleep and anxiety, but can become addictive within a short period of time.


Opiates come in many forms; such as Vicodin, Oxycotin a,nd Morphine to the only illegal and most powerful and addictive opiate, Heroin..

When a person addicted to opiates stops taking them suddenly, they go directly into withdrawal, and become very ill. Withdrawal symptoms include leg kicking, loss of appetite/weight, nausea, shakes, sweats, headaches, vomiting, and depression. Opiate detox is the process of removing the opiates from the body by medications so that the patient does not go into withdrawal and become ill.


Marijuana is fat soluble, therefore it is stored in human fat cells. To completely rid your body of marijuana or THC takes a long time, up to 60 days in some cases. Marijuana is both an emotionally and psychologically addicting drug.

Chronic users can use a marijuana detox to help ease the withdrawal effects both physically and mentally.

Withdrawal symptoms may include depression, weight gain, stress, anxiety, anger, and a sense of being out of self.

Hotline Numbers

Hotline Numbers

AA Meetings in Iowa-Onine Listing or call 1-800-207-2172

Alcoholics Anonymous & Alcoholics Anonymous Teen 1-888-425-4252 (Mon-Fri 8:00am-6:00pm)

Boystown National Hotline 1-800-448-3000

DIAA – Deaf Iowans Against Abuse 1-877-244-0875

  Relay Crisis Line 1-877-385-9011

Cell to Cell Text 1-515-770-3063

Drug Activity Hotline 1-800-532-0052

Suspected drug and meth activity – Iowa Division of Narcotics Enforcement

Especially for Youth – Teenline 1-800-443-8336

G.L.B.T. Helpline 1-800-583-2848

HIV/AIDS Helpline 1-800-232-4636

How to Report Child Abuse (Iowa DHS) 1-800-362-2178 OR 1-800-442-4453

Iowa Domestic Violence Hotline 1-800-942-0333

Adel 1-800-440-4884

Adel Toll Free Spanish 1-800-550-0004

Atlantic 1-800-969-5123

Des Moines 1-800-942-0333

Iowa Drugs & Alcohol Helpline 1-866-242-4111

Iowa Sexual Abuse Hotlines 1-800-284-7821

LUNA – Latinas Unidas UnNuevo Amanecer 1-866-256-7668

National Eating Disorders 1-800-931-2237

National Runaway Switchboard 1-800-621-4000

TDD 1-800-621-0394

Poison Control 1-800-222-1222

Problem Gambling 1-800-BETS OFF (1-800-238-7633)

Quitline Iowa 1-800-QUIT NOW (1-800-784-8669)

TDD (Toll free smoking censation) 1-866-822-2857

Rape, Abuse & Incest National Network 1-800-656-4673

State Elder Abuse Hotline 1-800-362-2178

Suicide Prevention 1-800-273-TALK (8255)

TTY for Hearing and Speech Impaired 1-800-779-4TTY (4889)

Veterans Crisis Line 1-800-273-8255 – Press 1



ZION Integrated Behavioral Health Services Substance Use Disorder Program
Self-Assessment Questionnaire - Substance Abuse

Self-Assessment Questionnaire – Substance Abuse

Self-assessment questionnaire coming soon. 

Depression Screening

Depression Screening


Depression as defined by Webster as a  “state of feeling sad, dejection (2) : a psychoneurotic or psychotic disorder marked especially by sadness, inactivity, difficulty in thinking and concentration, a significant increase or decrease in appetite and time spent sleeping, feelings of dejection and hopelessness, and sometimes suicidal tendencies.”

Some common causes and risk factors for depression include:

  • Loneliness
  • Recent stressful life experiences
  • Health problems or chronic pain
  • Marital or relationship problems
  • Financial strain
  • Abuse or trauma
  • Alcohol or drug abuse
  • Unemployment or employment problems
  • Lack of social support
  • Family history of depression

Depression signs and symptoms are as unique as each person however there are some common signs and systems.  It is always important to remember that these symptoms can be part of “normal life” however the more symptoms you have, the longer they last and the stronger they are, the more risk there is of suffering from depression.

  • Feelings of helplessness and hopelessness
  • Loss of interest in daily activities
  • Appetite or weight changes
  • Change in sleep patterns
  • Loss of energy, feeling sluggish or drained
  • Anger or increased irritability
  • Strong feelings of worthlessness or guilt
  • Trouble concentrating

What to do

Just as the symptoms and causes of depression are different in different people, so are the ways to feel better. What works for one person might not work for another and there is no “one size fits all” for treatment. If you recognize the signs of depression in yourself or a loved one, take some time to explore the many treatment options. The key to depression recovery is to start small and ask for help. Having a strong support system in place will aid your recovery. Isolation feeds depression, so reach out to others, even when you feel like being alone. Let your family and friends know what you’re going through and how they can support you. In most cases, the best approach involves a combination of social support, lifestyle changes, emotional skill building, and professional help. Contact your local mental health provider with any questions or to schedule an appointment.

Gambling Screening

Gambling Screening


Problem Gambling or Compulsive Gambling is often labeled the “hidden disease”. If you find yourself lying to family members or others about your gambling, interferes with going to work, hiding your gambling, or gambling money you don’t have – you may have a gambling problem.

Lie-Bet Screening Tool

1. Have you felt the need to bet more and more money? Yes No

2. Have you ever had to lie to people important to you on how much you gamble? Yes No

If you answer “YES” to one or both questions in the Lie-Bet Screening Tool; you may have a gambling problem.  The first step is recognizing and acknowledging the problem to gain control of your life again.  There is help!  For further information or assistance you can contact ZION Recovery Staff at any location listed or you can access the following website:

Get Help From ZION Integrated Behavioral Health Services