Antibiotic Stewardship

Substance-use problems do not disappear with age.Alcohol, prescription medications, and other substances can become difficult to manage at any stage of life. For older adults, substance use may develop alongside chronic pain, grief, loneliness, anxiety, depression, retirement, sleep problems, or major changes in independence.Families may also find it difficult to recognize a problem because symptoms can resemble other health concerns.In Port Charlotte, Twin Rivers Pathways provides outpatient substance-use and behavioral health treatment, including an Intensive Outpatient Program and integrated care for people experiencing both substance use and mental health conditions.What Is a Substance Abuse Program?The clinical term substance use disorder describes a pattern of alcohol or drug use that causes meaningful problems with health, relationships, responsibilities, or daily life.Treatment programs may address concerns involving: Alcohol Prescription medications Illicit drugs Other addictive substances Different levels of treatment exist.They may include: Outpatient counseling Intensive outpatient treatment Residential treatment Medical detoxification Inpatient rehabilitation Not every provider offers every level of care.Twin Rivers Pathways focuses on outpatient behavioral health and substance-use treatment, including Intensive Outpatient Program services.Twin Rivers Pathways4161 Tamiami Trail, Unit 302, Port Charlotte, FL 33952 Phone: 941-766-0171Twin Rivers Pathways is operated through DeSoto Memorial Hospital Behavioral Health and serves adults throughout Charlotte County and surrounding Southwest Florida communities.Outpatient Substance-Use TreatmentTwin Rivers Pathways identifies substance-abuse treatment and addiction treatment among its Port Charlotte services.The provider describes its approach as helping people address substance-use disorders while developing tools intended to support long-term recovery.Because the program is outpatient, participants can continue living at home while attending treatment.That can make outpatient care suitable for individuals who are medically stable and do not require inpatient monitoring.Intensive Outpatient ProgramTwin Rivers Pathways offers an Intensive Outpatient Program, or IOP.An IOP provides more structure than occasional outpatient counseling without requiring a person to live at a treatment facility.Twin Rivers' program combines structured therapy with behavioral health treatment while allowing participants to maintain many of their normal responsibilities. An evaluation helps determine whether this level of care is appropriate.Group Therapy in Substance-Use RecoveryGroup therapy is commonly used in substance-use treatment because it gives participants a structured place to develop recovery skills and hear from others experiencing related challenges.Twin Rivers Pathways provides clinician-led group therapy within its outpatient treatment continuum. The exact content and schedule depend on the individual's treatment program.Co-Occurring Mental Health and Substance-Use ConditionsSubstance use and mental health conditions frequently overlap.Someone may drink heavily while experiencing depression or anxiety. Another person may misuse medication while coping with trauma, grief, or another behavioral health condition.Twin Rivers Pathways provides dual-diagnosis care, meaning mental health and substance-use concerns can be treated together rather than as unrelated problems.The provider's current services specifically identify integrated treatment for co-occurring mental health and substance-use conditions.Why Substance-Use Treatment Matters in Port CharlottePort Charlotte has a large senior population, with 33.1% of residents age 65 or older.This makes later-life behavioral health and substance-use services especially relevant locally.Retirement can bring positive changes, but it may also bring: Loss of routine Reduced social contact Health concerns Chronic pain Grief Isolation When alcohol or medications become a way of coping with these changes, professional support can help address both the substance use and the underlying emotional needs.Having an outpatient program in Port Charlotte allows appropriate participants to seek structured treatment while remaining connected to home and family.How to Get Started With Substance-Use TreatmentStep 1: Describe What Is Happening Honestly Step 2: Call Twin Rivers PathwaysStep 3: Complete an Assessment Step 4: Verify InsuranceStep 5: Ask About Family InvolvementStep 6: Ask Whether Another Level of Care Is NeededRelated CategoriesMental Health & CounselingBehavioral HealthSupport Groups & Services

David & Meshelle McKendry, Owners Meshelle McKendry was born in Lubbock, Texas and David is a native to Colorado. They were both raised in the Rocky Mountain state and witnessed the determination and motivation of familys owning their own businesses. With both their families backgrounds in business ownership, the two were excited to open a business of their own, that provides care for seniors and adults with disabilities. The parents of three are now almost empty nesters. David and Meshelles oldest son works as a decorative painter in the Valley, their daughters family lives in Minnesota, and their youngest son attends Colorado Mesa University. Proud to be a part of this community, David and Meshelle own a peach orchard in the Vinelands of Palisade and support building their community as good neighbors both personally and as business owners Patty Weaver, Community Liaison Patty Weaver was born in Hereford, Texas, and spent part of her childhood in Colorado before settling in Grand Junction, where her family roots run deep. A proud mother of two sons, both successful construction business owners in Grand Junctionand grandmother to four wonderful grandchildren, family is at the heart of everything she does. With a background in marketing and retail, Patty discovered her true passion in 2011: serving seniors and their families. As Community Liaison for Right at Home, she is dedicated to ensuring that those in need of extra care and companionship are treated with dignity, live safely, feel valued, and are truly heard.  Patty is proud to be part of the Right at Home team, where she continues to connect with families and makes a meaningful difference in the lives of seniors throughout the community.  Rebecca Arhelger,  Agency Director  With a lifelong passion for serving others, I began my career as a caregiver as just eighteen years old. From the very beginning, being welcomes into clients homes and playing a meaningful role in their quality of life has been both an honor and a calling. My experience expanded to working with people with developmental and physical disabilities, further strengthening my commitment to compassionate, person-centered care. After moving to Colorado in 2007, I began my career with the state of Colorado Department of Human Services, where I gained extensive experience in leadership and person- centered practices while earning my bachelors degree in psychology. Today, I am proud to have returned to my roots in home care with Right at Home. Our mission is simple: to help individuals live safely, comfortably, and independently in their homes for as long as possible. Providing dignity, respect, and high-quality care is at the heart of everything we do. As an Army veteran, I am especially passionate about serving fellow veterans- an important priority at Right at Home. Beyond my professional life, I am a proud wife of 26 years, mother of two, and Nana to one, roles that continue to shape my deep understanding of family- centered care. Caring is not just my career-it is my purpose.      Julie Genovese, Scheduling Manager  Julie is a proud native of Colorado who grew up in the beautiful Rocky Mountains. After graduating from high school, she spent many of her adult years in Tucson and Phoenix, Arizona. While living in Tucson, Julie worked for the Arizona State School for the Deaf and the Blind, where she developed a deep appreciation for service and advocacy. In 2010, Julie returned to Colorado to be closer to her family. Once back in her home state, she dedicated six years to working with developmentally disabled adults in Glenwood Springs and Eagle, Colorado. Her commitment to compassionate care continued in 2016 when she attended Colorado Mountain College (CMC) in Eagle and earned her Certified Nursing Assistant (CNA) license. She then transitioned into private caregiving in Gypsum, Colorado, where she led a small team providing dedicated care for her client over a four-year period. In 2021, Julie moved to Grand Junction, Colorado, and worked in the business office of an assisted living facility, further expanding her knowledge of senior care and community support services. Throughout her career, Julie has consistently felt called to roles centered on service. She understands the profound impact that compassionate caregiving has on individuals, families, and the broader community. Deeply committed to continual learning and service, Julie remains dedicated to making a meaningful difference wherever she lives and works.  Kristina Love, Care Coordinator Born and raised in Grand Junction, Colorado, I am deeply committed to helping people live safely, comfortably, and with dignity in their own homes. With a strong foundation in community values and a genuine passion for service, I focus on supporting individuals and families so they can continue to thrive where they feel most at home. I am a proud mother of five daughters and a graduate of Colorado Mesa University. After spending time in Destin, Florida, I recently returned to Colorado, where I am excited to continue serving the community Ive always called home.  Kaylee May, Care Coordinator  Hi, Im Kaylee. I live in Gypsum, Colorado, and have about six years of experience in caregiving both as aCNA and MA. My background in hands-on care helps me better support both our caregivers and clients in my role as a Home Care Scheduling Manager. Im proud to be part of a company that provides top-tier, compassionate care to the seniors in our community, and I truly value being able to serve and support the people right here at home. We are Truly blessed to have such a compassionate, dedicated team serving our clients and caregivers. Our mission is to make a difference every day, and we are honored to serve the wonderful communities here in Colorado.

Across Colorados Western Slope, communities are agingand with that comes a growing need for understanding, compassion, and coordinated support for individuals living with Alzheimers disease and other dementias. From Grand Junction to surrounding rural towns, families are increasingly touched by memory loss, whether as caregivers, neighbors, professionals, or friends.The Alzheimers Association Colorados Western Slope plays a critical role not only in supporting individuals and caregivers, but also in helping communities become more dementia-friendly. Through awareness, advocacy, and community engagement, the Association works to ensure that people affected by dementia can live with dignity, safety, and connection.What Does Dementia-Friendly Really Mean?A dementia-friendly community is one where individuals living with dementia are understood, respected, and supportedand where caregivers are not left to navigate challenges alone.Dementia-friendly communities: Increase public awareness and understanding of dementia Reduce stigma and fear surrounding memory loss Support independence and inclusion Encourage early engagement with resources Foster compassion across all age groups On the Western Slope, where towns are often close-knit and neighbors look out for one another, these principles naturally align with community values.A representative from the Alzheimers Association shares: When communities understand dementia, people feel safer asking for help earlier. Awareness changes outcomesnot just for individuals, but for entire families. Why Community Awareness Matters on the Western SlopeGeography plays a major role in how families experience dementia on the Western Slope. Long distances between services, limited specialty care, and fewer local resources can make early support harder to access.Community awareness helps bridge these gaps by: Encouraging neighbors and professionals to recognize early warning signs Connecting families to trusted resources sooner Reducing isolation in rural areas Supporting caregivers who may feel invisible or overwhelmed When entire communities understand dementia, families are more likely to seek help before reaching a crisis point.Education as the Foundation of Dementia-Friendly CommunitiesEducation is the cornerstone of the Alzheimers Associations community work. By sharing accurate, research-based information, the Association helps replace myths with understanding.Community education efforts often focus on: What Alzheimers and dementia areand what they are not How memory loss affects behavior and communication Ways community members can be supportive and patient How to respond compassionately to confusion or disorientation These efforts empower not just caregivers, but business owners, service providers, faith leaders, and neighbors across the Western Slope.Supporting Caregivers Through Community ConnectionCaregivers are often the backbone of dementia care, yet they can feel isolatedespecially in smaller towns. Dementia-friendly communities recognize caregivers as essential and deserving of support.The Alzheimers Association strengthens caregiver support by: Promoting local and virtual support groups Encouraging respite and self-care awareness Connecting caregivers to education and guidance Advocating for caregiver-friendly policies and programs When communities rally around caregivers, the entire support system becomes stronger and more sustainable.Advocacy That Shapes the Future of Dementia CareBeyond education and direct services, the Alzheimers Association is deeply involved in advocacyworking to improve policies, funding, and systems that affect individuals living with dementia.Advocacy efforts help: Increase funding for Alzheimers research Improve access to diagnostic services Strengthen caregiver support programs Influence long-term care and healthcare policy For Western Slope families, advocacy means their voices are heardeven when they live far from urban centers.Partnering with Local Organizations and ProfessionalsDementia-friendly communities dont develop in isolation. The Alzheimers Association collaborates with local organizations to expand impact across the Western Slope.Partnerships may include: Healthcare providers and clinics Senior centers and aging services Senior living communities Nonprofits, faith organizations, and civic groups These collaborations help ensure consistent messaging, shared resources, and a unified approach to dementia support.Reducing Stigma, One Conversation at a TimeStigma remains one of the greatest barriers to early support. Fear, embarrassment, or misunderstanding can prevent families from reaching out.Through community education and advocacy, the Alzheimers Association works to: Normalize conversations about memory loss Encourage empathy rather than judgment Highlight the humanity behind the diagnosis Promote inclusion instead of isolation On the Western Slope, where community relationships matter deeply, reducing stigma can transform how families experience dementia.A Community Where No One Faces Dementia AloneDementia-friendly communities are not built overnight. They grow through awareness, education, and shared commitment. The Alzheimers Association Colorados Western Slope is proud to help lead that effortensuring families feel supported not just by services, but by the communities they call home.By working together, Western Slope communities can become places where individuals living with dementia are respected, caregivers are supported, and hope remains central to the journey.Frequently Asked Questions (FAQs)What is a dementia-friendly community?Its a community that understands dementia, reduces stigma, and actively supports individuals living with memory loss and their caregivers.How can community members get involved?Community members can attend education programs, share awareness materials, and support dementia-friendly initiatives.Are dementia-friendly efforts only for large cities?No. Dementia-friendly practices are especially valuable in rural and smaller communities like those on the Western Slope.Does the Alzheimers Association work with local organizations?Yes. Partnerships with healthcare providers, nonprofits, and community groups are a key part of their mission.How does awareness help families?Awareness encourages earlier support, reduces isolation, and helps families feel understood and supported.Learn More About the Alzheimers Association Colorados Western Slope To explore community education, advocacy efforts, and dementia support services available on the Western Slope, learn more through the Alzheimers Association Colorados Western Slope Seniors Blue Book listing