Learn about stimulant drugs, including meth, cocaine, and amphetamines. Understand their effects, health risks, signs of misuse, and long-term impact on the brain. Based on credible sources including the DEA. STIMULANTS What Are Stimulants? Stimulant drugs are a class of psychoactive substances that temporarily increase activity in the brain and body, often producing feelings of energy, alertness, focus, and elevated mood. While these effects may seem appealing, stimulants place significant stress on the nervous system and can quickly become harmful. High doses can lead to anxiety, panic attacks, paranoia, aggression, seizures, and other serious physical reactions. Long-term or repeated use increases the risk of addiction, mental health disorders, heart problems, and neurological damage. Stimulants come in many forms, including pills, powders, and crystals, and may be swallowed, snorted, smoked, or injected. Understanding how stimulants affect the body is essential to recognizing their risks and preventing long-term harm. Learn More About Stimulants Stimulant drugs are psychoactive substances that temporarily boost physical and mental performance by elevating mood, increasing alertness, and creating short bursts of energy. Often referred to as “uppers,” these drugs can seem appealing at first, but the risks grow quickly. In high doses, stimulants can overwhelm the body and mind, causing anxiety, panic, seizures, headaches, stomach pain, aggression, and paranoia. Continued use of powerful stimulants leads to serious long-term harm. Stimulants appear in many forms, including tablets, capsules, powders, and crystal-like substances that may be clear, white, or brown with a harsh smell and bitter taste. Common stimulant drugs include cocaine, methamphetamines, amphetamines, nicotine, and ecstasy. Illegal stimulants are typically snorted, swallowed, smoked, or injected, while prescribed stimulants are taken orally. Their effects vary depending on the substance. Stimulants are used both recreationally and medically; for example, amphetamines may be prescribed for ADHD, narcolepsy, weight loss, or clinical depression but are also widely trafficked and misused. Over time, abusing stimulants damages the brain's dopamine system, reducing a person’s ability to feel pleasure and driving a harmful cycle of dependence. Methamphetamine commonly known as meth, is a highly addictive stimulant that powerfully affects the central nervous system. It often appears as a white or crystal-like substance that can be smoked, snorted, injected, or swallowed. Meth creates an intense rush of energy and euphoria by flooding the brain with dopamine, but this effect comes at a severe cost. Use quickly leads to dependence and serious physical and mental damage, including extreme weight loss, tooth decay, violent behavior, paranoia, hallucinations, and long-term cognitive impairment. Chronic meth use also alters brain structure and function, making recovery more difficult the longer someone uses. What is methamphetamine? Methamphetamine is a powerful, highly addictive stimulant that affects the central nervous system. Crystal methamphetamine is a form of the drug that looks like glass fragments or shiny, bluish-white rocks. It is chemically similar to amphetamine, a drug used to treat attention-deficit hyperactivity disorder (ADHD) and narcolepsy, a sleep disorder. How is methamphetamine used? People can take methamphetamine by: smoking swallowing (pill) snorting injecting the powder that has been dissolved in water/alcohol Because the "high" from the drug both starts and fades quickly, people often take repeated doses in a "binge and crash" pattern. In some cases, people take methamphetamine in a form of binging known as a "run," giving up food and sleep while continuing to take the drug every few hours for up to several days. How does methamphetamine affect the brain? Methamphetamine increases the amount of the natural chemical dopamine in the brain. Dopamine is involved in body movement, motivation, and reinforcement of rewarding behaviors. The drug’s ability to rapidly release high levels of dopamine in reward areas of the brain strongly reinforces drug-taking behavior, making the user want to repeat the experience. Short-Term Effects Taking even small amounts of methamphetamine can result in many of the same health effects as those of other stimulants, such as cocaine or amphetamines. These include: increased wakefulness and physical activity decreased appetite faster breathing rapid and/or irregular heartbeat increased blood pressure and body temperature Long-Term Effects People who inject methamphetamine are at increased risk of contracting infectious diseases such as HIV and hepatitis B and C. These diseases are transmitted through contact with blood or other bodily fluids that can remain on drug equipment. Methamphetamine use can also alter judgment and decision-making leading to risky behaviors, such as unprotected sex, which also increases risk for infection. Methamphetamine use may worsen the progression of HIV/AIDS and its consequences. Studies indicate that HIV causes more injury to nerve cells and more cognitive problems in people who use methamphetamine than it does in people who have HIV and don't use the drug.1 Cognitive problems are those involved with thinking, understanding, learning, and remembering. Long-term methamphetamine use has many other negative consequences, including: extreme weight loss addiction severe dental problems intense itching, leading to skin sores from scratching anxiety changes in brain structure and function confusion memory loss sleeping problems violent behavior paranoia—extreme and unreasonable distrust of others hallucinations—sensations and images that seem real though they aren't In addition, continued methamphetamine use causes changes in the brain's dopamine system that are associated with reduced coordination and impaired verbal learning. In studies of people who used methamphetamine over the long term, severe changes also affected areas of the brain involved with emotion and memory.2 This may explain many of the emotional and cognitive problems seen in those who use methamphetamine. Although some of these brain changes may reverse after being off the drug for a year or more, other changes may not recover even after a long period of time.3 A recent study even suggests that people who once used methamphetamine have an increased the risk of developing Parkinson's disease, a disorder of the nerves that affects movement. Can a person overdose on methamphetamine? Yes, a person can overdose on methamphetamine. An overdose occurs when the person uses too much of a drug and has a toxic reaction that results in serious, harmful symptoms or death. In 2017, about 15 percent of all drug overdose deaths involved the methamphetamine category, and 50 percent of those deaths also involved an opioid, with half of those cases related to the synthetic opioid fentanyl. It is important to note that cheap, dangerous synthetic opioids are sometimes added to street methamphetamine without the user knowing Additives such as fentanyl has been found in methamphetamine which has caused increased overdose deaths. How is methamphetamine addiction treated? While research is underway, there are currently no government-approved medications to treat methamphetamine addiction. The good news is that methamphetamine misuse can be prevented and addiction to the drug can be treated with behavioral therapies. The most effective treatments for methamphetamine addiction so far are behavioral therapies, such as: cognitive-behavioral therapy, which helps patients recognize, avoid, and cope with the situations likely to trigger drug use. motivational incentives, which uses vouchers or small cash rewards to encourage patients to remain drug-free Research also continues toward development of medicines and other new treatments for methamphetamine use, including vaccines, and noninvasive stimulation of the brain using magnetic fields. People can and do recover from methamphetamine addiction if they have ready access to effective treatments that address the multitude of medical and personal problems resulting from long-term use. Source: https://nida.nih.gov/publications/drugfacts/methamphetamine Cocaine Cocaine is a powerful stimulant drug derived from the coca plant and is most commonly found as a white powder or a solid crystal known as crack. It produces a fast, intense sense of energy, confidence, and alertness by disrupting the brain’s dopamine system. These effects fade quickly, often driving repeated use and rapid addiction. Cocaine use carries serious short and long-term risks, including heart attacks, strokes, dangerous spikes in blood pressure, anxiety, restlessness, and paranoia. Over time, cocaine can damage the heart, lungs, and brain, weaken decision-making, and increase the likelihood of violent or impulsive behavior. What is cocaine? Cocaine is a powerfully addictive stimulant drug made from the leaves of the coca plant native to South America. Although health care providers can use it for valid medical purposes, such as local anesthesia for some surgeries, recreational cocaine use is illegal. As a street drug, cocaine looks like a fine, white, crystal powder. Street dealers often mix it with things like cornstarch, talcum powder, or flour to increase profits. They may also mix it with other drugs such as the stimulant amphetamine, or synthetic opioids, including fentanyl. Adding synthetic opioids to cocaine is especially risky when people using cocaine don’t realize it contains this dangerous additive. Increasing numbers of overdose deaths among cocaine users might be related to this tampered cocaine. How is Cocaine used? People snort cocaine powder through the nose, or they rub it into their gums. Others dissolve the powder and inject it into the bloodstream. Some people inject a combination of cocaine and heroin, called a Speedball. Another popular method of use is to smoke cocaine that has been processed to make a rock crystal (also called "freebase cocaine"). The crystal is heated to produce vapors that are inhaled into the lungs. This form of cocaine is called Crack, which refers to the crackling sound of the rock as it's heated. Some people also smoke Crack by sprinkling it on marijuana or tobacco, and smoke it like a cigarette. People who use cocaine often take it in binges—taking the drug repeatedly within a short time, at increasingly higher doses—to maintain their high. How does cocaine affect the brain? Cocaine increases levels of the natural chemical messenger dopamine in brain circuits related to the control of movement and reward. Normally, dopamine recycles back into the cell that released it, shutting off the signal between nerve cells. However, cocaine prevents dopamine from being recycled, causing large amounts to build up in the space between two nerve cells, stopping their normal communication. This flood of dopamine in the brain’s reward circuit strongly reinforces drug-taking behaviors. With continued drug use, the reward circuit may adapt, becoming less sensitive to the drug. As a result, people take stronger and more frequent doses in an attempt to feel the same high, and to obtain relief from withdrawal. Short-Term Effects Short-term health effects of cocaine include: extreme happiness and energy mental alertness hypersensitivity to sight, sound, and touch irritability paranoia—extreme and unreasonable distrust of others Some people find that cocaine helps them perform simple physical and mental tasks more quickly, although others experience the opposite effect. Large amounts of cocaine can lead to bizarre, unpredictable, and violent behavior. Cocaine's effects appear almost immediately and disappear within a few minutes to an hour. How long the effects last and how intense they are depend on the method of use. Injecting or smoking cocaine produces a quicker and stronger but shorter-lasting high than snorting. The high from snorting cocaine may last 15 to 30 minutes. The high from smoking may last 5 to 10 minutes. What are the other health effects of cocaine use? Other health effects of cocaine use include: constricted blood vessels dilated pupils nausea raised body temperature and blood pressure fast or irregular heartbeat tremors and muscle twitches restlessness Long-Term Effects Some long-term health effects of cocaine depend on the method of use and include the following: snorting: loss of smell, nosebleeds, frequent runny nose, and problems with swallowing smoking: cough, asthma, respiratory distress, and higher risk of infections like pneumonia consuming by mouth: severe bowel decay from reduced blood flow needle injection: higher risk for contracting HIV, hepatitis C, and other bloodborne diseases, skin or soft tissue infections, as well as scarring or collapsed veins However, even people involved with non-needle cocaine use place themselves at a risk for HIV because cocaine impairs judgment, which can lead to risky sexual behavior with infected partners (see "Cocaine, HIV, and Hepatitis" textbox). Other long-term effects of cocaine use include being malnourished, because cocaine decreases appetite, and movement disorders, including Parkinson’s disease, which may occur after many years of use. In addition, people report irritability and restlessness from cocaine binges, and some also experience severe paranoia, in which they lose touch with reality and have auditory hallucinations—hearing noises that aren't real. Can a person overdose on cocaine? Yes, a person can overdose on cocaine. An overdose occurs when a person uses enough of a drug to produce serious adverse effects, life-threatening symptoms, or death. An overdose can be intentional or unintentional. Death from overdose can occur on the first use of cocaine or unexpectedly thereafter. Many people who use cocaine also drink alcohol at the same time, which is particularly risky and can lead to overdose. Others mix cocaine with heroin, another dangerous—and deadly—combination. Some of the most frequent and severe health consequences of overdose are irregular heart rhythm, heart attacks, seizures, and strokes. Other symptoms of cocaine overdose include difficulty breathing, high blood pressure, high body temperature, hallucinations, and extreme agitation or anxiety. How does cocaine use lead to addiction? As with other drugs, repeated use of cocaine can cause long-term changes in the brain’s reward circuit and other brain systems, which may lead to addiction. The reward circuit eventually adapts to the extra dopamine caused by the drug, becoming steadily less sensitive to it. As a result, people take stronger and more frequent doses to feel the same high they did initially and to obtain relief from withdrawal. Withdrawal symptoms include: depression fatigue increased appetite unpleasant dreams and insomnia slowed thinking How can people get treatment for cocaine addiction? Behavioral therapy may be used to treat cocaine addiction. Examples include: cognitive-behavioral therapy contingency management or motivational incentives—providing rewards to patients who remain substance free therapeutic communities—drug-free residences in which people in recovery from substance use disorders help each other to understand and change their behaviors community based recovery groups, such as 12-step programs While there are no FDA-approved medications for the treatment of cocaine use disorder, NIDA supports a robust medication development pipeline in this area. Source: https://nida.nih.gov/publications/drugfacts/cocaine Amphetamines Amphetamines are stimulant drugs that increase activity in the central nervous system, boosting alertness, energy, and concentration. While certain amphetamines are prescribed for medical conditions such as ADHD, narcolepsy, and some weight-loss treatments, they are also widely misused for their stimulating effects. Illicit amphetamine use can lead to rapid dependence and a range of harmful outcomes, including increased heart rate, insomnia, aggression, anxiety, and dangerous spikes in blood pressure. Long-term misuse damages the brain’s dopamine and serotonin systems, affecting mood, impulse control, and overall cognitive function. Whether prescribed or illegally obtained, misuse of amphetamines carries significant physical and psychological risks. What are common street names? Common street names include: Bennies Black Beauties Crank Ice Speed Uppers What do they look like? Amphetamines can look like pills or powder. Common prescription amphetamines include amphetamine and dextroamphetamine (Adderall®), dextroamphetamine (Dexedrine®), lisdexamphetamine (Vyvanse™) and methamphetamine (Desoxyn®). How are they abused? Amphetamines are generally taken orally or injected. However, the addition of “ice,” the slang name of crystallized methamphetamine hydrochloride, has promoted smoking as another mode of administration. Just as “crack” is smokable cocaine, “ice” is smokable methamphetamine. What is their effect on the mind? The effects of amphetamines are similar to cocaine, but their onset is slower and their duration is longer. In contrast to cocaine, which is quickly removed from the brain and is almost completely metabolized, methamphetamine remains in the central nervous system longer, and a larger percentage of the drug remains unchanged in the body, producing prolonged stimulant effects. Chronic abuse produces a psychosis that resembles schizophrenia and is characterized by paranoia, picking at the skin, preoccupation with one’s own thoughts, and auditory and visual hallucinations. Violent and erratic behavior is frequently seen among chronic users of amphetamines. What is their effect on the body? Physical effects of amphetamine use include: Increased blood pressure and pulse rates Insomnia loss of appetite Physical exhaustion What are their overdose effects? Overdose effects include: Agitation Increased body temperature Hallucinations Convulsions Possible death What is their legal status in the United States? Many amphetamines are Schedule II stimulants, which means that they have a high potential for abuse and a currently acceptable medical use (in FDA-approved products). Pharmaceutical products are available only through a prescription that cannot be refilled. Source: https://www.dea.gov/factsheets/amphetamines

Explore upcoming and past Sevier County C.A.R.E.S events focused on prevention, education, overdose awareness, and community support. Stay connected and get involved. Events Sevier County C.A.R.E.S hosts a variety of educational and community events throughout the year, each designed to promote awareness, prevention, and support for local families. Explore our upcoming and recent events below to see how you can get involved and stay connected with the work happening in our community. Multiple Dates Mon, Dec 29 Smart Recovery class / Sevierville Learn more Dec 29, 2025, 5:30 PM – 7:00 PM Sevierville, 408 High St, Sevierville, TN 37862, USA SMART Recovery is the leading, evidence-informed approach to overcoming addictive behaviors and leading a balanced life. SMART is stigma-free and emphasizes self-empowerment. Share Mon, Aug 31 International Overdose Awareness Day / Location is TBD Learn more Aug 31, 2026, 12:20 AM – 11:50 PM Location is TBD International Overdose Awareness Day, held on August 31, raises awareness about overdose prevention and honors those lost to overdose. It brings communities together to reduce stigma, support families, and share life-saving resources that can help prevent future tragedies. Share Fri, Oct 23 Red Ribbon Week / Location is TBD Learn more Oct 23, 2026, 12:00 AM – Oct 31, 2026, 11:50 PM Location is TBD Red Ribbon Week, celebrated each year from October 23–31, is the nation’s oldest and largest drug prevention awareness campaign. It encourages communities across the country to take a visible stand against substance misuse and promote healthy, drug-free lifestyles. Share Events Calendar December 2025 Today Mon Tue Wed Thu Fri Sat Sun 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 5:30 PM Smart Recovery class +1 more 30 31 1 2 3 4 5 5:30 PM Smart Recovery class +1 more 6 7 8 9 10 11

Teens Catching It Early Most experts believe anyone can become addicted to substances. Some substances, like nicotine and heroin, are so highly addictive that using them excessively or on a daily basis can lead to addiction in anyone. However, most people who try substances do not progress to heavy use or addiction. That said, any substance use during the teen and young adult years is a concern. The human brain continues to develop well into one’s twenties, making the adolescent and young adult years a critical point of focus for establishing healthy behavior and habits. Substance use during these years creates the potential for a variety of long-term negative effects. 90% of people with addictions started using substances in their teen years. Fentanyl Laced Pills More teenagers than ever are overdosing. Drug cartels and drug dealers are making fentanyl and pressing it into fake pills. Fake pills are made to look like OxyContin®, Xanax®, Adderall®, and other pharmaceuticals. These fake pills contain no legitimate medicine and are easily accessible and often sold on social media and e-commerce platforms, making them available to anyone with a smartphone. DEA officials report a dramatic rise in the number of fake pills containing at least 2 mg of fentanyl, which is considered a potentially lethal dose. Teenagers and young adults are dying at an alarming rate. Watch and share this video with your friends and family. Learn about Counterfeit Pills teen Resources teen Resources teen Resources teen Resources Become a Smoke Free Teen! Become a Smoke Free Teen! Learn about different tools to help you quit and how to use them. Start taking better care of your health today! Learn More Tennessee Suicide Prevention Network The Tennessee Suicide Prevention Network provides warning signs and helpful information for those struggling with suicidal thoughts. Learn More National Institute on Drug Abuse Find the latest science-based information about drug use, health, and the developing brain. Designed for young people and those who influence them. these resources inspire learning and encourage critical thinking so teens can make informed decisions about drug use and their health. Learn More The Real Cost of Tobacco The Real Cost of Tobacco has real facts and more about Vapes, Cigarettes, and Dip. Giving you the most accurate, up-to-date information about the harmful effects of tobacco use, so you know the real cost of smoking, vaping, and other tobacco use. Learn More Youth Opioid Abuse Prevention Opioids, or opiates, are a type of drug with powerful pain-relieving properties. Doctors often prescribe these for severe pain, such as after a surgery or for a root canal. Opioids have many names, including Vicodin, Percocet, OxyContin, codeine, and more. Learn More

Prevention What Is Addiction? Addiction, clinically referred to as a substance use disorder is a complex disease of the brain and body that involves compulsive use of one or more substances despite serious health and social consequences. Addiction disrupts regions of the brain that are responsible for reward, motivation, learning, judgment, and memory. The National Institute of Drug Abuse (NIDA) defines addiction as a chronic disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and can result in long-lasting changes in the brain. It’s more complicated than other diseases, as it’s considered both a complex brain disorder and a mental illness. Catching It Early Most experts believe anyone can become addicted to substances. Some substances, like nicotine and heroin, are so highly addictive that using them excessively or on a daily basis can lead to addiction in anyone. However, most people who try substances do not progress to heavy use or addiction. That said, any substance use during the teen and young adult years is a concern. The human brain continues to develop well into one’s twenties, making the adolescent and young adult years a critical point of focus for establishing healthy behavior and habits. Substance use during these years creates the potential for a variety of long-term negative effects. 90% of people with addictions started using substances in their teen years. Warning Signs of Drug Abuse Use of recreational drugs, over the counter medications, or prescription drugs can lead to substance use issues. It can frequently lead to problems at work, home, school, and in relationships, and leave the user feeling isolated, helpless, or shamed. If you’re worried about your own or a loved one’s drug use, it’s helpful to know the warning signs and more importantly, that help is available and treatment works. Common signs and symptoms of drug abuse: Neglecting responsibilities at school, work, or home Risk-taking when you’re using, such as driving, having unprotected sex Legal trouble, such as arrests for disorderly conduct, driving under the influence Physical warning signs of drug abuse: Bloodshot eyes, pupils larger or smaller than usual changes in appetite, sleep patterns, physical appearance unusual smells on breath, body, or clothing, or impaired coordination Behavioral signs of drug abuse Drop-in attendance and performance at work or school Engaging in secretive or suspicious behaviors Sudden change in friends, favorite hangouts, and hobbies Psychological warning signs of drug abuse Unexplained change in personality or attitude Sudden mood swings, irritability, spaced-out, or angry outbursts Appears fearful, anxious, or paranoid, with no reason Recognizing there’s a problem is the first step on the road to recovery, which often takes tremendous courage and strength. If you’re ready to face your addiction and are willing to seek help, you have the opportunity to build a satisfying, drug-free life for yourself. For immediate help and information on treatment, contact the Redline Phone: (800) 889-9789 Source: The National Council on Alcoholism and Drug Dependence Inc. The National Council on Alcoholism and Drug Dependence, Inc. (NCADD) is a voluntary health organization dedicated to fighting the nation’s #1 health problem – alcoholism, drug addiction, and the devastating consequences of alcohol and other drugs on individuals, families, and communities. Fentanyl There is significant risk that illegal drugs have been intentionally contaminated with fentanyl. Because of its potency and low cost, drug dealers have been mixing fentanyl with other drugs including heroin, methamphetamine, cocaine, marijuana, and creating counterfeit pills increasing the likelihood of a fatal overdose. The opioid threat remains at epidemic levels, affecting large portions of the country Fentanyl There is significant risk that illegal drugs have been intentionally contaminated with fentanyl. Because of its potency and low cost, drug dealers have been mixing fentanyl with other drugs including heroin, methamphetamine, cocaine, marijuana, and creating counterfeit pills increasing the likelihood of a fatal overdose. The opioid threat remains at epidemic levels, affecting large portions of the country Fentanyl Laced Pills Drug cartels and drug dealers are making fentanyl and pressing it into fake pills. Fake pills are made to look like OxyContin®, Xanax®, Adderall®, and other pharmaceuticals. These fake pills contain no legitimate medicine. Fake prescription pills are easily accessible and often sold on social media and e-commerce platforms, making them available to anyone with a smartphone. DEA officials report a dramatic rise in the number of fake pills containing at least 2 mg of fentanyl, which is considered a potentially lethal dose. Teenagers and young adults are dying at an alarming rate. Watch and share this video with your teenager or young adult. Learn about Counterfeit Pills Here are the Facts about Fentanyl What is fentanyl? Fentanyl is a powerful synthetic opioid that is similar to morphine but is 50 to 100 times more potent. It is a prescription drug that is also made and used illegally. Like morphine, it is a medicine that is typically used to treat patients with severe pain, especially after surgery. It is also sometimes used to treat patients with chronic pain who are physically tolerant to other opioids. Tolerance occurs when you need a higher and/or more frequent amount of a drug to get the desired effects. In its prescription form, fentanyl is known by such names as Actiq®, Duragesic®, and Sublimaze® Synthetic opioids, including fentanyl, are now the most common drugs involved in drug overdose deaths in the United States. How do people use fentanyl? When prescribed by a doctor, fentanyl can be given as a shot, a patch that is put on a person’s skin, or as lozenges that are sucked like cough drops. The illegally used fentanyl most often associated with recent overdoses is made in labs. This synthetic fentanyl is sold illegally as a powder, dropped onto blotter paper, put in eye droppers and nasal sprays, or made into pills that look like other prescription opioids. Some drug dealers are mixing fentanyl with other drugs, such as heroin, cocaine, methamphetamine, and MDMA. This is because it takes very little to produce a high with fentanyl, making it a cheaper option. This is especially risky when people taking drugs don’t realize they might contain fentanyl as a cheap but dangerous additive. They might be taking stronger opioids than their bodies are used to and can be more likely to overdose. To learn more about the mixture of fentanyl into other drugs, visit the Drug Enforcement Administration’s Drug Facts on fentanyl . How does fentanyl affect the brain? Like heroin, morphine, and other opioid drugs, fentanyl works by binding to the body's opioid receptors, which are found in areas of the brain that control pain and emotions.8 After taking opioids many times, the brain adapts to the drug, diminishing its sensitivity, making it hard to feel pleasure from anything besides the drug. When people become addicted, drug seeking and drug use take over their lives. Fentanyl's effects include extreme happiness drowsiness nausea confusion constipation sedation problems breathing unconsciousness Can you overdose on fentanyl? Yes, a person can overdose on fentanyl. An overdose occurs when a drug produces serious adverse effects and life-threatening symptoms. When people overdose on fentanyl, their breathing can slow or stop. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can lead to a coma and permanent brain damage, and even death. How can a fentanyl overdose be treated? As mentioned above, many drug dealers mix the cheaper fentanyl with other drugs like heroin, cocaine, MDMA and methamphetamine to increase their profits, making it often difficult to know which drug is causing the overdose. NALOXONE is a medicine that can treat a fentanyl overdose when given right away. It works by rapidly binding to opioid receptors and blocking the effects of opioid drugs. But fentanyl is stronger than other opioid drugs like morphine and might require multiple doses of naloxone. Because of this, if you suspect someone has overdosed, the most important step to take is to call 911 so they can receive immediate medical attention. Once medical personnel arrive, they will administer naloxone if they suspect an opioid drug is involved. Naloxone is available as an injectable (needle) solution and nasal sprays (NARCAN® and KLOXXADO®). People who are given naloxone should be monitored for another two hours after the last dose of naloxone is given to make sure breathing does not slow or stop. Some states have passed laws that allow pharmacists to dispense naloxone without a personal prescription. Friends, family, and others in the community can use the nasal spray versions of naloxone to save someone who is overdosing. Read more in Naloxone DrugFacts . source: https://nida.nih.gov/publications/drugfacts/fentanyl Prescription & OTC Medicines Misuse of medication often begins during the teen and young adult years. When these medicines are misused, they can have serious consequences. Over-the-counter (OTC) medicines are sold directly to people without a prescription. Which is dangerous to our youth. Prescription & OTC Medicines Marijuana is the most commonly used psychotropic drug in the United States, after alcohol.1 Its use is widespread among young people. In 2018, more than 11.8 million young adults used marijuana in the past year. Here are the Facts about Prescription & OTC Medicines OTC Medicines: OTC medicines treat a variety of illnesses and their symptoms, including pain, coughs and colds, diarrhea, constipation, acne, and others. Some OTC medicines have active ingredients with the potential for misuse at higher-than-recommended dosages. Learn about the health effects of OTC medicines Dextromethorphan (DMX) and Loperamide Prescription Medicines: When used as prescribed by a doctor, prescription medicines can be helpful in treating many illnesses. Stimulants are helpful in managing attention-deficit/hyperactivity disorder (ADHD) and narcolepsy. Central nervous system (CNS) depressants treat anxiety, panic, and sleep disorders. Opioids are prescribed to treat pain, coughing, and diarrhea. But when these medicines are misused, they can have serious consequences. Prescription Opioids: Opioids are a class of drugs naturally found in the opium poppy plant. Some prescription opioids are made from the plant directly, and others are made by scientists in labs using the same chemical structure. Opioids are often used as medicines because they contain chemicals that relax the body and can relieve pain. Prescription opioids are used mostly to treat moderate to severe pain, though some opioids can be used to treat coughing and diarrhea. Opioids can also make people feel very relaxed and "high" - which is why they are sometimes used for non-medical reasons. This can be dangerous because opioids can be highly addictive, and overdoses and death are common. Heroin is one of the world's most dangerous opioids and is never used as a medicine in the United States. source: https://www.drugabuse.gov/publications/drugfacts/prescription-opioids Alcohol More than 16 million Americans misuse or are addicted to alcohol. Heavy use of alcohol can lead to addiction (known as alcohol use disorder, or alcoholism), liver and heart disease, and other health consequences such as a weakened immune system and increased risk of developing certain cancers. Alcohol More than 16 million Americans misuse or are addicted to alcohol. Heavy use of alcohol can lead to addiction (known as alcohol use disorder, or alcoholism), liver and heart disease, and other health consequences such as a weakened immune system and increased risk of developing certain cancers. Here are the Facts about Alcohol Teen Drinking: Alcohol is the most widely used substance among America’s teens and young adults, posing substantial health and safety risks. Teens try alcohol for a variety of reasons – to exert independence, to feel more carefree, or escape from stress, peer pressure, and even boredom. Many tend to do so without fully recognizing alcohol’s negative effects or health risks. What's inside Alcohol: Alcohol is a central nervous system depressant and contains ethynol alcohol or ethanol. Ethanol is the intoxicating ingredient in beer, wine, and liquor, and is produced by the fermentation of yeast, sugars, and starches. Alcohol is usually a liquid that is drunk. Its color and packaging vary widely, and types include beer, wine, and liquor Alcohol's Effects on the Body: Drinking too much – on a single occasion or over time – can take a serious toll on your health. Here’s how alcohol can affect your body: Brain: Alcohol interferes with the brain’s communication pathways and can affect the way the brain looks and works. These disruptions can change mood and behavior, and make it harder to think clearly and move with coordination . Heart: Drinking a lot over a long time or too much on a single occasion can damage the heart, causing problems including: Cardiomyopathy – Stretching and drooping of the heart muscle Arrhythmias – Irregular heartbeat Stroke High blood pressure Liver: Heavy drinking takes a toll on the liver and can lead to a variety of problems and liver inflammations including: Steatosis, or fatty liver Alcoholic hepatitis Fibrosis Cirrhosis Pancreas: Alcohol causes the pancreas to produce toxic substances that can eventually lead to pancreatitis, a dangerous inflammation and swelling of the blood vessels in the pancreas that prevents proper digestion. source: https://www.niaaa.nih.gov/alcohols-effects-health/alcohols-effects-body Warning Signs of Alcoholism Tolerance: Do you have to drink more than you used to in order to get buzzed? Can you drink more than other people without getting drunk? If you answered yes to either question or both, you may have signs of tolerance which can be an early warning sign of alcoholism. Tolerance means that, over time, you need more and more alcohol to feel the same effects. Withdrawal: Do you need a drink to steady the shakes in the morning? If again the answer is yes, you are likely drinking to relieve or avoid withdrawal symptoms, a sign of alcoholism, and a huge red flag. When you drink heavily, your body gets used to the alcohol and experiences withdrawal symptoms if it’s taken away. Alcohol Withdrawal Symptoms Frequently Include: Anxiety or jumpiness Insomnia Loss of appetite Shakiness or trembling Depression HeadacheSweating Irritability FatigueNausea and vomiting In severe cases, withdrawal from alcohol can also involve hallucinations, confusion, seizures, fever, and agitation. These symptoms can be dangerous, so talk to your doctor if you are a heavy drinker and want to quit. Admitting that there’s a serious problem can be painful, and not just for the alcohol abuser. But don’t be ashamed. You’re not alone. Alcoholism and alcohol abuse affects millions of individuals, from every social class, race, and culture. Always know there is help and support available for you or a loved one. Tobacco Cigarettes cause more than 480,000 premature deaths in the United States each year—from smoking or exposure to secondhand smoke. This represents about 1,300 deaths every day. An additional 16 million people suffer from a serious illness caused by smoking. So, for every 1 person who dies from smoking, 30 more suffer from at least 1 serious tobacco-related illness. Tobacco Cigarettes cause more than 480,000 premature deaths in the United States each year—from smoking or exposure to secondhand smoke. This represents about 1,300 deaths every day. An additional 16 million people suffer from a serious illness caused by smoking. So, for every 1 person who dies from smoking, 30 more suffer from at least 1 serious tobacco-related illness. Tobacco use is the leading preventable cause of disease, disability, and death in the United States. Here are the Facts about Tobacco Teen Tobacco Use: Nearly 90% of adult daily smokers began smoking by the age of 18 and roughly 2,000 youth under 18 smoke their first cigarette every day in the United States. Tobacco usage is almost always started and established during adolescence when the developing brain is most vulnerable to nicotine addiction. What's inside Tobacco: There are many chemicals found in tobacco leaves but nicotine is the one that can lead to addiction. Other chemicals produced by smoking tobacco, such as tar, carbon monoxide, acetaldehyde, and nitrosamines, also can cause serious harm to the body. For example, tar causes lung cancer and other serious diseases that affect breathing, and carbon monoxide can cause heart problems. These toxic chemicals can be dangerous. In fact, tobacco use is the leading preventable cause of disease, disability, and death in the United States. Health Effects: Smoking can cause chronic lung disease, coronary heart disease, and stroke, as well as cancer of the lungs, larynx, esophagus, mouth, and bladder. In addition, smoking is known to contribute to cancer of the cervix, pancreas, and kidneys. Researchers have identified more than 40 chemicals in tobacco smoke that cause cancer in humans and animals. Smokeless tobacco and cigars also have deadly consequences, including lung, larynx, esophageal, and oral cancer.The harmful effects of smoking do not end with the smoker. Women who use tobacco during pregnancy are more likely to have adverse birth outcomes, including babies with low birth weight, which is linked with an increased risk of infant death and with a variety of infant health disorders. The health of nonsmokers is adversely affected by environmental tobacco smoke (ETS). Secondhand smoke causes approximately 7,330 deaths from lung cancer and 33,950 deaths from heart disease each year. Between 1964 and 2014, 2.5 million people died from exposure to secondhand smoke, according to a report from the U.S. Surgeon General. The report also concluded that secondhand smoke is a definitive cause of stroke sources: https://medlineplus.gov/ency/article/002032.htm https://teens.drugabuse.gov/drug-facts/tobacco-nicotine-vaping-e-cigarettes#topic-4 Marijuana Marijuana is the most commonly used psychotropic drug in the United States, after alcohol. People can mix marijuana in food (edibles), such as brownies, cookies, or candy, or brew it as a tea. A newly popular method of use is smoking or eating different forms of THC-rich resins. Its use is widespread among young people. In 2018, more than 11.8 million young adults used marijuana in the past year. Marijuana Marijuana is the most commonly used psychotropic drug in the United States, after alcohol.1 Its use is widespread among young people. In 2018, more than 11.8 million young adults used marijuana in the past year. Here are the Facts about Marijuana (Cannabis) Marijuana Extracts: Smoking THC-rich resins extracted from the marijuana plant is on the rise. People call this practice dabbing. These extracts come in various forms, such as: hash oil or honey oil—a gooey liquid wax or budder—a soft solid with a texture like lip balm shatter—a hard, amber-colored solid A Rise In Marijuana’s THC Levels: The amount of THC in marijuana has been increasing steadily over the past few decades. For a person who's new to marijuana use, this may mean exposure to higher THC levels with a greater chance of a harmful reaction. Higher THC levels may explain the rise in emergency room visits involving marijuana use. The popularity of edibles also increases the chance of harmful reactions. Edibles take longer to digest and produce a high. Therefore, people may consume more to feel the effects faster, leading to dangerous results. Higher THC levels may also mean a greater risk for addiction if people are regularly exposing themselves to high doses. Physical Effects: Breathing problems. Marijuana smoke irritates the lungs, and people who smoke marijuana frequently can have the same breathing problems as those who smoke tobacco. These problems include daily cough and phlegm, more frequent lung illness, and a higher risk of lung infections. Researchers so far haven't found a higher risk of lung cancer in people who smoke marijuana. Increased heart rate. Marijuana raises the heart rate for up to hours after smoking. This effect may increase the chance of a heart attack. Older people and those with heart problems may be at higher risk. Intense nausea and vomiting. Regular, long-term marijuana use can lead to some people to develop Cannabinoid Hyperemesis Syndrome. This causes users to experience regular cycles of severe nausea, vomiting, and dehydration, sometimes requiring emergency medical attention. Short Term Effects: When a person smokes marijuana, THC quickly passes from the lungs into the bloodstream. The blood carries the chemical to the brain and other organs throughout the body. The body absorbs THC more slowly when the person eats or drinks it. In that case, they generally feel the effects after 30 minutes to 1 hour. THC acts on specific brain cell receptors that ordinarily react to natural THC-like chemicals. These natural chemicals play a role in normal brain development and function. Marijuana over activates parts of the brain that contain the highest number of these receptors. This causes the "high" that people feel. Other effects include: Altered senses (for example, seeing brighter colors) Altered sense of time Changes in mood Impaired body movement Difficulty with thinking and problem-solving Impaired memory Hallucinations (when taken in high doses) Delusions (when taken in high doses) Psychosis (risk is highest with regular use of high potency marijuana) Long Term Effects: Marijuana also affects brain development. When people begin using marijuana as teenagers, the drug may impair thinking, memory, and learning functions and affect how the brain builds connections between the areas necessary for these functions. Researchers are still studying how long marijuana's effects last and whether some changes may be permanent. For example, a study from New Zealand conducted in part by researchers at Duke University showed that people who started smoking marijuana heavily in their teens and had an ongoing marijuana use disorder lost an average of 8 IQ points between ages 13 and 38. The lost mental abilities didn't fully return in those who quit marijuana as adults. Those who started smoking marijuana as adults didn't show notable IQ declines. In another recent study on twins, those who used marijuana showed a significant decline in general knowledge and in verbal ability (equivalent to 4 IQ points) between the preteen years and early adulthood, but no predictable difference was found between twins when one used marijuana and the other didn't. This suggests that the IQ decline in marijuana users may be caused by something other than marijuana, such as shared familial factors (e.g., genetics, family environment). NIDA’s Adolescent Brain Cognitive Development (ABCD) study, a major longitudinal study, is tracking a large sample of young Americans from late childhood to early adulthood to help clarify how and to what extent marijuana and other substances, alone and in combination, affect adolescent brain development. Read more about the ABCD study on our Longitudinal Study of Adolescent Brain and Cognitive Development (ABCD Study) webpage. Source: National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services. Learn more about Marijuana Vaping Vaping has become one of the most popular forms of substance abuse, especially among teens. Teens and parents alike should be educated about vaping and it's potential for harm. Thousands of illnesses and even several dozen deaths have been linked to vaping. Vaping Vaping has become one of the most popular forms of substance abuse, especially among teens. Teens and parents alike should be educated about vaping and it's potential for harm. Thousands of illnesses and even several dozen deaths have been linked to vaping. Here are the Facts about vaping Flavors: Vaping products come in thousands of tasty flavors, many with fun and enticing names like gummy bear, cotton candy, fruity pebbles and tastes sweet making them feel harmless. Recent crackdowns on flavors by the federal, state and local governments have begun to ban fruity flavors that appease to children and teens, aside from menthol and tobacco these vapes are generally banned in refillable cartridge-based devices like JUUL, loopholes in regulations are driving kids to flavored disposable vapes that have even higher nicotine content and come in countless enticing flavors. High levels of nicotine: Nicotine doses in vaping products can range from 2mg/ml to more than 59mg/ml, and some companies are engaging in “a nicotine arms race,” trying to raise the dose to levels that exceed those found in traditional cigarettes or competing vapes. JUULs currently contains 59mg/ml of nicotine in each pod in the United States — an amount equal to about 1-2 packs of cigarettes. Other chemicals, metals, and ultrafine particles The aerosol, which many teens believe "is harmless water vapor" , actually consists of many chemicals, heavy metals, and fine particles — many of which are toxic and dangerous — that seeps deep into the lungs and bloodstream when vaping. Marijuana or other drugs: Increasingly, marijuana compounds such as THC and CBD are found in vaping products. These vapes are referred to as "Dab pens" and most of these pens are claimed to be from legal distilleries from a state like California, when in fact they are mostly homemade and full of toxins and even pesticides. Vaping is Bad for your health: More and more, nicotine and other chemicals in vapes are being tied to an increased heart rate and blood pressure and the risk of heart attack and stroke, as well as inflammation, asthma, and wheezing. They also can cause inflammatory processes and depress immune function in the lungs and are associated with chronic bronchitis and a reduced ability to fight off bacterial and viral infections.

Parents Adverse Childhood Experiences (ACEs) Adverse childhood experiences, commonly referred to as ACEs, are traumatic events that occur in a child's life before the age of 18. ACEs are often categorized into three main groups: abuse, neglect, household dysfunction and/or homelessness. Within these groupings are more specific types of ACEs such as physical abuse, emotional neglect, substance misuse, and divorce or separation. These early traumatic experiences can significantly impact a child’s growth, development, and overall well-being. Fentanyl Laced Pills More teenagers than ever are overdosing. Drug cartels and drug dealers are making fentanyl and pressing it into fake pills. Fake pills are made to look like OxyContin®, Xanax®, Adderall®, and other pharmaceuticals. These fake pills contain no legitimate medicine and are easily accessible and often sold on social media and e-commerce platforms, making them available to anyone with a smartphone. DEA officials report a dramatic rise in the number of fake pills containing at least 2 mg of fentanyl, which is considered a potentially lethal dose. Teenagers and young adults are dying at an alarming rate. Watch and share this video with your friends and family. Learn about Counterfeit Pills Parent Resources Parent Resources Parent Resources Parent Resources "Talk. They Hear You."® Campaign The “Talk. They Hear You.” campaign aims to reduce underage drinking and other substance use among youths under the age of 21 by providing parents and caregivers with information and resources they need to address these issues with their children early and often. Learn More National Institute on Drug Abuse Find the latest science-based information about drug use, health, and the developing brain. Designed for young people and those who influence them. these resources inspire learning and encourage critical thinking so teens can make informed decisions about drug use and their health. Learn More Partnership to End Addiction Whether you’re the parent or caregiver of a young child, adult child, or anywhere in between, we’ve developed evidence-based trainings to help support you in educating yourself about substance use and techniques to talk with and work with your child. Learn More SAMHSA Talking to children about mental illness can be an opportunity for parents and caregivers to provide their children with information, support, and guidance. Mental illness in children can be hard for parents and caregivers to identify. As a result, many children who could benefit from treatment don't get the help they need. Learn More Discover • Connect • Prevent The DEA has joined forces with Discovery Education to provide no-cost online tools that support every member of the community with the power of prevention. Help kickstart life-saving conversations today with standards-aligned English & Spanish-language resources for students in grades 3-12 Learn More Ask Listen Learn Ask, Listen, Learn is a completely FREE digital underage drinking prevention program for kids ages 9-13 (grades 4-8) and their parents and educators with the goal to reduce underage drinking. The information provided throughout the program guides adults with ways to start communicating with kids about alcohol and the developing brain Learn More

Learn about Sevier County C.A.R.E.S, a coalition dedicated to preventing substance misuse, supporting recovery, and building a safer, healthier community through education and partnerships. About Sevier County Coalition for Addiction Recovery & Education Services We envision Sevier County to be free of substance abuse and related crimes. To succeed, we will work with our entire community, including local government, judicial services, law enforcement, school board, recovery centers, and many others by promoting the awareness of harmful risks to substance and prescription drug abuse. Our Leadership and Staff We proudly serve the citizens of Sevier County by providing education, tools, and support to prevent substance misuse before it begins while reducing its impact on individuals and families. Our team plans and implements community programs, evidence-based trainings, and prevention campaigns that strengthen awareness and promote healthier lifestyles. We offer peer support, educational materials, overdose prevention resources, and connection to vital services throughout the county. Contact us to learn how we can support you and our community. Nicole Ogle (865) 705-9617 Sevier County Director of Alcohol and Drug Programs & Executive Director of Sevier County C.A.R.E.S Nicole Ogle serves as the Sevier County Director of Alcohol and Drug Programs and the Executive Director of Sevier County C.A.R.E.S, leading the county’s efforts to prevent substance misuse and support community well-being. She oversees programs, partnerships, and outreach initiatives that strengthen families and connect residents with vital prevention and recovery resources. Lori Patterson (865) 696-2376 Sevier County Drug Prevention Executive Assistant Lori Patterson serves as the Drug Prevention Executive Assistant for Sevier County, supporting daily operations, outreach efforts, and communication across the community. She is committed to helping connect families and local partners with the resources they need to promote a safer, healthier county. Laura Jones (865) 469-3565 Sevier County Drug Endangered Children Coordinator Laura Jones serves as the Sevier County Drug Endangered Children Coordinator, working to protect children affected by substance misuse and connect families with essential support services. She collaborates with local agencies, schools, and community partners to ensure vulnerable children receive safety, stability, and the resources they need to thrive. Lea Wilson (865) 507-0353 Sevier County Hybrid Lifeline Coordinator Lea Wilson serves as the Sevier County Hybrid Lifeline Coordinator, helping individuals and families access recovery support, resources, and community services. She works closely with local partners to guide residents through the process of finding assistance, offering encouragement and connection as they pursue healthier, more stable lives. Jessica Savarese (865) 697-4506 Regional Overdose Prevention Specialist Jessica Savarese serves as a Regional Overdose Prevention Specialist, working to reduce overdose risks through education, training, and community outreach. She partners with local agencies, first responders, and organizations to expand access to life-saving resources and support individuals and families affected by substance misuse. Board of Directors Vice Chair Board Treasurer JP Hackney Board Secretary Cindy Myers Donnie Mashburn Board Chairman Our Mission The mission of Sevier County C.A.R.E.S (Coalition for Addiction Recovery & Education Service) is to prevent and reduce substance misuse and coordinate recovery efforts within Sevier County Sevier County C.A.R.E.S Vision statement We envision Sevier County to be free of substance abuse and related crimes. To succeed, we will work with our entire community, including local government, judicial services and law enforcement through promoting the awareness of harmful risks related to substance and prescription drug abuse. Proud Members and Partners

Housing A stable home is within reach — take the next step toward security and hope today. If you’re in need of housing assistance, there are resources available to help you find safe and stable living arrangements. Whether you're facing eviction, struggling to afford rent, or searching for emergency shelter, the programs linked below can provide support. From rental assistance and temporary housing to long-term affordable housing solutions, these services are here to help you get back on your feet. Explore the links below to find the assistance that best fits your needs. Breckenridge Apartments 865-774-8885 Gateway Village 865-453-1729 LeConte Terrace Apartments (Seniors) 865-774-8885 McElhaney Glen Apts (Seniors) Seymour 865-579-4886 Park Village Apartments 865-428-5280 Renaissance Square (Seniors) Seymour 865-579-4886 Sevierville Housing Authority 865-453-8500 Riverview Apartments (Seniors) 865-453-0824 Woodland Park (Seniors) 865-429-6896 Samaritan Place (emerg. Senior housing) 865-684-1880 Learn More TN Valley Coalition for Homeless 888-556-0791 Learn More Douglas Cherokee Housing Authority 865-453-7131 Learn More

Learn what Adverse Childhood Experiences (ACES) are, how they affect children and adults, and how families and communities can support healing and resilience. Understanding Adverse Childhood Experiences (ACES) What are ACEs? Adverse Childhood Experiences, known as ACES, refer to traumatic or stressful events that occur during childhood. These experiences can affect how children learn, behave, process emotions, and develop physically. Research from the CDC and Kaiser Permanente shows that ACES are strongly linked to long-term health outcomes, mental wellness, and overall life success. Understanding ACES is the first step toward building healthier families and stronger communities. Early awareness makes it easier to identify when a child needs support, stability, or additional resources. By recognizing the signs, parents, educators, and communities can take meaningful steps to reduce the impact of these experiences. What Counts as an ACE ACES include a variety of situations that create stress, fear, or instability for children. The most commonly recognized categories include: Abuse and Neglect ACES can include direct harm to a child such as physical, emotional, or sexual abuse. They also include situations where a child’s basic emotional or physical needs are not met, known as physical or emotional neglect. These experiences create stress that can affect a child’s development, confidence, and long-term well-being. Household Dysfunction Many ACES come from instability within the home. This includes living with a family member who struggles with substance abuse, mental illness, or violent behavior. It also covers situations where a caregiver is incarcerated or when parents go through divorce or separation. These disruptions can create insecurity and long-term emotional stress for children. Community and Environmental Stress Children can also be affected by challenges outside the home. Exposure to violence in the neighborhood, growing up in poverty, facing discrimination, or experiencing homelessness all increase stress levels that impact a child’s sense of safety and stability. Other Significant Traumatic Events ACES may also include major life events such as natural disasters, chronic illnesses, or the loss of a caregiver. These experiences can change a child’s daily life instantly, leading to fear, grief, or long-term emotional struggles. How ACES Shape Childhood and Beyond The ACES Score Researchers use an ACES score to identify how many difficult or traumatic experiences a child has faced. The score does not define or label a child, but it helps caregivers and professionals understand the potential risks for emotional, behavioral, or physical challenges later in life. How ACES Affect Kids ACES can influence every part of a child’s development. Emotionally, children may struggle with anxiety, depression, anger, or difficulty calming down. In learning environments, they may have trouble focusing, earn lower grades, or display behavior issues. Physical health can also be impacted through sleep problems, headaches, and elevated stress hormones. Socially, children may have trouble making friends, struggle with trust, or withdraw from others. Why ACES Matter in Adulthood High ACES scores are strongly linked to challenges later in life. Adults who experienced multiple ACES in childhood face increased risks of heart disease, addiction, mental health struggles, and difficulties maintaining healthy relationships. More information can be found through the CDC at https://www.cdc.gov/violenceprevention/aces . What Helps Kids Recover Children can recover and thrive when they have strong protective factors. Supportive, caring adults play a crucial role in helping them feel safe. Stable home and school environments, access to mental health services, predictable routines, and involvement in community programs all contribute to healthier emotional and physical development. Reducing ACES in Our Communities Communities can work together to reduce ACES by supporting parents and caregivers with resources and education. Expanding access to childcare and early learning programs strengthens stability for families. Increasing available mental health services, creating safe neighborhoods, and promoting positive parenting practices all help lower the number of children exposed to traumatic experiences. Where to Get Help in Tennessee Families in Tennessee can find support through several statewide resources. The Tennessee Department of Children’s Services and the Tennessee Mental Health and Substance Abuse Services provide guidance and assistance. Schools offer access to counselors who can help connect families with needed support. Local nonprofits also provide resources such as childcare, housing, food, and crisis assistance. ACES do not decide a child’s future. With support and caring relationships, children can overcome early challenges and grow into healthy, successful adults. Learning about ACES helps families, schools, and communities create safer, more supportive places for every child to thrive.

Tobacco use is the leading preventable cause of disease, disability, and death in the United States. Cigarettes cause more than 480,000 premature deaths in the United States each year—from smoking or exposure to secondhand smoke. This represents about 1,300 deaths every day. An additional 16 million people suffer from a serious illness caused by smoking. Learn more Keep Sevier County Clean and Avoid Harmful Substances Last year, over 70,000 Americans fatally overdosed on illegally made Fentanyl. Fentanyl is very cheap and extremely addictive. Drug dealers are dangerously mixing illicitly manufactured fentanyl with, and disguising it as, other common drugs like Oxy, Percocet and Xanax to increase profits. It has also been found in party drugs like cocaine and MDMA. This production process is not regulated and does not undergo any kind of quality control. Users have no way of knowing what they are getting in these street drugs, putting them at significant risk of poisoning and overdose – and as little as two milligrams of fentanyl (two grains of sand) can kill a person. Learn More Opioid Overdose Training Sevier County C.A.R.E.S and the Office of Alcohol and Drug Programs provide overdose prevention training with Narcan distribution in the following counties. Blount, Cocke, Hamblen, Jefferson, Loudon, Monroe, and Sevier County. Training is conducted by our Regional Overdose Prevention Specialist. If you are a resident, group, agency, or organization located in one of these counties and are interested in online overdose prevention training, please contact us today. Contact Now Learn More Creating a healthy and safe community, free of substance misuse and dependency. About Us Resources The Tennessee REDLINE is the 24/7/365 resource for substance misuse treatment referrals. Anyone can call or text 800-889-9789 for confidential referrals. Our Mission The mission of Sevier County C.A.R.E.S (Coalition for Addiction Recovery & Education Service) is to prevent and reduce substance misuse and coordinate recovery efforts within Sevier County Sevier County C.A.R.E.S Vision Statement We envision Sevier County to be free of substance abuse and related crimes. To succeed, we will work with our entire community, including local government, judicial services and law enforcement through promoting the awareness of harmful risks related to substance and prescription drug abuse. Get Help For those seeking immediate help or recovery services, there are a number of resources both local and nationwide. Please click below to see those resources now. Learn More Learn The Facts Learn the facts about the most commonly used drugs. The effects of the drug on the brain and body. Statistics, and trends written by NIDA researchers and scientists. Learn More Treatment For those seeking Treatment and Recovery Services, there are a number of resources both local and nationwide made available, online Learn More What Is Addiction? Addiction, clinically referred to as a substance use disorder is a complex disease of the brain and body that involves compulsive use of one or more substances despite serious health and social consequences. Addiction disrupts regions of the brain that are responsible for reward, motivation, learning, judgment, and memory. The National Institute of Drug Abuse (NIDA) defines addiction as a chronic disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and can result in long-lasting changes in the brain. It’s more complicated than other diseases, as it’s considered both a complex brain disorder and a mental illness. Teen Substance Abuse Learn More Treatment & Support Learn More Drug Guide & Information Learn More Get The Help You Need Learn More Proud Members and Partners

Substance Misuse IIf you or a loved one is experiencing a mental or physical health emergency, call 911 immediately. If you or someone you love is struggling with substance misuse, it’s important to remember that help is available. Recovery is possible, and seeking support is the first step toward a healthier, more fulfilling life. Our website provides links to local programs, treatment centers, and support networks dedicated to helping individuals overcome addiction. Don’t face this journey alone—explore the resources below and take the first step toward healing today. You deserve support, and there’s a community ready to guide you. Al-a-non & Al-a-teen 865-525-9040 Learn More SAMHSA 877-726-4727 Learn More Great Smokies Community Classes 865-771-0561 Learn More LifeChangers Intake 865-403-0149 Learn More McNabb Center 865-429-0557 Learn More Peninsula Outpatient Center (Sevier) 865-970-9800 Learn More Tennessee REDLINE 1-800-889-9789 Learn More Find Help Now Learn More Office of Alcohol & Drug Programs 865-280-1717 Learn More Sevier County C.A.R.E.S. 865-705-9617 Learn More 800-252-6465 Alcohol Abuse Hotline 865-522-9667 Alcoholics Anonymous Hotline 866-617-1710 Narcotics Anonymous Helpline

Employment Assistance Take the next step toward a better future —opportunities are out there, and the right job is waiting for you! If you're looking for a job or need help advancing your career, our website provides resources to support you. We offer links to job listings, resume assistance, training programs, and career counseling services to help you find the right opportunity. Whether you're unemployed or seeking better employment, the tools and support you need are just a click away. Look at the links below for references. Heartland Services of Sevier Co 865-453-3254 Learn More TN Claims Center (Unemployment) 877-813-0950 Learn More American Job Center 865-286-6384 Learn More For The Working People Learn More

Senior Programs Embrace the resources available to help you or your loved ones live a fulfilling and supported life in your senior years. There are numerous resources available to support older adults and their families. From healthcare services and transportation assistance to social activities and financial support, local programs are designed to enhance the quality of life for seniors. Whether you need help with daily living, finding senior housing, or connecting with community activities, these programs can provide the services you need. Explore the links below to find senior resources that will help you or your loved ones stay healthy, active, and engaged in the community. Blount Memorial Hospital: Senior Services 865-977-5744 Learn More My People Senior Activity Center 865-453-8080 Learn More Sevier County Council on Aging 865-453-8080 Learn More Social Security Administration 800-772-1213 Learn More Safe Senior TN Learn More Sevier County Geriatric Screening Team 865-428-7999