A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death

Size: px
Start display at page:

Download "A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death"

Transcription

1 A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death 2013 WPHA-WALHDAB Annual Conference Wednesday, May 22: 2:00-2:35 pm Lisa Bullard-Cawthorne, MS, MPH

2 OPIATE PREVALENCE IN DANE COUNTY

3 Poisoning in Dane County Leading Cause of Injury Death

4 Most Poisoning Deaths & Hospital Visits Result from Drugs Alcohol* huge impact on community 82% prescription, over-the counter, illicit drugs 62% prescription, over-the counter, illicit drugs

5 Large Numbers Go to Hospital for Drug Poisoning & Substance Abuse Disorder In 2011, there were more than 1,200 visits to the hospital (admitted and emergency department visits) for drug poisoning (injuries). 270 were opiate poisoning. Teens and young adults more affected (15-24) In 2011, more than 3,500 people are in the hospital for substance (drug) related disorder (abuse & dependence) More than 1000 were for opiate-related drugs.

6 Opiates are Abundant & Highly Addictive: Majority of Opiate Overdoses from Prescription Pain Medications Other opiates or opioid analgesics: Oxycodone (Oxycotin & Percocet) Hydrocodone (Vicodin) Hydromorphone Meperidine (Demerol) Fentanyl Codeine Morphine Opium Propoxyphene (Darvon) Tramadol (Ultram or Tramal) * Main Diagnosis Unintentional Poisoning ED visits and Hospitalization for Opiates and other Narcotics Dane County, Other opiates 257(61%) Methadone 35(8%) Heroin 103(25%) Hallucinogens Other Narcotics 23(6%) Opiate drug users often report starting their opiate addiction with prescription pain medications. Using E-codes PHMDC 2012

7 Opiate* Deaths & Hospital Visits Increased in Past Decade The number of opiate deaths tripled over decade (14 in in 2010). In 2012, there were 77 overdose deaths, about 50 were opiaterelated. (Medical Examiner data) *Opiate - any diagnosis

8 Opiate Overdoses: Narcan Administration in Community Madison EMS Calls: 178 in 2009 to 300 in 2012 Does not include 16 other Dane County EMS that can administer Naloxone ARCW Lifepoint Prevention Program : From 2005, 404 reported peer saves. (In Southern Region, 2,158 reported saves) * Naloxone or Narcan is an antidote to reverse respiratory depression caused by opiate overdose

9 Crude Rate per 100,000 Increase in Number of Dane County AODA Treatment Clients With Problematic Opiate Use Dane Co. AODA Treatment for Opiate All Opiates Heroin Other Opiate Drugs 2011: 316 opiate clients Years Dane County Department of Human Services

10 Data Driven Approach Raised awareness in community Generated interest by many stakeholders Mayor & County Executive support Summit (January, 2012) 130 people attended Summit Reunion (April, 2013) 75 people attended Steering Committee (May 13) key stakeholders

11 OPIATE OVERDOSE SURVEY

12 Overdose Survey to Gather Data Data Gathered: Number of overdoses in community (not already known) Information about overdose experience, getting help, and perceptions & views about current laws & practice to assist with local policy & programming Information about treatment & recovery related-issues Participants: Survey: 1101 people 504 current & past drug users [needle exchange (194) and Methadone Clinic clients (189-25%); 121 people in recovery (Recovery Solutions of Wisconsin)] 330 (33%) Dane County law enforcement (DC Police Chief s Ass.) 267 (27%) Dane County EMS (DC EMS Chief s Ass.)

13 Percent Opiate Overdoses are COMMON in DC Communities (287) Been to or witnessed overdose 81.6 (218) Law Enforcement EMS Current User Methadone Clinic Client Survey Respondent 78.8 (99) (90) (89) Person in Recovery 783 (75%) witnessed or at scene of opiate overdose It may be beneficial to consider adopting a harmreduction approach in order to decrease the number of OD deaths. (Police)

14 Percent 70% 60% Personal Overdose Experience of Current & Past Drug Users 63% 50% 40% (74) 30% 27% 20% 10% 22% (41) (50) 0% Current Drug User Methadone Clinic Client Person in Recovery Survey Respondant 165 (33%) people had personal overdose experience ; 65% more than once

15 Percent 70 Outcome of Person Experiencing Overdose Law Enforcement & EMS Responses (335) Other: Person recovered from combination of N & other medical intervention (14) Person taken to hospital (4) (20) Recovered w/o medical intervention (63) 5.3 (40) (27) Recovered Narcan Recovered other MI Person died Other

16 GETTING HELP DURING OVERDOSE Calling 911 & Reasons NOT Calling % (167) of current and past drug users DID NOT call 911 after overdose Other 10 Worried about charges 36.3 Took them to hospital 7.4 Gave rescue breathing-woke up 11.4 Left in public place 4.9 Didn t want victim mad 13.9 No phone available 4.9 Worried about police 50.7 Gave Narcan- woke up 40.7 Person woke up on own Percent

17 Percent In my opinion, one of the main reasons people overdose and die is because the people around them are afraid to call 911, because they fear they will get in trouble. Lives would be saved if the police would not arrest the people trying to help. (Person in Recovery) Worried about Police/Charges: Arrests Not Always Made LE- Overdose victim LE- Bystander Direct opiate experience Arrests made 50% of the time; victim more than bystander No Yes

18 Percent ACCESS TO NARCAN TO SAVE LIVES Who Administered Narcan? (397) (184) 5 (21) EMS & Law Enforcement EMS Non-Medical (115) (74) Current or Past Drug User Anything to promote awareness about OD in the community would be beneficial. EMT-Basics and First Responders should be approved for use of nasal Naloxone. (EMS)

19 percent TREATMENT & RECOVERY MISSED Opportunity for Discussion 80 Treatment discussed at overdose scene Current Drug Users & Methadone Clinic Clients (94) (28) 0 No Yes

20 Turning Point to Become Clean & Sober Methadone clients & people in recovery Other 12.70% Withdrawal 75.50% Loss of employment 38.60% Children or family 10.90% Loss of relationships 56.40% Lack of stable housing 32.70% Financial concerns 64.10% Legal consequences Somebody died due to OD 36.40% 35.50% Health issues due to use 29.50% Hospitalized due to OD Unconcious due to OD 14.10% 16.40% I wanted to stop and I also have kids that I didn't want to see me addicted to drugs; its not fair to me or them. (Current Drug User)

21 Barriers and Challenges to Treatment & Recovery Barriers to receiving treatment Lack of insurance or funding for services Lack of trust of service providers Fear of treatment Challenges in maintaining treatment Lack of insurance or funding for services Lack of transportation (daily methadone treatment) Lack of family support Challenges faced in recovery Family issues Mental health concerns Legal issues I tried for almost two years to find help and get into a Methadone program, but I found most of the time it was just easier to find drugs than it was to get help. I hope and wish someday it will be easier for people to find help they need. (Methadone Clinic Client)

22 Benefits of Data Collection Brought together partners Generated discussion within target groups Police, EMS, people in treatment/recovery Encouraged discussion among mixed group to explore possible interventions First Focus Group (30 mixed group; ½ people in recovery) Plan for two more Focus Groups in 2013

23 STOP THE DRUG OVERDOSE INITIATIVE

24

25 Overarching Awareness Campaign Produce The Solution Starts With Me video, starring partners of the Drug Poisoning Initiative: Stop the Overdose Epidemic Launch Use Only As Directed Public Education Campaign (Utah) Funded by Mayor award & matched funding Partnering w/ Madison Metro and possibly M Streets Safe Communities Website: Poisoning Prevention

26 Access 12 permanent drop-box locations across Dane County (municipality- law enforcement collaboration) Exploring avenues for a safe storage ( Lock It Up ) campaign Lock boxes or locked zip bags at time of pharmacy prescription pick-up; supported by health care organizations (voucher system)

27

28 Prescribing Health Care Task Force - all local health care providers (medical, dental, pharmacy) Developed provider and patient education materials to be distributed within health care systems Sending series to all local dentists about opiate prescribing Recommended guidelines, patient card - parent addiction network and MedDrop info, prescribing practice survey

29 Overdose Intervention Pilot to allow EMS-Basics (5 EMS agencies) to administer nasal naloxone Pilot program to allow police (2 rural agencies) to be trained to administer nasal naloxone Education of prisoners on overdose risk after release from jail Promotion & support of ARCW Lifepoint Overdose Prevention Program (train peer drug users)

30 Drug Treatment & Recovery Integrated with Mental Health Care Parent Addiction Network parent resource for families on negotiating treatment options and criminal justice system (website) Expansion of treatment slots (opiate-assisted therapy) for Drug Court participants (majority are addicted to opiates (County Executive budget) Resource Fair for people in recovery (to be planned by Focus Group participants)

31

32 Substance Abuse Prevention 2-hour training session on Prevention of Youth Drug & Alcohol Abuse: What Works & What Doesn t - for School AODA workers, law enforcement, etc. Development & dissemination of youth and parent opiate abuse prevention training sessions (Spring 2013)

33 Multidisciplinary Partnerships Formed to Move Work Forward Local organizations represented on Steering Committee & in six strategy area workgroups Public Health Police; Judicial System, District Attorney Health Care (Medical, Dental, Pharmacy) EMS Substance Abuse Treatment Providers; Human Services Media Parents Schools & Youth Organizations Needle Exchange Providers

DANE COUNTY OPIATE OVERDOSE SURVEY (10/12 1/13) & FOCUS GROUP (1/13)

DANE COUNTY OPIATE OVERDOSE SURVEY (10/12 1/13) & FOCUS GROUP (1/13) DANE COUNTY OPIATE OVERDOSE SURVEY (10/12 1/13) & FOCUS GROUP (1/13) Stop the Drug Overdose Epidemic Initiative Summit Reunion April 8, 2013 Lisa Bullard Cawthorne, MS, MPH, PHMDC Suryadewi Edi Nugraheni,

More information

The Opiate Epidemic. Laura Suminski, MSE, NCC, LPC-IT, SAC-IT Krystle Gutting, MS, LPC-IT, SAC-IT

The Opiate Epidemic. Laura Suminski, MSE, NCC, LPC-IT, SAC-IT Krystle Gutting, MS, LPC-IT, SAC-IT The Opiate Epidemic Laura Suminski, MSE, NCC, LPC-IT, SAC-IT Krystle Gutting, MS, LPC-IT, SAC-IT Connections Counseling Madison, WI www.connectionscounseling.com The Opiate Epidemic Opioid-related Facts

More information

Preventing Fatal Opioid Overdose Among Injection Drug Users. Skye Tikkanen Connections Counseling Scott Stokes AIDS Resource Center of Wisconsin

Preventing Fatal Opioid Overdose Among Injection Drug Users. Skye Tikkanen Connections Counseling Scott Stokes AIDS Resource Center of Wisconsin Preventing Fatal Opioid Overdose Among Injection Drug Users Skye Tikkanen Connections Counseling Scott Stokes AIDS Resource Center of Wisconsin I have no relevant financial interests to disclose for this

More information

Naloxone Distribution for Opioid Overdose Prevention

Naloxone Distribution for Opioid Overdose Prevention Naloxone Distribution for Opioid Overdose Prevention Caleb Banta-Green PhD, MPH, MSW Alcohol and Drug Abuse Institute, University of Washington Alan Melnick, MD, MPH Clark County Public Health Chris Humberson,

More information

Visit www.takebackmylife.org to hear more of my story or call 211 for help and treatment options

Visit www.takebackmylife.org to hear more of my story or call 211 for help and treatment options In high school, I experimented with alcohol and pot. Then I moved on to narcotics and cocaine, which landed me in jail several times. By 25, I was a daily heroin user with a long-term prison sentence.

More information

Massachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District

Massachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District Massachusetts Substance Abuse Policy and Practices Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District November 2014 Substance Abuse and Addiction National and State opioid abuse

More information

Populations at risk for opioid overdose

Populations at risk for opioid overdose Populations at risk for opioid overdose Len Paulozzi, MD, MPH Division of Unintentional Injury Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention April

More information

Testimony Engrossed House Bill 1101 Department of Human Services Senate Human Services Committee Senator Judy Lee, Chairman February 19, 2013

Testimony Engrossed House Bill 1101 Department of Human Services Senate Human Services Committee Senator Judy Lee, Chairman February 19, 2013 Testimony Engrossed House Bill 1101 Department of Human Services Senate Human Services Committee Senator Judy Lee, Chairman February 19, 2013 Chairman Lee, members of the Senate Human Services Committee,

More information

6/19/2014. Opiate and Heroin Abuse in Rural Communities Litchfield County Opiate Task Force

6/19/2014. Opiate and Heroin Abuse in Rural Communities Litchfield County Opiate Task Force Opiate and Heroin Abuse in Rural Communities Litchfield County Opiate Task Force Joy Pendola; LMFT, LADC, Clinical Manager of DDIOP and Adult Behavioral Health Services at the Charlotte Hungerford Hospital

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

Marijuana: The changing public opinion 5/12/2014. Mother s little helper: Prescription drug abuse in the 21 st century

Marijuana: The changing public opinion 5/12/2014. Mother s little helper: Prescription drug abuse in the 21 st century Mother s little helper: Prescription drug abuse in the 21 st century Carol Falkowski CEO and Founder Drug Abuse Dialogues St. Paul, Minnesota www.drugabusedialogues.com More kids smoke marijuana than smoke

More information

TESTIMONY. March 17, 2014. Rutland, VT

TESTIMONY. March 17, 2014. Rutland, VT Community Solutions to Breaking the Cycle of Heroin & Opioid Addiction TESTIMONY Harry Chen, MD, Commissioner of Health March 17, 2014 Senate Committee on the Judiciary Franklin Conference Center at the

More information

Heroin in Snohomish County: Mortality and Treatment Trends

Heroin in Snohomish County: Mortality and Treatment Trends Heroin in Snohomish County: Mortality and Treatment Trends January 2015 This page left intentionally blank. Table of Contents Introduction and Acknowledgments 1 Executive Summary 2 Mortality Overdose Mortality

More information

What is an opioid? Why address opioid use in your county? Support the Prevention Agenda by Preventing Non-Medical Prescription Opioid Use and Overdose

What is an opioid? Why address opioid use in your county? Support the Prevention Agenda by Preventing Non-Medical Prescription Opioid Use and Overdose Support the Prevention Agenda by Preventing Non-Medical Prescription Opioid Use and Overdose What is an opioid? Opioids are a type of pain-relief medication. According to the National Institute on Drug

More information

QUEEN ANNE S COUNTY STRATEGIC PLAN ALCOHOL AND DRUG ABUSE SERVICES

QUEEN ANNE S COUNTY STRATEGIC PLAN ALCOHOL AND DRUG ABUSE SERVICES QUEEN ANNE S COUNTY STRATEGIC PLAN ALCOHOL AND DRUG ABUSE SERVICES 2016 2018 INTRODUCTION Local councils are established under Chapters 237 and 238 of the Acts of the General Assembly of Maryland of 2004,

More information

PRESCRIPTION PAINKILLER OVERDOSES

PRESCRIPTION PAINKILLER OVERDOSES IMPACT{ POLICY PRESCRIPTION PAINKILLER OVERDOSES National Center for Injury Prevention and Control Division of Unintentional Injury Prevention What s the Issue? In a period of nine months, a tiny Kentucky

More information

Prescription drug abuse trends. Minnesota s Prescription Monitoring Program. Minnesota Rural Health Conference June 25, 2013 Duluth

Prescription drug abuse trends. Minnesota s Prescription Monitoring Program. Minnesota Rural Health Conference June 25, 2013 Duluth Prescription drug abuse trends Minnesota s Prescription Monitoring Program Carol Falkowski Drug Abuse Dialogues www.drugabusedialogues.com Barbara Carter, Manager MN Board of Pharmacy www.pmp.pharmacy.state.mn.us

More information

RULES AND REGULATIONS PERTAINING TO OPIOID OVERDOSE REPORTING

RULES AND REGULATIONS PERTAINING TO OPIOID OVERDOSE REPORTING RULES AND REGULATIONS PERTAINING TO OPIOID OVERDOSE REPORTING [R23-1-OPOIDR] STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH April 2014 (E) COMPILER S NOTES: Proposed Additions: The

More information

INFO Brief. Prescription Opioid Use: Pain Management and Drug Abuse In King County and Washington State

INFO Brief. Prescription Opioid Use: Pain Management and Drug Abuse In King County and Washington State ADAI-IB 23-3 INFO Brief Prescription Opioid Use: Pain Management and Drug Abuse In King County and Washington State O ctober 23 Caleb Banta-Green (Alcohol and Drug Abuse Institute, University of Washington),

More information

BREAKING THE CYCLE. Clermont County s 2015 Response to the Opiate Epidemic

BREAKING THE CYCLE. Clermont County s 2015 Response to the Opiate Epidemic BREAKING THE CYCLE Clermont County s 2015 Response to the Opiate Epidemic SPONSORED BY: Clermont County Mental Health & Recovery Board and Clermont County Public Health Understanding the Opiate Epidemic

More information

What Parents Need to Know

What Parents Need to Know What Parents Need to Know About Prescription Drug Abuse Office of District Attorney Jonathan W. Blodgett A Message From the District Attorney Prescription drug abuse is a growing problem. According to

More information

Summary of Children s Safety Network Prescription and Over-the-Counter Drug Abuse Environmental Scan

Summary of Children s Safety Network Prescription and Over-the-Counter Drug Abuse Environmental Scan Summary of Children s Safety Network Prescription and Over-the-Counter Drug Abuse Environmental Scan Introduction Prescription and over-the-counter (OTC) drug abuse and its consequences are a fast growing

More information

2013 OHIO DRUG OVERDOSE DATA: GENERAL FINDINGS 1

2013 OHIO DRUG OVERDOSE DATA: GENERAL FINDINGS 1 Number of Deaths Rate per 100,000 persons 2013 OHIO DRUG OVERDOSE DATA: GENERAL FINDINGS 1 Drug overdose deaths continue to be a public health crisis in Ohio with a 413 percent increase in the number of

More information

King County Drug Trends 2015

King County Drug Trends 2015 Brad Finegood, MA, LMHC Assistant Division Director, Acting RSN Administrator Prevention and Treatment Coordinator King County Behavioral Health and Recovery Division Caleb Banta-Green PhD, MPH, MSW Senior

More information

Opioid Overdose Prevention for Law Enforcement and First Responders. Sponsored by the NC Office of EMS

Opioid Overdose Prevention for Law Enforcement and First Responders. Sponsored by the NC Office of EMS Opioid Overdose Prevention for Law Enforcement and First Responders Sponsored by the NC Office of EMS Overview The goal of this presentation is to help inform the public safety community of North Carolina

More information

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu Governor s Task Force on Mental Health and Substance Use www.ncdhhs.gov/mhsu Problem Statement 97 Painkiller prescriptions per 100 North Carolinians Number of deaths by drug overdose in North Carolina

More information

The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community

The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community November 2014 INTRODUCTION The Heroin

More information

Testimony of The New York City Department of Health and Mental Hygiene. before the

Testimony of The New York City Department of Health and Mental Hygiene. before the Testimony of The New York City Department of Health and Mental Hygiene before the New York City State Assembly Committee on Alcoholism and Drug Abuse on Programs and Services for the Treatment of Opioid

More information

OPIOID OVERDOSE RESPONSE AND NALOXONE ADMINISTRATION

OPIOID OVERDOSE RESPONSE AND NALOXONE ADMINISTRATION 1.0 Purpose OPIOID OVERDOSE RESPONSE AND NALOXONE ADMINISTRATION This is a DESC internal operational policy and procedure document [effective date: 06/26/2015] Greg Jensen, Director of Administrative Services

More information

5/31/2015. Statement of Need:

5/31/2015. Statement of Need: Statement of Need: The project was created in December 2012 to address the rapidly growing and increasingly devastating consequences of illicit opiate abuse in. The ultimate goal of the (HRI) is to create

More information

P U B L I C H E A L T H A D V I S O R Y

P U B L I C H E A L T H A D V I S O R Y The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619Tel: 617-624-6000 Fax: 617-624-5206 www.mass.gov/dph

More information

Heroin Addiction. Kim A. Drury RN, MSN

Heroin Addiction. Kim A. Drury RN, MSN Heroin Addiction Kim A. Drury RN, MSN Heroin use is on the rise in our area. Nearly every day the news media reports situations involving Heroin. According to the Substance Abuse and Mental Health Services

More information

Table of Contents. I. Introduction... 2. II. Summary... 3. A. Total Drug Intoxication Deaths... 5. B. Opioid-Related Deaths... 9

Table of Contents. I. Introduction... 2. II. Summary... 3. A. Total Drug Intoxication Deaths... 5. B. Opioid-Related Deaths... 9 Table of Contents I. Introduction... 2 II. Summary... 3 III. Charts A. Total Drug Intoxication Deaths... 5 B. Opioid-Related Deaths... 9 C. Heroin-Related Deaths... 11 D. Prescription Opioid-Related Deaths...

More information

Washington State Interagency Opioid Working Plan

Washington State Interagency Opioid Working Plan Washington State Interagency Opioid Working Plan INTRODUCTION January 2016 Washington State is currently experiencing an opioid abuse and overdose crisis involving prescription opioids and heroin. Approximately

More information

Celebrating a Year of Expanded Naloxone Access and Overdose Education within Cuyahoga County

Celebrating a Year of Expanded Naloxone Access and Overdose Education within Cuyahoga County Cuyahoga County March 2014, Issue 1 Celebrating a Year of Expanded Naloxone Access and Overdose Education within Cuyahoga County According to the Ohio Department of Health (ODH), between 1999 and 2011,

More information

WHAT WE KNOW. Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE

WHAT WE KNOW. Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE WHAT WE KNOW The misuse and abuse of prescription drugs has become a leading cause of harm among New Hampshire adults,

More information

Combating Opiate Addiction

Combating Opiate Addiction Combating Opiate Addiction A Strategy by the Arlington Police Department A Plan of Action Frederick Ryan Chief of Police July 2015 Statement of the Problem The recent heroin epidemic has spared no community

More information

Part 1: Opioids and Overdose in the U.S. and New Mexico. Training: New Mexico Pharmacist Prescriptive Authority for Naloxone Protocol 7/15/2015

Part 1: Opioids and Overdose in the U.S. and New Mexico. Training: New Mexico Pharmacist Prescriptive Authority for Naloxone Protocol 7/15/2015 Training: New Mexico Pharmacist Prescriptive Authority for Naloxone Protocol New Mexico Pharmacists Association & Project ECHO 2014 This training fulfills the educational requirement for pharmacists in

More information

CENTER FOR RURAL PA PUBLIC HEARING OPIATE ABUSE TREATMENT AND RECOVERY SERVICES. York, PA. August 18, 2015

CENTER FOR RURAL PA PUBLIC HEARING OPIATE ABUSE TREATMENT AND RECOVERY SERVICES. York, PA. August 18, 2015 CENTER FOR RURAL PA PUBLIC HEARING OPIATE ABUSE TREATMENT AND RECOVERY SERVICES York, PA August 18, 2015 Hello. My name is Jack Carroll, and I m the Executive Director of the Cumberland-Perry Drug and

More information

Testimony on Addressing Heroin and Opioid Addiction. Theodore Dallas. Secretary, Department of Human Services. Center for Rural Pennsylvania

Testimony on Addressing Heroin and Opioid Addiction. Theodore Dallas. Secretary, Department of Human Services. Center for Rural Pennsylvania Testimony on Addressing Heroin and Opioid Addiction Theodore Dallas Secretary, Department of Human Services Center for Rural Pennsylvania July 29, 2015 1 P a g e Introduction Good morning Senator Yaw,

More information

The Opioid Addiction Epidemic: How marketing and regulatory failure led to a public health crisis

The Opioid Addiction Epidemic: How marketing and regulatory failure led to a public health crisis The Opioid Addiction Epidemic: How marketing and regulatory failure led to a public health crisis Andrew Kolodny, M.D. Chief Medical Officer, Phoenix House Foundation Inc. Executive Director, Physicians

More information

OVERDOSE EDUCATION & NALOXONE DISTRIBUTION (OEND) IN MICHIGAN P A M E L A L Y N C H, L L M S W, C A A D C W H O S O E V E R C O L L A B O R A T I V E

OVERDOSE EDUCATION & NALOXONE DISTRIBUTION (OEND) IN MICHIGAN P A M E L A L Y N C H, L L M S W, C A A D C W H O S O E V E R C O L L A B O R A T I V E OVERDOSE EDUCATION & NALOXONE DISTRIBUTION (OEND) IN MICHIGAN P A M E L A L Y N C H, L L M S W, C A A D C W H O S O E V E R C O L L A B O R A T I V E Sales of opioids: Michigan is above the median in

More information

Substance Use: Addressing Addiction and Emerging Issues

Substance Use: Addressing Addiction and Emerging Issues MODULE 6: SUBSTANCE USE: ADDRESSING ADDICTION AND EMERGING ISSUES Substance Use: Addressing Addiction and Emerging Issues Martha C. Romney, RN, MS, JD, MPH Assistant Professor Jefferson School of Population

More information

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 2013 to 2002 States: United the in Use Heroin in Trends National Survey on Drug Use and Health Short Report April 23, 2015 TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 AUTHORS Rachel N. Lipari,

More information

The Prescription Drug Abuse and Heroin Crisis: New York s Response

The Prescription Drug Abuse and Heroin Crisis: New York s Response The Prescription Drug Abuse and Heroin Crisis: New York s Response Joshua S. Vinciguerra, Director Bureau of Narcotic Enforcement October 28, 2015 October 28, 2015 2 The Connection States with more opioid

More information

S. 524 AN ACT. To authorize the Attorney General to award grants to address the national epidemics of prescription opioid abuse and heroin use.

S. 524 AN ACT. To authorize the Attorney General to award grants to address the national epidemics of prescription opioid abuse and heroin use. TH CONGRESS D SESSION S. AN ACT To authorize the Attorney General to award grants to address the national epidemics of prescription opioid abuse and heroin use. 1 Be it enacted by the Senate and House

More information

Traci C. Green, PhD, MSc Jody Rich, MD, MPH

Traci C. Green, PhD, MSc Jody Rich, MD, MPH Traci C. Green, PhD, MSc Jody Rich, MD, MPH Strategic Plan highlights Comments & Responses from public, stakeholders Input and discussion Next steps Death rate for U.S. non-hispanic whites (USW), U.S.

More information

Data-Driven Multi-Disciplinary Approaches to Reducing Rx Abuse, BJA Award FY 2014

Data-Driven Multi-Disciplinary Approaches to Reducing Rx Abuse, BJA Award FY 2014 Data-Driven Multi-Disciplinary Approaches to Reducing Rx Abuse, BJA Award FY 2014 Denise Paone and Alexandra Harocopos Bureau of Alcohol & Drug Use Prevention, Care & Treatment New York City Department

More information

Prescription Opioid Overdose & Misuse in Oregon

Prescription Opioid Overdose & Misuse in Oregon Prescription Opioid Overdose & Misuse in Oregon Mel Kohn, MD MPH Public Health Director and State Public Health Officer Oregon Health Authority Oregon In-State Policy Workshop NGA Policy Academy: Reducing

More information

The ABCs of Medication Assisted Treatment

The ABCs of Medication Assisted Treatment The ABCs of Medication Assisted Treatment J E F F R E Y Q U A M M E, E X E C U T I V E D I R E C T O R C O N N E C T I C U T C E R T I F I C A T I O N B O A R D The ABCs of Medication Assisted Treatment

More information

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas David Lakey, MD Commissioner, Department of State Health Services Lauren Lacefield Lewis Assistant Commissioner,

More information

911 Good Samaritan Recommendations

911 Good Samaritan Recommendations 911 Good Samaritan Recommendations Analysis and Recommendations for Reducing Drug- Related Overdoses in Wisconsin May 2013 Wisconsin State Council on Alcohol and Other Drug Abuse Prevention Committee 911

More information

How To Help People Who Are Addicted To Prescription Drugs And Heroin

How To Help People Who Are Addicted To Prescription Drugs And Heroin Community Behavioral Healthcare Association of Illinois Frank Anselmo, MPA Chief Executive Officer 3085 Stevenson Drive, Suite 203 Springfield, Illinois 62703 Phone: 217/585-1600 Fax: 217/585-1601 www.cbha.net

More information

Opioid Addiction & Corrections

Opioid Addiction & Corrections Opioid Addiction & Corrections Medication Assisted Treatment in the Connecticut Department of Correction April 30, 2015--CJPAC Kathleen F. Maurer, MD, MPH, MBA Medical Director and Director of Health and

More information

Preventing Opioid Abuse and Consequences, Including Heroin, in New England: An Opportunity for Cross-State Collaboration

Preventing Opioid Abuse and Consequences, Including Heroin, in New England: An Opportunity for Cross-State Collaboration Preventing Opioid Abuse and Consequences, Including Heroin, in New England: An Opportunity for Cross-State Collaboration November 17, 2015 SAMHSA s Center for the Application of Prevention Technologies

More information

Summit Spotlight Treatment Track breakout sessions announced

Summit Spotlight Treatment Track breakout sessions announced Volume 5, Issue 15, December 21, 2015 In This Issue: * Treatment Track breakout sessions announced 1. Drug overdose deaths reach all- time high 2. CDC releases draft opioid guidelines; seeks comments 3.

More information

A Review of the Impacts of Opiate Use in Ontario: Summary Report

A Review of the Impacts of Opiate Use in Ontario: Summary Report A Review of the Impacts of Opiate Use in Ontario: Summary Report A Provincial Summary Report of the Impacts of the Discontinuation of Oxycontin in Ontario: January to August 2013 December 2013 This report

More information

Outline. Interventions to Reduce Opioid Overdose State of the Art 9/23/2013

Outline. Interventions to Reduce Opioid Overdose State of the Art 9/23/2013 Interventions to Reduce Opioid Overdose State of the Art Caleb J. Banta Green PhD MPH MSW Research Scientist Alcohol and Drug Abuse Institute Affiliate Asst. Professor School of Public Health University

More information

Drug- and Alcohol-Related Intoxication Deaths in Maryland, 2014

Drug- and Alcohol-Related Intoxication Deaths in Maryland, 2014 Maryland Department of Health and Mental Hygiene Larry Hogan, Governor Boyd Rutherford, Lt. Governor Van Mitchell, Secretary May, 215 Drug- and Alcohol-Related Intoxication Deaths in Maryland, 214 Table

More information

THE DEDHAM COALITION FOR ALCOHOL AND DRUG AWARENESS

THE DEDHAM COALITION FOR ALCOHOL AND DRUG AWARENESS THE DEDHAM COALITION FOR ALCOHOL AND DRUG AWARENESS March 11 2014 Goals for the Presentation 2 Raise awareness and educate residents about substance use problems in our community Share information about

More information

Allyse Adams PC, LICDC Oriana House, Inc.

Allyse Adams PC, LICDC Oriana House, Inc. Allyse Adams PC, LICDC Oriana House, Inc. 98 Heroin Overdose Deaths from 1/1/2015-7/26/2015 Last year enough narcotic pain medicines were prescribed to supply 67 pills to every man, woman and child In

More information

Opioid Overdose in Western Massachusetts Springfield and Western Counties compared to statewide data

Opioid Overdose in Western Massachusetts Springfield and Western Counties compared to statewide data Volume #1 October 2015 PUBLIC HEALTH ISSUE BRIEF Opioid Overdose in Western Massachusetts Springfield and Western Counties compared to statewide data October 2015 Partners for a Healthier Community, Inc.

More information

Effective Treatment Strategies for Adolescent Heroin and Opiate Use. Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County

Effective Treatment Strategies for Adolescent Heroin and Opiate Use. Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County Effective Treatment Strategies for Adolescent Heroin and Opiate Use Chris Gleason, MA, CAADC, MAATP Director Rosecrance McHenry County Learning Objectives The unique challenges related to clinical work

More information

New Jersey EMS Response to an Opiate Overdose Naloxone (Narcan ) Program **Updated March 26, 2015**

New Jersey EMS Response to an Opiate Overdose Naloxone (Narcan ) Program **Updated March 26, 2015** New Jersey EMS Response to an Opiate Overdose Naloxone (Narcan ) Program **Updated March 26, 2015** Disclaimer This presentation was created to assist in the education of EMTs in Naloxone administration.

More information

PREAMBLE Whereas, Whereas, Whereas Whereas Whereas Whereas

PREAMBLE Whereas, Whereas, Whereas Whereas Whereas Whereas PREAMBLE Whereas, Josephine County, an economically depressed county in the State of Oregon, under severe financial duress, with a depleted Criminal Justice System, has a growing population with epidemic

More information

Overdose Response Training

Overdose Response Training Overdose Response Training In collaboration with the Massachusetts Department of Public Health, Bureau of Substance Abuse Services and Office of HIV/AIDS The Overdose Problem National & regional drug threat

More information

Practice Protocol. Buprenorphine Guidance Protocol

Practice Protocol. Buprenorphine Guidance Protocol Practice Protocol Buprenorphine Guidance Protocol Developed by the Arizona Department of Health Services Division of Behavioral Health Services Effective Date: 02/23/11 Title Buprenorphine Guidance Protocol

More information

This presentation is going to discuss the BLS use of Intranasal naloxone. Naloxone is the generic name while Narcan is the trade name.

This presentation is going to discuss the BLS use of Intranasal naloxone. Naloxone is the generic name while Narcan is the trade name. Welcome! 1 This presentation is going to discuss the BLS use of Intranasal naloxone. Naloxone is the generic name while Narcan is the trade name. 2 Definitive treatment for an opioid or opiate overdose

More information

Opiate Abuse and Mental Illness

Opiate Abuse and Mental Illness visited on Page 1 of 5 LEARN MORE (HTTP://WWW.NAMI.ORG/LEARN-MORE) FIND SUPPORT (HTTP://WWW.NAMI.ORG/FIND-SUPPORT) GET INVOLVED (HTTP://WWW.NAMI.ORG/GET-INVOLVED) DONATE (HTTPS://NAMI360.NAMI.ORG/EWEB/DYNAMICPAGE.ASPX?

More information

ARCHIVED BULLETIN. Product No. 2004-L0424-013 SEPTEMBER 2004 U. S. D E P A R T M E N T O F J U S T I C E

ARCHIVED BULLETIN. Product No. 2004-L0424-013 SEPTEMBER 2004 U. S. D E P A R T M E N T O F J U S T I C E BULLETIN INTELLIGENCE Product No. 2004-L0424-013 SEPTEMBER 2004 U. S. D E P A R T M E N T O F J U S T I C E NDIC Within the past 2 years buprenorphine a Schedule III drug has been made available for use

More information

Arkansas Emergency Department Opioid Prescribing Guidelines

Arkansas Emergency Department Opioid Prescribing Guidelines Arkansas Emergency Department Opioid Prescribing Guidelines 1. One medical provider should provide all opioids to treat a patient s chronic pain. 2. The administration of intravenous and intramuscular

More information

Behavioral Health Indicators for Tennessee and the United States

Behavioral Health Indicators for Tennessee and the United States Behavioral Health Indicators for Tennessee and the United States April 2015 Prepared by: Lymari Benitez, Ph.D. and Rachel L. Jones Tennessee Department of Mental Health and Substance Abuse Services Office

More information

Strategic Plan for Alcohol and Drug Abuse

Strategic Plan for Alcohol and Drug Abuse Strategic Plan for Alcohol and Drug Abuse Fiscal Years 2016-2017 1 GARRETT COUNTY, MARYLAND STRATEGIC PLAN FOR ALCOHOL AND DRUG ABUSE Vision: Mission: A safe and drug free Garrett County To assist in promoting

More information

Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery

Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery Marvin D. Seppala, MD Chief Medical Officer Hazelden Betty Ford Foundation This product is supported by

More information

Mental Health and Addiction

Mental Health and Addiction Mental Health and Addiction Ohio s community mental health and addiction services system includes both Medicaid and non Medicaid services coordinated through local boards of alcohol and drug addiction

More information

Buprenorphine/Naloxone Maintenance Treatment for Opioid Dependence

Buprenorphine/Naloxone Maintenance Treatment for Opioid Dependence Buprenorphine/Naloxone Maintenance Treatment for Opioid Dependence Information for Family Members Family members of patients who have been prescribed buprenorphine/naloxone for treatment of opioid addiction

More information

Flagship Priority: Mental Health and Substance Abuse

Flagship Priority: Mental Health and Substance Abuse 10 Colorado s winnable battles Flagship Priority: Mental Health and Substance Abuse ELEVATING HEALTH AND ENVIRONMENT Mental and emotional well-being is essential to shaping a state of health for Coloradans.

More information

Orange County Heroin Task Force Recommendations

Orange County Heroin Task Force Recommendations Orange County Heroin Task Force Recommendations Law Enforcement Subcommittee 1) Continue Joint Enforcement Details with the Orange County Sheriff s Office, the Orlando Police Department and state and federal

More information

The Prescription Opioid and Heroin Crisis: An Epidemic of Addiction

The Prescription Opioid and Heroin Crisis: An Epidemic of Addiction The Prescription Opioid and Heroin Crisis: An Epidemic of Addiction Andrew Kolodny, M.D. Chief Medical Officer, Phoenix House Foundation Inc. Executive Director, Physicians for Responsible Opioid Prescribing

More information

Opioid/Opiate Dependent Pregnant Women

Opioid/Opiate Dependent Pregnant Women Opioid/Opiate Dependent Pregnant Women The epidemic, safety, stigma, and how to help. Presented by Lisa Ramirez MA,LCDC & Kerby Stewart MD The prescription painkiller epidemic is killing more women than

More information

JAN 2 7 2016. poisonings, commonly referred to as drug overdoses, are one of. the leading causes of injury-related mortality in Hawaii.

JAN 2 7 2016. poisonings, commonly referred to as drug overdoses, are one of. the leading causes of injury-related mortality in Hawaii. THE SENATE TWENTY-EIGHTH LEGISLATURE, 0 STATE OF HAWAII JAN 0 A BILL FOR AN ACT S.B. NO. % RELATING TO DRUG OVERDOSE PREVENTION BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII: 0 SECTION. The legislature

More information

Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 2008

Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 2008 Treatment Episode Data Set The TEDS Report July 15, 010 Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 008 In Brief The proportion of all substance abuse treatment admissions

More information

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California 2015 OPSC Annual Convention syllabus February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California FRIDAY, FEBRUARY 6, 2015: 9:30am - 10:30am Opioid Addiction and Buprenorphine Use * Presented by

More information

MACOMB COUNTY STRATEGIC PREVENTION FRAMEWORK STATE INCENTIVE GRANT DATA PROFILE

MACOMB COUNTY STRATEGIC PREVENTION FRAMEWORK STATE INCENTIVE GRANT DATA PROFILE MACOMB COUNTY STRATEGIC PREVENTION FRAMEWORK STATE INCENTIVE GRANT DATA PROFILE Assessing the Burden of Illicit Drugs and Alcohol Abuse: A Focus on Heroin and Prescription Drug Abuse September 2010 ACKNOWLEDGEMENTS

More information

Drug Abuse Trends in the Seattle/King County Area: 2013

Drug Abuse Trends in the Seattle/King County Area: 2013 Drug Abuse Trends in the Seattle/King County Area: 2013 Caleb Banta-Green 1, T. Ron Jackson 2, Steve Freng 3, Michael Hanrahan 4, Cynthia Graff 5, John Ohta 6, Mary Taylor 7, Richard Harruff 8, Robyn Smith

More information

Drug Testing to Support Pain Management

Drug Testing to Support Pain Management NATIONAL REFERENCE LABORATORY Drug Testing to Support Pain Management 500 Chipeta Way, Salt Lake City, UT 84108 (800) 522-2787 (801) 583-2787 www.aruplab.com www.arupconsult.com ARUP is an enterprise of

More information

Prescription Drugs: Impacts of Misuse and Accidental Overdose in Mississippi. Signe Shackelford, MPH Policy Analyst November 19, 2013

Prescription Drugs: Impacts of Misuse and Accidental Overdose in Mississippi. Signe Shackelford, MPH Policy Analyst November 19, 2013 Prescription Drugs: Impacts of Misuse and Accidental Overdose in Mississippi Signe Shackelford, MPH Policy Analyst November 19, 2013 Center for Mississippi Health Policy Independent, non-profit organization

More information

Richard C. Dart, MD, PhD Denver Health & Hospital Authority Professor, University of Colorado School of Medicine

Richard C. Dart, MD, PhD Denver Health & Hospital Authority Professor, University of Colorado School of Medicine Richard C. Dart, MD, PhD Denver Health & Hospital Authority Professor, University of Colorado School of Medicine Goal: Minimize abuse and diversion (MAD) while providing pain control for patients. A claim

More information

Drug overdose death rates by state per 100,000 people (2008) SOURCE: National Vital Statistics System, 2008

Drug overdose death rates by state per 100,000 people (2008) SOURCE: National Vital Statistics System, 2008 PRESCRITPION DRUG ABUSE: AN EPIDEMIC What is Addiction? By: Lon R. Hays, M.D., M.B.A. Professor and Chairman Department of Psychiatry University of Kentucky Healthcare Addiction is a primary, chronic disease

More information

Minnesota Controlled Substance Diversion Prevention Coalition. March 2012. Final Report

Minnesota Controlled Substance Diversion Prevention Coalition. March 2012. Final Report Minnesota Controlled Substance Diversion Prevention Coalition March 2012 Final Report Table of Contents Overall Purpose... 1 Coalition Objectives... 1 Key Coalition Outcomes... 1 Timeline... 1 Coalition

More information

The Current State of Drug Abuse Across the Nation. December 12, 2015

The Current State of Drug Abuse Across the Nation. December 12, 2015 The Current State of Drug Abuse Across the Nation December 12, 2015 Agenda The Partnership for Drug-Free Kids The macro picture Opioid abuse and addiction What can we do about it? Moving upstream: connecting

More information

Summit Spotlight Summit changes name to reflect growing heroin epidemic across United States

Summit Spotlight Summit changes name to reflect growing heroin epidemic across United States Volume 5, Issue 9, October 29, 2015 In This Issue: * Summit changes name to include heroin focus * Three days left to save $300 on registration 1. Teens prescribed opioids more likely to abuse as adults

More information

CDC Initiatives & Priorities to Address the Prescription Drug Overdose Crisis

CDC Initiatives & Priorities to Address the Prescription Drug Overdose Crisis CDC Initiatives & Priorities to Address the Prescription Drug Overdose Crisis Grant Baldwin, PhD, MPH February 2, 2016 National Center for Injury Prevention and Control Division of Unintentional Injury

More information

Opioid overdose can occur when a patient misunderstands the directions

Opioid overdose can occur when a patient misunderstands the directions Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription

More information

ALPHA RECOVERY CENTERS Application & Screening Data

ALPHA RECOVERY CENTERS Application & Screening Data ALPHA RECOVERY CENTERS Application & Screening Data I am applying for admission to: Alpha Recovery Centers Atlanta Alpha Recovery Centers - Brunswick Thank you for your interest in Alpha Recovery Centers.

More information

- NALOXONE/NARCAN. This training is designed to teach you about one action you can take in case of an overdose of opiates.

- NALOXONE/NARCAN. This training is designed to teach you about one action you can take in case of an overdose of opiates. OVERDOSE MANAGEMENT PROTOCOL - NALOXONE/NARCAN TRAINING This training is designed to teach you about one action you can take in case of an overdose of opiates. This training program will not make you a

More information

Colleen D. Hughes Executive Director. Monessen Municipal Complex 1 Wendell Ramey Lane Monessen, PA 15062. 724-684-9000 ext. 4446. www. wedacinc.

Colleen D. Hughes Executive Director. Monessen Municipal Complex 1 Wendell Ramey Lane Monessen, PA 15062. 724-684-9000 ext. 4446. www. wedacinc. Colleen D. Hughes Executive Director Monessen Municipal Complex 1 Wendell Ramey Lane Monessen, PA 15062 724-684-9000 ext. 4446 www. wedacinc.org Who We Are The Westmoreland Drug and Alcohol Commission

More information

How To Understand The Health Effects Of Prescription Drugs

How To Understand The Health Effects Of Prescription Drugs Miami-Dade, Broward and Palm Beach Counties, Florida Trends of Nonmedical Prescription Drug Misuse in Miami-Dade, Broward, Palm Beach Counties, and the State of Florida: 2010 James N. Hall 1 ABSTRACT The

More information

Community Response to Heroin and Opiate Usage in Northern Rice County

Community Response to Heroin and Opiate Usage in Northern Rice County Community Response to Heroin and Opiate Usage in Northern Rice County Minnesota Rural Health Conference June 28 th and 29 th 2010 Presented By Kathleen Meier Andrew Yurek Northfield Hospital and Clinics

More information