Allyse Adams PC, LICDC Oriana House, Inc.

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1 Allyse Adams PC, LICDC Oriana House, Inc.

2 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 2014, in Akron alone, EMS statistics ti ti show an average of 1 overdose per day About every three days in 2014, a baby was born with neonatal abstinence syndrome Summit County Opiate Task Force

3 Estimated that between 26.4 million and 36 million people abuse opioids worldwide 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers and an estimated 467,000 addicted to heroin Heroin users in the United States nearly doubled between 2005 and 2012, from 380, to 670, What was once almost exclusively an urban problem is spreading to small towns and suburbs b National Institute on Drug Abuse

4 Treatment is individualized to fit the persons needs Evidence shows Medication Assisted Treatment coupled with counseling is most successful Suboxone Methadone Naltrexone/Vivitrol Recovery Oriented System of Care this disease is chronic - Recovery is a life long effort SAMHSA

5 Detoxification Residential Treatment Intensive Outpatient Treatment Non-Intensive Outpatient Treatment Medication Assisted Treatment Aftercare/Relapse Prevention Family Support Recovery Housing Sober Support in the community

6 Suboxone Partial Agonist Methadone Agonist Naltrexone/Vivitrol Antagonist Narcan (Naloxone) Antagonist t Can reverse the effects of an opioid overdose

7 Project DAWN (Deaths Avoided With Naloxone)/NARCAN Rigel Recovery Services Non-intensive i outpatient ti t Intensive outpatient Mental health/psychiatry py y Medication Assisted Treatment - Vivitrol ADM Crisis Center Detoxification ti Assessment and referral to treatment residential, outpatient and Medication Assisted Treatent

8 Project DAWN is a community-based overdose education and naloxone distribution program Participants receive training on the following: Recognizing the signs and symptoms of overdose Distinguishing i g between different types of overdose Performing rescue breathing Calling emergency medical services Administering intranasal Naloxone

9 Governor Kasich signed HB 170 into law that expanded naloxone access to law enforcement and friends/family of opioid users (3/11/14) Between 1996 and June 2010, more than 53,000 individuals have been trained and given naloxone by overdose prevention programs, leading to reports of over 10,100 overdose reversals during this period Summit County Public Health -- Tuesdays from 3 PM to 6 PM offer training and a DAWN kit.

10 Substance use assessments Opiate Enhanced Treatment Intensive outpatient treatment Aftercare Individual counseling Drug Testing Vivitrol Treatment Program (VTP) Family Programming and Involvement

11 Collaboration between Summit Psychological Associates (SPA) and Oriana House, Inc. Program includes: Opiate Enhanced Treatment services Psychiatric Diagnostic Assessment Individual id Mental Health Counseling Monthly Vivitrol injection Case Management Services Case Management Services Drug testing

12 Taking Vivitrol as part of a this treatment program for opioid addiction (includes heroin and many prescription drugs) eliminates cravings and reduces the likelihood lih of relapses, while allowing an individual to live at home and continue work or school. Clients will meet with prescribing psychiatrist monthly for their injection and other medications. Clients must be engaged in opiate enhanced treatment service to remain in the VTP.

13 Conjoint sessions These sessions are held throughout the course of treatment in which the client has the opportunity to bring their positive support person to meet with the counselor. The counselor, client and their support person will explore the treatment and recovery process as well as ways to maintain healthy support. Family Matters Throughout treatment and self-help meetings clients will learn that healthy support is a key component to recovery. We do our best to support this by inviting the clients loved ones to engage in the treatment process and receive support themselves. Family members receive skills and tools to assist them with healthy living and setting boundaries with their loved ones.

14 Complete assessments and referrals to Summit County treatment agencies as appropriate Provide Ambulatory and Sub-Acute detoxification services Offer Treatment t Readiness classes for those engaged in Ambulatory Detox and on waiting lists for treatment

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