Lazarus Recovery Services

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Barbra Anthony
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1 Lazarus Recovery Services Overdose Survivors Group Family Addiction Support Family Peer Specialist Support Housing Family Overdose Support Biological Psychological Parent/ Family Empowerment Faith Individual Medical Addiction Support Group Social Spiritual Harm Reduction Nutrition/Wellness Community Life Skills Support Adolescent Support

Project Lazarus Model Addiction Treatment Community Education Provider Education Harm Reduction Pain Patient Support Substance Use Disorder Diversion Control Hospital ED Policies The Project Lazarus

2 Project Lazarus Model Addiction Treatment Community Education Provider Education Harm Reduction Pain Patient Support Substance Use Disorder Diversion Control Hospital ED Policies The Project Lazarus model can be conceptualized as a wheel, with three core components (The Hub) that must always be present, and seven components (The Wheel) which can be initiated based on specific needs of a community.

3 Wilkes County NC RESULTS Fred Wells Brason II 3

4 The overdose death rate dropped 69% in two years after the start of Project Lazarus and the Chronic Pain Initiative. Wilkes County Results Wilkes Scripts related to overdose %, % SA ED visits down 15.3 % Involuntary commitments reduced/less SA calls Diversion Tips increased prescription medication and methamphetamine - Operation OpioidSafe, US Army Ft. Bragg, NC 15 OD s per 400 soldiers to 1 per Buprenorphine and MAT

5 Substance Use Perception Change Wilkes Journal Patriot March 12, 2014 Local methadone clinic helps reduce Rx deaths Mountain Health Solutions, Wilkes County s only methadone clinic, is credited with helping to bring a dramatic reduction in deaths from prescription pain medication overdose in Wilkes in the last five years - OTP SA treatment admissions , Churches supporting individuals in treatment

6 Wilkes County Opioid Prescribing Wilkes County had higher than state average opioid dispensing during the implementation of Project Lazarus and the Chronic Pain Initiative. Access to prescription opioids was not dramatically decreased. Source: NC CSRS

7 Can coalitions help reduce Rx drug abuse? Counties with coalitions had 6.2% lower rate of ED visits for substance abuse than counties with no coalitions (but this could be due to random chance) In counties with coalitions 1.7% more residents received opioids than in counties without a coalition. However, counties with a coalition where the health department was the lead agency had a statistically significant 23% lower rate of ED visits (X2=2.15, p=0.03) than other counties. For every unit increase in county leadership there is a 2.7-fold increase in the odds of having community forums & workshops, after accounting for other prevention efforts and resources. Level 3: "People have talked about doing something, but so far there isn t anyone who has really taken charge. There may be a few concerned people, but they are not influential.

8 Venues to help build coalitions

9 Relational Diagram among All Components of the Coalition

10 Casey Reeves Feb. 4, 1980 August 12, 2006

11 projectlazarus.org Project Lazarus Fred Wells Brason II Robert Wood Johnson Community Health Leader Award 2012

13 Achieve Measurable Reductions in Controlled Prescription Drug Misuse, Abuse & Overdose Using a Comprehensive Approach A B C D Expand and Strengthen Primary Prevention Improve Monitoring and Surveillance Expand and Strengthen Control and Enforcement Increase Utilization of Treatment and Support of Recovery Expand and Strengthen Key Partnership and Collaboration Infrastructure Secure/Align Resource and Infrastructure to Implement Comprehensive Approaches Use Data, Evaluation and Research to Inform Intervention and Continuous Improvement

14 Achieve Measurable Reductions in Controlled Prescription Drug Misuse, Abuse & Overdose Using a Comprehensive Approach A B C D Expand and Strengthen Primary Prevention Improve Monitoring and Surveillance Expand and Strengthen Control and Enforcement Increase Utilization of Treatment and Support of Recovery Schools Law Enforcement Prescribers Faith Expand and Strengthen Key Partnership and Collaboration Infrastructure Secure/Align Resource and Infrastructure to Implement Comprehensive Approaches Use Data, Evaluation and Research to Inform Intervention and Continuous Improvement

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