The Opioid Epidemic. Division of Care and Treatment Services (DCTS) Bureau of Prevention,Treatment and Recovery. Wisconsin

Transcription

1 The Opioid Epidemic Division of Care and Treatment Services (DCTS) Bureau of Prevention,Treatment and Recovery Wisconsin 1

2 Actions to Prevent Opioid Harm and Abuse Education Prescriber education Community education Naloxone access Tracking and Monitoring Prescription Drug Monitoring System (PDMP) Surveillance Reversal Naloxone Access Enforcement Identification verification at pharmacies Law enforcement training on prescription drug misuse and diversion Medication Disposal Keeping medications safe at home Proper medication disposal guidelines consistent with FDA standards Community take-back programs Treatment Options Treatment Centers Outpatient and residential treatment at state-funded treatment providers Policies Supporting all sectors Medication-Assisted Treatment FDA approved medications Buprenorphine products (Suboxone and Probuphine) Naltrexone (Vivitrol) Methadone 2

3 OTP, Pain Clinic Comparison OTPs Methadone is dispensed and not prescribed Methadone is in liquid form only Utilized for addiction only; not pain Pain Clinics Methadone is prescribed and not dispensed Methadone is typically in pill form Utilized for pain; not addiction Medication-Assisted Treatment (MAT) Provides comprehensive services Medication Counseling Case management Recovery supports Uses many paths to recovery Medical intervention Professional treatment Mutual support groups Peer supports Family supports Faith supports 3

4 Medication-Assisted Treatment (MAT) Develops diversion practices and policies Develops Recovery-Oriented Systems of Care (ROSC) Integration of Primary Care, MAT, Counseling and Recovery Support Services DHS Efforts State Funded Medication-assisted treatment training for prescribers and providers Heroin Opiate Prevention and Education (H.O.P.E.) Programs Comprehensive Community Services (CCS) & Medicaid Federally Funded (Grants) Medication Assisted Treatment Prescription Drug and Opioid Addiction (MAT-PDOA) Project Prescription Drug Monitoring Program enhancement Prevention grants focus on prescription drugs 4

5 H.O.P.E. Programs Northern tier of Wisconsin: Provide medication-assisted treatment to the underserved and high-need areas in Wisconsin Provide residential detoxification and stabilization services Reduce the rate of relapse and number of deaths Reduce the number of infants born to untreated opioid addicted women Create relationships with community providers to improve treatment availability Neonatal Abstinence Syndrome 10 5

6 MAT-PDOA Project Sauk, Columbia, Richland counties: Replicates a community approach originated by St. Vincent DePaul in Prairie Du Sac (C.A.R.E) Involves community stakeholders committees Expands the provision of medication-assisted treatment Employs Community Recovery Specialists Employs dually credentialed clinician for assessments and treatment planning Adds a mobile nurse to support individuals who choose to detox at home Contracts with providers for treatment services, detox, outpatient, inpatient residential, etc. Wisconsin programs Urban Rural Women s program Pregnant, Post-partum Women s Family-centered treatment program Integration of primary care and Behavioral Health services training Comprehensive Community Services (CCS) Native American women s program services Family Drug Treatment Court Drug Endangered Children (DEC) Home Visiting 6

7 Program objective -to provide comprehensive treatment and recovery support services for substance use disorders, to collaborate with multiple system service organizations in the planning and delivery of services, and to ensure that services proposed meet the needs of each family. Programs utilize a Recovery Oriented System of Care (ROSC) framework for Women and their families. to collaborate, achieve and identify improved outcomes, and use effective strategies, evidence-based practices and best practices through identified Core Values, and treatment standards. To achieve improved participant(s) and program outcomes by meeting the special multidimensional needs of Women with substance use disorders and their families who experience problems resulting from alcohol and other drug abuse by providing treatment, outreach, intervention, care coordination, multi-system collaboration, and recovery support services that are trauma informed, gender, and culturally responsive. 7

8 To facilitate and use an evidencebased, family-centered model that includes recovery support services with other system representatives. To develop a system that reinforces and can measure the empowerment of participants and their involvement in the planning, design, implementation, and evaluation of the program, as well as their care plan. To provide, or arrange for, parenting education, vocational assistance, housing assistance, coordination with other community programs, and treatment under intensive care across the continuum of care. To ensure that all services are delivered in a trauma informed, cultural and linguistic responsive environment. 8

9 Other Efforts DHS developed a multi-division committee to carry-on NGA efforts DCTS and DPH applying for multiple grants to increase prevention, treatment and data collection efforts DCTS and DPH set up a committee to identify data collection needs and practices DCTS bringing SAMHSA to WI to provide MAT training for prescribers (July 2016). BPTR staff provided presentation WI ASAM, MHSUD conference, DEC EMS Naloxone Administration 9

10 For More Information Elizabeth Collier State Opioid Treatment Authority Bernestine Jeffers Women AODA Services/State FASD Coordinator/Substance Use Disorder Training Coordinator dhs.wisconsin.gov/aoda/index.htm dhs.wisconsin.gov/opioids/index.htm 10