BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL MONTHLY NETWORKING MEETING AUGUST 28, 2018

Transcription

1 BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL MONTHLY NETWORKING MEETING AUGUST 28, 2018

2 AGENDA Welcome & Introductions Moment of Silence Overdose in Bernalillo County Stigma & What It Means Group Activity Prevention Strategy Group Treatment Strategy Group Harm Reduction Strategy Group Moment of Silence Group Activity Q & A

3 Today we commemorate INTERNATIONAL OVERDOSE AWARENESS DAY (AUGUST 31, 2018)

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9 BOT H HEROI N ONLY BERNALILLO COUNTY OPIOID OVERDOSE DEATHS (374 = 36% OF OPIOID OD DEATHS IN NM) Rx OPIOID S ONLY 374 OPIOID OVERDOS E DEATHS (68.5%) 172 NON- OPIOID OVERDOS E DEATHS

10 COORDINATING COMMITTEE Strategy Group co-chairs, staff and contractors plus other key stakeholders PREVENTION Strategy Group HARM REDUCTION Strategy Group TREATMENT Strategy Group Home Visiting: Support primary prevention of ACEs Opioid literacy for home visitors/parents Safe Prescribing: HERO TRaILS Academic Detailing PMP updates Alternatives to opioids Provider Handbook Community Outreach: Narcan training & distribution New Narcan Access Points in Community Providers & Pharmacies: Increased Co-Prescribing of Narcan Increased Access at Pharmacies Promote Standard of Care for Medication- Assisted Treatment (MAT) Increased MAT prescribing: Increase waivered providers Mentoring providers Schools: Prevention in MS/HS Alternatives to zero tolerance Crossroads Counselors Positive Youth Development Communications: Perception of harm Safe storage & disposal Parent Handbook Using Social Media Boot Camp Translation Law Enforcement/ Criminal Justice: Officers carrying Narcan Distribution at MDC discharge Other Harm Reduction Approaches: Exploration of Safe Injection Sites Criminal Justice System: Diversion Programs MAT Maintenance & Induction at MDC Access to full continuum of coordinated treatment system ALIGNED ACTION Funding from Bernalillo County, HSD/BHSD/OSAP (SPF Rx & PDO grants) and DOH/ERD (PDOPS grant)

11 WHAT IS STIGMA? Dehumanization of an individual in an undesirable social category A mark of disgrace associated with a particular circumstance, quality, or person External vs. Internal

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14 Operationalized Stigma through: Fear Law and Policy Anticipated/Internalized Perceived and Experienced Prejudice and Discrimination The Why try effect HOW DOES THIS IMPACT PREVENTION?

15 BACK IN THE DAY

16 HASN T IT IMPROVED? 2002

17 2018

18 WHAT CAN WE DO? Individual Level: -Language (Boot Camp Translation) -Peer Support (Home Visitors, Grandparents Raising Grandchildren) -Listening/Personal Empowerment Organizational Level: -Provider Training (HERO Trails) -Learn from the past (DARE to not spread pointless prevention campaigns) -Community Advocacy (Provider mentorships, resource directories, legislation, proper disposal, appropriate messaging)

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20 Elias Lucero

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22 Steady regular use from mid teens to mid 20 s Reds Valium Percodan Angel Dust Acid/LSD Bennies, Dexies Cocaine Marijuana Alcohol I WAS AN ABUSER???

23 No longer relevant to my life Stopped with no withdrawals, cravings, or life disruption Why can t he?

24 I was one of them.????

25 My Transition

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29 Opportunities for OAI Treatment Strategy Group Standard of Care Increase Access to MAT Provide Support for Transition to MAT

30 Opportunities Academic Detailing: CDC Prescribing guidelines Materials for patients and providers MAT in primary care/importance Professional support for practice transition to MAT Standard of Care: creating parity with physical health and behavioral health

31 HARM REDUCTION STIGMA & LAY PERSONS Friends, Family, Bystanders, Loved Ones

32 897 Community Trainings 1257 boxes of naloxone distributed (2514 doses) Community Partners: Albuquerque Police Department Bernalillo County Sheriff s Office The LifeLink First Nations Community Healthsource Youth Development, Inc. NM Corrections Depart. Probation & Parole New Season UNMH Department MATS

33 Harm Reduction Reducing Stigma Education Communication Trauma Informed

34 EDUCATION Understanding opiates: Types, Uses, Effects Investigating Resources Understanding how language affects communication Educating other loved ones or family members Recognizing myths

35 COMMUNICATION Reducing internalization & shaming Identifying obstacles & needs Confirm support network Making a plan Meet them where they are

36 TRAUMA INFORMED Recognizing Traumatic Experiences Identifying & satisfying MH needs Evaluate your approach Utilizing external resources