Community Kick-off Event. August 3, 2017
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1 Community Kick-off Event August 3, 2017
2 Welcome County Commissioner Josh Parsons Mayor Tim Bradley, Mayors Association
3 Today s Agenda 8:00 am Welcome/Opening Remarks County Commissioner Josh Parsons Mayor Tim Bradley, Mayors Association 8:15 am A Snapshot of Lancaster County Jessica Klinkner, MPH CHES Lancaster General Health/Penn Medicine 8:30 am Framework for Action (Joining Forces) Alice Yoder, RN, MSN Lancaster General Health/Penn Medicine 8:45 am SWOT (Strengths, Weaknesses, Opportunities and Threats) Dani Beam, Facilitator 9:45 am Break 10:00 am 10:45 am 11:00 am Adjourn Common Themes from SWOT Next Steps/Closing Remarks
4 Snapshot of Lancaster County Jessica Klinkner, MPH CHES Lancaster General Health/Penn Medicine
5 Protective Factors for Substance Misuse and Abuse Community Rewards for Prosocial Involvement Family Family Attachment Opportunities for Prosocial Involvement Rewards for Prosocial Involvement School Opportunities for Prosocial Involvement Rewards for Prosocial Involvement Peer/Individual Interaction with Prosocial Peers Prosocial Involvement Rewards for Prosocial Involvement Belief in the Moral Order Religiosity 58% Have 3 or more Protective Factors Source: 2015 Pennsylvania Youth Survey
6 Risk Factors for Substance Misuse and Abuse Low Neighborhood Attachment Perceived Availability of Drugs Laws & Norms Favorable Toward Drug Use Family History of Antisocial Behavior Poor Family Management Parental Attitudes Favorable Toward Drug Use Parental Attitudes Favorable Toward Antisocial Behavior Family Conflict Academic Failure Low Commitment Toward School Rebelliousness Gang Involvement Perceived Risk of Drug Use Attitudes Favorable Toward Drug Use Attitudes Favorable Toward Antisocial Behavior Sensation Seeking Rewards for Antisocial Behavior Friend's Use of Drugs Interaction With Antisocial Peers Depressive Symptoms Source: 2015 Pennsylvania Youth Survey 36%Total Risk
7 Lancaster County Youth Heroin Use: 0.4% Narcotic Prescription Drug Use: 5.7% 42.4% took them from a family member living in their home 46.8% received them from a friend or family member 21.7% bought them from someone Source: 2015 Pennsylvania Youth Survey
8 Lancaster County Youth 26% of youth state that it is Sort of Easy or Very Easy to access prescription pain drugs Source: 2015 Pennsylvania Youth Survey
9 An estimated 32,866 people aged 12+ may be in need of substance abuse treatment at any given time. Source: Lancaster County Drug and Alcohol Commission 2016 Treatment Needs Assessment Summary
10 9-1-1 EMS Overdose/Poisoning Related Calls Annualized for the remainder of through 6/29 Source: Lancaster County-Wide Communications
11 Source: Lancaster County-Wide Communications Emergency Overdose Reports
12 Successful Naloxone Reversals by Police Officers in Opioid Overdose Events Source: Pennsylvania Department of Drug and Alcohol Programs, Rev. 7/12/17
13 Hospitalization Rate for Opioid Overdose, 2016 Source: Pennsylvania Health Care Cost Containment Council, Research Brief
14 Drug Related Overdose Deaths 2016 Source: Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh.
15 Drug Related Overdose Deaths 2016 Source: Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh.
16 Change In Overdose Deaths Source: Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh.
17 Change In Overdose Deaths Source: Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh.
18 Most Frequent Drug Category in Overdose Deaths, Sources: Analysis of Drug Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division. Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh.
19 Most Frequent Drug Category in Overdose Deaths, 2016 Source: Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh.
20 Deaths by Drug Category By Quarter Number of Overdose Deaths Q1 Q2 Q3 Q4 Fentanyl/FRS/NPSOs Heroin Prescription Opioid Benzodiazepines Source: Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh.
21 Total Overdose Deaths Number of Deaths Annualized for the remainder of (1/1-7/26) Sources: Pennsylvania State Coroners Association Report on Overdose Death Statistics, 2014 Analysis of Drug Related Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Field Division Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh. Lancaster County Coroners Office
22 Overdose Deaths by Gender Number of Deaths (1/1-7/26) Male Female Sources: Pennsylvania State Coroners Association Report on Overdose Death Statistics, 2014 Analysis of Drug Related Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Field Division Analysis of Overdose Deaths in Pennsylvania, Prepared by the DEA Philadelphia Division and the University of Pittsburgh. Lancaster County Coroners Office
23 2017 Overdose Fatalities: a Closer Look 71% Male Median Age: 37 Majority White (estimated) 29 out of 60 municipalities Source: Lancaster County Coroner s Office
24 Framing the Issue Alice Yoder, MSN RN Facilitator, Joining Forces Coalition Director, Community Health Lancaster General Health/Penn Medicine
25 Good News!
26 Framework for Action
27 Evidenced Based Strategies Infrastructure: Build leadership and support Collect, trend, and report data Coordinate current efforts, focus and expand evidence based practices Implementation of multi-strategies taken to scale source: Substance Abuse and Mental Health Services Administration (SAMHSA)
28 Evidenced Based Strategies Safe prescribing (primary care, emergency depts., hospital inpatient) Prevent overdose deaths with the antidote Naloxone Education & training source: Substance Abuse and Mental Health Services Administration (SAMHSA)
29 Evidenced Based Strategies Community: (prescription proper use, storage & disposal) Provider (screening and referral for mental health, addiction and pain) School-based programs (evidence-based) Workplace EAP and insurance coverage Support services
30 Best Practices Page 1 of 3
31 Best Practices
32 Increase awareness of issue and local resources available Mayor Tim Bradley Chair, Anti-Heroin Task Force
33 Facilitate the use of evidence based school and community programs and initiatives Eric Kennel Executive Director
34 Fund treatment resources Expand treatment resources Facilitate distribution of information and resources Rick Kastner Executive Director, Lancaster County Drug and Alcohol Commission
35 Distribute Naloxone to individuals and families dealing with opioid addiction Police, Corrections, Courts Distribute information to the community on the appropriate use, storage and disposal of prescription opioids and promote take-back locations Educate prison personal on warning signs of overdose Provide harm reduction training to prisoners prior to release Support drug court program Josh Parsons Lancaster County Commissioner
36 Assist employers in educating and providing resources to employees Advocate to health insurers regarding coverage Cheryl Irwin-Bass VP and COO
37 Administer Naloxone and ED warm hand-offs Educate and train Chief Darrell Fisher President, Lancaster County EMS Council
38 Reduce stigma associated with people in recovery Provide resources and support for people in recovery Scott Theurer Chair, Lancaster County Recovery Alliance
39 Increase screening for anxiety, depression, and stress and streamline connections to behavioral health providers Promote worksite EAP Focus on co-occurring screening, referral, and treatment Dale Brickley WellSpan Philhaven Co-Chair, Let s Talk Behavioral Health Provider Action Team
40 Alice Yoder Lancaster General Health/ Penn Medicine Facilitator
41
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