Steve Alsum. The Grand Rapids Red Project (616)
|
|
- Patience Day
- 6 years ago
- Views:
Transcription
1 Steve Alsum The Grand Rapids Red Project (616)
2 Red Project: Mission/History/Programs Epidemiology of Overdose Overdose Prevention in Grand Rapids National Efforts Moving Forward in Michigan
3 501c3 non-profit Founded in 1998 to bridge gaps in communities infected and affected by HIV A grassroots community based organization Funded by private foundations and community giving Annual budget: historically approximately $100,000/yr, but 2013/2014 approximately $200,000/yr
4 In 1998 Mayor John Logie convened a Task Force on Drug Policy Reform in GR Recommended the establishment of a syringe access program to reduce the spread of HIV Red Project chooses to address this issue August 2000: Permission from GR City Commission to open the doors of our Clean Works program
5 Improve Health, Reduce Risk, Prevent HIV Provide access to the knowledge, tools and support people need to stay healthy Empower individuals to begin making positive changes in their own lives and in their communities Health Issues: HIV, HCV, and OD
6 Clean Works Syringe access OD prevention & intervention trainings HIV & HCV testing and referrals Safer sex/safer shots Wound care Risk reduction counseling Mobile Health Unit
7 Positive Choices Peer run HIV support & educational group Highly Targeted Rapid HIV CTR Overdose Prevention and Response Training Hepatitis C Counseling, Testing and Referral Bar/Community/Street Outreach Condom Distribution Community Referrals
8 1998 Drug Policy Task Force Recommendation At this time 25% of all HIV/AIDS infections in Kent County related to injection drug use Open our doors in August of 2000, operating a fixed site, 2 days a week As of Jan 2014, 8% of current HIV/AIDS infections are among IDU or MSM/IDU, according to MDCH Extremely successful in addressing HIV/AIDS among people who inject drugs
9 Sept City Commission votes to allow operation throughout entire city Address HIV, AND Hepatitis C and Overdose Addition of our Mobile Health Unit Now opened 6 days a week from 5 different locations
10 Harm Reduction is a set of practical strategies that reduce negative consequences of drug use, incorporating a spectrum of strategies from safer use, to managed use, to abstinence. Harm reduction strategies meet drug users where they re at, addressing conditions of use along with the use itself. HRC We all practice Harm Reduction: Seat Belts
11 Meeting people where they re at Client Centered Low Threshold & Accessible Non Judgmental and Non Coercive Providing a range of options Holistic A continuum not a dichotomy Supportive and encouraging Positive Empowering
12 HIV HCV & Overdose
13 HIV/AIDS Estimated 1,100 people living with HIV/AIDS in Kent County 8 % IDU and MSM/IDU Still increasing on the whole, but decreasing among people who inject- what about other drug users? Hepatitis C Estimated 10,000 people living with Hepatitis C in Kent County Roughly 1 person diagnosed with chronic HCV everyday 70% baby boomers, but huge increases among young and new injectors Overdose deaths per year in Kent County Primarily caused by opiates, both licit and illicit Very common among people who inject
14 Kent County Mortality Rates Deaths / 100,000 Living Narcotic Overdose 4 3 Viral Hepatitis 2 HIV/AIDS related Year
15
16
17 Michigan Mortality Rates 6 Deaths/ 100,000 living Narcotic Overdose Viral Hepatitis HIV/AIDS related Year
18 Most immediate health concern of the people we serve Kills more people in Kent County each year than HIV and HCV combined Kills more people than are in infected with HIV each year Leading cause of accidental death of ALL people aged 0-65 From 1994 to 2012 fatalities increased sixfold from about 15 deaths to 97 Where is the public health outcry?
19 Kent County Overdose Fatalities by Drug of First Mention 100 Overdose Fatalities Total Total Opioid ODs 40 Narcotic Analgesic 20 Methadone Heroin/Morphine Year
20 Unpublished data from the Kent County Medical Examiner 74% of all fatalities involve an opiate Of the opiate fatalities 40% involve Methadone 38% involve Morphine/Heroin 35% involve some other opiate 41% of opiate overdoses involve a multi-drug combination 22% Cocaine, 15% Alcohol, Benzos are also implicated
21 Mean age: 41 years Kent County Overdose Fatalities Total Deaths <25 25 to to to 54 >54 Age Group
22
23 Overdose History: The average client has: Personally overdosed 2.3 times Witnessed 5.87 overdoses, of which only 1.98 have resulted in 911 being called, and 0.6 where someone has died Drug Intake Opiates: 93% use heroin, 46% use methadone, 41% use another opiate Uppers: 39% use cocaine, 16% use speed Downers: 49% use alcohol, 37% use benzos Clean Works clients are at risk for OD, furthermore they are at risk for opiate OD
24
25
26 Naloxone HCl is an unscheduled prescription medication both federally and in the state of MI. Naloxone is a medication used solely for the prevention and reversal of opiate overdoses. Naloxone is pretty much a pure antidote for opiates. It will have little or no effect on people without opiates in their system. Naloxone is so safe and effective that often when someone presents unresponsive medical personnel will administer Naloxone without knowing whether or not an overdose has occurred. Naloxone was FDA approved in 1971 for first responders to use to respond to overdose situations
27 Red Project Program Data October 2008 January 2014 Over 650 individuals trained Our average client has witnessed 5.87 overdoses, of which only 1.98 have resulted in a 911 call Since 2000 many programs have shown that lay-people (people who use opioids, their families & friends) can be trained in safely and effectively responding to opioid overdoses with naloxone hydrochloride
28 Clean Works Program- October 2008 Cherry St Health Methadone Clinic Network 180 and SUD Treatment SA Turning Point, Arbor Circle IOP, Our Hope, Jellema House, Freedom House, Cherry St Health Methadone Clinic, Degage Open Door Women s Shelter, Network 180 Access Center, etc Results (as of 08/30/2014) 936 individuals trained which has led to 177 reported reversals The Future Increased collaboration/partnerships Multiple points of distribution
29 Methadone Maintenance Intensive Out-Patient Detox Facilities 90-day Programs Emergency Shelters/Drop In Centers Recovery Housing/Housing First Referral Relationships Medical Community
30 What is an overdose? Why do people overdose? Recognizing an overdose Responding to an overdose Recognizing and acknowledging experience, pain and trauma Confidentiality
31 NYDOH Training Video
32 Multi-Drug Use Alcohol Consumption Period of Abstinence Decreased Health Decreased Breathing Function Prior History of Overdose Unregulated drugs/unfamiliar medications Using alone
33 Stimulation Call for Help Airways Rescue Breathing Evaluation Muscular Injection Evaluate/Support
34 Naloxone Hydrochloride 4 IM Syringes Training DVD & Instructions Rescue breathing barrier, alcohol pads, gauze, rubber gloves Information on our program all in a recognizable bag
35 As of 08/30/2014 Over 900 individuals trained in how to prevent and respond to overdose situations and issued a rescue kit Over 175 overdoses reported reversed as a result Individual Level: Success! Community Level: OD rates are beginning to stabilize
36
37
38 American Medical Association American Society of Addiction Medicine Office of National Drug Control Policy US Conference of Mayors National Coalition Against Prescription Drug Abuse American Public Health Association United Nations Office on Drugs and Crime /Resolution_55_7.pdf National Alliance of State and Territorial AIDS Directors alth%20august%205% pdf Source: NOPE Model Naloxone legislation Guide
39 Strategies to Reduce Overdose Death STRATEGY 1: Encourage providers, persons at high risk, family members and others to learn how to prevent and manage opioid overdose. STRATEGY 2: Ensure access to treatment for individuals who are misusing or addicted to opioids or who have other substance use disorders. STRATEGY 3: Ensure ready access to naloxone. STRATEGY 4: Encourage the public to call 911. STRATEGY 5: Encourage prescribers to use state Prescription Drug Monitoring Programs (PDMPs). ***SAMSHA Block Grant Funds Can Support OD Prevention
40 CDC MMWR, February 17, 2012 Nationally there were 188 local overdose prevention programs that distribute Naloxone From Trained 53,032 people 10,171 reported reversals Multiple Models For Successful Programming Syringe Access/Harm Reduction-Chicago Recovery Alliance, etc Point of Prescription/Medical Model-Project Lazarus State Health Department- Massachusetts, etc The Take Away: Finding ways to put tools in hands to save lives
41 Project Lazarus Prescribe to Prevent
42 Community Engagement 2008: Wilkes County, NC has 6 th highest OD mortality rate in nation Fatality is caused primarily by prescription opioids Work with doctors to train individuals receiving opioid prescriptions in how to respond to overdose with Naloxone OD deaths down 69% between 2009 and 2011 Less than 1% change in how many residents had a prescription for an opioid pain reliever in Wilkes County In % of OD fatality victims had a prescription from a Wilkes County prescriber, in 2011 this decreased to 0%
43
44 Inclusion Criteria for a Naloxone Rescue Kit: The Short List Anyone using opioids medically or non-medically, and anyone with a history of non-medical opioid use The Long List Received emergency medical care involving opioid intoxication or poisoning Suspected history of substance abuse or nonmedical opioid use Prescribed methadone or buprenorphine Higher-dose (>50 mg morphine equivalent/day) opioid prescription
45 Inclusion Criteria (continued): Receiving any opioid prescription for pain plus: Rotated from one opioid to another because of possible incomplete cross tolerance Smoking, COPD, emphysema, asthma, sleep apnea, respiratory infection, or other respiratory illness or potential obstruction. Renal dysfunction, hepatic disease, cardiac illness, HIV/AIDS Known or suspected concurrent alcohol use Concurrent benzodiazepine or other sedative prescription Concurrent antidepressant prescription Patients who may have difficulty accessing emergency medical services (distance, remoteness) Voluntary request from patient or caregiver
46 Well coordinated statewide program utilizing standing order model for nasal naloxone Multiple points of distribution Harm reduction Substance abuse treatment First Responders Families groups Declaration of Public Health Emergency Community level reductions in OD fatality
47 Emergency Regulations Providers at state-licensed facilities must receive training on OD prevention & Naloxone Consumers must be offered kits upon discharge Pharmacy Collaborative Practice Agreements Naloxone kits can be procured on a walk-in basis at any Walgreens statewide
48
49 Will this encourage drug use? What does the data say? Anecdotal evidence.. Appropriateness within treatment/recovery? Benefits to clients Life is valued, rather than just treatment compliance A positive role in the community: that of life-saver and educator Benefits to staff Enhancing the therapeutic relationship Addressing OD-related trauma
50 Staff Buy In Prescription Status Unscheduled Relationship with a doc? Relationship with a pharmacy? Does this issue affect your clients? Moving beyond an abstinence only approach
51 No Good Samaritan legislation for calling 911 in an overdose situation Prescribing Naloxone to bystanders with no personal risk for overdose Administering Naloxone to someone for whom it has not been prescribed We are actively working to get legislation passed to address these barriers SB 0860
52
53 Integrating this into your SUD practice Starting the conversation: What could be the most important question Can your organization provide this to your at-risk clients? Do you have a referral relationship with an organization or doctor who can? What can you do? Find out how this is affecting your clients OD Prevention with and without naloxone Doctors in your area Suboxone and pain maintenance
54 Impeding [the IDU] population from obtaining or using sterile syringes amounts to prescribing death as a punishment for illicit drug use. Source: Human Rights Watch, Lessons Not Learned: Human Rights Abuses and HIV/AIDS in the Russian Federation, April 2004, Vol. 16, No. 5, p.3
55 1998 Grand Rapids Mayors Task Force on Drug Policy Reform Final Report Harm Reduction Coalition Michigan Department of Community Health Quarterly HIV Statistics Kent County Health Department Governors Hepatitis C Advisory Task Force Final Report Kent County Medical Examiner Clean Works Program Data Centers For Disease Control Wonder Mortality Database Chicago Recovery Alliance Centers For Disease Control Morbidity and Mortality Weekly Report The Network For Public Health Law Project Lazarus Prescribe to Prevent North Carolina Medical Board Human Rights Watch SAMSHA Opioid Overdose Toolkit NOPE Model Naloxone Legislation Guide
Steve Alsum. The Grand Rapids Red Project. (616)
Steve Alsum The Grand Rapids Red Project steve@redproject.org (616) 456-9063 Red Project Basics Overdose Epidemiology Naloxone Distribution Overview Locally And In Michigan Innovative National Models A
More informationOpioid Prescription and Illicit Drug Overdoses: On the Rise
Opioid Prescription and Illicit Drug Overdoses: On the Rise Cindy Haynes, MSA-PA, CHES Chronic Pain Program Coordinator Northern Piedmont Community Care Duke Division of Community Health Objectives Define
More informationProtocol For: Personally Furnishing Naloxone. Update Log
Protocol For: Personally Furnishing Naloxone Update Log Updated By: Reason for Update: Date: Approved By: K. Benick RN Original draft 6/7/16 Pam Butler Protocol: Personally Furnishing Naloxone_Morrow County
More informationDrug Use, Harm Reduction, and HIP
Drug Use, Harm Reduction, and HIP Strategies for Engaging PWIDs in HIV Prevention Services Presented by: Katie Burk, MPH Narelle Ellendon, RN Harm Reduction Coalition Founded in 1993 by needle exchange
More informationNaloxone Statewide Standing Order. Cheryl A. Viracola, PharmD Pharmacy Programs Manager, Community Care of Wake and Johnston Counties
Naloxone Statewide Standing Order Cheryl A. Viracola, PharmD Pharmacy Programs Manager, Community Care of Wake and Johnston Counties Objectives Review the US & NC trends on opioid overdose Understand key
More informationTake Home Naloxone: Law Update and Considerations for Pharmacy Professionals
Take Home Naloxone: Law Update and Considerations for Pharmacy Professionals Clint Ross, PharmD, BCPP Clinical Pharmacy Specialist Psychiatry Residency Program Director Psychiatric Pharmacy Medical University
More informationPresenters. Session Objectives. Session Overview. Cluster Investigations in Rural Wisconsin
Public Health Nurses, Hepatitis C, Injection Drug Use and Heroin Sheila Guilfoyle Viral Hepatitis Prevention Coordinator Division of Public Health Wisconsin Department of Health Services Wisconsin Public
More informationNaloxone HCI 4 mg/0.1. nostril. Repeat after 3 minutes if minimal or no
THE SOUTH CAROLINA BOARD OF MEDICAL EXAMINERS AND THE SOUTH CAROLINA BOARD OF PHARMACY S JOINT PROTOCOL TO INITIATE DISPENSING OF NALOXONE HCI WITHOUT A PRESCRIPTION This joint protocol authorizes any
More informationHARM REDUCTION & TREATMENT. Devin Reaves MSW
HARM REDUCTION & TREATMENT Devin Reaves MSW The mission of PAHRC is to promote the health, dignity, and human rights of individuals who use drugs and communities impacted by drug use. Recognizing that
More informationOpioid Harm Reduction
Opioid Harm Reduction Lucas G. Hill, PharmD Clinical Assistant Professor, The University of Texas at Austin College of Pharmacy Clinical Pharmacist, CommUnityCare FQHCs Director, Operation Naloxone Mark
More informationChad Sabora, BS, MS, JD Missouri Network for Opiate Reform and Recovery. Drug Policy, Harm Reduction, and What s Next
Chad Sabora, BS, MS, JD Missouri Network for Opiate Reform and Recovery Drug Policy, Harm Reduction, and What s Next The start or lack thereof of Drug Policy in the United States The Harrison Narcotics
More informationBuilding a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine
Building a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine Scott M. Gagnon, MPP, PS-C Director, AdCare Educational Institute of Maine, Inc. Co-Chair, Prevention & Harm
More informationOpioid Use and Misuse: History, Trends, And The Oregon Opioid Initiative
Opioid Use and Misuse: History, Trends, And The Oregon Opioid Initiative John W. McIlveen, Ph.D., LMHC, State Opioid Treatment Authority, Oregon Health Authority, Addictions and Mental Health Division
More informationJournal Club: Naloxone Programs in the Community and Their Success to Decrease Overdoses from Opioids
Journal Club: Naloxone Programs in the Community and Their Success to Decrease Overdoses from Opioids Emily Junck, MD Hayes Wong, MD Paul Freeman, MD Special Guest: Caleb Banta-Green, PhD, MPH, MSW Special
More informationHow to Prevent an Opioid Overdose
How to Prevent an Opioid Overdose MEDICAL CARE PROVIDERS: Providers can help reduce the likelihood of an opioid overdose by identifying patients who are at increased risk of opioid-induced respiratory
More informationUnintentional Poisonings: Public Health Response Joint Legislative Health Care Oversight Committee
Unintentional Poisonings: Public Health Response Joint Legislative Health Care Oversight Committee Dr. Ruth Petersen Chronic Disease and Injury Section Division of Public Health Oct 12, 2010 In 1999, the
More informationGood Samaritan. State with this law in place: New Mexico, Washington, New York, Connecticut, Illinois (to be enforced June 1, 2012)
Good Samaritan Immunity Laws that provide protection from prosecution for calling 911 if seeking medical attention for self or another experiencing an overdose The US Conference of Mayors 2008 unanimously
More informationPotential Solutions to Epidemic Substance Abuse in US and Europe
Potential Solutions to Epidemic Substance Abuse in US and Europe Richard C. Dart, MD, PhD Director, Rocky Mountain Poison and Drug Center, Denver Health 1 Professor, University of Colorado School of Medicine
More informationAnyone Can Become Addicted. Anyone.
Anyone Can Become Addicted. Anyone. PAStop.org Family Toolkit Seeking Drug Abuse Treatment: Know What to Ask Trying to identify the right treatment programs for a loved one can be a difficult process.
More informationOctober 20, 2016 Scott K. Proescholdbell, MPH. Opioid Overdose and North Carolina s Public Health and Prevention Strategies
October 20, 2016 Scott K. Proescholdbell, MPH Opioid Overdose and North Carolina s Public Health and Prevention Strategies Deaths per 100,000 population Death Rates* for Three Selected Causes of Injury,
More informationTake Home Naloxone elearning Module Script
elearning Module Script Slide 1-3 Review the outline and the plan for the presentation. Slide 4 We do accept the cynicism of this poster. Slide 5 Read from the slide the definition of Harm Reduction Slide
More informationOpiate Use Disorder and Opiate Overdose
Opiate Use Disorder and Opiate Overdose Irene Ortiz, MD Medical Director Molina Healthcare of New Mexico and South Carolina Clinical Professor University of New Mexico School of Medicine Objectives DSM-5
More informationAddressing the Opioid Crisis Workgroup: Treatment and Overdose Prevention
The Accountable Community for Health of King County Addressing the Opioid Crisis Workgroup: Treatment and Overdose Prevention May 7, 2018 1 Opiate Treatment & Overdose Prevention Project Goal Immediate:
More informationAcademic Medical School: Implementing Curriculum in Chronic Pain and Opioid Misuse. Jill M Williams, MD
Academic Medical School: Implementing Curriculum in Chronic Pain and Opioid Misuse Pain, Pain Management and the Opioid Epidemic Symposium Jill M Williams, MD Professor Psychiatry Director, Division Addiction
More informationOpioid Task Force Kick-Off Meeting. February 29, 2016
Opioid Task Force Kick-Off Meeting February 29, 2016 Scope of the Opioid Problem and Data Review Olivia Kasirye, MD, MS County Public Health Officer OVERVIEW The Opioid Epidemic Opioid Task Force Development
More informationWelcome to the Opioid Overdose Prevention Project
Welcome to the Opioid Overdose Prevention Project Narcan Training TODAY S OBJECTIVES Define drug addiction Identify symptoms of addiction Treatment options including support for family members How to recognize
More informationMainstreaming naloxone rescue kits from harm reduction programs to pharmacies, police and fire responders
Mainstreaming naloxone rescue kits from harm reduction programs to pharmacies, police and fire responders Alexander Y. Walley, MD, MSc Boston University School of Medicine ThINC Bergen 2015 Conference
More informationQUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D.
2017 State Targeted Response to the Opioid Crisis Grants QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D. H.R.6-21st Century Cures Act The 21st Century Cures Act is a United States law enacted
More informationRural Prevention and Treatment of Substance Abuse Toolkit
Rural Prevention and Treatment of Substance Abuse Toolkit September 18, 2017 Tricia Stauffer, MPH NORC Walsh Center for Rural Health Analysis Rural Health Outreach Tracking and Evaluation Program Funded
More informationState Opioid Response (SOR) Grant
State Opioid Response (SOR) Grant Adam Bucon, LSW DMHAS Provider Meeting September 20, 2018 Philip D. Murphy Governor Shereef M. Elnahal Commissioner Sheila Y. Oliver Lt. Governor NJ Opioid Statistics
More informationBest Practices and Foundation Forum. Fred Wells Brason II
Best Practices and Foundation Forum Fred Wells Brason II fbrason@projectlazarus.org Wilkes County, NC Manual labor dominates employment options in this county of 69,000. Wilkes 4 Marvelous M s Moonshine
More informationWorking with People Who Use Drugs in HIV Care Settings. August 29, 2017 Workshop C 2:00 3:30 p.m.
Working with People Who Use Drugs in HIV Care Settings August 29, 2017 Workshop C 2:00 3:30 p.m. Working with People Who Use Drugs in HIV Care Settings Facilitator: Liz Hall, CDPH Office of AIDS Matt Curtis,
More informationOverdose Prevention, Recognition & Response Education Train-the-Trainer
Overdose Prevention, Recognition & Response Education Train-the-Trainer Bernie Lieving, MSW Overdose Prevention Education Coordinator Santa Fe Prevention Alliance & Office of Substance Abuse Prevention
More informationTri-County Region Opioid Trends Clackamas, Multnomah, and Washington, Oregon. Executive Summary
Tri-County Region Opioid Trends Clackamas, Multnomah, and Washington, Oregon 2016 Executive Summary 20.8 million people in the United States have a substance use disorder (not limited to opioids), equivalent
More informationThe Opioid Epidemic: The State of the State
JOINT LEGISLATIVE COMMITTEE ON HEALTH AND HUMAN SERVICES The Opioid Epidemic: The State of the State Dr. Mandy Cohen, Dr. Susan Kansagra Department of Health and Human Services Nov. 14, 2017 3 PEOPLE DIE
More informationNaloxone Information for Community Pharmacies in Georgia: What You Need to Know
Naloxone Information for Community Pharmacies in Georgia: What You Need to Know Your pharmacy may start receiving an increased volume of prescriptions for naloxone (Narcan ) due to legal changes in 2014.
More information8/12/2013. Drug overdose death rates in the US have more than tripled since 1990 (CDC 2011).
Age Adjusted Death Rate/100,000 p-y 8/12/2013 Jane A. Kennedy, D.O. Lisa Raville, B.A. Executive Director, Harm Reduction Action Center Slide presentation about opioids, overdose, and Naloxone Many thanks
More informationHarm Reduction 10/17/2018. Topics for Today. Working Definition of Harm Reduction
Harm Reduction Dennis Radloff Human Services Program Coordinator Substance Abuse Services Topics for Today Overview of harm reduction Sterile syringe access programs Preventing fatal opioid overdoses Working
More informationTraining Objectives. By the end of this session you will be able to: 2. Recognize key principles of harm reduction.
Training Objectives By the end of this session you will be able to: 1. Define harm reduction. 2. Recognize key principles of harm reduction. 3. Identify the need for harm reduction, with a PWID focus.
More informationHigh Impact Prevention for People Who Inject Drugs. June 30, 2015
High Impact Prevention for People Who Inject Drugs June 30, 2015 Webinar Agenda Introduction & Background o NASTAD Drug User Health: Challenges and Opportunities for Health Departments o Alessandra Ross,
More informationPrescription Opioid Overdose in Oregon: A public health perspective
Prescription Opioid Overdose in Oregon: A public health perspective Katrina Hedberg, MD, MPH Health Officer & State Epidemiologist Oregon Public Health Division Oregon Health Authority All-Cause Mortality,
More informationNaloxone: Preventing Opioid Overdose in the Community. Sharon Stancliff, MD Medical Director Harm Reduction Coalition
Naloxone: Preventing Opioid Overdose in the Community Sharon Stancliff, MD Medical Director Harm Reduction Coalition DISCLOSURES Sharon Stancliff MD has nothing to disclose LEARNING OBJECTIVES 1. Discuss
More informationHARM REDUCTION & THE OPIOID EPIDEMIC. CHELSEA RAINWATER Co-Founder & Executive Director No Overdose Baton Rouge
HARM REDUCTION & THE OPIOID EPIDEMIC CHELSEA RAINWATER Co-Founder & Executive Director No Overdose Baton Rouge NO OVERDOSE BATON ROUGE Formed in late 2013 Community education Naloxone distribution Syringe
More informationOPIOIDS IN JACKSON COUNTY A PUBLIC HEALTH PERSPECTIVE OPIOID AWARENESS COUNTY LEADERSHIP FORUM SHELLEY CARRAWAY, HEALTH DIRECTOR DATE
OPIOIDS IN JACKSON COUNTY A PUBLIC HEALTH PERSPECTIVE OPIOID AWARENESS COUNTY LEADERSHIP FORUM SHELLEY CARRAWAY, HEALTH DIRECTOR DATE LOCAL HEALTH DIRECTOR REGIONS For counties with low counts, regional
More informationPRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE
PRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE September 20, 2013 Association of State and Territorial Health Officials Annual Meeting R. Gil Kerlikowske Director of National Drug Control Policy National
More informationASTHO President s Challenge 15 x 15: Reduce Prescription Drug
ASTHO President s Challenge 15 x 15: Reduce Prescription Drug Misuse and Deaths 15% by 2015 Terry Cline, Ph.D. Commissioner of Health Oklahoma Secretary of Health and Human Services Prescription drugs
More informationNALOXONE LEARNING ABOUT NALOXONE COULD SAVE A LIFE
NALOXONE LEARNING ABOUT NALOXONE COULD SAVE A LIFE WHAT IT IS WHAT IT IS NARCAN (naloxone HCl) Nasal Spray is the first and only FDA-approved nasal form of naloxone for the emergency treatment of a known
More informationRESIDENTIAL SUBSTANCE ABUSE TREATMENT (RSAT)
RESIDENTIAL SUBSTANCE ABUSE TREATMENT (RSAT) Overdose Risk Reduction and Relapse Prevention This project was supported by grant No. 2016-MU-BX-K021 awarded by the Bureau of Justice Assistance. The Bureau
More informationPragmatic and Creative Responses to the Opioid Crisis in Connecticut
Focusing on Highly Vulnerable Populations Track Pragmatic and Creative Responses to the Opioid Crisis in Connecticut A special thanks to our presenting sponsor: Presenters: Shawn Lang Deputy Director AIDS
More informationAetna s Initiative on the Opioid Epidemic
Aetna s Initiative on the Opioid Epidemic Christopher James D.O., M.P.H. Medical Director, BH- Mid-Atlantic Territory (JamesC1@aetna.com) July 23, 2017 HHS Data on Epidemic Every Day in the U.S. More than
More informationSeptember 1, The Honorable Tom Price, MD Secretary Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201
September 1, 2017 The Honorable Tom Price, MD Secretary Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Secretary Price: The National Association of County
More informationOpioid Data for Local Governments in North Carolina
Opioid Data for Local Governments in North Carolina Mary Beth Cox, Stacy Taylor, and Adam Lovelady October 10, 2018 Speakers Adam Lovelady Associate Professor UNC School of Government Mary Beth Cox Substance
More informationOpioid Overview Admiral Brett P. Giroir, M.D.
A S S I S TA N T S E C R E TA RY F O R H E A LT H Opioid Overview Admiral Brett P. Giroir, M.D. Assistant Secretary for Health Senior Advisor for Opioid Policy @HHS_ASH August 20, 2018 SUBSTANCE ABUSE
More informationFentanyl, Opioid Overdose and Naloxone
Fentanyl, Opioid Overdose and Naloxone Opioid Agonist Therapy Conference Saskatoon, SK April, 2016 Declaration No conflict of interest. Consultant in Addiction Medicine, SHR. Chair, College of Physicians
More informationOpioid education programs and nasal naloxone rescue kits
Opioid education programs and nasal naloxone rescue kits Arne Skulberg PhD student NTNU Consultant Anaesthetist, Oslo Epidemiology Europe 2 Epidemiology US 200 % increase in opioid overdoses since 2000.
More informationPreventing opioid poisonings Presenting responsible pain management Promoting Substance Use Treatment and Support services
Preventing opioid poisonings Presenting responsible pain management Promoting Substance Use Treatment and Support services Fred Wells Brason II fbrason@projectlazarus.org Pilot Project Setting Manual labor
More informationNIDA Responds to the Syndemic of Opioids, Viral Hepatitis and HIV. Wilson M. Compton, M.D., M.P.E. Deputy Director, National Institute on Drug Abuse
NIDA Responds to the Syndemic of Opioids, Viral Hepatitis and HIV Wilson M. Compton, M.D., M.P.E. Deputy Director, National Institute on Drug Abuse Virtually All of the U.S. Have Increased Drug Overdoses:
More informationMichael M. Miller, MD, FASAM, FAPA
Michael M. Miller, MD, FASAM, FAPA mmiller@rogershospital.org Medical Director, Herrington Recovery Center (HRC) Rogers Memorial Hospital Oconomowoc, Wisconsin Vice Speaker Wisconsin Medical Society Clinical
More informationPerformance of North Carolina's System for Monitoring Prescription Drug Abuse. Session Law , Section 12F.16.(q)
Performance of North Carolina's System for Monitoring Prescription Drug Abuse Session Law 2015-241, Section 12F.16.(q) Report to the Joint Legislative Oversight Committee on Health and Human Services and
More informationReducing opioid overdose mortality: role of communityadministered
Reducing opioid overdose mortality: role of communityadministered naloxone Vennus Ballen, MD, MPH; Lara Maldjian, MPH New York City Department of Health and Mental Hygiene Clinical Director s Network (CDN)
More informationNARCAN: THE HISTORY, APPLICATIONS AND FUTURE
NARCAN: THE HISTORY, APPLICATIONS AND FUTURE TABLE OF CONTENTS 3 Intro 4 What is Naloxone? 8 How Naloxone is Administered 12 Where to Find Narcan in California The United States accounts for about five
More informationChanging Course: statewide efforts to combat the opioid epidemic in California
Changing Course: statewide efforts to combat the opioid epidemic in California Kelly Pfeifer, MD kpfeifer@chcf.org April 26, 2018 State of Reform conference STAT Special Report: 52 weeks, 52 faces Obituaries
More informationDivision of Mental Health and Addiction Services
Division of Mental Health and Addiction Services A DAM BUCON, LSW DMHAS Mission DMHAS, in partnership with consumers, family members, providers and other stakeholders, promotes wellness and recovery for
More informationMassachusetts Responds to the Opioid Epidemic Using Data To Inform Policy and Programs. Monica Bharel, MD MPH Commissioner of Public Health
Massachusetts Responds to the Opioid Epidemic Using Data To Inform Policy and Programs Monica Bharel, MD MPH Commissioner of Public Health Data For Massachusetts 2017 Q2 Quarterly Report and Chapter 55
More informationOpioid Abuse in Iowa Rx to Heroin. Iowa Governor s Office of Drug Control Policy January 2016
1 Opioid Abuse in Iowa Rx to Heroin Iowa Governor s Office of Drug Control Policy January 2016 Why Is This Important? 2 3 National Rx Painkiller Trends CDC, 2013 4 National Rx-Heroin Trends NIH, 2015 5
More informationImplementing the 2017 President s Challenge: Primary, Secondary & Tertiary Prevention of Addiction & Substance Misuse
Implementing the 2017 President s Challenge: Primary, Secondary & Tertiary Prevention of Addiction & Substance Misuse Jay Butler, MD, President of ASTHO, Chief Medical Officer, Alaska Department of Health
More informationMay 25, Drug Overdose Update & Response: Combatting Opioid Overdose
May 25, 2017 Drug Overdose Update & Response: Combatting Opioid Overdose Overview The Problem -Overdose in North Carolina (and a little nationally) -Other associated health threats PDAAC-NC s Response
More informationA. The burden of untreated pain. The importance of opioid therapy Potential pitfalls of opioid therapy
A. The burden of untreated pain. The importance of opioid therapy Potential pitfalls of opioid therapy The burden of untreated opioid addiction Medication assisted treatment Federal Regulation of MAT:
More informationFrom Medicaid Transformation Approved Project Toolkit, June 2017
From Medicaid Transformation Approved Project Toolkit, June 2017 Domain 3: Prevention and Health Promotion Transformation projects within this domain focus on prevention and health promotion to eliminate
More informationWhat is the strategy?
What is the strategy? Multi-pronged approaches to reducing the health consequences of opioid use, New York City Northeast Epidemiology Conference Public health approach Track drug use and associated health
More informationPREVENTING OPIATE OVERDOSES IN SCHOOLS. Head 2 Toe 2017 April 20, 2017 Winona Stoltzfus BSN, MD, School Health Officer and Acting RHO SE Region
PREVENTING OPIATE OVERDOSES IN SCHOOLS Head 2 Toe 2017 April 20, 2017 Winona Stoltzfus BSN, MD, School Health Officer and Acting RHO SE Region WHY IS THIS EVEN A QUESTION FOR SCHOOLS? In 2014, 467,000
More informationOverdose Fatality Review Presentation of Annual Reports. Erin Haas and Laura Bartolomei-Hill Maryland Department of Health
Overdose Fatality Review Presentation of Annual Reports Erin Haas and Laura Bartolomei-Hill Maryland Department of Health 5/23/2017 Agenda Introductions Overview of Overdose Fatality Review in Maryland
More informationCoalition Strategies Across The Continuum of Care
Coalition Strategies Across The Continuum of Care Dorothy J. Chaney M.Ed. CADCA Consultant Building Safe, Healthy, and Drug Free Communities Overview and Objectives: By completing this training participants
More informationInnovative Ways to Fund Harm Reduction Services New Mexico
Innovative Ways to Fund Harm Reduction Services New Mexico Laine M. Snow, MSW HIV Service Program Manager New Mexico Department of Health History and Importance of Harm Reduction New Mexico Sero-prevalence
More informationJefferson County Syringe Exchange Program (SEP) Annual Report 2017
615 Sheridan Street Port Townsend, WA 98368 www.jeffersoncountypublichealth.org Jefferson County Syringe Exchange Program (SEP) Annual Report Jefferson County Public Health has provided a Syringe Exchange
More informationOVERVIEW. NCHRC Harm Reduction Pills Ingestion to Smoking/Injecting Harm Reduction Legislation, Services and Advocacy Ban the Box/Fair Hiring LEAD Q+A
OVERVIEW NCHRC Harm Reduction Pills Ingestion to Smoking/Injecting Harm Reduction Legislation, Services and Advocacy Ban the Box/Fair Hiring LEAD Q+A North Carolina Harm Reduction Coalition (NCHRC) is
More informationTake Home Naloxone: What Pharmacists Need to Know
Take Home Naloxone: What Pharmacists Need to Know Sheri L. Fandrey, BSP, PhD Knowledge Exchange Lead Manitoba Addictions Knowledge Exchange Conflict of Interest/Disclosure Dr. Sheri Fandrey Has no conflicts
More informationThe Missouri Opioid-Heroin Overdose Prevention and Education (MO-HOPE) Project Mission: to reduce opioid overdose deaths in Missouri through expanded
The Missouri Opioid-Heroin Overdose Prevention and Education (MO-HOPE) Project Mission: to reduce opioid overdose deaths in Missouri through expanded access to naloxone, overdose education, prevention,
More informationPrescribing Naloxone to Patients for Overdose Reversal
Prescribing Naloxone to Patients for Overdose Reversal Module Author: Julie Kmiec, DO Assistant Professor of Psychiatry, University of Pittsburgh School of Medicine Addiction Psychiatry - Western Psychiatric
More informationMinister s Opioid Emergency Response Commission Recommendations to the Minister Updated July 5, 2018
The Minister s Opioid Emergency Response Commission was established May 31, 2017 to support the Government of Alberta s urgent response to the opioid crisis. As part of its mandate, the Commission is responsible
More informationReducing Opioid Deaths: Arizona s Emergency Declaration & Response
Reducing Opioid Deaths: Arizona s Emergency Declaration & Response September 15, 2017 Sheila Sjolander, Assistant Director Arizona Department of Health Services Emergency Declaration On June 5, 2017, Arizona
More informationThe Oregon Opioid Initiative. State Pain & Opioid Conference Prescription Drug Monitoring May 2018 Lisa Millet, Public Health Division
The Oregon Opioid Initiative State Pain & Opioid Conference Prescription Drug Monitoring May 2018 Lisa Millet, Public Health Division Disclosure No disclosures 2 Learning Objectives Learner will be able
More informationMedication Assisted Treatment
Meeting the Needs of Your Clients: Building Competencies in Mental Health and Addiction Services Medication Assisted Treatment November 5, 2018 In partnership with: House Keeping Because this is a webinar,
More informationTrends and Challenges: The Kentucky Opioid Crisis. Jason Smith, MD PhD University of Louisville
Trends and Challenges: The Kentucky Opioid Crisis Jason Smith, MD PhD University of Louisville Brief Introduction I am by no means an expert I have no financial disclosures Jokes are meant to be lighthearted
More informationJust Out of Reach: Women Who Use Drugs, Stigma and Barriers to Care Erin Bortel and Lyla Hunt AIDS Institute Office of Drug User Health
Just Out of Reach: Women Who Use Drugs, Stigma and Barriers to Care Erin Bortel and Lyla Hunt AIDS Institute Office of Drug User Health March 12, 2018 Envisioning a socially just system where all New Yorkers
More informationOpioids - Fentanyl - Naloxone. Public Health Nurse
Opioids - Fentanyl - Naloxone Public Health Nurse What are Opioids? Opioids are a family of drugs that treat pain and can cause sleepiness. Prescription (legal) Opioids fall into 3 main categories: 1.
More informationOpioids 101. Washington Prevention Summit. Alison Newman, MPH November 6, 2018
Opioids 101 Washington Prevention Summit Alison Newman, MPH November 6, 2018 Opioids Class of drugs that work on the endorphin system. What are some examples? What are some of the risks? Opioid use disorder
More informationAddiction and Substance misuse pathways
Addiction and Substance misuse pathways Gordon Morse Chief Medical Officer Turning Point UK Gordon Morse statement of interests Sole employer Turning Point Some unpaid advisory work to the Hepatitis C
More informationA Conversation on Fentanyl. School District 22 VERNON
A Conversation on Fentanyl School District 22 VERNON Why are we talking about this? In 2016 there were 922 unintentional overdose deaths in British Columbia 158 of those deaths occurred in Interior Health
More informationOpioid Review and MAT Clinic CDC Guidelines
1 Opioid Review and MAT Clinic CDC Guidelines January 10, 2018 Housekeeping Use chat feature to inform everyone who s at your clinic Click chat on Zoom option bar Chat Everyone the names of those who are
More informationSubstance Use Disorders (SUDs) and Medication Assisted Treatment (MAT) for Opiates
Substance Use Disorders (SUDs) and Medication Assisted Treatment (MAT) for Opiates What is MAT? Medication Assisted Treatment (MAT) is the use of medications, in addition to counseling, cognitive behavioral
More informationBuprenorphine: An Introduction. Sharon Stancliff, MD Harm Reduction Coalition September 2008
Buprenorphine: An Introduction Sharon Stancliff, MD Harm Reduction Coalition September 2008 Objective Participants will be able to: Discuss the role of opioid maintenance in reducing morbidity and mortality
More informationBRIEFING ON WHY AND HOW TO ADDRESS OVERDOSE IN GLOBAL FUND PROPOSALS
BRIEFING ON WHY AND HOW TO ADDRESS OVERDOSE IN GLOBAL FUND PROPOSALS For people who inject heroin and other opioids, overdose is an urgent issue. The Global Fund to Fight AIDS, Tuberculosis and Malaria
More informationThe National Infrastructure for Hepatitis C: Is There Anyone Home? December 21, 2015
The National Infrastructure for Hepatitis C: Is There Anyone Home? December 21, 2015 December 21, 2015 2 December 21, 2015 3 Can we eliminate hepatitis C? Treatments December 21, 2015 4 We Have the Roadmap
More informationNational Academy of Medicine Action Collaborative: Countering the US Opioid Epidemic
National Academy of Medicine Action Collaborative: Countering the US Opioid Epidemic Admiral Brett P. Giroir, M.D. Assistant Secretary for Health Senior Advisor for Opioids and Mental Health Policy @HHS_ASH
More informationReport to The Vermont Legislature. Substance Abuse Treatment Services Objectives and Performance Measures Progress: Second Annual Report
Report to The Vermont Legislature Substance Abuse Treatment Services Objectives and Performance Measures Progress: Second Annual Report In Accordance with Act 179 () Sec. E.306.2 (a)(2) Submitted to: Submitted
More informationCommunity Pharmacy Distribution of Naloxone
Community Pharmacy Distribution of Naloxone College of Pharmacists of BC BC Centre for Disease Control Harm Reduction Program Sponsored in part by the BC Ministry of Health What is Naloxone? Naloxone is
More informationAttitudes Toward Medication-Assisted Treatment Within a Drug Court Program. Caroline Allison. Dr. Kathleen Moore, Ph.D.
Running Head: MEDICATION-ASSISTED TREATMENT ATTITUDES Attitudes Toward Medication-Assisted Treatment Within a Drug Court Program Caroline Allison Dr. Kathleen Moore, Ph.D. Department of Mental Health Law
More informationResponding to the Opioid Epidemic
Responding to the Opioid Epidemic Jessica Gray, MD Addiction Medicine Fellow Boston Medical Center ROME New England August 17, 2017 Disclosures for Jessica Gray, MD No conflicts Learning Objectives Describe
More informationOPIOIDS IN AMERICA. A complex crisis. A comprehensive response.
OPIOIDS IN AMERICA A complex crisis. A comprehensive response. Prescription opioids play a critical role in helping millions of people effectively manage chronic pain. But for some, opioid use has become
More information