The Partnership of Law Enforcement & Public Health Care 2014 AKA: The Community Policing of Public Health

Transcription

1 The Partnership of Law Enforcement & Public Health Care 2014 AKA: The Community Policing of Public Health Patrick P. Glynn Lieutenant Detective Commander: Special Investigations & Narcotics Unit Quincy Police Department

2 Presenter Lieutenant Detective Patrick Glynn Commander: Special Investigations & Narcotics Unit 29 Years - Quincy Police Department BS Human Services MA Criminal Justice Senior Staff MPTC NR-Emergency Medical Technician

3 City of Quincy Massachusetts Border: City of Boston Sea Coast Area Full Service Hospital Private Amb. Sworn Officers

4 By 2010, drug overdose deaths outnumbered motor vehicle traffic deaths in 31 states CDC NVSS, MCOD More deaths from drug overdose In 2012, 13 Massachusetts residents died each week from drug overdoses

5 New Partners ONDCP Tool Kits West Coast Bay State Services State Officials EMS General Public MASS. DPH The HIDTA Family Quincy Police City Hall, Officers & Chief Family Groups President Obama s 2013 Strategy The Administration Substance Abuse East Coast

6 DPH CSG QPD FAMILY HIDTA Addressing The Opioid Overdose with a Multi-Discipline Approach

7 Past / Present Terms PAST PRESENT Junkie Addict / Abuser Overdose Arrest Family Member / Person Substance Disorder Poisoning Treatment Narcan -? Recovery

8 Narcan (NALOXONE) Awareness 2014 Designed for Those That Want to Save a Life, a Community & The Future

9 The Ugly of Heroin

10 The Possible Future

11 There were ads in papers and journals for Bayer s many products, including aspirin and heroin. 11

12

13

14 The P.E.T.E.R. Theory Prevention Awareness Education Call 911 Treatment Narcan Enforcement (Therapeutic Arrest) Reduce OD Recidivism / Fatals / Recovery

15 3 Step Approach - Dilemma - Admit there is a problem (no Epidemic) Option Provide Solutions Consequences-Deaths increase or decrease Remember: We protect and serve all

16 The Purpose 2009/10 99 Deaths in Quincy, Braintree, & Weymouth Males - 46 Females 53 Background: Tradesman, HLS Officer, Husbands, Wives, Brothers, Sisters & Students

17 The Quincy Issue January 2009 Oct # 47 Fatal Overdoses # 24 Female # 23 Males

18 The Future -The Partners Best Practices for Success Presidential Support (ONDCP, HIDTA) Multi-Disciplinary Approach (DPH, EMS) Adm. Support Officer Support Public Support

19 Narcan Deployment All Officers Trained Narcan = All QPD Cruisers Narcan = Booking area QPD Hq. Narcan = QPD Drug Unit Marine Units / K-9 Units Community Police Officers: Walking/Bicycle

20 March 27, 2014 The Governor s Public Health Emergency declaration provided emergency powers to DPH Commissioner Cheryl Bartlett, RN. At the Governor s direction, the Public Health Council passed a regulation that: Universally permit first responders to carry and administer Naloxone (Narcan), a safe and effective opioid antagonist that, when timely administered, can reverse an overdose and save a life.

21 Special Events/Dates Good Sam Law Amended U.S. Att. General Eric Holder s Comments N.C.D.A. Michael Morrissey s County-wide Training (3/28/14) Gov. Patrick s Emergency order (3/29/14) Plymouth County (4/4,14) Numerous Stand Alone Programs Word;Spread Local, County, State (@35) & Country Wide (@15 States)

22 Success Stories Public s Perception Reduced Fear 911 Officer 2n2 Reversals Civilian Pursuit * Citizen Involvement * Station Drive-in * Good Sam Law Amd. Boston Red Sox W.S.

23 Presented by: Det. Lieutenant Patrick Glynn Opioid Specific Non Fatal Overdose(s) Fatal Overdose(s) Quincy Police Department Naloxone Hydrochloride Pilot Program In Partnership with Ma. DPH and IMPACT Quincy General Data Quincy Police Dept #406 Response(s) Oct August, #43(Oct Pres.) (#3 are suicides) 66% Reduction in Fatals Oct Mar Fatals: (Historical) (May 2009-Oct 2010) * #47 Fatals: Oct April 2012 #16 QPD Narcan (Adm) Reversals No Effect No Effect Repeat Abuser(s) #299 #287 #9 (Deceased) #4 #15 # 1 (1/1/14-7/7/14) Cell Block: #2 Drive-in: #1 Fallon/QPD #35 World Series Parade #1 Chase Down # 1 Prescription Overdose 7/1/13Fatal Non-Fatal 23

24 Examples of Opiates and Opioids Heroin* Morphine* Codeine* Methadone Buprenorphine (Suboxone ) Oxycodone (OxyContin, Percocet, Percodan ) Hydrocodone (Vicodin ) Tylenol #3 Fentanyl Meperidine (Demerol ) *Naturally derived (opiates)

25 Mixing Opioids with Benzos Combining opioids with benzodiazepines or alcohol leads to a worse outcome Benzos are psychoactive drugs that have sedative, hypnotic, anxiolytic, anticonvulsant, muscle relaxant, and amnesic actions The most commonly used benzos are: Klonopin, Valium, Ativan, Librium, and Xanax

26 What can be done? Decrease supply, temptation & risk

27 Evaluation and Support Narcan only lasts about min in the blood. While the effects of the opioid may last much longer. Therefore, it s possible that after Narcan wears off the person could fall out again.

28 What can be done? Nasal Naloxone = Across the board access

29 Rescue kit components Mucosal Atomization Device (MAD) Luer-lock syringe Prefilled ampule of naloxone

30 Nasal Atomizer Use

31 How do opioids affect breathing? Opioid Receptors, brain Opioid

32 How does Narcan affect overdose?

33

34 Why Not? Anaphylactic Shock Epi-Pen Diabetic Emergency Sugar Product Opiate/Opioid OD Nasal Narcan

35 Always Looking Forward Past No Availability (First Responder / Public) Present- Limited Availability (Nation-Wide) Mass. DPH Acknowledges Reversals since 05/06 Future-Unlimited Availability (Public, LEO & EMS)

36

37 Adapting to The Future --- Do not go where the path my lead, go instead where there is no path and leave a trail. Ralph Waldo Emerson --- We are not going to arrest our way out of this epidemic. --- We do not pick those: We Protect & Serve Lt. Det. Patrick Glynn