PUBLIC HEALTH The Opioid Epidemic in Colorado

Transcription

1 PUBLIC HEALTH The Opioid Epidemic in Colorado June 29, 2017 Chris Urbina, MD, MPH Medical Officer City and County of Broomfield Kaleigh Becker, MPH Substance Abuse Prevention Educator

2 Patient Story Jamie is a 20 year old college student who comes to the ER to get pain medication. He hurt his knee in an ultimate frisbee game about two weeks ago. He initially went to his primary care provider who told him that he had a sprain and told him to rest, use ice, perform some physical therapy exercises and to use ibuprofen or acetaminophen to relieve pain. He tells the ER doctor that since he start using this pain medication (which he got from a friend who obtained them from his parent/s medicine cabinet) his pain has gone away. He has a big game coming up for the college championship and the team is counting him. 1) 2) Does this sound familiar to anyone? Could this have been prevented? How?

3 National Data

4 U.S Heroin and Rx Deaths are Increasing

5 Heroin Poisoning Deaths by County, Colorado Department of Public Health and Environment,

6 Broomfield and Boulder Youth Data 21.1% of high school students believe it s sort of/very easy to get prescription drugs without a prescription. 15.1% of high school students report taking a prescription drug without a doctor s prescription one or more times during their life. Healthy Kids Colorado Survey, 2015

7 Preliminary Heroin Use Survey results from a local public health department A Colorado Local Health Department 11 question survey assessing demographics and the role of prescription and heroin usage specific to the individual. Survey was voluntary with no compensation offered. Volunteers in the survey are asked for consent and informed about how the information will be utilized.

8 Heroin Survey: Sample of Results How did you get the prescription painkiller the first time you used it without a prescription or in ways other than what was prescribed for you? 68.75% 31.25% 7.1% 7.1% 35.7% Did prescription painkillers play a role in your transition to heroin use? 50%

9 Heroin Survey: Participant Stories Still in pain, cheaper to get heroin, didn't want to. Wish there were programs and more help for it, no one wants to live like this. I was going through withdrawals and I found it to help with my pain more than the pills. Then because of my drug use I lost my kids. I wish I could find a way to get off of this. Had a fire, lost everything, was burned from crawling through to get my son, was prescribed Xanax for PTSD and Percocet for pain, was severely depressed, used too many pills to feel okay. Had surgery on hand, got PERC 30's then got cut off. Then switched to heroin because it s cheaper and didn't want to be sick!!! Dr. ***** gave me 360 thirties a month!!

10 Community -parents and families -schools -faith-based organizations -businesses -non-profit organizations Law Enforcement -drug courts -police/sheriffs -linkage to treatment -case management Health Systems -ER/hospitals -health care providers -pharmacies -naloxone Solutions Opioid/Heroin Epidemic Mental Health Support and Treatment Public -safe use -safe disposal -naloxone -stigma reduction -harm reduction -media awareness -medically-assisted treatment (MAT) -counseling -housing -human services

11 Example: Safe Storage of Prescription Drugs

12 Example: Safe Disposal of Prescription Drugs Disposal Location Walgreens 4001 East 120th Avenue Thornton, CO 80233

13 Resource for Teens

14 Resource for Parents

15 Colorado Crisis Services Call TALK (8255) or text TALK to 38255

16 Behavioral Health Treatment Locator

17 Broomfield Communities That Care Broomfield Public Health and Environment received a five-year grant to prevent substance use among youth. The Communities That Care process involves assessing the community risks and strengths, and developing a prevention plan to fit Broomfield specific needs. A diverse group of stakeholders are informing the process: Community leaders School representatives Youth-serving professionals Medical and mental health providers Government agencies Parents Youth

18 Broomfield Communities That Care Progress Formed an advisory board Formed an implementation committee Formed Data Workgroup, Resource Assessment Workgroup, Communications Workgroup, Community Engagement Workgroup Reviewed substance use data among youth and adults in Broomfield and our region, and contributing behaviors and attitudes Next Steps Reaching out to you to hear about concerns related to substance use Identify initiatives and prevention programs already in place in Broomfield Implement prevention strategies for youth to fit the needs of Broomfield

19 PUBLIC HEALTH Get Involved Sign up for the B in the Loop e-newsletter Sign up for the CTC Community Engagement Workgroup Sign up to participate in CTC s community conversations Attend B Healthy Speaker Series July 27: Youth and Marijuana: Be Part of the Solution September 21: Let s Talk About Mental Health

20 Resource List PUBLIC HEALTH Substance Use Prevention Rise Above Colorado, Speak Now, Take Meds Seriously, Mental Health and Substance Abuse Treatment Colorado Crisis Services, Call TALK (8255) or Text TALK to Behavioral Health Treatment Locator, Call HELP (4357)

21 PUBLIC HEALTH Questions

22 PUBLIC HEALTH Contact Us Chris Urbina, MD, MPH Jason Vahling, MPH Kaleigh Becker, MPH