Quarterly Stakeholders Meeting September 13, 2017

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Lee Gordon
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1 Quarterly Stakeholders Meeting September 13, 2017

2 General Updates Federal- OhioMHAS & AG Office- CURES ACT Funding State- Budget Legislation & Resources United Way Bold Goals Alignment with OTF QRT- Participating Communities Addiction Helpline- Participating Agencies

3 Opiate Task Force Data Dashboard: Opiate Task Force key critical indicators 1. Drug Overdoses per day (EpiCenter Data) 2. Drug Overdose Deaths 3. OARRS report 4. D.U.M.P. Program 5. Project DAWN 6. Residential & Detox Waitlists 7. Quick Response Team

2017 Drug Overdoses (Epicenter) 400 350 Drug Overdose

250 200 150 100 193 202 151 67 61 88 247 232 235 103 101

4 2017 Drug Overdoses (Epicenter) Drug Overdose Emergency Department Visit Summary Jan Feb Mar Apr May Jun Jul Aug

5 2017 Drug Overdoses (Epicenter) Drug Overdose Emergency Department Visit Summary Jan. to August 2016 Jan. to August 2017 Jan. to August 2016 Jan. to August 2017

6 Drug Overdose Deaths The official count for total drug overdose deaths from January 1, 2017 to 9/6/2017 is 104. Preliminary data suggests that there could be up to 140 drug overdoses in 2017 (1/1/2017 to 9/12/2017). o Summit County Residents: 92 o Out of County(Ohio) Residents: 10 o Out of State Residents: 2 The official count for total drug overdose deaths that occurred in 2016 in Summit County, as of 9/6/2017 is 336 (not a final count and may go up to 339). o Summit County Residents: 298 o Out of County (Ohio) Residents: 30 o Out of State Residents: 8

7 OARRS Report

8 D.U.M.P. Box Disposal Sites 2017 numbers represent Q1 to Q3

9 DAWN Kits Dispensed in 2017 Time Period Received Overdose Education Received DAWN Kit SCPH data includes numbers from Q1 to August in Q Edwin Shaw Numbers include Q1 and Q

Detox Wait times Q 1 2015 Q 2 2017 30 25 20 Days 15 15 13 10 5 0 10 10 12 9 9 8 8

10 Detox Wait times Q Q Days Female 4 Male 1 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q

11 Residential Wait times Q Q Days Male 18 Female Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q Clients cleared for admission as of 9/6/2017= 73 95% of these clients are currently receiving interim services

12 January o o Quick Response Team Cuyahoga Falls Green February o o March o o Barberton/Norton Tallmadge Stow Akron April o Munroe Falls May o Coventry June o Hudson 2017 Start Dates

13 Quick Response Team 140 January to July A total of 429 clients have been seen by QRT since January 1, or 30% of these clients have engaged in AoD treatment since their QRT visit Total Clients Visited Clients who received AoD treatment after QRT visits Jan Feb Mar Apr May Jun Jul

14 Committee Reports

15 Factors contributing to the problem: Lack of resources Lack of coordination of activities Too little time Advocacy Goal 1: Identify strategic initiatives and programs proven to work and advocate for their adoption. Examples may include but are not limited to: Treatment initiatives Specialized court dockets Educational programs Peer and recovery activities Quick Response Teams Recovery and transitional housing Objectives: Identify programs that demonstrate promise through outcomes. Identify the data from programs that demonstrate their effectiveness. Present these programs to the Opiate Task Force to gather support. Goal 2: Develop a plan to engage philanthropic, business and legislative support of funding or rules that support our community. Objectives: Identify and engage Summit County representatives and other key leaders and decision-makers that have the most influence over opiate-related concerns. Identify the legislative processes for the state and federal government to enable advocacy activities to occur when they would have the most impact. Develop a plan to engage the appropriate members of the OTF to offer testimony or other activities to support advocacy initiatives.

16 Family Supports Goal 3: Increase education for families on addiction as a chronic disease and treatment resources. Objectives: Develop educational tools for families on understanding addiction as a chronic disease. Standardize operating procedures for providers to consistently support and provide information to families and those in treatment. Goal 4: Increase support resources available to families. Objective: Develop and strengthen a network of support groups. Factors contributing to the problem: Stigma Communication breakdown among providers, patients and families Lack of understanding / education about medication assisted treatment Funding for support resources

17 Public Awareness Goal 5: Improve the public s understanding of where and how to get help for substance use disorders. Objectives: Develop evidence-based, non-stigmatizing messages and methods for getting the messages out. Increase awareness of addiction as a brain disease. Goal 6: Increase engagement of people with substance use disorders in treatment. Objectives: Explore ways to decrease stigma. Explore ways to increase resources for treatment engagement efforts. Goal 7: Increase awareness and involvement of the business community. Objectives: Identify where business audiences are already engaged and would be receptive to messages. Network into groups (non-profits, leadership, faith-based, chambers) to develop a two-way communication so businesses receive and act on evidence-based messages. Factors contributing to the problem: Caregivers are not receiving information Lack of internet access Lack of understanding of addiction as a brain disease Lack of evidence-based messages that are not stigmatizing Lack of business community involvement

18 Criminal Justice Goal 8: Reduce access to heroin/other illegal opioids. Objectives: Develop more connections and strong partnerships with segments of the criminal justice system, i.e. courts, law enforcement. Establish an array of treatment services (including jail programs) and a process for training of justice system for assessment and linkage to services. Contributing factors: Sentencing Guidelines Lack of safe space/timeout Technology (supply/easy to obtain) Synthetics (Cannot keep up w/constant changes) Financial Incentive Capacity of Specialty Courts & Treatment Programs Fear of partnerships/stigma every system is overwhelmed & burned out Misperception about role of Law Enforcement

19 Healthcare Subcommittee: Goal 9: Develop a seamless path to addiction services and recovery that includes adequate capacity of detoxification and residential treatment services. Objectives: Increase awareness of addiction helpline. Make general information available on substance use disorders and availability of treatment services at healthcare facilities through both electronic and physical methods. Increase awareness of support for caregivers such as EAP services. Explore the need for a full service campus that provides a full continuum of care for persons with substance use disorders and their families. Factors contributing to the problem: Resources and capacity have increased, but people still do not know how to access them Treatment is voluntary, and many choose not to enter or to leave before completing treatment Burnout of caregivers

20 Youth & Young Adults Goal 10: Increase access to education and outreach for youth and young adults in community and school settings. Goal 11: Increase youth involvement in OTF subcommittee and engagement in youthled prevention efforts. Objectives: Increase workforce capacity to implement prevention education. Make use of the new Ohio Department of Education required opiate curriculum that will be provided next school year. Engage the community to provide new venues for education and outreach. Engage higher education to provide new venues for education and outreach. Recruit youth to serve on subcommittee. Factors contributing to the problem: Time Access Stigma Community perception of school Level of understanding of prevention Lack of funding Lack of certified workforce Less motivation to become a certified prevention specialist due to lower pay Transportation Long-term commitment/engagement

21 Announcements & Next Meeting Date

22 For more information go to the Opiate Task Force Online at: or call the ADM Board at

Strategic Plan

2017-18 Strategic Plan 1 Strategic Planning Process The Summit County Opiate Task Force has made great strides in addressing the opiate crisis in the last few years. More than 100 Summit County citizens