Saving Lives and Treating Addiction in Baltimore City

Transcription

1 Saving Lives and Treating Addiction in Baltimore City Mark O Brien Director of Opioid Overdose Prevention and Treatment Evan Behrle Special Assistant to the Health Commissioner Catherine E. Pugh Mayor, Baltimore City Leana Wen, M.D., M.Sc. Commissioner of Health, BaltimoreHealth health.baltimorecity.gov

2 Baltimore City Health Department About the Baltimore City Health Department City agency with culture of startup History Funding & structure Health not healthcare 20-yr difference in life expectancy Education Crime Jobs

3 Overdose Epidemic in Maryland Drug and Alcohol Overdose Deaths in Maryland 799 in in in in in 2016 (about 90% involve Drug and Alcohol Deaths in Maryland opioids)

4 Overdose Epidemic in Baltimore City Drug and Alcohol Deaths in Baltimore City Drug and Alcohol Overdose Deaths in Baltimore 225 in in in in in 2016

5 Fentanyl is on the Rise Deadly synthetic opioid that is dozens of times stronger than morphine and heroin 4 deaths in deaths in deaths in deaths in deaths in Fentanyl and Other Overdose Deaths Other Overdoses Fentanyl-Related

6 Baltimore s Three Prong Strategy Saving lives with naloxone Public Education Access to treatment

7 Naloxone Distribution 25,000 people trained 21,000 kits distributed 950 lives saved

8 Don t Die Campaign Public health campaign focused on the dangers of opioids and opportunity to learn to save a life with naloxone Bus stops, buses, billboards, and metro stations Posters in libraries, SUD providers, and other settings Website with online naloxone training

9 Prescriber Education Judicious prescribing of opioids Co-prescribing naloxone Avoiding combinations of opioids and benzodiazepines

10 Why Treat Addiction? 21,000+ in Baltimore City use heroin Evidence-based treatment exists: Medication-assisted treatment (methadone, buprenorphine) & psychosocial counseling But only 1 in 10 get it Treatment cuts mortality in half & reduces crime For every 100 methadone patients/year, 57 fewer break-ins, 12 fewer burglaries, 56 fewer car thefts World Health Organization: Every $1 spent on treatment saves $12

11 Expanding Treatment Access Buprenorphine Expansion Plan 24/7 Crisis, Information, and Referral Line Stabilization Center Overdose Survivors Outreach Program Work Group on Treatment Access and Neighborhood Relations

12 Work Group on Drug Treatment Access and Neighborhood Relations Co-chairs: Don Fry, Greater Baltimore Committee Bill McCarthy, Catholic Charities Dr. Leana Wen, Baltimore City Health Department Members: Gabe Auteri, Baltimore City Health Department Tony Brown, Charles Village Benefits District John Bullock, City Council Pamela Davis, Baltimore Police Department Andy Frank, Johns Hopkins University Matt Gallagher, Goldseker Foundation Nancy Jordan-Howard, Baltimore Development Corporation Jon Laria, Ballard Spahr LLP J. R. Lee, Southwest Partnership Alan Mlinarchik, Central Baltimore Partnership Dr. Sam Ross, Bon Secours Health System Vickie Walters, IBR/REACH Health Services Crista Taylor, Behavioral Health System Baltimore

13 Work Group on Drug Treatment Access and Neighborhood Relations Objectives: 1. Engage partners in conducting a comprehensive, strategic citylevel planning process, including questions around siting, certifications, and transportation; 2. Propose community-wide financial and regulatory incentive mechanisms to ensure construction of neighborhood-friendly drug treatment centers; 3. Pursue legislative and regulatory efforts to support first two goals, with intention of creating a best practice model to address issue on state and national levels.

14 What s Next? BCHD convened a city-wide Fentanyl Task Force to make recommendations and assess capacity for a city-wide response: 23 city and state agencies and organizations City agencies from police and fire to Mayor s Office of Neighborhoods and the Convention Center Other partners including substance use treatment system and hospitals

15 Citywide Fentanyl Task Force Goals: Develop a public health messaging campaign focused on dangers of Fentanyl Train all Baltimore City agency frontline workers to administer naloxone Implement a real-time overdose spike awareness and rapid response system

16 Overdose Spike Detection and Rapid Response Real-Time Alerts and Rapid Response Daily updates from EMS on non-fatal overdoses Detect spikes in overdose in census tracts Alert the public and ask people to warn others Re-deploy Overdose Education and Naloxone Distribution resources It s all about reacting quickly!

17 Public Policy Advocacy Eliminating the naloxone training requirement Requiring co-prescribing of naloxone Development of a Statewide Hub and Spokes Buprenorphine Treatment System Requiring Emergency Departments to Screen for Addictions and Offer Buprenorphine Induction Requiring the State s Jails and Prisons to Provide Medication Assisted Treatment

18 Partnering with GBC How can we work together? In-kind support with opioid work Change your insurance coverage to protect employees Host us for a talk and naloxone training with your employees

19 For More Information Websites Health.baltimorecity.gov and Baltimore 24/7 Crisis, Information, and Referral Hotline (410)

20 Thank You! Questions?