Unique Programs to Address Drug User Health
|
|
- Wilfrid Goodman
- 5 years ago
- Views:
Transcription
1 Unique Programs to Address Drug User Health February 16, 2017 Valerie White & Narelle Ellendon, RN Office of Drug User Health, AIDS Institute NYSAM Conference February 3 rd, 2017
2 Office of Drug User Health brings together the AIDS Institute s Harm Reduction Unit, Opioid Overdose Program and the Expanded Syringe Access Program, and the newest addition Increasing Access to Buprenorphine February 16, 2017
3 February 16, DRUG USER HEALTH INITIATIVES Syringe Exchange Program (SEP) - Enacted in 1992 Expanded Syringe Access Program (ESAP) - Enacted in 2000 Opioid Overdose Prevention Program (OOPP) Enacted in 2006 Increasing Access to Buprenorphine Enacted in 2016 Drug User Health Hubs Enacted 2016
4 February 16, Getting to Zero Governor Cuomo announced on World AIDS Day 2016 that there would be zero HIV transmissions through injection drug use by the end of 2020 Ambitious goal Implementation strategies being developed
5 February 16, HIV/AIDS/HEPATITIS PREVENTION Syringe Exchange and the Expanded Syringe Access Program are public health initiatives designed to reduce the transmission of HIV and Hepatitis A,B,C. Both use a harm reduction approach and focus on engaging individuals who are not ready or able to abstain from drug use or enter drug treatment. Both provide individuals access to new syringes without a prescription to prevent reusing or sharing of syringes.
6 February 16, WHAT IS HARM REDUCTION? Recognizes the fact that some behaviors people engage in are harmful, cause harm or have harm associated with them. Reality is that people will engage in those behaviors or activities anyway even though they know they are harmful or despite others attempts to dissuade them. Harm reduction is an approach to lower the risk of potentially hazardous behaviors or activities.
7 February 16, SYRINGE EXCHANGE PROGRAM (SEP) SERVICES Syringe Exchange services be provided as part of a comprehensive harm reduction model. Outreach Syringe Exchange HIV prevention education, peer training/skills building Condom and bleach kits distribution/demonstrations Referrals (31% for substance use treatment services) HIV and HCV screening Opioid overdose prevention training and equipping individuals with naloxone Individual and group counseling Incorporating on-site buprenorphine prescribing in many programs
8 February 16, SEP UTILIZATION Total clients served: 24,449; New clients: 9,554 Transactions: 137,800 Syringes Furnished: 7.4 million Referrals: 36,578 Substance Use Treatment: 6,934 Medical Services: 16,618 Misc: Housing, Legal, Entitlements, Food: 12,253
9 February 16, OUTCOMES OF SYRINGE EXCHANGE PROGRAMS NYC 1990: 52% of new HIV cases were among IDUs; NYC 2014: Surveillance data showed <3% of new AIDS case are among IDUs
10 February 16, YOUNG IDU INITIATIVE An emerging heroin epidemic is among young injection drug users. 18 SEPs were given enhancement funding to target young injection drug users for enrollment in SEP, primarily using young IDU peers to reach youth. Approximately 3,000 young IDUs have been enrolled in SEPs between July 1, 2015 and June 30, 2016 Provide safer injection practices & safer sex education and supplies. Opioid overdose prevention training; active referrals to health, mental health and substance use treatment/buprenorphine.
11 February 16, Expanded Syringe Access Program (ESAP) The law allows the sale or furnishing of hypodermic syringes or needles by ESAP registered: Licensed pharmacies Article 28 health care facilities Health care practitioners Physicians Physician assistants Nurse practitioners
12 February 16, NYS Safe Sharps Collection Program The program provides, at no cost, kiosks to be placed in the facilities for proper disposal of syringes. THIS KIOSK MEASURES 54" X 24" X 20" AND IS MADE FROM HEAVY GAUGE STEEL
13 February 16, The Point is a tool locater designed to find locations near you where you can obtain hypodermic needles and syringes without a prescription, as well as locations where syringes and drugs can be disposed safely in secure kiosks. The locator can be accessed through the use of one of these URL addresses: With a Smartphone, you can also access the locator by scanning the QR Code provided here.
14 February 16, Resources and Directories Include Links to: NYS ESAP Providers NYS Safe Sharps Collection Program NYS Authorized Syringe Exchange Programs Opioid Overdose Prevention New York State's 911 Good Samaritan Law Location of Medical Drop Boxes by County Household Drug Collection Schedule The Point was developed by the Center for Health & Social Research at SUNY Buffalo State in collaboration with the Erie County Department of Health
15 February 16, Opioid Overdose Prevention Program Expanding Community Program Basic Life Support Law enforcement Firefighters Corrections School Settings Pharmacy 380 programs currently active or recently registered 135 new programs in 2016 alone. More than 2,300 reported naloxone administrations by community responders 635 in Permissible scope of practice now includes IN naloxone. Frequently first on the scene of an OD reported naloxone administrations 1,620 in As with police, firefighters are often first on the scene Currently in 10 State prison facilities with expansion planned Began in August 2015 with changes in Public Health & Education laws. Currently 58 district registrations covering 226 distinct schools. Over 2,000 pharmacies now able to dispense under standing orders
16 February 16, October 28, 2015 Overdose Responders Trained: Oct 1, 2014 Sept 30, ,000 20,000 15,000 11,202 15,677 21,411 16,609 12,724 14,142 Community Responders School EMS Fire Fighters 82,922 3,563 3,532 2,622 10,000 8,358 8,651 Law Enforcement 16,045 TOTAL 108,684 5,000 Note: Data reported by registered programs Q Q Q Q Q Q Q Q3
17 February 16, October 28, 2015 Reported Naloxone Administrations 311, 6% 2,444, 48% 2,369, 46% Total: 5,124 Data through 11/23/2016 Community Law Enforcement Firefighters
18 February 16, October 28, 2015 Pharmacy Collaboration Partners NYS DOH Harm Reduction Coalition Accomplishments Managed care coverage for at least one naloxone formulation Pharmacist training CPE with University at Buffalo/HRC/Erie DOH Resources for pharmacists and patients Standing orders: Commissioners, Basset & Burstein & Dr. Stancliff NYC DOHMH OASAS More than 2,000 pharmacies Directory on-line NYS Board of Pharmacy Erie DOH & Albany DOH Pharmacy Societies (NYS & WNY) Pharmacies (chains and Independents) CVS Walgreens Rite Aid Wegmans Kinney Drugs Price Chopper More in Pipeline Stop and Shop Non- Chain
19 February 16, October 28, 2015 State Prisons Collaboration Partners Accomplishments NYS DOH Training for incarcerated individuals soon to be released Pilot began in February 2015 at Queensboro Correctional Facility Currently in 10 facilities with expansion to all 54 facilities in the future NYSDOCCS Harm Reduction Coalition 5,226 inmates trained; 2,499 have taken naloxone kits upon release 2,785 staff at the facilities trained with 1600 taking kits 2,900 parolees trained with 1,300 taking kits
20 February 16, Keys for Success Commitment from Governor Support from Legislature Collaborations across State Agencies NYSDOH OASAS Division of Criminal Justice Services DOCCS Fire Prevention & Control State Education Collaborations within NYSDOH AIDS Institute Emergency Medical Services Narcotics Enforcement Occupational Health and Injury Prevention Strong Community Partnerships All registered programs Pharmacies Harm Reduction Coalition Trained Responders Chains NYCDOHMH Independents Schools Associations
21 February 16, NYS Buprenorphine Access Initiative
22 February 16, Benefits of Buprenorphine Access To reduce or stop opioid use by: Preventing drug withdrawal Blocking or diminishing the effects of other opioids if taken Preventing the powerful craving that continues for some people long after detoxification
23 February 16, Benefits of Buprenorphine Access To improve patients general health and wellbeing (psychosocial functioning) by: Reducing mortality (Overdose, etc.) Reducing transmission of blood-borne viruses Improving adherence to other medications/therapies (HIV, HCV, Diabetes, HT, SSI) Providing stability to meet responsibilities (work, childcare, maintain housing, legal, etc.)
24 February 16, My reason for getting on suboxone was because in the last 6 months I have had 6 overdoses. They are putting fentanyl in the heroin every time I get a bag I m dropping. When I got out of rehab (I was) still having the cravings and I did not want to go back to that lifestyle. I got on the suboxone, because I was on it before. And it really helped me out a lot. I can keep a job, I see my kids, everything falls into place.
25 February 16, Benefits of Buprenorphine Access To improve well-being & equity of communities: Reduces drug-related crime & recidivism Increases access points for meaningful engagement with services Increases options for service providers Decreased use of EMS, ED, crisis services Increased QOL, stability, productivity Challenges stigma for providers and clients (normalized medication in PC settings, etc.)
26 February 16, Buprenorphine Prescribing Regulations Be a qualified physician Complete 8 hours of training: online & in-person (24 hours for NPs & PAs) Or boarded in addiction medicine Register with the DEA Required to have access to appropriate psychosocial services Limited to 30 patients per doctor for the first year then 100 patients per doctor
27 February 16, Comprehensive Addiction Recovery Act (CARA) of 2016 New law authorizes prescribing privileges of buprenorphine in office-based settings by nurse practitioners (NPs) and physician assistants (PAs) Feb 2017 Practitioners that hold additional credentialing or practice in qualified practice settings or emergency may now treat up to 275 patients per year NOW
28 February 16, Total number of Bup providers, by region Region SAMHSA DEA Capital Region Central New York Hudson Valley Long Island New York City Western New York
29 February 16, Average # of public and potential Bup providers Region Average number of public providers per county Average number of potential providers per county Capital Region Central New York Hudson Valley Long Island New York City Western New York
30 February 16, Comparison of SAMHSA and DEA data Western New York Hudson Valley Long Island Central New York Capital Region NYC region The graph to the left displays the number of providers publicly accessible via the SAMHSA Buprenorphine provider directory, compared to the potential universe of waivered providers extracted from the DEA dataset SAMHSA DEA
31 February 16, NYSDOH Buprenorphine Initiatives
32 February 16, Points of Access for Buprenorphine: Settings: - Harm Reduction/Syringe Exchange Programs - Primary Care - Emergency Departments & Urgent Care - Federally Qualified Health Centers - CBOs (Housing Services, etc) - Correctional & Re-Entry
33 February 16, Models of Buprenorphine Populations: - Young Adults - Women of child bearing age - Rural/Suburban - Homeless - Re-Entry
34 February 16, Models of Buprenorphine Prescribing Practices: (Low-threshold) - Short-term & Long-term provision - Non-conditional psychosocial services - Non-conditional abstinence prior to induction - Non-punitive regarding poly-drug use - Shared decision making - Covered by insurance Models: - Care Coordination models - Hub & Spoke Models - Telehealth
35 February 16, Drug User Health Hubs Outpatient ambulatory care programs for drug users Enhance local providers understanding and ability to provide services to substance users (including but not limited to drug dependence, overdose prevention and response, HIV, hepatitis C, mental health needs and other behavioral health issues that impact the lives of people who use drugs. The programs provide the bridge between prevention and treatment and can positively impact an individual s wellbeing.) Provide on-site medically assisted treatment buprenorphine. Prevent overdoses; provide care post overdose. Law Enforcement Assisted Diversion (LEAD): Low level offenders are diverted to SEP for care services instead of being arrested.
36 February 16, Hubs Emergency Department Family EMS Hubs Law Enforcement
37 February 16, CDC Vital Signs; HIV and Injection Drug Use Syringe Services Programs for HIV Prevention, December 2016
38 February 16, Analysis of current policies and impact Buprenorphine waiver trainings Webinars (CME) - buprenorphine - opioid prescribing - co-prescribing naloxone Buprenorphine Working Group ODUH Activities
39 February 16, ODUH Activities Material creation - best practices - factsheets Academic Detailing/ Targeted Provider Education
40 February 16, ODUH Activities ECHO Clinic (OUD, buprenorphine) Consultant warm lines Facilitating mentoring Resource library
41 February 16, Online resources NYSDOH: HIV and Substance Use Guidelines Providers Clinical Support System for Medication Assisted Treatment SAMHSA information including training and registration Harm Reduction Coalition information and resources
42 February 16, Valerie White, Deputy Director Thank You! Narelle Ellendon, RN Opioid Program Manager , Office of Drug User Health New York State Department of Health, AIDS Institute
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
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 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 informationProgress Report and 2018 Legislative Opportunities. Maine Opiate Collaborative Recommendations
Progress Report and 2018 Legislative Opportunities related to the Maine Opiate Collaborative Recommendations April 2018 A. Destigmatize substance use disorders within the law enforcement profession 1.
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 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 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 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 informationSUBJECT: Opioid Overdose and Intranasal Naloxone Training for Law Enforcement: Train the Trainer Session: Queens County October 17, 2014
ANDREW M. CUOMO GOVERNOR STATE OF NEW YORK DIVISION OF CRIMINAL JUSTICE SERVICES Alfred E. Smith Office Building 80 South Swan Street Albany, New York 12210 http://criminaljustice.ny.gov MICHAEL C. GREEN
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 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 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 informationProgress Report Maine Opiate Collaborative Recommendations. on the. October 2018
Progress Report on the 2016 Maine Opiate Collaborative Recommendations October 2018 MAINE OPIATE COLLABORATIVE PROGRESS REPORT Prevention & Harm Reduction October 2018 RECOMMENDATIONS STRATEGIES 2018 LEGISLATIVE
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 informationEXECUTIVE ORDER TAKING FURTHER ACTIONS TO ADDRESS THE OPIOID OVERDOSE CRISIS
EXECUTIVE ORDER TAKING FURTHER ACTIONS TO ADDRESS THE OPIOID OVERDOSE CRISIS Gina M. Raimondo, Governor Nicole Alexander-Scott, MD, MPH, Director of Health Action Plan Strategies to Date Since 2015, we
More informationMission: The Oregon Coalition for Responsible Use of Meds (OrCRM) is a Statewide Coalition launched to prevent overdose, misuse and abuse of
Mission: The Oregon Coalition for Responsible Use of Meds (OrCRM) is a Statewide Coalition launched to prevent overdose, misuse and abuse of amphetamines and opioids, both prescription and illicit, among
More informationSTATE & FEDERAL EFFORTS TO COMBAT THE OPIOID EPIDEMIC & IMPACT ON COMPLIANCE PROGRAMS GRACE E. REBLING OSBORN MALEDON P.A.
STATE & FEDERAL EFFORTS TO COMBAT THE OPIOID EPIDEMIC & IMPACT ON COMPLIANCE PROGRAMS GRACE E. REBLING OSBORN MALEDON P.A. Arizona Corporate Counsel Presentation May 8, 2018 Agenda 1. Overview of the Opioid
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 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 informationCitiWide Harm Reduction
CitiWide Harm Reduction Ryan White Part A Harm Reduction Services: AOD Services Conflict of Interest Disclosure: CitiWide Harm Reduction currently has an HRR contract: 07-HRR HRR-748 Presentation to the
More informationAdvocating for Syringe Exchange Programs
Advocating for Syringe Exchange Programs AMERICAN BAR ASSOCIATION AIDS COORDINATING COMMITTEE HIV Law & Practice Conference 2018 New Orleans, LA February 22, 2018 William McColl Vice President for Policy
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 information1 HB By Representative Williams (JD) 4 RFD: Health. 5 First Read: 09-JAN-18 6 PFD: 11/28/2017. Page 0
1 HB37 2 188862-1 3 By Representative Williams (JD) 4 RFD: Health 5 First Read: 09-JAN-18 6 PFD: 11/28/2017 Page 0 1 188862-1:n:11/16/2017:PMG/tj LSA2017-3516 2 3 4 5 6 7 8 SYNOPSIS: This bill would establish
More informationSuccessful Prevention Strategies to Address the Opioid Crises
Successful Prevention Strategies to Address the Opioid Crises Shannon Breitzman, MSW, Principal Denver Office Lindsey Kato, MPH, CHES, Consultant Denver Office 1 LEARNING OBJECTIVES + Find out how to effectively
More informationTREATING OPIOID ADDICTION IN HOMELESS POPULATIONS
TREATING OPIOID ADDICTION IN HOMELESS POPULATIONS Challenges and Opportunities Providing Medication Assisted Treatment (Buprenorphine) August 18, 2016 SPEAKERS TODAY Nilesh Kalyanaraman, MD, Chief Health
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 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 overdose fatalities: The role of naloxone and of supervised injection facilities Sharon Stancliff, MD Medical Director Harm Reduction
Preventing overdose fatalities: The role of naloxone and of supervised injection facilities Sharon Stancliff, MD Medical Director Harm Reduction Coalition New York, NY Sleestan@gmail.com Strategies to
More informationData-Driven Prevention Initiative
Data-Driven Prevention Initiative Arturo Brito, MD,MPH Deputy Commissioner New Jersey Department of Health Pain, Pain Management & Opioid Epidemic Symposium Princeton, New Jersey December 2, 2016 Reducing
More informationOverview of Syringe Exchange Programs. New York City Police Academy November 24, 2004
Overview of Syringe Exchange Programs New York City Police Academy November 24, 2004 History of Syringe Exchange n Title 10 N.Y.C.R.R. 80.131 (a) (2), 80.135. n Enacted in 1992 in response to the HIV/AIDS
More informationOpportunities for Engaging Partners to Prevent Opioid Overdose-related Deaths
PREVENTION COLLABORATION IN ACTION Engaging the Right Partners Opportunities for Engaging Partners to Prevent Opioid Overdoserelated Deaths Preventing opioid overdose requires collaboration with a diverse
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 informationMeth and Opioid Abuse Prevention Efforts
Meth and Opioid Abuse Prevention Efforts Prescription Drugs/Opioids in South Dakota Departments of Health and Social Services Drug Abuse in South Dakota South Dakota ranked 2 nd lowest in the nation for
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 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 information1/23/2015. Disclosure. Overview. A National Response to a Public Health Crisis Opioid Overdose and the Changing Spectrum of Care
A National Response to a Public Health Crisis Opioid Overdose and the Changing Spectrum of Care Michael W. Dailey, MD FACEP Chief, Division of Prehospital and Operational Medicine Associate Professor of
More informationNote: Staff who work in case management programs should attend the AIDS Institute training, "Addressing Prevention in HIV Case Management.
Addressing Prevention with HIV Positive Clients This one-day training will prepare participants to help people living with HIV to avoid sexual and substance use behaviors that can result in transmitting
More informationHospitals Role in Addressing the Opioid Crisis
Hospitals Role in Addressing the Opioid Crisis Webinar 5: Buprenorphine in the Emergency Department November 14, 2017 Agenda Hospital Based Buprenorphine Initiatives Yngvild Olsen, M.D., Medical Consultant,
More informationU.S. Counties Vulnerability to Rapid Dissemination of HIV/HCV Infections Among People Who Inject Drugs
U.S. Counties Vulnerability to Rapid Dissemination of HIV/HCV Infections Among People Who Inject Drugs Michelle Van Handel, MPH Health Scientist National Center for HIV/AIDS, Viral Hepatitis, STDs and
More informationINCREASING ACCESS TO NALOXONE
INCREASING ACCESS TO NALOXONE BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL OPIOID ACCOUNTABILITY INITIATIVE Sharz Weeks, MPH Program Specialist sharz.bcchc@outlook.com OVERVIEW Our Place in the Coalition
More informationNEW MEXICO DEPARTMENT OF HEALTH Administrative Manual ADMINISTRATION
Chapter NEW MEXICO DEPARTMENT OF HEALTH Administrative Manual ADMINISTRATION EFFECTIVE: Policy REVISED: 4/13/9 draft NALOXONE DISTRIBUTION POLICY I. PURPOSE: This New Mexico Department of Health (NMDOH)
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 informationCDC s Approach to Addressing the Opioid Overdose Epidemic
CDC s Approach to Addressing the Opioid Overdose Epidemic Sarah Bacon National Center for Injury Prevention and Control Division of Unintentional Injury Prevention June 23, 2016 500,000 drug overdose deaths
More informationOPIOID WORKGROUP LEADERSHIP TEAM
OPIOID WORKGROUP LEADERSHIP TEAM Community-wide Action Plan and Call to Action This brief summary of the Opioid Action Plan presented to the Skagit County Board of Health on December 13, 2016 provides
More informationAs a result of this training, participants will be able to:
Addressing Prevention with HIV Positive Clients 1 Day Training This one-day training will prepare participants to help people living with HIV to avoid sexual and substance use behaviors that can result
More informationAs a result of this training, participants will be able to:
Addressing Sexual Risk with Drug Users and their Partners 1 Day Training This one-day training will build participant knowledge and skills in offering sexual harm reduction options to substance users.
More informationWhat do we mean by the opioid crisis? Painkiller prescriptions per 100 North Carolinians Source: CDC US Prescribing Rate Maps (2016)
What do we mean by the opioid crisis? 83 Painkiller prescriptions per 100 North Carolinians Source: CDC US Prescribing Rate Maps (2016) 675,315,375 Opioid pills dispensed in North Carolina in 2016 SOURCE:
More informationNew Initiatives to Expand Access to Medication Assisted Treatment in NYS OASAS
New Initiatives to Expand Access to Medication Assisted Treatment in NYS OASAS Charles W. Morgan, MD, DFASAM, FAAFP Medical Director New York State Office of Alcoholism and Substance Abuse Services February
More informationMANAGING THE COSTS OF THE OPIOID EPIDEMIC IN WISCONSIN. State Senator Alberta Darling
MANAGING THE COSTS OF THE OPIOID EPIDEMIC IN WISCONSIN State Senator Alberta Darling A NATIONAL PROBLEM According to the 2014 National Survey on Drug Use and Health: 435,000 Americans have used heroin
More informationLinking Opioid Treatment in Primary Care. Roxanne Lewin M.D.
Roxanne Lewin M.D. The Facts Fewer than 10 percent of individuals with an alcohol use disorder and only about 20 percent of individuals with an opioid use disorder receive specialty treatment. Many individuals
More informationStrategies for Federal Agencies
Confronting Pain Management and the Opioid Epidemic Strategies for Federal Agencies Over the past 25 years, the United States has experienced a dramatic increase in deaths from opioid overdose, opioid
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 informationADDRESSING THE OPIOID EPIDEMIC. Joint principles of the following organizations representing front-line physicians
ADDRESSING THE OPIOID EPIDEMIC Joint principles of the following organizations representing front-line physicians American Academy of Family Physicians American Academy of Pediatrics American College of
More informationThe Opioid Epidemic in Alabama
The Opioid Epidemic in Alabama The Problem and Ways to Address It Mark E. Wilson, MD Health Officer Jefferson County Department of Health HEADLINE: Community action needed as heroin deaths rapidly climb
More informationClosing the Loop in Treating Opioid Addiction:
Closing the Loop in Treating Opioid Addiction: Integrating MAT into Prison and Jail Health Systems May 9, 2018 Webinar Housekeeping All lines are muted This session will be recorded To ask a question:
More informationThe Community Overdose Action Team
The Community Overdose Action Team 2017 Annual Report The Issue Montgomery County had the highest unintentional drug overdose death rate in the state of Ohio from 2011 to 2016. These deaths have steadily
More informationSubmitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis
STATEMENT FOR THE RECORD Submitted to the House Energy and Commerce Committee Federal Efforts to Combat the Opioid Crisis October 25, 2017 America s Health Insurance Plans 601 Pennsylvania Avenue, NW Suite
More informationSYRINGE PROGRAMS AND HARM REDUCTION
SAMPLE POLICY DATE: SYRINGE PROGRAMS AND HARM REDUCTION SECTION NO. 000.0 DISTRIBUTION: PURPOSE: To provide awareness of various harm reduction programs authorized under New York State law and regulation
More informationCommunity Response Addressing The Opioid Crisis. Leon, Wakulla, Gadsden, Franklin, Liberty, Jefferson, Madison and Taylor Counties
Community Response Addressing The Opioid Crisis Leon, Wakulla, Gadsden, Franklin, Liberty, Jefferson, Madison and Taylor Counties Strong Partnerships = Health Communities Creating strong communities armed
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 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 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 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 informationCombating the Opiate Crisis in Ohio
Combating the Opiate Crisis in Ohio In 2011, Gov. John R. Kasich announced the establishment of the Governor s Cabinet Opiate Action Team to fight opiate abuse in Ohio. Ohio is combating drug abuse through
More informationGuidelines for Healthcare Providers
Iredell County Opioid Epidemic: Guidelines for Healthcare Providers February 25, 2017 Nidhi Sachdeva, MPH NC Division of Public Health, Injury and Violence Prevention 2 Number of deaths Medication or Drug
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 informationPH52. Audit tool for the implementation of. NICE public health guidance 52 Needle and syringe programmes
PH52 Audit tool for the implementation of NICE public health guidance 52 Needle and syringe programmes Introduction This audit tool has been developed to help you audit implementation of, and compliance
More informationC.A.A.R.E. WCPA/WPLF 2016 Winter Conference 4/5/2018. Greenfield Prior to C.A.A.R.E. Cops Assisting Addiction Recovery. Greenfield Police Department
C.A.A.R.E. Cops Assisting Addiction Recovery Greenfield Police Department As a nation, we are losing far too many lives due to the current opioid abuse crisis. This is a situation that demands immediate
More informationINGHAM OPIOID ABUSE PREVENTION INITIATIVE STRATEGIC PLAN PREPARED BY: INGHAM COUNTY HEALTH DEPARTMENT
INGHAM OPIOID ABUSE PREVENTION INITIATIVE STRATEGIC PLAN PREPARED BY: INGHAM COUNTY HEALTH DEPARTMENT Page 1 TABLE OF CONTENTS Introduction & Background... 2 Mission... 4 Structure... 4 Model & Framework
More informationPrepublication Requirements
Issued Prepublication Requirements The Joint Commission has approved the following revisions for prepublication. While revised requirements are published in the semiannual updates to the print manuals
More informationPDMP Track: Linking and Mapping PDMP Data. Gillian Leichtling Acumentra Health Chris Baumgartner, WA State Dept. of Health
PDMP Track: Linking and Mapping PDMP Data Gillian Leichtling Acumentra Health Chris Baumgartner, WA State Dept. of Health Disclosure Statement Gillian Leichtling and Chris Baumgartner have disclosed no
More informationOverdose follow-up interventions:
Overdose follow-up interventions: After naloxone, what s next? Caleb Banta-Green Alison Newman February 5, 2018 Stopoverdose.org This webinar is funded through the Washington State Division of Behavioral
More informationWhatcom County. Opioid Abuse. Prevention & Response Plan
Whatcom County Opioid Abuse Prevention & Response Plan Prepared by the Whatcom County Health Department on Behalf of Whatcom has HOPE March 2017 INTRODUCTION On September 6, 2016, twenty-seven stakeholders
More informationBuilding capacity for a CHC response to Ontario's Opioid Crisis
Building capacity for a CHC response to Ontario's Opioid Crisis Rob Boyd Oasis Program Director Luc Cormier, RN, MScN Community Health Nurse Sandy Hill Community Health Centre #AOHC2016 @rboyd6 @SandyHillCHC
More informationFY17 SCOPE OF WORK TEMPLATE. Name of Program/Services: Medication-Assisted Treatment: Buprenorphine
FY17 SCOPE OF WORK TEMPLATE Name of Program/Services: Medication-Assisted Treatment: Buprenorphine Procedure Code: Modification of 99212, 99213 and 99214: 99212 22 99213 22 99214 22 Definitions: Buprenorphine
More informationGood Samaritan and Naloxone Bill Status Report Carryover 2015 and Special Sessions
Good Samaritan and Naloxone Bill Status Report Carryover 2015 and Special Sessions Research current through January 21, 2015 This project was supported by Grant No. G1399ONDCP03A, awarded by the Office
More informationOST saves lives it s official! OST a key to HIV prevention Opioid Substitution Treatment in Germany A Story of Success
XVIII International AIDS Conference, 2010 Vienna UNODC-GTZ Satellite Symposium: OST saves lives it s official! OST a key to HIV prevention Opioid Substitution Treatment in Germany A Story of Success Joerg
More informationHistorical Perspectives
Why Harm Reduction? 1 Rochelle Head-Dunham, MD FAPA Executive Director and Medical Director Metropolitan Human Services District Clinical Associate Professor of Psychiatry LSU and Tulane Historical Perspectives
More informationBecoming a harm reduction distribution agency in Toronto - information session
Becoming a harm reduction distribution agency in Toronto - information session Kris Guthrie, RN BScN Health Promotion Specialist, The Works Toronto Public Health May 2016 Overview Brief backgrounder Harm
More informationREPORT ON EXPLORATORY SITE VISITS FOR COMPREHENSIVE USER ENGAGEMENT SITE (CUES)
REPORT ON EXPLORATORY SITE VISITS FOR COMPREHENSIVE USER ENGAGEMENT SITE (CUES) Prepared by: Brian Abernathy, Eva Gladstein, Thomas Farley, David Jones January 22, 2018 SCOPE OF THE PROBLEM We are facing
More informationLocal Legislative Approval and Program Certification
Syringe Services Programs: Implementation Brief St. Louis County, Missouri Introduction Syringe services programs (SSPs), also known as needle exchange or syringe access programs, are an integral component
More informationTN Opioid Program. Erica Schlesinger, Pharm.D
TN Opioid Program Erica Schlesinger, Pharm.D Nothing to disclose Disclosures TN Together Governor Haslam s Plan Prevention Establishes limits, decreases supply and dosage of prescription opioids Limits
More informationENDING THE EPIDEMICS: A NATIONAL, STATE, AND CITY APPROACH
ENDING THE EPIDEMICS: A NATIONAL, STATE, AND CITY APPROACH Murray Penner Executive Director MISSION AND VISION READY TO END THE EPIDEMICS NASTAD s vision is a world free of HIV and viral hepatitis. NASTAD
More informationGovernor Raimondo s Task Force on Overdose Prevention and Intervention May 9, 2018
Governor Raimondo s Task Force on Overdose Prevention and Intervention May 9, 2018 DIRECTOR NICOLE ALEXANDER-SCOTT, MD, MPH, RHODE ISLAND DEPARTMENT OF HEALTH DIRECTOR REBECCA BOSS, MA, RHODE ISLAND DEPARTMENT
More informationSC MAT ACCESS. Medication Assisted Treatment Academic Community Capacity Expansion for Sustainable Success Kathleen Brady, MD, PhD, VPR, MUSC
SC MAT ACCESS Medication Assisted Treatment Academic Community Capacity Expansion for Sustainable Success Kathleen Brady, MD, PhD, VPR, MUSC Overdose Death Rates from Opiates Most important sign of a
More informationKentucky s Plan to Address the Opioid Crisis National Statistics. Scope of the Problem 3/14/18
Kentucky s Plan to Address the Opioid Crisis Dr. Katherine Marks Critical Access Hospital Substance Abuse Summit March 8, 2018 2016 National Statistics Deaths per 100,000 population 25 20 15 10 5 Scope
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 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 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 informationNCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Medicaid Transformation Project
NCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Introduction The North Central Accountable Community of Health (NCACH) is accepting applications from partners
More informationSyringe Exchange Programs: Getting Started
Syringe Exchange Programs: Getting Started Matt La Rocco, BS, CADC Harm Reduction & Community Outreach Specialist Louisville Metro Syringe Exchange Program Workshop Overview LMSEP Year One Data, How To
More informationSyringe Access & Disposal Services in SF
Syringe Access & Disposal Services in SF Community Health Equity & Promotion Branch Presented by: Eileen Loughran Program Manager for Syringe Access and Disposal Programs 1 San Francisco Department of
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 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 informationCuyahoga County Council Committee of the Whole
Cuyahoga County Council Committee of the Whole ADAMHS Board 2016 Budget Presentation William M. Denihan, CEO November 5, 2015 Mission The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board
More informationOpioid Misuse and Overdose Prevention and Safety. Dr. Kathleen Clanon Medical Director May 31, 2018
Opioid Misuse and Overdose Prevention and Safety Dr. Kathleen Clanon Medical Director May 31, 2018 1 On average, 115 Americans die every day from an opioid overdose. Centers for Disease Control 2 Opioid
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 informationBERNALILLO COUNTY OPIOID ABUSE ACCOUNTABILITY SUMMIT Turning the Curve on Opioid Abuse in Bernalillo County
BERNALILLO COUNTY OPIOID ABUSE ACCOUNTABILITY SUMMIT Turning the Curve on Opioid Abuse in Bernalillo County NMPHA Annual Conference April 2, 2014 Marsha McMurray-Avila Coordinator, Bernalillo County Community
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 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 informationBattling Opioid Addiction: Public Policy and Healthcare Strategies for an Epidemic
Battling Opioid Addiction: Public Policy and Healthcare Strategies for an Epidemic Speakers: Margarita Pereyda, M.D., Principal, Moderator: Carl Mercurio, Information Services September 29, 2015 HealthManagement.com
More information