2 nd Bernalillo County Opioid Abuse Accountability Summit Data Series January 8, 2015

Transcription

1 2 nd Bernalillo County Opioid Abuse Accountability Summit Data Series January 8, 2015 Harris Silver, MD Co-chair, Bernalillo County Opioid Abuse Accountability Initiative

2 Deaths per 100,000 population 40 Total Overdose Death Rates, Bernalillo Co. & NM, % % New Mexico Bernalillo County

3 Deaths per 100,000 people Drug Overdose Death Rates by Type, Bernalillo County, Total Rx illicit Both Rates are age adjusted to the US 2000 standard population

4 Rate per 1,000 live births Rate of Neonatal Abstinence Syndrome (NAS) Hospital In-Patient Discharges, Bernalillo Co., New Mexico (NM), & the US ( ) New Mexico Bernalillo US

5 MME of buprenorphine MME of Buprenorphine with Naloxone (Suboxone) Filled, Bernalillo Co., ,000,000 50,000,000 40,000,000 30,000,000 20,000,000 10,000, Source: NM PMP

6 Rate per 100,000 people Total Drug Poisoning Emergency Department Related Visits By Sex, Bernalillo County & New Mexico, Bernalillo Co - Male Bernalillo Co - Female NM - Male NM - Female

7 Rate per 100,000 people Opioid Poisoning Emergency Department Related Visits By Sex, Bernalillo Co. & New Mexico, Bernalillo Co - Male Bernalillo Co - Female NM - Male NM - Female

8 Rate per 100,000 people Heroin Poisoning Emergency Department Related Visits By Sex, Bernalillo Co. & New Mexico, Bernalillo Co - Male Bernalillo Co - Female NM - Male NM - Female

9 Rate per 100,000 people Total Drug Poisoning Hospital Inpatient Discharges By Sex, Bernalillo Co. & New Mexico, Bernalillo Co - Male Bernalillo Co - Female NM - Male NM - Female

10 Rate per 100,000 people Opioid Poisoning Hospital In-patient Discharges By Sex, Bernalillo Co. & New Mexico, Bernalillo Co - Male Bernalillo Co - Female NM - Male NM - Female

11 Rate per 100,000 people Heroin Poisoning Hospital In-patient Discharges By Sex, Bernalillo Co. & New Mexico, Bernalillo Co - Male Bernalillo Co - Female NM - Male NM - Female

12 Percent (%) Bernalillo Co New Mexico YRRS - Used Painkiller to Get High, Grades 9-12, Bernalillo Co. & New Mexico,

13 Percent (%) YRRS - Current Heroin Use, Grades 9-12, Bernalillo Co. & New Mexico, Bernalillo Co New Mexico

14 Counts of Enrollees DOH-PHD-Harm Reduction Services - Number of Enrollees (Lines) and Reported Opioid-Overdose Reversals (Bars), Bernalillo Co. & New Mexico, * Counts of Reversals Bernalillo New Mexico 924 New Mexico Bernalillo *Data through October 2014 *NMDOH-ERD: 2013: 82 enrollees in NM; 2014: 86 Enrollees in Bernalillo Co., 249 in NM, 6 Reversals in NM

15 DOH-PHD-Harm Reduction Services & DOH-ERD-Co-Prescription Pilot Program Naloxone Program Participation Enrollees and Doses Dispensed, Bernalillo Co. & New Mexico, * County of Residence Harm Reduction Enrollees Co- Prescription Pilots Bernalillo 608 (1,355) 0 1,048 New Mexico (3,620) 82 (172) Total 608 (1,355) 1130 (3,792) Harm Reduction Co- Prescription Pilots* Total 553 (1,593) 86 (172) 639 (1,765) ,522 (4,753) 249 (536) (5,289) For both, Harm Reduction and Co-Prescription Pilots (Data through October 2014), the numbers represent New Mexico Residents Enrolled. Numbers in parenthesis represent doses dispensed. *Co-Prescription Pilots: The total of enrollments include 86 enrollees of the UNM Chronic Pain Clinic (ascribed to Bernalillo County), 1 from San Miguel Co. Detention Center, and 25 from Santa Fe DC. For the former two sites no data on date of enrollment was available by the time this report was prepared

16 DOH-PHD-Harm Reduction Services & DOH-ERD-Co-Prescription Pilot Program Number of Reported Reversals, Bernalillo Co. & New Mexico, County of Residence Harm Reduction Co- Prescription Pilots OD Reversals ("Saves") Total Harm Reduction Co- Prescription Pilots Bernalillo New Mexico Total

17 *Many of the agencies have mobile services, which makes the assignment of Small Areas difficult in those instances

18 *Many of the agencies have mobile services, which makes the assignment of Small Areas difficult in

19 *Many of the agencies have mobile services, which makes the assignment of Small Areas difficult in those

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21 BARRIERS/OBSTACLES/CHALLENGES Huge Size of the County Identifying and getting to know key stakeholders Lack of access to key stakeholders/leaders Lack of sense of overall community many communities that function autonomously Non-alignment of priorities among stakeholders and leaders Lack of resources Stigma/indifference Lack of political will / our needs low on priority list Not enough volunteers relative to the amount of work Difficult to get MDC inmates signed up for Medicaid