The Governor s Heroin and Opioid Emergency Task Force Final Report Recommendations. St. Mary s County Sheriff s Office

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The Governor s Heroin and Opioid Emergency Task Force Final Report Recommendations St. Mary s County Sheriff s Office

Over the last year, as Governor Hogan and I traveled throughout our state, we heard the devastating stories from our families and friends who hurt from the devastation heroin has wreaked on our communities. Throughout Maryland, from our smallest town to our biggest city, it has become an epidemic, and it is destroying lives. Governor Hogan has tasked me with bringing together all of the stakeholders in order to come up with a plan to tackle this emergency. Lt. Gov. Boyd Rutherford

Executive Order 01.01.2015.12

Governor`s Heroin and Opioid Emergency Task Force Chair: Lt. Governor Boyd Rutherford Judge Julie S. Solt: Frederick County Circuit Court, Drug Court Oversight Committee Member Sheriff Timothy Cameron: St. Mary s County Sheriff Senator Katherine Klausmeier: Baltimore County Senator Delegate Brett Wilson: Washington County Delegate, Assistant State s Attorney Dr. Bankole Johnson: University of Maryland School of Medicine, Chair of Department of Psychiatry

Governor`s Heroin and Opioid Emergency Task Force Michael Finegan, PhD: Peninsula Mental Health Services, Lead Psychologist for Maryland State Police Elizabeth Embry: Attorney General s Office, Chief of the Criminal Division Tracey Myers-Preston: Executive Director of the Maryland Addictions Directors Council Linda Williams: Family Advocate, Executive Director, Addiction Connections Resource, Inc. Nancy Whittier Dudley: President, Resilient Soul Services, Inc.

Summit Locations Upper Shore/North East Maryland: Cecil, Harford, Kent and Queen Anne s Counties Occurred: Tuesday, March 17, 2015 in Elkton, MD Central Maryland: Baltimore City, and Baltimore, Anne Arundel, Carroll and Howard Counties Occurred: Wednesday, April 15, 2015 in Baltimore, MD Southern Maryland: Calvert, Charles and St. Mary s Counties Occurred: Wednesday, April 29th, 2015 in Prince Frederick, MD

Western Maryland: Summit Locations Allegany, Frederick, Garrett and Washington Counties Occurred: Monday, May 18th, 2015 in Hagerstown, MD Lower Shore: Caroline, Dorchester, Somerset, Talbot, Wicomico, and Worcester Counties Occurred: Wednesday, June 10th, 2015 in Salisbury, MD Washington, D.C. Region: Montgomery and Prince George s Counties Occurred: Thursday, July 2nd, 2015 in Silver Spring, MD

Statewide Heroin Epidemic In 2013, there were 464 heroin-related overdose deaths, greater than the number of homicides Between 2010 and 2013, cases of heroin-related overdose deaths increased by 95 percent. Preliminary data for 2014 shows that heroin-related overdose deaths are on pace to surpass those in 2013 by approximately 20 percent. Heroin and opioid drug dependency has more than doubled in Maryland over the last decade. The number of deaths in Maryland related to heroin and opioid drug dependency has increased by more than 100 percent in the last five years. Some parts of Maryland have the highest per capita rate of heroin and opioid drug use in the United States. In some regions of the state, an estimated one in ten citizens are addicted to heroin. The number of heroin-related emergency room visits has more than tripled in Maryland since 2010.

Interim Report

Interim Report-10 recommendations 1.Earlier and Broader Incorporation of Heroin and Opioid Prevention into the Health Curriculum 2.Infusion of Heroin and Opioid Prevention into Additional Disciplines 3.Heroin and Opioid Addiction Integrated into Service-Learning Projects 4.Student-based Heroin and Opioid Prevention Campaign 5.Video PSA Campaign 6.Maryland Emergency Department Opioid Prescribing Guidelines 7.Maryland State Police Training on the Good Samaritan Law 8.Maryland State Police Help Cards and Healthcare Follow-Up Unit 9.Faith-based Addiction Treatment Database 10.Overdose Awareness Week

I am very pleased to present the Heroin and Opioid Emergency Task Force Final Report to Governor Hogan today, said Lt. Governor Boyd Rutherford, chairman of the Task Force. Despite the stigma attached to heroin and opioid abuse, it is an issue that transcends race, socioeconomic status, age, and any other demographic. I commend Governor Hogan for tackling this issue head-on and giving hope to the thousands of Maryland families who are affected by this epidemic every day.

Final Report

Final Report The Final Report contains 33 new recommendations that address all major facets of the issue, and are divided into seven major sections: 1.Expanding Access to Treatment 2.Enhancing Quality of Care 3.Boosting Overdose Prevention Efforts 4.Escalating Law Enforcement Options 5.Reentry and Alternatives to Incarceration 6.Promoting Educational Tools to Youth, Parents, and School Officials 7.Improving State Support Services St. Mary s County Sheriff s Office

Final Report- Law Enforcement Legislative recommendations Multi Jurisdictional Investigative MSP Unit Intelligence Central repository- HIDTA Enhance Parcel interdiction Correctional Facilities Counter Smuggling

Next Steps Implement investigative templates on Overdose cases Investigative training Pursue GOCCP Safe Streets Opportunities Utilize central Intelligence repository Narcan training and issuance Vivitrol use in Detention Centers

Inter-Agency Heroin and Opioid Coordinating Council Department of Health and Mental Hygiene (Chair) Maryland State Police Department of Public Safety and Correctional Services Department of Juvenile Services Maryland Institute for Emergency Medical Services Systems State Department of Education Governor s Office of Crime Control and Prevention Department of Human Resources, at the request of the Chair Maryland Insurance Administration

Inter-Agency Heroin and Opioid Coordinating Council UPDATES TO MARYLAND S HEROIN AND OPIOID EMERGENCY TASK FORCE REPORTS The Task Force released their final report in December 2015. The final report is the culmination of the work of the Task Force, which includes 33 final recommendations, 10 interim recommendations, and 10 resource allocations. Since that time, the Council has continued meeting and implementing the recommendations of the Task Force. This report contains a brief update on these activities.

Grants & Awards Excluding Medicaid expenditures, Maryland agencies have spent approximately $189 million in fiscal year (FY) 2015 and FY 2016 (to date) on combatting the heroin and opioid epidemic. In June 2015, the Governor s Office of Crime Control and Prevention awarded $500,000 to programs in local jails and detention centers across Maryland for Medication Assisted Treatment (MAT) reentry programs. In August 2015, the Governor released $2 million to implement the 10 recommendations in the Interim Task Force Report and $189,000 from the Governor s Office of Crime Control and Prevention in grant funding to local law enforcement. In October 2015, the Governor s Office of Crime Control and Prevention provided another nine grants to local jurisdictions totaling $608,832 aimed at tackling the opioid and heroin crisis. In the proposed FY 2017 budget, the Governor has allocated $4.8 million to implement the 33 recommendations in the Final Task Force Report.

Questions!