CAPT WEBINAR January 11, 2017 Providing Effective Technical Assistance Working with New Hampshire Businesses and Other Workplaces, Part 1 Dodi Swope, T/TA Specialist, Northeast Resource Team, CAPT Maria Valenti, Epidemiologist, Northeast Resource Team, CAPT Technical Information This webinar is being recorded and archived, and will be available to all webinar participants. Please contact the webinar facilitator if you have any concerns or questions. This training was developed under the Substance Abuse and Mental Health Services Administration s Center for the Application of Prevention Technologies task order. Reference #HHSS283201200024I/HHSS28342002T. For training use only. 2 1
CAPT Facilitator and Trainers Maria Valenti Dodi Swope 3 CAPT Approach to Webinars Audience engagement throughout Use of interactive techniques chat boxes polls hand raising white boards Opportunities for information dissemination, application of concepts, and skills building 4 2
Primary Audience New Hampshire Bureau of Drug and Alcohol Services staff State Technical Assistance staff Regional Public Health Network Substance Misuse Prevention Coordinators and Regional Public Health Network team members 5 Two Part Series Today: What we know Nationally: The Surgeon General s Report, Facing Addiction in America New Hampshire s New Future Economic Study Next Week: What we can do Evidence-based programs, practices and policies Technical Assistance tips and tools 6 3
Objectives for Today Identify businesses and workplaces as a key sector to engage in prevention of Substance Use Disorder (SUD) Provide national data on the cost of SUD from the Surgeon General s Report on Alcohol, Drugs and Health Review findings from New Future s 2017 report: The Corrosive Effects of Alcohol and Drug Misuse on NH s Workforce and Economy Discuss strategies for talking with business sector representatives on why SUD prevention, intervention, treatment and recovery support is important 7 Objectives- Next Week Review the available evidence-based programs, practices and policies for use in the workplace Consider feasible, right sized evidence-based programs and policies for integrating SUD prevention, intervention, treatment and recovery into NH s workplaces Identify Technical Assistance (TA) strategies to engage NH businesses in SUD prevention- and recovery-friendly workplace practices Provide hands-on tools and tips that can be implemented across the spectrum of workplaces in NH 8 4
New Hampshire State Staff Valerie Morgan, Administrator of Prevention Service for the New Hampshire Bureau of Drug and Alcohol Service Katy Shea, Prevention Program Manager at New Hampshire Center for Excellence Drew Brown and Shannon Bresaw, Regional Public Health Network Coordinators 9 Background NH Sector Approach In the 2013-2017 Strategic Plan, NH identified six sectors to engage in prevention efforts. Business is one of those key sectors. Engaging businesses and workplaces was more challenging than other sectors more familiar with SUD prevention, intervention, treatment and recovery. Communicating the value of prevention efforts and speaking the language of business were two identified challenges. TAKEAWAY: Everyone has a role to play in preventing Substance Use Disorder! 10 5
The Surgeon General s Report 1 Handout: Facing Addiction Summary 11 NEW Language Substance misuse is the use of any substance in a manner, situation, amount, or frequency that can cause harm to users or to those around them. Prolonged, repeated misuse of a substance can lead to a substance use disorder (SUD), a medical illness that impairs health and function. Severe and chronic substance use disorders are commonly referred to as addictions. 2 12 6
Scope of the Problem: Nationally 3 In 2015, over 66 million people (25% of all people) reported binge drinking. Nearly 48 million people (18%) said they used an illicit drug or misused prescription drugs in the past year. Illicit drug use and its consequences are increasing. More than 47,000 people died from a drug overdose in 2014, and nearly 30,000 of these deaths involved opioids. Handout: Facing Addiction Summary 13 Prevention is Effective! 4 Preventing or reducing early substance use initiation, substance misuse, and the harms related to misuse requires the implementation of effective programs and policies that address substance misuse across the lifespan. Prevention science demonstrates that effective prevention programs and policies exist, and if implemented well, they can markedly reduce substance misuse and related threats to the health of the population. However, evidence-based programs and policies are underutilized. 14 7
Health Consequences of Substance Misuse 5 Beyond the consequences of substance misuse itself, substance misuse has serious health consequences: Heart and liver diseases Various forms of cancer HIV/AIDS Problems related to drinking or using drugs during pregnancy 15 Costs of Substance Misuse 6 Substance misuse and substance use disorders cost the U.S. more than $442 billion annually in crime, health care, and lost productivity. 16 8
Kaiser Permanente Study 8-9 Analyzed the average medical costs during 18 months pre- and post-substance use (SU) treatment. The SU treatment group had: 35% reduction in inpatient cost; 39% reduction in Emergency Room cost; and 26% reduction in total medical cost as compared to the control group. 17 Costs Impact Family Members 10 Family members of patients with SU disorders: Higher healthcare costs More likely to be diagnosed with a number of medical conditions than family members of similar persons without a SU condition For families of SU patients who were abstinent at one-year after treatment began, the healthcare costs of family members were no longer higher than other Kaiser members. 18 9
Treatment Works! But There s Not Enough! Studies show that every dollar spent on substance use disorder treatment saves $4 in health care costs 11. More than 20 million people have a substance use disorder, but only about 1 in 10 people receive any type of specialty treatment 12. Most existing substance use disorder treatment programs lack the needed training, personnel, and infrastructure to provide treatment for co-occurring physical and mental illnesses. 19 Changing The Culture In order to increase access to care, we need to ensure: People who need help feel more comfortable seeking treatment and support There is no wrong door for accessing health services Communities invest in prevention: investment pays off over the long term, with wide-ranging benefits for everyone Health care professionals treat substance use disorders with the same level of compassion and care as they would any other chronic disease, such as diabetes or heart disease 20 10
Addressing STIGMA is Key! More than 10 million full-time workers in our nation have a substance use disorder 13 a leading cause of disability and studies have demonstrated that prevention and treatment programs for employees with substance use disorders are cost effective in improving worker productivity. However, numerous evidence-based prevention and treatment policies and programs can be implemented to reduce these costs while improving health and wellness. Effective prevention interventions are highly underused 13. STIGMA is a large part of the reason. 21 The number one road block facing addiction is the horrible stigma attached to those who suffer. Only by hearing their stories with open hearts, retooling how we talk about substance use disorders, and implementing recommendations from the best and the brightest in the world will we break that stigma and begin seeing real solutions to this crisis. Lisa Frederiksen, BreakingTheCycles.com Redwood City, CA 22 11
Supporting Recovery From Facing Addiction - what helps to support recovery: People are celebrated for their efforts to get well and for their steps in recovery; and Everyone knows that their care and support can make a meaningful difference in someone s recovery. 23 New Hampshire's Campaign http://anyoneanytimenh.org/ 24 12
The High Cost of Drug and Alcohol Abuse to the NH Economy Slow Labor Force Growth Limits Economic Growth in NH and the Nation 13
After Two Decades of Growth, Slow Labor Force Growth will Continue Influx of skilled labor into NH has slowed NH needs to invest in Granite Staters to maximize the use of our current population 14
NH has Second Highest Rate of Alcohol or Drug Abuse / Dependence in the US (2014) Substance Abuse cost NH $2.23 B in 2014, not including cost of premature death 15
Lost Productivity in the NH Economy Occurs in Several Ways Directly by reducing the number of individuals in NH s workforce. Indirectly by reducing the productivity and earnings of workers who abuse alcohol or drugs Via increased absenteeism, workplace accidents and injuries. Estimated % of Drug and Alcohol Abuse Among Workers by Industry 16
Doubling Rates of SUD Treatment (from 4% to 8%) would cost about $24 Million and Yield At Least $63.5 Million in Benefits What Can NH Employers do? Support New Futures Five Points for New Hampshire s Future Restore the New Hampshire Alcohol Fund Support Permanent Medicaid Expansion Invest in evidence informed prevention programs Advance behavioral health workforce development Remove barriers to insurance coverage Visit our website and endorse the agenda: http://www.new-futures.org/turn-the-tide 17
Three Approaches to Working with Workplaces Head Heart Wallet 35 Head: Return on Investment Approach For some businesses and workplaces, the cost of substance misuse, and the cost saving from preventing substance use disorder in employees is the best rational for engaging in prevention. It makes good sense to have the most productive and healthy workforce. 36 18
Heart: The Human Approach This employer understands the human cost of SUD and substance misuse; they have lived experience with the consequences and wish to create a compassionate workplace. Because I understand substance misuse and SUD personally, I want to create a compassionate workplace. Our workplace is productive; healthy happy employees work hard and stay with us. 37 Wallet: The Bottom Line Approach And for some it is about the bottom line. Employees with SUD are expensive in absenteeism, lack of productivity, and errors or lack of judgment. We have to maximize our profit in every way we can; we simply cannot afford employees who are not able to give 100%. 38 19
Discussion Have you used any of these approaches in your work with businesses and workplaces? 39 Questions? Source: Flickr robin kaspar 40 20
Next Week s Webinar Objectives: Part Two Review updated findings from New Futures report on the cost of substance misuse to NH s Businesses and Workplaces Consider feasible, right sized evidence-based programs and policies for integrating substance misuse prevention into the workplace Identify TA strategies to engage NH businesses in substance misuse prevention- and recovery-friendly workplace practices Provide hands-on tools and tips that can be implemented across the spectrum of workplaces in NH 41 Wrap-up and Next Steps Accessing the recording Information from the chat box and note pods Certificates of attendance 42 21
Evaluation Following this session a short evaluation survey will be sent to you by email, please take a few minutes to give us your thoughts. Your feedback is very important to us! 43 Thank You! If you have questions or comments, please don t hesitate to contact: Dodi Swope CAPT Northeast Resource Team dswope@edc.org 44 22
References 1-7. U.S. Department of Health and Human Services (HHS), Office of the Surgeon General, Facing Addiction in America: The Surgeon General s Report on Alcohol, Drugs, and Health, Executive Summary. Washington, DC: HHS, November 2016. 8. Weisner C. Cost Studies at Northern California Kaiser Permanente. Presentation to County Alcohol & Drug Program Ad- ministrators Association of California Sacramento, California. January 28, 2010 9. Weisner C, Mertens J, Parthasarathy S, et al. Integrating primary medical care with addiction treatment: A randomized controlled trial. Journal of the American Medical Association, 2001; 286: 1715-1723. 10. Ray GT, Mertens JR, Weisner C. The excess medical cost and health problems of family members of persons diagnosed with alcohol or drug problems. Medical Care. February 2007. Vol. 45 Issue 2: 116-122. 11. Weisner C, Parthasarathy S, Moore C, et al. Individuals receiving addiction treatment: Are medical costs of their family members reduced? Addiction. In Press 12. www.samhsa.gov/data/spotlight/spot132-adult-workers-2014.pdf 13. U.S. Department of Health and Human Services (HHS), Office of the Surgeon General, Facing Addiction in America: The Surgeon General s Report on Alcohol, Drugs, and Health, Executive Summary. Washington, DC: HHS, November 2016. 45 23