1. Quaboag Hills Community Coalition Substance Use Task Force October 20, 2014 Overview of the Strategic Prevention Framework (SPF) “Road Map” What are Evidence-Based Programs and Practices and where do we find them? Risk factors for opioid misuse, overdose, addiction Small group work to further develop action steps and assess needs

2. Prevention Intervention Treatment Recovery A Public Health Approach to Substance Use Disorders

3. Too many people are misusing and becoming addicted to prescription opioids and heroin Too many people are overdosing on opioids Not enough people are achieving long- term recovery from opioid addiction The urgent opioid problem: what are we dealing with in the QHCC service area?

5. A resource for help - NREPP is a searchable online registry of more than 330 “proven to work” substance abuse and mental health interventions. Sponsored and updated by the federal Substance Abuse and Mental Health Services Administration (SAMHSA).

6. MDPH Pre- Overdose Strategies Provide information/training on overdose prevention and risk factors (e.g., danger of using alone, concomitant use of CNS depressants, re-initiation after periods of abstinence) to opioid users and bystanders (friends, family, co-users). Identification of individuals at-risk for overdose through screening conducted by emergency department staff, emergency medical technicians, hospital staff, and primary care providers. Train healthcare providers on making treatment referrals for opioid dependent patients and doctor shoppers. Train pharmacists on educational strategies and referral services for suspected intravenous drug users purchasing syringes.

7. MDPH During- Overdose Event Strategies Provide information and training on overdose recognition/response (recognizing signs of an overdose, rescue breathing, contacting emergency medical services, take- home Naloxone) to opioid users and bystanders (friends, family, co-users). Reduce barriers to contacting emergency medical services in the event of an overdose (e.g., working with police, housing authority).

8. MDPH Post-Overdose Event Strategies Provide treatment information, referrals, and/or linkages with support services and follow-up for overdose victims. Brief motivational interviewing to promote entry into treatment. First responders distribute information on treatment options to overdose victims – especially those refusing transport to the hospital. Provide incarcerates with a history of opioid use referrals to community treatment services upon release from prison.

9. Thanks to Marisa Hebble for these slides!

10. Let’s look at the Risk Factors for : Opioid Misuse and Addiction Opioid Overdoses Low rates of treatment and recovery from opioid addiction

15. Small Group Work on Goals 3 Groups: Based on risk factors outlined, brainstorm 2 concrete action steps, timelines, leadership roles & partners to work with Make note of where you need or want more info or training on a topic Goal 1- Prevent and reduce opioid misuse and addiction Goal 2- Reduce the incidence of opioid overdoses Goal 3- Increase treatment and recovery rates