1. Prevention, Enforcement and Treatment (PET) Program NH Provider’s Association Annual Conference Eric Adams, PET Coordinator Laconia Police Department October 15, 2015

2. Today’s Goals  Describe Problem Oriented Policing (POP)  Describe how the PET position came to fruition  Describe an innovative approach to substance misuse prevention and referral to treatment  Describe the impact of the PET position to date  Considerations for replication at other Police Departments

3. Problem Oriented Policing – moving from “reactive” to “proactive” 1. Identify and prioritize recurring problems 2. Analyze problems using a variety of data sources 3. Design response strategies based on what was learned from analyzing the problem 4. Implement response strategies 5. Assess the success of response strategies Source: http://cebcp.org/evidence-based-policing/what- works-in-policing/research-evidence-review/problem-oriented- policing/

4. Problem Identification and Analysis  Increase in number of heroin-related overdoses and arrests  Very high risk individuals were identified  Identified a lack of a connection to treatment resources  Treatment attrition rates high  Lack of long-term recovery support resources

5. Response Strategy: PET Goals  To serve as a liaison between clients who are overdosing and community resources  Strengthen network system to help improve knowledge of and access to resources  Provide support for clients/families dealing with substance misuse and addiction  Receive referrals from community partners  Increase the number of clients accessing treatment services  Identify avenues to assist individuals with finding funds for resources (food, housing, etc)  Advocate for policy supporting prevention and treatment  Participate in local prevention initiatives

6. First Steps - Staffing, Training and Building Partnerships  Established Community Connections (Resources and Referrals)  Regional Public Health Network  Local Coalition  NH National Guard  Local Treatment Provider  Faith Community  Participated in Prevention and Addiction Training  145 hours between September 2014-October 2015 (13 months)

7. Referral Sources  Criminal  Self  Recovery Court  Restorative Justice  School  Local Treatment Center  County Jail  Outside Agency (Other PDs, Welfare, Healthcare Providers) The PET Program is driven by a strong network of referral sources.

8. Delivery of the PET Program  Receive referral  Meet with individual  Provide list of treatment options and arrange for intake/first appointment  Identify family and individual supports  Provide supplemental options to treatment  Develop a communication plan (planned and random)

9. Responding to Overdose Calls (in coordination with First Responders)  Meet with families directly during crisis  Open lines of communication during critical 24-hr timeframe after event  Provide options counseling in the critical moment

10. Monitoring the Implementation (November 2014-present) Total Outreach = 92 Active/Compliant: Active, clean and following plan Closed/Compliant: Following plan and no need for further support Active/Relapsed: Relapsed, continued support provided, individual treatment and support plan modified Closed/Relapsed: Relapsed, no further support provided StatusNumber of Cases Active/Compliant7 Closed/Compliant20 Active/Reoccurrence3 Closed/Reoccurrence14 TOTAL44

11. Monitoring the Implementation (November 2014-present)  48% of clients have entered into some form of recovery  All 44 clients have been referred to treatment  30 clients have successfully entered some form of treatment

12. Local Policy and Systems Change  Collaborated with local District Court Judge to create a Supplemental Bail Order  Collaborated with local Treatment Provider to create a Medical Consent process  Formalized a system to accurately track overdoses  Developed Resource Cards  Provided training for Laconia Police and Laconia Fire Departments

13. Resource Cards “ The Laconia Police Department recognizes that substance abuse is a disease. We recognize that you can’t fight this alone. For assistance and support, please contact us.”  2-1-1  CoveringNewHampshire  NHTreatment.org  Suicide Prevention Lifeline 1-800-273-8255 (1-800-273- TALK)

15. Preparing for Replication  Determine key components of the program  Develop guidance and/or training materials for other police departments

16. Additional Proposed Evaluation Components to Measure Program Effectiveness  Determine the best control communities  Confirm what types of similar activity (to PET) is happening in control communities  Track the number and type of referrals received  Track trends in overdoses over time  Track the trend in treatment admissions over time  Track treatment attrition rates

17. Recommendations for other Police Departments who want to Act Now  Identify resources in the community – contact person for each resource  Develop a Resource Card  Follow-up phone calls to individual and/or family member

18. Questions? Contact information: Chief Adams cadams@laconiapd.org 524-5257 x324 Eric Adams, PET Coordinator eadams@laconiapd.org 524-5257 x507 cadams@laconiapd.org eadams@laconiapd.org