Medication Assisted Treatment RI Resources & Medication Assisted Treatment Opioids are impacting your business...whether you no it or not! CBS News recently stated that Nationally the opioid epidemic might be getting worse before it gets better. 2016 lost 42,000 people 115 a day BHDDH is the Mental Health and substance use authority for the state. Work with Health The governors office and communities. June 19th at he Crown Plaza we are meeting with over 250 people from local communities to discuss local impacts. NGA : We need to treat this disease like we treated the HIV disease understanding that the disease started at a local level and needs to end at a local level. Basically we need the your help!! I challenge you to consider attending to see what your community is doing! June 19th Linda Mahoney, CAADC, CCS Administrator II Department of Behavioral Healthcare, Developmental Disabilities and Hospitals. Rhode Island Business Group on Health: Opioid Summit, June 8, 2018

Rhode Island Overdoses Opioids are affecting our businesses because opioids are effecting all Americans including RI’s 1 in 3 affected Opioid overdoss shorten Us Life expectancy by 2 1/2 months

80% of the worlds prescriptions are being filled by 5% of the populations

Addiction is a disease that affects the brain People with Diabetes are very similar Denial, something happens go to dr. suggest medications deny the need and something happens meds are considered more seriously #1 reason in to recovery job!

A Substance Use Disorders is a disease of the brain Medication-Assisted Treatment (MAT) is the use of medications, in combination with counseling and behavioral therapies, to provide a whole-patient approach to the treatment of substance use disorders. Examples of medications are methadone and buprenorphine for opioid addiction; naltrexone and acamprosate for alcohol addiction; and nicotine replacement therapy for tobacco smokers who are addicted to nicotine. Medications and counseling are the standard of care for a number of substance use disorders, including tobacco use disorders, alcohol use disorders, and opioid use disorders The prescribed medication operates to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and normalize body functions without the negative effects of the abused drug. Medications used in MAT are approved by the Food and Drug Administration (FDA), and MAT programs are clinically driven and tailored to meet each patient’s needs As insulin helps stabile so do these medications

Improved employment , health and social functioning Reduction of death rates Grondblah ‘90 Reduction in IVDU Ball & Ross ‘91 Reduction in crime days Improved employment , health and social functioning

www.preventoverdoseri.org. Learn more get free resources

DRAFT: NOT FOR DISTRIBUTION Treatment Strategy The combination of psychological/behavioral therapy and FDA-approved medications (i.e., methadone, buprenorphine, naltrexone) is the most effective means of treating opioid use disorders and preventing opioid overdose. Major initiatives: Launching Centers of Excellence. Providing medication-assisted treatment at the Department of Corrections. Expanding access to medication-assisted treatment throughout Rhode Island.

Total Number of people receiving methadone

People receiving Monthly Methadone

Significant drop in ED visits following MAT initiation Mat Saves money, saves employees saves families!

Monthly average per year

Total Number of people receiving buprenorphine

2018 Projections The stress & hopelessness by those in early recovery to find a job often leads them back to what they know and how they can make money…compound this with family rejection, poor social supports , addiction and despair that led to despair Deaths.

What can you do? Go to Prevent Overdose ri.org. Download the free folders to handout with the 942-Stop hotline number on it. Learn more about the Centers of excellence and how they assist families and the individual struggling Become a recovery friendly employers : look at your own policies around supporting individuals returning to work after treatment. Think about adding peer supports within your workplace. Help RI not only find treatment but be able to sustain recovery by being an important cog in the wheel of your own community. Get involved with local prevention coalition

Medication Assisted Treatment People are getting help we know have Speciality care centers

www.preventoverdoseri.org.

Contact information Linda Mahoney 401-462-3056 Linda.Mahoney@bhddh.ri.gov. Department of Behavioral Healthcare, Developmental Disabilities and Hospitals