Primary Prevention in the Time of the Opioid Epidemic

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Presentation transcript:

Primary Prevention in the Time of the Opioid Epidemic Janice W. Petersen, Ph.D. Deputy Assistant Secretary/NASADAD SSA Rep. Louisiana Department of Health Office of Behavioral Health Presented: May 24, 2018 NASADAD Annual Meeting Bethesda, Maryland

OPIOID EPIDEMIC IN LOUISIANA: There was close to 1,000 drug overdose deaths in Louisiana in 2016. -320 deaths were due to opioid or heroin poisonings – doubled since 2012. -In more than 600 deaths, opioids were involved. -Preliminary numbers for 2017 show an increase in opioid poisoning deaths statewide. Hospitalizations due to opioid poisonings have increased -40% in the past three years. Emergency room visits due to drug overdoses has been steadily climbing the past three years.

PARTNERS STATE LEGISLATURE STATE AGENCIES LOCAL GOVERNMENT COMMUNITY COALITIONS

Targeted Response To The Opioid Crisis

PREVENTION Awareness and educational opportunities for targeted groups. In ED setting, providing overdose prevention education, naloxone kits at discharge to patients, care coordination and linkage. Providing Sentinel Surveillance: Monitoring the rate of occurrence to assess stability of change in a geographic location or population subgroup (SEW)

PREVENTION Workforce development and Talent Management Development of the Training Education and Technical Assistance (TETA) Coordinator model at local clinics Prevention professional training and certification Prevention peer-to-peer mentoring

PREVENTION Development of the Training Education and Technical Assistance (TETA) Coordinator Staff hired in each local governing entity(LGE) across the state. Provides the first point of contact for prevention services Contributes to the prevention workforce Provides Screening, Brief Intervention and Referral to Prevention (SBIRP) Prevention workforce development through becoming certified: Preventionologists

PREVENTION Awareness and educational opportunities for targeted groups. In ED setting, providing overdose prevention education, naloxone kits at discharge to patients, care coordination and linkage. Providing Sentinel Surveillance: Monitoring the rate of occurrence to assess stability of change in a geographic location or population subgroup (SEW)

STANDING ORDER FOR ACCESS TO NALOXONE INTERVENTION STANDING ORDER FOR ACCESS TO NALOXONE NALOXONE EDUCATION AND DISTRIBUTION 7-DAY LIMIT ON PRESCRIPTIONS Medicaid Expansion

Medication Assisted Treatment (MAT) Care Coordination with Opioid Treatment Providers Resource Coordination and Referral

Behavioral Health Peer Support Specialists in each local clinic RECOVERY Behavioral Health Peer Support Specialists in each local clinic Care coordination between community providers, local clinics, FQHCs, Reducing Stigma Development of Recovery Coaches

OPPORTUNITIES FOR SUSTAINABILITY Assessing the Scope of the Problem Improving the statewide data infrastructure (CCYS, NSDUH, NOMS) Capacity Building/Coordination Continuing to bring new stakeholders to the table Integration into new systems: DCFS, DOC, DOE Planning and Implementation Leveraging a broad array of service providers for strategic plan buy-in Cultivating Prevention Professionals as leaders: use TETA model Strengthening collaboration across and between the behavioral health continuum of care Evaluation Utilize data to expand monitoring systems and document what works Use data for policy development

COMMUNITY COALITION INTEGRATION

RESOURCES Surgeon General’s News Release: April 5, 2018: Advisory on Naloxone National Safety Council: Prescription Nation-Profile of States: March, 2018 Former Surgeon General’s Report: FACING ADDICTION-2016 www.Addiction.SurgeonGeneral.gov Citation: U.S. Department of Health and Human Services (HHS), Office of the Surgeon General, Facing Addiction ii America: The Surgeon General’s Report on Alcohol, Drugs and Health, Washington, DC: HHS, November, 2016. Robert Wood Johnson Foundation: Communities in Crisis-Local Responses to Behavioral Health Challenges, October, 2017 Louisiana Department of Health 628 North 4th Street, Baton Rouge, Louisiana 70802 (225) 342-9500