Community-Based Strategies for Preventing Opioid Abuse

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Presentation transcript:

Community-Based Strategies for Preventing Opioid Abuse Presented by: Lynn Mirigian, PhD University of Pittsburgh School of Pharmacy Program Evaluation and Research Unit

PA Opioid Overdose Reduction Technical Assistance Center (TAC) Combine Public Health and Public Safety to form effective community-based interventional programs.1,2 Multiple Initiatives: Drug Removal Programs Prescription and Dispensing Monitoring Practices Naloxone Access Medication Assisted Treatment Availability Effective Community Coalitions and Readiness Physician Education Regarding Prescribing Practices 1Pentz, M. A., Cormack, C., Flay, B., Hansen, W. B., & Johnson, C. A. (1986). Balancing program and research integrity in community drug abuse prevention: Project STAR approach. Journal of School Health, 56(9), 389-393.ç 2Albert, S., Brason, I. I., Fred, W., Sanford, C. K., Dasgupta, N., Graham, J., & Lovette, B. (2011). Project Lazarus: Community‐based overdose prevention in rural North Carolina. Pain medicine, 12(s2), S77-S85.

TAC Engagement

Guiding Implementation for High Impact Collaboration

Essential Stakeholders County Administrator/Single State Agency District Attorney Coroner/Medical Examiner Police/Law Enforcement Emergency Medical Services County Medical Society Hospital Recovery Support Jail/Criminal Justice System Academia Political Leaders Schools Religious Leaders Foundation Community Family Members County and State Government Primary Care Physicians Treatment Providers

Translation of Data into Information and Strategy Assessment Define the problem Capacity Stakeholder alignment and community activation Planning Determination of what strategies will be most effective to eliminate the problem Implementation/Evaluation Quality improvement Overall success/failure of the program Sustainability Obtaining grant funding (moving to next phase/temporary) Building local, state, national support around the strategy Facilitating third party payment strategies

Multiple Initiatives with a Wide Breadth Naloxone Availability Opioid Removal Programs Effective Coalitions and Community Readiness Opioid Prescription Dispensing and Monitoring Practices Increased Access to Substance Use Disorder (SUD) Treatment

Process Driven Success

Your Role and Available Resources Initiate or Join a Local Overdose Coalition Educate about Substance Use, Misuse, Disorder Access and Disseminate Local Resources

Education Potential Educators for TANF Staff Free Online Trainings Local Drug Enforcement Administration (DEA) University/Colleges Local Drug and Alcohol Disorder Treatment Management Entities Free Online Trainings Understanding Drug Use and Addiction: What Science Says (NIDA) Strategies for Change: Homelessness and Behavioral Health (SAMHSA) Other Resources CDC Guidelines for Chronic Pain: Patient Guides Surgeon General’s Report on Addiction, Drugs, and Health

Local Resources Opioid Removal Increasing Access to Treatment Naloxone Opioid Use Education Medication Take Back Boxes Drug Disposal Pouch Home-made Drug Deactivation Kits Increasing Access to Treatment Hotline Locate Available Warm Handoff Resources Staff Education on Stigma Naloxone Friends, family, persons at high risk trained on naloxone administration Kits given to persons at high risk for overdose first, then friends and family

Shannon Kearney, DrPH, MPH, CPH Allison Burrell, MPH, CPH Thank You! Jan Pringle, PhD Director, Program Evaluation and Research Unit (PERU) Shannon Kearney, DrPH, MPH, CPH Associate Director, PERU Lynn Mirigian, PhD Overdose Prevention Research Program Director Laken Ethun, MPH Lead Research Specialist Allison Burrell, MPH, CPH Research Specialist Erin Straw, MPH Marco Pugliese, MS Andrew Grossman Software Developer

Online Resources: SAMHSA Substance Abuse and Mental Health Service Administration (SAMHSA) https://www.samhsa.gov/ Behavioral Health Treatment Service Locator National Helpline 1-800-662-HELP (4357) 1-800-487-4889 (TTY) Opioid Treatment Program Directory Data and Statistics

Online Resources: OverdoseFreePA Relevant Reports Persons Using Opioids Persons in Recovery Health Professionals Friends and Families https://www.overdosefreepa.pitt.edu/