BC Opioid Overdose Crisis Pacific AIDS Network Annual Meeting - - PowerPoint PPT Presentation

Miranda Compton Overdose Emergency Response Centre

BC Opioid Overdose Crisis

Pacific AIDS Network Annual Meeting October 30, 2018

BC Overdose Deaths 1992 – August 31, 2018

BC Overdose Deaths

BC Overdose Deaths

Illicit drug overdose deaths in BC: Jan 1, 2015 to Aug 31, 2018. BC Coroners Service.

People who have died from overdose due to illicit drugs, BC

20 40 60 80 100 120 140 160 180 Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr MayJune July Aug 2015 2016 2017 2018 Number

• f

Deaths

Declaration of provincial emergency OERC Established

Coroner’s analysis

(Jan-June 2018)

Illicit drug overdose deaths in BC: Jan 1, 2018 to August 31, 2018. BC Coroners Service (Fentanyl detection available Jan-Jun 2018)

Modelling: Deaths Averted

Take home naloxone, overdose prevention sites, opioid agonist therapy

Figure provided by Michael Irvine, BCCDC/UBC. Preliminary results and subject to change.

Model estimates would have seen 2.5 times more deaths if interventions not in place

BC Cascade of Care for People with Opioid Use Disorder

(as of November 30, 2017) *preliminary results

55,469 people

Only 10% retained

• n treatment

Patients on Opioid Agonist Therapy, BC

Data provided to BCCDC by Pharmaceutical Services Division, Ministry of Health

21,170

Provincial Context

Overdose Emergency Response Centre

• Mandate to reduce opioid overdose deaths
• Includes Opioid Agonist Therapy
• Dedicated funding provided to each health authority

Provincial Mental Health and Addictions Plan

• Responsibility of new Ministry to set strategy
• Planning underway; includes health authorities

Risk Factors for Addiction and Mental Illness

• Housing, poverty, early childhood development, Aboriginal

reconciliation

• Broader government approach

Comprehensive Package of Interventions

Naloxone Overdose Prevention Services Acute Overdose Risk Case Management Treatment and Recovery Health Sector Interventions

Interventions in the health sector aimed at decreasing the impact of overdose in BC

Social Stabilization Peer empowerment and employment Cultural safety and humility Addressing stigma, discrimination, human rights

Enabling strategies that advance the delivery and success of health sector interventions

Community Action Teams

• Announced Feb. 1 in

Abbotsford

• 20 communities with most

urgent need per data

• Up to $100,000 in kick-start

grant funding available per community

• Membership: Health authority,

municipality, first nations, first responders, public safety, community agencies, divisions of family practice, lived experience/family groups

Community Action Teams

• Vancouver
• Richmond
• Powell River
• Surrey
• Langley
• Abbotsford
• Maple Ridge
• Chilliwack
• Burnaby
• New Westminster
• Victoria
• Campbell River
• Nanaimo
• Duncan
• Port Alberni
• Kelowna
• Kamloops
• Vernon
• Prince George
• Fort St. John

Health System Priorities: Naloxone Naloxone

– Toward the Heart ( ) has ensured comprehensive low barrier access to Naloxone and continued expansion of access, training, supplies – Diversity of modes of distribution via housing sites, clinics, community services, pharmacies, peer networks Community Innovations:

• Peer-led training & distribution
• Facility Overdose Response Box
• Kit distribution via paramedics (pilot), pharmacies

Health System Priorities: Overdose Prevention

• Supervised Consumption Sites
• Overdose Prevention Sites
• Safer using spaces in housing
• Incorporating into RN services in primary care sites
• increased access to OD prevention Services : housing,

mobile, tech applications

• Innovations to provide access to safer drug supply: drug

checking, embedded OAT within programs Community Innovations:

• Drug-checking via youth centres,

festivals, events, outreach

• Mobile overdose app – for

using alone at home

Health System Priorities: Overdose Follow-Up

– Build capacity across community for proactive follow-up – Link high risk individuals to care via outreach, mobile services – Leverage moments of connection across service system – Pilot Project: 3 communities for police referral to health system – Build on Innovative ideas

• Police (Situation Tables, Abbotsford Project Angel - After-hours connections)
• Fire (Surrey Fire: 2nd Responder Initiative)
• Paramedic – Connection Clinic warm handover to system of care
• Emergency Department: Automatic referral for follow-up

Community Innovation: VCH Overdose Outreach Team

• 91% clients contacted <3 days from referral

Support in accessing OAT Overdose prevention education Navigation to appropriate services

Health System Priorities: Treatment & Recovery

• Ensuring availability of evidence-based

treatment options

• Access to Methadone, SuboxoneTM,
• ral morphine, injectable

hydromorphone

• Licensed, regulated, residential

treatment system monitored for quality

• Continuity of care for those leaving

Corrections Community Innovations:

• Rapid Access Clinics
• PHSA Corrections Transitions Team
• iOAT

Overdose Emergency Key Initiatives

• 20 $100k Community Action Team Grants
• 27 additional Community Innovation Grants of up to $75k (23

regional projects, 4 provincial projects)

• Industry Roundtable on overdose –follow-up pilot projects
• Health Canada funded Hope Initiatives

– Resources to expand capacity for pro-active follow-up – Treatment capacity building

• Safer supply pilot initiatives (iOAT expansion, oral dilaudid)
• Community Innovation Funding
• Human Rights project

Thank you!

OERC@gov.bc.ca

Miranda.compton@vch.ca