Central District Coordinating Council Quarterly Meeting October 22, - - PowerPoint PPT Presentation

Central District Coordinating Council Quarterly Meeting

October 22, 2019

Central District Coordinating Council (DCC) Infrastructure:

State Coordinating Council for Public Health Update

– Denise Delorie, SCC Representative

 Workgroup & Project Updates

• Infectious Disease update – Donna Guppy, Field Epidemiologist
• ACEs/Resiliency – Elizabeth Barron, Denise Delorie
• District-wide Prevention Messaging – Nicole Poulin, Jim Wood
• Partners for Recovery Grant – Brie Karstens
• Vaccination Preparedness – Donna Guppy, Paula Thomson

Maine Center for Disease Control and Prevention

Central District Coordinating Council (DCC) Infrastructure:

Workgroup & Project Updates

• ACEs/Resiliency – Elizabeth Barron, Denise Delorie
• District-wide Prevention Messaging – Nicole Poulin, Jim Wood
• Partners for Recovery Grant – Brie Karstens
• Vaccination Preparedness – Donna Guppy, Paula Thomson

Maine Center for Disease Control and Prevention

Central District Coordinating Council (DCC) Infrastructure:

Prevention Services Contracts – any questions?

• Substance Use Prevention
• Tobacco Use & Exposure Prevention
• Youth Engagement
• ‘Let’s Go’ / Obesity Prevention

Maine Center for Disease Control and Prevention

Central District Coordinating Council (DCC)

A Youth Engagement and Empowerment Project: Youth Working on Their Own Anxieties in Order to Address Issues in their School

April Hughes, Tobacco Prevention Coordinator Healthy Communities of the Capital Area Joanne Joy, Director Healthy Communities of the Capital Area

Maine Center for Disease Control and Prevention

Central District Coordinating Council (DCC)

Partners for Recovery Grant Stigma Assessment Results

LeeAnna Lavoie, Director of Prevention Services MaineGeneral Prevention & Healthy Living Brianne Karstens, Community Programs Coordinator MaineGeneral Prevention & Healthy Living

Maine Center for Disease Control and Prevention

Shane Gallagher, MS, CHES and Brie Karstens, BS

Maine’s Central Public Health District Partners for Recovery Grant Stigma Assessment Preliminary Results October 22, 2019

Partners for Recovery

• The Partners for Recovery (PFR) project is

working to reduce the impact of opioid use disorders (OUD) by:

– Strengthening and expanding partnerships – Increasing treatment capacity – Implementing systems related to screening and referrals

Stigma Workgroup

Stigma Workgroup

Somerset Public Health Healthy Communities

• f the Capital

Area United Way of Mid Maine Central Public Health District Coordinating Council GRASP Health Reach Community Health Centers MaineGeneral Harm Reduction Program

Assessing Stigma

• Mixed method approach

– Qualitative and quantitative – Surveys and focus groups – Assessed internalized, social and structural stigma

• 3 different populations of interest

– Individuals with lived Experience – Healthcare providers/front line staff – Community

• Developed distribution plan

Methods

Healthcare Providers

• Online
• Staff meetings
• Doc notes

Individuals with lived experience

• Focus groups
• Online
• In person
• needle exchange

and

• Residential and

treatment providers Community

• Online
• WABI 5
• Kennebec

Journal/Morning Sentinel

• Community

Events

20 40 60 80 100 120 140 160 Front Line Staff Medical Staff Individuals w lived Experience Community

Results

I personally know someone dealing with addiction

Community N = 147 Nearly 90% of respondents know someone dealing with addiction

Addiction is a choice

Community N = 147 Almost 80% of respondents said addiction is not a choice

Have you ever been discriminated against because of your current or past drug use?

Individuals with lived experience N = 103 About 85% of respondents reported being discriminated against

My drug use has prevented me from getting the care that I needed.

Individuals with lived experience N = 103 More than 50% of respondents reported their drug use prevented them from getting help

It is difficult and time consuming for me to manage MAT patients.

Medical Provider N = 72 A little over 50% of respondents reported they don’t feel it’s difficult and time consuming to manage MAT patients

I routinely prescribe Narcan/Naloxone to all of my patients with OUD or their significant others

Medical Provider N = 72

Addiction is a choice.

Front line staff N = 152 About 65% of respondents said addiction is not a choice

Of note 80% of community members reported addiction is not a choice

It’s okay to refer to someone as junkie, addict or abuser.

Front line staff N = 152 Over 75% of respondents said it is

not ok to refer to someone as a

junkie, addict or abuser

Focus Group Results

Results

Where have you experienced stigma? ▪ Trouble finding housing and Jobs

background checks. “ I’m not the same person I was when I was using and for them to discriminate against me is screwed

• up. It’s over 10 years ago.”

▪ DHHS offices, family members, emergency department, Pharmacy, doctor’s office

Results

How can people better support you staying in recovery?

▪ Help families understand what addiction and recovery is

▪ “My family asks are you tapering yet? When are you going to be done?” It’s super frustrating

▪ Understand how Suboxone/Methadone works ▪ Recognize success; “tell me I’m doing good”

Results

Other barriers to recovery?

▪ Transportation ▪ Waitlists for programs ▪ Mental Health issues ▪ Having to come to so many appointments makes finding a job difficult ▪ Isolation – gentlemen referenced the Rat Park research.

Next Steps

• USM to conduct a formal analysis
• Develop strategies based on report to address

stigma

• Conduct assessment annually

QUESTIONS

Central District Coordinating Council (DCC)



networking break…

Statewide Community Naloxone Distribution and Ordering Process

LeeAnna Lavoie, Director of Prevention Services MaineGeneral Prevention & Healthy Living

Maine Center for Disease Control and Prevention

MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION

Community Naloxone Distribution

District Coordinating Council Meeting

October 22, 2019

What is the Community Naloxone Distribution Program?

• State-funded program

– Signed into effect by Governor Janet Mills on February 6, 2019 – 35,000 naloxone kits to be distributed in a one-year time frame

• Intent: Widespread distribution of naloxone to high-

risk patients throughout Maine

Naloxone Hubs

Public Health Distribution System Priorities

• Note: Governor established priorities

– High priority –non-profit, high need, low barrier service organizations – Lower priority –for-profit groups or groups with

• ther sources of funding, like larger health care

agencies

CoAg Steering Committee 10/17/19

Tier 2 Profiles

• T2 Partners can be one of

any number of diverse

• rganizations, some

examples include:

– Harm Reduction Groups – Homeless Shelters – FQHCs – County Jails – Schools – Needle Exchanges

• Some quick examples:

– Portland Public Health

• Greater Portland Health
• Preble Street
• Cumberland County Jail

– MaineGeneral/MAP

• Western Maine Health
• Bethel Health Center
• Knox County Jail

– Bangor Public Health

• Health Equity Alliance
• Downeast Treatment

Center

• Wabanaki Health and

Wellness

CoAg Steering Committee 10/17/19

Who is eligible for this program?

• Intent: distribute naloxone for no cost to high-risk

patients or loves ones who cannot otherwise access naloxone

– Providers are encouraged to prescribe naloxone when possible

• MaineCare patients are able to fill a prescription for naloxone every

28 days for little to no cost

– Pharmacies are able to distribute with no prescription under their standing orders – High-risk patients/community members interacting with high-risk patients who cannot or will not fill a prescription are the ideal candidate

Logistics- How does this program work?

• 1. Orders are placed through SAHMS or through one
• f the distribution sites
• 2. Ordering organizations are assigned to a distributing

agencies

• 3. Distribution agency will reach out to organization

Distribution Requirements

• Signed MOU
• Trained staff
• Required monthly data tracking
• Ongoing communication

How do you get involved?

• Visit the SAMHS website to put in a request form

https://www.maine.gov/dhhs/samhs/forms.shtml

How do you get involved?

• Requests will be assigned to one of four distributing

agencies

• Portland Public Health
• Bangor Public Health
• MaineGeneral
• Maine Access Point
• The agency will reach out and schedule a training
• After training, distribution can begin

Central Public Health Community Distribution

• Received 30 orders
• Trainings conducted:

– Community-based organizations: 10 – Community Events: 20 – Next Step Needle Exchange: 15

• Kits distributed:

– Community-based organizations: 698 – Events: 57 – NSNE: 15

Bangor Public Health Maine General Portland Public Health Key: Prioritized/ In Active Process Agencies in Queue Tier 1 Hub

CoAg Steering Committee 10/17/19

Bangor Public Health Maine General Portland Public Health

CoAg Steering Committee 10/17/19

Questions?

Contact Lexi Wright at Alexis.Wright@mainegeneral.org Or Call 861-5288

Central District Coordinating Council (DCC)

Increasing Rapid Access to Medication Assisted Treatment (MAT) – New Emergency Department Induction Program at MaineGeneral and Redington-Fairview

Alane O’Connor, DNP, Addiction Medicine Faculty Maine Dartmouth Family Medicine Residency Gust Stringos, DO, Medical Director Redington-Fairview General Hospital

Maine Center for Disease Control and Prevention

Central District Coordinating Council (DCC) Updates & Networking Asks from the DCC Wrap Up, Next Steps, Evaluation

• thank you for filling out the meeting evaluation!

 Next DCC Meeting = January 28, 2019

9am-noon at Educare

Maine Center for Disease Control and Prevention

Thank You!

October 22, 2019

Maine Center for Disease Control and Prevention