CommStat 2/22/18
Change of Strategy in August 2016 • New Supervisor assigned to Detective Bureau • New Supervisor assigned to Drug Unit • Restructured detective assignments. New detectives assigned to the drug unit. • Restructured “Street Crimes Unit” to work more closely with Detective bureau, specifically the “BPD Drug Unit” for added support with investigations. • Change in Tactics around how investigations are conducted (shorter term rather than long term)
Drug types by Investigation 2016 (August 2015-August 2016) Heroin/Fentanyl 58% Cocaine/Crack 35% Marijuana 4% Other 4%
Drug Types by Investigation 2017 Heroin/Fentanyl 44% Cocaine/Crack 37% Marijuana 14% Other 5%
Arrest Statistics 60 50 40 2016 30 2017 20 10 0 State Prosecutions Federal Prosecutions Search Warrants
Goals of BPD Drug Unit • BPD Drug Unit cases “target” significant sources of supply or target users that are housing or working very closely with identified “targets” in an effort to build a case against the higher level drug dealer. • Users (addicts) identified through the investigation are offered services by Opiate policy manager. • BPD drug unit supports case referral to drug court and treatment in lieu of arrest in some cases.
Handy Court Overdose Death • 43 year old female – Deceased (mixed intoxication) • Attempts were made to refer a user living at the residence to BPD Opiate Manager (unsuccessful). • Another user was identified as a witness against dealer and arrangements were made for immediate acceptance into Valley Vista. • Burlington resident identified as major source of supply with out of state connection was charged in federal court for drug distribution.
Case Review • April of 2017, Male drug “dealer”, arrested Addison County • 18 grams of heroin and more than $10,000 U.S. currency, • Detained for lack of $75,000 bail, but bailed out a short time later. • September/October 2017, BPD conducted purchases of heroin and “crack” cocaine from female who was being supplied heroin and cocaine by “dealer”. • October 2017, BPD executed a search warrant - seized an ounce of “crack” and 18 grams of heroin. Female was charged with state drug offenses and later released from jail to complete drug rehabilitation. Her case is still pending. • October 2017, BPD conducted two controlled purchases of heroin from “dealer” • On November 3, 2017, BPD arrested “dealer” for heroin sales. • Arraigned the following day in Chittenden County- released on conditions; no bail was imposed. • Following “dealers” arrest, BPD continued to receive information about “dealers” drug trafficking activities. • In January 2018, BPD performed a controlled purchase of heroin from “dealer”. • On January 5, 2018, BPD executed a search warrant at a residence in Essex where “dealer” was staying. Investigators arrested “dealer” and seized about $2,600 U.S. currency. “dealer” was charged with drug trafficking offenses in the U.S. District Court of Vermont and ordered detained pending trial. • “dealer” was not an opiate addict and had several convictions for drug trafficking offenses in New York City where he is from.
In Investigations associa iated wit ith addic icts drug use • Burglaries • Breaking and entering into home or business- sometime occupied, for the purpose of stealing things of value to support habit (jewelry, electronics, firearms, cash, medication, etc.) • Assault and Robberies • Retail theft (large amounts) • Several defendants who have been arrested for repeat offenses involving the above crimes have not been targets or identified in BPD drug Unit investigations (they are low level users, not dealers).
Case Examples- Subject #1
Case Example- Subject #2
Challenges We Face… • Higher level Drug Dealers arrested generally are released and continue to sell drugs with limited pre-trial supervision or conditions of release that are not enforceable. • Users/addicts who commit significant property crimes are released with limited pre-trial supervision or conditions of release that are not enforceable. • Drug dealers continue to take advantage of users’ habits and users continue to victimize citizens with the crimes they commit while feeding their addiction. • Very little weight given to the victims in the cases, more weight is given to the users who suffer from a disease they can’t control, and there aren’t enough programs in place to cause a change in their behavior.
Turning Point Center – Gary DeCarolis https://www.pbs.org/newshour/show/former-drug-users-work-front-lines-opioid-crisis-rhode-island
Individuals Treated in Chitt. Cty. Hub & Spokes Individuals Receiving MAT in Chittenden Cty. Hub & Spokes, by Provider 1800 1600 430 1400 1200 1016 1000 800 600 400 200 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan 2017 2018 Total Spoke Hub CHCB Community Lund Maple Leaf Total UVM MC Howard Spoke COGS ATP Data Source: Vermont Department of Health and Opioid Care Alliance of Chittenden County
Chittenden Hub Waitlist Volume & Delay Chittenden County Hub-Level Active Waitlist Volume & Average Wait Time 160 138 130 140 120 93 87 100 84 80 62 71 80 59 53 58 75 58 60 67 67 41 40 23 47 44 23 16 24 15 14 11 20 7 0 0 0 0 0 0 # Individuals Waiting Average Days Until Scheduled Median Days Waiting Average Days Until Admitted Data Source: Howard Center Triage Report
Chittenden Hub Admission Volume & Delay Chittenden County Hub-Level Admission Volume & Average Wait Time 60 53 46 50 46 43 44 42 40 40 38 39 39 37 38 37 40 35 34 30 28 25 30 35 24 23 20 16 23 15 11 21 10 15 7 10 14 0 # Individuals Admitted Average Days Until Scheduled Median Days Waiting Average Days Until Admitted Data Source: Howard Center Triage Report
VT EMS Responses to Overdose Incidents Monthly EMS Incidents with Primary Provider Monthly EMS Incidents with Primary Impression of “Overdose / …” Provider Impression of “Overdose / …” in VT, 2017 in District 03 (Chittenden Cty), 2017 175 175 150 150 125 125 109 100 100 75 75 50 50 45 27 25 25 11 0 0 May Jun Jul Aug Sep Oct Nov Dec May Jun Jul Aug Sep Oct Nov Dec Overdose / Opiate Overdose / Any Overdose / Opiate Overdose / Any Data Source: SIREN EMS Incident Reports
Jan. 2018 SIREN Data w/ Time of Incident Preliminary VT EMS Incidents with Primary Preliminary EMS Incidents with Primary Provider Impression of “Overdose / …” By Provider Impression of “Overdose / …” Hour of Day, Jan 2018 By Region, Jan 2018 10 175 9 150 8 125 7 6 100 5 78 75 4 3 50 2 23 19 25 1 3 0 0 Chittenden Cty. (D3) Vermont 0 1 2 3 4 5 6 7 8 9 1011121314151617181920212223 Overdose / Any Overdose / Opiate Overdose / Opiate Overdose / Any Data Source: SIREN EMS Incident Reports
SubStat Opioid-Related Overdose Incidents Opioid-Related Overdose Calls Responded to by BPD, CPD, SBPD, MPD, EPD, SPD & WPD 13 per SubStat Period 6 Non-Fatal Opioid-Related 5 Overdose Incidents Among 4 SubStat Partners Since Dec. 21 st 3 2 1 1 0 Fatal Opioid-Related Overdose 12.19-1.2 1.2-1.16 1.16-1.30 1.30-2.13 Incidents Among SubStat Partners Since December 21 st Overdose Incidents Data Source: Valcour Incident Report
VT Opioid-Related Accidental Fatal OD Number of Opioid-Related Accidental Fatal Overdoses in Vermont, by Opioid Type 120 106 98 110 101 100 90 80 75 69 61 70 61 60 50 50 41 40 36 30 20 10 5 0 2010 2011 2012 2013 2014 2015 2016 2017 (thru Nov) All Opioids Rx Opioid (No Fentanyl) Heroin & Fentanyl
UVM Medical Center Opioid-Related ED Visits Monthly UVM Medical Center Average Monthly UVM Medical Center ED Encounters Coded as Opioid-Coded ED Encounters, “Opioid OD” & “Opioid Poisoning” by Year 30 30 25 25 20 20 15 15 10 10 7 5 5 0 0 Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2015 2016 2017 2018 2018 2015-2017 Average Data Source: University of Vermont Medical Center
UVM Medical Center Opioid-Related ED Visits Discharge Disposition of UVM MC ED Encounters With Dx Code “Opioid OD/ Poisoning”, by Year 100% Transfer Other Rehab 90% D/T to SNF w/ MCR Cert 80% 70% Deceased 60% D/T Psych Hospital/Psych Dist PRT 50% Unit Hospital w/PACHIPR 40% D/T Different Type of Healthcare Facility 30% D/T Court/Law Enforcement 20% Psych Hospital or Psych Distinct Unit 10% 0% Other Hospital 2015 2016 2017 2018 Data Source: University of Vermont Medical Center
UVM Medical Center Opioid-Related ED Visits 2017-2018 Discharge Disposition of UVM MC ED Encounters With DX Code “Opioid OD/ Poisoning”, by Month 100% Transfer Other Rehab 90% 80% Home Health Care 70% D/T to SNIF w/ MCR Cert 60% 50% Deceased 40% D/T Different Type of Healthcare 30% Facility 20% Psych Hospital or Psych Distinct 10% Unit 0% Against Medical Advice Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Data Source: University of Vermont Medical Center
Vermont Intelligence Center 188 Harvest Lane Williston, VT 05495 Vermont Intelligence Center: Overview and Capabilities
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