CommStat 9/27/18 Police Data for Drug-Related Incidents Valcour - PowerPoint PPT Presentation

CommStat 9/27/18

Police Data for Drug-Related Incidents Valcour Agencies in Chittenden County Nancy Stetson

Source: Valcour

Source: Valcour

Source: Valcour

Source: Valcour

Source: Valcour

Assessing Capacity in Chittenden’s Hub and Spoke System of Care

Individuals Enrolled, Admitted, and Waiting by Month at the Chittenden Clinic (Hub) 50 1020 45 1010 40 1000 35 989 990 28 30 25 980 20 970 15 960 10 950 5 0 940 Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Waiting Admitted Enrolled Data Source: Howard Center Chittenden Clinic

Referral Sources for Chittenden County Hub Monthly Admissions, May-August 2018 Aug July June May 0 5 10 15 20 25 30 35 40 Hub Referrals Spoke Referrals DOC Safe Recovery Self-Referrals Residential Data Source: Howard Center Chittenden Clinic

Chittenden Hub Admissions by TNQ Score, May-August 2018 40 33 12 8 3 0-5 6-10 11-15 16+ NA Data Source: Howard Center Chittenden Clinic

Number of Medicaid Beneficiaries Treated in Chittenden County Spokes, Sep 2013-Jun 2018 700 589 600 500 400 300 200 100 0 Sep-13 Dec-13 Mar-14 Jun-14 Sep-14 Dec-14 Mar-15 Jun-15 Sep-15 Dec-15 Mar-16 Jun-16 Sep-16 Dec-16 Mar-17 Jun-17 Sep-17 Dec-17 Mar-18 Jun-18 Source: http://www.healthvermont.gov/sites/default/files/documents/pdf/ADAP_OpioidUseDisorderTreatmentCensusandWaitList.pdf

Number of MAT Prescribers at Chittenden County Spokes, Sep 2014-Jun 2018 90 79 80 70 60 50 40 30 20 10 0 Source: http://www.healthvermont.gov/sites/default/files/documents/pdf/ADAP_OpioidUseDisorderTreatmentCensusandWaitList.pdf

Chittenden Spokes Patient and Provider Census Compared to May 2018 Census Number of Number of All Net Patient Net Provider Site Waivered Payers Patients Gain/Loss Gain/Loss Providers LUND 21 -1 1 0 Community Practice (n=7) 50 12 7 0 UVMMC Specialty Spokes (n=3) 61 -19 7 -1 Howard 140 60 2 0 UVMMC Traditional Spokes (n=9) 172 38 36 -6 CHCB 430 22 19 7 Total 874 112 72 0 Data Source: Pam Farnham, UVMMC

Members Visiting Syringe Services Programs in Burlington, 2013-2018 1000 900 800 700 600 601 500 400 300 200 100 0 Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 2014 Q3 2014 Q4 2014 Q1 2015 Q2 2015 Q3 2015 Q4 2015 Q1 2016 Q2 2016 Q3 2016 Q4 2016 Q1 2017 Q2 2017 Q3 2017 Q4 2017 Q1 2018 Source: http://www.healthvermont.gov/sites/default/files/documents/pdf/ADAP_OpioidUseDisorderTreatmentCensusandWaitList.pdf

Recommendations from: “Vermont Hub-and-Spoke Model of Care for Opioid Use Disorders: An Evaluation” Dr. Rick Rawson

Hub and Spoke Recommendations 1. Increase access to MAT in spokes. 2. Add additional hub locations/or medication units to improve access and reduce high clinic censuses. 3. Develop an addiction workforce plan for Vermont. 4. Conduct a prospective evaluation of the H & S system, with randomly selected participants and an intent-to-treat design. 5. Establish a workgroup to improve clinical treatment within the H & S system.

5. Establish a workgroup to improve clinical treatment within the H & S system.  Increase access to mental health services.  Provide vocational services to individuals who need employment assistance.  Develop a family members/significant others component for the H & S system.  Expand and diversify residential treatment capacity.  Develop clinical materials/protocols to assist patients using stimulants or benzodiazepines, or misusing alcohol while on MAT.  Develop materials to assist clinicians in explaining the typical course of MAT and positive and negative considerations of medication termination and post- MAT continuing care.  Review and revise the patient placement instruments (Treatment Needs Questionnaire and Office Based Opioid Treatment Stability Index) to improve placement of individuals in the H & S system.  Review and develop an H & S system protocol on cannabis screening and response to positive screens.  Develop and add tobacco cessation services for patients on MAT.  Review and consider the addition of newer forms of MAT for OUDs.

Police Data for Youth Ages 13-21 Valcour Agencies in Chittenden County Nancy Stetson

Source: Valcour

Source: Valcour

Source: Valcour

Source: Valcour

Source: Valcour

Source: Valcour

Source: Valcour

DCF-FSD YOUTH JUSTICE BETH MAURER, MSW DISTRICT DIRECTOR SEPTEMBER 27, 2018

Number of Children in Custody, by Age, by Quarter, 2013-2018 (1st quarter), Burlington 100 91 90 89 80 79 77 77 77 75 75 74 73 72 71 71 71 71 70 70 70 69 68 Number of Kids in Care 67 67 67 67 66 65 65 63 63 62 61 61 60 60 58 58 58 57 57 B 0-5 50 50 48 B 6-11 42 42 42 41 41 40 40 39 39 37 B 12-17 36 35 34 31 31 30 30 30 B 18+ 29 28 28 27 26 25 24 22 21 21 20 20 16 16 14 13 12 11 11 11 11 11 10 10 10 10 8 8 8 7 7 7 6 6 5 0 Year/Quarter

Sample Footer Text 9/28/2018 34

Statewide Emancipation Trend Data for Youth Age 18+ 30 28 Number of Children Age 18+ Who Were Emancipated 25 20 18 15 14 15 13 13 13 12 11 10 10 10 6 4 5 2 0 Q1 Q2 Q3 Q4 2015 2016 2017 2018

WHAT’S MISSING?

DATA ON YOUTH WITH SUD This Photo by Unknown Author is licensed under CC BY-SA-NC

DATA ON OLDER YOUTH ON PROBATION WHOSE PARENTS STRUGGLE WITH A SUD

WHAT WE DO KNOW…

S.234 – VERMONT IS TAKING JUVENILE JUSTICE REFORM FORWARD! S.234 legislates raising the age of juvenile jurisdiction to include 18 and 19 year-olds in 2020 and 2022 respectively. Given the system and resource implications, DCF, in consultation with the Dept of State’s Attorneys and Sheriffs, the Office of the Defender General, the Judiciary and DOC, is required to evaluate adding 18 and 19 year olds to the system and what resources, systemic changes, other things may be needed. A report on the status and plan for expansion, including necessary funding, is required to be submitted to the Joint Legislative Justice Oversight Committee on November, 1, 2018.

Mitch Barron 1025 Airport Dr 94 West Canal St 802-488-7711 So. Burlington 05403 Winooski 05404 www.CenterpointServices.org

www.CenterpointServices.org

Centerpoint provides a full array of treatment & educational supports and programs to teens, young adults, and their families faced with emotional, behavioral, mental health, substance abuse, or special learning needs. Centerpoint clients receive a comprehensive plan of services that may include: • Psychiatric and mental health evaluation • Immediate Access substance abuse screening and assessment • Centerpoint School: Integrated special education and mental health day treatment services • Outpatient counseling for mental health and substance abuse concerns • Family counseling and parent support • Group therapy • IOP: Intensive outpatient treatment programs and plans • Gender-affirmative treatment services • Art Therapy, limbic, and body-based treatment services • Trauma-focused treatment and support • School-based substance abuse and mental health services • Truancy intervention services • CHECKPOINT: Screening, brief intervention, and access to services and supports (SBIRT) • Centerpoint Cooperative: Life skills training and proficiency-based education • Driver Education: Therapeutic Driver Training & Support • Community wellness and recovery support • Animal Assisted Therapy and Emotional Support • Services for youth involved through juvenile justice and the legal system • Counseling services for the college and transition-aged student • Prevention and early intervention programs • www.CenterpointServices.org Training and Consultation

Support for Youth, Young Adults, and Their families: Some Universal Principles & Best Practices A seamless – integrated – multitiered - multidimensional system of supports that : - are developmentally matched to what we know about the (social/emotional/behavioral/familial/cultural/ environmental/physiological) stages and ages of our youth populations - apply differentiatied modalities, intensities, and locations to engage varied styles, skills, needs, and interests - are mapped to ‘normative adolescent development’, with goals and expectations in scale - recognize that relationships with caring – committed – consistent adults are essential - celebrate identity development and youth empowerment (and support adult curiosity& humility) - promote affiliation and foster hope