Data Series January 8, 2015 Harris Silver, M MD Co-chair, - PowerPoint PPT Presentation

2 nd Bernalillo County Opioid Abuse Accountability Summit Data Series January 8, 2015 Harris Silver, M MD Co-chair, Bernalillo County Opioid Abuse Accountability Initiative

Total Overdose e Death Rates, Bernali lillo llo Co. & N & NM, 19 1999-2013 13 40 Deaths per 100,000 population 35 -26% 26% 30 25 20 -16% 16% 15 10 5 0 1999 1999 2000 2000 2001 2001 2002 2002 2003 2003 2004 2004 2005 2005 2006 2006 2007 2007 2008 2008 2009 2009 2010 2010 2011 2011 2012 2012 2013 2013 New Mexico 15 15 15.2 15.2 14.4 14.4 16.3 16.3 19 19 16.3 16.3 19.8 19.8 21.4 21.4 22.5 22.5 26.4 26.4 21.6 21.6 23.3 23.3 25.9 25.9 24.1 24.1 21.8 21.8 Bernali lillo llo County 20.6 20.6 20.7 20.7 20.6 20.6 23.8 23.8 24.9 24.9 19.6 19.6 26.2 26.2 26.7 26.7 27.4 27.4 34 34 25.8 25.8 26.7 26.7 29.6 29.6 28.1 28.1 22 22

Drug Overdose e Death Rates by Ty Type, Bernali lill llo County, 1990 1990-2013 13 35 Total people s per 100,000 people 30 Rx illicit 25 Both 20 15 10 Deaths 5 0 Rates are age adjusted to the US 2000 standard population

Rate of N Neonatal l Abstinenc nce e Syndrome me (NAS) Hospital l In-Patie ient nt Discharg rges es, , Bernali lillo llo Co., New Me Mexico (NM), & t the US US (2008 (2008-201 013) Rate per 1,000 live births 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 2008 2009 2010 2011 2012 2013 New Mexico 3.2 3.8 4.4 6.1 7.8 9.1 Bernalillo 5.0 7.0 7.7 9.5 13.1 14.7 US 2.8 3.6 5 5.2 6.1

MME of B Buprenor orph phine ne with Naloxone ne (Suboxo xone ne) Filled, Filled, Bernalil Bernalillo lo Co., Co., 2006 2006- 2013 2013 60,000,000 MME of buprenorphine 50,000,000 40,000,000 30,000,000 20,000,000 10,000,000 0 2006 2007 2008 2009 2010 2011 2012 2013 Source: NM PMP

Total Drug P Poisoning Emergency Department Related Visits By S Sex, Bernalillo Bernalillo County County & & New M Mexico, 2010-2013 2010 2013 160.0 Rate per 100,000 people 120.0 80.0 40.0 0.0 2010 2011 2012 2013 Bernalillo Co - Male 103.7 132.8 107.9 119.6 Bernalillo Co - Female 107.5 117.1 107.8 117.2 NM - Male 93.5 123.1 118.6 120.2 NM - Female 103.4 126.9 119.5 124.2

Opioid d Poisonin ing g Emergency cy Departmen ent t Related ed Visits By S Sex, Bernalil illo lo Co. & New Mexico, 2010 2010-201 013 90.0 Rate per 100,000 people 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 2010 2011 2012 2013 Bernalillo Co - Male 59.6 82.2 66.5 69.2 Bernalillo Co - Female 40.0 47.2 52.5 58.5 NM - Male 50.3 67.7 63.5 68.4 NM - Female 42.8 49.9 54.8 51.7

Heroin n Poisonin ing g Emergency cy Departmen ent t Related Visits s By S Sex, Bernalil illo lo Co. & New New Mexico, , 2010 2010-20 2013 13 60.0 Rate per 100,000 people 50.0 40.0 30.0 20.0 10.0 0.0 2010 2011 2012 2013 Bernalillo Co - 39.9 55.7 46.2 44.3 Male Bernalillo Co - 16.2 22.1 23.2 23.8 Female NM - Male 27.8 36.3 35.7 37.3 NM - Female 11.5 14.3 16.4 16.4

Total Drug Poisoning ng Hospital l In- patient nt Discharge ges By S Sex, Bernalill llo o Co. & N New M Mexico, , 2010 2010-201 013 70.0 Rate per 100,000 people 60.0 50.0 40.0 30.0 20.0 10.0 0.0 2010 2011 2012 2013 Bernalillo Co - Male 42.0 24.4 53.8 44.2 Bernalillo Co - Female 51.1 37.4 62.1 45.2 NM - Male 46.6 55.1 56.0 43.9 NM - Female 65.5 62.2 66.0 49.8

Opioid d Poisonin ing g Hospital l In-patie ient nt Dischar arge ges By S Sex, Bernalill llo o Co. & & New New Mexico, Mexico, 2010 2010-201 013 35.0 Rate per 100,000 people 30.0 25.0 20.0 15.0 10.0 5.0 0.0 2010 2011 2012 2013 Bernalillo Co - Male 24.2 13.1 31.6 24.4 Bernalillo Co - Female 24.3 15.3 31.5 20.5 NM - Male 24.6 26.1 29.0 20.9 NM - Female 28.9 24.0 31.5 19.9

Heroin n Poisonin ing g Hospital l In-patie ient nt Dischar arges ges By Se Sex, Bernalill llo o Co. & & New New Mexico, o, 2010 2010-2013 13 12.0 Rate per 100,000 people 10.0 8.0 6.0 4.0 2.0 0.0 2010 2011 2012 2013 Bernalillo Co - Male 6.2 3.3 10.2 8.6 Bernalillo Co - Female 1.1 1.5 4.8 2.2 NM - Male 5.6 5.9 6.8 6.4 NM - Female 1.7 1.0 3.4 1.9

YRRS - Used YRRS Used Painkil ille ler r to Get High, Grades s 9-12, 12, Bernal alil illo lo Co. & N New Mexico co, , 2007-2013 2013 16 14 Percent (%) 12 10 8 6 4 2 0 2007 2009 2011 2013 Bernalillo Co. 12.8 15.2 10.8 10 New Mexico 11.7 14.3 11.3 8.5

YRRS - Current YRRS t Heroin Use, Grades 9-12, 12, Bernali lill llo Co. & & N New M Mexico, 2007-2013 13 6 5 Percent (%) 4 3 2 1 0 2007 2009 2011 2013 Bernalillo Co. 4.6 4.9 4.8 4.8 New Mexico 3.9 3.2 3.2 2.9

DOH DOH-PHD PHD-Ha Harm rm Reducti tion n Service ces s - Number r of Enrolle lees es (Lines es) ) and Reporte ted d Opioid id-Ov Over erdos ose e Reversa sals s (Bars), ), 2014 * Bernal alil illo lo Co. & N New Mexico co, , 2010-2014 2500 900 Bernalillo New Mexico 800 1287 New Mexico Bernalillo Counts of Enrollees Counts of Reversals 2000 700 1273 1012 600 924 1048 1500 500 400 770 1000 880 709 786 731 300 608 553 457 200 500 205 100 138 126 122 119 80 71 0 0 2010 2011 2012 2013 2014 *Data through October 2014 *NMDOH-ERD: 2013: 82 enrollees in NM; 2014: 86 Enrollees in Bernalillo Co., 249 in NM, 6 Reversals in NM

DOH DOH-PHD PHD-Harm Harm Reduction Reduction Services Services & & DOH DOH-ERD ERD-Co Co-Prescr cripti tion n Participation – Enrollees Pilot Program N Naloxone Program Participation Enrollees and and Doses Dispensed, Bernalillo Bernalillo Co. Co. & & New New Mexico, Mexico, 2013 2013-2014* 2014* Enrollees Enrollees 2013 2013 2014 2014 County of Co Co- Co Co- Residence Residence Harm Harm Harm Harm Prescription Prescription Total Total Prescription Prescription Total Total Reduction Reduction Reduction Reduction Pilots Pilots Pilots* Pilots* 608 553 (1,355) Bernalillo Bernalillo 608 (1,355) 0 (1,593) 86 (172) 639 (1,765) 1,048 1130 1273 1,522 (3,792) New M Mexico (3,620) 82 (172) (4,753) 249 (536) (5,289) For both, Harm Reduction and Co-Prescription Pilots (Data through October 2014), the numbers represent New Mexico Residents Enrolled. Numbers in parenthesis represent doses dispensed. *Co-Prescription Pilots: The total of enrollments include 86 enrollees of the UNM Chronic Pain Clinic (ascribed to Bernalillo County), 1 from San Miguel Co. Detention Center, and 25 from Santa Fe DC. For the former two sites no data on date of enrollment was available by the time this report was prepared

DOH-PHD DOH HD-Ha Harm rm Reductio Reduction Service Services s & & DOH DOH-ERD ERD-Co Co-Pr Pres escri ript ption on Pilot Program Number Number of R Reported d Reversals ls, Bernali lillo llo Co. & & New New Mexico, Mexico, 2013 2013-2014 14 OD Reversals ("Saves") 2013 2014 County of Co- Co- Residence Harm Harm Prescription Total Prescription Total Reduction Reduction Pilots Pilots 0 Bernalillo 138 138 119 0 119 0 New Mexico 709 709 770 6 776

*Many of the agencies have mobile services, which makes the assignment of Small Areas difficult in those instances

*Many of the agencies have mobile services, which makes the assignment of Small Areas difficult in those instances

*Many of the agencies have mobile services, which makes the assignment of Small Areas difficult in those

BARRIERS/OBST BARRIERS/OBSTACL ACLES/ ES/CHALL LLENG NGES • Huge S Size of the County • Identifying and getting to know key Identifying and getting to know key stakeholders stakeholders • Lack o of access to key stakeholders/leaders • Lack o of sense of overall community – many communities that function function autonomously autonomously • Non Non-alignment of priorities among stakeholders alignment of priorities among stakeholders and leaders and leaders • Lack o of resources • Stigma/indifference Stigma/indifference • Lack o of political will / our needs low on priority list list • Not Not enough volunteers enough volunteers relative to the relative to the amount of work amount of work • Difficult Difficult to to get get MDC inmates signed MDC inmates signed up for up for Medicaid Medicaid