Eastside Human Services Forum Who is Eastside Human Services - - PowerPoint PPT Presentation

Eastside Human Services Forum

 Local City & County Government  Nonprofit Human Service Providers  United Way of King County  Eastside Interfaith Social Concerns Council  Hospitals  School Districts  Corporations  Private Philanthropic Foundations Who is Eastside Human Services Forum?

Foster strong public & private partnerships to assure a stable network of health and human services for the benefit of all East King County Residents.

What does Eastside Human Services Forum do?

Caleb Banta-Green

• King County Heroin and Prescription Opiate

Addiction Task Force member and Chair or Co- Chair of each of the implementation committees

• Principal Research Scientist, University of

Washington, Alcohol and Drug Abuse Institute

• Affiliate Associate Professor, School of Public

Health, University of Washington

• 2016 Washington State Public Health Leadership

Award for his extensive work in addressing the

• pioid epidemic
• Served as Senior Science Advisor for the Office
• f National Drug Control Policy in the Executive

Office of the President in 2012.

Kin ing County Drug Trends 2016

Caleb Banta-Green, PhD MPH MSW

Principal Research Scientist, Alcohol and Drug Abuse Institute Affiliate Associate Professor, School of Public Health

University of Washington June 13, 2017

Police evidence testing

Source: WA State Patrol Crime Lab Analysis: Alcohol and Drug Abuse Institute

http://adai.uw.edu/wadata/

Recovery Helpline, King County

Note-Major data change in 2016

Source: King County Medical Examiner Analysis: Alcohol and Drug Abuse Institute

Source: King County Medical Examiner Analysis: Alcohol and Drug Abuse Institute

Source: King County Medical Examiner Analysis: Alcohol and Drug Abuse Institute

“Fentanyl” deaths

• There were 22 fentanyl-related deaths in King County*
• A few were Rx fentanyl
• Some were unknown/suspicious fentanyl
• Others were fentanyl-related drugs
• Illicit fentanyls seem to be in powder and pills locally
• Two examples of types seized by local police in 2016:

Looks like 30mg oxycodone Actually fentanyl Looks like 15mg oxycodone Actually furanyl fentanyl, heroin, U-47700, alprazolam http://adai.uw.edu/pubs/pdf/2017fentanyldeaths.pdf

Prescription Opioids distributed in WA State (DEA ARCOS)

http://adai.washington.edu/wadata/ARCOSopiates.htm

The total number of daily doses of

• pioids sold to hospitals and pharmacies

in WA State peaked in 2011 at 112

• million. The increase over time was

enormous, it has since declined modestly.

OXYCODONE MORPHINE (heroin metabolite)

$80 $10

& easier to get

Opioid id Use se Di Disorder Treatment Con

• nnectin

ing people to

• care

BUILDING KNOWLEDGE AND DEMAND Opioid Use Disorder Education

• De-Stigmatizing OUD

OUD Treatment Education

• De-Stigmatizing OUD Treatment Meds

CONNECTIONS Meeting people where they are Deciding on treatment options ❖ Treatment Decision Making Finding treatment ❖ Real time availability- Geographic & $$$ TREATMENT Social support Counseling Treatment medications

• Care setting
• Medication type

Opioid use disorder

• Is treatable.
• Treatment medications are the standard of care
• Most people will do best on medications
• Many will also benefit from social support/counseling
• Treatment medications-
• Support recovery
• You can be on treatment medication AND in recovery
• Reduce fatal overdose rates by 50%

Manage pain & opioids safely Prevent inappropriate initiation of

• pioids

Death Treat Opioid use disorder Improve function & Reduce morbidity & mortality Overdose Infectious disease

Continuum of care for opioid misuse

Developed by Caleb Banta-Green calebbg@uw.edu 01/19/17

Manage pain & opioids safely Prevent inappropriate initiation of

• pioids

Death Treat Opioid use disorder Improve function & Reduce morbidity & mortality Overdose Infectious disease

Continuum of care for opioid misuse

Populations General public Prescribers Patients Youth Interventions Supply reduction Law enforcement Prescribing practices Pain management practices Lock boxes Rx disposal Prescription Monitoring Demand reduction Education

• Health beliefs
• Medication beliefs
• Pain/Stress

Settings Medical care/Pharmacy Schools Homes Populations Addiction Pain Interventions Opioid treatment meds Psychosocial Social/recovery support Health care/Pain management Complementary health Housing Settings Medical

• Clinic
• Hospital/ER

Community/PH/NGO Drug treatment programs Drug court Jail/Prison

Developed by Caleb Banta-Green calebbg@uw.edu 01/19/17

Populations Addiction Pain Opioid user Social network & Police Interventions Health care/Pain management Opioid treatment meds HIV/HCV treatment meds Housing OD ed./Naloxone Syringe exchange Safe consumption sites Good Samaritan Response Settings Community/PH/NGO Medical

• Clinic
• Hospital/ER
• Pharmacy

Drug treatment programs Drug court Jail/Prison

King County Opioid Task Force

Chairs

• Dr. Jeff Duchin Public Health
• Brad Finegood Behavioral Health
• 32 members
• Met April-Sept 2015 in public
• Implementation work ongoing
• Comprehensive website

http://www.kingcounty.gov/depts/community-human-services/mental-health- substance-abuse/task-forces/heroin-opiates-task-force.aspx

Resources

adai.uw.edu

Questions and Answers

Best Practices – Panel

 Utilization of Narcan/Naloxone

• Jeff Clark – Fire Chief, Eastside Fire & Rescue

 Treatment & Screening Practices in

Schools

• Jerry Blackburn – Program Manager for

Substance Abuse Prevention Services, Friends

• f Youth

 Secure Medicine Return Programs

• Margaret Shield, Principal, Community

Environmental Health Strategies

Utilization of Naloxone

• Opioid overdose

antidote

• May be used by

health professionals

• r laypersons
• Opportunities to

expand distribution

• f naloxone

Treatment & Screening Practices in Schools

 School-based I/PS Services/MIDD  Parent education efforts  School-based health centers  SBIRT  Universal screenings

Prevention: Secure Medicine Return Programs

Margaret Shield PhD Community Environmental Health Strategies LLC

www.CEHstrategies.com

Mind Your Meds

Safe Kids

Talk to your kids and family members about the risks of medicine misuse and abuse.

Safe Use

Take meds as directed. Never share your meds. If prescribed pain meds, take lowest possible dose.

Safe Storage

Keep all medicines in secure place. Count your pills. Lock them up.

Safe Disposal

Protect your family and the environment: use a secure drop box for safe disposal of unused medicines.

For many reasons:

 Changes due to side effects or

to find best treatment

 “Use As Needed” medicines

expire before used.

 Medicines leftover after serious

illness.

 Medicines leftover after end-of-life

care, including strong pain relievers.

 Overprescribing. Many actions underway.  Overpurchasing of OTCs, encouraged by advertising.  Patient doesn’t finish.

About 1/3 of Medicines Sold to Households Go Unused

Commonly Abused Rx Drugs

 Opioids  Stimulants  Sedatives  Anti-anxiety drugs

Commonly Abused Over-The-Counter drugs

 cough/cold medicines (DXM)  antihistamines  diet pills  laxatives, diuretics  loperamide (Immodium)

Many Types of Medicines Abused

Adderall misuse among young adults rose 67% and ER visits increased, 2006-2011.

Secure Medicine Return:

Safe for Your Family and Our Environment

FDA, DEA, EPA, and local agencies recommend secure medicine return as better than trash disposal. Secure and safe. Reduces access and risks. Helps prevent medicine abuse, poisonings, and overdoses. Environmentally sound. Keeps waste medicines from adding to pharmaceutical pollution.

MED-Project Program in King County

provided by drug manufacturers under county law

medicinereturn.org

more than 80 locations!

Secure drop boxes at participating: ✓ Retail pharmacies ✓ Grocery Stores ✓ Clinics/hospitals ✓ Law enforcement agencies

NARCOTICS & OTHER CONTROLLED DRUGS ACCEPTED

NEW! MORE CONVENIENT PHARMACY LOCATIONS!

Which Medicines?

Image from

ACCEPTED

PRESCRIPTION DRUGS OVER-THE-COUNTER DRUGS PET MEDICINES pills, capsules, liquids, creams CONTROLLED SUBSTANCES – Oxycontin, Vicodin, Ritalin, Xanax

NOT ACCEPTED

INHALERS SHARPS VITAMINS/SUPPLEMENTS PERSONAL CARE PRODUCTS ILLEGAL DRUGS MEDICINES FROM BUSINESSES

medicinereturn.org

Where?

medicinereturn.org or 1-844-633-7765

Where?

http://med-project.org/locations/king-county/convenient-kiosks MED-Project.org

• r call

1-844-633-7765

Prepaid Return Mailers

Call 1-844-633-7765 Request online www.med-project.org/locations/king-county Pick-up at King County Libraries & at Town Halls in Hunts Point, Yarrow Point & Beaux Arts Village Home healthcare professionals can request for patients

For home bound & differentially- abled residents 8”x11” envelope 8 ounces of unwanted medicines

Secure Medicine Return Regulations in 4 Washington Counties

WA ordinances enacted by local Boards of Health ✓ King County ✓ Snohomish County ✓ Kitsap County ✓ Pierce County & several more counties considering policy processes.

SHB 1047, Rep. Strom Peterson, 21st LD

WA Secure Drug Take-Back Bill

Photo by Stephen Colebourne

✓ Expands secure medicine disposal

• ptions to reduce risks of medicine poisonings,

misuse, and environmental pollution.

✓ Improves convenience for residents by

providing secure drop boxes in pharmacies and hospitals, as now allowed under the DEA Rule for take-back of controlled substances.

✓ Ensures financial sustainability through a

system the pharmaceutical industry funds and coordinates, relieving burdens on law enforcement, local agencies, and taxpayers.

✓ Modeled on successful local Board of Health Regulations in King, Snohomish,

Kitsap, Pierce. Supported by law enforcement, fire fighters, public health agencies, prevention advocates, doctors, nurses, dentists, hospice and home care professionals, environmental organizations, and more!

~ 0.1% of annual medicine sales

• f $5.7 billion in Washington

which is like investing a for public safety from every $10 in medicine sales

Estimated Costs to Drug Manufacturers for Secure Drug Take-Back

“Every pill bottle collected is another opportunity to stop an addiction before it starts.”

Representative Strom Peterson

 Help promote the new Secure Medicine

Return program in King County

 Ask your local pharmacy or clinic to host a

MED-Project drop box

 Support the WA Secure Drug Take-Back Bill  Talk to family, friends, neighbors about Safe

Storage & Secure Medicine Return

 Drop box locations in other parts of WA: www.TakeBackYourMeds.org

What Can You Do?

Prevention WINS “rack card”

Questions and Answers

15% Solution

 The 15% Solution is about noticing and

using the influence, discretion, and power individuals have right now. --Keith McCandless

We tend to think of the 85% as out of our control; therefore, the 15% is where substantial results can be achieved.

15 %

15% Solution

 Come up with your own 15%

Solutions

• What is within your sphere of influence to be

able to forge towards a positive solution?

• What can you do without more authority?
• What can you do without more resources?
• Reinventing the wheel is ok.

THANK YOU!