Overdose SOS Crisis Response Source: DHMH. Drug- and Alcohol-Related - - PowerPoint PPT Presentation

Overdose SOS

• Crisis Response

Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2nd quarter 2016. Released 9/22/2016.

Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2nd quarter 2016. Released 9/22/2016.

20 40 60 80 100 120 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016* Number of Overdoses

Heroin Fentanyl Prescription Opioid Cocaine Total Drug & Alcohol

Note: 2016 is only January-June data. Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2nd quarter 2016. Released 9/22/2016.

Prevention Screening & Early Identification Treatment Services Recovery Support

TREATMENT

Crisis Response System Hospital ED’s Courts Detention Center Social Services

RECOVERY

GAPS IN LINKAGES TO SERVICES

Primary Care Providers

Road to Recovery Drug Court Court-Based SUD Assessors Overdose SOS Substance Abuse Treatment Referral Line Crisis Stabilization TCA SUD Assessors

Homeless Services Police

Crisis Intervention Teams Care Coordinators Peer Support

What is Anne Arundel Crisis Response?

• A system that operates 24 hours a day
• Collaboration between Police and Mental Health
• Consists of:
• 1. Warmline
• 2. Mobile Crisis Teams (MCT)
• 3. Crisis Intervention Teams (CIT),
• 4. Crisis Case Management
• 5. Urgent Care Appointment Access
• 6. 2 Transportation Specialist
• 7. Hospital Diversion
• 8. Jail Diversion
• 9. Access to our own DSS worker Monday - Friday

Anne Arundel Crisis Response Numbers

Average of 7 per day Average of 51 per week 17 2 20,225 330 2,089

Collaboration on EP’s and Overdoses

KEY

Taken to ER

Fire/Police Respond

911 Called

Police call for MCT Assessed by MCT/HD

• Inpt. Detox
• IOP

Refused MCT/HD

• Follow up by

CRS with phone call

Discharged On Police Brief

• CRS Calls Consumer
• Contact Made
• Detox
• IOP

Not on Brief Referred to SOS

Called Warmline

Referral given

Unable to link with provider

Refused MCT or HD

Followed up by CRS Ready for TX

Refer to

• Inpt. or IOP

Refused

Assessed by MCT

• r HD

Ready for TX Referred to

• Inpt. or IOP

Linked with provider

Currently in Emergency Room

Followed up by HD Refer to OD SOS

Assessed by HD

Referred to Treatment

ED provides Nurse Coordinator OD survivors Nurse Coordinator assigns PSS PSS engages survivor in ED If patient is interested in MAT, peer will provide the Nurse Coordinator with patient’s information If patient not interested in treatment, PSS follows for 12+ months Nurse Coordinator conducts SUD assessment Patient will be referred to (Interim) MAT Program PSS meets at MAT Patient will be referred to SCC and other recovery support services as needed PSS follows up for 12 months

Overdose Survivors Outreach Services Flow Chart

Discharged or AMA, PSS conducts

• utreach for up to 12 months

MARS Groups

GPRA

MDRN

Naloxone dispensed by ED to all Overdose Survivors

Strengths

• Collaboration that can occur with multiple

agencies

• Crisis Response is 24 hours like the police
• Currently have one clinician in the ER

Monday thru Friday to assess consumers looking for treatment

• Placement for inpatient treatment when

needed occurs within 24 to 48 hours Weaknesses

• No funding to address heroin
• Need dedicated team to follow up on overdoses
• Need a second hospital diversion worker to work with

consumers who come to the ER looking for treatment

• No ability to fund or assist consumers with private

insurance

jjcorbin18@aol.com Sandy O’Neill, LCPC Director, Bureau of Behavioral Health Anne Arundel County Department of Health hdonei00@aacounty.org 410-222-7165