The Scope of the Opioid Epidemic in Wisconsin A State-Level - - PowerPoint PPT Presentation

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the scope of the opioid epidemic in wisconsin a state
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The Scope of the Opioid Epidemic in Wisconsin A State-Level - - PowerPoint PPT Presentation

Feb 26, 2024 258 likes •415 views

The Scope of the Opioid Epidemic in Wisconsin A State-Level Perspective Anthony (AJ) Ernst, Ph.D., LMSW-ACP Section Chief, Substance Abuse Services Division of Care and Treatment Services September 29, 2016 Protecting and promoting the health

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The Scope of the Opioid Epidemic in Wisconsin A State-Level Perspective

Anthony (AJ) Ernst, Ph.D., LMSW-ACP

Section Chief, Substance Abuse Services Division of Care and Treatment Services

September 29, 2016

Protecting and promoting the health and safety of the people of Wisconsin

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SLIDE 2

I have no financial disclosures to make.

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SLIDE 3

Presentation Objectives

  • Describe the current scope of the opioid

misuse epidemic in Wisconsin.

  • Describe efforts to address gaps in prevention

and treatment of substance use disorders in Wisconsin.

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SLIDE 4

Opioids

  • Morphine
  • Codeine
  • Thebaine
  • Diacetylmorphine (Heroin)
  • Hydrocodone (Vicodin)
  • Oxycodone (Oxycontin)
  • Oxymorphone (Opana)
  • Hydromorphone (Dilaudid)

Naturally occurring opioids- also called opiates

Semi-synthetic

  • pioids
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2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Rx Opioids Heroin Cocaine Benzodiazepines Benzodiazepines + Rx Opioids Methadone

U.S. Overdose Epidemic Driven by Opioid Pain Relievers

Original Data CDC Matt Gladden, CDC 4,030 opioid deaths in1999

16,235 Rx Opioid Deaths in 2013

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SLIDE 6

Drug Overdose Deaths in Wisconsin

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Source: Wisconsin Department of Health Services, Office of Health Informatics

50 100 150 200 250 300 350 400 450 Number of deaths Year Opioid Pain Relievers Heroin Benzodiazepines Cocaine

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SLIDE 7

Majority of Opioid Overdose Hospital Visits in Wisconsin Involve Prescription Opioids

10 20 30 40 50 60 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

All opioids Rx opioids Heroin

2,990 2,035 990

Source: Office of Health Informatics, DPH Death certificates (2010-2014)

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SLIDE 8

New Hepatitis C Infections

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Source: Office of Health Informatics, DPH Death Certificates, WEDSS HCV Data

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SLIDE 9

Rate of Deliveries With Maternal Opioid Use and Rate of Neonatal Abstinence Syndrome, Wisconsin, 2009–2014

From: Neonatal Abstinence Syndrome and Maternal Substance Use in Wisconsin, 2009-2014. Karina A. Atwell, MD; Harold B. Weiss, PhD, MPH, MS; Crystal Gibson, MPH; Richard Miller, MS; Timothy E. Corden, MD

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Rx Opioid Deaths are Highest in Middle Age, Heroin Deaths are Highest in Young Adults

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Wisconsin, 2010-2014 (5-Year Average)

  • 1

1 3 5 7 9 11 13 15 <15 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Rate per 100,000 Pop. Age Heroin Rx drugs

Source: Office of Health Informatics, Division of Public Health Death Certificates (1999-2014)

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SLIDE 11

A Comprehensive Approach to Behavioral

Health Factors

BODY MIND SPIRIT WORLD

  • Genetics
  • Nutrition
  • Rest
  • Exercise
  • Hygiene
  • Knowledge
  • Attitude
  • Beliefs
  • Housing
  • Work
  • Friends
  • Opportunities
  • Religion
  • Higher

Power

  • Inner

Strength

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State Funded Services

BODY MIND SPIRIT WORLD

  • Medication-Assisted

Treatment (MAT)

  • Comprehensive Community

Services (CCS)

  • Recovery-Oriented

Systems of Care (ROSC)

  • Clinical Approaches
  • MAT
  • CCS
  • ROSC
  • Prevention

Environmental Strategies, Coalitions..

  • CCS
  • ROSC
  • Peer Respite Services
  • Peer Certification
  • Faith-Based Services
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SLIDE 13

The Opioid Epidemic Solution: Working Together

Education

  • Prescriber

education

  • Community

education

  • Naloxone

access Tracking and Monitoring

  • Prescription Drug

Monitoring System (PDMP)

  • Surveillance

Medication Disposal

  • Keeping medications safe at home
  • Proper medication disposal guidelines

consistent with FDA standards

  • Community take-back programs

Enforcement

  • Identification verification at

pharmacies

  • Law enforcement training on

prescription drug misuse and diversion

Treatment Options

  • Medication assisted treatment
  • Outpatient and residential treatment

at state-funded treatment providers

Reversal

  • Naloxone Access

Policies

Supporting all sectors

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SLIDE 14

Resources

  • Alliance for Wisconsin Youth: www.allwisyouth.org
  • Substance abuse programs:

https://www.dhs.wisconsin.gov/regulations/aoda/sa-

  • nly-directory.pdf
  • Opioid treatment:

https://www.dhs.wisconsin.gov/opioids/treatment.h tm

  • “Reducing Wisconsin’s Prescription Drug Abuse: A

Call to Action” https://scaoda.wisconsin.gov/scfiles/prevspf/FINAL0 1032012CSWReport.pdf