TN Save a Life TN Save a Life Program Program Op Opio ioid id - - PowerPoint PPT Presentation

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TN Save a Life TN Save a Life Program Program Op Opio ioid id - - PowerPoint PPT Presentation

Dec 27, 2023 249 likes •428 views

TN Save a Life TN Save a Life Program Program Op Opio ioid id Cr Cris isis is in in Te Tenn nnes essee see 6, 6,879,698 79,698 painkiller prescriptions in 2017: enough for 1.02 prescriptions for every ma man, , woma man, n, and

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SLIDE 1

TN Save a Life TN Save a Life Program Program

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SLIDE 2

Op Opio ioid id Cr Cris isis is in in Te Tenn nnes essee see 6, 6,879,698 79,698 painkiller prescriptions in 2017: enough for 1.02 prescriptions for every ma man, , woma man, n, and d chil ild d in TN

In 2017, 1,26 268 people died of an opioid overdose; the current Overdose Death rate is 19.3 .3 per 100,000 00,000 people

  • ple

From 2013 to 2017: Heroi

  • in overdose deaths incre

reased sed by y ove

  • ver

r 300% and Fentan anyl yl related overdose deaths incre reased ased by ove y over r 800%

(TN Department of Health, 2019)

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TN TN Sa Save ve a L a Lif ife e Pr Prog

  • gra

ram m Co Comp mpone

  • nents

nts

  • 1. Regional Overdose Prevention Specialists (ROPS)
  • 2. State-wide media campaign
  • 3. Development of regionally-specific resource

guides

  • 4. ECHO hub and spoke tele-education program
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SLIDE 4

Re Regi gion

  • nal

al Ov Over erdo dose se Pr Prev even ention tion Sp Spec ecia ialists lists

Anderson Bedford Benton Bledsoe Blount Bradley Campbell Cannon Carroll Carter Cheatham Chester Claiborne Clay Cocke Coffee Crockett Cumberland Decatur De Kalb Dickson Dyer Fayette Fentress Franklin Gibson Giles Grainger Greene Grundy Hamblen Hamilton Hardeman Hardin Hawkins Haywood Henderson Henry Hickman Houston Humphreys Jackson Jefferson Johnson Knox Lake Lauderdale Lawrence Lewis Lincoln Loudon McMinn McNairy Macon Madison Marion Marshall Maury Meigs Monroe Montgomery Moore Morgan Obion Overton Perry Pickett Polk Putnam Rhea Roane Robertson Scott Sequatchie Sevier Shelby Smith Stewart Sullivan Sumner Tipton Trousdale Unicoi Union Van Buren Warren Washington Wayne Weakley White Williamson Wilson Davidson Rutherford Hancock

  • 13 Regional divisions across the State
  • 20 ROPS in total
  • Goals: Increase public awareness/education,

and distribute naloxone

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SLIDE 5

Ke Key Go y Goal als s of

  • f t

the he RO ROPS PS

  • 1. Increase Public Awareness through train

inings ings and d me medi dia camp mpaign ign

  • 2. Harm Reduction through Naloxone
  • xone Dis

istribu ribution tion

  • 3. Reduce Stigma through educati

tion

  • n and me

media activiti ivities es 4.

  • 4. Ra

Rapi pid d Respo ponse se

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SLIDE 6

In Incr crea ease se Pu Publ blic ic Aw Awar aren eness ess

  • ROP

OPS S trainings inings cover topics such as:

– The Opioid Crisis – Harm Reduction – Reducing Stigma – How to administer Naloxone

  • Med

edia ia Campaig mpaign

– Range of activities tailored to each region

  • Billboards, radio ads, TV commercials, etc.
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Ha Harm rm Re Redu duct ction ion Ha Harm m Red educ uction tion is a way of pr preven enting ting di disea ease se and pr promoti moting ng hea ealt lth h that me meets s pe peopl ple e wher ere they ey are. Not everyone is rea eady dy or abl ble e to stop p dr drug g use; therefore, sci cien entif tifical ically ly pr proven

  • ven ways of decreasing risks are es

essen ential tial. (e.g., MAT, Naloxone, Syringe Exchange)

(Harm Reduction Coalition, 2019)

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Ha Harm rm Re Redu duct ction ion Co Core re Pr Prin inci ciples ples

  • Non-ju

judgment dgmental al approac ach

  • Behavior change is an incre

rement ental al process ss

  • Focus on en

enhancin ncing g quality ity of life

  • Complex

lex so social factor

  • rs

s influence luence vu vulner erabilit bility y to drug use and drug-related harm (e.g., poverty, social inequality, discrimination, and trauma)

  • Empower

er th those se who use se dru rugs s to be the primary agents in reducing the harms of their drug use

(Harm Reduction Coalition, 2019)

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Ex Exam ampl ple: e: Ha Harm rm Re Redu duct ction ion in in Ac Acti tion

  • n

In the eve vent nt of an Opio ioid id ove

  • verdose:

se:

  • 1. Prevent death through Naloxone

ne

  • 2. Call 911 to get the victim needed medical

l att ttenti tion

  • n
  • 3. Ass

sses ess s nee eeds: s:

  • a. Is there a treatment/service that is appropriate/desired?

b.

  • b. What experiences (positive or negative) may influence willingness to

utilize services?

  • 4. Have

ve conve versation sation about overdose prevention, Naloxone, and safer drug use strategies

(Harm Reduction Coalition, 2019)

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SLIDE 10

Re Redu duci cing ng St Stig igma ma

  • Ove

ver r 50% of opioid prescriptions for pain in TN were paid for using insurance

  • Average number of pills

prescribed afte ter r a su surge gery y in the U.S. is 82 82

  • 12

12% of su surgical ical pa pati tien ents ts report a later opioid dependence or addiction

  • 66% of su

surge geons

  • ns report feeling

pressure to prescribe more pills than necessary

(Harvard Business Review, 2018; PT News, 2018, TDOH, 2019)

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SLIDE 11

Re Redu duci cing ng St Stig igma ma

  • Do away with labels and use “person first” language

(Person with substance use disorder not not Addict)

  • Drug use falls

ls on a c continuum tinuum

– Abstinence/low risk chronic dependence – Relapse do does s not t equ qual l a moral failure – 40% 40%-60% 0% will relapse at t least once

  • Other chronic diseases: 50%-70% with high blood pressure experience symptoms

each year that require medical attention

  • Beware of unint

ntent entional ional personal sonal bias as

  • Recognize addiction is often connected to traum

uma

(Harm Reduction Coalition, 2019)

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Na Nalo loxo xone ne Mi Misc scon

  • ncept

ceptions ions

  • There is no evide

idenc nce e that giving people Naloxone makes them more likely to use more drugs

– Naloxone keeps people alive ve – Going through withdrawal is painful ful and unpleasan easant – Research shows injection drug users trained on naloxone re reduced ed use over time and increased knowledge and overdose response behavior

(Bazazi et al., 2010, Seal et al, 2014, & Wagner et al., 2009)

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Ra Rapi pid d Re Resp spon

  • nse

se

  • ROPS provide community ground response when

needed (e.g., overdose spikes, clinic closures)

– April il 17, 2019: : U. S. Department of Justice indicted 32 medical professionals in TN for illegal prescription and distribution of

  • pioids/narcotics

– ROPS worked with local law enforcement, community coalitions, and other key stakeholders providing naloxone, information on treatment/ recovery resources, flyers on clinic doors, media announcements, etc.

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TN TN De Depa part rtmen ment t of

  • f He

Heal alth th Pa Part rtne nershi rship

  • Regionally-Specific Resource Guides

– Current status: Knox County complete, 7 other in production/printing

  • Bi-weekly data briefs

– Develop threshold for overdose spikes – Data sources: TN PDMP, Drug Overdose Reporting System, Vital Records, TBI

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SLIDE 15

Pr Proj

  • jec

ect t EC ECHO HO

  • Partnership with Vanderbilt University Medical Center

(ECHO Hub)

  • Go

Goal: provide tele-education to support clinics, EDs, and hospitals that want to enhance access to MAT services

  • Sp

Spoke ke pa partner tnerships hips: supportive funding for 50% effort

  • f case management position
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TN TN Sa Save ve a L a Lif ife

  • ROP

OPS have distributed ov

  • ver

er 50 50,00 000 0 units of Naloxone across the state of Tennessee since October 2017

  • Nalo

loxone xone has saved ov

  • ver

er 5, 5,00 000 0 li lives es in Tennessee since 2017

– This is a conservative estimate based on reported uses of Naloxone

(TDMHSAS, 2019)