Town Hall | House Districts 36 and 40 Senate District 28 | February - - PowerPoint PPT Presentation

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Town Hall | House Districts 36 and 40 Senate District 28 | February - - PowerPoint PPT Presentation

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Town Hall | House Districts 36 and 40 Senate District 28 | February 3, 2018 Key Takeaways 1. Opioid-related overdose deaths are an increasing share of drug overdose deaths. 2. Colorado is making progress on slowing prescription opioid

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Town Hall | House Districts 36 and 40 • Senate District 28 | February 3, 2018

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Key Takeaways

  • 1. Opioid-related overdose deaths are an

increasing share of drug overdose deaths.

  • 2. Colorado is making progress on

slowing prescription opioid overdoses.

  • 3. Colorado must reduce heroin
  • verdoses in order to reduce the drug
  • verdose rate.
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So, Why Opioids?

  • Colorado lost 108 people to an opioid-

related overdose in 1999.

  • That number hit an all-time high of

504 lives lost due to an opioid in 2016.

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What Are Opioids, Anyway?

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Takeaway 1:

Opioids make up an increasing share of drug overdose deaths

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Source: Colorado Department of Public Health and Environment. Rate per 100,000 people.

Opioids Make up an Increasing Share of Drug Poisoning Deaths

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Demographics: Opioid Overdose Deaths

Males more likely to die of a heroin overdose than females. Highest death rate for heroin in the 26 to 34 age group. Rates for heroin and prescription drugs are highest for non-Hispanic white Coloradans.

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Opioid-Related Overdose Death Rates Highest in Southern Colorado, Front Range

Source: Colorado Department of Public Health and Environment. Rate per 100,000 people, 2014-2016.

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Takeaway 2:

Colorado is making progress

  • n slowing prescription opioid
  • verdoses
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Prescription Opioid-Related Death Rates Have Leveled Off

Source: Colorado Department of Public Health and Environment. Rate per 100,000 people.

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Rates of Abuse or Dependence on Prescription Opioids Have Leveled Off

Source: National Survey on Drug Use and Health. Rate per 100,000 people ages 12 or older.

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Why Are Prescription Opioid Death Rates Leveling Off?

  • Colorado Consortium for Prescription

Drug Abuse Prevention

  • Prescription Drug Monitoring Program
  • Provider education and awareness
  • Insurance coverage
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Takeaway 3:

Colorado must reduce heroin overdoses

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Prescription Opioid and Heroin-Related Death Rates, 1999-2016

Source: Colorado Department of Public Health and Environment. Rate per 100,000 people.

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Past Year Abuse or Dependence on Prescription Opioids or Heroin, 2003-2014

Source: National Survey on Drug Use and Health. Rate per 100,000 people ages 12 or older.

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Source: Colorado Department of Public Health and Environment. Rate per 100,000 people.

Drug Poisoning Death Rates in Colorado, 1999-2016

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Solutions for Slowing the Epidemic

  • Prevention
  • Address underlying

social factors

  • Fewer prescriptions
  • Treatment
  • Harm Reduction
  • Needle exchanges
  • Overdose reversal

medication

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Work to Do: 1 of 10 Coloradans Lack Access

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A Front Line Perspective on the Opioid Epidemic and How to End It

Based on Work by Don Stader, MD FACEP

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ADDICTION: “If I don’t stop I know I’m going to die.”

  • Addict. Bad person. A choice.

A moral failing. Waste of time.

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Addition: Brain Failure

  • A medical disease.
  • Drug seeking is compulsive.

Difficult to control. Addiction is stronger than its consequences.

  • Relapsing & remitting.
  • Drugs used to:
  • Get High —> Feel Normal —> Not Feel Sick
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Colorado Death Data 2016

  • 912 People Died of Overdose
  • 504 Involving Opioids
  • Rx opioid deaths down slightly (329 in 2015,

300 in 2016)

  • Heroin up (160 in 2015, 228 in 2016)
  • Fentanyl up (41 in 2015, 49 in 2016)
  • Methadone up (34 in 2015, 56 in 2016)
  • Net Gain for All Opioids
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A Colorado Tale

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How to Address the Epidemic

  • Limit Opioids from the ED, Prescribers
  • Alternatives to Opioids for Painful Conditions

(ALTO)

  • Harm Reduction (Safer Use Practices)
  • Treatment of Addicted Patients
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Limiting Initial Supply

Source: Centers for Disease Control and Prevention

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  • Science > Stigma
  • Understanding > Judgement
  • Doing Better > Status Quo

Harm Reduction Principles

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Medication-Assisted Treatment (MAT)

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Where MAT is (and isn’t) in Colorado

Source: Substance Abuse and Mental Health Services Administration

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Current Colorado Legislation

  • Seven-day prescription limit (Senate Bill 22)
  • Expand counselor workforce (SB 24)
  • Supervised injection facility (SB 40)
  • More research and grant for screening and

treatment (House Bill 1003)

  • Insurance payment for substance use

treatment (HB 1007)

  • Medicaid residential treatment (HB 1136)
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Teresa Manocchio

720.382.7079 | @CHI_Manocchio 720.382.7093 | @CHI_joehanel manocchiot@coloradohealthinstitute.org hanelj@coloradohealthinstitute.org

Joe Hanel