which we will pursue with partners in prisons, emergency rooms, and - - PowerPoint PPT Presentation

which we will pursue with partners in
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which we will pursue with partners in prisons, emergency rooms, and - - PowerPoint PPT Presentation

Nowhere is our work more urgent and nowhere is there more at stake than with our work on Opioid Crisis. No more. Our goal for the year ahead which we will pursue with partners in prisons, emergency rooms, and needle exchange sites


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  • Mayor Miro Weinberger

“Nowhere is our work more urgent and nowhere is there more at stake than with our work on Opioid Crisis.” “No more. Our goal for the year ahead – which we will pursue with partners in prisons, emergency rooms, and needle exchange sites – will be to start effective care at the right place and at the right moment and to save lives.”

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Joseph McNamara Chief U.S. Probation Officer Joe_mcnamara@vtp.uscourts.gov Christina Nolan U.S. Attorney Christina.Nolan@usdoj.gov

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CCOA Mis ission

Reduce the burden of opioids in our community by creating a coordinated system of care to prevent addiction, treat individuals and their families suffering from substance use disorder and support recovery.

CCOA Vis ision

A substance abuse prevention, treatment and recovery system of care, that is timely, coordinated and comprehensive

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Mayor Miro Weinberger and UVMMC President & COO Eileen Whalen, Co-Chairs Members: Jane Helmstetter, AHS; Bob Bick, Howard Center; Gary DeCarolis, Turning Point; Jesse Bridges, United Way of Northwest Vermont; Maureen Vinci, UVMMC; Brian Lowe, City of Burlington; Charlie Baker, Chittenden County Regional Planning Commission, Chief Brandon Del Pozo, Burlington Police Department

CCOA Executive Committee

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The Executive Committee acts as the governance body for the Alliance – reviewing annual plans and budgets, and coordinating with the Action Teams to ensure synergy with the Alliance’s mission and strategic plan.

CCOA Executive Committee

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  • Community Level Prevention
  • Co-Chairs: Mariah Sanderson & Heather Danis
  • Treatment Access and Recovery Supports
  • Co-Chairs: Catherine Simonson & Bill Keithcart
  • Working Recovery
  • Co-Chairs: Maureen Vinci & Ron Stankevich

CCOA Action Teams

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  • Fiscal Agent: United Way of Northwest Vermont
  • Backbone Support: Christine Johnson & Kayla

Donohue

  • Collective Impact model
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Backbone Support Provides Essential Functions:

1. Providing overall strategic direction 2. Facilitating dialogue between partners 3. Managing data collection and analysis 4. Handling communications 5. Coordinating community outreach 6. Mobilizing funding

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5 Conditions of Collective Impact

  • Common Agenda = Agreed upon actions
  • Shared Measurement = Measuring results
  • Mutually Reinforcing Activities = Plan of action
  • Continuous Communication = Consistent

communication

  • Backbone Support = Coordination
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Collective Impact is not just a new flavor of the day, but is a “more disciplined and higher performing approach to achieving large-scale social impact.” If that is the case…how do we do it well? How do we create alignment? How do we sustain the Alliance?

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What are the pre-conditions of Collective Impact?

  • 1. Influential champions
  • 2. Adequate financial resources
  • 3. A sense of urgency for change

Check, check, check!

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Now that the pre-conditions are in place, how do we bring Collective Impact to life? Phase 1: Initiate Action Phase 2: Organize for Impact Phase 3: Sustain Action and Impact

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Intangibles of Collective Impact:

  • Relationship and trust building
  • Leadership identification and

development

  • Creating a culture of learning
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On-going: Attend Opioid Coordination Council meetings and sub-committee meetings; attend Community Collaborative meetings at UVMMC; members of the Community Health Needs Assessment Steering Committee Provide backbone support for the CCOA Action Teams & Executive Committee

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March: Prevention Action Team re-boot, Working Recovery Action Team formation, website freshening, newsletter planning April: Planning session with core team, confirm communication strategy, hire part-time admin/communication position

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May/June: Finalize strategic goals, including

  • utcomes, half day planning meeting with

Prevention Action Team June:

  • Annual Retreat including Executive Committee,

Action Teams, CommStat

  • ½ day in length
  • Finalize our shared agenda and outcomes
  • Networking
  • Community Conversation: Creating Healthy

Communities in an Opioid Era (working title)-first

  • f five forums county-wide
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June-August: Begin implementing strategic plan, Conference preparation, plan for legislative agenda for 2019 session September: Chittenden County Opioid Conference

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Upcoming Events:

  • May 23rd at Contois Auditorium 6:30-8:00pm

Author event co-sponsored with the City of Burlington: Maia Szalavitz, author of the Unbroken Brain

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Next Steps:

 Ask key questions:

 How do we keep the work moving forward?  How do we include lived experience?  How do we ensure we are a county-wide alliance?

 Provide support for our legislative agenda  Solicit funding to support the strategies of the CCOA

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Find and like us on

Chittenden County Opioid Alliance

@OpioidAlliance

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Questions?

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Contact Information

Christine Johnson Executive Director (802) 777-9066 Christine@unitedwaynwvt.org Kayla Donohue Data Analyst Kayla@unitedwaynwvt.org

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Data

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Recap from March:

  • Data for Action and Data for Impact
  • Outline of what we need (on next slide)
  • Overview of the data we are currently collecting/have

access to

  • Data visualization
  • Data presentation and discussion

Plan for April/May:

  • Review the feedback
  • Present some data
  • Gain access to additional data (spokes*)
  • Get acclimated to the police data queries
  • Set some priorities & continue the conversation
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What do we need?

  • Access to accurate data
  • Measurable research questions
  • Ex. How do burglary rates correlate with opioid use in

Chittenden County from 2013-2017?

  • Priorities
  • Prevention
  • Enforcement
  • Treatment
  • Recovery
  • Desired outcomes or targets
  • Ex. Reduce burglaries by 20% by 2020.
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Overview of Feedback:

Prevention:

  • Entry into addiction
  • Historic rates of addition and how the opioid “epidemic” is effecting

addiction overall Enforcement:

  • Number of drug seizures
  • Police and SIREN data pre and post widespread Narcan distribution

Treatment:

  • Assess movement between levels of care
  • Get a better sense of how many individuals are in treatment
  • Treatment retention
  • Hub/Spoke capacity
  • Workforce turnover rates as they relate to treatment access
  • Understand incidence of opioid-related health impacts beyond overdoses
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9 10 8

7 8 9 15 12 11 15 14 11 9 11 13

5 10 15 20 25 30

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 2015-2017 Average 2015-2017 Min 2015-2017 Max

Data Source: University of Vermont Medical Center

2018 ED Encounters coded as “Opioid OD” & “Opioid Poisoning” dip below the historic average in March

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Data Source: University of Vermont Medical Center

A higher percentage of males than females are seen in the UVM Medical Center ED for “Opioid OD” & “Opioid Poisoning” in more recent years

0% 25% 50% 75% 100% Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Female Male 2015 2016 2017 2018 33% 67% 2018

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Data Source: University of Vermont Medical Center

20-40 year olds were seen in the UVM Medical Center ED for “Opioid OD” & “Opioid Poisoning” more frequently than other age categories in 2017

2 11 63 45 18 12 11 10 20 30 40 50 60 70 0-10 11-20 21-30 31-40 41-50 51-60 >60 Age Category (years)

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Data Source: University of Vermont Medical Center

Individuals are mostly arriving by ambulance when at the UVM Medical Center ED for “Opioid OD” & “Opioid Poisoning” from 2015 through March 2018

Ambulance 70% Assist From Vehicle 1% Car 10% Police 1% Walk-in 7% (blank) 11% A total of 433 people were seen between 2015 and March 2018

**Other and Public Transportation were excluded because made up <1%

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Data Source: University of Vermont Medical Center

UVM Medical Center Opioid Prescribing Practices Jan 2018- Mar 2018

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Data Source: University of Vermont Medical Center

Detailed reporting of the quantity of prescriptions of

  • ver 50 pills per prescription at the provider level per

quarter

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Data Source: University of Vermont Medical Center

Opioid Prescriptions over 50 pills per provider by quarter

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Data Source: University of Vermont Medical Center

Opioid Prescriptions over 50 pills by provider

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Data Source: Valcour Incident Report

24

Non-Fatal Opioid-Related Overdose Incidents Among SubStat Partners Since Jan. 4th

2

Fatal Opioid-Related Overdose Incidents Among SubStat Partners Since Jan. 4th

SubStat Opioid-Related Overdose Incidents

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Data Source: Valcour Incident Report

Challenges with the Data and Caveats

  • Mislabeled “Classification”
  • Medical assist vs. overdose; overdose vs. untimely
  • Duplicates due to additional police response
  • A second police department arrives to assist
  • Misleading narrative
  • When searching for “dead” it doesn’t mean the person is

deceased

  • Inconsistent labeling of “Person Involvement”
  • POI vs. other vs. victim
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Data Source: Valcour Incident Report

Preliminary Look at Overdoses Reported to Police

April 19, 2017-Today from BPD, SBPD, WPD, CPD, MPD, UVMPD

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Preliminary Look at Overdoses and Prior Arrests

April 19, 2017-Today from BPD, SBPD, WPD, CPD, MPD, UVMPD

Data Source: Valcour Incident Report

169 Overdoses (both fatal and non-fatal) 98 unique people identified filtered for Victims and POIs matched names

  • f those who OD

to arrest records 34 people who had

  • verdosed had also

been arrested 20 Fatal 149 Non-Fatal 6 individuals appeared to have >1 OD 35% of the people we could identify who overdosed in the past year were also arrested in the past year Median number of arrests per person =2 (Range 1-41)

3 people (9%) died

  • f an
  • verdose
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Case Study 1: female, 36 years old

Data Source: Valcour Incident Report

79 Total Contacts in Valcour from 11/9/2011 - 3/11/2018 12 Arrests

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Case Study 2: female, 42 years old

Data Source: Valcour Incident Report

5 Arrests 63 Total Contacts in Valcour from 5/9/2014 - 4/2/2018

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Case Study 3: male, 39 years old

Data Source: Valcour Incident Report

13 Arrests 51 Total Contacts in Valcour from 8/14/2012 - 3/19/2018

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  • 5/24 (Thursday) 8:30-11:00 AM
  • Contois Auditorium

Next CommStat Meeting

  • 5/23 (Wednesday)

6:30-8:00pm

  • Contois Auditorium

Author Event