which we will pursue with partners in prisons, emergency rooms, and - - PowerPoint PPT Presentation
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
- 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.”
Joseph McNamara Chief U.S. Probation Officer Joe_mcnamara@vtp.uscourts.gov Christina Nolan U.S. Attorney Christina.Nolan@usdoj.gov
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
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
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
- 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
- Fiscal Agent: United Way of Northwest Vermont
- Backbone Support: Christine Johnson & Kayla
Donohue
- Collective Impact model
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
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
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?
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!
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
Intangibles of Collective Impact:
- Relationship and trust building
- Leadership identification and
development
- Creating a culture of learning
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
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
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
June-August: Begin implementing strategic plan, Conference preparation, plan for legislative agenda for 2019 session September: Chittenden County Opioid Conference
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
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
Find and like us on
Chittenden County Opioid Alliance
@OpioidAlliance
Questions?
Contact Information
Christine Johnson Executive Director (802) 777-9066 Christine@unitedwaynwvt.org Kayla Donohue Data Analyst Kayla@unitedwaynwvt.org
Data
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
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.
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
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
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
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)
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%
Data Source: University of Vermont Medical Center
UVM Medical Center Opioid Prescribing Practices Jan 2018- Mar 2018
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
Data Source: University of Vermont Medical Center
Opioid Prescriptions over 50 pills per provider by quarter
Data Source: University of Vermont Medical Center
Opioid Prescriptions over 50 pills by provider
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
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
Data Source: Valcour Incident Report
Preliminary Look at Overdoses Reported to Police
April 19, 2017-Today from BPD, SBPD, WPD, CPD, MPD, UVMPD
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
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
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
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
- 5/24 (Thursday) 8:30-11:00 AM
- Contois Auditorium
Next CommStat Meeting
- 5/23 (Wednesday)
6:30-8:00pm
- Contois Auditorium
Author Event