Opioid Education and Awareness Task Force Franklin Regional Council of Governments Full Council Meeting July 17, 2014
Who We Are Education Government Public Health Housing Healthcare Treatment Law Recovery Enforcement Community Opioid Education Courts and Parents Awareness Task Force
Task Force Committees Treatment Education Housing and Law Healthcare and and Workforce Enforcement Solutions Recovery Awareness Development and Justice
Factors that Affect Health Public Health Pyramid Counseling Smallest Eat healthy, be physically and Impact active Education Rx for high blood pressure, Clinical high cholesterol, diabetes Interventions Long-lasting Immunizations, brief intervention, cessation Protective treatment, colonoscopy Interventions Changing the context to Fluoridation, 0g trans fat, make individuals’ default smoke-free laws, tobacco tax, iodization decisions healthy Poverty, education, housing, Largest Socioeconomic Factors inequality Impact
Getting to Work: The Process The Strategic Prevention Framework Assessment Evaluation Capacity Sustainability and Cultural Competence Implementation Planning
Developing a Strategic Plan Getting to Strategies Strategies Local Conditions Root Causes Problem
The Problems Not enough Too many Too many people are people are people are achieving misusing/abusing overdosing on recovery from opiates opiates opiate addiction
Scope of the Problem Franklin County Population: 71,540 in 26 communities over 724 square miles. Second poorest county in the state. Emergency Department Visits: May 2013-April 2014, 1524 patients seen in the E.D. at Baystate Franklin with substance abuse problems. Opioid Overdoses: 49 between December 1 st , 2013 and June 30 th , 2014 Arrests: Greenfield Police Department reported approximately 650 arrests in 2013. Current rate has the city on track to reach almost 1600 for 2014. Treatment Admissions: In 2010 19% of Franklin County treatment admissions were due to opiates as the primary drug. In 2013 that number was up to 37%. Incarceration : 84% of inmates screened since October 2013 at the Franklin County House of Corrections have a substance abuse problem that puts them at high or very high risk of being reincarcerated within 1 year of release .
Real-time Local Overdose Data Collection Regular Reporting by Franklin County Police Chiefs to Sheriff’s Office
Real-time Local Data
Treatment and Recovery Services Acute Clinical Support Facility-Based Pre-placement Treatment Services Services (Detox) Services Transitional Residential Supportive Support Services Rehabilitation Housing Outpatient/Supportive Services Intensive Outpatient Outpatient Medically Case Outpatient Individual Group Assisted Management Program Counseling Counseling Treatment Recovery Family Focused Engagement Peer Recovery Community 12-step meetings and Home- Centers Based Services based services
Treatment and Recovery Services: Franklin County Acute Clinical Support Pre-placement Treatment Services Services (Detox) Facility-Based Services Transitional Residential Supportive Support Rehabilitation Housing Services Outpatient/Supportive Services Intensive Outpatient Outpatient Medically Case Outpatient Individual Group Assisted Management Program Counseling Counseling Treatment Recovery Family Focused Engagement Peer Recovery Community 12-step meetings and Home- Centers Based Services based services
Training and best-practice standards for prescribers
Additional Projects: Screening Brief Intervention and Referral to Treatment (SBIRT) in the Emergency Department Education and awareness with School Nurses and Athletic Directors Support DA Sullivan’s first responder Narcan program Support for evidence-based health education curriculum in middle schools Next Steps : Continued data collection and analysis Development of strategic plan Committee project implementation
What can Franklin County towns do to collaborate and reduce the opioid epidemic locally? Facilitate Support Collaborate Evidence- Narcan in policies that with the Task based police cruisers, Promote drug make Force – join a prevention fire trucks, and take back days substance use committee, education in persons close and boxes difficult promote Task the schools to addicted (environmental Force events, individuals strategies) etc.
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