CommStat 06/29/17 Vermont: Governors Opioid Coordination Council - PowerPoint PPT Presentation

CommStat 06/29/17

Vermont: Governor’s Opioid Coordination Council Jolinda LaClair, Director of Drug Prevention Policy June 2017

Opioid Coordination Council Executive Order No. 02-17; 09-17  Negative effect/all demographics/all communities  Vermont’s opioid crisis results in increased drug and human trafficking, mortality, and costs to Vermont’s resources and quality of life

OCC’s MISSION  To lead and strengthen Vermont’s response to the opioid crisis by ensuring full interagency and intra-agency coordination between state and local governments in the areas of prevention, treatment, recovery and law enforcement activities.

OCC MEMBERSHIP: Designated in E.O.  Human Services Secretary (Al Gobeille) (Tri-Chair)  Public Safety Commissioner (Tom Anderson) (Tri-Chair)  Community Leader (Jim Leddy, Chittenden) (Tri-Chair)  Dept. of Health Commissioner (Mark Levine, MD)  Attorney General (TJ Donovan)  US Attorney (VT) (Eugenia Cowles (Acting))  VT Mayors Coalition (David Allaire, Rutland)  VT League of Cities & Towns (Stephanie Thompson, Windsor)  VT Assoc. of Mental Health, Addiction, Recovery (VAMHAR)(Peter Mallary, Orange)  VT Assoc. of Hospitals & Health Systems (Jill Berry Bowen, Franklin)  Vermont Sheriffs’ Association (Roger Marcoux, Lamoille)  VT Assoc. of Chiefs of Police (appointment pending)  US Drug Enforcement Administration (Jon DeLena)  Chief Justice (Hon. Brian Grearson)

OCC MEMBERSHIP: Governor-Appointed  Non-profit housing organization (Liz Genge, Downstreet Housing, Washington)  Educator involved in substance abuse prevention (Adam Bunting, CVUHS principal, Chittenden)  Substance abuse prevention & treatment professional (Lori Augustyniak, Washington)  Designated agency (Bob Bick, Howard Center, Chittenden)  First responder (Michael Bucossi, Fire Chief, Windham)  Business community (Sara Byers, Chittenden)  At-Large (Debra Ricker, Washington)

OCC’s Goals (1) 1. Identify best practices for communities to address opioid addiction and abuse in order to assist them in: (1) significantly reducing the demand for opioids through prevention and education; (2) providing treatment and recovery services to those afflicted with opioid addiction; and (3) significantly reducing the supply of illegal opioids; 2. Develop and adopt data driven performance measures and outcomes which will allow State and local community programs to determine whether they are meeting their goals and objectives in reducing opioid addiction and abuse;

OCC’s Goals (2) 3. Review existing State health, mental health, and drug and alcohol addiction laws, regulations, policies, and programs and propose changes to eliminate redundancy and break down barriers faced by communities in coordinating action with State government; 4. Propose legislation to strengthen a Statewide approach to fight opioid addiction and abuse and facilitate adaptation to the changing nature and multiple facets of the opioid crisis; 5. Consult and coordinate with federal agencies and officials as well as those in surrounding states;

OCC’s Goals (3) 6. Work in coordination with the Alcohol and Drug Abuse Council created pursuant to 18 V.S.A. 4803; 7. Report to the Governor on a quarterly basis and as otherwise required by the Governor regarding: (1) recommendations for resource, policy, and legislative or regulatory changes; and (2) progress made under State and local programs measured against established data driven performance measures; and 5. In consultation with the Director of Drug Policy, do all things necessary to carry out the purpose of this Executive Order.

Drivers for Systemic Improvement  Prevention  Treatment  Recovery  Enforcement

Pathways to Effective Change  Policy  Programs  Infrastructure  Investment

Into Action: Committees of the Council  Committees are researching and planning recommendations for action that will:  Enhance collaboration across state, federal and local government to better connect resources to Vermonters and Vermont communities;  Identify gaps that, if filled, could save lives, dollars, and enhance community health and safety;  Identify opportunities that, if taken, would improve Vermont’s response to our opioid crisis resulting in measurable outcomes.

Committees of the Council  Treatment & Recovery  Prevention & Enforcement Working Groups from the Governor’s Summit on VTs Substance Use Disorder Workforce  Affordability & Professional Development  Licensure & Higher Education

Contact Us  Jolinda LaClair, Director of Drug Prevention Policy; Director of the OCC  jolinda.laclair@vermont.gov  Rose Gowdey, Community Engagement Liaison for the OCC and Drug Prevention Policy  rose.gowdey@vermont.gov

Housing Resources Chittenden Cty. Number of Temporary & Situational Housing Beds in Chittenden County, by Allocation to Specific Demographics 140 120 100 80 60 40 20 0 Transitional Long Term Shelter Sober Living Individuals (M&W) Family Men Women Data Source: Chittenden County Housing Inventory

Lund Lund Program Program Areas as

VT Opioid-Related Accidental Fatal OD Number er of Ac Accident dental al Fatal Over erdos doses es Invol olving ng Opioids ids in Vermont nt by Opioi oid d Type 120 106 110 100 102 90 80 75 75 69 69 70 61 61 61 61 60 50 50 50 41 41 38 38 40 30 20 10 0 2010 2011 2012 2013 2014 2015 2016 All Opioids Rx Opioid (No Fentanyl) Heroin & Fentanyl Data Source: Vermont Department of Health

Change in Valcour Drug Type Field - Heroin - Morphine - Opium - Depressant Other

EMS Overdose Incident Responses Monthly thly EMS Inciden idents ts with h Primar ary Provide ider Monthly thly EMS Inciden idents ts with h Primar ary Provide ider Impression of “Overdose / …” in VT , 2017 Imp mpression ession of “Overdose / …” in District 03 (Chitt ttenden nden Cty), ), 2017 110 110 100 100 90 90 90 80 80 70 70 60 60 50 50 40 40 35 30 30 23 20 20 10 10 10 0 0 April 15th - 30th May June 1st - 27th April 15th - 30th May June 1st - 27th Overdose / Opiate Overdose / Any Overdose / Opiate Overdose / Any Average Opiate Average Any Average Opiate Average Any Data Source: Siren Daily Reports

SubStat Opioid OD Incidents Opioid- Related “Overdose” Calls Responded to by BPD, CPD, SBPD, MPD, EPD & WPD per SubStat Period 14 12 10 8 6 4 2 0 2.16 - 3.08 3.08 - 3.22 3.22 - 4.04 4.04 - 4.18 4.18 - 5.02 5.02 - 5.16 5.16 - 5.30 5.30 - 6.13 Overdose Incidents Data Source: Valcour Incident Report

Chittenden Hub Active Waitlist Chittenden Hub Active Waitlist # and Avg Wait Days 160 140 138 130 120 100 93 87 84 80 80 # Waiting 71 75 Average Days Waiting 67 60 67 58 58 Median Days Waiting 47 44 40 62 20 0 Data Source: Howard Center Mid-Month Report

Chittenden Hub Admission List Chittenden Hub Admission List # and Avg Wait Days 60 53 46 50 46 43 37 40 40 39 35 35 30 # Admitted 28 Average Days Waiting 23 Median Days Waiting 21 20 34 15 14 10 0 Data Source: Howard Center Mid-Month Report

Number of People Treated in Hub & Spokes 1800 641 1600 1400 1200 1000 994* 800 600 400 200 0 May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 2017 Total Spoke Hub CHCB Community Lund Maple Leaf Total UVM MC Howard Spoke Data Source: Vermont Department of Health and Opioid Care Alliance of Chittenden County * Last reported value, not updated for month of May

UVM MC Opioid Related ED Visits Monthly thly UVM Medical cal Center er ED Encount unter ers s Average age Monthl hly UVM Medica ical Center er Coded as “Opioid OD” & “Opioid Poisoning” Opioi oid-Coded Coded ED Encou ount nters ers 30 30 25 25 20 20 15 15 10 10 5 5 0 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2015 2016 2017 2017 15 & '16 Average Data Source: UVM MC ED

UVM MC Opioid Related ED Visits Discharge Disposition of UVM MC ED Encounters With DX Code “Opioid OD/ Poisoning”, by Year 100% D/T COURT/LAW ENFORCEMENT 90% D/T PSYCH HSP/PSYCH DIST PRT UNIT HSP w/PACHIPR 80% TRANSFER OTH REHAB DISCH/TRAN TO SNF W/ MCR CERT 70% DECEASED 60% D/T DIFF TYPE HEALTHCARE FACILITY 50% HOSPICE-HOME 40% OTHER HOSPITAL 30% AGAINST MEDICAL ADVICE PSY HOSP OR PSYCH DISTINCT UNIT 20% HOME HEALTH CARE 10% HOM HOME E OR OR S SEL ELF CA CARE ( RE (RO ROUT UTINE) INE) 0% 2015 2016 2017 Data Source: UVM MC ED

UVM MC Opioid Related ED Visits 2017 Discharge Disposition of UVM MC ED Encounters With DX Code “Opioid OD/ Poisoning”, by Month 100% 90% DECEASED 80% 70% D/T DIFF TYPE HEALTHCARE FACILITY 60% 50% PSY HOSP OR PSYCH DISTINCT UNIT 40% 30% AGAINST MEDICAL ADVICE 20% 10% HOM HOME E OR OR S SEL ELF CA CARE ( RE (RO ROUT UTINE) INE) 0% Jan Feb Mar Apr May Data Source: UVM MC ED

Chittenden Hub Admission List