Eastside Human Services Forum
Who is Eastside Human Services Forum? Local City & County Government Nonprofit Human Service Providers United Way of King County Eastside Interfaith Social Concerns Council Hospitals School Districts Corporations Private Philanthropic Foundations
What does Eastside Human Services Forum do? Foster strong public & private partnerships to assure a stable network of health and human services for the benefit of all East King County Residents.
King County Heroin and Prescription Opiate • Addiction Task Force member and Chair or Co- Chair of each of the implementation committees Principal Research Scientist, University of • Washington, Alcohol and Drug Abuse Institute Affiliate Associate Professor, School of Public • Health, University of Washington 2016 Washington State Public Health Leadership • Award for his extensive work in addressing the opioid epidemic Served as Senior Science Advisor for the Office • of National Drug Control Policy in the Executive Office of the President in 2012. Caleb Banta-Green
Kin ing County Drug Trends 2016 Caleb Banta-Green, PhD MPH MSW Principal Research Scientist, Alcohol and Drug Abuse Institute Affiliate Associate Professor, School of Public Health University of Washington June 13, 2017
Police evidence testing http://adai.uw.edu/wadata/ Source: WA State Patrol Crime Lab Analysis: Alcohol and Drug Abuse Institute
Recovery Helpline, King County
Note-Major data change in 2016
Source: King County Medical Examiner Analysis: Alcohol and Drug Abuse Institute
Source: King County Medical Examiner Analysis: Alcohol and Drug Abuse Institute
Source: King County Medical Examiner Analysis: Alcohol and Drug Abuse Institute
“Fentanyl” deaths • There were 22 fentanyl-related deaths in King County* • A few were Rx fentanyl • Some were unknown/suspicious fentanyl • Others were fentanyl-related drugs • Illicit fentanyls seem to be in powder and pills locally • Two examples of types seized by local police in 2016: Looks like 30mg oxycodone Looks like 15mg oxycodone Actually fentanyl Actually furanyl fentanyl, heroin, U-47700, alprazolam http://adai.uw.edu/pubs/pdf/2017fentanyldeaths.pdf
Prescription Opioids distributed in WA State (DEA ARCOS) The total number of daily doses of opioids sold to hospitals and pharmacies in WA State peaked in 2011 at 112 million. The increase over time was enormous, it has since declined modestly. http://adai.washington.edu/wadata/ARCOSopiates.htm
OXYCODONE MORPHINE (heroin metabolite) $80 $10 & easier to get
Opioid id Use se Di Disorder Treatment Con onnectin ing people to o care BUILDING KNOWLEDGE AND DEMAND Opioid Use Disorder Education • De-Stigmatizing OUD OUD Treatment Education • De-Stigmatizing OUD Treatment Meds CONNECTIONS Meeting people where they are Deciding on treatment options ❖ Treatment Decision Making Finding treatment ❖ Real time availability- Geographic & $$$ TREATMENT Social support Counseling Treatment medications • Care setting • Medication type
Opioid use disorder • Is treatable. • Treatment medications are the standard of care • Most people will do best on medications • Many will also benefit from social support/counseling • Treatment medications- • Support recovery • You can be on treatment medication AND in recovery • Reduce fatal overdose rates by 50%
Continuum of care for opioid misuse Improve function & Prevent Treat Opioid use disorder Reduce morbidity & inappropriate mortality Death initiation of Manage pain & opioids Overdose opioids safely Infectious disease Developed by Caleb Banta-Green calebbg@uw.edu 01/19/17
Continuum of care for opioid misuse Improve function & Prevent Treat Opioid use disorder Reduce morbidity & inappropriate mortality Death initiation of Manage pain & opioids Overdose opioids safely Infectious disease Populations Populations Populations Addiction General public Addiction Prescribers Pain Pain Patients Opioid user Youth Social network & Police Interventions Interventions Interventions Supply reduction Opioid treatment meds Health care/Pain management Law enforcement Psychosocial Opioid treatment meds Prescribing practices Social/recovery support HIV/HCV treatment meds Pain management practices Health care/Pain management Housing Complementary health Lock boxes OD ed./Naloxone Rx disposal Housing Syringe exchange Prescription Monitoring Safe consumption sites Good Samaritan Response Demand reduction Settings Education Settings • Health beliefs Medical Community/PH/NGO • Clinic • Medication beliefs Medical • Pain/Stress • Hospital/ER • Clinic • Hospital/ER Community/PH/NGO • Pharmacy Drug treatment programs Settings Medical care/Pharmacy Drug court Drug treatment programs Schools Jail/Prison Drug court Homes Jail/Prison Developed by Caleb Banta-Green calebbg@uw.edu 01/19/17
King County Opioid Task Force Chairs • Dr. Jeff Duchin Public Health • Brad Finegood Behavioral Health • 32 members • Met April-Sept 2015 in public • Implementation work ongoing • Comprehensive website http://www.kingcounty.gov/depts/community-human-services/mental-health- substance-abuse/task-forces/heroin-opiates-task-force.aspx
Resources adai.uw.edu
Questions and Answers
Best Practices – Panel Utilization of Narcan/Naloxone ◦ Jeff Clark – Fire Chief, Eastside Fire & Rescue Treatment & Screening Practices in Schools ◦ Jerry Blackburn – Program Manager for Substance Abuse Prevention Services, Friends of Youth Secure Medicine Return Programs ◦ Margaret Shield , Principal, Community Environmental Health Strategies
• Opioid overdose antidote • May be used by health professionals or laypersons • Opportunities to expand distribution of naloxone Utilization of Naloxone
Treatment & Screening Practices in Schools School-based I/PS Services/MIDD Parent education efforts School-based health centers SBIRT Universal screenings
Prevention: Secure Medicine Return Programs Margaret Shield PhD Community Environmental Health Strategies LLC www.CEHstrategies.com
Mind Your Meds Safe Kids Talk to your kids and family members about the risks of medicine misuse and abuse. Safe Use Take meds as directed. Never share your meds. If prescribed pain meds, take lowest possible dose. Safe Storage Keep all medicines in secure place. Count your pills. Lock them up. Safe Disposal Protect your family and the environment: use a secure drop box for safe disposal of unused medicines.
About 1/3 of Medicines Sold to Households Go Unused For many reasons: Changes due to side effects or to find best treatment “Use As Needed” medicines expire before used. Medicines leftover after serious illness. Medicines leftover after end-of-life care, including strong pain relievers. Overprescribing. Many actions underway. Overpurchasing of OTCs, encouraged by advertising. Patient doesn’t finish.
Many Types of Medicines Abused Commonly Abused Rx Drugs Adderall misuse Opioids among young Stimulants adults rose 67% and ER Sedatives visits increased, Anti-anxiety drugs 2006-2011. Commonly Abused Over-The-Counter drugs cough/cold medicines (DXM) antihistamines diet pills laxatives, diuretics loperamide (Immodium)
Secure Medicine Return: Safe for Your Family and Our Environment Secure and safe. Reduces access and risks. Helps prevent medicine abuse, poisonings, and overdoses. Environmentally sound. Keeps waste medicines from adding to pharmaceutical pollution. FDA, DEA, EPA, and local agencies recommend secure medicine return as better than trash disposal.
NEW! MORE CONVENIENT PHARMACY LOCATIONS! MED-Project Program in King County provided by drug manufacturers under county law Secure drop boxes at participating: more than 80 ✓ Retail pharmacies locations! ✓ Grocery Stores ✓ Clinics/hospitals ✓ Law enforcement agencies NARCOTICS & OTHER CONTROLLED DRUGS ACCEPTED medicinereturn.org
Which Medicines? ACCEPTED PRESCRIPTION DRUGS OVER-THE-COUNTER DRUGS PET MEDICINES pills, capsules, liquids, creams CONTROLLED SUBSTANCES – Oxycontin, Vicodin, Ritalin, Xanax NOT ACCEPTED INHALERS SHARPS VITAMINS/SUPPLEMENTS PERSONAL CARE PRODUCTS ILLEGAL DRUGS MEDICINES FROM BUSINESSES Image from medicinereturn.org
Where? medicinereturn.org or 1-844-633-7765
Where? http://med-project.org/locations/king-county/convenient-kiosks MED-Project.org or call 1-844-633-7765
Prepaid Return Mailers For home bound & differentially- abled residents 8”x11” envelope 8 ounces of unwanted medicines Call 1-844-633-7765 Request online www.med-project.org/locations/king-county Pick-up at King County Libraries & at Town Halls in Hunts Point, Yarrow Point & Beaux Arts Village Home healthcare professionals can request for patients
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