F I GHT I NG ADDI CT I ON AND I MPROVI NG BE HAVI ORAL - PowerPoint PPT Presentation

F I GHT I NG ADDI CT I ON AND I MPROVI NG BE HAVI ORAL HE AL T H T he Pub lic He a lth Crisis o f T his Ge ne ra tio n & De la wa re ’ s Pla n fo r the F uture L t. Go ve rno r Be tha ny Ha ll-L o ng , Ph.D, RNC, F AAN

ON I RODUCT NT I

BE HAVI ORAL HE AL T H I N DE L AWARE OUT L I NI NG T HE PROBL E M • De la wa re ha s a b o ut 30,000 a dults a nd 9,000 c hildre n suffe ring fro m a sub sta nc e use diso rde r o r a me nta l illne ss. T o ta l po pula tio n o f De la wa re is a b o ut 945,000 • • 1 in 5 De la wa re a ns will suffe r fro m so me fo rm o f a me nta l illne ss in a ny g ive n ye a r. • 82% o f De la wa re inma te s ha ve a me nta l illne ss o r sub sta nc e use diso rde r. T his ma ke s the priso n syste m o r la rg e st tre a tme nt pro vide r. • • De la wa re ha d o ve r 300 o ve rdo se fa ta litie s in 2016, up 35% fro m 2015.

BE HAVI ORAL HE AL T H I N DE L AWARE OUT L I NI NG T HE PROBL E M PART I I What Ar e T he Cause s for Highe r Rate s of Addic tion and Me ntal Illne ss? Stig ma • Co st • Wo rkfo rc e • L a c k o f Ac c e ss to T re a tme nt/ T ra nspo rta tio n • Se rvic e De live ry/ Ha ndo ff Ga ps • L a c k o f Pre ve ntio n/ E a rly I nte rve ntio n •

Ove rdo se De a ths vs. Ca r Ac c ide nts Numb e r o f De a ths fo r Se le c te d Ca use s, De la wa re 1990- 2015 200 180 160 HS 140 AT DE 120 R OF 100 NUMBE 80 60 40 20 0 Ac c ide nta l po iso ning b y & e xpo sure to drug s Mo to r Ve hic le Ac c ide nts So urc e : De la wa re He a lth a nd So c ia l Se rvic e s, Divisio n of Pub lic He a lth, De la wa re He a lth Sta tistic s Ce nte r, Divisio n o f Pub lic He a lth

WHAT WE HAVE DONE T O SAVE L I VE S 911 Go o d Sa ma rita n Ac t • Na lo xo ne - Co mmunity/ F irst Re spo nde rs/ L a w E nfo rc e me nt • Pre sc riptio n Drug Ac tio n Co mmitte e • Opio id Pre sc rib ing : • Re g ula ting Ac ute a nd Chro nic use • Pre sc riptio n Drug Mo nito ring Pro g ra m (PDMP) • Pub lic e duc a tio n – He lp is He re we b site a nd c a mpa ig n • T re a tme nt e xpa nsio n in unde rse rve d a re a s • De la wa re Drug Mo nito ring I nitia tive • Ove rdo se F a ta lity Re vie w Co mmissio n • Re q uiring I nsura nc e Co mpa nie s to Pro vide Co ve ra g e F o r I npa tie nt T re a tme nt, While • Re duc ing Ba rrie rs to Ac c e ss. Be ha vio ra l He a lth Co nso rtium •

T HE PAT H F ORWARD F OR DE L AWARE • Be ha vio ra l He a lth Co nso rtium • K -5 We llne ss Ce nte r E xpa nsio n • Co mmunity He a lth Wo rke rs

T HE CRE AT I ON OF T HE BE HAVI ORAL HE AL T H CONSORT I UM Se na te Bill 111 w/ Se na te Ame ndme nt 1- e sta b lishe s the Be ha vio ra l • He a lth Co nso rtium. T he b ill e sta b lishe s a n o ve rsig ht b o dy tha t will c o o rdina te the Sta te ’ s • priva te a nd pub lic b o die s to re duc e c urre nt silo s, e sta b lish g re a te r a c c e ss to c a re , a nd c o mb a t a ddic tio n a nd impro ve me nta l he a lth se rvic e s. T he Co nso rtium c a lls fo r g ra ssro o ts a dvo c a c y g ro ups, no n-fo r-pro fits, • pro vide rs, he a lth syste ms, first re spo nde rs a nd c o mmunity me mb e rs to c o lla b o ra te to ta c kle the pre ssing issue s in the F irst Sta te . T he Co nso rtium is mo de le d a fte r the De la wa re Ca nc e r Co nso rtium. •

DE L AWARE CANCE R CONSORT I UM: T HE E SSE NT I AL F RAME WORK E ngaging & Advoc ating I de ntifying , b o th q ua ntita te a nd q ua lita tive , • the pre ssing issue s: Opio id e pide mic • Wo rkfo rc e sho rta g e • Ba rrie rs to a c c e ss to c a re • Ga the ring sta ke ho lde r fe e db a c k to c re a te • ta ng ib le a c tio n pla n. I mple me nting a c tio n pla n & a sse ssing re sult •

ADDI T I ONAL RE SOURCE S & PROGRAMS Community He alth Wor ke r s K-5 We llne ss Ce nte r E xpansion T a rg e ting T itle I funde d e le me nta ry sc ho o ls • • De ve lo ping a c o mpre he nsive within ide ntifie d “ho tspo t” using CDC da ta Co mmunity He a lth Wo rke r Pro g ra m • Pro viding c ultura lly c o mpe te nt Cre a ting g re a te r a c c e ss to c a re fo r va stly • unde rse rve d po pula tio n individua ls to pe rfo rm b a sic he a lth a sse ssme nt a nd c a re Pa rtne ring with he a lth syste ms a nd Prima ry • • Cre a ting a c ritic a l to uc h po int fo r Ca re Pro vide rs individua ls suffe ring fro m a ddic tio n F unding g e ne ra te d via Me dic a id e xpa nsio n • a nd lo c a l sc ho o l distric t do lla rs

Stra te g y Ma p Re vise d 7-12-2017 Pr e ve ntion is Ke y Perspective STRATEGIC OBJECTIVES Strategic Focus: He alth Prevent Substance Abuse Status 1. Re duc tion in substanc e abuse and ove r dose de aths Imple me ntation 4. Re duc e the ne e d to 3. Diagnose and tr e at se lf- me dic ate , c ontrol ac c e ss 2. Pr e ve nt life - thr e ate ning addic tions and substanc e to addic tive substanc e s and adve rse outc ome s use disorde rs promote prote c tive fac tors oc e ss & ning 6. Communic ation 5. Surve illanc e e ar Pr L Asse ts 7. Gr ants, Contr ac ts, and 9. Wor kfor c e 8. Par tne r ships Payme nt Str ate gie s

ACT I ON ST E PS T O MOVE T HE NE E DL E De la wa re ha s c re a te d a fo rum tha t b ring s dive rse sta ke ho lde rs to g e the r to • fo rmula te a stro ng pa th fo rwa rd Re a l c o nve rsa tio ns, with pe o ple who ha ve dire c tly b e e n impa c te d he lps fo rmula te • a ro a d ma p to c o mb a ting the c ritic a l issue s Go ve rnme nta l a g e nc y a ddic tio n stra te g ic pla n • T he wo rk o f the De la wa re Drug Mo nito ring I nitia tive And Ove rdo se F a ta lity • Re vie w Co mmissio n will c o ntinue to spo tlig ht c ritic a l a re a s o f ne e d T a rg e ting hig h impa c t a re a s a nd pro pe rly dispa tc hing re so urc e s to the se a re a s, a ll • while wo rking with pro vide rs a nd first re spo nde rs, will sa ve live s Pro viding g re a te r a c c e ss to c o o rdina te d, c o mpre he nsive , e vide nc e - • b a se d, pe rso n-c e nte re d, q ua lity c a re tra nsfo rms tho se impa c te d E a rly inte rve ntio n, c o o rdina te d tre a tme nt fro m he a lth pro vide rs, a nd inc re a se d • pro g ra ms will dire c tly impa c t po pula tio n he a lth o utc o me s

BE T HANY HAL L -L ONG, PH.D, F AAN, RNC L T . GOVE RNOR- ST AT E OF DE L AWARE Ma in Offic e Co nta c t: 302-744-4333 Brya n Go rdo n, De puty Chie f o f Sta ff Brya n.Go rdo n@ sta te .de .us 302-744-4311 T a nne r Wm. Po lc e , MBA, Po lic y Dire c to r T a nne r.Po lc e @ sta te .de .us 302-744-4312