Overdose SOS Crisis Response
Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2 nd quarter 2016. Released 9/22/2016.
Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2 nd quarter 2016. Released 9/22/2016.
120 Number of Overdoses 100 80 Heroin Fentanyl 60 Prescription Opioid 40 Cocaine 20 Total Drug & Alcohol 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016* Note: 2016 is only January-June data. Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2 nd quarter 2016. Released 9/22/2016.
Screening & Prevention Treatment Recovery Early Services Support Identification
Crisis Response Hospital Primary Care Social Homeless Detention System Police Courts ED’s Providers Services Services Center Overdose TCA SUD Peer Crisis Intervention Teams Drug Road to SOS Assessors Support Court Recovery Care Coordinators Court-Based SUD GAPS IN LINKAGES TO SERVICES Assessors Substance Abuse Treatment Referral Line Crisis Stabilization TREATMENT RECOVERY
What is Anne Arundel Crisis Response? A system that operates 24 hours a day Collaboration between Police and Mental Health Consists of: 1. Warmline 2. Mobile Crisis Teams (MCT) 3. Crisis Intervention Teams (CIT), 4. Crisis Case Management 5. Urgent Care Appointment Access 6. 2 Transportation Specialist 7. Hospital Diversion 8. Jail Diversion 9. Access to our own DSS worker Monday - Friday
Anne Arundel Crisis Response Numbers Average of 7 per day Average of 51 per week 17 2 20,225 330 2,089
Collaboration on EP’s and Overdoses KEY
911 Called Fire/Police Assessed by MCT/HD Respond • Inpt. Detox • IOP Taken to Referred Police to SOS ER call for MCT Refused MCT/HD Discharged • Follow up by CRS with phone call On Police Brief • CRS Calls Consumer Not on • Contact Made Brief • Detox • IOP
Ready for TX Refer to Followed up Refused MCT or Inpt. or IOP HD by CRS Refused Unable to link with provider Called Referral Referred to Assessed by MCT Warmline given Ready for TX or HD Inpt. or IOP Linked with provider Refer to OD SOS Currently in Followed up by HD Emergency Room Referred to Treatment Assessed by HD
Overdose Survivors Outreach Services Flow Chart ED provides Nurse Coordinator OD Naloxone survivors dispensed by ED to all Overdose Nurse Coordinator assigns PSS Survivors If patient not interested in PSS engages survivor in ED treatment, PSS follows for 12+ If patient is interested in MAT, peer will provide the Nurse Coordinator with patient’s information months Nurse Coordinator conducts SUD assessment Discharged or AMA, PSS conducts outreach for up to 12 months Patient will be referred to (Interim) MAT Program MARS PSS meets at MAT Groups Patient will be referred to SCC and other recovery PSS follows up for 12 months support services as needed GPRA MDRN
Strengths Weaknesses Collaboration that can occur with multiple No funding to address heroin Need dedicated team to follow up on overdoses agencies Crisis Response is 24 hours like the police Need a second hospital diversion worker to work with Currently have one clinician in the ER consumers who come to the ER looking for treatment No ability to fund or assist consumers with private Monday thru Friday to assess consumers looking for treatment insurance Placement for inpatient treatment when needed occurs within 24 to 48 hours
Sandy O’Neill, LCPC Director, Bureau of Behavioral Health Anne Arundel County Department of Health hdonei00@aacounty.org jjcorbin18@aol.com 410-222-7165
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