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Snohomish Countys Response Cleo Harris Snohomish County Human Services Statistically significant drug overdose death rate increase from 2014 to 2015, US states 2 3 Introduction Snohomish Countys Challenges Prevention


  1. Snohomish County’s Response   Cleo Harris Snohomish County Human Services

  2. Statistically significant drug overdose death rate increase from 2014 to 2015, US states 2

  3. 3

  4. Introduction  Snohomish County’s Challenges  Prevention Efforts  Intervention Efforts  Medication Assisted Treatment Options  Detoxification Services  Naloxone (Narcan) Distribution 4

  5. Challenges:  Changing landscape  Limited Prevention Programming  Siting Medication Assisted Treatment Clinic  Limited Suboxone Prescribers  Inadequate Detox Beds  Narrow Criminal Justice Diversion Options  Lack of Clean, Affordable Housing 5

  6. Prevention Evidence- Based Efforts  Student udent Sup uppor port Advocat ates es (SSA) SSA)  Sup uppor ort t high h risk k students udents and their eir fa families ilies (2,159 students in 2015)  SSA A Results ts (2015 5 contrac ract t year data)  Improved Attendance - 55%  Engaged in Mental Health – 80%  Engaged in Substance Use Treatment – 89%  Improved Grades – 53%  Pa Pare rent nting ing Classes sses in Snohomi homish sh Count nty Jail  Children ldren & Youth h Menta tal l Health alth Mental tal Wellne ness ss Committ mmittee ee  Children and Youth Mental Wellness Fair  School Based Trauma Informed Care Training 6

  7. Intervention Efforts  Sno nohomish homish County unty Jail  Overdose dose Risk k Ed Educ ucat ation ion  Medi dica caid/A id/Apple le Health th En Enrol ollme lment nt  Sub ubsta tance nce Use se Treat atme ment nt  Link nkage ge to Services vices Up Upon n Relea ease se (new program ram with h Idea deal l Options/Ide ons/Ideal l Balanc nce) e)  SUCCES CESS ( Super Utilizers Connected to Community through Expertise, Support and Services)  Community mmunity Heroin oin Forums ums & N Naloxone one Train ainings ings  Opiat ate Outrea treach ch Liais aison on 7

  8. Medication Assisted Treatment (MAT) Options  MAT Clin inics ics  850 Per Clinic ic @ Three ree Clinics ics (raised sed from om 750 this year) r) th MAT Clinic  Siti ting ng 4 th nic  Suboxone one Pilo lot t Progra ograms  Goal l #1 #1 – increase rease access s to Suboxone one  Goal l #2 #2 – expedit pedite access ss for those se receivin iving g assis sistanc tance e via Embedd bedded ed Social al Work rker ers, s, Det etox x and SUCCESS CCESS  Goal l #3 – Launch nch Nurse e Case e Manager ger Pilo lot 8

  9. Naloxone (Narcan) Distribution Project  Go Goals ls :  Save e lives s that t would ld ot othe herwis wise e be lost t to opiate overdo dose se  69 Opioid Reversals Thus Far  Al All Snoho ohomis mish h County nty Law w En Enfor orce ceme ment nt agenc encies ies trained ned 678 Law Enforcement Personnel Trained  Eq Equi uip Coun unty ty contr ntract acted ed agenc ncies ies and ot other her partne ners s with h naloxone ne  237 Other Partners Trained and 88 different agencies  NAR ARCAN CAN & l law enfor orce ceme ment nt  Fentanyl is in Snohomish County  NARCAN nasal recently approved by FDA and each dose is double the strength of the naloxone  StopOv opOver erdose.or dose.org 9

  10. DETOX – Withdrawal Management  Medical al Det Detox  Linda da Grant nt CEO of Evergree green Reco cover ery y Cen enter ers 10

  11. Questions for the Presenter? Cl Cleo eo Har arris is Snohomis homish h County nty Human man Services ices Behavioral vioral Health lth Treatme eatment nt Specialist ialist Cleo.H o.Harr arris@snoco.org is@snoco.org 425 425 – 388 388 - 7423 11

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