Snohomish County’s Response Cleo Harris Snohomish County Human Services
Statistically significant drug overdose death rate increase from 2014 to 2015, US states 2
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Introduction Snohomish County’s Challenges Prevention Efforts Intervention Efforts Medication Assisted Treatment Options Detoxification Services Naloxone (Narcan) Distribution 4
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
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
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
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
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
DETOX – Withdrawal Management Medical al Det Detox Linda da Grant nt CEO of Evergree green Reco cover ery y Cen enter ers 10
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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