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The Opioid Crisis in Connecticut

The Opioid Crisis in Connecticut. Quinnipiac University Opioid Summit November 9, 2018. DMHAS. Lead state agency for adult mental health and substance use services Nearly 107,000 served by DMHAS system of care in FY17 Two State hospitals and 6 State-operated Local Mental Health Authorities

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The Opioid Crisis in Connecticut

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  1. The Opioid Crisis in Connecticut Quinnipiac University Opioid Summit November 9, 2018

  2. DMHAS • Lead state agency for adult mental health and substance use services • Nearly 107,000 served by DMHAS system of care in FY17 • Two State hospitals and 6 State-operated Local Mental Health Authorities • 134 non-profit agencies provide individuals with substance use and mental health services • Prevention, Treatment and Recovery Support • Treatment and support for adults only (18+) • Prevention services across the lifespan

  3. Nationally • Northeast has been hard hit • Since 2007, nearly a 150% increase in heroin abuse or dependence • Heroin use has more than doubled among young adults ages 18-25 in the past decade • In many cases, prescription painkiller misuse leads to heroin use • New England has highest overdose rate out of other comparable regions in the country

  4. Heroin and Other Synthetic Opiates • Heroin • Less expensive than prescription opiates • Increased availability • High purity • Synthetic opiates • Even less expensive than heroin • More potent • Fentanyl, carfentanil, furanyl fentanyl These vials show the lethal dosage of each drug. Carfentanilis significantly more potent. Photo credit: Paige Sutherland/NHPR

  5. Connecticut Accidental Drug Intoxication Deaths *Some deaths had combinations of drugs; pure ethanol intoxications are not included. ** These include Acetyl Fentanyl, Furanyl Fentanyl, Carfentanil, Fluorobutyryl Fentanyl, Butyryl Fentanyl, and U47700, NOS, not otherwise specified. Updated 9/12/18

  6. Opioid-Related Legislation in Connecticut • “Good Samaritan Law” protects individuals from arrest for possession of drugs/paraphernalia when calling 911 for help in an overdose situation (2011) • Naloxone, a life-saving medication used to reverse opioid overdoses, can be prescribed by trained pharmacists (2015) • Also protections for individuals administering naloxone in the event of an overdose (2014) • Limits on prescribing of opioid medications • 5-day limit for minors (2017) • 72-hour limit for prescribers to prescribe to family members in an emergency (2018)

  7. Alcohol and Drug Policy Council (ADPC) • Chaired by DMHAS and Dept. of Children and Families • Tasked by Governor Malloy to coordinate state substance abuse prevention and treatment efforts and develop recommendations on addressing the state’s opioid crisis • Subcommittees working to implement recommendations • Prevention, screening and early intervention • Treatment and recovery supports • Recovery and health management • Criminal justice

  8. Connecticut Opioid Response (CORe) Initiative • Governor Malloy engaged the Connecticut Opioid Response (CORe) team to supplement and support the work of the ADPC by creating a focused set of tactics and methods for immediate deployment • Tactics include: • Increase MAT use among incarcerated • Increase access to buprenorphine • Increase accessibility to naloxone • Educational efforts with media, agencies, health care and public health personnel • Diverting individuals from the legal system to the health care and treatment system

  9. DMHAS Prevention Activities • Public messaging • LiveLOUDcampaign getting ready to launch • Promote drop boxes and drug take back days • Participate in a number of community task forces, workgroups and advisory boards across the state to coordinate efforts • Federal funding for communities to prevent prescription drug misuse in teens & young adults

  10. Federal Grants • 25 different initiatives • State Targeted Response (STR) Grant • $5.5 million each year for two years (2017-2019) • Increased access to Medication Assisted Treatment (MAT) • Implemented MAT induction at Osborne DOC pre-release center • State Opioid Response (SOR) Grant • $11.1 million each year for two years (2018-2020) • Funding for DOC to provide MAT to inmates pre- and post-release • Street- and shelter-based MAT in New Haven and one other urban center (TBD) • Fund “Law Enforcement Assisted Diversion” (LEAD) for Hartford and New Haven police departments

  11. Unduplicated Individuals Served Annually (includes DMHAS-funded and non DMHAS-funded services) *FY2018 (7/1/2017 to 6/30/2018)

  12. ACCESS Line 1-800-563-4086 • Statewide toll-free number for people seeking treatment and information about treatment and services • Answered 24/7 • Detox screening via conference call with the caller, ACCESS Line operator and detox provider • If person is recommended for detox, stays on the phone until an available detox bed is located • Transportation to detox is available when necessary

  13. Addiction Bed Availability Website • www.ctaddictionservices.com • Real-time bed availability for DMHAS addiction beds

  14. Recovery Coaches in EDs • Launched in Spring 2017, with 4 EDs (Manchester Memorial, Lawrence + Memorial, Backus and Windham) • Recovery coaches go to EDs and connect individuals with substance use disorders to services • Peer staff have personal experience that helps in a unique way with engagement and linkage to treatment and recovery supports • Expanded in late-2017 with 4 new EDs: Danbury, Saint Francis, Day Kimball and Midstate Medical • Two more hospitals (TBD) are being added

  15. Recovery Coach Referrals(March 1, 2017 – June 30, 2018)

  16. Recovery Community Centers • Drop-in community centers • Three locations: Bridgeport, Hartford, Windham • Peer-to-peer recovery support services • Recovery meetings • Recovery training series • Family support • Recovery coaching • Recovery social events

  17. What YOU Can Do

  18. Know Your Children and Grandchildren • Get involved in their school • Know their friends and their friends’ parents • Educate them about the dangers of prescription medications and other drugs

  19. Talk With Your Doctor • When being prescribed medication • Ask if there are alternatives to opioids for pain management • Ask if you need that many refills • Ask about a plan for long-term pain management, if necessary

  20. Monitor Your Medications • Count your medications • Make sure they are locked and secure

  21. Get Rid of Unwanted Meds • Bring any unused pain medications to a local drop box or to a drug take back event for disposal ASAP

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