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Building Bridges: An All-Substances Approach

The Opioid Coordination Council aims to lead and strengthen Vermont's response to the opioid crisis by ensuring coordination and collaboration across all sectors. Their goals include reducing opioid-related deaths, increasing access to treatment and recovery, and implementing prevention strategies. This report discusses the drivers of systemic improvement, successful approaches, and future plans for the Council.

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Building Bridges: An All-Substances Approach

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  1. Building Bridges: An All-Substances ApproachOpioid Coordination Council May 2019 Jolinda LaClair, Director of Drug Prevention Policy Jolinda.laclair@Vermont.gov www.healthvermont.gov/opioid-coordination-council

  2. Opioid Coordination CouncilExecutive Order 02-17; 09-17 • Affects “… all people, of all ages, in all communities, at all income levels” • Impact: increased drug trafficking, mortality, and costs to resources and quality of life OCC’s Mission: In prevention, treatment, recovery and law enforcement, to • Lead and strengthen Vermont’s response • Ensure full inter-, intra-agency coordination • Across state and local governments

  3. Goals: REDUCE … • incidences of opioid-related deaths • # of children in state custody as a result of SUDs • total opioid pain relievers dispensed each year • # of people with substance use disorders • # of babies born into addiction • risk of relapse in recovery • # of youth using illegal substances • supply of illicit drugs in Vermont • incidences of opioid-related crime

  4. Goals: INCREASE … • # of people in treatment • # of people who transition to treatment through intervention services • # of people in recovery who have housing, jobs, and social supports • community & school-based prevention that builds wellness and resilience across all drivers, for individuals and family members of those at risk

  5. Drivers of Systemic Improvement Prevention: A “firewall of resilience.” Intervention: Connect people to treatment and recovery. Treatment: Timely, affordable, effective services for all in need. Recovery: Sustained wraparound supports. • Health, relationships, productivity. • Employment, housing, transportation, engagement, families. Enforcement: Supply reduction, harm reduction. • Public safety, prosecution, courts, corrections. • Alternatives to incarceration.

  6. Pathways to Effect Change

  7. 2018 Insights: How the Drivers Interconnect • Prevention: • Substances cannot be siloed: A multi-substance approach. • A coordinated, comprehensive statewide approach. • Intervention: all about human connection. • No wrong door to services – must weave together Vermont’s many resources. • The first day of treatment is the first day of recovery. • Stigma thrives in darkness – telling our stories generates light.

  8. Effecting Change … What’s Worked. What’s Next?

  9. What’s Workedwith the Opioid Coordination Council • Big table; multi-sector lens • Stories: personal, lived experiences • Building relationships (connection) • New approaches to addressing challenges • Collaboration!

  10. What’s next … for a future Council • Big table; multi-sector lens. • Stories: personal, lived experiences. • Building relationships (connection). • New approaches to addressing challenges. • Collaboration! AND … • All Substances • Focus on Prevention

  11. Priority Strategies Prevention: • Sustainable investment in primary and secondary prevention, in school- & community-based programs, resources and collaborations. • Statewide, multi-generation prevention care continuum, withscreening & sustained home visits for pregnant & parenting women & their children. Intervention and harm reduction programs and services statewide – Meeting people “where they are” with syringe services, MAT*, SBINS, SUD and mental health professionals, and recovery coaches. The Recovery Bridge - A home, a job, and human connection (recovery coaching)

  12. Primary & Secondary Prevention: Invest in our children • Investment model; statewide committee; leadership position; strong collaboratives • Statewide, comprehensive school-based • Afterschool programs and out-of-school activities • Multigeneration prevention care approach for pregnant & parenting women & their children

  13. Intervention Treatment Recovery:The Nexus If Vermont is successful with its intervention strategies, demand for treatment and recovery services will increase as those with addiction are connected to services. (Building Bridges report)

  14. Intervention: Expand & reinforce intervention & harm reduction statewide. Meeting people “where they are” is key to transitioning those with SUD into treatment and recovery. • Syringe services programs • Naloxone • Screening, Brief Intervention and Navigation to Services (SBINS) • Rapid Access to Medication-Assisted Treatment (RAM); Low Barrier Buprenorphine • SUD & MH professionals embedded w/state, local LE • Recovery coaches for just-in-time transitions to treatment & recovery resources

  15. A Call to Action: Never doubt that a small group of thoughtful citizens can change the world; indeed, it’s the only thing that ever has.Margaret Mead Leadership. Resources. The will to listen and act.

  16. More OCC Information: OCC reports, meetings, resources: www.healthvermont.gov/opioid-coordination-council Contact us: jolinda.laclair@Vermont.gov rose.gowdey@Vermont.gov

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