wwwsummitcountyaddictionhelporg SCOATF A group of key individuals and organizations committed to reducing the tragic consequences of opiate abuse and addiction in Summit County through education collaboration and the wise use of available resources ID: 1033110
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1. Addiction, Mental Health and Your Communitywww.summitcountyaddictionhelp.org
2. SCOATF – A group of key individuals and organizations committed to reducing the tragic consequences of opiate abuse and addiction in Summit County through education, collaboration, and the wise use of available resources.Numerous people in the community have connected with the Opiate & Addiction Task Force for education and assistance, including: Prescribers - Legislation now requires prescribers, MD’s, dentists, and pharmacists to consult the Ohio Automated Rx Reporting System (OARRS) to prevent overprescribing/abuse. Prescriber education.Summit County Opiate & AddictionTask ForcePeople in recovery Physicians (OARRS)Family membersClergyJudgesPolice and Fire chiefs School representatives Elected officialsPublic healthTreatment/prevention providers
3. The opiate epidemic lowered the life expectancy age for the United States by X.X years. In 2018, life expectancy at birth was 78.7 years for the total U.S. population—an increase of 0.1 year from 78.6 years in 2017 (Figure 1). For males, life expectancy changed from 76.1 in 2017 to 76.2 in 2018—an increase of 0.1 year. For females, life expectancy increased 0.1 year from 81.1 years in 2017 to 81.2 in 2018. (CDC)Unintentional drug poisoning is now the leading cause of accidental death in the U.S.(Surpassed motor vehicle accidents as the leading cause in 2007.)Did you know…?Alcohol related deaths = 88,000 people* Excessive alcohol use is responsible for 93,000 deaths and 2.7 million years of potential life lost every year in the United States, according to a new study from the Centers for Disease Control and Prevention (CDC).*This only accounts for alcohol-related diseases like cirrhosis, alcohol poisoning, organ failure, withdrawal. NOT vehicle fatalities.Bar chart
4. Epidemics of unintentional drug overdoses in Ohio,1979-2019 1,2,34Source: 1WONDER (NCHS Compressed Mortality File, 1979-1998 & 1999-2005) 22006-2011 ODH Office of Vital Statistics, 3Change from ICD-9 to ICD-10 coding in 1999 (caution in comparing before and after 1998 and 1999) Prescription drugs led to a larger overdose epidemic than illicit drugs ever have. Mortality rates are 7-8 times higher than ‘black tar’ heroin epidemic & 6-7 times higher than the peak of crack cocaine epidemic.Prescription Pain Medication (opioids)Crack CocaineHeroin Heroin & Rx opioids
5. Summit County OverdosesSource: Summit County Public Health www.scph.org
6. Overdose Deaths in Ohio by YearSource: Summit County Public Health www.scph.org
7. How does the brain become addicted?The drug binds to specific receptors in the brain (the alpha, kappa, and mu receptors), which produce a pleasurable effect (euphoria) from Dopamine that is released. National Institute on Drug Abuse - Drugs, Brain, and Behavior: The Science of Addiction
8. Addiction is a diseaseDiseases affect OrgansCause a defect in the organWe know because there are symptomsA drug is a drug. Focus on the disease, not on drug. The disease is addiction. The BRAIN is the organ involved in the disease of addictionNo good tests for brain diseasesBrain diseases are more likely to be labeled as “badness” It is NOT a moral failing or “bad” choices.
9. Source: ODH Violence and Injury Prevention Program9Contributing FactorsCartels increasing potency/purity, decreasing price, flooding the market – could put this in the notesNick will check DEA site tooThis site doesn’t have an updated graphic for this – they are the ones who have Take Charge Ohio so we could include that
10. What is dependency?Once a person is physically dependent to a drug, if they stop using they can develop the following symptoms:Flu like symptoms (Chills, Vomiting, Diarrhea, Nausea)Trouble sleeping IrritabilityRestless leg syndromeMedication Assisted Treatment (MAT) is a tool to reduce symptoms or cravings so people can attend to treatment.
11. Continuum of careConnecting to Addiction TreatmentRecoveryAssessmentTreatmentAmbulatory DetoxResidential DetoxMATResidential TreatmentSupport GroupsRecovery CoachSober HousingIndividual /Group CounselingRecovery HousingIOP (Intensive Outpatient)OutpatientADM Crisis CenterHelp Line
12. Continuum of careConnecting to Mental Health TreatmentRecoveryAssessmentTreatmentPortage Path Emergency ServicesPharmacological TreatmentFIRST Episode ProgramResidential TreatmentSupport GroupsBehavioral Health Counseling & TherapyHomeless Outreach
13. Children’s Hospital - Babies being born in withdrawal (Neonatal Abstinence Syndrome)Children’s Services – Seeing an increase in cases due to parents who have addiction Schools – Teen suicides increasingCourts – Overprescribing leads to diversionCommunities – Drug involved criminal activityJails – Drug withdrawal while incarceratedMedical Examiner’s Office – Increased overdose deathsADM Board – Treatment need exceeds available resources/capacityCommunity Impact:
14. Education - (www.summitcountyaddictionhelp.org)Reducing stigmaDefining PreventionHarm ReductionCourt Diversion ProgramsADM System GrowthResidential Detox Ambulatory (Outpatient) DetoxMAT (added Suboxone, Vivitrol)Recovery Coaches & Family SupportSober Housing Quick Response Teams Addiction Help LineResponding to the Community
15. Education: Risk & Protective Factors for Drug Use, Misuse & Addiction
16. It Can Start Early in LifeSummit County YOUTH Risk Behavior Survey (YRBS) 2018
17. It Can Start Early in LifeSummit County YOUTH Risk Behavior Survey (YRBS) 2018
18. Prevention“An ounce of prevention is worth a pound of cure.” -Benjamin Franklin
19. ASIA, Inc.Minority Behavioral Health GroupGreenleaf Family CenterAkron UMADAOPChild Guidance & Family SolutionsCHC Addiction ServicesSummit County Community PartnershipOhio GuidestoneAlliance for Healthy YouthICARE Mentoring/United WaySummit County ESC/PAX GBGCatholic CharitiesFunded Prevention Agencies
20. Harm ReductionUnderstanding Harm ReductionHarm reduction recognizes that substance use is inevitable in society and it’s important to take a public health-oriented approach to minimize the potential harm associated with itHarm reduction values individual choice and the dignity of individualsFocus on harm: the actual substance use is secondary to the potential harm that may result in that use Everyday examples of harm reduction:SunscreenWearing a seatbeltWearing a motorcycle helmetUsing a life preserver while swimmingUsing plastic cups around a swimming poolUsing nicotine gum or patches in place of smoking
21. Project DAWN – A free community-based drug overdose education & naloxone distribution program for the reversal of opiate overdoses, in conjunction with calling 911. Free DAWN kits are available by attending a clinic at: www.scph.org Multiple locations including mail orderSummit Safe – A free needle exchange program through Public Health to engage users with information and reduce the risk of HIV and hepatitis CProper DisposalD.U.M.P. (Dispose of Unused Medications Properly)Drug Take Back Day – twice per year Deterra Bags – drug deactivation bagsFentanyl Test StripsGood Samaritan LawsHarm Reduction
22. Turning Point - Common Pleas Court- Treatment in lieu of conviction. Structure – Participants are court monitored for up to one year. Participants must remain compliant to court treatment recommendations and other court ordered mandates such as probation and community service.Crossroads - Serves children with substance abuse/dependence problems and mental illness. Intensive probation lasting a minimum of one year with regular court appearances. The program also works with parents and children to strengthen and improve the family unit through counseling.Recovery Court – Akron Municipal Court and the Oriana House - “Through Recovery Court, less-serious, drug abuse offenders have the opportunity to have their charges dismissed once they successfully meet all the demands of the year-long program, including treatment, aftercare, sobriety, case management and drug free status.” Court Diversion Programs
23. ADM System GrowthResidential Detox – No waitAmbulatory (Outpatient) Detox – Adult & Adolescent – No waitMAT (added Suboxone, Vivitrol) – expanded programRecovery Coaches & Family Support Sober HousingQuick Response Teams – over 1,000 people helpedAddiction Help Line
24. ADM System GrowthResidential Detox – No waitAmbulatory (Outpatient) Detox – Adult & Adolescent – No waitOriana HosueCHC Addiction Services (Adult & Adolescent)BrightviewMAT (Methadone, Suboxone, Vivitrol) – new programs offered within the county in 2020Recovery Coaches & Family Support – total certified peer supporters through OhioMHAS is 167 through July 2020Sober Housing - expanded our ADM funded beds by 21 in March 2020 (16 male and 5 female)
25. Quick Response TeamsBegan January 2017 to provide quick support and guidance to treatment for those who have experienced an overdose. The team including a police officer, a medic, and a trained counselor follows up within 3-5 days after an overdose. 10 teams covering over 80% of the county2,326 QRT Patients - 1,352 QRT Patients Connected to TreatmentADM System Growth
26. ADM Addiction Help Line ADM Addiction Help Line (Open from M-F 8:30am-4pm) Assists individuals who are looking to recover from an addiction to alcohol, drugs or gambling. Caller will be provided with information about treatment options available to them based on their individual circumstances & be directly connected to the treatment provider of their choiceOver 1,000 people helped330-940-1133ADM System Growth
27. Local Crisis Line - Portage Path 330-434-9144Crisis Text LineNationwide text line open 24/7 for emotional supportNational Suicide Prevention Lifeline24/7, free and confidential support for people in distress, prevention and crisisTrevor Projectprovides crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning (LGBTQ) young people under 25 Mental Health Crisis Lines
28. Link between mental health & addictionAddiction & mental illness can co-occurTreat whole personReduce stigmaChange Direction Summit CountyCounty-wide initiative to change view of getting help with mental healthSummit County Trauma Informed Care Coalition increase understanding within the community about trauma and its effects, to improve quality of care and access to evidence-based services for individuals and families affected by traumaVisit www.changedirection.org for more information Mental Health & Addiction
29. Trauma Informed Care CoalitionTrauma can occur at any age but trauma before age 18 can affect ACE’s (Adverse Childhood Experiences)Understand trauma and its effects to improve quality of care and access to evidence-based services for those affected by traumaSuicide Prevention CoalitionSuicide prevention and resources for survivorsHoarding Task ForceResources on clutter and hoardingLink between mental health& addiction
30. Suicides in Summit County
31. If you are a parentSet limits and talk about the affects of drugs abuseTeach teens how to get out of an uncomfortable peer pressure situation – www.starttalking.ohio.govWatch how you use medicines in front of teens; model good behaviorIf you are a faith leaderStart a conversation with your congregation about addressing mental health concerns to reduce stigmaJoin Change Direction to access valuable trainings specific to faith community – www.changedirectionsummitcounty.org Parents & Faith Community
32. Questions?www.admboard.org www.summitcountyaddictionhelp.org