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The Challenge of Opioid Addiction

The Challenge of Opioid Addiction. Valerie Valcour RN, Health District Director Carol Plante, Healthy Lamoille Valley * September 3, 2014. Lamoille Valley Opiate Summit - 2014. Purpose: B uild a web between local efforts and the greater community Spark innovative strategies.

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The Challenge of Opioid Addiction

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  1. The Challenge of Opioid Addiction Valerie Valcour RN, Health District Director Carol Plante, Healthy Lamoille Valley * September 3, 2014

  2. Lamoille Valley Opiate Summit - 2014 • Purpose: • Build a web between local efforts and the greater community • Spark innovative strategies Vermont Department of Health

  3. Lamoille Valley Opiate Summit - 2014 AGENDA • State of the State • Gallery Walk • Recap of June Governor's Opiate Summit • Break • Sharing Groups – “What struck you?” • Wrap Up – Next Steps Vermont Department of Health

  4. PREVENTION Effective prevention addresses various risk and protective factors that can either increase or decrease substance use/abuse. Risk & Protective Factors The Root Causes +/- Vermont Department of Health

  5. PREVENTION • Place Matters • Health is where we live, work, learn, play & pray. Vermont Department of Health

  6. Facts About the Problem Opioids – including prescription painkillers and heroin – are powerful drugs that can be powerfully addictive. Vermont Department of Health

  7. The numbers are going in the right direction. Vermont Department of Health

  8. Heroin use among Vermonters is low and stable. • 2% of high school students reported ever using heroin in 2013 (Youth Risk Behavior Survey) This is down, although not significantly, from 3% in 2011 • Fewer than 1% of Vermonters ages 12+ reported using heroin in the past year in 2011/12 (NSDUH) This is unchanged from 2010/11 In 2011/12 Vermont had a significantly lower prevalence of heroin use compared to the United States Vermont Department of Health

  9. Non-medical pain reliever use is related to heroin use. • NSDUH found that recent (12 months preceding interview) heroin incidence rate was 19 times higher among those who reported prior non-medical pain reliever use than those who did not • NIDA reports that nearly half of young people who inject heroin, surveyed in three recent studies, reported abusing prescription opioids before starting to use heroin. Source: National Survey on Drug Use and Health, 2003-2012 Vermont Department of Health

  10. Heroin deaths are on the rise in Vermont. Note: Total opioid includes un-identified opioids. Heroin and prescription opioids are not mutually exclusive. Vermont Department of Health Source: Office of the Chief Medical Examiner

  11. Why do we call this a crisis? These are big numbers for our small state 50+ die from opioid poisoning every year Young people are most at risk Addiction is a lifelong chronic disease Costs are high – families and communities torn apart • young lives shattered • treatment, health care, law enforcement, corrections, human services $$$

  12. The number of people treated is up since 2004. Source: Alcohol and Drug Abuse Treatment Programs Vermont Department of Health

  13. The number of people treated for heroin is up. Source: Alcohol and Drug Abuse Treatment Programs Vermont Department of Health

  14. Age at first use for opioids is older than for alcohol. Vermont Department of Health Source: Alcohol and Drug Abuse Treatment Programs, admissions 2005-2011

  15. People seek treatment for opioid addiction sooner. Source: Alcohol and Drug Abuse Treatment Programs, admissions 2005-2011 Vermont Department of Health

  16. Making a difference Research shows that a comprehensive approach, using principles of effective prevention, intervention, treatment, recovery and enforcement, is most effective. Vermont Department of Health

  17. Substance Abuse Continuum of Care Fewest Number of People Largest Number of People Specialty Treatment Residential Opioid Hub Highest Level of Care Lowest Level of Care Vermont Agency of Human Services

  18. Good News: We can do this! Opioid abuse and addiction is a complex problem with far-reaching consequences. The good news is Vermonters excel at community action. With everyone working together, we can make progress. Vermont Department of Health

  19. Local Data 2009 – 2013 Youth Risk Behavior Survey Vermont Department of Health

  20. Current Rx Drug Use Source: Youth Risk Behavior Survey Vermont Department of Health

  21. Perception of risk of harm Source: Youth Risk Behavior Survey Vermont Department of Health

  22. Perception of risk of harm Source: Youth Risk Behavior Survey Vermont Department of Health

  23. Perception of risk of harm Source: Youth Risk Behavior Survey Vermont Department of Health

  24. Parental disapproval Source: Youth Risk Behavior Survey Vermont Department of Health

  25. Parental disapproval Source: Youth Risk Behavior Survey Vermont Department of Health

  26. Parental disapproval Source: Youth Risk Behavior Survey Vermont Department of Health

  27. Effective Prevention Evidence-based strategies Population level Multi-sector Vermont Prevention Model Vermont Department of Health

  28. Partnership for Success • Prescription Drug initiatives • Community-wide education • eCheckUp To Go • State of Our Youth Campaign • Youth Engagement • Town Ordinances & Town Wellness Plans • Saturation & Party Patrols Vermont Department of Health

  29. Healthy Community Design • Addresses health issues and trends • Built environment influences eating and activity patterns • Increases access to walking, biking, outdoor recreation, local farms and food and community gardens • * Creates opportunities that make it easier to eat healthy and be physically active Vermont Department of Health

  30. Lamoille Valley Opiate Summit - 2014 • Gallery Walk • Hub & Spoke • Rapid Intervention Community Court • Healthy Lamoille Valley – Partnership for Success • Healthy Lamoille Valley – Healthy Community Design • North Central Vermont Recovery Center Vermont Department of Health

  31. Lamoille Valley Opiate Summit - 2014 • Governor’s Forum on Opiate • June 16, 2014 • Recap Vermont Department of Health

  32. Governor’s Forum • LV Charge to the Community – Address: • Stigma • Host a viewing of Anonymous People http://manyfaces1voice.org/ • Housing & Transportation • Screening • Workplace & School Environment Issues • Family Support • Women & Children • It takes a Community Vermont Department of Health

  33. Lamoille Valley Opiate Summit - 2014 Refreshments Networking • 10 MINUTE BREAK Vermont Department of Health

  34. Lamoille Valley Opiate Summit - 2014 • What did you learn from the gallery walk? • What intrigued you? • What questions do you have about prescription drug abuse and opioid use in Lamoille Valley? • What connection can you take or make? • How will you apply this info? • If you had a no cost or low cost strategy to combat the problem of opioid and prescription drug abuse, what would it be? Vermont Department of Health

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