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Healthy Kids Learning Communities : Facilitated Discussions on the Opioid Crisis in Ohio

Engage in facilitated discussions to understand the impact of Ohio's opioid crisis on children and families. Explore strategies, resources, and make recommendations for supporting youth and parents in recovery.

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Healthy Kids Learning Communities : Facilitated Discussions on the Opioid Crisis in Ohio

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  1. Healthy Kids Learning Communities:Facilitated Discussions on the Opioid Crisis in Ohio Angela Lariviere, Youth and Family Advocate Case Western Reserve University Center for Innovative Practices

  2. The Opioid Crisis in Ohio The opiate crisis in Ohio is affecting our children and families at alarming rates. In order to understand the impact of the crisis, family and youth discussion groups were held to identify concerns and make recommendations.

  3. Discussion Groups Northwest, Southwest, Southeast, Central, Upper Northeast and Lower Northeast Regions They included: Youth, Families and Providers

  4. Facilitated discussion and activities were used to: explore the impact of the epidemic and give voice to ideas and concerns.explore strategies and models that support youth, parents and/or kinship caretakers in recovery.

  5. OPENING • INTRODUCTION ACTIVITY: COMMON CIRCLES • GOALS AND EXPECTIONS • DEFINE THE PROBLEM • WRITTEN FEEDBACK • IDENTIFY COMMUNITY • EXPLORING RESOURCES • MAKE RECOMMENDATIONS • EVALUATIONS • ADJOURN AGENDA

  6. What We Know Defining the Problem

  7. Facts: Children in the System • 50% of children taken into custody in 2015 had a parent actively using drugs with 28% actively using opiates or heroine • 70% of children under the age of 1 in custody had a parent actively using opiates or heroine • Children in relative placement has increased 62% • Foster Care placements have increased 11%. • Shortage of front line staff • In 2016, 1 in 4 cases workers left their positions • 1 in 7 case workers left their position all together • Ohio ranks 50th in the nation for state funding for Child Welfare *Source: Public Children Services Association of Ohio

  8. The FACTS Ohio is the Second worst state in the nation for drug overdoses, with Dayton ranked 1rst with the highest per capita overdoses in the county. We rank in the top 6 for most deaths. Children in relative placement has increased 62% Foster Care placements have increased 11%. While Opiate use has increased the State allotment of Child Welfare funding has decreased by 21%.

  9. What we see What we don’t see Families and children Doubled up with Grandparents and other Relatives due to parents Opiate addiction but not Officially involved with Child welfare.

  10. Written Responses • What is the biggest issue facing your community? • What is one barrier to accessing treatment or services in your area? • What is the most important thing you need when helping a friend or family member who is addicted?

  11. What is the biggest issue facing your community? • Drugs - #1 • Violence - #2 • Lack of police officers • Nothing to do • No safe activities for youth • People thinking it is OK to get high • Peer pressure • Lack of awareness about Trauma and Addiction • Lack of mental health treatment for children in foster care • Addiction • Stigma • Parent participation • Unemployment • Broken homes • Understanding culture and community • Lack of funding for services • Nothing better to do but get high • Poverty • Not enough free things to do • Overdoses • Gangs

  12. What is one barrier to accessing treatment or services in your area? • Access • Age • Cost • Culture • Lack of options in low income areas • Lack of services and inpatient for youth • Lack of services for the entire family • Parents not giving permission for youth to participate in treatment or counseling • Transportation to follow up • Not knowing how to get signed up • Lack of school based services • Lack of understanding about what is available • No support • No medical insurance • Have to get in trouble before you can get services • No local options • Not having anywhere to go after • Keeping motivated

  13. What is the most important thing you need when helping a friend or family member who is addicted? • Access to resources - #1 • Some type of Peer support - #2 • Have a support system • People who know and understand • Resources • Knowing how to connect to services • Medical/professional guidance • Affordable sober living options • Love • Support • Empathy • Whole family resources • Information about how to get access to treatment • Workers with personal experience • Support groups • Someone you can trust • Family • Faith

  14. Defining Community Roles, Barriers, Supports and Recommendations

  15. Community Members Identified • Self • Peers • Family • Police • Emergency Responders: Including EMT and ER • Schools • Government • Treatment Programs: In and out patient • Courts • Child Welfare • Community Agencies: including churches, community centers, afterschool programs

  16. Schools

  17. Police

  18. Courts

  19. Child Welfare

  20. Other

  21. Other

  22. Making Statewide Recommendations 10 Common Priorities

  23. Flexibility in funding community based solutions, not only evidence based practice but also to allow new ideas. Support and interventions for families through Child Welfare before major crisis and support for older youth who are unattached to families. Strategic partnerships with community based agencies including Y programs, community centers, faith based, afterschool programs, and housing agencies. Better communication between Government agencies local community agencies and persons with lived experience. 5. Focus on culture, mental health and trauma training for Police.

  24. Funding and support for school based services, including behavioral health services and trauma, community resources and intervention training for teachers. Access to self and family referral to treatment facilities. Funding for professional peer support services to family and youth. Increase drug and mental health interventions and diversion programs in the court system. 10. Entire family issues and dynamics should be considered when treating children and youth for behavioral health problems.

  25. FOR MORE INFORMATION • SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION www.samhsa.gov • Public Children Services Association of Ohio www.pcsao.org • Case Western Reserve University Center for Innovative Practice https://case.edu/socialwork/begun/center-for-innovative-practices-cip • Bobbi Beale bobbi.beale@case.edu • Angela Lariviere : Angela.yepdirector@gmail.com

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