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San Francisco Bay Area Drug Trends and Effective Intervention Strategies

San Francisco Bay Area Drug Trends and Effective Intervention Strategies. Alice Gleghorn, Ph.D County Alcohol and Drug Program Administrator San Francisco Department Of Public Health. HEROIN PRICE* AND PURITY *Price unit = per milligram pure. $1.40 10%

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San Francisco Bay Area Drug Trends and Effective Intervention Strategies

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  1. San Francisco Bay Area Drug Trends and Effective Intervention Strategies Alice Gleghorn, Ph.D County Alcohol and Drug Program Administrator San Francisco Department Of Public Health

  2. HEROIN PRICE* AND PURITY*Price unit = per milligram pure $1.40 10% $0.99 12% $0.98 11% $0.98 11% $0.89 12% $0.69 10% $1.28 8% $1.07 7.8% 2009 $2.09 5.8% 2010 $2.32 5.7% 2011 $1.40 3.9% Source: DEA 2011 Heroin DMP, March 2011

  3. Lab analysis of “Gunpowder” sample in 2012 found heroin, lidocaine, codeine, and morphine

  4. San Francisco ED Reports 2004-2011 Source: DAWN 2011(weighted data)

  5. San Francisco ED Reports 2004-2011, % changeSource: DAWN 2011 Drug Abuse Warning Network, 2011: Selected Tables of National Estimates of Drug-Related Emergency Department Visits. Rockville, MD: Center for Behavioral Health Statistics and Quality, SAMHSA, 2013

  6. 5 Bay Area Counties: 2012 Prescription Quantities By Drug Name

  7. 5 Bay Area Counties: Prescription QuantitiesHydrocodone/APAP CURES Data provided by Mike Small, CA DOJ

  8. Primary Drug Treatment Problem: Percent of total admissions5 Bay Area Counties; FY2012-13 Source: DHCS 12-19-13 CalOMS Data System, Craig Chaffee

  9. San Francisco Treatment Service Episode by Primary Drug Problem : FY0607 through FY1112(Source: CBHS BIS Admission Data)

  10. SAN FRANCISCO COUNTY PRIMARY DRUG AT TREATMENT ADMISSION PERCENTAGE BY AGE, 2011-12[I] [i]Source: CalOMS Tx Data, Department of Alcohol and Drug Programs

  11. 1997: Treatment On Demand • Treatment Expansion: Significant, sustained local funding increase • Commitment to Harm Reduction approach: Reaching people wherever they are to reduce death and drug-related harm • “Heroin Issues” subcommittee: • 1. Hep C Prevention • 2. Alternative Treatment modalities • 3. Soft-Tissue Infection • 4. OVERDOSE DEATH PREVENTION

  12. TOD Heroin Issues Committee Actions: • 1) Train Community Outreach & Syringe Exchange on overdose preventioneducation • 2) Conduct broad public education campaign to increase overdose awareness • 3) Target overdose responsetraining for people at-risk of heroin overdose in jails, probation, and drug treatment programs • 4) Test the feasibility and effectiveness of training heroin users to administer naloxone as anoverdose death prevention tool

  13. Drug Overdose Prevention Education (DOPE) Focus • Overdose Risk Factors • Recognizing Overdose signs • Overdose response: • Call 911, Rescue Breathing, Recovery Position,& Follow Up Medical care • Naloxone Pilot Program • 2003- Naloxone distribution and refills • 2010 – Intra-Nasal device • Target populations • SROs, Jail, SEPs, • Residential and Opiate Treatment Programs • AB 109 (Prisoners released to communities) • Pharmacy/Primary Care, Pain medication

  14. Deaths Involving Drug Abuse – DAWN SF Metropolitan Area -1994-2002 Source: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network, 2002 (092003 update) • Heroin deaths: 1997= 297; 2010= 8

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