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Westmoreland County Drug overdose epidemic

Westmoreland County Drug overdose epidemic. Root Cause Analysis Work Group. In an effort to identify the root cause of the overdoses in Westmoreland County, a work group was developed to analyze the overdose deaths from January 2012 to March 2013 (15 months) – Coroner’s Report

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Westmoreland County Drug overdose epidemic

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  1. Westmoreland County Drug overdose epidemic

  2. Root Cause Analysis Work Group In an effort to identify the root cause of the overdoses in Westmoreland County, a work group was developed to analyze the overdose deaths from January 2012 to March 2013 (15 months) – Coroner’s Report • 2011: There were 64 overdose deaths • 2012: There were 78 overdose deaths • 2013: There were 86 overdose deaths

  3. Overdose Deaths • l00 individuals accidently overdosed and died in Westmoreland County; this figure does not include deaths outside of the county boarders or intentional deaths. • 68% were male and 32% were female • 97% were white, 2% were African American and 1% were Hispanic

  4. Coroner Reports • 71% of the time the overdose incident occurred at the individual’s residence • Most other locations included hotel rooms and homes of friends or family members • Only 9 were reported by family members to have a history of previous overdoses

  5. Age Ranges(Coroner’s Reports)

  6. Causes By Age Range

  7. Westmoreland CountyLegal Histories Of the 100 individuals: 65 had legal charges in Westmoreland County Of the 65 with legal charges: 18% had only charges related to substance abuse 18% had only other charges 64% had both substance abuse related and other charges 58% were incarcerated in Westmoreland County prison at least once 21% were incarcerated 4 or more times

  8. MA Eligible(at some point in life) Of the 100: 68 had Medical Assistance (MA) Healthcare Coverage at some point Of the 68: 61 individuals (90%) used their MA coverage for mental health or substance abuse services or prescribed medications (PH/MH/SA)

  9. Treatment History Of the 68 who had MA coverage: • 55 accessed mental health or substance abuse treatment between 2001 and 2013 (80%) • 13 never accessed treatment services (20%) Of the 55 who received treatment • 11 individuals accessed substance abuse treatment funding through the SCA

  10. Treatment History Of the 55 receiving treatment through MA or SCA funds: • 25 of these individuals received both substance abuse and mental health treatment (45% Dual) • 22 received only mental health treatment services (39%) • 9 received only substance abuse treatment services (16%)

  11. MEDICATIONS Of the 68 MA eligible individuals: • 42 of individuals were prescribed medications (62%) Of those 42 individuals : • 98% were prescribed medication that could be addictive

  12. medications Duplicative Individuals 93% were prescribed medications for physical health issues 93% were prescribed medications for mental health issues 24% were prescribed medications to address substance abuse issues

  13. The Westmoreland County Drug Overdose Task Force was established by the County Commissioners to devise and implement a plan to reverse the trend and accomplish a 25% reduction in overdose deaths by 2019

  14. The Advisory Steering Committee Commissioner Chuck Anderson Commissioner Tyler Courtney Commissioner Ted Kopas County Coroner Ken Bacha Detective Tony Marcocci

  15. Working Steering committee Working steering committee co-chairs: Colleen Hughes Executive Director of Westmoreland Drug and Alcohol Commission, Inc. Dirk Matson, Director of Human Services, Westmoreland County This committee involves representatives from various stakeholders throughout the county that support the efforts of the Task Force and serve as Subcommittee Chairs

  16. Subcommittees • Advocacy Subcommittee • Education/Media Outreach Subcommittee Health Care General Population Over 41 Youth • Continuum of Care Treatment Criminal Justice

  17. Advocacy Subcommittee • Educate Legislators and State Department Regulators on the overdose epidemic • Identify three issues for advocacy and develop strategies for defined outcomes

  18. Education/Media OutreachHealth Care Develop an education campaign for Health Care Providers: This subcommittee has been charged with the task of educating the healthcare workforce, including physicians, and engage them in the process. The objectives of the module are to provide education and information that will: • Define the scope of the problem • Identify the contributing factors • Provide resources to access for healthcare workers and their patients • Encourage healthcare workers to get informed, get involved and get invested

  19. Education/Media Outreach Target population • General Public • 41 and older • Youth The purpose is to increase public awareness and change community standards and attitudes regarding both substance abuse and substance abuse related deaths. The campaign will reach out to individuals through: • Social media marketing campaigns via Facebook, Twitter, Instagram, Pinterest and Google + • Website Development, an interactive website to engage individuals and provide community resources • PSAs, Billboards and media

  20. getinwestmoreland.org

  21. Continuum of CareTreatment • Create a welcoming environment to decrease stigma and fear of rejection • Enhancement of treatment services to engage individuals through a full continuum of care • Increase the number of individuals engaged in recovery support services which support long term recovery and improve an individual’s quality of life

  22. Continuum of CareCriminal Justice • Provide more diversion opportunities for low risk offenders in the criminal justice system • Better coordinate and evaluate offenders successful community reentry • Cross system staff training and development

  23. Community Member Representatives Community members are responsible for keeping the Task Force and Community accountable. They serve as the eyes and ears of the community.

  24. SPF-PFSStrategic Prevention Framework-Partnership for Success Westmoreland Drug and Alcohol Commission, Inc. was awarded funding through the Department of Drug and Alcohol Programs (DDAP) to implement the Strategic Prevention Framework - Partnerships for Success (SPF-PFS) initiative. The SPF-PFS is designed to address two of the nation's top substance abuse prevention priorities: 1) underage drinking among persons aged 12 to 20; and 2) prescription drug misuse and abuse among persons aged 12 to 25.

  25. SPF PFS Some efforts through the SPF PFS grant : • Expand Drug and Alcohol prevention services in twoschool districts, Greater Latrobe and Norwin, to provide services to students in the full spectrum of K-12 • Stickers identifying Drug Take Back locations will be placed on pharmacy medication bags identifying the local take back locations.

  26. Drug Take Back Pharmacy Stickers Got Drugs? If you have prescription or over the counter non-liquid medications that you would like to dispose of, contact one of these drug take back locations. City of Latrobe Police Dept. (724) 537-5526 Ligonier Township Police Dept. (724) 238-5105 Borough of Ligonier Police Dept. (724) 238-5611 Seward Borough Police Dept. (814) 446-6164 Sponsored by: Council on Substance Abuse and Youth 724-684-9000 ext. 4446

  27. Mobile Case Manager • Primary Goal: • To divert patients from the Emergency Rooms and send them to non-hospital Detox and Inpatient Rehab services • How this initiative began……. • Common complaint: Stabilized at ER, released, return to drug use, return to ER for stabilization. • Drug Overdose issues within the County • To address these issues, WeDAC, SPHS Drug and Alcohol Case Management Unit and Excela Westmoreland Hospital will be implementing the Mobile Case Manager Program.

  28. Warm Hand Off • The goal: While at the ER/Hospital: • Evaluate for level of care needed • Initiate funding and/or authorization for detox/residential services • Set up a bed date/admission to residential services • Coordinate transportation TO residential services directly FROM the ER

  29. Outcomes • Offering Drug and Alcohol assessments to all Overdose survivors entering the hospital • Offering Drug and Alcohol assessments to all substance abusing patients in Psychiatric Inpatient, Med Surge Unit or involved in the Crisis Response Center • Giving information on accessing treatment services to all patients who survived an overdose and refused a Drug and Alcohol assessment.

  30. Roll out • 2 Phase Process: • Phase 1: • Working 3pm to 11pm shifts 3 days a week at the Behavioral Health Unit at Excela Westmoreland Hospital • Phase 2: • After Hours On-Call process: Mobile Case Managers will be on call to go to Excela Westmoreland Hospital to meet with an individual. The Mobile Case Manager will arrive at the hospital within 2 hours of the referral. • Expand to the other hospitals throughout the county to include Frick & Latrobe Hospitals • ROLL OUT DATE: JUNE 17, 2014

  31. Follow Up Services • Continue to follow up with client for continuum of care through outpatient treatment services • Link with a Certified Recovery Specialist • Engage the client in Case Coordination services to address non-treatment needs including: housing, education , employment, mental health services, physical health care issues, transportation issues, recovery support services, etc.

  32. Questions?

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