The Opioid Crisis in Connecticut - CT Bar Foundation

The Opioid Crisis in Connecticut - CT Bar Foundation

The Opioid Crisis in Connecticut Quinnipiac University Opioid Summit November 9, 2018 Connecticut Department of Mental Health and Addiction Services DMHAS Lead state agency for adult mental health and substance use services Nearly 107,000 served by DMHAS system of care in FY17 Two State hospitals and 6 State-operated Local Mental Health Authorities

134 non-profit agencies provide individuals with substance use and mental health services Prevention, Treatment and Recovery Support Treatment and support for adults only (18+) Prevention services across the lifespan Connecticut Department of Mental Health and Addiction Services Nationally Northeast has been hard hit Since 2007, nearly a 150% increase in heroin abuse or dependence Heroin use has more than doubled among young adults ages 18-25 in the

past decade In many cases, prescription painkiller misuse leads to heroin use New England has highest overdose rate out of other comparable regions in the country Connecticut Department of Mental Health and Addiction Services Heroin and Other Synthetic Opiates Heroin Less expensive than prescription opiates Increased availability

High purity Synthetic opiates Even less expensive than heroin More potent Fentanyl, carfentanil, furanyl fentanyl These vials show the lethal dosage of each drug. Carfentanil is significantly more potent. Photo credit: Paige Sutherland/NHPR

Connecticut Department of Mental Health and Addiction Services Connecticut Accidental Drug Intoxication Deaths *Some deaths had combinations of drugs; pure ethanol intoxications are not included. ** These include Acetyl Fentanyl, Furanyl Fentanyl, Carfentanil, Fluorobutyryl Fentanyl, Butyryl Fentanyl, and U47700, NOS, not otherwise specified. Updated 9/12/18 Connecticut Department of Mental Health and Addiction Services Connecticut Department of Mental Health and Addiction Services

Opioid-Related Legislation in Connecticut Good Samaritan Law protects individuals from arrest for possession of drugs/paraphernalia when calling 911 for help in an overdose situation (2011) Naloxone, a life-saving medication used to reverse opioid overdoses, can be prescribed by trained pharmacists (2015) Also protections for individuals administering naloxone in the event of an overdose (2014) Limits on prescribing of opioid medications 5-day limit for minors (2017) 72-hour limit for prescribers to prescribe to family members in an emergency (2018) Connecticut Department of Mental Health and Addiction Services

Alcohol and Drug Policy Council (ADPC) Chaired by DMHAS and Dept. of Children and Families Tasked by Governor Malloy to coordinate state substance abuse prevention and treatment efforts and develop recommendations on addressing the states opioid crisis Subcommittees working to implement recommendations Prevention, screening and early intervention Treatment and recovery supports Recovery and health management Criminal justice Connecticut Department of Mental Health and Addiction Services

Connecticut Opioid Response (CORe) Initiative Governor Malloy engaged the Connecticut Opioid Response (CORe) team to supplement and support the work of the ADPC by creating a focused set of tactics and methods for immediate deployment Tactics include: Increase MAT use among incarcerated Increase access to buprenorphine Increase accessibility to naloxone Educational efforts with media, agencies, health care and public health personnel

Diverting individuals from the legal system to the health care and treatment system Connecticut Department of Mental Health and Addiction Services DMHAS Prevention Activities Public messaging LiveLOUD campaign getting ready to launch Promote drop boxes and drug take back days Participate in a number of community task forces, workgroups and advisory

boards across the state to coordinate efforts Federal funding for communities to prevent prescription drug misuse in teens & young adults Connecticut Department of Mental Health and Addiction Services Federal Grants 25 different initiatives State Targeted Response (STR) Grant $5.5 million each year for two years (2017-2019) Increased access to Medication Assisted Treatment (MAT) Implemented MAT induction at Osborne DOC pre-release center

State Opioid Response (SOR) Grant $11.1 million each year for two years (2018-2020) Funding for DOC to provide MAT to inmates pre- and post-release Street- and shelter-based MAT in New Haven and one other urban center (TBD) Fund Law Enforcement Assisted Diversion (LEAD) for Hartford and New Haven police departments Connecticut Department of Mental Health and Addiction Services Broad Spectrum of

Services Serving Individual s in Recovery from SA

Inpatient Detox SA Residential Treatment SA Residential Long-Term SA Outpatient and IOP DMHAS Recovery Houses Methadone Maintenance Treatment Connecticut Department of Mental Health and Addiction Services Unduplicated Individuals Served Annually (includes DMHAS-funded and non DMHAS-funded services)

Level of Care Utilization Inpatient Detox 11,356 SA Residential Treatment 7,223 Residential Long Term Care and Halfway House

1,834 SA PHP, IOP and OP 43,352 Methadone Maintenance Treatment (MMT) 21,570 *FY2018 (7/1/2017 to 6/30/2018) Connecticut Department of Mental Health and Addiction Services

ACCESS Line 1-800-563-4086 Statewide toll-free number for people seeking treatment and information about treatment and services Answered 24/7 Detox screening via conference call with the caller, ACCESS Line operator and detox provider If person is recommended for detox, stays on the phone until an available detox bed is located Transportation to detox is available when necessary Connecticut Department of Mental Health and Addiction Services

Addiction Bed Availability Website www.ctaddictionservices.com Real-time bed availability for DMHAS addiction beds Connecticut Department of Mental Health and Addiction Services Recovery Coaches in EDs Launched in Spring 2017, with 4 EDs (Manchester Memorial, Lawrence + Memorial, Backus and Windham) Recovery coaches go to EDs and connect individuals with substance use disorders to services Peer staff have personal experience that helps in a unique way

with engagement and linkage to treatment and recovery supports Expanded in late-2017 with 4 new EDs: Danbury, Saint Francis, Day Kimball and Midstate Medical Two more hospitals (TBD) are being added Connecticut Department of Mental Health and Addiction Services Recovery Coach Referrals (March 1, 2017 June 30, 2018) Connecticut Department of Mental Health and Addiction Services

Recovery Community Centers Drop-in community centers Three locations: Bridgeport, Hartford, Windham Peer-to-peer recovery support services Recovery meetings Recovery training series Family support Recovery coaching Recovery social events Connecticut Department of Mental Health and Addiction Services What YOU Can Do

Connecticut Department of Mental Health and Addiction Services Know Your Children and Grandchildren Get involved in their school Know their friends and their friends parents Educate them about the dangers of prescription medications and other drugs

Connecticut Department of Mental Health and Addiction Services Talk With Your Doctor When being prescribed medication Ask if there are alternatives to opioids for pain management Ask if you need that many refills Ask about a plan for longterm pain management, if necessary Connecticut Department of Mental Health and Addiction Services

Monitor Your Medications Count your medications Make sure they are locked and secure Connecticut Department of Mental Health and Addiction Services Get Rid of Unwanted Meds Bring any unused pain medications to a local drop box or to a drug take back event for disposal ASAP Connecticut Department of Mental Health and Addiction Services

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