Heroin Associated Deaths in Greene

County, OhioJane McClelland, BSN, RN, Public Health Nurse

Melissa Howell, Health CommissionerDon Brannen, PhD, MHSA, MS; Epidemiologist

Ashley Steveley, MPH, Health Educator

Greene County Ohio Deaths from Heroin Induced Injury• 2013 Year • 5 Greene County residents that died in Greene County.• 1 resident death out of county.• 4 non-resident deaths in county.

• 2014• 6 Greene County residents that died in Greene County.• 1 resident death out of county.• 5 non-resident deaths in county.

Drug Related Deaths in 2013 Either Died or Resided in Greene County• Not all are

heroin. • There were only

10 deaths with heroin mentioned in 2013 so casted the net wider.

Drug Related Deaths in 2013

Year of Death

Heroin Induced County of Death

County of Residence

CLARK FAYETTE GREENE LOGAN MEDINA MONTGOMERY MORGAN

2013

No

GREENE 1 22 1 4

MARION 1

MONTGOMERY 3

YesGREENE 5 1

MONTGOMERY 4

2014

No

GREENE 1 1 32 2 1

LUCAS 1

MONTGOMERY 6

Yes

GREENE 6 1

MAHONING 1

MONTGOMERY 5

HARRIMAN WADSWORTH BELLBROOK BEAVERCREEK FAIRBORN XENIA012345678

City of Residence of Persons who Died with Any Association to Heroin (se-lected from persons who Lived in or Died while in Greene County during

2013 and 2014)

Provisional 2015 Data

• 18 residents Greene County residents with associated drug intoxication related deaths• 8 females, 10 males• 26-59 years of age• 7 MDI• 6 Oxycodone, Fentanyl, Cocaine, Meth• 5 Heroin• 10 Fairborn, 4 Xenia, 4 Other areas of County

In Greene County during 2013 and 2014 there were 11 total heroin induced deaths of Greene County residents.

From 2012 to 2013, there was an increase in heroin associated deaths in the 20-39 age group from 1 to 7 deaths.

Xenia had the largest number of heroin associated deaths with a total of 7 deaths in Greene County during 2013 and 2014 (this includes residents and non-residents).

Summary

TCN Behavioral Health Services

• In the past year, TCN treated 1,038 patients with an Opiate Addiction diagnosis• Of the 1,711 patients treated for substance abuse in FY 2015,

61% used opiates – a 9% increase from the previous year

TCN Behavioral Health Services

• The number of patients receiving Medication Assisted Treatment for opiate dependence – and TCN’s capacity to treat them – has increased by 256% over the past five years• TCN has seven physicians partially allocated to providing

Medication Assisted Treatment services to opiate addicted patients

Client Characteristics

• Over the past 11 years, TCN has treated over 4,700 patients for opiate addiction

• Primary age ranges that patients seek treatment from TCN for Opiate Addiction are 20-30 years old (42% all opiate dependent patients) and 30-40 years old (35%)• TCN patients with opiate diagnoses are more often male (55%)

than female (45%)

Deaths Avoided With Naloxone (DAWN)• TCN began Project DAWN in August 2015 to reduce the number of opioid-related

deaths • A community-based overdose education and naloxone distribution program. Project

DAWN participants receive training on:– Recognizing the signs and symptoms of overdose – Distinguishing between different types of overdose – Performing rescue breathing – Calling emergency medical services – Administering intranasal Naloxone (also known as Narcan)

Project DAWN

• Training is given to TCN clients who are undergoing Suboxone Induction and Suboxone Maintenance groups.

• 87 kits have been prescribed to clients. • Clients will continue to receive the kits in the future• TCN plans to expand Project DAWN training to: – Intensive Outpatient groups – Christopher House residents – Women’s Recovery Center residents– Greene County Community at large.

Greene County Children ServicesDrug and Alcohol Concerns Statistics

2011 2012 2013 2014

Opiates 7 5 20 14

THC 9 11 26 18

Amphetamines 1 1 6 4

Barbiturates 0 1 2 1

Methamphetamines 1 2 1 1

Cocaine 2 0 3 9

Benzodiazephines 1 0 3 2

Poly users 5 3 16 12

2.5

7.5

12.5

17.5

22.5

27.5

Positive Toxicology Screens by Types of Substance Used

Num

ber o

f Abu

se R

epor

ts d

ue to

In

fant

affe

cted

by

subs

tanc

e us

e at

bri

th

2011 2012 2013 2014

15 16

41

34

Greene County Children Services, Number of reports of infants with posi-tive toxicology reports

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC0

1

2

3

4

5

6

7

Year 2013Year 2014

Positive Tox BirthsBy Month

2013 and 2014

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC0

1

2

3

4

Year 2013Year 2014

Positive Tox BirthsBy Month 2013 and 2014

-for Opiates-

2011 2012 2013 2014

Xenia 10 6 15 12

Fairborn 2 7 21 15

Cedarville 1 0 0 0

Bellbrook 2 2 0 1

Jamestown 0 1 0 1

Spring Valley 0 0 1 1

Huber Heights 0 0 1 0

Beavercreek 0 0 3 4

2.5

7.5

12.5

17.5

22.5

Positive Toxicology Screens by mother's location

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 400

2

4

6

8

10

12

14

3 3

11

9

12 12

7

6

7

6

4

11

3

2

1 1

3

1

2

3

1

Positive Toxicology screens by age of mother

Age of Mother

Num

ber o

f Mot

hers

Thank You!

• We appreciate your support and feedback• Please complete your survey and return to the Mental Health

& Recovery Board table• For more information about the Greene County Drug Coalition,

please contact Tracey Stute, 937-322-0648 x119 tracey@mhrb.org