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Overdose Detection Mapping Application Program (ODMAP)
ATLANTA-CAROLINAS HIGH INTENSITY DRUG TRAFFICKING AREA (HIDTA)
HIDTA OVERVIEW
• Federal grant program administered by the Office of National Drug Control and Policy (ONDCP)• Purpose: to reduce drug trafficking and
production in the United States • 28 HIDTAs, covering 66% of U.S. population• HIDTA-designated counties are located in 49
states, DC, PR, and USVI
• Atlanta-Carolinas HIDTA• Includes counties in GA, NC & SC• Counties are geographically centered around key
metropolitan areas of each state
Lexington Richmond FlorenceHorry
Greenville
HIDTA OVERVIEW
Heroin response strategy (HRS)
• HIDTA initiative supported by ONDCP and CDC.
• Designed to enhance partnerships among public safety and public health agencies at federal, state and local levels to reduce drug overdose fatalities and disrupt trafficking in illicit opioids.
• Public Health and Public Safety Network (PHPSN)• Public Health Analyst (PHA) and Drug Intelligence Officer (DIO) in each of the 20
participating states.
• Fosters cross-disciplinary collaboration and enhances interstate and intrastate information sharing.
Over 64,000 overdose deaths in 2016
• Surpassed peak gun, HIV, and car crash deaths.
• Leading cause of death for individuals <50 years
The Fentanyl Crisis
The Problem
• Increase in lethal drugs on the streets
• Lack of real time data
• Insufficient information sharing
• No consensus on what constitutes a spike
• Overdose epidemic should lead the public health agenda
The Solution
•Real Time Data
• Link public health and safety entities
•Cross jurisdictional information sharing
• Evidence based solutions – How do we respond?
•Keep it simple
ODMap Concept
• ODMAP provides real-time overdose surveillance across jurisdictions.
• It links first responders on scene to a mapping tool to track overdose as they happen.
• It detect overdose spikes, which supports public safety and public health efforts to mobilize immediate responses.
• Partnering agencies sign a Teaming Agreement outlining policies for system use to protect collected data.
• The general public does not have access to this system (data entry interface and central database).
Data Intake Interface – Level I user
• Data is entered into the system by a Level I user, defined as a law enforcement officer, fire or EMS provider authorized to submit data on overdose.
• The Level I information is submitted to a central database and mapped to an approximate location.
• The Level I user does not collect any personal identifying information on the victim, nor is type of data stored in the central database .
Data Intake Interface – Level I user
Checking this box will save your password.
Go to http://odmap.hidta.org in any web browser on any device or computer.
Data Intake Interface – Level I user
• ODMAP can be used in the field or in the office from any mobile device, mobile device terminal, or desktop computer.
• ODMAP works on Windows, Android, iOS, and OS X based devices with a standard browser including Chrome, Firefox, and Safari.
• Users will enter: (a) Overdose incident location (b) and overdose.
• ODMap captures the approximate locations of submitted overdoses.
ODMap Interface – Level II User
• The Level II is granted access to the central database and electronic map.
• The Level II users are public health and public safety high level officials and analysts.
• There are several filtering tools for analytics• Incident Date
• Type of overdose
• Location
Reporting Tools
• Level II users have access to information within their own jurisdiction and other jurisdictions
• Have the ability to see overdose trend and can anticipate spikes
• Aids planning and resource mobilization.
Reporting Tool
Weekly Report provided by ODMAP
Overdose Spike Analysis
We evaluate counties and isolate a baseline to alert for overdose spikes within a 24-hour period
Spike Alert System
• ODMAP is designed to alert Level II users when an overdose spike occurs in real time.
• Level II users can receive a spike alert within their jurisdiction or surrounding jurisdictions.
• It is intended to support public safety and public health community response.
Non-Fatal Overdose
0
5
10
15
20
25
30
35
1/15/2017 2/15/2017 3/15/2017 4/15/2017 5/15/2017 6/15/2017 7/15/2017 8/15/2017 9/15/2017 10/15/2017
No
n-F
atal
OD
s
Week
Non-Fatal Overdoses
Anne Arundel Alexandria Berkeley
Non-Fatal Overdose
0
5
10
15
20
25
30
35
1/15/2017 2/15/2017 3/15/2017 4/15/2017 5/15/2017 6/15/2017 7/15/2017 8/15/2017 9/15/2017 10/15/2017
No
n-F
atal
OD
s
Week
Non-Fatal Overdoses
Anne Arundel Alexandria Berkeley
Recommended Action Plan
Overdose Spike Response Framework
(Pre Spike) Identify stakeholders in all work of life responding to opioid crisis.
(Pre Spike) Develop a local overdose spike response plan with stakeholders.
(Pre Spike) Review historical data to appropriately define a spike per jurisdiction.
(Pre-Spike) Prepare template message(s) for alert system to target audiences
(During Spike) Confirm ODMAP spike alert (ODMAP dashboard, additional surveillance)(During Spike) Deploy local overdose spike response plan(During Spike) Coordinate among local stakeholdersPost Spike) Response evaluation.
Public Health Response
• Overdose message circulation to at risk community.• Deploy peer support for treatment referrals.• Target prevention initiatives.
Public Health Response
Public Health Response
• Baltimore City Bad Batch Alert: a free anonymous text messaging service
• The alert system allows active users, or their loved ones to register with the service and receive text alerts when there is a spike in overdoses.
• The Bad Batch Alert service also has a built in suite of commands aimed at providing support and recovery tools.
• Support tool includes quick access to a 24 hour crisis line, and access to a Naloxone training schedule.
Public Health Response
• Broome County, NY
• Broome Opioid Abuse Council is using ODMAP to identify areas at the greatest risk of overdose spikes.
• In coordination with their Addiction Center, Peer Response Teams are deployed to these areas to refer individuals to treatment and other social support.
http://www.wicz.com/story/36108154/peer-response-team-formed-to-help-tackle-opioid-epidemic)
Public Health Response
• Virginia, the Northwestern Community Peer Recovery Services – On going Implementation
• Contact on-call Peer Recovery Specialist supervisor at ED.
• Evaluate patients using the Screening, Brief Intervention and Referral to Treatment (SBIRT).
• Have eligible patients provide consent to be connected to a Peer Recovery Specialist
• Dispatch Peer Recovery Specialist to the ED within 20 minutes.
• Contact patients over the next 3 days to facilitate the connection to treatment or recovery resources.
Public Safety Response
Public Safety Response
• Howard County Department of Corrections, Maryland Substance Use Disorder Services for short term stay offenders, in collaboration with the Health Department.
• Use of Screening, Brief Intervention and Referral to Treatment (SBIRT) protocol to identify individuals with a substance use disorder and quickly connect them to services.
• Peer recovery workers meet with identified individuals and connect them to services when released.
Public Safety Response -Success Stories
• Anne Arundel County, MD
• Worked with W/B HIDTA Analysts to identify a DTO in Baltimore City.
• Responded to the area to make “buys” and executed 3 search warrants in 3 different counties.
• Resulted in several arrests, recovery of heroin, fentanyl, weapons, and money.
• Reduction in OD’s reported in that region during that period.
ODMap Implementation
• 3 county pilot in Washington/Biltmore, January 2017.
• System live
• 26 states – AL, AK, AZ, FL, GA, IN, IL, KY, MA, MD, MI, MN, MT,
NC, NH, NM, NY, OH, OR, PA, SC, TX, VA, WA, WI, and WV.
• 100+ counties
• 225+ Signed Teaming Agreements
ODMap Implementation
Contact Information
Jeff BeesonDeputy Director W/B HIDTA
John SaagerDrug Intelligence Officer, SCHeroin Response StrategyAtlanta-Carolinas HIDTA
Cell [email protected]
Dumbiri PowellPublic Health Analyst, SC
Heroin Response StrategyAtlanta-Carolinas HIDTA
Cell [email protected]
