Quaboag Hills Community Coalition Substance Use Task ForceOctober 20, 2014

Overview of the Strategic Prevention Framework (SPF) “Road Map”

What are Evidence-Based Programs and Practices and where do we find them?

Risk factors for opioid misuse, overdose, addiction

Small group work to further develop action steps and assess needs

Prevention

Intervention

Treatment

Recovery

A Public Health Approach to Substance Use Disorders

Too many people are misusing and

becoming addicted to prescription

opioids and heroin

Too many people are overdosing on

opioids

Not enough people are achieving long-term recovery from

opioid addiction

The urgent opioid problem: what are we dealing with in the QHCC service area?

4

Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness

AssessmentProfile population needs, resources, and readiness to address needs and gaps

CapacityMobilize and/or build capacity to address needs

PlanningDevelop a Comprehensive Strategic Plan

ImplementationImplement evidence-based prevention programs and activities

EvaluationMonitor, evaluate, sustain, and improve or replace those that fail

A resource for help - NREPP is a searchable online registry of more than 330 “proven to work”

substance abuse and mental health interventions.

Sponsored and updated by the federal Substance Abuse and Mental Health Services Administration

(SAMHSA).

MDPH Pre-Overdose Strategies

Provide information/training on overdose prevention and risk factors

(e.g., danger of using alone, concomitant use of CNS depressants,

re-initiation after periods of abstinence) to opioid users and

bystanders (friends, family, co-users).

Identification of individuals at-risk for overdose through screening conducted

by emergency department staff, emergency medical technicians, hospital staff, and primary care

providers.

Train healthcare providers on making treatment referrals for opioid

dependent patients and doctor shoppers.

Train pharmacists on educational strategies and referral services for suspected intravenous drug users

purchasing syringes.

MDPH During-Overdose Event

Strategies

Provide information and training on overdose recognition/response

(recognizing signs of an overdose, rescue breathing,

contacting emergency medical services, take-home

Naloxone) to opioid users and bystanders (friends,

family, co-users).

Reduce barriers to contacting emergency medical services in the event of an overdose

(e.g., working with police, housing authority).

MDPH Post-Overdose Event Strategies

Provide treatment information, referrals, and/or linkages with support services and follow-up for overdose victims.

Brief motivational interviewing to promote entry into treatment.

First responders distribute information on treatment options to overdose victims – especially those refusing transport to the hospital.

Provide incarcerates with a history of opioid use referrals to community treatment services upon release from prison.

Thanks to Marisa Hebble for these slides!

Let’s look at the Risk Factors for :

Opioid Misuse and Addiction

Opioid Overdoses

Low rates of treatment and recovery from opioid

addiction

Small Group Work on Goals

3 Groups: Based on risk factors outlined, brainstorm 2 concrete action steps, timelines, leadership roles

& partners to work with

Make note of where you need or want more info or training on a topic

Goal 1- Prevent and reduce opioid misuse and addiction

Goal 2- Reduce the incidence of opioid overdoses

Goal 3- Increase treatment and recovery rates