ACOMMUNITYLEVEL,CROSS-ORGANIZATIONRESPONSETOTHEOVERDOSEEMERGENCY
Associa'onofVancouverIslandandCoastalCommuni'es
April14,2018
SECTION1:CRISISOVERVIEWDr.RichardStanwickChiefMedicalHealthOfficerTaraFitzgeraldDirector,SpecialProjectsinMentalHealth&SubstanceUse
• Ihavenorelevantfinancialrela'onshipswiththemanufacturer(s)ofanycommercialproduct(s)and/orprovider(s)ofcommercialservicesreferencedinthispublicpresenta'on.
• Iwillnotpresentanunapprovedorinves'ga'veuseofacommercialproductordeviceinthispresenta'on.
DISCLOSURES
3
TheParadoxofProhibi'onHe
althand
SocialProblem
s
MarketRegulaOon
IllegalMarketGangsterism
CorporateProfit
HeroinCocaine
TobaccoAlcohol
ProhibiOon DefactoDecriminalizaOon
DecriminalizaOon PrescripOon LegalizewithMany
RestricOons
LegalizewithFewRestricOons
PublicHealth
CannabisMethamphetamine
TheParadoxofProhibi'onHe
althand
SocialProblem
s
MarketRegulaOon
PublicHealth
IllegalMarketGangsterism
CorporateProfit
HeroinCocaine
ProhibiOon DefactoDepenalizaOon
DecriminalizaOon PrescripOon LegalizewithMany
RestricOons
LegalizewithFewRestricOons
CannabisMethamphetamine
MedicalCannabis
TobaccoAlcohol
TheParadoxofProhibi'on
LeadingCauseofUnnaturalDeaths
Leading Cause of Unnatural Deaths
*2017datatoDecember31,2017*Source:BCCoroner’sService
VancouverIslandStats
Totaldeathssince2015:
BriOshColumbia: 3,187IslandHealth: 508
Source:BCCoroner’sService
WhoIsOverdosing• 2/3aredailyusersandhavehistoryofuse• Mostarebetweentheagesof30to59yearsofage• 81%aremale• 10%areIndigenous• Majorityareusingaloneandinaprivateresidence• 15%thoughtbuyingasOmulant
NineOverdosePrevenOonServices
Stats(asofMarch31)• TotalVisits:101,273• UniqueUsers:1,909• Overdoses:827• Deaths:0
LocalOverdoseResponse
(CommunityAcOonTeams)
RegionalOverdoseResponse
ProvincialOverdoseResponse
OverdoseEmergencyResponseCentre
IslandHealthOpioid
ResponseSteering
Commibee
Duncan
Nanaimo
CampbellRiver
PortAlberni
Victoria
OERCFrameworkofCoreIntervenOons
• OverdosePrevenOonServices
• Nalaxone
• TreatmentandRecovery
• AcuteOverdoseRiskCaseManagement
PeerEmpowerment&Employment
CulturalSafety&Humility
AddressingSOgma,
DiscriminaOon&HumanRights
SocialStabilizaOon
PeopleareDyingCommunity&SocialObligations* Equality,Dignity&PrivacyforallresidentsFinancial&ManagementObligations* Costsavings&efficiency–cheapertohelpdeliver
preventativev.reactiveservicesHumanRightsObligations* Weareonefamily* Nooneneedstodiefromunsafedruguse
Citydoesn’tdeliverhealthservices–soWhyBother?
21AVICC2018maltoIHCoV
Broadcommunityisready–business,residents,churches,serviceproviders,serviceusers,alliesCouncilhas‘caughtup’–2018StrategicPlan‘FacilitateSocialInclusion&CommunityWellness’Measureabletargets* Supervisedconsumptionservicesinmorethan1location.* AccessiblehealthservicesforVictoria’smostmarginalized
people=enhancedqualityoflife.
TimingisEverything
22AVICC2018maltoIHCoV
InvitationfromtheMayor* PoliceChief* IslandHealth’sCEO* Yes2SCS
NimbleProcess* Designedincollaborationwithpartners* Learned&appliedlessonsCleargoal* Embeddedservicesinwraparoundcareinmorethanonelocation
CityasFacilitator
23AVICC2018maltoIHCoV
* IslandHealth* VictoriaPoliceDepartment* Peers* CommunityActivists* LocalBusinesses* CommunityAssociations* InterestedResidents
Manymovingparts&interestsneedequalnumberofalliesCityasshieldinthefaceofopposition
PartnersKey
24AVICC2018maltoIHCoV
PandoraHealth&WellnessCentreopensJuneSupervisedconsumptionwrappedincomplementaryhealthserviceslikementalhealthservices,nursingcare,addictionstreatment&counsellingOverdosePreventionUnitsRemainasNeededJohnsonStreetFacility–embeddedinsupportivehousing
Outcome
25AVICC2018maltoIHCoV
DiscussionQuesOons1. Howcanweinfluencethewaymediaand
ci'zenstalkaboutdruguseandpeoplewhousedrugsinourcommuni'es?
2. Howwelldopeopleinyourcommunityunderstandtheissuesrelatedtosubstanceuseandoverdose?Howcouldyoupromotedialoguetoenhanceunderstanding?