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F I GHT I NG ADDI CT I ON AND I MPROVI NG BE HAVI ORAL HE AL T H T he Pub lic He a lth Crisis o f T his Ge ne ra tio n & De la wa re s Pla n fo r the F uture L t. Go ve rno r Be tha ny Ha ll-L o ng , Ph.D, RNC, F

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SLIDE 1

F I GHT I NG ADDI CT I ON AND I MPROVI NG BE HAVI ORAL HE AL T H

T he Pub lic He a lth Crisis o f T his Ge ne ra tio n & De la wa re ’ s Pla n fo r the F uture

L

  • t. Go ve rno r Be tha ny Ha ll-L
  • ng , Ph.D, RNC, F

AAN

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SLIDE 2

I NT RODUCT I ON

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SLIDE 3

BE HAVI ORAL HE AL T H I N DE L AWARE

OUT L I NI NG T HE PROBL E M

  • De la wa re ha s a b o ut 30,000 a dults a nd 9,000 c hildre n

suffe ring fro m a sub sta nc e use diso rde r o r a me nta l illne ss.

  • T
  • ta l po pula tio n o f De la wa re is a b o ut 945,000
  • 1 in 5 De la wa re a ns will suffe r fro m so me fo rm o f a me nta l

illne ss in a ny g ive n ye a r.

  • 82% o f De la wa re inma te s ha ve a me nta l illne ss o r

sub sta nc e use diso rde r.

  • T

his ma ke s the priso n syste m o r la rg e st tre a tme nt pro vide r.

  • De la wa re ha d o ve r 300 o ve rdo se fa ta litie s in 2016, up 35%

fro m 2015.

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SLIDE 4

BE HAVI ORAL HE AL T H I N DE L AWARE

OUT L I NI NG T HE PROBL E M PART I I

What Ar e T he Cause s for Highe r Rate s of Addic tion and Me ntal Illne ss?

  • Stig ma
  • Co st
  • Wo rkfo rc e
  • L

a c k o f Ac c e ss to T re a tme nt/ T ra nspo rta tio n

  • Se rvic e De live ry/ Ha ndo ff Ga ps
  • L

a c k o f Pre ve ntio n/ E a rly I nte rve ntio n

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SLIDE 5

20 40 60 80 100 120 140 160 180 200 NUMBE R OF DE AT HS

Numb e r o f De a ths fo r Se le c te d Ca use s, De la wa re 1990- 2015

Ac c ide nta l po iso ning b y & e xpo sure to drug s Mo to r Ve hic le Ac c ide nts

Ove rdo se De a ths vs. Ca r Ac c ide nts

So urc e : De la wa re He a lth a nd So c ia l Se rvic e s, Divisio n of Pub lic He a lth, De la wa re He a lth Sta tistic s Ce nte r, Divisio n o f Pub lic He a lth

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SLIDE 6

WHAT WE HAVE DONE T O SAVE L I VE S

  • 911 Go o d Sa ma rita n Ac t
  • Na lo xo ne - Co mmunity/ F

irst Re spo nde rs/ L a w E nfo rc e me nt

  • Pre sc riptio n Drug Ac tio n Co mmitte e
  • Opio id Pre sc rib ing :
  • Re g ula ting Ac ute a nd Chro nic use
  • Pre sc riptio n Drug Mo nito ring Pro g ra m (PDMP)
  • Pub lic e duc a tio n – He lp is He re we b site a nd c a mpa ig n
  • T

re a tme nt e xpa nsio n in unde rse rve d a re a s

  • De la wa re Drug Mo nito ring I

nitia tive

  • Ove rdo se F

a ta lity Re vie w Co mmissio n

  • Re q uiring I

nsura nc e Co mpa nie s to Pro vide Co ve ra g e F

  • r I

npa tie nt T re a tme nt, While Re duc ing Ba rrie rs to Ac c e ss.

  • Be ha vio ra l He a lth Co nso rtium
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SLIDE 7

T HE PAT H F ORWARD F OR DE L AWARE

  • Be ha vio ra l He a lth Co nso rtium
  • K
  • 5 We llne ss Ce nte r E

xpa nsio n

  • Co mmunity He a lth Wo rke rs
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SLIDE 8

T HE CRE AT I ON OF T HE BE HAVI ORAL HE AL T H CONSORT I UM

  • Se na te Bill 111 w/ Se na te Ame ndme nt 1- e sta b lishe s the Be ha vio ra l

He a lth Co nso rtium.

  • T

he b ill e sta b lishe s a n o ve rsig ht b o dy tha t will c o o rdina te the Sta te ’ s priva te a nd pub lic b o die s to re duc e c urre nt silo s, e sta b lish g re a te r a c c e ss to c a re , a nd c o mb a t a ddic tio n a nd impro ve me nta l he a lth se rvic e s.

  • T

he Co nso rtium c a lls fo r g ra ssro o ts a dvo c a c y g ro ups, no n-fo r-pro fits, pro vide rs, he a lth syste ms, first re spo nde rs a nd c o mmunity me mb e rs to c o lla b o ra te to ta c kle the pre ssing issue s in the F irst Sta te .

  • T

he Co nso rtium is mo de le d a fte r the De la wa re Ca nc e r Co nso rtium.

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SLIDE 9

DE L AWARE CANCE R CONSORT I UM:

T HE E SSE NT I AL F RAME WORK

E ngaging & Advoc ating

  • I

de ntifying , b o th q ua ntita te a nd q ua lita tive , the pre ssing issue s:

  • Opio id e pide mic
  • Wo rkfo rc e sho rta g e
  • Ba rrie rs to a c c e ss to c a re
  • Ga the ring sta ke ho lde r fe e db a c k to c re a te

ta ng ib le a c tio n pla n.

  • I

mple me nting a c tio n pla n & a sse ssing re sult

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SLIDE 10

ADDI T I ONAL RE SOURCE S & PROGRAMS

K-5 We llne ss Ce nte r E xpansion

  • T

a rg e ting T itle I funde d e le me nta ry sc ho o ls within ide ntifie d “ho tspo t” using CDC da ta

  • Cre a ting g re a te r a c c e ss to c a re fo r va stly

unde rse rve d po pula tio n

  • Pa rtne ring with he a lth syste ms a nd Prima ry

Ca re Pro vide rs

  • F

unding g e ne ra te d via Me dic a id e xpa nsio n a nd lo c a l sc ho o l distric t do lla rs

Community He alth Wor ke r s

  • De ve lo ping a c o mpre he nsive

Co mmunity He a lth Wo rke r Pro g ra m

  • Pro viding c ultura lly c o mpe te nt

individua ls to pe rfo rm b a sic he a lth a sse ssme nt a nd c a re

  • Cre a ting a c ritic a l to uc h po int fo r

individua ls suffe ring fro m a ddic tio n

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SLIDE 11
  • 1. Re duc tion in substanc e abuse

and ove r dose de aths

STRATEGIC OBJECTIVES

Perspective

Asse ts He alth Status Imple me ntation Pr

  • c e ss &

L e ar ning

Pr e ve ntion is Ke y

Strategic Focus:

Prevent Substance Abuse

Stra te g y Ma p

Re vise d 7-12-2017

  • 5. Surve illanc e
  • 6. Communic ation
  • 8. Par

tne r ships

  • 9. Wor

kfor c e

  • 7. Gr

ants, Contr ac ts, and Payme nt Str ate gie s

  • 2. Pr

e ve nt life - thr e ate ning adve rse outc ome s

  • 3. Diagnose and tr

e at addic tions and substanc e use disorde rs

  • 4. Re duc e the ne e d to

se lf- me dic ate , c ontrol ac c e ss to addic tive substanc e s and promote prote c tive fac tors

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SLIDE 12

ACT I ON ST E PS T O MOVE T HE NE E DL E

  • De la wa re ha s c re a te d a fo rum tha t b ring s dive rse sta ke ho lde rs to g e the r to

fo rmula te a stro ng pa th fo rwa rd

  • Re a l c o nve rsa tio ns, with pe o ple who ha ve dire c tly b e e n impa c te d he lps fo rmula te

a ro a d ma p to c o mb a ting the c ritic a l issue s

  • Go ve rnme nta l a g e nc y a ddic tio n stra te g ic pla n
  • T

he wo rk o f the De la wa re Drug Mo nito ring I nitia tive And Ove rdo se F a ta lity Re vie w Co mmissio n will c o ntinue to spo tlig ht c ritic a l a re a s o f ne e d

  • T

a rg e ting hig h impa c t a re a s a nd pro pe rly dispa tc hing re so urc e s to the se a re a s, a ll while wo rking with pro vide rs a nd first re spo nde rs, will sa ve live s

  • Pro viding g re a te r a c c e ss to c o o rdina te d, c o mpre he nsive , e vide nc e -

b a se d, pe rso n-c e nte re d, q ua lity c a re tra nsfo rms tho se impa c te d

  • E

a rly inte rve ntio n, c o o rdina te d tre a tme nt fro m he a lth pro vide rs, a nd inc re a se d pro g ra ms will dire c tly impa c t po pula tio n he a lth o utc o me s

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SLIDE 13

BE T HANY HAL L

  • L

ONG, PH.D, F AAN, RNC L T . GOVE RNOR- ST AT E OF DE L AWARE

Ma in Offic e Co nta c t: 302-744-4333 Brya n Go rdo n, De puty Chie f o f Sta ff Brya n.Go rdo n@ sta te .de .us 302-744-4311 T a nne r Wm. Po lc e , MBA, Po lic y Dire c to r T a nne r.Po lc e @ sta te .de .us 302-744-4312