which we will pursue with partners in prisons, emergency rooms, and - PowerPoint PPT Presentation

“Nowhere is our work more urgent and nowhere is there more at stake than with our work on Opioid Crisis.” “No more. Our goal for the year ahead – which we will pursue with partners in prisons, emergency rooms, and needle exchange sites – will be to start effective care at the right place and at the right moment and to save lives.” -Mayor Miro Weinberger

Christina Nolan U.S. Attorney Christina.Nolan@usdoj.gov Joseph McNamara Chief U.S. Probation Officer Joe_mcnamara@vtp.uscourts.gov

CCOA Mis ission Reduce the burden of opioids in our community by creating a coordinated system of care to prevent addiction, treat individuals and their families suffering from substance use disorder and support recovery. CCOA Vis ision A substance abuse prevention, treatment and recovery system of care, that is timely, coordinated and comprehensive

CCOA Executive Committee Mayor Miro Weinberger and UVMMC President & COO Eileen Whalen, Co-Chairs Members: Jane Helmstetter, AHS ; Bob Bick, Howard Center ; Gary DeCarolis, Turning Point ; Jesse Bridges, United Way of Northwest Vermont ; Maureen Vinci, UVMMC ; Brian Lowe, City of Burlington ; Charlie Baker, Chittenden County Regional Planning Commission, Chief Brandon Del Pozo, Burlington Police Department

CCOA Executive Committee The Executive Committee acts as the governance body for the Alliance – reviewing annual plans and budgets, and coordinating with the Action Teams to ensure synergy with the Alliance’s mission and strategic plan.

CCOA Action Teams • Community Level Prevention • Co-Chairs: Mariah Sanderson & Heather Danis • Treatment Access and Recovery Supports • Co-Chairs: Catherine Simonson & Bill Keithcart • Working Recovery • Co-Chairs: Maureen Vinci & Ron Stankevich

• Fiscal Agent: United Way of Northwest Vermont • Backbone Support: Christine Johnson & Kayla Donohue • Collective Impact model

Backbone Support Provides Essential Functions: 1. Providing overall strategic direction 2. Facilitating dialogue between partners 3. Managing data collection and analysis 4. Handling communications 5. Coordinating community outreach 6. Mobilizing funding

5 Conditions of Collective Impact • Common Agenda = Agreed upon actions • Shared Measurement = Measuring results • Mutually Reinforcing Activities = Plan of action • Continuous Communication = Consistent communication • Backbone Support = Coordination

Collective Impact is not just a new flavor of the day, but is a “more disciplined and higher performing approach to achieving large-scale social impact.” If that is the case…how do we do it well? How do we create alignment? How do we sustain the Alliance?

What are the pre-conditions of Collective Impact? 1. Influential champions 2. Adequate financial resources 3. A sense of urgency for change Check, check, check!

Now that the pre-conditions are in place, how do we bring Collective Impact to life? Phase 1: Initiate Action Phase 2: Organize for Impact Phase 3: Sustain Action and Impact

Intangibles of Collective Impact: • Relationship and trust building • Leadership identification and development • Creating a culture of learning

On-going: Attend Opioid Coordination Council meetings and sub-committee meetings; attend Community Collaborative meetings at UVMMC; members of the Community Health Needs Assessment Steering Committee Provide backbone support for the CCOA Action Teams & Executive Committee

March: Prevention Action Team re-boot, Working Recovery Action Team formation, website freshening, newsletter planning April: Planning session with core team, confirm communication strategy, hire part-time admin/communication position

May/June: Finalize strategic goals, including outcomes, half day planning meeting with Prevention Action Team June: • Annual Retreat including Executive Committee, Action Teams, CommStat • ½ day in length • Finalize our shared agenda and outcomes • Networking • Community Conversation: Creating Healthy Communities in an Opioid Era (working title)-first of five forums county-wide

June-August: Begin implementing strategic plan, Conference preparation, plan for legislative agenda for 2019 session September: Chittenden County Opioid Conference

Upcoming Events: May 23 rd at Contois Auditorium 6:30-8:00pm  Author event co-sponsored with the City of Burlington: Maia Szalavitz, author of the Unbroken Brain

Next Steps:  Ask key questions:  How do we keep the work moving forward?  How do we include lived experience?  How do we ensure we are a county-wide alliance?  Provide support for our legislative agenda  Solicit funding to support the strategies of the CCOA

Find and like us on Chittenden County Opioid Alliance @OpioidAlliance

Questions?

Contact Information Christine Johnson Executive Director (802) 777-9066 Christine@unitedwaynwvt.org Kayla Donohue Data Analyst Kayla@unitedwaynwvt.org

Data

Recap from March: • Data for Action and Data for Impact • Outline of what we need (on next slide) • Overview of the data we are currently collecting/have access to • Data visualization • Data presentation and discussion Plan for April/May: • Review the feedback • Present some data • Gain access to additional data (spokes*) • Get acclimated to the police data queries • Set some priorities & continue the conversation

What do we need? • Access to accurate data • Measurable research questions o Ex. How do burglary rates correlate with opioid use in Chittenden County from 2013-2017? • Priorities • Prevention • Enforcement • Treatment • Recovery • Desired outcomes or targets • Ex. Reduce burglaries by 20% by 2020.

Overview of Feedback: Prevention: • Entry into addiction • Historic rates of addition and how the opioid “epidemic” is effecting addiction overall Enforcement: • Number of drug seizures • Police and SIREN data pre and post widespread Narcan distribution Treatment: • Assess movement between levels of care • Get a better sense of how many individuals are in treatment • Treatment retention • Hub/Spoke capacity • Workforce turnover rates as they relate to treatment access • Understand incidence of opioid-related health impacts beyond overdoses

2018 ED Encounters coded as “Opioid OD” & “Opioid Poisoning” dip below the historic average in March 30 25 20 15 15 15 14 13 12 11 11 11 10 9 9 10 9 8 8 7 5 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 2015-2017 Average 2015-2017 Min 2015-2017 Max Data Source: University of Vermont Medical Center

A higher percentage of males than females are seen in the UVM Medical Center ED for “Opioid OD” & “Opioid Poisoning” in more recent years 100% 2018 75% 33% 50% 67% 25% Female Male 0% Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 2015 2016 2017 2018 Data Source: University of Vermont Medical Center

20-40 year olds were seen in the UVM Medical Center ED for “Opioid OD” & “Opioid Poisoning” more frequently than other age categories in 2017 70 63 60 50 45 40 30 18 20 12 11 11 10 2 0 0-10 11-20 21-30 31-40 41-50 51-60 >60 Age Category (years) Data Source: University of Vermont Medical Center

Individuals are mostly arriving by ambulance when at the UVM Medical Center ED for “Opioid OD” & “Opioid Poisoning” from 2015 through March 2018 (blank) A total of 433 people 11% were seen between Walk-in 2015 and March 2018 7% Police **Other and Public 1% Transportation were excluded because made up <1% Car 10% Ambulance Assist From 70% Vehicle 1% Data Source: University of Vermont Medical Center

UVM Medical Center Opioid Prescribing Practices Jan 2018- Mar 2018 Data Source: University of Vermont Medical Center

Detailed reporting of the quantity of prescriptions of over 50 pills per prescription at the provider level per quarter Data Source: University of Vermont Medical Center

Opioid Prescriptions over 50 pills per provider by quarter Data Source: University of Vermont Medical Center

Opioid Prescriptions over 50 pills by provider Data Source: University of Vermont Medical Center

SubStat Opioid-Related Overdose Incidents 24 Non-Fatal Opioid-Related Overdose Incidents Among SubStat Partners Since Jan. 4 th 2 Fatal Opioid-Related Overdose Incidents Among SubStat Partners Since Jan. 4 th Data Source: Valcour Incident Report

Challenges with the Data and Caveats • Mislabeled “Classification” • Medical assist vs. overdose; overdose vs. untimely • Duplicates due to additional police response • A second police department arrives to assist • Misleading narrative • When searching for “dead” it doesn’t mean the person is deceased • Inconsistent labeling of “Person Involvement” • POI vs. other vs. victim Data Source: Valcour Incident Report

Preliminary Look at Overdoses Reported to Police April 19, 2017-Today from BPD, SBPD, WPD, CPD, MPD, UVMPD Data Source: Valcour Incident Report