Opioid Crisis: Activating Hope Data Tells the Story Drug Overdose The number of persons presenting with drug overdose is slightly decreasing in 2018. Northern Kentucky Fatalities According to the 2016 KY Overdose Fatality Report Kenton County ranks 3rd in the State of KY for overdose deaths. Campbell County is 4th and Boone is 5th, making three NKY counties among the top five counties in KY experiencing a high number of overdose fatalities. The same is true for fentanyl deaths. County 2012 2013 2014 2015 2016 Total % of 2016 KY State Total Deaths: 1,404 Boone 34 36 48 62 56 236 17% Campbell 55 33 45 43 62 238 17% Kenton 59 65 71 112 90 397 28% Neonatal Abstinence Syndrome (NAS) On average there are 4,430 live births (2015-2018) in St. Elizabeth Birthing Center each year. Of those, an average 191 babies have been opiate exposed during gestation. Opiate exposure does not necessarily mean that the infant will have neonatal abstinence syndrome (NAS). About 1/2 of the opiate-exposed infants have NAS. The diagnosis of NAS does not mean that the infant is addicted. Rather it means the infant is showing behaviors consistent with withdrawal from opiates and requires some medication for a period of time. The number of babies born in St. Elizabeth birthing center requiring pharmacologic treatment for their withdrawal is showing a slight decrease in 2018. Early entry into prenatal care/SUD treatment (Subutex or Suboxone or Methadone) significantly influences the birth outcome. Our goal is to get as many pregnant women with SUD into recovery-oriented prenatal care as soon as possible. Early induction onto Subutex or Suboxone along with counseling and care coordination decreases the impact of opiate exposure, evidenced by the decreasing length of stay needed in the NICU (from 16 days to 11.3). Youth Misuse of Prescription Drugs Thirty-day use of painkillers (OxyContin, Percocet, Vicodin, Codeine without a doctor’s prescription) more than doubled between 2012-2014 from 1.5 to 4.3, but a slight decrease was observed in 2016. Still, 2.7% of 10th graders surveyed reveal they have used a painkiller without a doctor’s prescription in the last 30 days. They report getting these prescriptions from home medicine cabinets or friends medicine cabinets. Perception of risk for using heroin among 10th graders in the NorthKey region increased from 85.9% to 86.5%. 1 1 REACH Evaluation, Kentucky Incentives for Prevention Survey. Retrieved from here. Facts & Figures for the United States: 174: Americans die from drug overdose each day 66,817: People died from drug overdose for the 12 months ending with June 2017 Approximately 2.2 million Americans have a substance use disorder involving prescription pain relievers in 2017. Approximately 80% of people who use heroin, first misused prescription opioids. 26,500: overdoses reversed by laypeople using naloxone from 1996 - 2014. 92,100: children in the foster care system in fiscal year 2016, whose removal from the home was associated with circumstances involving parents' illicit substance use. 2.8%: of the United States Gross Domestic Product is associated with the cost of the opioid crisis. 20%: of the reduction in the male workforce is attributed to opioid use. Facts and Figures in Kentucky: $6 billion: Estimated amount per year Kentucky is spending on issues related to substance use disorder. $80,000: Average lifetime cost for medication to treat patients with hepatitis C $600,000: Average cost of a liver transplant $120,000: Per episode cost of endocarditis, another infection related to IV drug use 24/7 Helpline Trained counselors are available 24/7 to help families navigate the treatment network. Immediate assessment and access to treatment follows the initial call. Kentucky Helpline: (833) 8KY-HELP (859-4357) Website: https://findhelpnowky.com Northern Kentucky Helpline: (859) 415-9280 Ohio: (513) 281-7880 Additional Resources For Treatment and Recovery Resource Directory NKY Hates Heroin For Information Center for Disease Control Comprehensive Opioid Response with Twelve Steps (COR-12) Drug Free Teens National Institute on Drug Abuse Partnership for Drug-Free Kids Substance Abuse and Mental Health Services Administration Viral Hepatitis: Prevalence, Prevention, and Treatment For Drug Disposal NKY Drug Take Back Boxes For Data and State Resources Kentucky Gov. Matt Bevin: Don’t Let Them Die Campaign Kentucky Office of Drug Control Policy NKY Health Department ‘Story Map’ addressing the Heroin Epidemic For Free Naloxone Kits and Syringe Access NKY Health Department Bridge Clinic Symposium Presentations Dr. Andrew Herring - Saving Lives: Bringing Buprenorphine to Emergency Care Dr. Ross Sullivan - ED Linkage What's Being Done at St. Elizabeth Healthcare St. Elizabeth has been at the forefront of confronting this community crisis alongside several valuable partners, leading important educational initiatives and awareness campaigns. The direction: Collaborating with community partners to create a regional strategy to advocate for change. Increasing awareness and education to everyday residents and concerned citizens. Preventing new users. Promoting the health and wellness of current users through evidence-based treatment and recovery support. Reducing harm for IV drug users. Treating a Patient with Substance Use Disorder Emergency Department – critical care pathway Urgent medical treatment for overdose Connection with peer support/case managers Assessment and treatment with evidence-based practices for opioid addiction Follow-up and referral to outpatient or treatment facility Journey Recovery Center – outpatient practice plan Call (859) 757-0717 for more information Capacity: 850 to 1,000 active patients Highly-trained specialists in addiction medicine, behavioral health and case management Recovery support through case management specialized groups Dual Diagnosis (behavioral health and substance use disorder) Partnership with Solving Unmet Needs (SUN) Behavioral Health – Northern Kentucky Total 197 beds when fully operational (December 2018) Behavioral health emergency services In partnership with St. Elizabeth Healthcare, SUN will serve as a behavioral health solution to the Northern Kentucky region Treating the patient with substance use disorder who is pregnant Call (859) 301-2501 for more information about the Baby Steps program Provides specialized treatment/detox, education, support and care for the pregnant and parenting women with opiate use disorder, including: Individual meetings to evaluate necessary support and resources Group meetings/educational sessions 12-step meetings (started first 12-step support group specifically for pregnant and parenting women with addiction) NAS/Newborn withdrawal education Working with the Community Advocated for comprehensive change in legislation to expand treatment funding and strengthen law enforcement. Created a Vivitrol delivery option with the Kenton County jail system. Advocated for syringe exchange programs to stop the spread of infectious diseases. Program is operational in Grant County. Resolutions passed in Kenton County, Covington and Campbell County to establish programs. Ongoing conversations with city officials in Newport, Bellevue and Dayton. Funded a hotline in partnership with the Fiscal Courts. Educated the community through schools or organizations using the Hazelden Betty Ford approach. Multiple speaking engagements at town halls, schools, places of worship and Fiscal Courts.