1. Recent Increases in Emergency
Department Admissions for
Opioid Overdose
July 25, 2020
Jeffrey Halbstein-Harris

2. Association with COVID Epidemic
The Wake County Response
2
• Who ‘s talking?
• What is being suggested?
• The NC experience?
• The Wake County experience?
• The Wake EMS and Healing Transitions Rapid
Responder PORT Adaptation ?

3. Recent Publications Associating COVID Pandemic
with Increased ED Visits for Opioid Overdose
3

4. North Carolina Magnitude of Change
YTD change
Wake County 83%
One month Change
North Carolina 29%

5. 5
OurResponse

6. 6
New Overdose Inflow Wake County 2019-2020
Increased Demand required a fleet of foot organization

7. 7
Client Status at time of first engagement
No Transportation

8. Wake County EMS and Healing Transitions
An integrated, comprehensive, coordinated and continuous recovery system.
8
•Housing
•Nutrition
•Transportation
•Other
•Periodic outreach
•Monitoring
•Residential Programs
•Out Patient Programs
•OBOT - MAT
•Support Groups
•Establish relationship
•Readiness to change
•Recovery Status
•Individual and Family
Service Needs
•Client Goals
Engage, Assess,
Plan
Addiction
Treatment
Referrals
Social and
Environment
Needs
Addressed
Comprehensive
, Continuous
Support and
Monitoring
Data Driven
Client Relationship
Management System

9. Healing
Transitions
Referral
Outcomes
Clients Served
957
• NC HARM
43
• Rehab
178
• OBOT_MAT
70
• Recovery Housing
76
• Contacts
Over 7000
• Appointment Show Rate
75%

10. Moving Forward…
10