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July 2020 wake coalition halbstein harris final

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July 2020 wake coalition halbstein harris final

  1. 1. Recent Increases in Emergency Department Admissions for Opioid Overdose July 25, 2020 Jeffrey Halbstein-Harris
  2. 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. 3. Recent Publications Associating COVID Pandemic with Increased ED Visits for Opioid Overdose 3
  4. 4. North Carolina Magnitude of Change YTD change Wake County 83% One month Change North Carolina 29%
  5. 5. 5 OurResponse
  6. 6. 6 New Overdose Inflow Wake County 2019-2020 Increased Demand required a fleet of foot organization
  7. 7. 7 Client Status at time of first engagement No Transportation
  8. 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. 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. 10. Moving Forward… 10

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