CMU WVU Medical Center: Tackling the west virginia opioid crisis_final
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This document summarizes efforts to address the opioid epidemic in West Virginia through multi-level collaboration. It describes rising overdose rates, community health needs, and how substance use disorder often co-occurs with other conditions. It then outlines examples of local and regional response efforts like the "Bridges" program, which brings together public health, public safety, and other partners using a harm reduction approach. These efforts aim to improve prevention, treatment, overdose reversal, family support, and recovery through initiatives like expanding peer recovery coaching, integrating behavioral health into harm reduction, and launching rural outreach teams.
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CMU WVU Medical Center: Tackling the west virginia opioid crisis_final
- 1. Tackling the Opioid Epidemic In West Virginia
- 2. Overdose Mortality on the Rise
- 3. Deeper Understanding and Dynamics At Play Martinsburg “Little Baltimore” I- 81 “Distro Veins”
- 4. Community Perspectives on Health, Safety, Key Drivers and Impact Source: University Healthcare Community Health Needs Assessment, Cycle II, Joy Buck, PhD, APRN, Researcher WVU Number of youth in the custody of the state has steadily increased 46% from 2014-2017
- 5. Substance/Opioid Use Disorder as a Comorbid Condition Some of the things we see locally: • Homelessness – general lack of personal resources/support • Absence of behavioral/mental health resources- diagnoses, treatment • Cellulitis or endocarditis requiring 6 to 12 weeks of hospitalization for IV antibiotics • Noncompliance with care • Diabetes • End-stage renal disease • Uncontrolled hypertension • Pregnancy • Hep C, End-stage liver disease
- 6. Multi-Level Systems Local Response Examples in the Eastern Panhandle
- 7. “Bridges” • Bridging Public Health and Public Safety To Reduce Overdose • Funded by Baltimore HIDTA (High Intensity Drug Trafficking Area) • Bridge Public Safety and Public Health • Harm Reduction Program Steering Committee expansion • Develop capacity for data-driven, coordinated response • Cultural barriers and facilitators • Support peer recovery coach network development • Balance research and community action
- 8. Timeline Recap Jan 2018 First Steering Committee Meeting Strategy Development Anatomy of Overdose, PRCs Anatomy of Drug Offense Law enforcement, justice, and EMS Data Collection Strategy Implementation Steering Committee growth 8-34 System constraints and reforms Emergent overdose trends Peer Recovery Coach Intergration Naloxone Intervention Surveys Key informant interviews Program expansion Regional approaches Influx of funding opportunities December 31st Grant end date
- 9. • Core Team: • BCHD, BCDRC, BCRRC, HART • Partners • Purposeful expansion • Organizing framework and systematic approach • Define and implement strategies • Healing Forest • Individuals, families, community Key to Success: Community Collaborative Bridges Steering Committee BC Emergency Ambulance Authority MPD WV State Police BCHD Harm Reduction Program WVU East Ridge Health Systems SVMS Project Aware BC Recovery Resource Center BC Day Report Center BC Prosecuting Attorney Attorney General’s Office Celebrate Recovery Mountaineer Behavioral Health Eastern Panhandle Recovery Coalition WVU Medicine Healthcare Advocates for Recovery
- 10. Additional Examples • Governor Justice’s Demonstration Pilot Project • Berkeley and Jefferson Counties • State Opioid Response: Innovation Grants for Treatment Access and Retention • Multi-sectoral collaborative grant which includes multiple health systems
- 11. Prevention Treatment Overdose Reversal Family Support Recovery • Peer Recovery Coaches networks and collaborations • Integrated Peer Recovery Coaches in the ED • Expand Maternal and partner MAT (COAT) to Berkeley County • Family recovery networks • School based partnerships • 1st responder education and dialogue • Maternal COAT • MAT in the ED- BMC and JMC • MAT providers and outpatient sites • SBIRT training • Harm Reduction • Stigma reduction, and trauma aware health care systems and communities Prevention Treatment Overdose Reversal Family Support Recovery • Engage employers • Job skills training • Transportation services • Establish CIRCLE • Partner with Child Protective Services and Family court • Community education • Community-based Naloxone • Establish CIRCLE • Formalize linkages and referral mechanisms • Expand treatment and alternative sentencing options • Integrate behavioral health into harm reduction • Launch Rural Outreach Teams • Establish QRTs * • Explore LEAD Expansion of Existing Initiatives Exploring New Initiatives Demonstration Pilot Project
- 12. WV State Opioid Response: Innovation Grants for Treatment Access and Retention Prevention/ Early Intervention Treatment Recovery • West Virginia Association of Recovery Resource Centers • Greater Recovery and Community Empowerment (GRaCE) • Eastern Panhandle Recovery Coalition • Celebrate Recovery • Health Care Advocates For Recovery (HART) • WVU East Berkeley and Jefferson Medical Center • WVU East University Healthcare Physicians • Shenandoah Community Health • EastRidge Health System • Martinsburg Institute • Paloma Crisis Stabilization • The Renovo Center • Day Report Centers • Eastern Regional Jail • Jefferson, Berkeley, and Morgan County Health Department • Local Harm Reduction • Morgan County Partnership • Potomac Highlands Guild • Project Aware • Martinsburg Initiative • EMS • Law Enforcement • Womens’ shelter Figure: SOR Region 2 Collaborative Partnerships
Editor's Notes
- Analysis structures/processes and points of interface (JB) Peer recovery coach development (NF)