Utah Opioid STR Grant: Innovations to Effectuate Long-Term System Change NASADAD May 2017 Indianapolis, Indiana Doug Thomas, Director Utah Division of Substance Abuse and Mental Health Division of Substance Abuse and Mental Health DISCLOSURES Under the Accreditation Council for Continuing Medical Education guidelines, I, Doug Thomas, have no relevant relationships or affiliations with commercial interests to disclose. I will mention some providers and subcontractors that work with us in Utah but I have no relevant relationships or affiliations with those commercial interests. Utahs Overall Landscape SFY2016 WHO WE SERVED
13,400 Adults; 1,329 Youth 85% below FPL Urban: 74%, Rural: 26% Male: 61%, Female: 39% Medicaid: Non Expansion 28% Justice Involved Clients - 71% Opioid Disorder - 39% Utahs Opioid Landscape 4,500 4,000 4,500 3,500 3,119 4,000 3,000 2,500 2,122 3,500 3,119 2,000 3,000
1,500 2,500 1,000 2,122 500 2,000 0 FY2012 1,500 Number Number of of Clients Clients Served Served for forHeroin Heroin and and Other Other Opioids Opioids Statewide Statewide Fiscal
2016 Fiscal Year Year2012 2012 -- Fiscal Fiscal Year Year3,647 2016 3,075 3,489 2,004 3,075 3,489 1,938 2,004 1,938 FY2013
4,060 4,060 3,647 1,766 1,766 FY2014 FY2015 FY2014 FY2015 1,662 1,662 FY2016 1,000
500 0 FY2012 FY2013 Other Opioids Heroin FY2016 30.0% Gender of Heroin Clients Served Fiscal Year 2012 - Fiscal Year 2016 28.2% 27.1% 25.0% 20.0% 18.4% 18.3%
FY2015; 24.2% FY2015; 24.2% FY2013; 19.6% FY2013; 19.0% FY2014; 21.7% FY2014; 21.4% 15.0% 10.0% 5.0% 0.0% FY2012 FY2013 FY2014 State Female Heroin FY2015 State Male Heroin
FY2016 At first people refuse to believe that a strange new thing can be done, then they begin to hope it can be done, then they see it can be done then it is done and all the world wonders why it was not done centuries before. (Childrens author Frances Hodgson Burnett (18491924), quoted in McGorry & Jackson, 1999, p. 466) Utahs Opioid STR Prevention Goals 1. Prevent and Reduce Opioid Misuse 2.
Reduce Overdose deaths Utahs Opioid STR Treatment Goals 1. Expand Access and Participation in evidenced based services; both Office Based & Opioid Treatment Programs Utahs Opioid STR Treatment Goals Competitive Grant Application for Areas with highest demonstrated need Opioid Deaths 2014-2015 Number District ED Encounters Rate per 100,000
2013-2014 Number Rate per 100,000 Bear River 43 15.13 142 45.5 Central 20 15.11
43 30.9 108 17.4 298 49.2 Four Corners 26 21.85 92 123.0 Northeastern
27 27 47 42.3 531 24.68 1,443 67.9 San Juan <5 15.28
<5 0.3 Southwest 80 21.32 228 54.0 Summit 12 15.03 16 19.6
Tooele 39 33.96 98 83.5 179 19.33 623 62.1 7 11.76
12 22.2 137 28.63 414 86.1 1213 22.29 3458 62.1 Davis Salt Lake County
Utah County Wasatch Weber State Utahs Opioid STR Wellness Goals Enhance Relationships with Physical Health Federally Qualified Health Centers (340 B) Training on Screening Brief Intervention (SBI) and Referral to Treatment (SBIRT), Medication Assisted Treatment (MAT) for uninsured populations in FQHCs. Pilot Projects Local Authorities working with FQHCs FQHCs working with Local Authorities Extenders-continuing work post funding Utahs Opioid STR Wellness Goals Prevention Minded Harm Reduction and Treatment Engagement Targeted Needle Exchange with Department of Health to reduce spread of needle carried
infections. Use motivational interviewing to engage in safety, harm reduction, prevention, treatment and recovery discussion. Utahs Opioid STR Recovery Goals Increase array of recovery support services Peer Support deployed to ER/ED for overdose to engage individual and family. Expand family Peer Support Why we do what we do For more information about data, programs and services please visit: dsamh.utah.gov Doug Thomas, Director Utah Division of Substance Abuse and Mental Health Department of Human Services
