CITY OF TACOMA FIRE DEPARTMENT TFD CARES and

CITY OF TACOMA FIRE DEPARTMENT TFD CARES and Opioid Initiatives

Tacoma Fire Jurisdiction • 235, 000 citizens served • 43, 000 medical service calls and growing each year • 2017: 739 citizens served by TFD-EMS for opioid-use effects. • 2017: 400 non-fatal overdoses treated by TFD-EMS. • TFD CARES – Non-emergency medical services – Team-based care including Nurses, Social Workers, CHW’s, support staff. – Case Management and Referral support. – University, technical college, community college clinical rotations.

Our Opioid Initiatives 2012: Start of TFD CARES. • 940 citizens since 2013 • 97% reduction in 911 -EMS call volumes • Worked with over 400 Community Partners to assist citizens. 2015: Recognized increase in opioid overdoses 911 -EMS call volumes. 2016: Started first Fire Department led Narcan leave-behind program in the nation. 2017: TFD CARES started managing overdose patients referred by paramedics involved in opioid related 911 -calls. 2018: Awarded DOH Grant to improve treatment success among opioid users accessing 911 -EMS. This will be the first fire department based mobile opioid unit providing MAT in the nation. 2019: TFD CARES Opioid Unit will be accessible to 911 -EMS and police teams for any incidentified on-scene to be related to opioids. 2019: Safe Stations starting 3/1/19, with roll-out of 1 station.

PC Opioid Task Force Priorities • Prevention and Education – Previous education with local PC Jails and tribal police relating to Narcan. – Looking ahead planning to further support PC Jails and Tribe with Opioid Unit. • Access to Treatment – EMS Narcan leave behind kit. – TFD CARES Opioid Unit to provide MAT and connection to long-term MAT provider. – TFD CARES Opioid Unit will extend MAT induction as needed to PC Jail and Tribal Authority. – Safe Stations: Walk-ins can go to station and receive treatment option navigation by TFD CARES. • The Right Services – TFD CARES Opioid Unit will extend provision of case management and referral services. – Connect patients to treatment providers and social services to ensure successful treatment outcomes.