FIGHTING THE OPIOID EPIDEMIC IN SOLANO COUNTY Solano

FIGHTING THE OPIOID EPIDEMIC IN SOLANO COUNTY Solano County City-County Coordinating Council Ramón Castellblanch November 9, 2017

MY BACKGROUND • Professor, Health Education, SF State • Chair, CA Board of Pharmacy Rx Abuse Committee • Discussing Solano County opioid safety coalition with Partnership Health Plan for past year • Still looking for support for Solano County opioid safety coalition

PRESENTATION OUTLINE • Latest national statistics on the opioid overdoses • How Solano compares to the state in opioid prescribing and overdoses • Selected non-County work in Solano County against the epidemic • County opioid safety coalitions in other counties

U. S. OPIOID EPIDEMIC: STILL GETTING WORSE

2016 Was Worst Year Yet https: //www. cdc. gov/nchs/data/health_policy/monthly-drug-overdose-death-estimates. pdf • According to CDC, US opioid deaths up 52% from 2015 to 2016

FENTANYL NOW DRIVING OVERDOSE DEATHS

MORTALITY CHANGES OUTPACE USE CHANGES December 2016 7 Source: Jones, Logan, Gladden Bohm MMWR 2015

HOW SOLANO COMPARES TO CA HTT PS: //PDOP. SHIN YA PPS. IO /O DD ASH_V 1/ • Higher rate of opioid overdose ED visits (2015) • Solano: 9. 71/ 100 k • CA: 9. 58/ 100 k • Higher rate of opioid overdose hospitalizations (2015) • Solano: 11. 84/ 100 k • CA: 9. 58/ 100 k • Higher rate of opioid prescriptions (2016) • Solano: 779. 1/ 1 k • CA: 562. 34/ 1 k

NON-COUNTY WORK TO REDUCE OPIOID HARM • Law Enforcement & Naloxone • Benicia PD will start carrying Naloxone January 2018; connected to County opioid supply • Fairfield PD and County Sheriff interested • Drug Courts & Buprenorphine • Solano Drug Court working with Bright Heart Health to use tele-medicine to offer Medication Assisted Treatment (Buprenorphine) • Medical Society • Recently discussed joining county opioid safety coalition • Drug Take Back

OPIOID SAFETY COALITIONS IN OTHER COUNTIES • Operating in 36 of 58 CA counties • Led by counties, medical societies, law enforcement, or health educators • As opposed to non-coalition counties, those counties have • Lower opioid prescribing rates • Greater access to medically-assisted treatment, including Buprenorphine • Greater access to Naloxone

OTHER WORK OF OPIOID SAFETY COALITIONS • Expanding support services for addiction treatment • Vallejo Drug Court has no in-county residential treatment • Educating healthcare & social service professionals in integrating care • Public education • Websites • Pharmacist education on safely dispensing opioids & Naloxone • Expanding Rx take back options • Eight counties now support use of pharmacies