Harm Reduction Services in Multnomah County Health Department

Harm Reduction Services in Multnomah County Health Department service delivery and trends Erin Browne Program Coordinator erin. browne@multco. us

Harm Reduction Program // Services Delivered ● Syringe Service Program (1 -for-1 plus) ● Harm Reduction Clinic ○ Wound abscess care ○ Acute care ○ STD treatment and testing ○ OHP enrollment ● Access to an Addictions Benefits Coordinator ● Training in how to recognize and reverse an opioid overdose ● Naloxone distribution ● Hepatitis A vaccines and testing at field-based site

Service Delivery Trends // Naloxone In Fiscal Year 2019: As of 12/01/2019 MCHD Start Date 05/29/2014 Client Trainings 3, 226 Rescues Reported 2, 361 Doses Distributed 21, 580 ● Distributed 2, 648 kits ● Served 1, 374 unique clients In October 2019, kit distribution increased from 1 to 5 kits per client visit Began distribution at MCDC. As 12/10/2019, distributed 155 kits. 3

2019 Client Survey // Initial Data Methamphetamine use among survey participants has almost doubled from 49% in 2011 to 93% in 2019. Heroin use dropped 11% during the same time period. Tested for HIV Tested for HCV Tested for Syphilis Yes 45% 47% 37% No 54% 51% 59% Don’t Know 1% 2% 3% Missing 1% 1% 1%

Regional Harm Reduction // Quarterly Meeting ● Portland-Metro Area ○ Clackamas County (Outside In) ○ Clark County (CCPH) ○ Multnomah County (Outside In and MCHD) ○ Washington County (HIV Alliance) ● Special Presenter from area CBO ● Policies and Procedures ● Area trends ● Sandardize service delivery (when possible)