The Opioid Crisis State Perspectives and Approaches for

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The Opioid Crisis – State Perspectives and Approaches for Prevention Adrienne Hearrell, MPH, CPTA

The Opioid Crisis – State Perspectives and Approaches for Prevention Adrienne Hearrell, MPH, CPTA Program Coordinator Prescription Drug Overdose: Data-Driven Prevention Initiative (DDPI) Kansas Department of Health and Environment Our Mission: To protect and improve the health and environment of all Kansans.

Background Our Mission: To protect and improve the health and environment of all Kansans.

Background Our Mission: To protect and improve the health and environment of all Kansans.

Background • In 2016, there were 63, 632 drug poisoning deaths in the United

Background • In 2016, there were 63, 632 drug poisoning deaths in the United States • Provisional data – 68, 400 deaths from 10/2016 – 10/2017 • Drug poisoning is the leading cause of unintentional injury death in the U. S. • Unintentional injuries became the 3 rd leading cause of death in 2016 • U. S. life expectancy decreased in 2015 and 2016 Our Mission: To protect and improve the health and environment of all Kansans.

~11. 0/100, 000 Our Mission: To protect and improve the health and environment of

~11. 0/100, 000 Our Mission: To protect and improve the health and environment of all Kansans.

Drug Overdose Mortality Rates • Gender – Males (26. 2 deaths per 100, 000)

Drug Overdose Mortality Rates • Gender – Males (26. 2 deaths per 100, 000) • Age – 35 -44 (35. 0 deaths per 100, 000) • Race – Non-Hispanic whites (25. 3 deaths per 100, 000) Image source: National Center for Health Statistics Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

42, 249 of the 63, 632 U. S. drug overdose deaths involved a prescription

42, 249 of the 63, 632 U. S. drug overdose deaths involved a prescription or an illicit opioid Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

Kansas Data Our Mission: To protect and improve the health and environment of all

Kansas Data Our Mission: To protect and improve the health and environment of all Kansans.

Kansas Drug Poisoning Death Rates/Counts 2005 -2016 Our Mission: To protect and improve the

Kansas Drug Poisoning Death Rates/Counts 2005 -2016 Our Mission: To protect and improve the health and environment of all Kansans.

Drug Poisoning Mortality in Kansas • 310 drug poisoning deaths in 2016 • 104

Drug Poisoning Mortality in Kansas • 310 drug poisoning deaths in 2016 • 104 caused by natural or semi-synthetic opioids • 36 caused by heroin • Drug poisoning death rate decreased 8% in 2016 compared to 2015 Our Mission: To protect and improve the health and environment of all Kansans.

Visit www. preventoverdoseks. org for additional Kansas data Our Mission: To protect and improve

Visit www. preventoverdoseks. org for additional Kansas data Our Mission: To protect and improve the health and environment of all Kansans.

Prevention Strategies Our Mission: To protect and improve the health and environment of all

Prevention Strategies Our Mission: To protect and improve the health and environment of all Kansans.

Prevention Strategies • • A multi-faceted problem requires a multi-disciplinary approach! Primary prevention –

Prevention Strategies • • A multi-faceted problem requires a multi-disciplinary approach! Primary prevention – Prevent opioid use disorder Secondary prevention – Surveillance and early detection of OUD Tertiary prevention – Prevent mortality – Access to treatment – Harm reduction Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

Kansas’s Prevention Efforts Our Mission: To protect and improve the health and environment of

Kansas’s Prevention Efforts Our Mission: To protect and improve the health and environment of all Kansans.

State of Kansas Opioid Grants • State Targeted Response to the Opioid Crisis (KDADS)

State of Kansas Opioid Grants • State Targeted Response to the Opioid Crisis (KDADS) • Partnerships for Success (KDADS) • Kansas Data-Driven Prevention Initiative (KDHE)

Kansas Data-Driven Prevention Initiative • Cooperative agreement with the CDC Prescription Drug Overdose: Data-Driven

Kansas Data-Driven Prevention Initiative • Cooperative agreement with the CDC Prescription Drug Overdose: Data-Driven Prevention Initiative • Objective: decrease prescription and illicit opioid abuse, misuse, and dependence, to decrease rates of fatal and non-fatal poisoning deaths in Kansas • Implements a three-pronged approach to reach the initiative’s goals – Planning, Data, and “Prevention in Action” Our Mission: To protect and improve the health and environment of all Kansans.

KDDPI – Planning • Established Kansas Prescription Drug and Opioid Advisory Committee Overdose •

KDDPI – Planning • Established Kansas Prescription Drug and Opioid Advisory Committee Overdose • Development and implementation of a statewide strategic plan across multiple sectors to facilitate primary, secondary, and tertiary prevention activities for prescription and illicit drug abuse and overdose • Components: needs assessment, state plan, evaluation plan, and dissemination plan • Advisory Committee provides support to Governor’s Task Force on SUD Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

Our Mission: To protect and improve the health and environment of all Kansans.

KDDPI – Data • Necessary to improve data collection/analysis, to better understand the epidemic

KDDPI – Data • Necessary to improve data collection/analysis, to better understand the epidemic and assess progress toward program goals • Sources – – Drug-related mortality data Syndromic surveillance drug poisoning data from EDs K-TRACS dispensation data Work with OVS and coroners to increase specificity of drug poisoning deaths – Behavioral Risk Factor Surveillance System Our Mission: To protect and improve the health and environment of all Kansans.

KDDPI – Prevention in Action • Main focus: Enhance Kansas’s PDMP (K-TRACS) and increase

KDDPI – Prevention in Action • Main focus: Enhance Kansas’s PDMP (K-TRACS) and increase its use by prescribers and dispensers • Aim – prevent diversion, misuse and abuse of controlled substances while protecting legitimate medical use • Strategies – Enable registration, use, and access of K-TRACS (EHR integration) – Expand proactive reporting – Public health surveillance with K-TRACS Our Mission: To protect and improve the health and environment of all Kansans.

KDDPI – Prevention in Action • Provide education and technical assistance to high-burden regions

KDDPI – Prevention in Action • Provide education and technical assistance to high-burden regions – Providers, pharmacists, students, LEOs, general public – CDC Clinical Guidelines • CDC Rx Awareness Campaign • Vermont Oxford Network (VON) Neonatal Abstinence Syndrome (NAS) Universal Training Program Our Mission: To protect and improve the health and environment of all Kansans.

Future Directions • DDPI in FY 2019 – K-TRACS improvements – Data enhancements –

Future Directions • DDPI in FY 2019 – K-TRACS improvements – Data enhancements – Community-based prevention • Implementation of Kansas Prescription Drug and Opioid Misuse and Overdose Strategic Plan – Recruit additional stakeholders and communities Our Mission: To protect and improve the health and environment of all Kansans.

Adrienne Hearrell, MPH, CPTA Program Coordinator Prescription Drug Overdose: Data-Driven Prevention Initiative (DDPI) Kansas

Adrienne Hearrell, MPH, CPTA Program Coordinator Prescription Drug Overdose: Data-Driven Prevention Initiative (DDPI) Kansas Department of Health and Environment (785) 296 -3863 Adrienne. Hearrell@ks. gov Visit our website! www. preventoverdoseks. org Our Mission: To protect and improve the health and environment of all Kansans.