Transcript Delaware Health and Social Services Addiction: Focus on 3 Fronts

Responding to Delaware’s
Addiction Epidemic
Delaware Grantmakers Association: October 7, 2015
Rita Landgraf, Secretary, Delaware Department of Health and Social Services
Delaware Health and Social Services
THE ADDICTION CHALLENGE
Delaware’s Public Health Epidemic Doesn’t Discriminate
Delaware Health and Social Services
The Scope of the Epidemic
• In 2014, 185 suspected overdose
deaths in Delaware, about one every
other day. Through July 2015, more
than 110 suspected overdose deaths.
• Age range: From age 15 to 87.
• Average person who died of a suspected
overdose: A 42-year-old white male
from suburban New Castle County.
• Substances involved: alcohol,
prescription drugs, heroin, cocaine and
others; often in combination.
Delaware Health and Social Services
The Explosion of Heroin
• State’s tightening of access to
prescription drugs, raised the
on-the-street cost of pills.
• 1 Oxycodone pill = $20-$30; hit
of heroin = $5-$10.
• In 2013-15, heroin overdose
deaths rising dramatically.
• Police seizures almost tripled in
2013 from 2012.
• Admissions for public treatment
have more than doubled.
Delaware Health and Social Services
Alcohol Usage Among Teens
In 2014, the UD Center for Drug &
Alcohol Studies found among Delaware
11th-graders:
• 31% reported using alcohol in past
month.
• 57% used it in past year.
• 65% used it in their lifetimes.
Among Delaware 8th-graders:
• 13% reported past-month use of alcohol.
• 26% had used in past year.
• 34% in their lifetimes.
Delaware Health and Social Services
The Treatment Landscape
• 9,897 adults sought public
treatment for addiction in 2014. About
3 in 10 listed heroin as their primary
drug at time of admission.
• Thousands more sought private
treatment, in-state or out-of-state.
• Only an estimated 10.4% of Americans
who need treatment seek it.
• Beyond demand, Delaware system
was fragmented and not responsive
to individual needs. Individuals faced
gaps in services and supports.
Delaware Health and Social Services
THE STATE’S RESPONSE
Fight Addiction by Focusing on Three Fronts
Delaware Health and Social Services
Addiction: Focus on 3 Fronts
Fighting drug use and
addiction is complex and
requires work across
government departments
and along 3 fronts:
• Prevention/Education
• Criminal Justice/Law
Enforcement
• Treatment/Recovery
Delaware Health and Social Services
Treatment and Recovery
• During a public health epidemic, must
increase resources.
• Building capacity statewide for withdrawal
management, out-patient treatment,
residential treatment & sober living.
• At same time, reforming the system to
meet people where they are and when they
are ready for treatment, including 24/7
Crisis Services. Treatment must ebb and
flow with individual’s needs.
• Care based on the individual, not one-sizefits-all.
Delaware Health and Social Services
New State Funding for FY16
for Substance Usage Disorder
Withdrawal Management*
Sober Living Residential Programs
Young Adult Residential Treatment/Opiate
Residential Treatment
Subtotal
One-Time Funds
Total
$ 750,000
$ 935,000
$1.15M
$ 800,000
$3,635M
$ 815,000
$4.45M
*Additional $950.0 structurally transferred to DSAMH for Withdrawal Management from the Office of
Management & Budget
Delaware Health and Social Services
HelpIsHereDE.com
Sections: “I Am Here for Me,” “I Am
Here for Someone I Know,” Medical
Providers, Community, Resources
• One-stop for
prevention,
treatment,
recovery
information.
• Launched in
October 2014.
• 100,00 page views
in first 9 months;
adding prevention
and provider info
Delaware Health and Social Services
Criminal Justice/Law Enforcement
• DOC Commissioner Robert Coupe
says 60% of those incarcerated
impacted by addiction.
• Department of Correction
redesigning Crest and Key
programs, which are 25 years old.
• Northern NCCo part of Philadelphia/
Camden High Intensity Drug
Trafficking Area, with new money for
law enforcement and public health
analyst to work together.
Delaware Health and Social Services
Prevention and Education
• Beginning in 2015-16 school year,
all high school students must
receive 15 hours of drug and alcohol
prevention education before
graduation.
• Red Clay already using Smart
Moves, Smart Choices curriculum.
• Prescription Drug Action Committee
working across the spectrum.
• Permanent 24/7 Drug Take-Back
collection containers now at 8 police
stations statewide.
Delaware Health and Social Services
Prevention Campaign
• Prevent underage drinking (aimed at students age 1220 and influencers – parents, guardians and other
adults). Info: DrinkingHurtsThinking.com
• Prevent binge drinking (aimed at youth age 12-25, with
emphasis on college-age young people). Info and online
assessment: AmIABingeDrinker.com
Delaware Health and Social Services
Naloxone and Good Samaritan
• In 2014, Gov. Markell signed 2
bills providing for wider use of
naloxone, the overdosereversing drug.
• Greater community use &
voluntary use by police
agencies.
• April 2015 resolution: Voluntary
use by school nurses.
• Good Samaritan/911 Law
Delaware Health and Social Services
Delaware Health and Social Services