Transcript Heroin Associated Deaths in Greene County, Ohio

Heroin Associated Deaths in
Greene County, Ohio
Jane McClelland, BSN, RN, Public Health Nurse
Melissa Howell, Health Commissioner
Don Brannen, PhD, MHSA, MS; Epidemiologist
Ashley Steveley, MPH, Health Educator
Greene County Ohio Deaths from Heroin
Induced Injury
• 2013 Year
• 5 Greene County residents that died in Greene County.
• 1 resident death out of county.
• 4 non-resident deaths in county.
• 2014
• 6 Greene County residents that died in Greene County.
• 1 resident death out of county.
• 5 non-resident deaths in county.
Drug Related Deaths in 2013
Either Died or Resided in Greene County
• Not all are
heroin.
• There were only
10 deaths with
heroin
mentioned in
2013 so casted
the net wider.
Drug
Related
Deaths
in 2013
County of Residence
Year of
Death
Heroin
Induced
County of Death
GREENE
No
2013
CLARK
FAYETTE
1
22
1
1
MONTGOMERY
3
GREENE
5
MONTGOMERY
4
GREENE
1
1
32
LUCAS
1
MONTGOMERY
6
GREENE
6
MAHONING
1
MONTGOMERY
5
2014
Yes
LOGAN
MARION
Yes
No
GREENE
MEDINA
MONTGOMERY
MORGAN
4
1
2
1
1
City of Residence of Persons who Died with Any Association to Heroin
(selected from persons who Lived in or Died while in Greene County during
2013 and 2014)
8
7
6
5
4
3
2
1
0
HARRIMAN WADSWORTH BELLBROOK BEAVERCREEK FAIRBORN
XENIA
Provisional 2015 Data
• 18 residents Greene County residents with associated drug
intoxication related deaths
• 8 females, 10 males
• 26-59 years of age
• 7 MDI
• 6 Oxycodone, Fentanyl, Cocaine, Meth
• 5 Heroin
• 10 Fairborn, 4 Xenia, 4 Other areas of County
Summary
In Greene County during 2013 and 2014 there were 11 total
heroin induced deaths of Greene County residents.
From 2012 to 2013, there was an increase in heroin associated
deaths in the 20-39 age group from 1 to 7 deaths.
Xenia had the largest number of heroin associated deaths with
a total of 7 deaths in Greene County during 2013 and 2014 (this
includes residents and non-residents).
TCN Behavioral Health Services
• In the past year, TCN treated 1,038 patients with an Opiate
Addiction diagnosis
• Of the 1,711 patients treated for substance abuse in FY 2015,
61% used opiates – a 9% increase from the previous year
TCN Behavioral Health Services
• The number of patients receiving Medication Assisted
Treatment for opiate dependence – and TCN’s capacity to treat
them – has increased by 256% over the past five years
• TCN has seven physicians partially allocated to providing
Medication Assisted Treatment services to opiate addicted
patients
Client Characteristics
• Over the past 11 years, TCN has treated over 4,700 patients for
opiate addiction
• Primary age ranges that patients seek treatment from TCN for
Opiate Addiction are 20-30 years old (42% all opiate dependent
patients) and 30-40 years old (35%)
• TCN patients with opiate diagnoses are more often male (55%)
than female (45%)
Deaths Avoided With Naloxone (DAWN)
• TCN began Project DAWN in August 2015 to reduce the number of opioidrelated deaths
• A community-based overdose education and naloxone distribution program.
Project DAWN participants receive training on:
– Recognizing the signs and symptoms of overdose
– Distinguishing between different types of overdose
– Performing rescue breathing
– Calling emergency medical services
– Administering intranasal Naloxone (also known as Narcan)
Project DAWN
• Training is given to TCN clients who are undergoing Suboxone
Induction and Suboxone Maintenance groups.
• 87 kits have been prescribed to clients.
• Clients will continue to receive the kits in the future
• TCN plans to expand Project DAWN training to:
–
–
–
–
Intensive Outpatient groups
Christopher House residents
Women’s Recovery Center residents
Greene County Community at large.
Greene County Children Services
Drug and Alcohol Concerns Statistics
Positive Toxicology Screens by Types of Substance Used
Number of Abuse Reports due to
Infant affected by substance use at brith
30
25
20
15
10
5
0
Opiates
THC
Amphetamines
Barbiturates
Methamphetamines
Cocaine
Benzodiazephines
Poly users
2011
7
9
1
0
1
2
1
5
2012
5
11
1
1
2
0
0
3
2013
20
26
6
2
1
3
3
16
2014
14
18
4
1
1
9
2
12
Greene County Children Services, Number of reports of infants with positive
toxicology reports
41
34
15
16
2011
2012
2013
2014
Positive Tox Births
By Month
2013 and 2014
7
6
5
4
Year 2013
3
Year 2014
2
1
0
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Positive Tox Births
By Month 2013 and 2014
-for Opiates4
3
Year 2013
2
Year 2014
1
0
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Positive Toxicology Screens by mother's location
25
20
15
10
5
0
Xenia
Fairborn
Cedarville
Bellbrook
Jamestown
Spring Valley
Huber Heights
Beavercreek
2011
10
2
1
2
0
0
0
0
2012
6
7
0
2
1
0
0
0
2013
15
21
0
0
0
1
1
3
2014
12
15
0
1
1
1
0
4
Positive Toxicology screens by age of mother
14
12
12
12
11
11
Number of Mothers
10
9
8
7
6
7
6
6
4
4
3
3
3
2
3
3
2
2
1
1
33
34
1
1
0
19
20
21
22
23
24
25
26
27
28
29
30
Age of Mother
31
32
35
36
37
38
40
Thank You!
• We appreciate your support and feedback
• Please complete your survey and return to the Mental Health
& Recovery Board table
• For more information about the Greene County Drug Coalition,
please contact Tracey Stute, 937-322-0648 x119
[email protected]