Oakland Press – Oakland County’s opioid dataset portal provides information for residents and advocates

In 2016, over 30 county residents died from opioid abuse.

The county is trying to combat this issue with new data sets and information related to opioid abuse on its Access Oakland website.

A new open data portal focused on opioids, launched July 10, is now available

Oakland County Health Division Manager Leigh-Anne Stafford said the site was launched to raise public awareness of the opioid epidemic, and to try to be proactive in responding to this problem in Oakland County.

A few of the portal’s key feature include an interactive map that will allow users to view prescription drug drop-off locations, county prevention sites and resources, treatment locations and a map of all Alcoholics Anonymous and Narcotics Anonymous meetings in the county.

Stafford said the portal will act as a one-stop shop for prescription drug abuse information, which has been gathered from a variety of resources across the county.

Resources include the Oakland Community Health Network, the U.S. Drug Enforcement Agency, the Oakland County Sheriff’s office, local law enforcement agencies, Alliance of Coalitions for Health Communities, Southeastern Michigan Health Association and the Oakland County Medical Examiner’s Office.

“Having this online data access point will allow us to target our prevention, treatment, and law enforcement efforts in the areas of most need, as well as promoting prevention, treatment and recovery resources to residents in an interactive, visual manner,” said Stafford.

By the numbers

• Since 2010, according to the Michigan Department of Health and Human Services, 134 Oakland County residents have died from an opioid overdose.

• According to the Oakland County Sheriff’s Office, 18 lives were saved in 2015 when deputies used Naloxone. In 2016, the sheriff’s office saw a nearly 300 percent jump when 50 people’s lives were saved.

• In 2016, 743,969 opioid prescriptions were filed in the county

• In 2016, 6,409 residents were treated for opioid abuse

Opioid deaths in Oakland County

• 2010, 10

• 2011, 10

• 2012, 13

• 2013, 14

• 2014, 21

• 2015, 33

• 2016, 33

RELATED: Gov. Snyder’s order makes naloxone easier to get in Michigan but won’t encourage more use says Sheriff Bouchard

RELATED: Mental Health Authority taking steps to combat substance abuse

RELATED: County launches website aimed at safe disposal of prescriptions

RELATED: Michigan’s new prescription drug monitoring program launches, aims to combat opioid abuse

RELATED: Sheriff Bouchard says state’s drug monitoring program “doesn’t hold anyone accountable”

RELATED: County Prescription Drug Abuse Partnership recognized by Harvard University

RELATED: Birmingham students hear first-hand of effects of substance abuse

RELATED: Increase in use of naloxone leads to rising cost of saving lives in Oakland, across country

Portland Alano Club offers hope for recovery with innovative tool kit

Portland Alano

Contributor, Ryan Hampton, Recovery Advocate at Facing Addiction + Person in Long Term Recovery from Substance Use Disorder

Huffington Post, 07/06/2017 05:55 pm ET

What’s in your recovery tool kit? How do you maintain your recovery on a day to day basis? One thing that recovery advocates, doctors, and addiction science all agree on is connection. Other, healthy people are the key to finding recovery and staying sober for long periods of time.

There are other things, too: meditation, mindfulness, and different kinds of group therapy are all methods that people use to heal from drug and alcohol abuse. It sounds simple, but self care, learning more about addiction, and connecting with people in the recovery community are the “prescription” for our illness. Slowly, research is catching up with what grassroots activists, harm reduction groups, and recovery groups have known for a century. We need help, and for that, we support each other.

This might sound like a fantasy, but it’s not. One amazing example is the Alano Club in Portland, Oregon. Their Recovery Toolkit series is changing the way that we treat substance use disorder. By focusing on holistic, integrated recovery support, the Alano Club has created a simple set of “tools” for people who need help achieving long term recovery. Weekly yoga and meditation classes, mindfulness workshops, writing sessions for people who want to learn to tell their recovery stories, and even courses on healthy eating, addiction, and relationships. The classes are free and totally open to the community: anyone who walks in can get the help they need. The Club is home to hundreds of mutual aid support groups every week.

I think the Alano Club is an incredible example of where peer supported recovery is going. It’s not a treatment center: it’s a nonprofit. It’s a member of the Facing Addiction Action Network, one of 600+ groups dedicated to helping people in recovery. It also looks beyond immediate need to the larger forces at work. The Club’s advocacy training workshops teach people how to lobby for change and communicate with people who don’t know the truth about substance use disorder. This is groundbreaking, in the recovery world. In fact, the Alano Club was just recognized by FAVOR’s Joel M. Hernandez Award, the highest national award given to a recovery community organization. It also got a Focus on Innovation Award from Addiction Policy Forum for its work.

What’s important is that the Alano Club is a one-stop resource for people in Portland, but its mission and materials could easily be adapted to any other recovery club.

That’s the beauty of recovery: it really does go everywhere. I wish there was an Alano Club in every county and state, all across America. Many of us are lucky to live near major cities, and find connections there. But recovery, and the tools to get it, should be free and open to everyone. Those resources should be available to everybody who needs them, no matter where they live.

Many thanks to the Alano Club and the hundreds of recovery community organizations, non profits, churches, community groups, families, and recovery advocates who are pushing back against the drug epidemic. Your work is so valuable, and, in this public health crisis, essential.

You may not always make the front page, but we see you. Thank you.

Ryan Hampton is an outreach lead and recovery advocate at Facing Addiction, a leading nonprofit dedicated to ending the addiction crisis in the United States.

AP – Opioid recovery on the line

Opioid recovery on the line

Possible Medicaid reduction worries those fighting crisis

By Ricardo Alonso-Zaldivar

The Associated Press

WASHINGTON — The Republican campaign to roll back Barack Obama’s health care law is colliding with America’s opioid epidemic. Medicaid cutbacks would hit hard in states deeply affected by the addiction crisis and struggling to turn the corner, according to state data and concerned lawmakers in both parties.

The central issue is that the House health care bill would phase out Obamacare’s expanded Medicaid, which allows states to provide federally backed insurance to low-income adults previously not eligible. Many people in that demographic are in their 20s and 30s and dealing with opioid addiction. Dollars from Washington have allowed states to boost their response to the crisis, paying for medication, counseling, therapy and other services.

According to data compiled by The Associated Press, Medicaid expansion accounted for 61 percent of total Medicaid spending on substance abuse treatment in Kentucky, 47 percent in West Virginia, 56 percent in Michigan, 59 percent in Maryland, and 31 percent in Rhode Island. In Ohio,the expansion accounted for 43 percent of Medicaid spending in 2016 on behavioral health, a category that includes mental health and substance abuse.

Those states accepted the Medicaid expansion and represent a cross-section of places hardest hit by the nation’s drug-overdose epidemic, which claimed more than 52,000 lives in 2015. Of the deaths, more than 6 in 10 were due to opioids, from prescription pain relievers like oxycodone to street drugs like heroin and an elephant tranquilizer.

Tracy Plouck, Ohio’sdirector of mental health and addiction services, said Medicaid expansion dollars from Washington have allowed her state to redirect its own resources to priorities like providing recovery housing after detox. Reversing that would have real consequences for people who are trying to straighten their out their lives, she said. “If you go back into an environment where people are using, that sets you up with a risk that’s nearly insurmountable.”

In Youngstown, factory mechanic Paul Wright credits sustained help from Medicaid with his survival after he nearly died from a heroin overdose. Wright said he had started using as a teenager but now has been drug-free for 18 months. Before Medicaid expanded, his father’s health insurance would pay for detox but not for longterm treatment. Wright would relapse. With Medicaid, he’s been able to get follow-up.

“It’s truly sad, but I’ve been to many funerals since I’ve been clean,” said Wright, who’s in his mid-20s. “I just think Medicaid — honestly — it saves people.”

Seattle Times Opinion, April, 2017, “Opioids: deadlier than Vietnam”

Opioids: deadlier than Vietnam

Over a two-year period more Americans died of opiate addiction than died in the entire Vietnam War.

By David Brooks, Syndicated columnist

The health-care bill failed. The odds of successful tax reform are remote, and in any case an actual proposal is months away. If we lived in a normal country our president would use the current moment to try to get a win — to try to pass something that would help people, demonstrate that Washington can function and rebuild his brand.

If we lived in a normal country the Trump White House would launch a major initiative to combat opiate addiction. There are roughly 2.5 million Americans addicted to opioids. Between 1999 and 2015, the number of those who died rose from 8,200 annually to 33,000. That means that over two years more Americans died of opiate addiction than died in the entire Vietnam War.

As Christopher Caldwell pointed out in a powerful essay called “American Carnage” in First Things, the opioid crisis is killing at a higher rate than crack or any other recent plague. At the peak of the crack epidemic there were about two deaths per 100,000 Americans. Today, the opioid epidemic is killing 10.3 per 100,000. The national spotlight has been put on this crisis, but the situation is getting worse, not better. The Washington Post reported that in Stark County, Ohio, for example, the number of opioid-related deaths has increased by 20 percent in the past year. The county just asked the state to send over a cold storage trailer because the morgue is already full.

And the crisis is hitting exactly in those places where Trump voters live, especially struggling rural areas in Appalachia, the Upper Midwest, and the working-class areas of New England. That’s why Donald Trump was so vocal about it during the campaign. He promised he would give every sufferer “access to the care and the help that he or she needs.” He told one Ohio town hall, “We’re going to spend the money, we’re going to get that habit broken.”

It’s a challenging problem. In 12 states there are more opioid prescriptions than people. According to the Centers for Disease Control and Prevention, those who are addicted to prescription painkillers are 40 times more likely to be addicted to heroin.

As Caldwell writes: “If you take too much heroin, your breathing slows until you die. Unfortunately, the drug sets an addictive trap that is sinister and subtle. It provides a euphoria — a feeling of contentment, simplification and release — which users swear has no equal. Users quickly develop a tolerance. … The dosage required to attain the feeling the user originally experienced rises until it is higher than the dosage that will kill him.”

The most dangerous day for an addict is the day he’s released from some sort of custody. On this day the dosage that he handled comfortably two weeks before could cause his death.

To its credit, the Trump administration has launched a commission to see how the federal government can tackle this crisis. Trump already appears to support Obama administration spending levels on opioid addiction. But Trump could propose legislation fully funding the Comprehensive Addiction and Recovery Act. When that was passed, by overwhelming bipartisan majorities in 2016, the price tag was put at $1 billion. But only a portion of that has actually been appropriated.

Special focus could be put on adding treatment centers. According to a 2014 federal study, about 90 percent of those who met the criteria for a drug-abuse disorder don’t get treatment. Some live in counties where there are zero facilities.

Something like half of all sufferers drop out of treatment within a few months, so it might be worth thinking about involuntary commitment too. Sally Satel has been treating people addicted to heroin for a quarter century and writes for The Wall Street Journal: “I speak from long experience when I say that few heavy users can simply take a medication and embark on a path to recovery. It often requires a healthy dose of benign paternalism and, in some cases, involuntary care through civil commitment. Many families see such legal action as the only way to interrupt the self-destructive cycle in which their loved ones are caught.”

This isn’t just about painkillers run amok. Instant and slow-motion suicide by alcohol and a range of other drugs are rising at the same time. And these addictions and deaths are happening in the most socially and economically barren parts of the country.

An anti-opioid effort won’t be effective unless it’s part of a broader effort at social and economic reweaving, a set of efforts to either help people move out of rural, blighted communities or to find jobs and social networks while there.

Trump could talk about many other approaches — medical marijuana as a substitute for pain relief, holding pharmaceutical companies more accountable — but ultimately this is a disease that grows in despair.

Trump was elected out of that despair, and a big anti-opioid push would be a first and politically viable step toward attacking it.

© 2017, New York Times News Service David Brooks is a regular columnist for The New York Times.

Fox 2 News “Let It Rip” Panel to include UFAM Speakers Judge Jodi & Scott Masi

In the News

Two segments discussing Narcan, the Opiate Overdose Reversal Medication, and current issues surrounding Marijuana.

Promises to be a spirited discussion this morning on FOX 2 Let it Rip Weekend Edition at 9:30 AM Sunday, with 2017 UFAM Rally Speakers Judge Jodi Debbrecht Switalski & Scott Masi.  Masi posted last night to his Facebook Page, “Always a spirited discussion. Looking forward to participating with my friend Jodi Debbrecht Switalski.”

Scott Masi, UFAM Organizer, explains how one dose of naloxone may not be enough

Masi & Naloxone
By: Randy Wimbley POSTED: MAY 25 2017 11:30PM EDT UPDATED: MAY 25 2017 11:30PM EDT

The State of Michigan is throwing a haymaker in the fight against the opioid crisis. This latest move stems from legislation passed late last year to combat what has become an epidemic.

“This here is the overdose kit that we were distributing. The same stuff that we would be giving out at the pharmacy level.”

Now people with opioid addictions or their relatives will be able to by the overdose reversal drug, Naloxone or Narcan, over the counter.

Governor Rick Snyder approved a standing order from the Department of Health and Human Services allowing pharmacies to dispense the drug.

“I think it’s very important that it’s readily available so we can save lives,” said Dr. Shaun Jayakar of St. John Providence.

Fox News Edge at 11pm

The move comes as the number of deaths caused by opioid overdoses continues to rise, and the drugs are getting stronger.

“One application of Nalaxone might not be the antidote like it used to be because of the continued potency, the continued synthetic component that is being put into and utilized in the heroin that is being distributed on the street,” said Scott Masi at the Brighton Center for Recovery.

Those buying Naloxone can get enough for one treatment – but there is no limit on refills.

Before the order, only law enforcement, first responders, and doctors would administer Nalaxone. That won’t be the case anymore.

“If you give this medication they become agitated, they can become restless, their heart can race so ideally it would be a medication prescribed by a doctor. However, with this epidemic of deaths due to overdoses, i think the benefits outweigh risks,” said Dr. Jayakar.

Those in need of the overdose reversal drug may experience sticker shock at their local pharmacy.

“The nasal spray is going to be around $150 without insurance. If your insurance covers it, it will just be your co-pay. It injectable, the really expensive one is going to be around $4,500 to $4,900,” said Ghada Abdullah at Park Pharmacy.

There’s another potential drawback – will a readily available fix to an opioid overdose encourage more abuse?

“I personally don’t believe that this is going to be something that someone’s going to take to a party and say, ‘Hey guys we can get high just because we have this Narcan’, I really doubt that’s going to happen,” said Abdullah. “It’s just going to help save someone’s life.”

Now pharmacies have to register with the Department of Health and Human Services to dispense Naloxone, and they have to keep track of who’s buying it and how much.

Gov. Rick Snyder authorizes standing order to make naloxone widely available in Michigan

Snyder and Naloxone
Lifesaving medication now available for eligible individuals at pharmacies

Thursday, May 25, 2017

LANSING, Mich. – Gov. Rick Snyder today authorized the Michigan Department of Health and Human Services to issue a standing order pre-authorizing the distribution of naloxone by pharmacists to eligible individuals.

“Naloxone is a tool in the fight against opioid addiction that can save lives immediately and we need to make sure all residents statewide have access, both in rural areas and urban centers,” Gov. Snyder said. “Our entire state has been affected by this horrible epidemic. I have said that state government will use all possible resources to reverse the course of the opioid crisis. This is one more action that demonstrates our full commitment to addressing the problem.”

Naloxone is a fast-acting medication that reverses opioid overdose. Pharmacies that obtain the standing order will be able to dispense naloxone to those at risk of an opioid-related overdose, as well as family members, friends, or other persons who may be able to assist a person at risk of an overdose. Currently, naloxone is only available to be administered by law enforcement or other first responders.

“As we continue our fight against opioid addiction, this order makes naloxone more accessible for those most likely to need it,” said Dr. Eden Wells, chief medical executive of MDHHS. “This is a vital step in reducing deaths related to opioid addiction in Michigan. By allowing for shorter response times in emergency situations, we can help save lives.”

States nationwide have experienced a dramatic increase in the number of opioid-related overdoses in recent years. In Michigan, the number of heroin-related overdose deaths increased from 1.1 per 100,000 residents in 2007 to 6.8 per 100,000 residents in 2015. Opioids, including heroin and prescription drugs, accounted for 473 deaths in 2007; in 2015, that number increased to 1,275.

As part of their final recommendations, Gov. Snyder’s Prescription Drug and Opioid Abuse Task Force found that naloxone is a safe and lifesaving drug that should be more accessible. In 2016, Public Act 383 was passed giving the chief medical executive authority to issue a standing order that does not identify a patient for the purpose of dispensing naloxone. To dispense naloxone under the standing order, pharmacies must register with MDHHS online at www.michigan.gov/naloxone.

When obtaining naloxone from a pharmacy, individuals will be provided with the steps for responding to an opioid overdose as well as important information about where to go for treatment services. Pharmacies will be required to keep track of the amount of naloxone dispensed and will report these numbers to MDHHS on a quarterly basis.

To learn more about drug treatment services available near you, visit www.michigan.gov/bhrecovery.

Courtesy of: http://www.michigan.gov/snyder/0,4668,7-277–413050–,00.html