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Governor's Overdose Prevention and Intervention Task Force
Margo
34:28
SEN Task Force info margo.katz@health.ri.gov
Jonathan Goyer
36:22
Jonathan@recoveryfriendlyRI.com
Jonathan Goyer
41:27
RFW Job Posting: https://employment.ric.edu/postings/4812
Tanja Kubas-Meyer - RI Coalition for Children & Families
42:24
tanja.kubas-meyer@riccf.org RI Coalition for Children and Families
Steve
54:44
Can Ryan give some specifics on efforts to establish HRC/OPC?
rboss
54:56
Resource sharing: National Network to Eliminate Disparities in BH: https://nned.net/
Matt Collins
59:32
I think the DEA is now allowing all licensed prescribers to prescribe Bup w/o DATA waiver. Is there a move to try and get more prescribers to take advanatage?
Linda.Mahoney
59:59
March 3, 2021 Blue Cross sponsored NPR special "Opioids in the Community." 6:30 All in Spanish
Andrew.Stone
01:00:36
@ Matt Collins, This was unfortunatly not legal so this is not the case (yet). But hopefully lessening barriers to access will be a priority going forward
Susan Jacobsen
01:01:42
Seems that peer role in detox and treatment need to be further defined. Continuity seems to be primary goal, which is important but how is the peer to peer support role being integrated (and supported/valued) w/in treatment model. My worry is tha CPRS can be used more like a navigator than CPRS if treatment providers don't understand the profession.
Linda.Mahoney
01:03:31
Thanks, Sue. Your point is well taken. Boundaries of what a CPRS can be reimbursed for around funding have been established
Susan Jacobsen
01:05:14
Thx Linda - Is there tech support for treatment/detox to integrate peers? When providers don't understand/value the role it can lead to trouble with implementation, burn out of peers, and retention
Amy McCarthy
01:06:44
How are you able to join the workgroups now that it is virtual? I know each one is meeting but how to you start to attend
Carol Stone
01:07:08
https://preventoverdoseri.org/task-force-work-groups/
Linda.Mahoney
01:07:19
If anyone has been a certified peer specialist and has had financial difficulties in order to pay to be re-certified, please reach out to me directly. Linda.Mahoney@bhddh.ri.gov
Victor Pinkes MD
01:08:40
regarding prescribing without waiver
Victor Pinkes MD
01:09:03
re Rx without waiverAn exception to the registration requirement, known as the "three day rule" (Title 21, Code of Federal Regulations, Part 1306.07(b)), allows a practitioner who is not separately registered as a narcotic treatment program, to administer (but not prescribe) narcotic drugs to a patient for the purpose of relieving acute withdrawal symptoms while arranging for the patient's referral for treatment, under the following conditions:
karen kaplan
01:09:08
email me at karenkaplan11@gmil.com if you would like to be informed of the Family Task Force meetings. You can also peruse our website to learn more about our work and goals www.familytaskforce.org
Matt Collins
01:10:30
In December edition of Annals of Surgery, there is an article with startling findings. 94% of US surgical discharges got opioid. 5% of non-US surgical discharges got opioid.We may be lowering the morphine equivalents but are we reducing the total amount of meds dispensed? I don’t think we’re seeing that at BCBSRI.
Jonathan Goyer
01:12:13
Many CPRSs have past criminal/arrest records. This presents a large barrier when they apply to work within treatment and hospital agencies. We need to do better as a state to address this barrier.
Kim Paull
01:13:15
Susan Jacobsen - we'll go to you next. Saw that hand!
Heather Seger
01:15:00
Yes, Laurie! This was discussed in the last Fatality Review’s recommendations
Carol.HallWalker
01:15:05
Kudos for working with DLT. Employment is key to reduce anxiety and recruiting more men and especially men of color.
Angelina Edwards
01:15:39
Jonathan I agree completely with you on that. I personally have had that problem and I know many others who face the same issue and a lot of folks have given up because its such a barrier right now.
Laurie MacDougall
01:15:45
Hi Heather, you know, I am always fighting for this. Families can really make a difference!
Karen Jeffreys@HHP/BHLink
01:15:54
Yes Laurie, the Public Attitude survey we are looking at next showed the need for general public to better understand the best practices of recovery!
Linda.Mahoney
01:16:05
Sorry new computer.... medication first is not the long term goal but rather an immediate goal that the treatment workgroup and others are currently and will need to consistently work on
Heather Seger
01:16:18
Family education, involvement, and support is so important
Heather Seger
01:16:49
Thank you, Laurie, for always fighting for this.
Laurie MacDougall
01:17:03
Karen, thank for looking at this. We need more understanding and research done on the impact the family could have especially as recovery capital.
Andrew.Stone
01:17:12
Shame reduction and reducing stigma in the comunity around needed medications for those with OUD and how that fits in recovery is very important. So that access is increased.
Karen Jeffreys@HHP/BHLink
01:17:19
So true, if family and friend are going to serve as a “bridge” to support and help they need to understand best practices so they can be a helpful bridge!
Colleen Daley Ndoye
01:18:32
To build off of Steve’s point. OD prevention sites were a clear priority of this plan. Which group is tasked with leading this effort? If not the HR group, then who?
Jesse Yedinak (she/her)
01:18:58
Great question, Colleen. Thank you ^^^
Jody Rich
01:20:12
how many buprenorphine prescriptions to people of color in RI?
Andrew.Stone
01:20:16
To Dennnis Bailer's point there is a severe access problem for people who have been left behind and left out of the "traditional" insurance based systems of healtchare access. I
Corinna Roy
01:20:35
To Dennis's point, that is less than 3% of all Bupe prescriptions.
Joee Lindbeck
01:21:02
Take a look at this treatment equity bill currently being considered in New York... https://www.nysenate.gov/legislation/bills/2021/s679/amendment/a
Andrew.Stone
01:21:05
Do we know the numbers for methadone?
Colleen Daley Ndoye
01:21:38
Thank you Marti. We at PWR would love to be involved in a policy group.
Jesse Yedinak (she/her)
01:22:01
https://preventoverdoseri.org/emerging-trends/
Ben Hallowell (he/him)
01:22:33
@Jodi Rich - Because we don't collect race/ethnicity in the RI-PDMP, we can't look at buprenorphine by race/ethnicity unfortunately
Brandon Marshall [he/him/his]
01:22:38
To answer Jody’s question, we don’t know how many buprenorphine prescriptions are going to people of color in Rhode Island, because race/ethnicity is not collected in the PDMP. But we do have data about methadone from BHDDH (link below, thanks Jesse)
Dennis Bailer
01:22:56
Good Question Andrew. I do not have that data but certainly will look in to it.
Brandon Marshall [he/him/his]
01:23:54
RI rates of methadone receipt by race/ethnicity can be found here: https://preventoverdoseri.org/emerging-trends/ (data care of BHDDH)
Dennis Bailer
01:24:01
Thank you Brandon
Brandon Marshall [he/him/his]
01:25:45
Approximately 0.3% of Black Rhode Islanders are receiving methadone, compared to 0.6% of whites. So there are disparities here too I’m afraid. But Dennis you’re right, the big differences (nationally) are in the buprenorphine population.
Andrew.Stone
01:27:52
There seems to be a disproportionately larger decline in black participants in methadone treatement over 2020. A concerning lack of increase in people in methadone treatment despite the growing OD crisis, liklely represents an effect of the COVID pandemic disproportinately effecting people of color.
Jonathan Goyer
01:30:10
Kudos to RIDOH and DLT for incorporating these public perception survey findings into resources for people who find themselves applying for unemployment. Loss of income and purpose can greatly increase prevelance of substance misuse and/or mental health conditions. How else can we use this data to encourage people to ask for help?
Marti Rosenberg
01:34:51
If you/your organization is interested in being a part of the cross-work group policy advisory group, please email me at marti.rosenberg@ohhs.ri.gov. (Would be helpful if you used Policy Advisory Group in the subject line. :)
Jordan White
01:35:05
The finding that so many people believe that people with SUD can/should recover without meds makes me think of conversations regarding whether the term “medication assisted” contributes to this idea. We don’t use that term for anything else in medicine (for example - treatment of hypertension has many behavioral components in addition to treatment with medication, but we don’t say that treatment of hypertension is medication assisted - meds are just considered part of what is needed). I am relatively new to this group, but wonder if that has been part of any conversations?
Diane Dufresne
01:36:44
Those working in the general medical field, especially the ER NEED education!
Ian Knowles
01:36:50
Do we assume that ‘relapse’ is part of the recovery process from any other chronic, relapsing medical condition, and actually poll the public about their attitude toward it? We view relapse as part of the addiction dynamic…’relapse,’ also a stigmatizing term, is not inevitable, as is implied
Andrew.Stone
01:36:54
@ Jordan White I agree Medication for the treatment of OUD (MOUD) is probably less of a problem.
rboss
01:36:59
Thanks Karen! Great presentation!
Karen Jeffreys@HHP/BHLink
01:37:39
Just dropped in the chat the summary report that goes along with the slides
Lynn Mosher , Serenity Center
01:38:11
Thank you Karen !
Carol Stone
01:38:14
ww.atod.org
Kassie Hawkins (she/her) Sojourner House
01:38:31
Sojourner House is offering free, confidential HIV and Hep C testing by appointment only as well as at-home tests. Anyone wanting a test can contact me at khawkins@sojournerri.org or call (401) 861-6191.
Heather Seger
01:40:23
This is GREAT news!
Deacon John Silvia
01:40:29
Diocese of Providence continues the monthly Hope and Cope Group at St. Barnabas in Portsmouth, and the Quarterly Masses Focusing on Recovery also at St. Barnabas. I have the schedule and can publish wherever you wish.
Kyle Edward, NHPRI
01:40:40
Very good news!
Megan Costa
01:40:54
Great News!
Linda.Mahoney
01:41:22
Please spread Karen's survey information. Certainly one way to reduce stigma is by using education and letting people know RI's. to help!
Mike Rizzi
01:41:32
www.aatod.org
Dennis Bailer
01:42:19
Great News Rebecca Boss. I'll always want to refer to you as Director Boss (Great name title combination)