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Governor's Overdose Prevention and Intervention Task Force Meeting
Jennifer Koziol
34:23
jennifer.koziol@health.ri.gov
Jonathan Goyer
37:37
www.RecoveryFriendlyRI.com to learn more about Recovery Friendly Workplaces
Jennifer Koziol
38:48
Application and FAQ here: https://preventoverdoseri.org/10000-chances-project/
Heidi Driscoll
40:46
Here is the link to Hidden In Plain Sight Virtual,
Heidi Driscoll
40:52
https://www.riprevention.org/get-involved/
Kathy Sullivan
41:02
Thank you, Director Powers, for your ongoing support of the regional prevention coalitions and your leadership.
Shannon Quinn
41:41
where can we find the social media posts? would love to repost anything throughout the month!
Timothy’s iPad
45:41
Connector LLC has recently released an online tool that can be used to gauge COVID-19 risk in groups without violating privacy or HIPAA rights. It gives individuals instant results as to their current COVID risk. We see it great tool for peers to use to engage people suffering from SUD by offering them a non SUD related service to break the ice. Please look it over at https://CovidTestConnector.com for more information and links to the tool.
Rachael Elmaleh
48:44
Hi Shannon. Thanks for asking and for your willingness to share the social media posts. That content hasn't yet been developed. We will definitely send links to share via direct email and through the Task Force e-newsletter. If you need to get on our email distribution list, please reach out to Carol.Stone@health.ri.gov.
Traci Green
55:32
Was testing for/status of COVID-19 known for the decedents (2020)?
Sivakumar Batthala
56:29
Hi In the dataset we used for the analysis, we did not know the status
Karen Jeffreys
01:00:40
HousingFirst model critical - house people without all the barriers and wrap around the services!
Jonathan Goyer
01:01:04
4x growth of ODs for people recieiving unemployment payments. How can we use DLT as a vehicle to deliver treatment & recovery support resources?
Cathy Schultz
01:01:06
Yes!!!!
Karen Jeffreys
01:01:41
HousingFirst model, a harm-reduction model, has 85% success rate nationally
Stephanie Terry
01:05:18
I have to weigh in on Peer Recovery Specialists and how critical they are; right now in particular. I represent DCYF CPS. While our call volume is down, our investigations primarily involve SUD, DV and other BH challenges. The number of overdoses and parents who have relapsed after years of recovery is compelling. The Peer Recovery Specialists working with Peter Slom are CRITICAL. They have life experience, child welfare experience and can speak to families in ways that we can not. They have been critical to our ability to engage families, help them to accept help, understand that we truly want to help and ultimately safety plan with us to avoid removing children from home. We need MORE...
Karen Jeffreys
01:06:46
I agree Stephanie with everything you said! We need more, a diverse group of peers are critical to put out the message - folks DO trust their peers
Diane Dufresne
01:07:47
Yes Stephanie, excellent point!
Laurie MacDougall
01:08:14
The Family Task Force is recruiting family members to become Certified Family Recovery specialists
Mike Rizzi
01:09:09
Were methadone deaths related to people in currently treatment ?strongly support overdose prevention site as a way to intervene, engage, and inform
Laurie MacDougall
01:09:10
There is a training in January that trains in the CRAFT methodology how it relates back to being a peer and the peer model.
Laurie MacDougall
01:09:46
The FTF has connected with BH Link so connect families with family Peers
Karen Jeffreys
01:09:58
Amen to that Marti!
Joshua Miller
01:13:33
Strategies to reduce wait time for treatment beds and recovery housing
John j Tassoni, Jr
01:14:00
We need rate increases for our providers so they can pay more and recruitment is key . Macdonald`s pays more.
Karen Jeffreys
01:15:01
Great job Marti and Kim and all your team members! This is great information!
Laurie MacDougall
01:15:13
If anyone is interested in taking the training, there is great description on the registration page. It is designed for professionals, peers and family members.
John j Tassoni, Jr
01:15:16
Great work folks
Laurie MacDougall
01:15:16
https://www.eventbrite.com/e/restallies-in-recovery-craft-based-training-jan-21-22-28-29-registration-129030771511
MMcKenzie
01:15:33
Thank you Marti and Kim!!
Linda’s iPhone
01:15:56
thank you Marti and Kim
Monica Smith (just my name)
01:16:28
More recovery housing is the best way to reduce wait time. Recovery housing is meant to be long term and stable, it’s not a quick stop on the recovery route. 18 months is the gold standard. More Oxford and more beds for long term residency. :)
Ashley O'Shea
01:16:39
Great work and leadership, Kim and Marti! This was a heavy lift and took a lot of time. Kudos to you for a job well done!
Colleen Daley Ndoye
01:17:15
Really great to see this explicit emphasis on racial equity in this work. Thank you Marti and Kim!
Traci Green
01:17:25
Great job! A lot to work through and understand! Thanks for the hard work!
Tom Coderre
01:18:12
Really appreciate this deep dive and recommendations to improve the strategic direction of the Task Force. Thank you all!
Alex Macmadu (she/her)
01:18:46
Brilliant presentation!! Thanks, everyone, for all of your incredible work on this
Linda Mahoney RI
01:19:10
A New Certified peer recovery specialist training scheduled shortly needs individuals to join to increase our diverse workforce. Please help by encouraging friends with 2 yrs or more in recovery to join the training and join our amazing workforce!
Maxwell Krieger
01:19:11
Great work, Marti and Kim! We appreciate your work so much!!
Shannon Quinn
01:19:36
can people who have not gone through recovery themselves, but have had family members go through it be a peer recovery specialist?
Stephanie Terry
01:20:00
Great Job Marti and Kim!
Carol Hall-Walker
01:20:39
Great work Kim and Marti. Concise and a deep dive in areas that will help us move forward. Strong partners with housing colleagues and elected officials is critical to address this SDOH issue. It comes up all time with the HEZs and many other partners.
Sarah Saint Laurent
01:21:11
Hi Shannon - yes, people with experience supporting loved ones in recovery can be peer recovery specialists.
McCormick, Meghan E.
01:24:26
Given this analysis, Methadone deaths may be a good topic for the overdose fatality review team (ROAD) in the future.
Traci Green
01:24:41
@Mike Rizzi--that is a really important point! We know that abruptly stopping methadone is very high risk for fatal overdose. The overdose prevention imparted by methadone is huge.
Katie Gonzalez
01:24:44
I believe the overdose numbers are higher for people on MAT because they have to do more opiates to her the effects if they are on mat
Katie Gonzalez
01:25:24
*feel the effects
Justin Dutra
01:25:37
Lt. Justin Dutra, Cranston PD - The numbers compiled here at CPD based on call logs January - November, and have shown very similar statistics as far as the demographics but the total OD calls for services and OD deaths were slightly down here in Cranston opposed to last year. Any ideas as to why our numbers would indicate a decrease contrary to the overall increases we saw in this presentation?
Kim Paull
01:26:53
Lt Dutra - one hypothesis is what Marti just mentioned: people may have been less willing to call for services broadly during this period, but that won't reduce (and actually may increase) overdose deaths
Cathy Schultz
01:27:18
Good question Senator Miller
Annajane Yolken (she/her)
01:30:36
I’ve been compiling info about potential legislative changes to the Good Samaritan law. Please feel free to message or email me if you have ideas about things you would like to see changed (ayolken@weberrenew.org)
Cathy Schultz
01:30:45
I believe there was a study done in Narcotics Anonymous.
John j Tassoni, Jr
01:31:15
We will be having a show on recovery radio on the good sam law
Linda’s iPhone
01:31:23
there are ongoing current rate issues for community treatment. I’m sorry to continue the conversation. and it is necessary. current decreased utilization and increased COVID related cost with insufficient rates is increasing the threat to comprehensive effective care. Does anyone know any initiatives to assist?
Tina Fratus
01:34:12
John is right about the pay
Jonathan Goyer
01:35:48
What percentage of the fatalities were previously diangosed with SUD?
Ian Knowles
01:37:00
Please define “medication-first treatment”
Marti Rosenberg
01:37:59
Medication first treatment was how someone described treatment that could begin as soon as someone said that they wanted it - no waiting for tox screens or insurance approvals
Colleen Daley Ndoye
01:41:07
Tom, are you referring to safe supply? It is something that has proven to work in other parts of the world.
Elizabeth Samuels
01:41:08
Medication First is a strategy being used in Missouri: https://www.nomodeaths.org/medication-first-implementation https://www.careinnovations.org/wp-content/uploads/MedicationFirstApproach_1pager-1-1.pdf
Jesse Yedinak (she/her)
01:41:32
Thanks for the link, Liz! Fantastic recommendation
Traci Green
01:43:08
@Tom-great question! The presence of 4ANPP at deaths seems to suggest more precursors (which could be LESS potent fentanyl, as well as more inconsistent supply). That may mean more withdrawal, and more watered down drug supply....this could influence behavior and risk in important ways. We see a large increase in many and varied precursors in drug supply for fentanyl synthesis.
Traci Green
01:43:20
yes, what Jody says
Annice CG
01:43:24
@ Jonathan: for the Medicaid population, we see ~46% with an SUD diagnosis in 12 months before death for the 2019 group. For the 2020 group, it drops to ~43%.
Elizabeth Samuels
01:43:29
I agree COVID has certainly had an impact, however it does not account for the rise that started in December, prior to COVID. So I don’t think loss of tolerance alone is responsible for the increase in deaths. Although may certainly play a roll since COVID.
Karen Jeffreys
01:44:08
Sounds like the HousingFirst model - remove barriers, focus on what the client says they need and want and wrap around the services backdoor
Elizabeth Samuels
01:44:19
Yes it is based off Housing First!
MMcKenzie
01:46:36
One thing that may help on the supply side is to provide people more security while they use drugs. Overdose Prevention Centers can do that. Creating an environment where people don't have to worry about law enforcement harrassment as much by defelonizing possession. The environment in which people use impacts their ability to use more safely.
Alex Macmadu (she/her)
01:47:34
I also strongly support the recommendation to implement pilot overdose prevention sites
Colleen Daley Ndoye
01:47:46
Absolutely Michelle. 100%
Annajane Yolken (she/her)
01:48:00
Agreed — drug testing at a place like an overdose prevention site would be helpful for users and for data collection so we have a better sense of what’s in the supply
Joshua Miller
01:48:14
looking forward to EOHHS support for Legislation or EO supporting a pilot overdose prevention site
Kevin.Aucoin
01:48:33
Most definitely!!!!
Elizabeth Samuels
01:48:36
I absolutely support!
Ian Knowles
01:48:43
Agree
Jesse Yedinak (she/her)
01:48:44
Definitely support
Sarah Fessler
01:48:55
Yes!
Colleen Daley Ndoye
01:48:56
Yes!
Sarah Biester (RIDOH)
01:49:05
Yes!
Emily Corbett
01:49:07
Definitely yes!
Ryan Erickson
01:49:09
In support. Thank you, Marti and Kim
Diane Dufresne
01:49:19
Yes!
MMcKenzie
01:49:24
In support!
Laurie MacDougall
01:49:39
In support
Dennis A Bailer w/PWR
01:50:35
We do need to stop doing the same thing and expecting different results! Forward untried actions should be the next steps.
Kristen Westmoreland, East Bay Regional Prevention
01:51:04
Yes, thanks
Cathy Schultz
01:51:13
Very true Dr. Samuels the question is what happened or changed in December and January? Yes - Housing First is harm reduction for overdoses, SUD, mental health, removes barriers and addresses homelessness and unsheltered that has increased tremendously.
Cathy Schultz
01:51:32
Yes in support
Elizabeth Samuels
01:51:34
The information sharing at COVID testing sites is really interesting, Jonathan. Could provide information for economic support, mental health services, SUD treatment, harm reduction, etc. brilliant.
Kathy Sullivan
01:51:44
In support.
MMcKenzie
01:51:48
Great point Jonathan. Figuring out to provide recovery, harm reduction, treatment resources in more everyday settings is critical.
Alex Macmadu (she/her)
01:51:54
Fully support!!!
Lisa Carcifero
01:52:09
Yes, in support
Heidi Driscoll
01:52:28
In support
Karen Jeffreys
01:52:35
Yes, in support. And great ideas Jonathan to reach general public!
Linda Marzilli
01:52:52
Yes, in full support
Michelle Greel Harter
01:53:27
support totally
Tommy Joyce
01:53:49
Thank Marti, Kim and the entire team that made this possible!
Colleen Daley Ndoye
01:53:51
A specific request is getting law enforcement support for overdose prevention sites. We need to ensure they are not going to target these sites in order for them to operate safely.
Carol Hall-Walker
01:54:14
Engaging with LatinX population and leveraging outreach efforts that we are doing due to COVID is another great way to reach them.
Karen Jeffreys
01:54:38
And always ask constituents to test anything we think we know!
Dennis A Bailer w/PWR
01:54:53
Thank you Marti, Kim and your team for this deep data dive.
Diane Dufresne
01:56:13
yes, very important to get law enforcement support!
Ana Novais
01:56:46
EOHHS will work with the Gov's office and Task Force Co-chairs to move the work and recommendations to implementation! Thank you
Colleen Daley Ndoye
01:57:12
Yes Dr. Rich!
Linda Mahoney RI
01:57:18
Task force members have a task to help outreach to people of color to join our workforce team in order to diversify. It starts with us.
Ian Knowles
01:57:19
What Jody said!
Elizabeth Samuels
01:57:31
Agreed. Portugal has demonstrated that it works!
Joshua Miller
01:57:32
Karen, Carol, target the uninsured
MMcKenzie
01:57:32
Yes!!
Alex Macmadu (she/her)
01:57:34
Yes!!!
Diane Dufresne
01:57:45
Yes, Dr. Rich, so true, but I feel RI may be not as progressive!
Molly W
01:58:21
I agree with Dr. Rich but RI is still behind on resoucres avail to those living with addiction
Elizabeth Samuels
01:58:27
Thank you!!