Carroll County Overdose Prevention Plan Interventions and Initiatives Need Area Intervention/Initiative Identified Partners Performance Measure Progress 1. Educate parents and CCPS Staff of the growing issue surrounding opiates. Educate Law Enforcement, Community School Resource Officers Education and Advocacy -Provide education to CCPS including health teachers, nurses, and student services personnel. -Discuss with school administration possible ways to families (i.e. Alert Now messages, PTA forums, etc.) Education to include: -General information on opiates including prescription and illegal -Lock it up message -Warning signs Carroll County Public Schools staff and Carroll County Health Department Prevention Services Complete a minimum of four trainings to CCPS staff by the end of the calendar year. By September 2013 one educational presentation will completed with CCPS personnel. By September 2013 one educational presentation will completed with McDaniel College personnel. All CCPS health teachers were educated by CCHD Prevention staff in August 2013. CCHD Prevention staff attended back to school nights at Westminster and Liberty high schools in August of 2013. CCHD Prevention staff attended parent conference night at Century High School in October 2013. CCHD Prevention staff completed a parent presentation at Westminster High school on 10/2/13. On 10/30/13 all Westminster and Century High School Counseling staff will attend a presentation.
CCHD Prevention Staff have provided training to McDaniel College Campus safety staff and Wellness Center Staff. CCHD Prevention participated in a panel presentation to Social Work students at McDaniel College in October 2013. Community forum, the Annual Substance Abuse Awareness Program, was held on October 8, 2013 with 125 people in attendance. In January of 2014 120 Westminster High School teachers were educated. On May 15, 2014 a community forum held at Liberty High School provided education, information and resources to 130 people. This included parents, students, law enforcement and
other community stakeholders. 2. Increased awareness and involvement from the peer community. Education and Advocacy Involve peer recovery community in education and awareness efforts. Champions of Change, On our Own of Carroll County and Carroll County Health Department Prevention Services -Prevention Services will attend a meeting of Champions of Change to provide education. - Members of Champions of Change and/or On Our Own will participate with the prevention services staff in a minimum of three educational events by the end of the calendar year. Held on February 5th 2014, at On Our Own of Carroll County, approximately 50 people attended. Ongoing 3. Have prescription drug drop-off sites available throughout the community. Education and Advocacy Maintain the number of available drop-off sites to improve access for the community. Carroll County Health Department and Department of Citizens Services Law enforcement -Drop-off sites will be maintained throughout the county to ensure adequate access by county residents for prescription medication disposal. Local Law Enforcement will explore expansion of the drop off containers at two of the established sites to address the increase in demand as evidenced by frequently full containers at two sites. Sykesville does not want to add another box as the current box is sufficient. Westminster City police department purchased a second drop box for their location in October 2013 and it began using it immediately. Maryland State Police are interested in having a box at the Westminster Barracks and are exploring funding sources for the purchase of the box.
presenter illness. CCHD will explore the rescheduling of this event. 5. Provide anti-stigma education to professionals who work with opiate users. Education /Advocacy Substance abuse, health care, law enforcement and corrections personnel all need education and guidelines on providing respectful, user-friendly services to this stigmatized population on the realities of opiate abuse and addiction. Educational interventions should include the perceptions of users and be based on an understanding of how stigma is fostered on organizational and individual levels. Carroll County Health Department, clinical team members and peer community On Our Own and Champions of Change Anti-stigma curriculum will be identified or developed during FY 14. -On Our Own of Maryland is currently revising their program to be more representative of both mental health and substance use. This group will wait to view the new program. 6. Individuals that have experienced an overdose will be educated on overdose prevention and treatment options. Education /Advocacy and Clinical With the input of key stakeholders, such as hospital administrators and emergency department personnel, develop guidelines on overdose prevention education and follow-up procedures, including a discharge plan, for all people admitted as a result of overdose are provided overdose related information upon discharge. Carroll County Health Department and Carroll Hospital Center 75% of all individuals will receive overdose education and information about treatment at discharge. The group agreed at the September meeting to develop a universal prevention education brochure. This would be used by all providers so that the message is consistent throughout the county. At the January meeting the draft brochure was reviewed by those in attendance. The draft will be sent out with the minutes for additional review and will be finalized by the end of January.
11. of the Prescription Drug Monitoring Program Pharmacy, Clinical, and Pharmacists will participate in the state sponsored Prescription Drug Monitoring Program. Will begin to participate when directed by the state. Program became operational on August 20, 2013. CCHD has spoken with ADAA staff about outreach to local pharmacists and at this time no support has been requested. 12. Review cases of fatal overdoses. Clinical, treatment, education, and law enforcement Establish a committee that will review all cases of fatal overdose as directed the state. Carroll County Health Department and community partners If chosen as a pilot site the committee will begin reviewing cases as soon as possible. CCHD will complete necessary applications to establish a team by August 2013. The local charter, member list, and signed confidentiality forms were forwarded to ADAA. In November CCHD was advised they will not be a pilot site from ADAA. As a local health department the Health Officer has the authority to convene a medical review committee under health general regulations. Based on these regulations the CCHD will convene a review committee and the first meeting is scheduled for 1/15/14 and the Deputy Health Officer will be chairing this committee.
Practitioners for distribution. 21. Outreach to pregnant women that are prescribed methadone Clinical and treatment Outreach and education to pregnant women that are prescribed methadone regarding possible neonatal abstinence syndrome. Carroll County Health Department and project partners During FY 14 a targeted effort will be made, through partnership with the methadone providers, to educate all pregnant women that are enrolled in MAT services. CCHD has responded when requested by a provider that has pregnant women. The methadone providers have also been invited to our SART meeting that specifically targets the needs of pregnant women. 22. Outreach to methadone clinics Clinical, treatment, education Encourage local methadone clinics to participate in provider forums. Carroll County Health Department During FY 14 all three local methadone clinics will be asked to participate in regular provider forums as well as specialty projects such as SART and the overdose prevention workgroup. Additional outreach will be conducted prior to the next workgroup meeting.