23
Overdose SOS
Crisis Response
Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2nd quarter 2016. Released 9/22/2016.
Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2nd quarter 2016. Released 9/22/2016.
0
20
40
60
80
100
120
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016*
Num
ber o
f Ove
rdos
es
Heroin
Fentanyl
Prescription Opioid
Cocaine
Total Drug & Alcohol
Note: 2016 is only January-June data. Source: DHMH. Drug- and Alcohol-Related Intoxication Deaths in Maryland. Data Update through 2nd quarter 2016. Released 9/22/2016.
Prevention
Screening & Early
Identification
Treatment Services
Recovery Support
TREATMENT
Crisis Response System
Hospital ED’s Courts
Detention Center
Social Services
RECOVERY
GAPS IN LINKAGES TO SERVICES
Primary Care Providers
Road to Recovery
Drug Court
Court-Based SUD Assessors
Overdose SOS
Substance Abuse Treatment Referral Line
Crisis Stabilization
TCA SUD Assessors
Homeless Services Police
Crisis Intervention Teams
Care Coordinators
Peer Support
What is Anne Arundel Crisis Response?
A system that operates 24 hours a day Collaboration between Police and Mental Health Consists of: 1. Warmline 2. Mobile Crisis Teams (MCT) 3. Crisis Intervention Teams (CIT), 4. Crisis Case Management 5. Urgent Care Appointment Access 6. 2 Transportation Specialist 7. Hospital Diversion 8. Jail Diversion 9. Access to our own DSS worker Monday - Friday
Anne Arundel Crisis Response Numbers Average of 7 per day
Average of 51 per week
17
2
20,225
330
2,089
Collaboration on EP’s and Overdoses
KEY
Taken to ER
Fire/Police Respond
911 Called
Police call for
MCT
Assessed by MCT/HD • Inpt. Detox • IOP
Refused MCT/HD • Follow up by
CRS with phone call
Discharged
On Police Brief • CRS Calls Consumer • Contact Made • Detox • IOP
Not on Brief
Referred to SOS
Called Warmline
Referral given
Unable to link with provider
Refused MCT or HD
Followed up by CRS
Ready for TX Refer to
Inpt. or IOP
Refused
Assessed by MCT or HD Ready for TX Referred to
Inpt. or IOP
Linked with provider
Currently in Emergency Room
Followed up by HD
Refer to OD SOS
Assessed by HD Referred to Treatment
ED provides Nurse Coordinator OD survivors
Nurse Coordinator assigns PSS
PSS engages survivor in ED If patient is interested in MAT, peer will provide the Nurse Coordinator with patient’s information
If patient not interested in treatment, PSS follows for 12+
months
Nurse Coordinator conducts SUD assessment
Patient will be referred to (Interim) MAT Program PSS meets at MAT
Patient will be referred to SCC and other recovery support services as needed PSS follows up for 12 months
Overdose Survivors Outreach Services Flow Chart
Discharged or AMA, PSS conducts outreach for up to 12 months
MARS Groups
GPRA
MDRN
Naloxone dispensed by
ED to all Overdose Survivors
Strengths
Collaboration that can occur with multiple
agencies
Crisis Response is 24 hours like the police
Currently have one clinician in the ER
Monday thru Friday to assess consumers
looking for treatment
Placement for inpatient treatment when
needed occurs within 24 to 48 hours
Weaknesses
No funding to address heroin
Need dedicated team to follow up on overdoses
Need a second hospital diversion worker to work with
consumers who come to the ER looking for treatment
No ability to fund or assist consumers with private
insurance
Sandy O’Neill, LCPC Director, Bureau of Behavioral Health Anne Arundel County Department of
Health [email protected]
410-222-7165
