The Opioid Addiction Crisis in the
Northern Shenandoah ValleyA Community Response
1
Objectives
2
• Overview of the Problem• Formation of the Northern Shenandoah Valley Substance Abuse
Coalition• Roles of key system representatives, community mental health
organizations, and outpatient treatment centers• Suggestions for sustainability
The Story We Want to Share
3
The Northern Shenandoah Valley Substance Abuse Coalition• A dynamic, multi-disciplinary collaboration of law enforcement
(prosecution and defense resources alike), health, child welfare, family courts, county and city leadership, and community members impacted by the crisis of heroin and opiate addiction
• Has brought together a diverse set of local, community partners that work collaboratively across disciplines to respond to a public health crisis in the Valley contributing time, talent and treasure
Our Community’s Reality
4
“We cannot arrest our way
out of this problem.”
5
175.0%
87.5%
39.3% 42.8%
0.0%
50.0%
100.0%
150.0%
200.0%
Clarke, Frederick,& Winchester
Loudoun Fairfax(County & City)
State of Virginia
% Change inHeroin and/or Opioid Deaths
2010-2013
3.7%
12.0%
3.3% 3.2%
0.0%
3.0%
6.0%
9.0%
12.0%
15.0%
Clarke, Frederick,& Winchester
Loudoun Fairfax(County & City)
State of Virginia
% Change in Population2010-2013
6
Copied Info
YearHeroinHeroin and Prescription OpioidOpioid UnspecifiedPrescription OpioidTOTAL DEATHS
CHARLOTTESVILLE CITY20071--12
2008---22
20091--12
2010---3343435
2012---11
20132--1344349
2014---33
TOTAL4001216
CLARKE COUNTY2007---11
20111---114,023
2012-1--114,348
TOTAL11013
FAIRFAX CITY20072---2
2008---22
2009---22
2010---11
2012-1-23
20131---1
2014---22
TOTAL310913
FAIRFAX COUNTY2007101-3142
2008111-1729
200992-1728
20102--25271,081,7260.0025%
20117212535
201291-2838
201361-31381,116,8970.0034%
201476-1831
TOTAL61141192268
FREDERICK COUNTY200711-35
20084--59
200941-38
2010-1-5678,3050.008%
20114--610
20121--12
201353-91781,3190.021%
201441-813
TOTAL23704070
HARRISONBURG2007---22
2008---11
2009---22
2010---33
20111--12
2012---11
20132--24
2014---22
TOTAL3001417
LOUDOUN COUNTY2007---99
2008---66
2009---66
2010---88
20112--810
201211-68
2013421815
201441-712
TOTAL11415874
PAGE COUNTY2007---33
2008---11
2009---33
2010---11
2011---77
2012---22
20132-114
20141--23
TOTAL3012024
ROCKINGHAM COUNTY2007---22
2008---11
2009---33
2010---11
2011---55
2012---22
2013---11
TOTAL0001515
SHENANDOAH COUNTY2007---11
2008---44
20091--12
2010---33
2011---44
20122--57
20131--34
20141---1
TOTAL5002126
WARREN COUNTY2007---22
2008---22
2009---44
20101--78
20111--56
2012---77
20132--35
201411-35
TOTAL5103339
WINCHESTER CITY2008---22
20092--35
2010---22
20111--45
20123--36
20132--35
20141--12
TOTAL9001827
OUT OF STATE2007---55
20081--34
2009---22
2010--145
2011--11011
20121--56
2013--145
20141-124
TOTAL3043542
UNKNOWN20073---3
20082--24
20091--12
20101--12
20111---1
20122--13
2013---11
TOTAL1000616
TOTAL20079288381489
20088453417509
20099987390504
201043554104638,260,4050.0056%
201190105477582
2012122135401541
201317736164326618,001,0310.0083%
2014772810226341
TOTAL7841135931344090
Calculcations
YearHeroinHeroin and Prescription OpioidOpioid UnspecifiedPrescription OpioidTOTAL DEATHS
CLARKE COUNTY2010014,023
20111---1
2012-1--1
2013014,348
2014020108118,5310.0000670.07
TOTAL11013201322122,8830.0001790.18
FREDERICK COUNTY2010-1-5678,305144352
20114--610175%4%
20121--12
201353-91781,319
201441-813
TOTAL23704070
WINCHESTER CITY2010---2226203
20111--45
20123--36
20132--3527216
20141--12
TOTAL9001827
SHENANDOAH COUNTY2010---334199320103419930.0000710.0714404782
2011---4420134426840.0000940.0937119295
20122--571691
20131--344268433%2%
20141---1
TOTAL5002126
WARREN COUNTY20101--783757520108375750.00021290750.2129075183
20111--5620135386990.00012920230.129202305
2012---77-31124
20132--3538699-38%3%
201411-35
TOTAL5103339
LOUDOUN COUNTY2010---88312337201083123370.0000260.03
20112--8102013153496790.0000430.04
201211-68737342
201342181534967988%12%
201441-712
TOTAL11415874
YearHeroinHeroin and Prescription OpioidOpioid UnspecifiedPrescription OpioidTOTAL DEATHS
FAIRFAX CITY2010---1122542
2012-1-232010281,104,2680.0000250.025
20131---1239732013391,140,8700.0000340.034
2014---221136,602
TOTAL31091339%3%
FAIRFAX COUNTY20102--25271,081,726
20117212535
201291-2838
201361-31381,116,897
201476-1831
TOTAL61141192268
OUT OF STATE2007---55
20081--34
2009---22
2010--145
2011--11011
20121--56
2013--145
20141-124
TOTAL3043542
UNKNOWN20073---3
20082--24
20091--12
20101--12
20111---1
20122--13
2013---11
TOTAL1000616
TOTAL201043554104638,001,031201046380010310.00005790.0578675423
20119010547758220136618,260,4050.00008000.0800202896
2012122135401541198259374
201317736164326618,260,40543%3%
2014772810226341
TOTAL7841135931344090
CHARLOTTESVILLE CITY20071--12
2008---22
20091--12
2010---33434352010343,4350.000070.07
2012---112013344,3490.000070.07
20132--13443490
2014---330.0%
TOTAL4001216
HARRISONBURG2010---3348906
20111--12
2012---1120107100,3010.0000700.07
20132--245139520132154,0500.0000130.01
2014---22-553749
TOTAL3001417-71%54%
ROCKINGHAM COUNTY2010---1176309
2011---55
2012---22
2013---1177741
TOTAL0001515
C-%Change in deaths
% Change inHeroin and/or Opioid Deaths2010-2013
% Change
Clarke, Frederick,& WinchesterLoudounFairfax(County & City)State of Virginia1.750.8750.392857142857142850.42764578833693306
C-%Change in Population
% Change in Population2010-2013
% Change
Clarke, Frederick,& WinchesterLoudounFairfax(County & City)State of Virginia3.6716133332208453E-20.119556760806436643.3145939210409064E-23.2417572185384609E-2
Data for Chart
Deaths Due to Heroin and/or Opioids
DeathsPopulationPer 10,000
Clarke, Frederick, & Winchester20108118,5310.67493
201322122,8831.79032
% Change175.0%3.7%165.3%
DeathsPopulationPer 10,000
Shenandoah & Warren20101179,5681.38247
2013982,3831.09246
% Change-18.2%3.5%-21.0%
DeathsPopulationPer 10,000
Loudoun20108312,3370.25613
201315349,6790.42896
% Change87.5%12.0%67.5%
DeathsPopulationPer 10,000
Fairfax(County & City)2010281,104,2680.25356
2013391,140,8700.34184
% Change39.3%3.3%34.8%
DeathsPopulationPer 10,000
State of Virginia20104638,001,0310.57868
20136618,260,4050.80020
% Change42.8%3.2%38.3%
20101.7%1.5%
20133.3%1.5%
% Change92.6%0.4%
Clarke, Frederick,& Winchester
Loudoun
Fairfax(County & City)
State of Virginia
Copied Info
YearHeroinHeroin and Prescription OpioidOpioid UnspecifiedPrescription OpioidTOTAL DEATHS
CHARLOTTESVILLE CITY20071--12
2008---22
20091--12
2010---3343435
2012---11
20132--1344349
2014---33
TOTAL4001216
CLARKE COUNTY2007---11
20111---114,023
2012-1--114,348
TOTAL11013
FAIRFAX CITY20072---2
2008---22
2009---22
2010---11
2012-1-23
20131---1
2014---22
TOTAL310913
FAIRFAX COUNTY2007101-3142
2008111-1729
200992-1728
20102--25271,081,7260.0025%
20117212535
201291-2838
201361-31381,116,8970.0034%
201476-1831
TOTAL61141192268
FREDERICK COUNTY200711-35
20084--59
200941-38
2010-1-5678,3050.008%
20114--610
20121--12
201353-91781,3190.021%
201441-813
TOTAL23704070
HARRISONBURG2007---22
2008---11
2009---22
2010---33
20111--12
2012---11
20132--24
2014---22
TOTAL3001417
LOUDOUN COUNTY2007---99
2008---66
2009---66
2010---88
20112--810
201211-68
2013421815
201441-712
TOTAL11415874
PAGE COUNTY2007---33
2008---11
2009---33
2010---11
2011---77
2012---22
20132-114
20141--23
TOTAL3012024
ROCKINGHAM COUNTY2007---22
2008---11
2009---33
2010---11
2011---55
2012---22
2013---11
TOTAL0001515
SHENANDOAH COUNTY2007---11
2008---44
20091--12
2010---33
2011---44
20122--57
20131--34
20141---1
TOTAL5002126
WARREN COUNTY2007---22
2008---22
2009---44
20101--78
20111--56
2012---77
20132--35
201411-35
TOTAL5103339
WINCHESTER CITY2008---22
20092--35
2010---22
20111--45
20123--36
20132--35
20141--12
TOTAL9001827
OUT OF STATE2007---55
20081--34
2009---22
2010--145
2011--11011
20121--56
2013--145
20141-124
TOTAL3043542
UNKNOWN20073---3
20082--24
20091--12
20101--12
20111---1
20122--13
2013---11
TOTAL1000616
TOTAL20079288381489
20088453417509
20099987390504
201043554104638,260,4050.0056%
201190105477582
2012122135401541
201317736164326618,001,0310.0083%
2014772810226341
TOTAL7841135931344090
Calculcations
YearHeroinHeroin and Prescription OpioidOpioid UnspecifiedPrescription OpioidTOTAL DEATHS
CLARKE COUNTY2010014,023
20111---1
2012-1--1
2013014,348
2014020108118,5310.0000670.07
TOTAL11013201322122,8830.0001790.18
FREDERICK COUNTY2010-1-5678,305144352
20114--610175%4%
20121--12
201353-91781,319
201441-813
TOTAL23704070
WINCHESTER CITY2010---2226203
20111--45
20123--36
20132--3527216
20141--12
TOTAL9001827
SHENANDOAH COUNTY2010---334199320103419930.0000710.0714404782
2011---4420134426840.0000940.0937119295
20122--571691
20131--344268433%2%
20141---1
TOTAL5002126
WARREN COUNTY20101--783757520108375750.00021290750.2129075183
20111--5620135386990.00012920230.129202305
2012---77-31124
20132--3538699-38%3%
201411-35
TOTAL5103339
LOUDOUN COUNTY2010---88312337201083123370.0000260.03
20112--8102013153496790.0000430.04
201211-68737342
201342181534967988%12%
201441-712
TOTAL11415874
YearHeroinHeroin and Prescription OpioidOpioid UnspecifiedPrescription OpioidTOTAL DEATHS
FAIRFAX CITY2010---1122542
2012-1-232010281,104,2680.0000250.025
20131---1239732013391,140,8700.0000340.034
2014---221136,602
TOTAL31091339%3%
FAIRFAX COUNTY20102--25271,081,726
20117212535
201291-2838
201361-31381,116,897
201476-1831
TOTAL61141192268
OUT OF STATE2007---55
20081--34
2009---22
2010--145
2011--11011
20121--56
2013--145
20141-124
TOTAL3043542
UNKNOWN20073---3
20082--24
20091--12
20101--12
20111---1
20122--13
2013---11
TOTAL1000616
TOTAL201043554104638,001,031201046380010310.00005790.0578675423
20119010547758220136618,260,4050.00008000.0800202896
2012122135401541198259374
201317736164326618,260,40543%3%
2014772810226341
TOTAL7841135931344090
CHARLOTTESVILLE CITY20071--12
2008---22
20091--12
2010---33434352010343,4350.000070.07
2012---112013344,3490.000070.07
20132--13443490
2014---330.0%
TOTAL4001216
HARRISONBURG2010---3348906
20111--12
2012---1120107100,3010.0000700.07
20132--245139520132154,0500.0000130.01
2014---22-553749
TOTAL3001417-71%54%
ROCKINGHAM COUNTY2010---1176309
2011---55
2012---22
2013---1177741
TOTAL0001515
C-%Change in deaths
% Change inHeroin and/or Opioid Deaths2010-2013
% Change
Clarke, Frederick,& WinchesterLoudounFairfax(County & City)State of Virginia1.750.8750.392857142857142850.42764578833693306
C-%Change in Population
% Change in Population2010-2013
% Change
Clarke, Frederick,& WinchesterLoudounFairfax(County & City)State of Virginia3.6716133332208453E-20.119556760806436643.3145939210409064E-23.2417572185384609E-2
Data for Chart
Deaths Due to Heroin and/or Opioids
DeathsPopulationPer 10,000
Clarke, Frederick, & Winchester20108118,5310.67493
201322122,8831.79032
% Change175.0%3.7%165.3%
DeathsPopulationPer 10,000
Shenandoah & Warren20101179,5681.38247
2013982,3831.09246
% Change-18.2%3.5%-21.0%
DeathsPopulationPer 10,000
Loudoun20108312,3370.25613
201315349,6790.42896
% Change87.5%12.0%67.5%
DeathsPopulationPer 10,000
Fairfax(County & City)2010281,104,2680.25356
2013391,140,8700.34184
% Change39.3%3.3%34.8%
DeathsPopulationPer 10,000
State of Virginia20104638,001,0310.57868
20136618,260,4050.80020
% Change42.8%3.2%38.3%
20101.7%1.5%
20133.3%1.5%
% Change92.6%0.4%
Clarke, Frederick,& Winchester
Loudoun
Fairfax(County & City)
State of Virginia
Opiate Overdose Deaths
2 1
21
3330 30
10*
05
101520253035
2011 2012 2013 2014 2015 2016 2017
* 2017 as of 3/1/17
NW Virginia
7
* Compared to 4 deaths as of 3/1/17
Clarke/Frederick/Winchester ArrestsVirginia State Police
8
0100200300400500600700800900
1000
201220132014
Northwestern Regional Adult Detention Center
90 Day Treatment Program
9
From July 2011 through March 2016:
724 inmate graduates $5.2 Million
expended
10
Increase in Drug Related Foster Care – Frederick County
$1,021,882
$702,335
$0.00
$200,000.00
$400,000.00
$600,000.00
$800,000.00
$1,000,000.00
$1,200,000.00
2012 2013 2014
Total Foster Care Expenditures by Year
Foster Care Expenditures - Drug Related
* YTD
26
39
62
16
28
48
0
10
20
30
40
50
60
70
2012 2013 2014Total Number of Frederick County Children in Foster Care at any Time During Calendar Year
Total Number of Frederick County Children in Foster Care at any Time During Calendar Year -Drug Related
11
1.6
23.318.0
22.3
23.2
$-
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
Nursery-7,850 20 37 43 65
2012-2015 2012 2013 2014 2015
Non-Drug Exposed Babies
NAS Babies
Winchester Medical Center2012-2015
The data in the bars is the average length of stay.
14
The Community Responds
15
Substance AbuseSelect Initiatives
April 2014• Summit at Shenandoah University attended by approximately 200
people representing the U.S. Attorney’s Office, Drug Enforcement Agency, Valley Health, local law enforcement, and concerned community members
June 2014• Implemented a system wide program to ensure proper prescriptive
practices in all Valley Health Hospital Emergency Departments and Urgent Care Centers• Appropriate dispensing• PMP utilization by prescribers• Patient Education program
• Partnered to develop informational resources, access, and visibility for community organizations and programs relating to addiction, rehab and crisis referral.
• Increased data sharing to support regional grant applications• Continuing local and state level advocacy for drug exposed newborns
16
Substance AbuseSelect Initiatives
July 2014• Partnered with Casey Family Programs bringing subject matter
expertise to the community• Community outreach on substance abuse and addiction initiatives
launched: • VHS magazine article (115,000 households) educating our
community on safe medication management • Health & safety fairs• VHS social media
17
Substance AbuseSelect Initiatives
September 2014• Valley Health sponsored an educational forum for 200 local medical
providers featuring presentations from local law enforcement, the DEA, and others about the opioid and heroin crisis in our community
• Monthly Addiction Awareness program for Valley Health employees launched educating staff and medical staff on best practices
• Promotion of the use of Virginia Prescription Monitoring Program to screen prescribed controlled substances.
18
Substance AbuseSelect Initiatives
October and November 2014• Installation of Drug Take Back Boxes at the Winchester Police
Department, Clarke County Sheriff’s Department, and Frederick County Sheriff’s Department through grants awarded by CVS pharmacy
• Partnering to advertise area:• Prescription drug “take-back” programs• Community “Drop Box” program• RX123 program launched in partnership CLEAN, Inc.
19
ActionNovember 18, 2014
www.roadtorecovery.info
20
Mission and Vision Statements
City of Winchester: To provide a safe, vibrant, sustainable community while striving to constantly improve the quality of life for our citizens
Frederick County: Insuring the quality of life of all Frederick County citizens preserving the past and planning for the future
Valley Health: Serving our Community by Improving Health
Shenandoah University: SU educates and inspires individuals to be compassionate citizens who are committed to making responsible contributions within a community
Northwestern Community Services: To help people through life’s challenges with quality behavior health services guided by principles of respect, recovery and self-determination.
21
Substance AbuseNovember 2014 Summit
• With critical support and expertise from Casey Family Programs, we pulled together 100 local decision-makers and stakeholders in the community to address this public health crisis:– Law enforcement, Health Care, Judiciary, Government, Community
Service Board, Educators, Social Services, recovery community, private substance abuse and mental health providers, non-profit organizations, and concerned citizens
22
Substance AbuseNovember 2014 Summit
• The participants were presented with key data highlighting the community-wide effects of opioid and heroin addiction in our community
• Launched The Road to Recovery website with information and links to community resources for treatment and help (www.roadtorecovery.info)
23
Substance AbuseNovember 2014 Summit
Adopted Desired Future State: By January 1, 2017 the Winchester, Frederick, and Clarke community will have a comprehensive coordinated approach to the prevention, treatment and adverse societal impact of addiction, as evidenced by:• A decrease in mortality from overdoses• A decrease in the incidence of substance exposed infants• A decrease in the incidence of children needing social services
intervention due to parental/caregiver addiction• A decrease in the incidence of crimes attributable to addiction
24
Substance AbuseCommunity Timeline- Select Initiatives
January 2015• Northern Shenandoah Valley Substance Abuse Coalition (NSVSAC)
Charter written and process initiated which has resulted in becoming a Virginia non-profit corporation with 501(c)(3) status from the IRS
February and March 2015• NSVSAC leadership meetings with federal state and local
representatives
25
Substance AbuseCommunity Timeline- Select Initiatives
March 2015 • Community forum
– Attended by approximately 125 people– Content
• Message of hope from a recovering addict• Data from the November 2014 summit• Member of the Northwest Virginia Regional Drug Task Force.• An hour-long Q&A session that provided excellent community
feedback
26
Substance AbuseCommunity Timeline- Select Initiatives
March 2015 • Jointly funded CSB/Valley Health Prenatal Early
Intervention Service for substance addicted pregnant women: OB referrals to CSB Counselor on-site– OB offices obtain urine drug screen (UDS) at 1st Prenatal visit.– Universal UDS on 1st labor and delivery outpatient visit & on
admission for labor.– Universal umbilical cord collection (lab stores for up to 3 weeks).– Cord tissue toxicology screening for known substance exposed
infants and high risk families.– Finnegan’s neonatal abstinence scoring assessment.– Adoption of AAP guidelines for increased length of stay of
substance exposed newborns to monitor for NAS (4-5 days).
27
April 2015 • Community educational forum “Your Kids Know More Than You Do.”
– Attended by approximately 150 people – Dr. Will Rushton, an emergency room physician and poison
control expert. • Convened the organizational meeting of the Winchester-Frederick-
Clarke Drug Treatment Court Advisory Committee with 22 participants in attendance, plus one member of the press.
Substance AbuseCommunity Timeline- Select Initiatives
28
Substance AbuseCommunity Timeline- Select Initiatives
May and June 2015• Members of the Winchester-Frederick-Clarke Drug Treatment Court
Advisory Committee visit 4 Drug Treatment Courts in the Commonwealth
• The Northern Shenandoah Valley Substance Abuse Coalition is incorporated as a Virginia non-profit corporation; receives 501(c)(3) status from the IRS
29
Substance AbuseCommunity Timeline- Select Initiatives
July 2015• $60,000 each from the City of Winchester, Frederick County and Valley
Health, plus $15,000 from Clarke County to enable the NSVSAC to hire an Executive Director
• Primary duties will be the planning and implementation of a Drug Treatment Court for Winchester, Frederick and Clarke
30
Substance AbuseCommunity Timeline- Select Initiatives
September 2015• Educational Forum for 160 physicians on pain management• Community program on Addiction treatment optionsOctober 2015• Peer-to-Peer Recovery Coach Training funded by Casey Family
Programs and conducted by the McShin Foundation• Visit to Philadelphia Drug Treatment Court
31
Substance AbuseCommunity Timeline- Select Initiatives
November 2015 – Hire Executive Director for the NSVSACJanuary 2016 – Executive Director officially begins workMarch 2016• Submit Application to Virginia Supreme Court for approval of Drug
Treatment Court• Strategic Planning RetreatApril 2016 – Attend training conducted by the National Drug Court InstituteAugust 2016 – First Drug Treatment Court docket
32
Strategic Planning Retreat March 2016
MissionThe Northern Shenandoah Valley Substance Abuse Coalition will collaborate with community partners to take the lead in identifying and developing effective resources to ensure that the necessary continuum of care for substance abuse and addiction services are available to all members of the community.
33
Vision
34
Working together to overcome the grip of substance abuse and addiction.
Areas of Strategic Focus• Prevention
– Creating a new community norm– Age-appropriate and situationally-appropriate education offered to
all longitudinally• Treatment
– Treatment that is financially and geographically accessible in a timely manner
– Client-focused individualized treatment with family/supports• Recovery
– Resources are available to anyone with a substance use disorder who reaches out to NSVSAC members
– Robust Peer Recovery Coach program
Desired Future State
35
36
Executive Committee
Community Outreach
Best Practices Finance
Original Organizational StructureAddiction Action Committee
37
Revised Organizational StructureNSVSAC
Executive Committee
Prevention
Community Outreach Re-Entry
Treatment Recovery
Implementation Team
38
Drug Treatment Court• Promote public safety by treating addiction and substance
abuse among non-violent offenders• High Accountability Court• Comprehensive Substance Abuse Treatment• Fee = $900 payable at the rate of $75 per month• Work, education, or community service required
39
• In 2013, Virginia’s re-arrest rates were (24.5%), better than national average of (27.5%)
• Up to two years of completing Drug Treatment Court, 75.5% of graduates are NOT re-arrested, compared to the national average of 72.5%
*According to the Office of National Drug Control Policy
Drug Treatment Court
SBIRTScreening
Brief InterventionReferral to Treatment
http://chhs.gmu.edu/sbirt/index.cfm
http://chhs.gmu.edu/sbirt/index.cfmhttp://chhs.gmu.edu/sbirt/index.cfmhttp://chhs.gmu.edu/sbirt/index.cfm
41
Grants Awarded
• $25,000 – United Way Grant to support the Drug Treatment Court• $18,200 – Rotary Club Grant to support the Peer Program• $350,000 – BJA Drug Court Implementation Grant• $100,000 – HIDTA Funding for Treatment
42
Key Drivers of Early Success/ Lessons Learned
Strategies to consider
43
• Engage and educate the Community/Leaders• Collect and share the data• Put a face on the crisis• Shine a light on the hope of recovery
• Education Strategy• Providers of Healthcare• Elected Leaders• Public
Key Drivers of Early Success/ Lessons Learned
Strategies to consider
44
• Addiction is a disease. This is a public health crisis.• Establish a multi-disciplinary, cross-systems approach• Establish realistic and concrete goals• Share the issue through the media whenever the
opportunity arises• Include the Recovery and Faith based communities early
Key Drivers of Early Success/ Lessons Learned
Strategies to consider
45
Stakeholders can…• Contribute time, talent and treasure to the community effort• Champion the community’s understanding of the disease
of Addiction• Educate providers and the community about the
appropriate use of opioid analgesics• Champion the community Drug take back programs• Facilitate education and community access to Naloxone• Help assess and address unmet needs in the continuum of
care in the community
The work has just begun, but imagine what we can do by working together.
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