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Kentucky Opioid Response Effort

Kentucky Opioid Response Effort. Brittney Allen, PhD 4/9/19. Statement of Purpose.

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Kentucky Opioid Response Effort

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  1. Kentucky Opioid Response Effort Brittney Allen, PhD 4/9/19

  2. Statement of Purpose Guided by the Recovery-Oriented System of Care Framework, the purpose of the Kentucky Opioid Response Effort (KORE) is to implement a comprehensive targeted response to Kentucky’s opioid crisis by expanding access to a full continuum of high quality, evidence-based opioid prevention, treatment, and recovery supports

  3. STATE INTERAGENCY PARTNERS ODCP

  4. Framework of the Response

  5. Infrastructure

  6. Infrastructure Projects • KASPER Enhancements • OUD Curriculum Guide • Training • Buprenorphine DATA Waiver • Hazelden Betty Ford Foundation Comprehensive Opioid Response with 12-Steps • ASAM Multidimensional Assessment • Casey’s Law • Peer Support Specialists and Supervisor

  7. Infrastructure Outcome

  8. Prevention

  9. Early Initiation of Substance Use Predicts Current Rx Opioid Use Among 10th Graders Illicit prescription opioid use Data Source: Kentucky Incentives for Prevention Student Survey, 2016

  10. Primary Prevention in Schools • Sources of Strength • Sources of Strength • Suicide prevention curriculum in 72 Middle and High Schools • Mendez Foundation: Too Good For Drugs • Universal curriculum • 2019-2020 School Year • 86 Elementaries (K-5), 86 Middle Schools (6-8), 86 High Sschools (9-10), and 86 After School Programs

  11. Centralized Naloxone Distribution • Increase distribution through hospitals, community and mobile pharmacies, treatment programs, HRSEPs, Oxford House

  12. Prevention Projects • Opioid Stewardship • Overdose Prevention Training • Early Detection and Intervention • https://www.khcollaborative.org/sbirt/ • http://www.kafp.org/sbirt-training-2/ • Community Coalition Building

  13. Treatment

  14. COMPOSITE RISK INDEX Fatal opioid overdoses Opioid overdose ED visits Opioid overdose hospitalizations MME ≥ 100 Data sources: Kentucky Inpatient and Outpatient Hospitalization Claims Files, Frankfort, KY; Cabinet for Health and Family Services, Office of Health Policy; Kentucky Death Certificate Database, Kentucky Office of Vital Statistics, Cabinet for Health and Family Services; KASPER Quarterly Trend Report, Third Quarter 2015, Kentucky Department for Public Health. Data are provisional and subject to change.

  15. Treatment Projects • Bridge clinics • OUD treatment in FQHCs • Treatment and Methadone Stipend Programs • Jail Substance Abuse Programs • Community Pharmacy Care Model for Vivitrol • Sobriety Treatment and Recovery Team (START) • Targeted Assessment Program (TAP) • Plan of Safe Care

  16. Quick Response Teams • Six to be established this year • Services include: • Assertive outreach to overdose survivors from team comprised of peer support specialists, first responders, treatment providers • Home visits within 24-72 hours of overdose • Facilitate treatment, harm reduction services • Message to survivor: WE CARE

  17. Recovery

  18. Recovery Projects • Community Re-Entry Coordination • Peer Support, Recovery Coaching, Mutual Aid • Recovery Housing – NARR • Recovery Capital Enhancement • Recovery Community Centers • Transition-Age Youth Drop-In Centers • Access to Recovery support

  19. Recovery Community Centers • Community-based, non-clinical setting that is safe, welcoming, and peer-led • Provide locatable resources for community-based recovery supports • Six centers in development: • Centerstone, NorthKey, Kentucky River, Four Rivers, Voices of Hope (Fayette County), Volunteers of America (Clay County) • TAYLRD Youth Drop-in Center Expansion (ages 15-26): • Centerstone, Four Rivers, Kentucky River, Communicare, Pathways

  20. Access to Recovery (ATR) Program • Reduce barriers to maintaining long-term recovery • Free to low income adults in treatment or recovery • Payor of last resort • Time-limited assistance

  21. Strategic Initiative for Transformational Employment

  22. Let’s Connect Brittney Allen brittney.allen@ky.gov

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