Region Wide Drug Strategy - Haliburton, Kawartha, Pine Ridge

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OVERDOSE PREVENTION
PROGRAM
Leslie McLaughlin
Public Health Nurse, HKPRDHU
Terry Cox
Detective Sergeant, Kawartha Lakes Police Service
Wayne Ducker
HIV/IDU Outreach Worker, PARN – Your Community AIDS Resource Network
OUTLINE
• Ontario Public Health Standards (OPHS)
• Needle Exchange Program
• Overdose Prevention
– Fentanyl Patch4Patch
– Naloxone Distribution
– Youth Engagement
– Region Wide Drug Strategy
• Future Direction
OPHS
• Sexual Health Requirements
– The Board of Health shall engage community partners and
priority populations in the planning, development, and
implementation of harm reduction programming.
– The Board of Health shall ensure access to a variety of
harm reduction program delivery models, which shall
include the provision of sterile needles and syringes and
may include other evidence-informed harm reduction
strategies in response to local surveillance.
OPHS
• Chronic Disease and Injury Prevention
Requirements
– The Board of Health shall use a comprehensive health
promotion approach to increase the capacity of priority
populations to prevent injury and substance misuse by:
a. Collaborating with and engaging community partners;
b. Mobilizing and promoting access to community resources
c. Providing skill-building opportunities; and
d. Sharing best practices and evidence for the prevention of
injury and substance misuse.
Harm Reduction Program
• Needle Exchange & Safer Inhalation Kits
• Fixed sites
– Port Hope/Lindsay + Peers (Outreach)
• Drugs of Choice
– Crack, Cocaine, Dilaudid, Morphine,
Fentanyl and heroin (Oxy’s when avail.)
• Operates in partnership with many local
community agencies
Harm Reduction
# of Needles Collected
# of Needles Distributed
# of Stems (Not paid for
by Health Unit)
# of Condoms
PARN (FTE time)
2014
2012
2009
2007
84,202
106,644
41,778
23,000
106,000
127,089
37,677
26,951
1,303
1,327
5,330
0
Provided
on
demand
Provided
on
demand
17,000
21, 600
0.7
0.7
1.5
0.5
Why invest in OD prevention?
• Accidental overdoses are the 3rd leading
cause of unintentional death in Ontario
a comparable figure to traffic fatalities
Accidental Opioid Deaths in Ontario due to
Acute Drug Toxicity
YEAR
2009
NUMBER
318
2010
2011
2012
387
412
455
2013
503
Background
• Provincial Narcotic Strategy in 2010
which included harm reduction
programs
• 2012 Oxycontin (Opioid) discontinued
• March 2012 - Ministry of Health and
Long-Term Care (MOHLTC) created
Expert Working Group on Narcotic
Addictions
Opportunity Knocks
• May 2013 Central East Local Health
Integration Network (CELHIN)
– One-time funding for Opioid Overdose
Prevention
• Support Local Harm Reduction Committees –
Durham Region, Peterborough and HKPR
District until March 2014
Outcome
• With this partnership, the community
agencies and organizations identified
key areas to address overdose
prevention
– Fentanyl Patch 4 Patch
– Naloxone Distribution Program
– Peer education program
• All fall under the umbrella of the
REGION WIDE DRUG STRATEGY PLAN
• Collaboration among physicians,
pharmacists and patients
• Promotes safe, effective, responsible
use of Fentanyl
• Goal-Decrease the number of
overdoses related to Fentanyl misuse
Community partners
What we have learned…
• MISCONCEPTION that prescription drugs are safe or
safer than non-prescription
• Fentanyl can be misused in a variety of ways such as
smoking, chewing or injecting
• Dose ingested is unknown
• Each community is different
EXAMPLE
– CKL
– Current $ for NEW 100 mcg patch ~$300
How does it work?
At the office
At the Pharmacy
One in, one
out method
Frequently Asked Questions
Robbery Prevention
Increased Awareness
• A Private Members’ bill introduced by
Nipissing MPP Vic Fedeli.
• Bill 33, the Safeguarding Our Communities
Act (Fentanyl Patch for Patch Return Policy)
• Introduced October 2014 and was at its
second reading early May 2015.
Communities are taking
action
• Has been introduced in many communities such as:
–
–
–
–
–
–
–
HKPR-CKL
Durham
Toronto
North Bay
Guelph
Sudbury
….
• Many other areas are in the planning stages of this
program including:
– Haliburton County
– Northumberland County
Where are we now?
• Kawartha Lakes
– Launched October 2014
– Getting ready to evaluate year one
• Haliburton County
– Plans to launch early Fall 2015
• Northumberland County
– Initial stages of planning-bringing community partners
together
Overdose Prevention &
Naloxone Distribution Program
• Working in partnership
– PARN
– Oshawa Community Health Centre (Hep C
team)
– OPP
– Regional police services
– EMS
– and other health & social service providers
Overdose Prevention &
Naloxone Distribution Program
• Oshawa CHC Hep C Team – Medical
Directive for distribution of Naloxone
• PARN to take lead on the training of
peers for the roll out of program
• Support from other agencies
• This program will be in place by end of
2015
Youth Engagement
• Local Youth Speakers Bureau
– Present at schools to talk about their
experiences with addictions
– Connect with smaller group
• Further educate and inform of resources
– Goal-internal student resource(s)
Timeline-late 2015-2016
Region Wide Drug Strategy
• Outcome
– will coordinate all these initiatives
– facilitate collaboration with community
agencies to increase capacity of
community partners
• Next Steps
– Mobilize partnerships
– Define Terms of Reference for ODP
– Work to submit funding proposals
Resources
•
•
•
•
•
addictionsandrecovery.org
Alex Whitefield, OPP
Kerry Kightley, Peterborough Drug Strategy
Ontario Harm Reduction Distribution Program (OHRDP) - ohrdp.ca
OverdosePrevention.ca

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