updates in the treatment services and opioid crisis in new ... · december 13, 2018 2 treatment...

December 13, 2018

Updates in The Treatment Services and Opioid Crisis in New York

Michele Falkowski, RN, BSN, CARN Debbie Egel, RN, EsqDirector of Nursing Associate AttorneyNYS OASAS NYS OASAS

December 13, 2018 2

Treatment Services

• Oversees over 1,600 prevention, treatment and recovery programs.

• Operate 12 Inpatient Addiction Treatment Centers

• Treat more than 250,000 New Yorkers on an annual basis.

• Fund more than 1,100 treatment and prevention programs which serve all who seek their help.

December 13, 2018 3

Med Med Sup Ancillary Inpt Stabilization Rehab Reintegration Intensive Day Outpatient Managed Inpatient/Outpt W/D Rehab Residential Residential Residential Outpatient Rehab

Addiction Services in NYS

December 13, 2018 4

3 Waves of the Rise in Opioid Overdose Deaths

in heroin-related overdose deaths since 2010 in the U.S.

https://www.cdc.gov/phpr/readiness/00_docs/OpioidOverdoseResponseFundingNationalWebinar_June182018_508c.pdf

https://www.cdc.gov/phpr/readiness/00_docs/OpioidOverdoseResponseFundingNationalWebinar_June182018_508c.pdf

December 13, 2018 5

The Opioid Epidemic is NATIONAL.

115 people die every day from

prescription and illicit opioid overdoses in the U.S.

https://www.cdc.gov/drugoverdose/epidemic/index.html

December 13, 2018 6

New York is not immune:

2016 8,444 Overdoses

5,8282016 Heroin OD

NYS Heroin & Opioid Overdoses

Source: NYS Department of Health https://www.health.ny.gov/statistics/opioid/data/pdf/nys_opioid

_annual_report_2017.pdf

2,6162016 Opioid OD

Excluding Heroin

https://www.health.ny.gov/statistics/opioid/data/pdf/nys_opioid_annual_report_2017.pdf

December 13, 2018 7

New York is not immune.

1,7102014

3,638

2016

NYS Heroin & Opioid Overdose Deaths

Source: CDC

December 13, 2018 8

Synthetic Fentanyl

Credit: NYS Troopers

December 13, 2018 9

1 out of 9(NYS)

The Problem??

December 13, 2018 10

What are we doing?

• Ends Prior Insurance Authorization to Allow for Immediate Access to Inpatient Treatment as Long as Such Treatment is Needed.

• Ends Prior Insurance Authorization to Allow for Greater Access to Medication Assisted Treatment.

• Requires All Insurers Use Objective State-Approved Criteria to Determine the Level of Care for Individuals Suffering from SUD. (LOCADTR)

• Mandatory consultation for prescribers for the Prescription Monitoring Program.


What are we doing?

• Require Hospitals to Provide Follow-Up Treatment Service Options to Individuals Upon Hospital Discharge.

• Allow More Trained Professionals to Administer Life-Saving Overdose-Reversal Medication.

• Expand Wraparound Services to Support Long-Term Recovery.


What are we doing?

• Reduce Prescription Limits for Opioids from 30-days to Seven Days.

• Require Ongoing Education on Addiction & Pain Management for All Physicians and Prescribers.

• Mandate Pharmacists Provide Easy to Understand Information on Risks Associated with Drug Addiction and Abuse.

• Collect and disseminate data on Overdoses and Prescriptions to Assist the State in Providing Additional Protections to Combat this Epidemic.


What are we doing?

• New funding to support:

• Treatment beds and Opioid Treatment Programs in unserved areas.

• Family Navigators, Peer Engagement.

• Recovery Centers and Adolescent Clubhouses

• Community Coalitions

• Open Access Centers


Medication Assisted Treatment / Medication Supported Recovery

• Methadone

• Buprenorphine (proper administration)

– Suboxone, Sublocade, Zubsolv,

• Naltrexone

– Vivitrol

Resource: Substance Abuse and Mental Health Services Administration (SAMHSA)


Emerging Issues

• New LSB on its way

• Outpatients overseeing med administration

• Sublocade

• Storage

• Medical marijuana

• Electronic record


Other Opportunities

• Telepractice

• In Community Services

• Certified Community Behavioral Health

Clinics (Federal Demonstration 13)

• Regional Open Access Centers


Better Continuity of Care • We need to make better connections between acute levels of

care – Emergency Department, Detox, Inpatient and

Community Based Services.

• Follow-up after an acute admission within 14 days is below

40% - we can do better.

• Warm Hand-offs and peer engagement have been shown to

be effective in connecting between levels of care.

• From hospital to community based treatment is especially

important.


Prevention and Public Awareness Efforts

• Provide resources for providers, parents, schools and anyone

who will listen on substance use disorders and addictions


Combat Heroin and

Prescription Drug Abuse

Kitchen Table Toolkit

2 videos

2 guidance documents

https://combatheroin.ny.gov/kitchen

-table-toolkit

https://combatheroin.ny.gov/kitchen-table-toolkit


Nursing Resources

Nursing Resources - NYS OASAS Nurse Advisory Panelhttps://www.oasas.ny.gov/AdMed/NurseResources/index.cfm

Substance Abuse and Mental Health Services Administration (SAMHSA)

International Nurses Society on Addictions

New York State Addiction Nurses

https://www.oasas.ny.gov/AdMed/NurseResources/index.cfm


Contact Information

Michele FalkowskiDirector of NursingNYS [email protected]

Debbie EgelAssociate AttorneyNYS [email protected]
mailto:[email protected]:[email protected]

updates in the treatment services and opioid crisis in new ... · december 13, 2018 2 treatment...

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