Addiction Why It’s YOUR Business June 2016

Opiate Overdose Death Trends

Opioid Sales, OD Deaths & Treatment Admissions Rates of prescription painkiller sales, deaths and substance abuse treatment admissions (1999-2010) SOURCES: National Vital Statistics System, 1999-2008; Opioid Sales, OD Deaths & Treatment Admissions

Impact of BH Comorbidity in Patients with Chronic Medical Conditions % Increase with Mental Condition % with Comorbid Mental Condition* Annual Cost with Mental Condition Annual Cost of Care Patient Groups Illness Prevalence Arthritis $5,220 6.6% 36% $10,710 94% Asthma $3,730 5.9% 35% $10,030 169% Cancer $11,650 4.3% 37% $18,870 62% Diabetes $5,480 8.9% 30% $12,280 124% CHF $9,770 1.3% 40% $17,200 76% Migraine $4,340 8.2% 43% $10,810 149% COPD $3,840 8.2% 38% $10,980 186% Chronic illness doubles total cost of care; mental health comorbidity doubles it again *Approximately 10% receive evidence-based mental condition treatment Cartesian Solutions, Inc.™

Addiction Can’t be Ignored: It Costs YOU High Prevalence 50% Employed Employed High Cost 3x Higher Low Priority

MH/SUD Patients are High Cost Patients with MH/SUD cost 2-3 times more ($1,000 PMPM compared to $400 PMPM) Most of added cost is facility-based (ER and inpatient) for medical care. 11/29/2018

Number of Adult Illicit Drug Users By Employment Status

What is Massachusetts Doing? Prescription Monitoring System Greater Public Awareness Better Physician Education about Addiction Wide Availability of the Overdose Antidote Redirect Funds to Prevention & Interventon Treat Addiction as a Chronic Disease Expanding Medical Education Early Screening Initiatives

What is Gosnold Doing? Broad Continuum of Treatment Services Services in Schools (15 Cape Schools) Collaboration with 17 Police Departments Emergency Room Interventions Recovery Managers (to reduce Detox/Rehab Churn) Collaborating with Medical Practices Community Awareness Parent Education

Raymond V. Tamasi, President Contact Information www.Gosnold.Org Raymond V. Tamasi, President rtamasi@gosnold.org 11/29/2018