1. Primary Prevention in the Time of the Opioid Epidemic
Janice W. Petersen, Ph.D.
Deputy Assistant Secretary/NASADAD SSA Rep.
Louisiana Department of Health
Office of Behavioral Health
Presented: May 24, 2018 NASADAD Annual Meeting
Bethesda, Maryland

4. OPIOID EPIDEMIC IN LOUISIANA:
There was close to 1,000 drug overdose deaths in Louisiana in
-320 deaths were due to opioid or heroin poisonings – doubled since 2012.
-In more than 600 deaths, opioids were involved.
-Preliminary numbers for 2017 show an increase in opioid poisoning deaths statewide.
Hospitalizations due to opioid poisonings have increased -40% in the past three years.
Emergency room visits due to drug overdoses has been steadily climbing the past three years.

5. PARTNERS STATE LEGISLATURE STATE AGENCIES LOCAL GOVERNMENT
COMMUNITY COALITIONS

8. Targeted Response To The Opioid Crisis

10. PREVENTION Awareness and educational opportunities for targeted
groups.
In ED setting, providing overdose prevention education,
naloxone kits at discharge to patients, care coordination and
linkage.
Providing Sentinel Surveillance: Monitoring the rate of occurrence to assess stability of change in a geographic location or population subgroup (SEW)

11. PREVENTION Workforce development and Talent Management
Development of the Training Education and Technical Assistance (TETA) Coordinator model at local clinics
Prevention professional training and certification
Prevention peer-to-peer mentoring

12. PREVENTION
Development of the Training Education and Technical Assistance (TETA) Coordinator
Staff hired in each local governing entity(LGE) across the state.
Provides the first point of contact for prevention services
Contributes to the prevention workforce
Provides Screening, Brief Intervention and Referral to
Prevention (SBIRP)
Prevention workforce development through becoming certified:
Preventionologists

13. PREVENTION Awareness and educational opportunities for targeted
groups.
In ED setting, providing overdose prevention education,
naloxone kits at discharge to patients, care coordination and
linkage.
Providing Sentinel Surveillance: Monitoring the rate of occurrence to assess stability of change in a geographic location or population subgroup (SEW)

14. STANDING ORDER FOR ACCESS TO NALOXONE
INTERVENTION
STANDING ORDER FOR ACCESS TO NALOXONE
NALOXONE EDUCATION AND DISTRIBUTION
7-DAY LIMIT ON PRESCRIPTIONS
Medicaid Expansion

15. Medication Assisted Treatment (MAT)
Care Coordination with Opioid Treatment Providers
Resource Coordination and
Referral

16. Behavioral Health Peer Support Specialists in each local clinic
RECOVERY
Behavioral Health Peer Support Specialists in each local clinic
Care coordination between community providers, local clinics, FQHCs,
Reducing Stigma
Development of Recovery Coaches

17. OPPORTUNITIES FOR SUSTAINABILITY
Assessing the Scope of the Problem
Improving the statewide data infrastructure (CCYS, NSDUH, NOMS)
Capacity Building/Coordination
Continuing to bring new stakeholders to the table
Integration into new systems: DCFS, DOC, DOE
Planning and Implementation
Leveraging a broad array of service providers for strategic plan buy-in
Cultivating Prevention Professionals as leaders: use TETA model
Strengthening collaboration across and between the behavioral health continuum of care
Evaluation
Utilize data to expand monitoring systems and document what works
Use data for policy development

18. COMMUNITY COALITION INTEGRATION

19. RESOURCES
Surgeon General’s News Release: April 5, 2018: Advisory on Naloxone
National Safety Council: Prescription Nation-Profile of States: March, 2018
Former Surgeon General’s Report: FACING ADDICTION-2016
Citation: U.S. Department of Health and Human Services (HHS), Office of the Surgeon General, Facing Addiction ii America: The Surgeon General’s Report on Alcohol, Drugs and Health, Washington, DC: HHS, November, 2016.
Robert Wood Johnson Foundation: Communities in Crisis-Local Responses to Behavioral Health Challenges, October, 2017
Louisiana Department of Health
628 North 4th Street, Baton Rouge, Louisiana 70802
(225)