1. OVERDOSE SOLUTIONS 2013 SAFE LANDING AN ACOPC INITIATIVE Tami Slain, RN

2. Safe Landing 2013 Report Tami Slain, RN Allegheny General Hospital Emergency Department Nurse Educator 2

3. SBIRT for a Safe Landing Identifying patients whose substance use puts them at increased risk for harm, including overdose. Exploring the consequences of substance use with patients with the intent to strengthen the patient’s own motivation and commitment to positive behavior change. Actively Assisting patients with linkages to recovery support or access to specialty care when more extensive treatment is most beneficial. S S creening B B rief I I ntervention R R eferral to T T reatment

4. Safe Landing 2013 Statistics 2013 Total ED Visits27,254 18+, Triaged & Pre-Screened22,500 83% of Patients Pre-Screened Positive Pre-Screens2,077 9% Pre-Screened Positive Hx Overdose224 11% Positive OD Hx Patients Assessed1,060 51% of Positive Pre-Screens Brief Interventions666 63% of Assessed Patients had BI “Referrals”26 4% of BI result in Referral Rec. 4

5. SBIRT STEP 1 Prescreen Questions 5

6. SBIRT STEP 2 Assessment Questions 6

7. SBIRT STEP 3 Brief Intervention 7

8. SBIRT STEP 4 Referral Partners 8 Re:solve 888-796-8226 Pyramid 888-694-9996 POWER 412-243-8722 26

9. Moving Forward 2013 Referral Linkages Increasing awareness and connections with community treatment and recovery support providers POWER and Pyramid intake officers embedded in Emergency Department two days a week (Pilot program – August-September-October 2013) 9

10. Moving Forward 2013 Staff Education Additional Assessment and BI Skill Training for ED Nursing and Medic Staff (Jan-Feb 2013) ED resident training 10

11. Moving Forward 2013 Social Services Staff Incorporating Social Services staff to support nursing staff with Safe Landing Processes: ASSIST, Brief Intervention, Referral to Treatment 11

12. Moving Forward 2013 Overdose Reduction Enhance overdose prevention education for patients Naloxone prescribing 12

13. Thank you 13 For more information, please contact: Allegheny General Hospital Tami Slain, RN Arvind Venkat, MD University of Pittsburgh School of Pharmacy Janice L. Pringle, PhD Sherry Rickard-Aasen