1. Delaware Health and Social Services Delaware Grantmakers Association: October 7, 2015 Rita Landgraf, Secretary, Delaware Department of Health and Social Services Responding to Delaware’s Addiction Epidemic

2. Delaware Health and Social Services THE ADDICTION CHALLENGE Delaware’s Public Health Epidemic Doesn’t Discriminate

3. Delaware Health and Social Services The Scope of the Epidemic In 2014, 185 suspected overdose deaths in Delaware, about one every other day. Through July 2015, more than 110 suspected overdose deaths. Age range: From age 15 to 87. Average person who died of a suspected overdose: A 42-year-old white male from suburban New Castle County. Substances involved: alcohol, prescription drugs, heroin, cocaine and others; often in combination.

4. Delaware Health and Social Services The Explosion of Heroin State’s tightening of access to prescription drugs, raised the on-the-street cost of pills. 1 Oxycodone pill = $20-$30; hit of heroin = $5-$10. In 2013-15, heroin overdose deaths rising dramatically. Police seizures almost tripled in 2013 from 2012. Admissions for public treatment have more than doubled.

5. Delaware Health and Social Services Alcohol Usage Among Teens In 2014, the UD Center for Drug & Alcohol Studies found among Delaware 11 th -graders: 31% reported using alcohol in past month. 57% used it in past year. 65% used it in their lifetimes. Among Delaware 8 th -graders: 13% reported past-month use of alcohol. 26% had used in past year. 34% in their lifetimes.

6. Delaware Health and Social Services The Treatment Landscape 9,897 adults sought public treatment for addiction in 2014. About 3 in 10 listed heroin as their primary drug at time of admission. Thousands more sought private treatment, in-state or out-of-state. Only an estimated 10.4% of Americans who need treatment seek it. Beyond demand, Delaware system was fragmented and not responsive to individual needs. Individuals faced gaps in services and supports.

7. Delaware Health and Social Services THE STATE’S RESPONSE Fight Addiction by Focusing on Three Fronts

8. Delaware Health and Social Services Addiction: Focus on 3 Fronts Fighting drug use and addiction is complex and requires work across government departments and along 3 fronts: Prevention/Education Criminal Justice/Law Enforcement Treatment/Recovery

9. Delaware Health and Social Services Treatment and Recovery During a public health epidemic, must increase resources. Building capacity statewide for withdrawal management, out-patient treatment, residential treatment & sober living. At same time, reforming the system to meet people where they are and when they are ready for treatment, including 24/7 Crisis Services. Treatment must ebb and flow with individual’s needs. Care based on the individual, not one-size- fits-all.

10. Delaware Health and Social Services New State Funding for FY16 for Substance Usage Disorder Withdrawal Management*$ 750,000 Sober Living Residential Programs$ 935,000 Young Adult Residential Treatment/Opiate$1.15M Residential Treatment$ 800,000 Subtotal$3,635M One-Time Funds$ 815,000 Total$4.45M *Additional $950.0 structurally transferred to DSAMH for Withdrawal Management from the Office of Management & Budget

11. Delaware Health and Social Services HelpIsHereDE.com One-stop for prevention, treatment, recovery information. Launched in October 2014. 100,00 page views in first 9 months; adding prevention and provider info Sections: “I Am Here for Me,” “I Am Here for Someone I Know,” Medical Providers, Community, Resources

12. Delaware Health and Social Services Criminal Justice/Law Enforcement DOC Commissioner Robert Coupe says 60% of those incarcerated impacted by addiction. Department of Correction redesigning Crest and Key programs, which are 25 years old. Northern NCCo part of Philadelphia/ Camden High Intensity Drug Trafficking Area, with new money for law enforcement and public health analyst to work together.

13. Delaware Health and Social Services Prevention and Education Beginning in 2015-16 school year, all high school students must receive 15 hours of drug and alcohol prevention education before graduation. Red Clay already using Smart Moves, Smart Choices curriculum. Prescription Drug Action Committee working across the spectrum. Permanent 24/7 Drug Take-Back collection containers now at 8 police stations statewide.

14. Delaware Health and Social Services Prevention Campaign Prevent underage drinking (aimed at students age 12- 20 and influencers – parents, guardians and other adults). Info: DrinkingHurtsThinking.com Prevent binge drinking (aimed at youth age 12-25, with emphasis on college-age young people). Info and online assessment: AmIABingeDrinker.com

15. Delaware Health and Social Services Naloxone and Good Samaritan In 2014, Gov. Markell signed 2 bills providing for wider use of naloxone, the overdose- reversing drug. Greater community use & voluntary use by police agencies. April 2015 resolution: Voluntary use by school nurses. Good Samaritan/911 Law

16. Delaware Health and Social Services