1. Heroin Associated Deaths in Greene County, Ohio Jane McClelland, BSN, RN, Public Health Nurse Melissa Howell, Health Commissioner Don Brannen, PhD, MHSA, MS; Epidemiologist Ashley Steveley, MPH, Health Educator

3. Greene County Ohio Deaths from Heroin Induced Injury 2013 Year 5 Greene County residents that died in Greene County. 1 resident death out of county. 4 non-resident deaths in county. 2014 6 Greene County residents that died in Greene County. 1 resident death out of county. 5 non-resident deaths in county.

4. Drug Related Deaths in 2013 Either Died or Resided in Greene County Not all are heroin. There were only 10 deaths with heroin mentioned in 2013 so casted the net wider.

5. Drug Related Deaths in 2013

7. Year of Death Heroin InducedCounty of Death County of Residence CLARKFAYETTEGREENELOGANMEDINAMONTGOMERYMORGAN 2013 No GREENE 12214 MARION 1 MONTGOMERY 3 Yes GREENE 51 MONTGOMERY 4 2014 No GREENE 113221 LUCAS 1 MONTGOMERY 6 Yes GREENE 61 MAHONING 1 MONTGOMERY 5

9. Provisional 2015 Data 18 residents Greene County residents with associated drug intoxication related deaths 8 females, 10 males 26-59 years of age 7 MDI 6 Oxycodone, Fentanyl, Cocaine, Meth 5 Heroin 10 Fairborn, 4 Xenia, 4 Other areas of County

10. In Greene County during 2013 and 2014 there were 11 total heroin induced deaths of Greene County residents. From 2012 to 2013, there was an increase in heroin associated deaths in the 20-39 age group from 1 to 7 deaths. Xenia had the largest number of heroin associated deaths with a total of 7 deaths in Greene County during 2013 and 2014 (this includes residents and non-residents). Summary

11. TCN Behavioral Health Services In the past year, TCN treated 1,038 patients with an Opiate Addiction diagnosis Of the 1,711 patients treated for substance abuse in FY 2015, 61% used opiates – a 9% increase from the previous year

12. TCN Behavioral Health Services The number of patients receiving Medication Assisted Treatment for opiate dependence – and TCN’s capacity to treat them – has increased by 256% over the past five years TCN has seven physicians partially allocated to providing Medication Assisted Treatment services to opiate addicted patients

13. Client Characteristics Over the past 11 years, TCN has treated over 4,700 patients for opiate addiction Primary age ranges that patients seek treatment from TCN for Opiate Addiction are 20-30 years old (42% all opiate dependent patients) and 30-40 years old (35%) TCN patients with opiate diagnoses are more often male (55%) than female (45%)

14. Deaths Avoided With Naloxone (DAWN) TCN began Project DAWN in August 2015 to reduce the number of opioid- related deaths A community-based overdose education and naloxone distribution program. Project DAWN participants receive training on: – Recognizing the signs and symptoms of overdose – Distinguishing between different types of overdose – Performing rescue breathing – Calling emergency medical services – Administering intranasal Naloxone (also known as Narcan)

15. Project DAWN Training is given to TCN clients who are undergoing Suboxone Induction and Suboxone Maintenance groups. 87 kits have been prescribed to clients. Clients will continue to receive the kits in the future TCN plans to expand Project DAWN training to: – Intensive Outpatient groups – Christopher House residents – Women’s Recovery Center residents – Greene County Community at large.

16. Greene County Children Services Drug and Alcohol Concerns Statistics

19. Positive Tox Births By Month 2013 and 2014

20. Positive Tox Births By Month 2013 and 2014 -for Opiates-

23. Thank You! We appreciate your support and feedback Please complete your survey and return to the Mental Health & Recovery Board table For more information about the Greene County Drug Coalition, please contact Tracey Stute, 937-322-0648 x119 tracey@mhrb.org tracey@mhrb.org