Nevada State Opioid Response - March 2019 Newsletter

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March 1, 2019

NEVADA STATE OPIOID RESPONSE Integrated Opioid Treatment and Recovery Centers | Prevention & Treatment Activities | Controlled Substance Prevention

Meet the IOTRCs The Life Change Center (TLCC): TLCC is a non-profit organization that has been providing recovery services for heroin and prescription medication abuse concerns since 1999. They offer a variety of services to beat their drug addiction. The recovery program of TLCC takes medication assisted treatment one step further and includes specialized counseling in addition to medication and case management.

Center for Behavioral Health (CBH): CBH is a network of outpatient facilities offering comprehensive substance abuse treatment programs to assist people addicted to opiates.

Treatment plans are customized to every patient, ensuring that they receive the highest quality treatment available. Patient care is the top priority at CBH, and they work hard to ensure that each client receives the highest level of care and respect.

Nevada’s Response to the Opioid Crisis: 
 Creating Hubs and Spokes Individuals with an opioid use disorder (OUD) often have complex treatment needs that require concurrent and coordinated attention to addiction, medical, psychiatric, and social problems. OUD patients do best when they have access to a full range of medication assisted treatment (MAT) options in a variety of settings, and they can also benefit from assistance in locating and navigating an array of social and recovery support services. In April 2017, Nevada was awarded a State Targeted Response to the Opioid Crisis Grant to address the opioid crisis by increasing access to treatment, reducing unmet treatment need, and reducing opioid overdose related deaths through the provision of prevention, treatment and recovery activities for opioid use disorder (OUD) (including both prescription opioids and illicit drugs such as heroin).

Vitality Unlimited: The mission of Vitality Unlimited is to improve the health and welfare of society by reducing the number of individuals dependent on alcohol and other drugs by providing services related to substance abuse treatment, behavioral health services, affordable housing, and programs designed to meet the specific needs of veterans.

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How to Obtain Naloxone in Nevada Naloxone is available at most Walgreens, CVS, or Smiths Drug Stores. In Nevada, it can also be found at Northern Nevada HOPES, Trac-B Exchange, the Center for Behavioral Health, The Life Change Center, and Vitality. The cost of Naloxone varies but it is partially covered by many insurance plans and can be is free in many locations.

If you or your organization are interested in more information and/or training about naloxone in Nevada, please contact:

Morgan Green at the Center for the Application of Substance Abuse Technologies (CASAT) at mgreen@casat.org.

Exercise a “What do I know”, “who needs to know it”, “have I told them” and “do they understand what I have told them” way of thinking.

-The Reality of Command and Control — United States Marine Corps

Nevada State Opioid Response

March 1, 2019

Using this funding, the Nevada Division of Public and Behavioral Health (DPBH) established a hybrid system of coordinated care for OUD in Nevada, based on the Vermont Hub and Spoke Model of Care for Opioid Use Disorders and the Collaborative Opioid Prescribing (CoOP) program model design that was initially developed and implemented at Johns Hopkins Hospital.

The goal of this innovative program delivery model is to increase the availability, utilization, and efficacy of medication assisted treatment (MAT), and provide pathways to evidence-based recovery and support services by establishing an Integrated Opioid Treatment and Recovery Center’s (IOTRC) System for Nevada residents with OUD. Care is coordinated during the entire treatment episode between IOTRC staff and partner providers. Services at IOTRC and/or referral to a formal collaborative partner for needed services are provided with a “warm hand off ” and follow-up communication by a care coordinator, peer specialist, or other IOTRC staff.

IOTRCs refer out to a variety of other service providers through formalized care coordination agreements, for example, pain management clinics, recovery programs, behavioral health services, psychiatry, and obstetrician/neonatal services. Since 2017, the IOTRCs have made many spokes, and continue to grow their efforts.

Spotlight on IOTRC Activities: Mobile Teams in Nevada’s Hospitals Many Nevada emergency departments are using mobile outreach teams to bolster their ability to address the needs of patients who present with an opioid overdose or who are diagnosed with a primary/secondary opioid use disorder.

These teams can provide specialized services for patients that supplement and extend the services currently provided through the ED. 2

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Coming Soon We continue to develop additional resources and programs to increase the infrastructure of Nevada.

Here is what we are planning in the future: ✦ In-person

data waiver trainings for providers in Reno, Las Vegas, and Rural Nevada

✦ Additional

naloxone trainings throughout the state of Nevada

✦ Emphasis

initiative

on Zero Suicide

March 1, 2019

When a qualifying patient presents in the emergency department, mobile outreach teams are dispatched to the hospital to provide support from a peer recovery specialist and a certified drug and alcohol counselor. If the patient is willing to speak with them, the team will provide a brief risk assessment and motivational interview, connections to care (as established by their hub and spoke model) including medication assisted treatment, pain management services, health care, housing, and overdose education and take-home naloxone.

If you or your organization are interested in more information about mobile teams providing services in Nevada hospitals, please contact: Krysti Smith at the Center for the Application of Substance Abuse Technologies (CASAT) at ksmith@casat.org.

Current Participating Hospitals: North Vista Hospital Carson Tahoe Regional Hospital Renown Regional Medical Center Saint Mary’s Regional Medical Center University Medical Center Mountain View Hospital

Do you have an article that you would like featured in our newsletter?

We would love to talk to you! Contact Krysti Smith at ksmith@casat.org to get started.

To stay up to date with all Nevada SOR activities check out our website: www.nevadasor.org

This publication was created in part through the Substance Abuse and Mental Health Services Administration State Targeted Response to the Opioid Crisis Grant under grant number 1H79TI080265-01.

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