Maine: ODMAP Implementation Initiative

Sybil Mazerolle

SUD Program Manager

Office of Behavioral Health

Department of Health and Human Services

August 26, 2020

Presentation Overview

ODMAP Implementation The Data

ODMAP Technical Assistance Strategy Overdose Intervention

Rapid Induction

Maine ODMAP Implementation Initiative: The Why? Decrease the number of Overdose Deaths in ME

Lack of real-time overdose data, specifically around non-fatal overdoses

Increase Information Sharing/Community Collaboration

Executive Order: Part E. To the extent practicable, develop an Overdose Map with geomappingtechnology to locate overdose related hotspots and provide real-time data sharing.

3

Maine Leads The Nation….

4

Maine: >150% increase over 3 yrs, 6th highest rate of increase in US

Opioid Overdose Death Rates and All Drug Overdose Death Rates per 100,000 Population (Age Adjusted)

SOURCE: Kaiser Family Foundation’s State Health Facts.

ODMAP Implementation Initiative

Maine DHHS proposed partnering with a healthcare quality organization to help support implementation and provide technical assistance (No legislative Mandate)

Crisis CoAg funding was awarded fall of 2018

Maine experienced an administration change January, 2019

Contract with partner finalized February, 2019

ODMAP – Level 1

ODMAP – Level 2

March 1, 2019 – February 27, 2020

ODMAP Implementation Initiative: Developing Partnerships

ODMAP Implementation Initiative: Determining Strategy

Law Enforcement focus

Demonstrate Return on Investment

Develop a plan for data utilization

Platforms for disseminating information

Predicting roadblocks and pre-emptively addressing them

ODMAP Implementation Initiative: Statewide Rollout- Platforms for Information Dissemination

Regional Chief Meetings

Presentation at Chief’s Summer Summit

Opioid Summit

Maine Sheriff’s Summer Meeting

OAG’s Fall Road Show

ODMAP Implementation Initiative: Successes Androscoggin County Sheriff's Office

Auburn Police Department

Augusta Police Department

Bangor Police Department

Bar Harbor Police Department

Bath Police Department

Berwick Police Department

Bridgton Police Department

Brunswick Police Department

Bucksport Police Department

Camden Police Department

Cape Elizabeth Police Department

Caribou Police Department

Cumberland County Sheriff's Office

Cumberland Police Department-M

Dixfield Police Department

Eliot Police Department

Fairfield Police Department

Falmouth Police Department

Farmington Police Department

Fort Fairfield Police Department

Franklin County Sheriff's Office

Fryeburg Police Department

Hallowell Police Department

Hampden Public Safety

Hancock County Sheriff’s Office

Houlton Police Department

Jay Police Department

Kennebec County Sheriff's Office

Kennebunk Police Department

Kennebunkport Police Department

Kittery Police Department

Knox County Sheriff's Office

Lewiston Police Department

Lincoln County Sheriff's Office

Lisbon Maine Police Department

Madawaska Police Department

Maine Department of Health and Human Services

Maine Drug Enforcement Agency

Maine EMS

Maine State Police

Mexico Police Department

Milbridge Police Department

Milo Police Department

Monmouth Police Department

North Berwick Police Department

Oakland Police Department

Ogunquit Police Department

Old Town Police Department

Orono Police Department

Penobscot County Sheriff's Office

Piscataquis County Sheriff's Office

Pittsfield Maine Police Department

Portland Police Department

Presque Isle Police Department

Rumford Police Department

Sabattus Maine Police Department

Saco Police Department

Scarborough Police Department

Skowhegan Police Department

Somerset Public Health

South Portland Police Department

Topsham Police Department

Veazie Police Department

Waldo County Sheriff's Office

Waterville Police Department

Westbrook Police Department

Winslow Police Department

Yarmouth Police Department

York County Sheriff's Office

York Police Department

ODMAP Implementation Initiative: Determining Strategy- The Electronic Addendum

ODMAP Implementation Initiative: The Data

Creation of a Data Utilization planning group

Draft of plan created in December, 2019

Aligning with Maine’s Opioid Strategic Plan

Draft presented in February, 2020 and currently under review by leadership

ODMAP Implementation Initiative: The Data

Suspected Drugs Reported by County

Fatal vs. Non-fatal for the quarter

Naloxone Administrations reported by County

Suspected Drug By Age Range

Timely Entry- Speaks to Best Practice

ODMAP Implementation Initiative: Addressing Roadblocks- MOA

ODMAP Implementation Initiative: Addressing Roadblocks- Process Map

ODMAP Implementation Initiative: 2020

Targeted Technical Assistance

Helping to address technology barriers

EMS API implementation

Rapid Induction TA project

Overdose intervention program

ODMAP Implementation Initiative: Rapid Induction

2020: Increase in SUD-related Deaths

Fatal Overdose Data Q1 2020

OIP: Roles

SUD Clinician Embedded in First Responder

Agency

Co-responds to overdose and SUD-related Emergencies

Referrals based on ASAM criteria

Connection to Recovery Coach

Required TA participation

Recovery Coach Placed in community low-

barrier access points (SSPs, Recovery Centers, Clubhouses [casting wide net])

System navigation

Education and Connection to local Harm Reduction services

Recovery Capital gains

Maine Department of Health and Human Services 22

Shared Responsibilities

Maine Department of Health and Human Services 23

SUD Clinician Recovery Coach

• Post-overdose follow-up• Cont. engagement in

the community• ODMAP Notifications• Cross-position referrals• MaineMOM Connection• Data Tracking• Naloxone Distribution• Community Anti-stigma

education• MaineCare application • Connection to FQHC or

other provider for HIV/Hep C testing

• Harm Reduction support

ODMAP Implementation Initiative

Questions?

Contact Information

Sybil Mazerolle, SUD Program ManagerOffice of Behavioral Health

Sybil.Mazerolle@maine.gov

207-441-5023

25