State Strategies for Addressing the Opioid Crisis · State Strategies for Addressing the Opioid...
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State Strategies for
Addressing the Opioid Crisis The Opioid Crisis in Alabama: From Silos to Solutions
March 10, 2017
Melinda Becker
National Governors Association
National Governors Association
National Governors Association
Agenda
NGA Background
Snapshot of the Problem
NGA Opioid Road Map
Select State Strategies
National Governors Association
Conference of Governors
The White House, 1908
OPIOID FACT Every day 91 people will die from an opioid
overdose in the United States.
Source: CDC
U.S. Map of Opioid Death by State, 1999 - 2014 1999 DRUG OVERDOSE DEATH RATES 2002 RAPID INCREASE IN DRUG OVERDOSE DEATH RATES 2005 RAPID INCREASE IN DRUG OVERDOSE DEATH RATES 2008 RAPID INCREASE IN DRUG OVERDOSE DEATH RATES 2011 RAPID INCREASE IN DRUG OVERDOSE DEATH RATES 2014 RAPID INCREASE IN DRUG OVERDOSE DEATH RATES 2014 RAPID INCREASE IN DRUG OVERDOSE DEATH RATES
Source: CDC
National Governors Association
Number of Fentanyl Exhibits in NFLIS, 2004-2015
Source: 2016 DEA Intelligence Brief: Counterfeit Prescription Pills Containing Fentanyls
Source: DEA 2016 National Drug Threat Assessment Summary
Fentanyl Exhibits in NFLIS, 2015 and Wholesale Seizures, 2013 - Dec. 2015
MAJOR FACTORS DRIVING THE OPIOID EPIDEMIC
National Governors Association
Select State Strategies
Establish a collaborative data and information-sharing environment
Limit new opioid prescriptions for acute pain, with exceptions
Expand use of non-opioid therapies for pain
Increase access to naloxone
Expand access to evidence-based MAT and recovery services
National Governors Association
Select State Strategies
Establish a collaborative data and information-sharing environment
Limit new opioid prescriptions for acute pain, with exceptions
Expand use of non-opioid therapies for pain
Increase access to naloxone
Expand access to evidence-based MAT and recovery services
National Governors Association
Eight states set limits
for opioid prescribing in
statute.
One state established
limits through executive
order.
States Taking New Steps to Reduce Inappropriate Opioid Prescribing
National Governors Association
Select State Strategies
Establish a collaborative data and information-sharing environment
Limit new opioid prescriptions for acute pain, with exceptions
Expand use of non-opioid therapies for pain
Increase access to naloxone
Expand access to evidence-based MAT and recovery services
National Governors Association
Select State Strategies
Establish a collaborative data and information-sharing environment
Limit new opioid prescriptions for acute pain, with exceptions
Expand use of non-opioid therapies for pain
Increase access to naloxone
Expand access to evidence-based MAT and recovery services
National Governors Association
Select State Strategies
Establish a collaborative data and information-sharing environment
Limit new opioid prescriptions for acute pain, with exceptions
Expand use of non-opioid therapies for pain
Increase access to naloxone
Expand access to evidence-based MAT and recovery services
Since the start of Project ECHO’s IAP Clinic in 2005,
New Mexico has gone from the 13th to the 3rd highest
ranking state in terms of buprenorphine-waivered
physicians per capita.
Source: Miriam Komaromy MD, Dan Duhigg MBA, DO, Adam Metcalf LISW, Cristina Carlson PMHCNS-BC, Summers Kalishman PhD, Leslie Hayes MD, Tom
Burke BS, Karla Thornton MPH, MD & Sanjeev Arora MD (2016) Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating
primary care providers about treatment of substance use disorders, Substance Abuse, 37:1, 20-24, DOI: 10.1080/08897077.2015.1129388
National Governors Association
11%
52% 1%
36%
Completed
Active
Inactive
Fail
No known cases of re-
arrest, re-incarceration,
and/or reconviction
among this group
MATADOR Program, Middlesex County, MA
Source: Middlesex Sheriff’s Office
17% overall
recidivism rate;
6% drug-related
recidivism rate
First Year Snapshot: A Public Safety Perspective (Oct. 2015 – Oct. 2016)
Thank you.
Melinda Becker
Senior Policy Analyst, NGA Center Health Division
202-624-5336 / [email protected]
