understanding the local impact of ma opioid...
TRANSCRIPT
Understanding the Local Impact of MA Opioid Legislation
Presented by:
Erica McNamara, MPH, RCASA Director
Lt. Richard Abate, Criminal Division Commander, Reading Police Department
Opioid Fast Facts
• A powerful sedative that relieves pain. • An addictive narcotic extracted from the poppy
plant. • Some opioids, such as morphine, percocet and
codeine, are used medically to relieve pain.
• Heroin, OxyContin, and Fentanyl are opioids. • Any opioid that is misused can shut down the
respiratory system causing death. • RCASA was founded in response to opioid-related
deaths and their impact on local families.
http://www.mass.gov/governor/press-office/press-releases/fy2016/governor-signs-landmark-opioid-legislation-into-law.html
Governor Baker Signs Landmark Opioid Legislation into Law
Opioid Addiction Prevention Bill (H.No.4056) School-related mandates
1. Create Substance Abuse & Ed. policies informed by DESE & MA Boards of Health
• School Committee Policy previously established (H.S only)
• Proposed revisions by RCASA/RPS for vaping & review for other school levels
2. Verbally Conduct Student Substance Abuse Screening
• 2016-2017: Pilot Verbal Screening Program
3. Incorporate Addiction & Substance Abuse Ed. into Driver’s Ed. curriculum & Concussion Safety Training
• H.S. Ed in compliance (M.S./E.S. –to review)
• Parent Ed. (State resources, local seasonal programs, pilot online training)
• RCASA can assist Driver’s Ed.
Source: Long & DiPietro, LLP Memo for M.A.S.S., 4/25/16 & Reading Public Schools Planning Committee
Opioid Bill Implementation
Source: Long & DiPietro, LLP Memo for M.A.S.S., 4/25/16 & Reading Public Schools Planning Committee
• Local Planning Committee:
– Dr. Doherty, Supt. of Schools
– Lynn Dunn, Director of School Nurses
– Sara Burd, District Leader of SEL
– Erica McNamara, RCASA Director
– Tom Zaya, Assistant Principal & Director of Athletics/Extracurriculars
Committee Progress
Source: Long & DiPietro, LLP Memo for M.A.S.S., 4/25/16 & Reading Public Schools Planning Committee
• Debriefed lessons learned from in-house knowledge for previous Teen Screen Program
• Discussed current required screenings for vision/hearing, scoliosis, and height/weight.
• Reviewed best practices, potential screening approaches and tools for effectiveness and feasibility.
• Networked with districts/sites that have conducted screening programs.
• Participated in trainings and reviewed online resources.
• Development verbal screening plan approach
Verbal Screening Plan
• SBIRT APPROACH, tested via federal/state projects
SCREENING
BRIEF
INTERVENTION
REFERRAL
TREATMENT
• SBIRT is an IF…THEN APPROACH, others have tried and the IRT can present challenges.
• School SBIRT Process: The MA Dept. of Public Health School Health Services and the MA Dept. of Elementary and Secondary Education, is providing training to assist districts in successfully incorporating SBIRT into schools.
• Wilmington’s SBIRT Process: Utilize as basis for Reading Pilot Project.
Brief explanation to student
• Direct to screening room.
• Share handouts
Begin CRAFFT-II (interview tool to identify substance use In past year)
“I’m going to ask you a few questions that I ask all my patients. Please be honest. I will keep your answers confidential.”
Handouts: CRAFFT to
read along Brain Scan
photo w/resources
Helpline Wallet Card
How would a student experience SBIRT?
SBIRT is an If yes…then + other factors
Post-Screening
• Document entered (with ability to pull non-identifying info for state)
• Schedule follow-up meeting with students as needed
• Determine if parent phone call is needed
• Ongoing follow-up
• SBIRT Team Debriefing
Parent Educational Resources
Drugs &
Paraphernalia Awareness
Expired Evidence Pictures, 5/4/16
BHO can also be made into “shatter”.
Marijuana concentrates are the extracted resins from green leafy marijuana. While pot contains roughly 20% THC, earwax – BTO– can contain up to 80% of it. Wax is a cannabis concentrate w/consistency of ear wax, made from a butane extraction —Butane Hash Oil/BHO.
Aka “dabs,” “honey oil,” or
“butter”
710
OIL OIL “Dabbing” THC concentrates/Earwax
some non-traditional symptoms i.e.
hallucinations, passing out, extreme highs (even from small
portions) & high levels of impairment.
http://www.campussafetymagazine.com/article/drug_trend_alert_marijuana_wax_oil_or_concentrates
Courtesy of SRO Muolo, 5/9/16
Courtesy of SRO Muolo, 5/9/16
PAX 2 web ad “A BETTER COMPACT VAPORIZER IN EVERY WAY. STREAMLINED WITH A SLIMMER PROFILE AND SIMPLIFIED USER INTERFACE.” More powerful, but remarkably power efficient. A deeper oven allowing a satisfyingly consistent draw. An elegant, ergonomically redesigned mouthpiece that senses the presence of your lips. A more efficient battery, and intelligent heating and cooling systems to optimize usage. An elegant anodized aluminum surface and integrated LED indicator”. Retail is $279
“PAX 2 is designed
specifically for use with loose-leaf plant material”
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Expired Evidence Pictures, 5/4/16
Education: Health courses in 9 /11 grades, Student Leaders Annual Training Connections:
• Parent Education & Events sponsored by RCASA & RPS • Youth Mental Health First Aid for staff and parents • POSSIBLE: Interface Referral Service (new resource)
Monitoring: • School staff take all use seriously and draws on resources as needed i.e. SRO,
DCF, RCASA & Recovery High School • Chemical Health Policy, (Class & Debriefing; Parent outreach; & Referral for
more services), Reading Police Pre-Trial Diversion Program (mandates conditions that support school goals)
• School Search & Seizure Policy • Breathalyzers or Drug Testing (as needed to ascertain a student’s sobriety per a
school policy or if warranted by diversion contract, health provider) • New Screening Pilot Program (next year)
TOOLS TO ADDRESS SUBSTANCE USE