B7 1 not my kid

JODI PEARCE AND ALEXANDRA WISEMAN

HEALTH PROMOTION

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Medical Care

Mental Health

Nutrition & Lifestyle

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4

Stereotypes and Stigma

6

Evolution of NMK

Opioids ïƒ Addictions

Addiction = Mental Health

Naloxone Training

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Evolution of NMK • Teen Brain • Adolescents • Police Perspective • Lived Experience • Panel

• Signs & Symptoms • Police Perspective • Lived Experience • System Navigation • Naloxone

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Out of 49 counties in the province, Essex (including Windsor) has the seventh-highest number of opioid users ◦ According to a report that examines the prescriptions for the 3.8 million Ontarians who get their drugs paid for by the government’s drug programs

24% of local people on publicly funded drug programs use opioids ◦ compared to a 20% rate province wide

Overdose death rate 50% higher in WEC (30 per year) than provincial rates.

Since 2013, 400% increase in opiate overdoses in Ontario Since 2014, 90% increase in opiate overdoserelated hospital admissions From 2005 to 2014,160% increase in opioid overdose deaths

•More than three people died every day of an overdose in Ontario last year, according to new data from Public Health Ontario.

•There were 1,261 overdose deaths in Ontario last year, compared with 867 in 2016, according to the preliminary data.

•Emergency room visits because of opioid use have also skyrocketed over the past year, at 7,512 visits, a 69 per cent increase over the 4,427 visits in 2016 11

Knowledge of substance use in Windsor BEFORE EVENT 25%

AFTER EVENT 3%

2%

5% 19% 51%

47% 48%

Very Uninformed

Uninformed

Informed

Very Informed

Unsure

Very Uninformed

Uninformed

Informed

Very Informed

Unsure

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What did you enjoy most about the event?

•Professionals/Mental Health/Education •Community Booths

•Naloxone •Honesty/Inclusive Environment •Police •System Navigation

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Lived Experience

65% 14

Testimonials •“I loved getting all of that new information and knowing that I could potentially save a life is a bonus! The testimony the lady with the son that overdosed and died brought me to tears several times during her talk. It was riveting!”

•“The information provided by police and professionals was amazing, however the raw stories from the guest speakers, especially the woman who had lost her son to a lifelong struggle with drug addiction, were the most impactful moments of the event for me.”

•“Service providers and the community overall coming together to either get information because it affecting their friends/family but especially those who are being proactive and coming to support their children and the community as a whole.”

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Health Promotion Messages Mental Health and Addiction •Address both simultaneously

•Substance use does not happen in isolation •Potential trauma; deep rooted issues

•Multi substance users – focus on highest risk

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Health Promotion Messages Risk Factors: Why target adolescents? ◦ Need for inclusion ◦ Need for or lack of coping mechanisms ◦ Self medication ◦ Brain vulnerability & development ◦ Life long habit formation ◦ Risk takers; consequences ◦ Anxiety & Depression ◦ Psychosis

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Health Promotion Messages Assess and address your priority population and their risk factors

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How likely are you to recommend this information to friends/family members to create awareness of substance abuse in our community?

3%

2%

25%

70%

Highly Unlikely

Unlikely

Unsure

Likely

Highly Likely

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Best Practices •Addressing risk factors •Combating community norms and stigma •Challenging societal attitudes towards substance use •Inclusion of media •Identifying challenges to prevention

•Adolescents and young adults warrant particular attention; substance initiated at this time and pattern development •Acknowledgement of Rx being legal does not make them safe to use

Best Practice for Prevention of Substance Use Problems in Nova Scotia (2008) Nova Scotia Department of Health Promotion and Protection)

Best Practices •Education clients about opioid overdose prevention •Symptoms of opioid overdose

•Educate clients on how to respond to opioid overdose •Access feasibility and accessibility of Naloxone distribution program •Partners with community stakeholders to prevent opioid overdoses

Best Practices Recommendation for Canadian Harm Reduction Program (Strike et al, 2013)

Community Collaboration Teachers & Administrators

Police & Crime Stoppers

Addiction Services

MHAN, LHIN

Social Workers

Pharmacy

Public Health

Mental Health Supports

System Navigator

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Community Brainstorm Stigma and Mental Health

Community Responsibility

Signs and Symptoms

Treatment Options

Risks

Enabling vs.

Supporting

Community Needs 23

Identify Barriers School Policy

Stigma

Location & Accessibility

Triggers

Cost

Space

Resources

Advertising & Promotion

Refreshments

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Pursue Lived Experience Recovery Groups

Community Partners

Word of Mouth

Peer Support

Hope-filled

Level of Readiness

What would you tell yourself?

Personal Journey 25

Location & Donations Central and neutral

Parking

Accessible

Free

Reach to community partners 26

Develop Flow Length

Speakers

Order

Balance

Break

Community booths

Naloxone training

Interactive

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Registration & Promotion Eventbrite • free • not required

Community Partners

Police

Audience Facebook Ad

• parents, caregivers • teachers • coaches

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How did you hear about tonight's event?

16%

11% 7%

24%

31% 11% Word of Mouth

Social Media

Radio/TV/News

Community Agency

Poster

Other

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Intended outcomes

Unintended outcomes

• Community collaboration • Stigma reduction • Addressing mental health and addiction

• New services • Naloxone training • STEPS addictions support • LEAP • Spiritual Soldiers

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Links and Resources http://www.catie.ca/sites/default/files/bestpracticeharmreduction.pdf https://novascotia.ca/dhw/addictions/documents/B est-Practices-for-Preventing-Substance-UseProblems-in-Nova-Scotia.pdf http://davidjaggslibrary.org/#!/resource/not-my-kid

http://windsorstar.com/news/local-news/opioidoverdose-deaths-surpass-1200-in-ontario-for-2017new-data-show/wcm/06a3541d-c445-45d2-9fdcc4bac2df8c07 http://windsorstar.com/news/local-news/in-theshadows-people-living-on-windsors-streets-strugglein-times-of-plenty

https://www.publichealthontario.ca/en/dataandanal http://windsorstar.com/news/local-news/harmytics/pages/opioid.aspx#/trends reduction-searching-for-needles-in-downtownwindsor http://windsorstar.com/news/local-news/as-opioidcrisis-deepens-naloxone-now-available-free-frompharmacists-should-help-save-lives http://windsorstar.com/news/local-news/windsoressex-ranks-near-the-top-for-opioid-use-overdosedeaths

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