CRT 2016 #29 · Communication to the City Council · Jun 13 2016

OPEN: Overdose Prevention and Education Network o Started in 2008, expanded in 2013 o New incarnation funded by Bureau of Substance Abuse Services o 4 city collaborative o Cambridge o Everett o Somerville o Watertown o OPEN Goals '" 0 t· · • • o Prevent the use/abuse of opioids o Prevent/reduce fatal and nQn-fatal opioid overdoses o Sustainable prevention strategies through policy, practice, and systems change 1

Overdose Situation: Cambridge fil "~ I Number of Confirmed Unintentionai/Undetermined1 ~~~ q ~~ ~~ ~ e: Opioid-related 2 Overdose Deaths by City/Town, MA .. ~ J/P,y Residents January 2012- December 2015 3 "''t-,,.., Of' I~J ' Massachusetts Department of Publ,ic Health POSTED: MAY 2016 Year of Death City/ Town 2012 I 2013 I 2014 1 2015 Cambridge 5 I 5 I 8 I 10 NOTES: 1. Unintentionalpolsonlngfoverdosedeaths combine un intentional and undetermined intents to account for a change in death cod ing that occurred in 2005. Suicides are excluded from this analysis. 2. Oploids include heroin, opioid-based prescription painkillers, and other unspecified opioids. 3. Please note that 2014 and 2015 death data are preliminary and subject to updates. Case reviews of deaths are evaluated and updated on an ongoing basis. A large number of death certificates have yet to be assigned final cause-of-death codes. The Information presented In this report2.nl:£ includes confirmed cases. Data updated on 03/31/2016. Source: Massachusetts Department or Public Health. Number or confirmed Unintentional Opiold Overdose Deaths by City/Town, MA Residents. january 2012 - December 2015. http:/ fwww.mass.gov/eohhsfdo csfdphfquaUty fdrugcontrolfcounty·level-pmp/town-by-town-llstings-may- 2016.pdf.Accessed 4 May 2016. Overdose Situation: Geographic Comparison Opioid-Related Deaths (All Intents) by Opioid-Related Emergency Department Visits Geography, 2012 by Geography, 2012 • Massachusetts • Middlesex County Cambridge • Massachusells • Middlesex County Cambridge 12.00 350.00 10.00 300.00 ~~ ~ ~ 250.00 ~ 0 8.00 ~ 0 "'~ "'~ 'CO * ~ 200.00 .a. tlo 6.00 :6-g~ oo ..;o ~~ ~50.00 g,~ 4.00 ~~ Ol" "'1i <( &. 100.00 2.00 50.00 0.00 0.00 2012 201 2 2

Overdose Situation: Cambridge Opioid-Related Emergency Department Visits among Cambridge Residents, 2003-2012 200.00 190.00 180.00 * g 170.00 ~ ~ 160.00 ,!!0. ~ g 150.00 :co~ ~ ~ 140.00 ~ ~ 130.00 120.00 110.00 100.00 '\. 1\ I \ I \ I \ '\. I \ \ v A 1\. ,___ I \. / I v I ~ I "-. I v 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Overdose Situation: Cambridge Opioid-Related Emergency Department Visits among Cambridge Residents by Age Group, 2012 700 600 100 583.66 339.63 287.43 189.05 , •• 0? 172.41 I I I I I I 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 Age Group (Years) Year Opioid-Related Emergency Department Visits among Cambridge Residents by Sex, 2012 • Females • Males 250.00 ·1---------! ~ ~ ~ ~ 200.00 ·1-------- ..,. o a. ~ g 150.00 t------- - ~g cT i 100.00 -\------"""""-- 50.00 0.00 2012 3

Accreditation & the Community Health Improvement Plan (CHIP) -Priority Area 1: Mental/Behavioral Health and Substance Abuse Goall: Support and enhance the mental, behavioral, and emotional health of all and reduce the impact of alcohol, tobacco, and other drugs. Objective 1.4: Reduce the number of opioid overdoses to meet specified targets by 2020. Outcome Indicators: Number of non-fatal opioid overdoses Number of fatal opioid overdoses - One of 4 priority areas !<~· ''"' - Tentative forum, fall 2016 CAI'>III RIIH ilc l"U IIUC lliALTII QI.J\n TPAUH ~~ CHA ~-.;::·· '· 1,_ I t, 1', .., u:.-. o1 \.~ -. A Call to Action Because of their unique position in the heart of our communities, municipal officials have an obligation to lead the fight to prevent overdoses in their com- munities. 'fhrough prevention programs, intervention methods, and support services, local leaders can combat this growing public hettlth crisis, and make a real difference. The Massachusetts Municipal Association's Municipal O pioid Addiction and Overdose Prevention Task Force ofli:rs the filllowing I 0 opportunities and recommendations for local leadership: l . ·rake the lead to increa<e public awareness and engagement. 2. Designate a municipal point person on substance abuse prevention. 3. Encourage intra-community, regional and statewide collaboration. 4. Develop a one-page resource guide fOr families and those seeking treatment or assistance. 5. Pilot innovative programs based on local needs. 6. Publicize the Good Samaritan Law. 7. Partner with schools to implement programs aimed at prevention. 8. C reate prevention curriculum and education programs. 9. Provide fi rst responders with naloxone (Narcan) to prevent overdose deaths. l 0. C reate safe disposal sites in your community fi1r the discarding of prescrip- tion drugs. . 4

Take the lead to increase public awareness and engagement. • Disseminate ll!tdormation • @OPEN Cambridge and www.odprevention.org • Local media (e.g. Cambridge Day, Patch, Chronicle) • Medication Safety PSA • Engage U:he (ommumity • OPEN Summit, 5/ 13/1 5 • City Council Roundtable, 10/5/1 5 • Human Services and Veterans Committee, 5/ 18/16 OPEN I JI ,l ' 1 1 ' ·1 '', THES MASSACHUSETIS COMMUN ITIES H· ,11 5

Encourage intra-community, regional, and statewide collaboration. • Cambridge Partners AIDS Action Committee/Needle Exchange Program Cambridge Police Department Cambridge Health Alliance Cambridge Department of Human Service Programs Cambridge Fire Department/ Pro EMS CASPAR, Inc. and Eliot Community Human Services Learn to Cope North Charles, Inc • Overdose Prevention and Education Network (OPEN) • Massachusetts Opioid Abuse Prevention Collaborative (MOAPC) Develop a one-page resource guide for families and those seeking treatment or assistance. """'"*' ,,..,,.._ r:•J vu• IP :U4l tH! UI I •" " ~:o ('"_. ...:.U t.-"l .... .._.~ ~ \-U I '!u "'o 3;,,n1-1: , 00Y> ..... .. .,,. ~ N ~.,.~/.;! m o ,lk':."JJl !'-:tl>l i!.UU n a.~ I .... ~>'-a-.:. ~, 1 ... ::. • ..._.,o: .... , •• _ ... , •. lt . l>) ~ ~~~. , _.. .,- , u e l ......... \ :IJ ,•; ;r~ ~:'c-~~ ~~,.~ ·· h>~ .. ,,.._ (l,., ,.,.. , , ..,,~ ,., ~,,- r,..~ ,, , , ,, .. , , ._, , ... ..tt · -. ~•AA•' 0 ~11 ""'l "'l'H• tcu n,to'" tiTII"''f4""-"" .,., .., t :~->~.u\ .,;,:::~~r.n:un r.~n,. " "" "' '-~< ~>.:.:,_~ l-'4 Ho:a""" '''",.' ._,,. '" ' "':t:"' " · '-"' •:"bfl•r, . ~ I I • "" J'"·'t .'. M~ ...., $"1\ HH;, ,,~ ~'"' '" !~""• ro:.:n .. • Jo "'IIUI "'-' • "·' ~ u• w •u.: -.~ 11:• '"'"'''· .~'!: ~;:. .. ~; •. ~ ~~, ..... ..,u ... ~.v• .. -.lr• h "._.., ,-•. , ...,, '" IO' I UII•0'!0-'/ 1:,•<>' ~ l: ,oll> <o'fi<t I. ' :~" :Q":il 1 " '~ · 1 " ~· · · • , . ...-,, ·-·· "= '" ..... ........... ""'"" L, t..- ;e~ ''"" • • ~ ... .,.. "'·".!:IU '""' ,: ... £ol' <t t · .r. ,:~ tr> -.: " ,, ....... ~ . ' 1! 11' 1 f l:n: ;yo 1 " 11. •1 ' <>~t;t:•,-.:.,, t','f!<'I O ' O: o <l:t:«: .~.!,) '• 'I f." .,-' o ""< Ut f"O'I "'- I '~" '.~ tt ~U> .o I', H '> oa • ~.:; ,, ,,., :,c.,,.,, , ~, , ·...,• rt • • • ·=::~•<flo l.'.oWl'ltA.""""" Hos,.;t..r. ,, .. ,,,jj•n~~<IR.co .... -.,c.o .. urj,.UCI f rr ,( Uo': »:Oo! ..t.:o ~ - : •• r.o·u ;~ .',: • :•·~t · <r.rn t'>r:.)" ' "" '"" '~I ,.. >!!::: On r~"' ''"" " ·~1 1 1 , ., .,._..,,~· -. ~,-.. , Prevent Misuse of Prescription Drugs 1 • Tato modltlnu only asp,.l<llbed. 6

Create safe disposal sites in your community for the discarding of prescription drugs. • Cambridge Medication Disposal • Cambridge Police Dept lobby drop-box, available 24/ 7 . National Drug Take Back Day • Four hazardous waste events per year • Prescription mailers • POR 2016 #106 • That the City Manager is requested to confer with the Cambridge Department of Public Health, the Police Department and any other appropriate City departments to discuss the feasibility of hosting additional drop-off locations to provide for the safe disposal of unused prescription medications Pilot innovative programs based on local needs. 7

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