Overview of WV's response to the opioid crisis in the eastern panhandle.

1. Tackling the Opioid Epidemic In West
Virginia

2. Overdose Mortality on the Rise

3. Deeper Understanding and Dynamics At Play
Martinsburg
“Little Baltimore”
I- 81
“Distro Veins”

4. Community Perspectives on Health, Safety,
Key Drivers and Impact
Source: University Healthcare Community Health Needs
Assessment, Cycle II, Joy Buck, PhD, APRN, Researcher WVU
Number of youth in the custody of the state has steadily
increased 46% from 2014-2017

5. Substance/Opioid Use Disorder as a Comorbid
Condition
Some of the things we see locally:
• Homelessness – general lack of personal resources/support
• Absence of behavioral/mental health resources- diagnoses, treatment
• Cellulitis or endocarditis requiring 6 to 12 weeks of hospitalization for
IV antibiotics
• Noncompliance with care
• Diabetes
• End-stage renal disease
• Uncontrolled hypertension
• Pregnancy
• Hep C, End-stage liver disease

6. Multi-Level Systems Local
Response
Examples in the Eastern Panhandle

7. “Bridges”
• Bridging Public Health and Public Safety To Reduce Overdose
• Funded by Baltimore HIDTA (High Intensity Drug Trafficking Area)
• Bridge Public Safety and Public Health
• Harm Reduction Program Steering Committee expansion
• Develop capacity for data-driven, coordinated response
• Cultural barriers and facilitators
• Support peer recovery coach network development
• Balance research and community action

8. Timeline Recap
Jan 2018
First Steering
Committee
Meeting
Strategy
Development
Anatomy of
Overdose, PRCs
Anatomy of Drug
Offense
Law enforcement,
justice, and EMS
Data Collection
Strategy
Implementation
Steering Committee
growth 8-34
System constraints
and reforms
Emergent overdose
trends
Peer Recovery
Coach Intergration
Naloxone
Intervention
Surveys
Key informant
interviews
Program expansion
Regional approaches
Influx of funding
opportunities
December 31st
Grant end date

9. • Core Team:
• BCHD, BCDRC, BCRRC, HART
• Partners
• Purposeful expansion
• Organizing framework and
systematic approach
• Define and implement strategies
• Healing Forest
• Individuals, families, community
Key to Success: Community Collaborative
Bridges
Steering
Committee
BC
Emergency
Ambulance
Authority MPD
WV State
Police
BCHD
Harm
Reduction
Program
WVU
East Ridge
Health
Systems
SVMS
Project
Aware
BC
Recovery
Resource
Center
BC Day
Report
Center
BC
Prosecuting
Attorney
Attorney
General’s
Office
Celebrate
Recovery
Mountaineer
Behavioral
Health
Eastern
Panhandle
Recovery
Coalition
WVU
Medicine
Healthcare
Advocates for
Recovery

10. Additional Examples
• Governor Justice’s Demonstration Pilot Project
• Berkeley and Jefferson Counties
• State Opioid Response: Innovation Grants for
Treatment Access and Retention
• Multi-sectoral collaborative grant which includes multiple
health systems

11. Prevention Treatment
Overdose
Reversal
Family
Support
Recovery
• Peer Recovery
Coaches networks
and collaborations
• Integrated Peer
Recovery Coaches
in the ED
• Expand Maternal
and partner MAT
(COAT) to Berkeley
County
• Family recovery
networks
• School based
partnerships
• 1st responder
education and
dialogue
• Maternal COAT
• MAT in the ED-
BMC and JMC
• MAT providers and
outpatient sites
• SBIRT training
• Harm Reduction
• Stigma reduction,
and trauma aware
health care systems
and communities
Prevention Treatment
Overdose
Reversal
Family
Support
Recovery
• Engage employers
• Job skills training
• Transportation
services
• Establish CIRCLE
• Partner with Child
Protective Services
and Family court
• Community
education
• Community-based
Naloxone
• Establish CIRCLE
• Formalize linkages
and referral
mechanisms
• Expand treatment
and alternative
sentencing options
• Integrate
behavioral health
into harm reduction
• Launch Rural
Outreach Teams
• Establish QRTs *
• Explore LEAD
Expansion of Existing Initiatives
Exploring New Initiatives
Demonstration Pilot Project

12. WV State Opioid Response: Innovation Grants for
Treatment Access and Retention
Prevention/ Early
Intervention
Treatment Recovery
• West Virginia Association of
Recovery Resource Centers
• Greater Recovery and Community
Empowerment (GRaCE)
• Eastern Panhandle Recovery
Coalition
• Celebrate Recovery
• Health Care Advocates For
Recovery (HART)
• WVU East Berkeley and Jefferson
Medical Center
• WVU East University Healthcare
Physicians
• Shenandoah Community Health
• EastRidge Health System
• Martinsburg Institute
• Paloma Crisis Stabilization
• The Renovo Center
• Day Report Centers
• Eastern Regional Jail
• Jefferson, Berkeley, and Morgan
County Health Department
• Local Harm Reduction
• Morgan County Partnership
• Potomac Highlands Guild
• Project Aware
• Martinsburg Initiative
• EMS
• Law Enforcement
• Womens’ shelter
Figure: SOR Region 2 Collaborative Partnerships