The York Opioid Collaborative (YOC) seeks to reduce opioid deaths in York County.

The York Opioid Collaborative (YOC) seeks to reduce opioid deaths in York County.

Data

172
Overdose Deaths in 2018

76
Overdose Deaths in 2019

Data is updated monthly. Cases may take may take 3 months or longer to be reported based on confirmation of toxicology results.

Prevention

No data available at this time

York Narcan Data

Treatment

No data available at this time

Recovery

No data available at this time

Resources

What is an Addiction, SUD/OUD, or Overdose?

  • Signs and Symptoms of Substance Abuse
  • Information on the Prescription Opioid and Heroin Epidemic
    • Publications, websites, organizations, and videos pertaining to resources used to combat prescription opioid abuse and the Heroin epidemic.
  • Teen Drug Use Statistics
  • Substance Use Disorder and Overdose: The Basics
    • This PDF presentation offers a better understanding of substance use disorders and overdoses, and is useful in approaching these subjects from a recovery-oriented point of view.
  • Facts for Community Members
    • A Toolkit developed by SAMHSA to help community members understand opioids, overdose and the overdose epidemic.
  • Documentary on The Life of an Opiate Addict
    • The documentary, Chasing the Dragon: The Life of an Opiate Addict, aims at educating students and young adults about the dangers of addiction.
  • Empowering the Community
    • A PDF presentation with resources for combating the epidemic by empowering families and engaging communities.

How do I talk about it?

  • Understanding Heroin and Opioid and Taking Action
  • Assistance for Parents
    • A collection of resources to help parents talk to their children about drugs and treatment.
  • Parents Staying Connected
    • This is a regularly updated Facebook page and blog, which provides information for parents on how to talk to kids at every age.
  • Connecting Families while Overcoming Addiction
    • The Support Group Project brings together a strong community of support by allowing you to search through local programs in your area and find one that most fits your needs.
  • Get Help to Help your Loved One
    • An informational flyer providing information for a non-crisis support line staffed by bilingual parent specialists who can answer questions and provide direction to concerned parents.

Connect to Treatment

  • Find Answers to Treatment Questions for Loved Ones
    • A resource page that explains answers to questions one may have about connecting their loved ones to treatment.
  • Treatment Locator
    • This tool allows you to search for treatment near you or nationally.

Event of an Overdose

  • Recognizing an Overdose
    • A PowerPoint presentation on overdose recognition and knowing how to help.

Safety Precautions

  • Safety Advice
    • A PDF brochure from SAMHSA that provides detailed advice on opioid safety and overdose prevention.
  • Opioid Safety Brochure
    • A thorough explanation of opioid safety as well as overdose rescue.
  • Drug Take-Back Boxes
    • Keeping old prescriptions can pose a danger to your family, and improper disposal can pose a danger to the environment. Here, you can find locations at which you can drop off old prescription medications for safe disposal.
  • Safe Disposal of Medicine
    • Information on safe medicine disposal from the FDA.
    • Information on how to safely dispose of old or unused prescription medication from SafeGuard.
  • Safe Disposal of Sharp Objects
    • If you do not have a container made specifically to hold used sharps, a strong, plastic container—like an empty laundry detergent or bleach bottle—may also be used to dispose of your items.
 

Materials

Educational Opportunities

Understanding Addiction as a Disease

  • What is Addiction?
    • This drug research program describes what addiction is, its prevalence and impact.
    • CASAColumbia
  • Understanding, Recognizing, and Treating the Disease State
    • A presentation built to foster understanding of the addiction disease state.
    • OverdoseFreePA
  • Community Based Education and Naloxone Rescue Kits
    • A presentation by Dr. Alexander Walley, Medical Director at the Massachusetts Department of Public Health Opioid Overdose Prevention Pilot aimed at education on a community level and explaining the importance of Naloxone.
    • Allegheny County Overdose Prevention Coalition

Scientific Component of Overdose

  • Overdose Trends
    • A presentation by Dr. Neil Capretto, of the Gateway Rehabilitation Center, explaining clinical trends in local and national overdose data and trends in drug use.
    • Gateway Rehabilitation Center
  • Drugs, Brains, and Behavior
    • An overview of how we understand addiction through the lens of science.
    • NIDA
  • Epidemiological Profile of Overdose Data
    • A profile of the overdose phenomenon in Allegheny County. While the report is specific to only one county, the information present here is applicable to many aspects of the overdose phenomenon present in other communities.
    • University of Pittsburgh School of Pharmacy

Safe Prescribing and Dispensing

Opioid Prescribing:

  • Where You Live Matters
    • The CDC explores county-level characteristics of opioid prescribing.
    • CDC

Chronic Pain:

  • CDC Prescribing Guidelines
    • The 2016 Guideline released by the Centers for Disease Control and Prevention for Prescribing Opioids for Chronic Pain.
    • CDC
  • Opioids and Treating Non-cancer Pain
    • A PDF guide developed to aid in the Prescribing Guidelines for opioids to treat chronic non-cancer pain
    • PA Medical Society
  • Achieving the Right Balance of Opioid Prescribing
    • This article explains how the increase in opioid prescribing for chronic pain which leads to misuse of prescription opioids.
    • New England Journal of Medicine

Acute Pain:

  • Information for Prescribers
    • A brief but informative guide on overdose from SAMHSA, the federal Substance Abuse and Mental Health Services Administration.
    • SAMHSA
  • Emergency Department
    • Guidelines for prescribing in Emergency Departments for Pain Treatment.
    • PA Medical Society

Specialty:

  • Dental Pain
    • A PDF from the PA Dental Association outlining best practices for prescribing opioids.
    • PA Dental Association
  • Anxiety and Insomnia
    • Prescribing guidelines for benzodiazepines when treating anxiety and insomnia.
    • PA Medical Society
  • Obstetrics and Gynecology
    • PDF guide addressing the use of opioids for the treatment of pain in pregnant patients and the treatment of substance use disorder during pregnancy.
    • PA Medical Society
  • Geriatric Pain
    • A PDF guide to the use of opioids for treatment of pain with the geriatric population.
    • PA Medical Society
  • Neonatal Abstinence Syndrome
    • Neonatal Abstinence Syndrome (NAS) occurs when a baby is exposed to drugs in the womb birth and then displays withdrawal symptoms shortly after birth.
    • Both prescription and illicit drugs can cause NAS but babies exposed to opioids in the womb have over a 50% chance of developing NAS.
    • How is it diagnosed: The presence of drugs in a newborns system can be detected through urine or meconium (the child’s first stool) testing after birth or using the Neonatal Abstinence scoring system. Physicians will use a scoring system to help determine an infant’s course of treatment based on the severity of symptoms the child is displaying.
    • Symptoms include:
      • Body shakes, seizures, twitching
      • Fussiness or excessive crying
      • Diarrhea or vomiting
      • Trouble sleeping
      • Rapid breathing
    • How is it treated: NAS can be treated: weaning the baby safely off of the drug is the first step. For opioids, this means using methadone, morphine, or buprenorphine. It is also vital to make sure that the baby receives fluids to prevent dehydration and combat other symptoms of NAS. Most babies with NAS will recover between two to three weeks.
    • How is it treated: NAS can be treated: weaning the baby safely off of the drug is the first step. For opioids, this means using methadone, morphine, or buprenorphine. It is also vital to make sure that the baby receives fluids to prevent dehydration and combat other symptoms of NAS. Most babies with NAS will recover between two to three weeks.
    • Treatment can also begin in the womb. Working with a healthcare provider on a comprehensive treatment plan will help the mother and child. Working on preventing relapse is key to prevent further exposure to the child.
    • While your baby is being treated for NAS, it is important to keep him or her calm. Swaddling, skin-to-skin contact, and keeping a calming environment will help aide in your baby’s recovery.
    • Prevention: Opioid abuse has been increasing across the United States and as a side effect of this so has the incidence of NAS. If you are using opioids and believe you may be pregnant, consult a physician to begin safe treatment protocol. It is important to not go “cold turkey” because it can cause harm to the person and the baby.

Dispensing:

Co-Prescribing Naloxone:

Screening, Brief, Intervention, and Referral to Treatment (SBIRT)

  • Screening, Brief Intervention, and Referral to Treatment
    • An evidence-based practice for uncovering, discussing and treating substance use disorders, presented by the University of Pittsburgh for free CME credits.
    • University of Pittsburgh
  • Complications of Commonly Used Drugs
    • Medical and psychiatric complications for patients with alcohol and/or other substance use disorders.
    • University of Pittsburgh
  • Screening and Assessment Instruments
    • Learn about various tools to assess for risk and current substance abuse, misuse or addiction during initial contemplation of opioid therapy for chronic pain, and when to optimally use them.
    • Clinical Tools Inc.

Warm Hand-off

  • Discussing Substance Use with Patients
    • A guide from NIDA on how to get the conversation started.
    • NIDA

Treatment for Substance Use Disorder

  • Addiction Treatment Forum Events
  • Vivitrol
    • Information on Vivitrol for patients and healthcare professionals.
    • Vivitrol
  • Analgesic Effectiveness Quality Improvement Programs
    • a web resource that aims to "develop incentive and compliance programs for physicians that refocus the emphasis of the business of pain medicine on quality analgesic practice."
    • AEQIP
  • Medical Health and Substance Treatment Systems
    • A PDF guide with a step-by-step process of how physicians can facilitate patient access to SUD treatment services.
    • SMaRT
  • Act 53
    • A page from the Allegheny County website that describes Act 53, an act that allows families or guardians of minor children to commit them involuntarily to drug and alcohol treatment.
    • Allegheny County Human Services

After Treatment

Medication-Assisted Treatment

  • Clinical Support System for MAT
    • A wide variety of trainings related to medication-assisted treatment.
    • PCSS-MAT

Buprenorphine Guidelines

  • Methadone and Prescription Drug Overdose
    • An article explaining methadone-related overdoses.
    • NCSL

Materials

Law Enforcement Education

  • Naloxone Training Toolkit
    • A toolkit for Law Enforcement on how to administer Narcan, provided by the Bureau of Justice’s National Training and Technical Assistance Center.
    • BJANTTAC
  • DEA 360 Strategy
    • The Drug Enforcement Administration's comprehensive approach to tackling the cycle of drug trafficking, drug violence, and drug abuse is known as the DEA 360 Strategy.
    • DEA

Information for First Responders

  • 5 Essential Steps for First Responders
    • A detailed guide providing five essential steps for first responders on how to respond to an overdose.
    • SAMHSA
  • Narcan Nasal Spray
    • The Official Narcan Nasal Spray Website provides detailed information about the Narcan nasal spray device, as well as an example of what it looks like.
    • Narcan
  • Fentanyl Guide for First Responders
    • The US Department of Justice Drug Enforcement Administration has created this guidebook on Fentanyl as a briefing for First Responders
    • DEA
  • FDA on Most Appropriate Dose/Doses of Naloxone
    • The FDA Advisory Committee weighs in on the most appropriate dose or doses of Naloxone needed to reverse the effects of an opioid overdose.
    • FDA
  • Opioid Overdose Prevention and Naloxone Toolkits: What We Know and What We Don't Know
    • From the Addiction Science and Clinical Practice Journal, a closer look into Opioid Overdose Prevention and Naloxone Toolkits.
    • ASCP Journal

Addressing Stigma

SAMHSA's Sequential Intercept Model

  • Intercept 1: Community and Law Enforcement
    • The first intercept point focuses on the role of law enforcement officials working collaboratively with community behavioral health providers to prevent arrest and adjudication. Ultimately, this intercept aims to divert individuals at the earliest opportunity into community-based service alternatives, for crisis intervention, screening, assessment, and referral to treatment before an arrest is made, while simultaneously maintaining public safety.

    • SAMHSA
  • Intercept 2: Arrest and Initial Detention/Court Hearings
    • The collaborative efforts between local courts and multiple criminal justice system components and local community treatment and recovery providers will allow eligible individuals to receive treatment and recovery support services regardless of what court they enter. This program will focus on connecting with individuals early in their involvement with the criminal justice system and prioritizing the participation of municipal and misdemeanor courts in the collaborative.
    • SAMHSA
  • Intercept 3: Jails/Specialty Courts
    • At this intercept, most of SAMHSA’s efforts involve working with specialty or problem-solving courts. These courts may include drug courts, mental health courts, tribal wellness courts, veterans’ courts, and domestic violence courts. The focus of these courts is to address the underlying mental health and substance use issues and related needs of offenders by using the sanctioning power of the court to connect with treatment and other alternatives to incarceration.
    • SAMHSA
  • Intercept 4: Reentry from Jails and Prisons to the Community
    • Individuals with mental and/or substance use disorders involved with the criminal justice system can face many obstacles accessing quality behavioral health services. SAMHSA uses a two-pronged approach to help meet the needs of individuals returning to the community, and the needs of the community, through:
      1. Supporting grant programs such as the SAMHSA Offender Reentry Program (ORP) that expands and enhances substance use treatment services for individuals reintegrating into communities after being released from correctional facilities, and
      2. Actively partnering with other federal agencies to address myriad issues related to offender reentry through the implementation of policy changes, making recommendations to U.S. states and local governments, and eliminating myths surrounding offender reentry.
       
    • The program encourages stakeholders to work together to give adult offenders with co-occurring substance use and mental health disorders the opportunity to improve their lives through recovery. In addition, the program also helps people develop the capacity and skills to become productive members of the community and reduce the probability of re-offending and re-incarceration.
    • SAMHSA
  • Intercept 5: Community Corrections
 

Materials

Understanding Addiction

  • What is Addiction?
    • A page by CASAColumbia, a drug research program that describes what addiction is, its prevalence and impact.
    • NCASA
  • Drug Use Information for Teens
    • A comprehensive website on drug use information for teens
    • NIH

Pain Management

Medication Assisted Treatment

Treatment for Substance Use Disorder

  • Know Your Rights
    • A PDF brochure from SAMHSA brochure detailing the rights of persons in recovery from substance use disorders who are on medication-assisted treatment.
    • DOH
  • National Treatment Locator
    • A tool by SAMHSA that allows you to search for treatment near you.
    • SAMHSA

Guidelines for Patients from the CDC

  • What are Opioids?
    • Opioids are either natural or synthetic chemicals that reduce the feelings of pain, and some common prescription opioid pain relievers are:
      • Hydrocodone (Vicodin)
      • Oxycodone (OxyContin)
      • Oxymorphone (Opana)
      • Methadone
      • Fentanyl
  • Are opioids safe?
    • Prescription opioids can help with some types of pain in the short term but have serious risks. They can be an important part of treatment in some circumstances and can effectively relieve suffering for patients with active cancer or others in hospice or palliative care, but studies are not available to indicate whether opioids control chronic pain well when used long-term. Before taking opioid medication for your chronic pain, please note the following:
      • Discuss pain treatment options - including ones that do not involve prescription drugs;
      • Tell your doctor about past or current drug and alcohol use; and
      • Discuss all of the risks and benefits of taking prescription opioids.
  • What If you are prescribed opioids?
    • Use them only as instructed by your doctor. Never take opioids in greater amounts or more often than prescribed.
    • Unless specifically advised by your doctor, avoid these other drugs while taking this medication:
      • Alcohol
      • Benzodiazepines (ie. Xanax and Valium);
      • Muscle relaxants (ie. Soma or Flexeril);
      • Hypnotics (ie. Ambien or Lunesta); and
      • Other prescription opioid pain relievers.
    • Work with your doctor to create a plan on how to manage your pain, and consider non-opioid options.
    • Follow up regularly with your doctor.
    • Talk to your doctor about any and all side effects and concerns.
    • Store opioid pain relievers in a safe place and out of reach of others.
      • Help prevent misuse and abuse by not selling or sharing prescription opioid pain relievers. Never use another person's prescription opioids.
      • Find your community drug take-back program or your pharmacy mail-back program to safely dispose of unused prescription opioids pain relievers
    • Safer, more effective pain management tips from the CDC.
     

Where to Find Naloxone

  • Community Based Education and Naloxone Rescue Kits
    • A presentation by Dr. Alexander Walley, Medical Director at the Massachusetts Department of Public Health Opioid Overdose Prevention Pilot aimed at education on a community level and explaining the importance of Naloxone.
    • Allegheny County Overdose Prevention Coalition

Materials

Recovery

  • Recovering from Opioid Overdose?
    • A SAMHSA toolkit to help you get started on finding the right recovery resources.
    • SAMHSA
  • Self-Management and Recovery Training (SMART)
    • The official website of Self-Management and Recovery Training (SMART) provides information and resources about addiction support groups.
    • SMART
  • New Beginnings Drug Rehab

Employment

Getting involved in your community (e.g. how to reach out to coalition members).

  • The Support Group Project
    • This group brings together a strong community of support by allowing you to search through local programs in your area and find one that most fits your needs.
    • The Support Group Project

Materials

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