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Q1 2022 Ohio QRT Outreach Meeting
Ohio Public Safety Response Team/Outreach Meeting Quarter 1: March 9, 2022 Microsoft TEAMS Call Reminders Microsoft Teams Attendee Control Panel 1 2 3 4 5 6 7 Callers: *6 to unmute Quarter 4: Ohio Public Safety Response Team/Outreach Meeting Agenda
- Opening Remarks Ohio Department of Public Safety- Dick Meadows Ohio Task Force Commanders Association- President Dennis Lowe Special Guest- Darrin Grondel Cordata Updates- Nicole Jenkins O2SL/QRT National- Dan Meloy
- Featured Speakers Pet Therapy Response Team- Larry Bennett First Responder’s Mental Health Resource Symposium- Phil Hall Overdose Strike Force- Sarah Moore NaloxBox- Scott Duff & Kelly Cioletti Cordata Report Overview- Kelly Firesheets NEOMED CIT Training- Emily May & Ruth Simera
- Open Q&A
- Closing Ohio Department of Public Safety- Jenna Fodor 4 OhiO Public Safety ReSPOnSe team Darrin T. Grondel Ed.D.
Foundation for Advancing Alcohol Responsibility VP Traffic Safety and Government Relations March 9, 2022 Ohio 5
Presented by
INTRODUCTION TO RESPONSIBILITY.ORG6
RESPONSIBILITY.ORG PARTNERS
Corporate Sponsors 8 9 Why is NASID Needed?
- Why NASID?
- Drug and multiple substance impaired driving problem increasing
- COVID-19 increases in risky driving will demand attention
- Opportunities at state and Federal levels, new elected officials
- The issue and technology to address it needs a national voice and leader
- How did the idea for NASID begin?
- Brian Swift turned tragedy into action
- Cannabis-impaired driving truck crash killed his parents
- He advocated for passage of MI oral fluid pilot program law and united stakeholders to expand the effort
- Brian Swift will serve as NASID’s spokesperson 10
- High-Risk Impaired Driving
- Multiple substance impaired driving
- State grants with GHSA and Sheriffs
- DUI training guides
- CLE credit online prosecutor course
- Screening and assessment tools
- Ignition interlocks for all DUI offenders and other policy countermeasures
IMPAIRED DRIVING
https://www.responsibility.org/toolkit Complexity of Impaired Driving and Public Perception
DRUGGED DRIVING DRUNK DRIVING
Number: Hundreds of drugs Alcohol is alcohol Use by Driver, Presence in Crashes:
Limited Data Abundant Data Use by Drivers: Increasing Decreasing (at time of survey) Impairment: Varies by type Well-documented Beliefs & Attitudes: No strong attitudes/public indifferent Socially unacceptable NHTSA National roadside survey: ~1-4 drivers tested positive for drugs 22.4% daytime weekday drivers and 22.5% weekend nighttime drivers (20% increase from 2007).
Percentage of drivers with cannabis in their system increased 50% (8.6% in 2007 to 12.6% in 2013-14). Revised Roadside Survey is planned for 2022-2023.
Cannabis Legalization Map Green: Fully legalized Blue: Medical only Purple: No legal program Orange: CBD only Red: Decriminalized without a legal program 14 Data Drives the Narrative National Safety Council Data
- 1 in 12 workers dealing with an untreated substance use disorder with annual costs of $8,255 - $14,000 per employee and may be dependent on industry and role
- Opioid crisis alone cost the U.S. economy $696 billion in 2018. Fatal Crash Data
- 50.5% of fatally injured drug-positive drivers (with known drug test results) were positive for two or more drugs and 40.7% were found to have alcohol in their system (NHTSA FARS as cited in Hedlund, 2018)
- Among drug-positive drivers killed in crashes, 4% tested positive for both marijuana and opioids, 16% for opioids only, 38% for marijuana only, and 42% for other drugs (Governors Highway Safety Association, 2017)
- The percentage of traffic deaths in which at least one driver tested positive for drugs has nearly doubled over a decade. (USA Today, 2016) (Source: https://driving-tests.org/driving-statistics/)
- The number of alcohol-positive drivers killed in crashes who also tested positive for drugs increased by 16% from 2006 to 2016 (Governors Highway Safety Association, 2017) 14 15 Presence of Substances Among Drivers During COVID-19 16 Thomas, F. D., Berning, A., Darrah, J., Graham, L., Blomberg, R., Griggs, C., Crandall, M., Schulman, C., Kozar, R., Neavyn, M., Cunningham, K., Ehsani, J., Fell, J., Whitehill, J., Babu, K., Lai, J., and Rayner, M. (2020, October). Drug and alcohol prevalence in seriously and fatally injured road users before and during the COVID-19 public health emergency (Report No. DOT HS 813 018). National Highway Traffic Safety Administration. 17 Delta - 9 Delta - 6 Delta - 8 Delta 11 Delta - 7 Delta – 1 0
THC ISOMERS
Isomers are compounds that contain exactly the same number of atoms, i.e., they have exactly the same empirical formula, but differ from each other by the way in which the atoms are arranged.
Future action items
- Cannabis specific roadside tests
- Research consistent to ingested product THC levels
- Law enforcement/research group partnerships
- Oral fluid as a roadside screening device
- Increase number of Cannabis Impairment Detection Workshops 18 19
Roadside Drug Testing
Internationally accepted and adopted Argentina, Australia, Austria Belgium, Brazil Canada, Chile, Columbia France Germany Ireland, Italy Netherlands, New Zealand Poland, Portugal, South Africa, South Korea, Spain, Sweden Turkey UAE, UK (arrests up 600% since implementation), Vietnam
Some devices
Understanding the need for and importance of a law enforcement phlebotomy program Planning and implementing a phlebotomy program Training Addressing liability concerns Barriers and how to overcome them Costs Tips for implementing and sustaining a successful law enforcement phlebotomy program Additional resources Toolkit Contents https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/documents/14222- phlebotomy_toolkit_final-032819-v1a_tag_0.pdf 21 Contact Information and Technical Assistance Darrin T. Grondel Foundation for Advancing Alcohol Responsibility Vice President of Traffic Safety and Government Relations (571) 397-2688 (571) 309-7615 Darrin.Grondel@Responsibility.org Pet Response Therapy Larry Bennett First Responder’s Mental Health Resource Symposium Phil Hall
- Hosted By: The Cincinnati Northern Kentucky International Airport FD
- When: Thursday, May 26 from 8:30am-4:30pm
- Where: The Marriott 2395 Progress Drive Hebron, KY 41048
- Cost: $30 First Responders (Individual Admissions)
$75 Resource Admission Sarah Moore RecoveryOhio, Deputy Director enCompass Registration:
https://www.addictionpolicy.org/post/ohio-statewide-encompass-training 27 “We must help those struggling with mental illness or substance use disorders by giving them a system that provides quality treatment on demand. We must build recovery-friendly communities that support and promote health and wellness to ensure all Ohioans can live long, productive lives.”
From the RecoveryOhio Advisory Council Initial Report, March 2019 Ohio Overdose Strike Team Overdose Strike Team Overdose Strike Team Focus Areas Stop overdose and overdose death.
Reduce illicit drug supply through interdiction efforts.
Expand harm reduction efforts.
Drive access to treatment to reduce demand.
Connect with us Online RecoveryOhio.Gov Sarah.moore@governor.ohio.gov Scott Duff & Kelly Cioletti NaloxBox Kelly Firesheets Cordata Healthcare Innovations, LLC Ohio QRT Update March 2022 Data from Ohio QRTs Goals of QRT Identify and connect with people who are at risk of overdose/overdose death Reduce overdose recidivism by providing encouragement to seek care Reduce crimes related to addiction and mental illness Create a network of community resources to direct at-risk citizens to treatment, harm reduction and supportive services Improve community-police relations Since 2017, Ohio QRTs have contacted 12,230 people across the state 49%51% Proactive Outreach and Overdose Response Overdose Response Outreach/Walk In Ohio QRTs provide support to many different partners 2974 6492 1396 799 569 0 1000 2000 3000 4000 5000 6000 7000
CRIMINAL JUSTICE
HEALTH CARE
SELF REFERRALS
SOCIAL SERVICE
OTHER QRTS
Who are QRTs Serving?
62% 38% Gender Male Female 50% 9% 0% 0% 41% Race White Black Asian Native American Unknown How Has QRT Grown in Ohio?
Growth of QRTs: 2020-2021 In 2020, Ohio QRTs . . .
- Received 2,806 referrals
- Completed 4,569 interactions
- Deflected 1,298 people to treatment and support services
- Documented 2,330 Overdoses In 2021, Ohio QRTs . . .
- Received 15,080 referrals
- Completed 7,199 interactions
- Deflected 2,656 people to treatment and support services
- Documented 8,524 overdoses Emily May & Ruth Simera NEOMED CIT Training
CRISIS INTERVENTION TEAM
- Brief overview of CIT
- How CIT is structured in Ohio – implementation
- Pilot project with Cordata
CRISIS INTERVENTION TEAM –
MEMPHIS MODEL
- A police officer and mental health consumer safety program
- A unique community partnership program Law enforcement, the mental health system, individuals with lived experience (consumers) and their families
- A pre-arrest jail alternative program
- A civil liability reduction program
- Core Training and Program Elements
(CIT) IS SO MUCH MORE THAN
TRAINING
Core Elements
- Partnerships: Law Enforcement, Advocacy, Mental Health
- Community Ownership
- Policies and Procedures
- CIT: Officer, Dispatcher, Coordinator
- Curriculum: CIT Training
(CIT) IS SO MUCH MORE THAN
TRAINING
Core Elements
- Mental Health Receiving Facility: Emergency / Crisis Services
- Evaluation and Research
- In-Service Training
- Recognition and Honors
- Outreach: Developing CIT in Other Communities CIT in Ohio is organized by ADAMHS Board areas with one exception The CIT Program of Northwest Ohio Comprised of 3 ADAMHS Board areas:
- Seneca, Sandusky, Wyandot, Ottawa
- Erie
- Huron CIT in Ohio by Law Enforcement Agency Participation Lawrence Scioto Gallia Adams Pike Meigs Jackson Brown Clermont Hamilton Highland Vinton Ross Athens Clinton Warren Butler Washington Hocking Fayette Morgan Pickaway Greene Monroe Preble Montgomery Perry Fairfield Noble Clark Madison Franklin Muskingum Belmont Miami Guernsey Champaign Licking Darke Harrison Delaware Coshocton Shelby Union Logan Knox Jefferson Tuscarawas Holmes Auglaize Marion Morrow Mercer Carroll Hardin Allen Columbiana Stark Van Wert Wayne Wyandot Richland Crawford Ashland Mahoning Putnam Hancock Paulding Seneca Medina Huron Portage Summit Defiance Henry Erie Sandusky Trumbull Lorain Wood Ottawa Cuyahoga Williams Geauga Fulton Lucas Lake Ashtabula May 2000 – March 2022 100% 20 Counties 75% - 99% 33 Counties 50% - 74% 25 Counties 20% - 49% 10 Counties 56% 100% 33% 50% 67% 100% 43% 67% 100% 100% 50% 64% 20% 75% 85% 84% 100% 86% 84% 73% 93% 100% 75% 100% 100% 75% 46% 50% 85% 67% 100% 100% 100% 71% 87% 83% 83% 50% 80% 67% 76% 80% 100% 100% 80% 100% 75% 100% 67% 89% 94% 67% 80% 100% 75% 50% 73% 23% 91% 76% 88% 60% 93% 97% 100% 87% 85% 85% 100% 100% 93% 29% 100% 25% 89% 50% 45% 56% 50% 100% 50% 73% 86% 67% 71% 20% 56% 33%
CORDATA CIT PILOT
- 6 Counties or jurisdictions (Logan, Champaign, Licking, Knox, Clark, Greene) with modest to good utilization of CIT contact sheets
- Design, test and deploy a system to support CIT data collection and information sharing efforts
- Goal to make a system available to communities that may not have the infrastructure to do it on their own CIT Model Contact Sheet Ruth H. Simera, Executive Director rsimera@neomed.edu 4209 State Route 44 Rootstown, OH 44272 PH: (330) 325-6670
FAX: (330) 325-5970
www.neomed.edu/medicine/psychiatry/centers/ 84 Question & Answer See You Next Quarter!
Q2 Meeting- June 8, 2022 at 1pm EST If anyone has additional agenda items or information to assist, or have a question, please contact Jenna Fodor jlfodor@dps.ohio.gov Contact Information
- Dick Meadows
- rmeadows@dps.ohio.gov
- Jenna Fodor
- jlfodor@dps.ohio.gov
- Dennis Lowe
- dennis.lowe@fairfieldcountyohio.gov
- Scott Duff
- jeffrey.duff@fairfieldcountyohio.gov
- Dan Meloy- O2SL/QRT National
- meloyd@o2sl.com
- Nicole Jenkins- Cordata
- nicole.jenkins@cordatahealth.com
- Carol Baden Carol.Baden@odh.ohio.gov