Monadnock Region

Alcohol, Tobacco, and Other Drugs

Our Region.... Our Challenges.... Our Vision....

• Local Conditions

• Social and Financial Impacts

• Continuum of Care

• Prevention, Treatment and Recovery

• Challenges in NH

• Integration of Care

• RROSC

Overview for Today

Monadnock Region Today

2013 YRBS: Teen Substance Use by Region

Young Adult Rx Drug Use

Elyse and Polly will pull stats from DOC data from Doug’s Report

2012 Adult Alcohol Use

NH Overdose Fatalities

Opiate Epidemic

“Drug addiction has become a public health crisis, but I don't feel the social will to attack it exists. Drug-related deaths have increased 400% from 1997. Are these really acceptable losses to us?” Dr. Thomas Andrew, NH Medical Examiner

Social Impacts

Associated Behaviors of Use

Financial Impact of AOD NH 2012

The Corrosive Effects of Alcohol and Drug Misuse on NH’s Workforce and Economy

• Local Conditions

• Social and Financial Impacts

• Continuum of Care

• Prevention, Treatment and Recovery

• Challenges in NH

• Integration of Care

• RROSC

Overview for Today

The Continuum of Care

Environmental change - seeking change for entire populations.

Prevention: Environmental Strategies

• Provide Information • Enhance Skills • Provide Support • Reduce Access to AOD / Address

Barriers • Change Consequences • Change Physical Design of

environment • Modify / Change Policies

Prevention Success • Smoke-Free Restaurants • Healthy Monadnock 2020 • Prescription Drug Take-Back Events • School District Policy • Synthetic Drugs Ordinance / State Template

Treatment & Recovery

Substance Use Disorders

• Considered social stigma;

still a 'dirty secret'

• Can affect ANYONE

• Not a moral issue - is a

brain disease & behavioral

disorder

• Once dependent, choice is

removed

• High rates of comorbidity

Recovery in NH

Recovery - a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential.

Recovery is built on access to evidence-based clinical treatment and recovery support services for all populations.

• Monadnock Family Services • Phoenix House Keene • Phoenix House Dublin Center • Private Practice/ Medical Facilities • Keene Metro Treatment Center • Monadnock Area Peer Support Agency • Alcoholics Anonymous, Narcotics

Anonymous, Alateen and Al- Anon • Keene Serenity Center • F.A.S.T.E.R . Peer to Peer Support • HOPE for NH Recovery

Treatment and Recovery

Challenges for NH

NH Health Protection Plan (Medicaid

Expansion)

What is it?:

• A federally funded, locally managed health care program that expands

• Provides coverage to low income NH residents

• Only 6% identified as needing treatment can access it- Second lowest in the Nation

• Increased Medicaid coverage could double people receiving treatment (another 7,000+ people)

• Dependent on ability of providers to expand capacity to meet need

NH Liquor Commission

Comparison of State Appropriation to Revenue

• Local Conditions

• Social and Financial Impacts

• Continuum of Care

• Prevention, Treatment and Recovery

• Challenges in NH

• Integration of Care

• RROSC

Overview for Today

Integrated System of Care

Vocational Housing

Transportation

Financial

Legal

Medical Behavioral Health

Peer Support

Family

Recovery community

Social

• Cheshire County Drug Court

• Controlled Substance Management Network

• Children’s Behavioral Health System of Care Planning Grant

• Resiliency and Recovery Oriented System of Care

Current Regional Initiatives

A coordinated network of services and supports that is person-centered and builds on strengths and resilience to

achieve health, wellness and quality of life for those with/ at risk of alcohol, tobacco, and other drug problems.

What is the RROSC?

RROSC: Health Promotion Currently • Healthy Monadnock 2020 • Youth skill building such as AllStars • Media Collaborative

Needs/Challenges • Youth data available by

region, other data only by county

• More consistency in youth initiatives, more youth voice

RROSC: Prevention

Currently • Two Drug Free Community Grants • Monadnock Voices for Prevention • Partnership for Success II Grant • Media Collaborative

Needs/Challenges • Reaching parents • Funding • Community Input • Culture shift

Currently • Monadnock Family Services • Phoenix House Keene • Phoenix House Dublin Center • Private Practice/ Medical Facilities • Keene Metro Treatment Center

RROSC: Treatment

Needs/Challenges • Improve access to services / health outcomes • Include recovery supports • Include plan to expand treatment providers

infrastructure, capacity, and workforce

Currently • Monadnock Area Peer Support Agency • AA and NA • Alateen and Al-Anon • Keene Serenity Center • F.A.S.T.E.R . Peer to Peer Support • HOPE for NH Recovery

RROSC: Recovery

Needs/Challenges • Transportation • Housing • Vocational opportunities • Stigma and language • Funding and access to services

I am a person in long–term recovery

Summary Learning Session Presenter Date/Time Objective

Learning Session #1 What’s the problem

Tym Rourke Rick VanWickler

April 8th 11:30 AM-12:45 PM

o Usage, budget, alcohol funds o Impact o Gaps services/Access

Learning Session #2 Prevention

Polly Morris Mary Drew

May 6th 11:30 AM-12:45 PM

o Environmental Strategies o Model of Prevention in

Region

Learning Session #3 Coverage

Treatment/Recovery

Kate Robertson Doug Iosue Sam Nolte

June 10th 11:30 AM-12:45 PM

o Treatment o ACA and NH Protection

Plan o Recovery

Learning Session #4 Integration

Rudy Fedrizzi Discussion Panel

Sept. 9th 11:30 AM-12:45 PM

o What has worked for integrated care?

o What’s currently happening? o What could it look like?

All sessions will be at the Cheshire County Department of Corrections and light refreshments will be provided!

Integrated System of Care

Vocational Housing

Transportation

Financial

Legal

Medical Behavioral Health

Peer Support

Family

Recovery community

Social

Monadnock Region Vision

One community working together to help families and individuals

lead healthy lives.