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DHSS Press Release

Dr. Kara Odom Walker, Secretary
Jill Fredel, Director of Communications
302-255-9047, Pager 302-357-7498

Date: July 24, 2018


NEW CASTLE (July 24, 2018) - Following a 14-month review of Delaware's opioid use disorder treatment system, a research team from the Johns Hopkins Bloomberg School of Public Health and the Bloomberg American Health Initiative today recommended four major strategies to achieve the state's goal of a system of care that is accessible, evidence-based, individualized, comprehensive and accountable.

Brendan Saloner, PhD, an assistant professor at the Johns Hopkins Bloomberg School of Public Health, presented the findings today at a meeting of the Behavioral Health Consortium at Buena Vista. The report proposes four major strategies for the state to meet its treatment vision:

In April 2017, Department of Health and Social Services Secretary Dr. Kara Odom Walker asked a team of researchers and clinicians from the Johns Hopkins Bloomberg School of Public Health to conduct the review by meeting with state officials representing multiple agencies, behavioral health organizations, treatment providers and patient advocates, and by studying data on Delaware's epidemic, available literature, and the experiences of other states and localities.

"Families across the state have urged me to make changes to our public addiction treatment system," Governor John Carney said. "This Johns Hopkins report is an important step forward in building a stronger treatment system so we can help more people get the access to care they need."

"The recommendations from the Johns Hopkins team gives us a solid foundation in data, evidence and experiences from which to strengthen the opioid use disorder treatment system in our state," said Secretary Walker, a board-certified family physician. "With almost one Delawarean dying each day from overdoses and thousands of more individuals and their families impacted by this epidemic, we need to meet people whenever and wherever they are ready for the most effective treatment we can provide."

In 2017, 345 Delawareans died from overdoses, according to the Division of Forensic Science (DFS). That total was up about 12 percent from 2016. In 2016, the report says, Delaware's overdose rate tied for ninth (with Rhode Island) among all states at 30.8 deaths per 100,000 Through July 23 of this year, 145 people have died from suspected overdoses in Delaware, according to DFS.

"This report really helps to identify those priority areas we need to address to fix our broken system of treatment in Delaware," said Lt. Governor Bethany Hall-Long. "These recommendations support the action items included in the Behavioral Health Consortium's Three Year Action Plan. Implementing these recommendations will allow us to better serve our population and meet their needs most effectively."

"We deeply appreciate the thoughtful recommendations from the Hopkins/Bloomberg Team to help us strengthen our response to this critical public health epidemic," said Division of Public Health Director Dr. Karyl Rattay. "The recent passage of an Overdose System of Care bill will help us fulfill the recommendation to engage high-risk populations into treatment, through the creation of a statewide system to ensure that consistent, humane, evidence-based treatment and care is available and provided to those requiring acute management for overdose or substance use disorder."

The Overdose System of Care will involve establishing consistent EMS and emergency department protocols to improve acute response, initiate medication-assisted treatment to manage withdrawal, and rapidly engage individuals into SUD treatment. Additionally, the bill enables the establishment of stabilization centers, which could provide medical management for individuals who have overdosed or who require acute management of SUD. The ultimate outcome of system implementation is a reduction in morbidity and mortality and improved engagement into SUD treatment.

In embracing another recommendation of the Johns Hopkins report, DHSS' Division of Substance Abuse and Mental Health (DSAMH) will begin contracts this summer with providers to increase access to care, peer support and effective treatment for individuals living with substance use disorder. In addition to meeting individuals' treatment needs, the new centers also will address needs for medical care, housing, vocational opportunities, education and other wraparound services.

"We need to treat each person with an opioid use disorder as a whole person," DSAMH Director Elizabeth Romero said. "At the new centers, we will use certified recovery peers to help individuals navigate their way through both the treatment and the social services worlds. Being able to talk with someone with a similar lived experience will help individuals suffering from opioid use disorder to better coordinate their services and maintain their engagement with treatment."

"Delaware' leadership recognizes that the rising tide of overdoses is a public health crisis," said Joshua Sharfstein, MD, Professor of the Practice and the Director of the Bloomberg American Health Initiative at the Johns Hopkins Bloomberg School of Public Health. "We are pleased to help the state save lives by expanding access to treatment."

The Johns Hopkins report, available on DHSS' website, includes details on each of the four strategies:

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware's citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations.