Efforts to Combat Opioid Epidemic in California
California's Department of Health Care Services is leading a comprehensive effort to address the opioid epidemic in the state. Through the MAT Expansion Project and various coordinated initiatives, they are focusing on reducing overdose deaths, increasing access to treatment, and enhancing monitoring and response systems. Funding sources like the State Targeted Response and State Opioid Response grants support these critical efforts.
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California Department of Health Care Services MAT Expansion Project NTP REACH Learning Collaborative October 25, 2019 Waheeda Sabah Contract Manager Monica Zendejas Contract Manager
Opioid Epidemic in California In 2018, California had 2,311 opioid overdose deaths 743 fentanyl overdose deaths 8,832 opioid overdose ED visits (excluding heroin) 19,808,224 opioid prescriptions Source: California Opioid Overdose Surveillance Dashboard https://discovery.cdph.ca.gov/CDIC/ODdash/ 2
Opioid Overdose Death Rates in California CA s Age Adjusted Opioid Overdose Rate Deaths Per 100,000 Residents in 2018 Trinity 33.53 Lake 23.01 Plumas 18.11 Calaveras 17.41 Amador 15.69 San Francisco 14.96 Mendocino 14.64 Lassen 14.53 Inyo 14.45 Venturya 10.66 Statewide 5.54 Source: California Opioid Overdose Surveillance Dashboard https://discovery.cdph.ca.gov/CDIC/ODdash/ 3
Statewide Coordinated Efforts Department of Health Care Services Department of Public Health Department of Justice Public-Private Partnership Opioid Dashboard Tracks overdose deaths, emergency department (ED) visits, prescribing; Instant reports; State, county, zip code level data Drug Medi-Cal Organized Delivery System Access to full spectrum of addiction treatment; 30 counties have been approved by CMS & DHCS to implement ODS services 10 other counties in process. CURES Database Contains a record of every controlled substance dispensed at any pharmacy in California Smart Care CA Works with health plans covering 40% of CA lives to fight the opioid epidemic California Health Care Foundation Statewide Opioid Safety Workgroup + 12 state agencies participating CA Opioid Safety Network 35 counties representing 90% of Californians MAT Expansion Project CA Hub & Spoke System; Tribal MAT Program 4
Funding Sources State Targeted Response (STR) to the Opioid Crisis State Opioid Response (SOR) Grant $90 million over a period of 2 years $175 million over a period of 2 years May 2017 to April 2020 September 2018 to September 2020 MAT Expansion Project California Hub & Spoke System Tribal MAT Project Prevention & Treatment Activities MAT Expansion Project 2.0 Increase access to MAT Reducing unmet treatment need Reduce opioid overdose related deaths through prevention, treatment, and recovery services 5
MAT Expansion Project Objectives Develop additional MAT locations Provide MAT services to special or underserved populations Transform entry points and create effective referrals into treatment Develop processes to better manage high-risk transitions of care (e.g., jails or hospital re-entry) Engage prescribers to increase provision of MAT Prevent opioid misuse and OUD deaths 6
All MAT Expansion Projects Academic Detailing + Fentanyl Reporting & Surveillance Addiction Treatment Starts Here: Primary Care, Behavioral Health, & Community Partnerships California ED Bridge Program California Conservation Corps California Hub & Spoke System California Poison Control System California Substance Use Line California Youth Opioid Response Counselors in Rural Emergency Departments County Touchpoints CURES Optimization Drug Take-Back DUI MAT Integration Expanding MAT in County Criminal Justice Settings MAT Access Points MAT Toolkits Media Campaign Mentored Learning Naloxone Distribution Project NTP REACH Perinatal MAT Primary Care Residency SUD Workforce: Recovery & MAT Summit Supportive Housing Transitions of Care Tribal MAT Program Waivered Prescriber Support Young People in Recovery To learn more about the MAT Expansion Projects, visit CaliforniaMAT.org. 8
California Hub and Spoke System (H&SS) Counties with a Hub or Spoke Consists of narcotic treatment program (Hubs) and office-based treatment settings (Spokes) for ongoing care and treatment. Aims to increase the number of providers prescribing buprenorphine for opioid use disorder. Composed of 18 Hubs and over 215 Spokes in 36 counties. For more information, visit http://www.californiamat.org/ matproject/california-hub- spoke-system/ Hub or Spoke present No Hub or Spoke present at this time 9
New Patients Served by H&SS 20,000 The goal for the CA H&SS to have 20,000 new patients on MAT was reached in August 2019. Approximately 9,500 patients have been served at Hubs Approximately 10,500 patients have been served at Spokes 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 10
MAT Expansion Successes More than 20,000 new patients on MAT 620+ access points have been established 200+ Spokes 270 MAT Access Points 52 Hospitals 29 County Jails 40 Primary Care sites 12 Indian Health Programs 22 Youth-oriented sites 240,000+ units of naloxone distributed Statewide More than 30 provider trainings held for nearly 2,000 participants Nearly 300,000 page views on ChooseMAT.org 11
Resources For the MAT Expansion Project, please visit CaliforniaMAT.org. For questions regarding the MAT Expansion Project, please contact DHCSMATExpansion@dhcs.ca.gov 12
