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Home My WebLink About3.7.23 - CTC PRESENTATION (ITEM 9)Acadia Healthcare’s Comprehensive Treatment Centers Life -Changing Care for Opioid Addiction Who We Are Acadia’s Comprehensive Treatment Center network has over 145 clinics nationwide, serving more than 60,000 patients in 32 States Largest MAT (Medication Assisted Treatment) provider in the nation. 14 CTC locations in California We are relocating our clinic currently located in Santa Ana Hours of Operation Early morning hours so that the services patients receive enhance, not interfere with their lives and work schedules. Clinic Director –Valerie Ortega Medical Director –Dr. Richard Bock Physician –Ricardo Cardenas PA-C Clinical Supervisor –Rola Jreisat Nursing Supervisor –Holly Hoenshell Office Manager -Joymeeh Bautista Introduction of Santa Ana CTC Staff: How MAT Saves Lives “Medication-assisted treatment (MAT) combined with psychosocial therapies and community- based recovery supports is the gold standard for treating opioid addiction.” -Dr. Elinore McCance-Katz, Assistant Secretary for Mental Health and Substance Use, SAMHSA(1) Key Metric Description Reduction in Opioid Drug Use 80% of CTC patients test negative for illicit opioids after six months of treatment Decreases in Overdose Deaths Opioid Use Disorder mortality: 8.2x greater out of MAT than in MAT*(2) Increase in Employment MAT is associated with a 49% increase in employment status after six months of treatment (3) 1.“Facing Addiction in America: The Surgeon General’s Spotlight on Opioids”(2018) (foreword, p. https://addiction.surgeongeneral.gov/sites/default/files/Spotlight-onOpioids_09192018.p 2.D.A. Zanis, G.E. Woody / Drug and Alcohol Dependence 52 (1998) 257–260 3.CMS quarterly report: https://communitymedicalservices.org/wp-content/uploads/2020/05/CMS-QRTRLY-REPORT.pdf. Drug overdose is now the leading cause of unintentional injury death in the United States, causing more deaths than motor vehicle crashes. Opioids –both prescription and non-prescription –are responsible for most of those deaths. The number of Californians affected by prescription and non-prescription opioid misuse and overdose is substantial, with rates varying significantly across counties, and even within counties. In Orange County, the rate of opioid-related emergency department (ED) visits has increased 141% since 2005 and there were 7,457 opioid overdose/abuse cases treated in the ED between 2011 and 2015. Importantly, seven of every 10 overdose deaths investigated by the Orange County Sheriff-Coroner during this five-year period involved opioids. Drug/alcohol overdoses, or poisonings, resulted in over 13,000 ED Visits, 6,600 hospitalizations and over 1,000 deaths among Orange County residents in 2020. Need for Services 1.Orange County Report. https://www.ochealthinfo.com/page/opioid-overdose-death- orange-county Currently have 705 patients in treatment for Opioid Dependence On average, the clinic treats 15 patients every 30 minutes 335 patients live within 10 miles of the proposed relocation site in Tustin Average age of our patients is 45.95 We are proud to be a part of the Orange County community and continue to provide life changing and life saving services to its members. Community Need Graduated from Charles Drew University in 2010 Worked in: Nephrology/Dialysis Internal Medicine Pain Management Addiction Medicine I have seen both sides of addiction The push to control pain since its addition to vital signs Pain is the only subjective vital sign Pharma looking to profit Society looking the other way What is Methadone A synthetic opiate that acts as an opioid agonist Copies effect of heroin and other opioids Half life between 8-59 hours Unique in that it acts as both a short acting and long acting Rapid effect/onset but max effect can take up to 5 days Does not produce the same “heroin rush” Not a very efficient pain reliever due to time needed to reach max effect What is Buprenophine/Suboxone Mixed opioid agonist/antagonist Not only competes for mu receptor but actually pulls opiate off receptor Causes instant withdrawals Difficult to use with fentanyl patients since you have to be in severe withdrawals prior to initiating Methadone and Buprenorphine Prevents withdrawals and cravings Long and stable molecule Does not produce same opiate high/rush Fentanyl is the new drug of choice for most illicit drug users Pharma Fentanyl half life of 4h Illict Fentanyl half life of 4-12 hours Patients report that withdrawal onset is slow and may not reach full withdrawals for 24+ hours Methadone is one of very few medications that can “outlast” today’s street Fentanyl Counseling and case management are important part of the treatment –we treat the whole person MAT Treatment Overdose deaths continue to rise Death does not discriminate All races, ethnicities, education levels, socio-economic classes affected We see it everywhere Narcan failing Now in Addiction Medicine Its worse “why do you want to help them” Nobody wants to be addicted “I don’t want them near my family” “Let someone else deal with it” Overdose –Who will help? Michael Sarah Rhonda Jeremiah Patient Testimonials