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Trumbull CountyOpiate Action Plan 2017-2022Priority 1: Reduce Drug Trafficking in Trumbull CountyGoal: Increase arrests and incarcerations of drug traffickers in Trumbull County by enhancing law enforcement personnel and tools; and creating stricter laws.Measurable ObjectivesIncrease law enforcementpersonnel.Action StepsPerson(s)ResponsibleTime Frame# of officers hiredLaw Enforcement2017- current# of new lawsLaw EnforcementState and locallegislators2017- 2019# of anklemonitoring in useAdult ProbationLaw Enforcement2017- 2019# of probation staffhiredLaw EnforcementCourts2017- 2019MetricsAcquire funding to recruit and hirepolice officers.Change good Samaritan laws Work with state legislatures tofor drug offenses.improve language to allow for crossjurisdictional enforcement.Increase monitoring ofpersons on probation.Acquire funding needed to purchaseankle monitoring bracelets.Increase probation staffAcquire funding needed to recruitand hire probation staff.Page 1 of 23StatusWPD is at full status 2019TCSD hired 3 deputiesin 20182021 Update- WPD iscurrently understaffedby 5 officersIn 2016, Ohio revised itsGS laws to provideimmunity for minordrug possession toindividuals who seekemergency help forthemselves or anotherperson during a drugoverdose. Attempts toamend this section ofthe code have died incommittee.Ankle bracelets cannotbe purchased withcurrent grantsThis objective will berevisited as neededJudge Gysegem hired 1PO for MAT CourtSept. 2018;No additional need hasbeen identified at thistimeJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesIncrease data tracking ofdrug offenders to focusinterdiction effortsAction StepsMetricsWork with Trumbull 911 to trackdrug related calls for emergencyservices# of drug relatedcallsPerson(s)ResponsibleTrumbull 911Law EnforcementTime FrameStatusCurrentlyavailableTrumbull 911indicated data basetracks calls &locations. They sharethis information withstakeholders byrequestLink 911 Databasewith ODMAPTCCHD911 CenterSummer 2021# of agenciesutilizing ODMapping SoftwareTCCHDPhase 1: 2020Phase 2: 2021Positions filledlaw enforcementagencies2017- 2019Positions were filled onWPD Street Crimes UnitCompleteTAG has increasedpartnerships to include4 Federal agencies, 1state agency and 7 localagencies co-located intheir office.Promote widespread use of ODMapping programIncrease drug traffickerincarcerations.Acquire 166,000 for 2 officers towork crime scenes and build casesagainst drug traffickers.Increase partnerships with TAG# of depts. workingwith TAGPage 2 of 23Funded by TCCHDPDOP grant. Softwarecompanies arecommunicating.8 agencies registeredas level 1 users.TCCHD has received agrant to expandODMAP usage.Meetings set up tomove forwardwith process.TAGTC Sheriff’s OfficeJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesIncrease drug traffickerincarcerations (cont.)Action StepsMetricsCounty maintain TAGTAG remains fullyfundedPerson(s)ResponsibleTime FrameTC Sheriff’s OfficeTC CommissionersOngoingWPD maintain Street Crime UnitUtilize HIDTA - crossjurisdictional data basePage 3 of 23Access HIDTA - the national lawenforcement data base for drugoffender and opiate overdosetracking# of drug traffickersarrestedWPD# of depts. utilizingHIDTATAGLaw EnforcementStatusIn 2020 TAG had 202cases, served 52 searchwarrants, had 267indictments, and 28other arrests.OngoingWPD Street Crimes Unitis down 1 Detective dueto a retirement;2019:Drug arrests 218Possession Charges:Heroin/Fentanyl 60Cocaine/Crack 71Marijuana 17Meth 9Trafficking Charges:Marijuana 32020:Drug arrests 122Possession Charges:Heroin/Fentanyl 42Cocaine/Crack 38Marijuana 2Meth 16Trafficking Charges:Heroin/Fentanyl 8Cocaine/Crack 5Marijuana 5Dec 20172019TAG uses HIDTA todeconflict drug dealersJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Priority 2: Reduce Drug Overdoses and Deaths in Trumbull CountyGoal #1: Increase arrests and incarceration of drug dealers.Measurable ObjectivesAction StepsReduce/Eliminate drugDrug Courts and law enforcementtraffickers entering into Drug form a team to review cases prior toCourts.court dates to exclude drugtraffickers.Increase penalties fortrafficking inFentanyl/CarfentanilWorked with legislators to createstricter penalties.Bulk laws no longer applyReduce/eliminate overdosesin Trumbull County JailTC Jail purchased a body scan todetect drugs/paraphernaliaTrumbull County Combined HealthDistrict RN train corrections officerson all shifts on using Naloxone;Project Dawn kits are on each floorof the jailIncrease use of “Cell Bright”across law enforcementPage 4 of 23Acquire 3,000 annually perdepartment to update software andtrain personnel.Metrics# of drug traffickersidentified andremoved# of stricterpenalties developedDiscontinuation ofbulk laws# of overdosesreduced due tonewly purchasedbody scan# of Officers trained# of times “CellBright” is usedPerson(s)ResponsibleJudgesLaw EnforcementAttorneysState and locallegislatorsLaw EnforcementTC Jail Administratorand staffTCCHD StaffLaw EnforcementTime FrameStatusJune 2017ongoingCourt personnel andpolice arecommunicating.Prosecutors on drugcourt treatment teamsassist with identifyingtraffickers.OngoingNeither SB 1 and HB 3(2019) passed. Topic willbe revisited asopportunity presents.Winter of20172018Start: 2017CompletedTrainings completedJan. 9th and Jan. 11th,2018Additional training willbe held whenrequested.Used by TAG and WPD;Other departmentswork with them toaccess cell brightJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesIncrease treatmentcompliance of drug usersAction StepsIncrease specialized docketsUtilize State Addiction TreatmentProgram (ATP) funds to removefinancial barrier of access totreatment and recovery supportsTime FrameTrumbull Cty. Combined HealthDistrict purchased and disseminatedbiohazard kits and Disease FactSheets to law enforcementProvide information to hotels aboutsafe cleanup of substancesStatusVaries by Judge# of drug usersreceiving courtordered treatmentJudgesAttorneysParole andProbationTCMHRB# of participantsservedTCMHRBSupreme CourtCertified SpecializedDocketsCompass16 police depts.1 fire dept.TCCHD# of hotels trainedPage 5 of 23Person(s)ResponsibleCourts to make treatmentcompliance part of sentencing.Use ankle monitoring and courtordered addiction treatment aswarranted.Decrease risk of exposure toharmful substancesMetricsTAGASAPTCMHRBVaries by JudgeOngoing2017-currentCompleted2021 Trumbull County has 5Ohio Supreme CourtCertified SpecializedDockets and 2 noncertified specializeddockets. Approx 150ind. Served in SFY20Compass provides casemanager assigned toATP participantsSFY18- Approx. 97 pplservedSFY 19- Approx. 92 pplservedSFY20- Approx. 155 pplserved143 PPE kits have beengiven to lawenforcement3 hotels and the OhioHotel Assoc attendedtraining on 2/18/21A handout about safehandling was providedto all attendeesJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesAction StepsIncrease and enhance dayreporting programs.Acquire funding to serve morepeople in day reporting program.Increase Access toPrescription MedicationDisposal SitesDisposal Sites are in 15 policedepartments and all Mercy HealthfacilitiesAdditional permanent drop box tobe installed at OSP Southington PostSustain Drug take back events withTC Sherriff’s Dept. and the TrumbullGeauga Solid Waste ManagementDistrict and ASAPSend postcards with informationabout local medication disposalsitesDevelop permanent sites forcommunity access of Deterramedication disposal bagsPage 6 of 23Metrics# of people in dayreporting ment CentersCourts# of permanentdisposal sitesinstalledLocal LawEnforcementASAP/TCMHRBTAGDate box installedOSPASAP/TCMHRBAmount ofmedicationscollectedTAGTC Sheriff’s OfficeASAPTCMHRBNumber ofpostcards mailedASAP/TCMHRB# of permanentdistribution sitescreatedASAP/TCMHRBTime FrameStatus2017-2019No funding needreported at this timeOngoingList of disposal sites:http://www.trumbullmhrb.org/pdfs/disposal flyer4.pdfCompletedBox purchased in 2018.No longer in useAs demandnecessitatesFall- Winter2018December2020-ongoingResults:5/17 – 3,770 pillsSept 2017 - 199 lbs5/9/18 - 151 lbs9/12/18 – 120 lbs4/6/19- 164 lbs.6/28/19- 119.5 lbs.6/6/20 - 176 lbs10/24/205/1/21 – 89 lbs6/18/21 – 17.5 lbsGrant funds were usedto mail informationalpostcards to nearly9000 households inVienna, Kinsman &Hubbard17 permanent locationsestablished. Announcedthrough press releaseDec 2020. Seekingadditional locations innorthwest corner ofCountyJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Priority 2: Reduce Drug Overdoses and Deaths in Trumbull CountyGoal #2: Increase the number of persons with addiction receiving evidenced based inpatient and out-patient drug treatment by enhancing the capacity and fundingfor accredited drug treatment centers.Measurable ObjectivesIncrease capacity fortreatment centers.Increase # of overdose patientsplaced from hospital EDs todetox or outpatient treatmentAction StepsCenter for Medicaid Servicesrule of 16 bed detox cap perlicensed facility appealsubmitted by OhioMHASMetricsCMS rule changeState and locallegislatorsOhioMHASTime FrameStatus2017/2018OhioMHAS said 16 bed cap isnot enforceable undermanaged care; remainsquestionable; needFederal legislationNo current efforts in this areadue to more treatmentcenters opening, increasingcapacity and decreasing waittimesongoingTCMHRB funds Colemanscreeners in TMH ED whoplace patients into detox ortreatment programs.Mercy Health screens patientsand refers to treatment orother BH services(Coleman assists evenings andweekends)Data provided to TCMHRBmonthly by ColemanongoingMercy Health employees 2recovery coaches at StJoseph’s and 2 at St.Elizabeth’s; Start up costshared between TCMHRB andMercy FoundationBehavioral health assessmentscompleted in emergency rooms# of Assessmentscompleted in EDPeer Recovery Coachesembedded in emergency rooms# of recoverycoaches working inEDsPage 7 of 23Person(s)ResponsibleTCMHRBStewardMercy HealthColemanTCMHRBMercy HealthMercy HealthFoundationJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesAction StepsIncrease linkage of overdosevictim with peersupport/recovery coachesTCMHRB to continue to workwith state and local agencies tobuild usThere are 64 certified peersupporters in Trumbull County# of certifiedrecovery coachesemployedTCMHRBOhioMHASMercy HealthTreatment CentersAddress needed simplification ofcertification process withOhioMHAS# of certifiedrecovery coachesTCMHRBOhioMHASTCMHRB to host RecoveryCoach trainings# of trainings heldTCMHRBOhioMHAS# of overdosereversals as a resultof Project DawnTCCHDWCHDTCMHRBTMH FoundationOhioMHASFirst RespondersIncrease access to Project Dawn TCCHD will supply all first(Naloxone)responders and the general publicwith free kitsPage 8 of 23Time FrameOngoingCompletedFirst Step Recovery, ParkmanRecovery, Compass, Coleman,Hope Village, Neil KennedyRecovery Centers, Thrive andCSB employ recovery coachesIn September 2019, projectstarted with Ohio Means Jobsand First Step Recovery tobuild peer supporterworkforce. Grant project hasendedOhioMHAS convened aworkgroup to address thisissue. Internal changes weremade and trainingresponsibility shifted toBoards.2018- 1 training2019- 1 training2020- 2 virtual trainingsAll but Brookfield PD arecarrying Narcan (inquired butno follow up). Warren Cityand Bazetta Fire also haveNarcan.2017 - current Kits to Public:2017: 341 new; 75 refills2018: 296 new; 106 refills2019: 178 new; 15 refills2020: 141 new; 105 refillsSuccessful Reversals (20172020): 66 Unsuccessful: 3OngoingJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesAction StepsIncrease access to Project Dawn TCCHD purchased and ASAP(Naloxone) (cont.)disseminated yard signsadvertising free Naloxone kitsWarren City HD to provideProject DawnMetricsPerson(s)ResponsibleTime FrameStatus# of yard signsdisseminatedTCCHDASAPTCMHRB2019/202050 yard signs placedthroughout community# of kits distributedTCCHDWHD2019 - currentDistribution limited to HIV andInfectious disease clients. 2kits distributed as of Feb 2021TCCHD10-20-20: 6 staff weretrained and given kitsand/or refills. Many of thestaff were already trained.11/3/2020-1/26/2021: 46participants were trained and2020- current received a Narcan kit.2/2021 through 1/2022: 94were trained and receivedkitsTC Probation: from 10-2021through 1-2022: 15 weretrained and received kits.Project DAWN training and kitsprovided to drug courtparticipants# of trainings heldand kits providedThe TCMHRB include the ProjectDAWN training as part ofcontract with recovery housesDistribute 779 doses of Narcanthrough OhioMHAS’Narcan/Naloxone blitz in targetzip codes identified byOhioMHAS (44483, 44484,44485, 44446)Page 9 of 23# of contracts withrequirement# of kits distributedTCMHRBTCMHRB2017- CurrentThis has been included inTCMHRB Recovery housecontracts since SFY16FY20- 10 contractsFY21- 7 contractsFY22- 6 contractsMay – June2021As of 8/31/21, over 500 unitshave been dispensed.St. Joe’s hospital is taking partin project by distributing in EDJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesAction StepsMetricsIncrease access to Project Dawn Install 30 NaloxBoxes(Naloxone) (cont.)throughout the County, 6 withinthe target zip codes identifiedby OhioMHAS (44483, 44484,44485, 44446)Increase access to treatmentand detox# of NaloxBoxesinstalledTime FrameTCMHRBTCCHDJune 2021Increase indigent funding forTrumbull County residentsAmount of fundingallocatedDetox and Vivitrol Program in TC # of persons detoxedor placed on VivitrolJail through Meridian andthrough SOR grantTCMHRB 100,00 in SOR funds awardedto the TCMHRB allocated forresidential treatment atGlenbeigh for indigent TCresidentsPage 10 of 23Person(s)Responsible# of persons servedwith SOR grantfundsTCMHRBTreatmentAgenciesOhioMHASTC Jail StaffMeridianTCMHRBGlenbeighTCMHRBOngoingApril 2019 currentGrant period9/1/199/30/20StatusBoxes have been placed at All3 Valley Counseling TrumbullCounty locations, Compass;High St location; 2 at SaharaClub; TCCSB; Comfort Suites:Liberty; Keys 2 a 2nd Chance.Remaining boxes are on backorderFY17- 283,500 - CURES fundsFY18- TCMHRB spent 1.6 milCURES - 625,000OhioMHAS increased regionalaccess to detox funds 500,000FY 19- TCMHRB allocated 1.2milCURES - 353,438FY20- TCMHRB allocatedApprox 780,000FY21- TCMHRB allocated over .5 mil89 Vivitrol injections werepurchased for jail use withSOR funds as of 9/14/21; Over100 inmates have receiveddrug treatment services paidby SOR funds as of 2/1/21SOR grant has been continuedthrough September 2022.8 people served with thesefundsJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesAction StepsIncrease access to treatmentand detox (cont.) 356,500 in SOR funds awardedto the TCMHRB allocated forresidential treatment atGlenbeigh, First Step Recovery(FSR), Meridian and ParkmanRecovery for indigent TCresidentsAdvocate to State and localpolicy makers for more fundingresources for long termaddiction recoveryIncrease state oversight ofAddiction TreatmentFacilitiesEnsure OTP and MAT providersfollow guidelines to guaranteepatient safetyMetrics# of persons servedwith SOR areFraud/Report-Medicaid-FraudPage 11 of 23Time FrameGlenbeighFirst StepRecoveryParkman RecoveryTCMHRBGrant period12/1/20 –9/30/21Amount of fundingto for recoverysupportsTCMHRBAll stakeholders# of complaintsreceived regardingOTP or ntagenciesReport concerns regarding atreatment provider toappropriate le# of reports madeOhioMHASTCMHRBFBIAttorney GeneralCommunityPartnersDept. of MedicaidStatus7 people served with thesefunds as of 9/14/21OngoingTCMHRB ED participates inyearly legislative day meetingwith legislatures to discusslocal financial needs.Current State and Federalfunds for recovery supportsare earmarked for specificpopulations. Advocacy on thistopic continues.Guidelines can be found ment/statutesregulations-guidelinesAugust 1,2017- infinityOhioMHAS and TCMHRBare working together onany concerns/issuesBraking Point in MahoningCounty shut down forMedicaid fraud Oct 2017California Palms “raided” byFederal and State Authoritiesin 2021. OhioMHAS revokedcertificationJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesReduce Physician Prescribingof OpiatesReduce Physician Prescribingof Opiates (cont.)Action StepsSBIRT implemented inphysicians’ officesMetrics# of medical stafftrained in SBIRTand safeprescribingTCMHRB created and purchasedmedia campaign on the dangersof prescription opiates# billboards and TVadsTCCHD is implementinginitiatives outlined in thePrescription Drug OverdosePrevention grantCompletion of AP, TCCHD andTCMHRBTime FrameOngoing2018OngoingAdvocate for mandated use ofOhio Automated Rx ReportingSystem (OARRS) by doctors andpharmacies# of doctors andpharmacies usingOARRSPage 12 of 23OhioMHASOhio PharmacyBoardCompletedStatusSBIRT is utilized in all MercyHealth ED’s. and One HealthOffices; Mercy employs staffto provide trainingsPSAs ran on WKBN andbillboards were purchasedthroughout the County10-2018: TCCHD sent coprescribing letters tophysicians & dentists.2019: Folders weredistributed to 8 TC physicianswith the Take Chargeinformation for patients andphysicians along with a jumpdrive with the sameinformation.As of 4/18/19: Ohio lawrequires Ohio prescribers torequest patient informationfrom OARRS that covers atleast the previous 12 beforeprescribing or personallyfurnishing an opioid analgesicor a benzodiazepine to apatient, the prescriber mustalso prescriber make periodicrequests from OARRS if thecourse of treatment continuesfor more than 90 days.January 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesAction StepsReduce Physician Prescribingof Opiates (cont.)Trumbull County Commissionersfiled a lawsuit againstpharmaceutical companiesMetricsResult of lawsuitPerson(s)ResponsibleTC Commissionersand Prosecutor’sofficeTCMHRBTime FrameCurrentPartner with the Eastern OhioArea Health Education Center(AHEC) to reduce prescribing ofopioidsTCCHDASAP2019TCMHRB will allocate funding toassist individuals with rent inrecovery housingAmount of fundingallocatedPage 13 of 23Rite Aid and Giant Eaglesettled the lawsuit before thetrial ended. Lawsuit wasdecided in favor of theCounty. Judge to rule ondamages in spring of 20226 EOAHEC videos placed onYouTube:# of places digitalfiles are placed forviewing (i.e. doctors’offices, websites,etc.)Increase Access to RecoveryHousingStatusTCMHRBSFY17 Current1. The Addictive Brain2. Stages & Treatment of Pain3. The Importance of Self-Carefor 1st Responders andHealthcare Professionals4. The Importance ofAddressing Addiction withyour Primary Provider5. Addiction and Treatment ofPregnant Women6. Reducing Barriers toHealthy Pregnancies andHealthy BabiesAllocation amounts:SFY17 200,000SFY18 120,000SFY19 195,600SFY20 190,000SFY21 160,000FY22 164,100January 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesIncrease Access to RecoveryHousing (cont.)Action StepsMetricsTime FrameTCMHRB will provide supportfor recovery house operations.Types of supportprovidedAdvocate for Strengthening ofcurrent credentialing processthrough state regulationAllocate funding from StateOpioid Response (SOR) grant toassist individuals impacted byCOVID 19 with rent for recoveryhousingCreation ofStatewidemandate forcredentialing ofrecovery housesAmount of fundsallocated# of individualsservedPage 14 of latorsTCMHRBCurrentOngoing2020 - 2021StatusTCMHRB convenes monthlymeetings of recovery houseoperators and provides 500/month operational support tocontract recovery houses aswell as a stipend to attend theOhio Recovery Housing BestPractices conference.TCMHRB has representativeson Ohio Recovery Housing(ORH) and OhioMHAS housingcommittees. TCMHRB alsorequires ORH certification ofany recovery house receivingfunding through TCMHRBprovides stipends to contractrecovery houses to supportORH membership. 48,988 Spent in FY20 45,048 Spent out of SFY21SOR 60 day ext. 100,000 allocated fromSOR2.0. 96,710 utilized as of9/14/21199 individuals receivedassistance as of September14, 2021.Funding was opened up inOctober of 2021 to include alleligible individuals needingrental assistance.January 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesReduce Substance AbuseAction StepsPerson(s)ResponsibleTime FrameIncrease partnerships andinitiatives with faith-basedcommunityPRIDE Surveys administeredevery other school year occur inin TC schools (grades 6, 8, 10)Implementation of child welfareRecovery Services TeamAdvocate for making specificpersonal health informationavailable for fatality reviewboardsPage 15 of 23Metrics# of programs atchurches;attendance by faithcommunity at ASAPeventsASAP, TCMHRBMinisterialalliances# of surveysadministered# of school districtssurveyedTCMHRBOngoingcompletedevery otherschool year# of familiesengaged with TeamTCCSBMarch 2019CurrentPassage of neededrule(s)TCCHDFatality ReviewBoard MembersCurrentStatusASAP has increasedcollaboration to include atleast 3 regular supportersfrom the Faith Basedcommunity. A session on theFaith Based Communities rolein substance abuse preventionwas included in the 2017ASAP Drug Summit. Anaddition memorial providedby a faith-based communityrepresentative from theCoalition was added to theASAP Recovery Rally in 2015and has been included everyyear followingASAP is planning a listeningtour with the faith basedcommunity for 2022. Planningmeeting is scheduled for2/17/222019-2020: 2,364 studentssurveyed, representing 8 TCschool districtsThe team employees 2 peersupporters39 Families have been helpedas of 2/24/21TCCHD advocates for issueduring State partnersJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesReduce Substance Abuse(cont.)Action StepsDevelop support groups forchildren and kinship caregiversaffected by the opiate epidemicCreate safe medication storageand disposal educationcampaign – Operation EmptyMedicine CabinetIdentify neighborhoods withhighest incidences of overdosesand provide resources to thoseneighborhoodsPartner with Kent StateUniversity on marketing projectfocused on the Opioid EpidemicSocial Media campaign onaddiction awareness andpreventionPage 16 of 23Metrics# of Support groupsPerson(s)ResponsibleTCMHRBHomes for KidsCompassMeridianIncrease in use ofmedication disposalsites and eventsASAP CoalitionTCMHRB# of door hangersdistributed by ASAPmembersASAP CoalitionOutput of the Mediaand MovementWorkshop: TheOpioid EpidemicWorkshop# of followers onASAP and TCMHRBSocial Media pagesTCMHRBASAP CoalitionTCMHRBASAPTime FrameFirst groupoccurred on10/27/17Jan 2018- Dec2018October 2017StatusDiscontinued due to lack ofparticipation.Funded by Mercy HealthFnd., TMH Fnd. and TCMHRB.Included mailers tohouseholds, Televised PSAs,printing of informationalmagnets and brochures forcommunity distribution andpurchase of medication dropbox for OSP Southingtonbarrack.ASAP members canvassedidentified neighborhoods andleft 5000 door hangers withresource information on10/27/174 projects were developed.ASAP implementedKnow the Risks campaign byrunning video in movieSpringtheaters,distributing tableSemester 2018tents to universities andbusinesses and communitydistribution of informationalpostcardAs of Feb 2021:TCMHRB Facebook page: Likes– 884 Followers – 964ASAP Facebook page:OngoingLikes – 1,113 Followers –1,295Instagram: ASAP- 51 followersJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesReduce Substance Abuse(Cont.)Action StepsIncrease anti-stigma messageAddiction is a Disease – not achoiceIncrease participation on OpiateDeath Review CommitteePromote “How to Help Children– the Trauma of Witnessing anOpioid Overdose” brochureConvene an Anti-StigmaSubcommittee of the ASAPCoalitionMetrics# Media campaigns# of sectorsrepresented# of brochuresdisseminated DOpiate DeathReview ting scheduledto determinemetrics to betrackedASAPTCCHD# of stripsdistributedTCCHDWC Health Dept# of requests forteam assistanceTCMHRBTC Coroner’sOfficeDistribute Fentanyl test stripsCreate a response team to assistfamily members of fataloverdose victimsPage 17 of 23Time FrameStatus20173 Commercials ran inpartnership with Columbianaand Mahoning Counties 2017OngoingOngoingNew members include USAtty.’s Office & TC DrugCourtBrochure has been sharedwith ASAP Coalition and isdistributed at communityeventsThe Anti- StigmaSubcommittee has decided topromote the Recovery takes aCommunity Anti StigmaBegincampaign. Campaign isOctober 2021 scheduled to run throughJanuary 2022. Committee willevaluate outcomes anddetermine whether or not tocontinue in February 2022Warren City Health Dept.reports distributing approx.350 strips. Users indicatedCurrentthat use of the strip did notdeter or limit their drug useCurrentThe TCMHRB and the TCCoroner’s office have begunthe program on a small scaleand are working towards fullscale implementation in 2022January 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesIncrease PreventionProgrammingAction StepsMetricsPerson(s)ResponsibleTime FrameStatus2017-2019School yearsTCCHD provided training inSouthington schools (gradesK-5) and co-trained withCompass prevention staff inWarren City Schools (Willard,Jefferson, Lincoln andMcGuffey - Grades 5th-8th)Implement Generation RXProgram in schools# of schoolsparticipatingTCCHDCompassSustain ASAP Coalition andprograms# of attendees atmeetings and ASAPeventsTCMHRBASAPOngoingThe ASAP Coalition meets 10times a year, event/topicfocused subcommittees meetmore often. Full Coalitionmeetings typically have atleast 30 attendees.Subcommittees consist of atleast 10 people.Track meet held July21: 267youth participatedRecovery Rally scheduled for9/18/21Increase teacher training andimplementation of PAX GoodBehavior Game# of schoolsimplementing PAXPage 18 of 23TCMHRBCounty SchoolsOngoing6 TC school districtsimplementing PAXCompass and OSU extensionfacilitating community PaxtrainingsJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesIncrease PreventionProgramming (Cont.)Action StepsMetricsPerson(s)ResponsibleTime FrameEducate public on dangers ofvaping both tobacco andmarijuanaDecline in use rateas measured byPRIDE surveysTCCHDongoingStatusTCCHD was awarded atobacco prevention grantfrom the Ohio Dept. of Health.Through the grantStore Compliance checks in 31Niles City stores took place. 4did not check ID.In process of working withNiles Mayor to pass a tobaccoretail ordinance.Partnered with WarrenTrumbull Public Library,Mercy Health, and LakeviewSchool Nurse to hold 3 livewebinars with a total of 45listeners.Monthly articles andadvertising in CortlandNewspaper, communitypartner social media(Facebook and Twitter).Brochures and postersdisplayed in: Churches, Rehabcenters, physician offices,senior centers, libraries,housing developments,community gatherings, TCdrug court, schools, storesand LGBTQ social centers.Partnership between ASAP andlocal schools to promote RedRibbon WeekPage 19 of 23# of schoolsparticipatingTC SchoolsTCMHRB/ASAPOctober 20207 TC School Districtsparticipated by sharing RedRibbon Week materialsprovided by ASAPJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Measurable ObjectivesIncrease PreventionProgramming (Cont.)Page 20 of 23Action StepsUtilize State K-12 Preventionfunding to increase schoolbased prevention programmingMetrics# of schoolsparticipatingPerson(s)ResponsibleTime FrameTCMHRBTC School DistrictsSchool years2019-2020 and2020-2021Status18 Trumbull County SchoolDistricts participatingJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Priority 3: Self and Community Care of First RespondersGoal #1: Increase supports for first respondersMeasurable ObjectivesIncrease supports for FirstRespondersAction StepsPerson(s)ResponsibleAll communitypartnersTime FrameStatusOngoing2017 Make a Difference Dayfood delivered to Police, Fireand 911Self-care was added to the CITcurriculum for the 17thtraining (October 2019), whichwas attended by 23 officersAppreciation Weeks:2018- 200 Flash Drivesdistributed with Thank YouVideo Montage, and a shortSelf Care Video along with 500Business Cards with new StateWide Website2019- PSAs run featuring localfirst responders, withappreciation message anddaily posts on TCMHRB andASAP Coalition Facebookpages featuring local firstresponders, with appreciationmessage2020- Press release withmessage of thanks from theTCMHRB and 480 bottles ofhand sanitizer w/ appreciationweek tagline printed on themdelivered to 21 police and firestations2021- Tumblers have beenordered for distributionProvide appreciation activitiessuch as food, incentives, nonconsumable itemsFrequencyNumber ofitems/eventsProvide resource informationand self-care techniques# of first responderstrainedTCMHRBSpring 2018FrequencyNumber ofitems/eventsCounty OpiateHUBOngoingyearly eventProvide appreciation throughCounty HUB appreciation weekeventsPage 21 of 23MetricsJanuary 18, 2022
Trumbull CountyOpiate Action Plan 2017-2022Priority 3: Self and Community Care of First RespondersGoal #2: Increase # of first responders receiving assessments; ongoing assistance as neededMeasurable ObjectivesIncrease in referrals forassistance and reduce
Trumbull County Opiate Action Plan 2017-2021 Page 1 of 21 February 24, 2021 Priority 1: Reduce Drug Trafficking in Trumbull County . screeners in TMH ED who place patients into detox or treatment programs. Mercy Health screens patients and refers to treatment or other BH services (Coleman assists evenings and
