As was covered in Part 1, Ohio, being at the forefront of the opiate crisis, children and families have been impacted by this epidemic at rates unparalleled in modern times.
Beyond the immediate impact on children’s well-being, the effects may be more long lasting as abrupt changes in parental attunement can impact patterns of attachment. Also notable, routine interventions may be inadequate to address children and family needs
The objectives in Part 2 include:
Completing the overview of Part 1 on the impact on individual children; providing updates on the current opiate crisis impact on youth, families and child welfare in Ohio; and an overview of interventions on multiple levels including system of care, agencies, programs, individuals and communities
Covered in Part 2 are trending narratives in the crisis, which does not necessarily rely on the adjective ‘opiate’ to explain how it is unfolding. For example, unintended opiate related deaths are trending down in most hard hit communities, with heroin being replaced by fentanyl and other synthetics. Furthermore, fewer pharmaceutical opiates are being dispensed and the use of naloxone by first responders is becoming more a part of routine response to overdoses. Finally, the increase in the availability of medically Assisted Treatments like buprenorphine is helping combat addiction and usage.
Nevertheless, not all the news is good as opiate use is being replaced by other substances like crack cocaine and methamphetamines. And while overdose deaths are decreasing, its impact on our citizens and systems continues, with children in custody related to parental substance use continues to increase with those children in custody continuing to be
younger in age, in care longer, and at higher levels of care.
All of this has had an impact on Ohio’s systems of care, particularly PTSD occurring in caregivers overwhelmed by the scope and dimensions of the crisis. (See Marcia Miller’s Urban Zen webinar for ways to help alleviate burnout and stress in caregivers by clicking here.)
Significant takeaways from Part 2 include:
– Addressing secondary trauma in caregivers is crucial to reducing stress, burnout, and ultimately staff turnover, which can impact and impede recovery across the board.
– Attunement and attachment between parents and children consist of an ongoing process learning and growth between parents and children. – Attunement can be enhanced and enriched; attachments can be repaired and strengthened.
– Knowledge by caregivers – especially those new to the field – of trauma-informed approaches and care – Adverse Childhood Experiences (ACEs) in particular – is crucial in understanding the landscape of opiate recovery and the proper evidenced-based interventions that prove effective.
– Active listening is premium when establishing safety, stability, and trust with a new individual and her or his family. Curb the strong instinct to find or provide “solutions” to problems and allow the clients/patients to bear witness to their individual experiences and establish the process for them to discover their own solutions. Active listening, time, and patience.
– Assessments and screenings are a key component is outlining intervention options and understanding what facilitates positive outcomes.
– Before we ask, “What’s wrong?” – Ask: “What happened?” in a person’s life. From there, we can develop effective interventions.
Through it all, there is a need to understand this crisis and prepare beyond the immediate needs and look into long-term lasting affects on the children in families who struggle with opiate addiction. Ohio is the Second worst state in the nation for drug overdoses, with Dayton ranked 1rst with the highest per capita overdoses in the county.
– We rank in the top 6 for most deaths.
– Children in relative placement has increased 62%
– Foster Care placements have increased 11%.While Opiate use has increased the State allotment of Child Welfare funding has decreased by 21%
The Center for Innovative Practices (CIP), in partnership with the Ohio Department of Mental Health and Addiction Services, Ohio Family and Children First, and with the support of the Substance Abuse and Mental Health Administration (SAMHSA), presents a webinar on “The Opioid Crisis and the Impact on Families,” exploring the unique impact of parental opiate use on the development of the child and the resulting challenges. We know that more children have been taken into child protective services custody due to opiate addiction in the family, that they are in out of home placement longer, and they seem to have a unique set of challenges. Join us to learn about how to support our families and children. The webinar was presented by Angela LaRiviere, Director of Youth Move Ohio, and Timothy Schaffner, Executive Director of Trumbull County Children Services.Substance Use, the Opioid Epidemic, and the Child Welfare System: Key Findings from a Mixed Methods Study Opiate Presentation Resources and References.
ALSO: View and learn more from our complementary webinar Understanding Opioid Addiction and Recovery
Ohio Drug Overdose Data: 2016 General Findings
Ohio’s opioid epidemic continued to evolve in 2016 to stronger drugs, driving an increase in unintentional overdose deaths. The data shows a significant increase in overdose deaths involving the opioid fentanyl, the emergence of more powerful fentanyl-related drugs like carfentanil, and indications that cocaine was used with fentanyl and other opiates.
The data also shows some promising progress – the fewest unintentional overdose deaths involving prescription opioids since 2009 (excluding deaths involving fentanyl and related drugs)Read Full ReportIllegally produced fentanyl can be hundreds of times stronger than heroin, and carfentanil and other related drugs can be stronger than fentanyl.In 2016, unintentional drug overdoses caused the deaths of 4,050 Ohio residents, a 32.8 percent increase compared to 2015 when there were 3,050 overdose deaths.Fentanyl and related drugs were involved in 58.2 percent (2,357) of all unintentional drug overdose deaths in 2016.
By comparison, fentanyl was involved in 37.9 percent (1,155) in 2015, 19.9 percent (503) in 2014, 4.0 percent (84) in 2013, and 3.9 percent (75) in 2012 (see Figures 1 and 2). With the emergence of carfentanil in 2016, the fentanyl-related drug was involved in 340 overdose deaths, most of them during the second half of the year. For males and females respectively, the largest number of fentanyl and related drug overdose deaths were among the 25-34 age group. (see Figure 3). The increase in fentanyl and carfentanil overdose deaths in 2016 corresponded with an increase in drug seizure reports by law enforcement (see Figure 4).
The number of cocaine-related overdose deaths rose significantly from 685 in 2015 to 1,109 in 2016 — a 61.9 percent increase (see Table 1). Of cocaine-related overdose deaths in 2016, 80.2 percent also involved an opiate, and 55.8 percent involved fentanyl and related opiates in particular.
The number of overdose deaths involving heroin remained relatively flat with 1,444 overdose deaths in 2016 compared to 1,424 in 2015.
ABOUT THE PRESENTER
Timothy Schaffner, M.Ed., LSWTrustee
Executive Director, Trumbull County Children Services, Timothy Schaffner was named Executive Director of Trumbull County Children Services in November 2012. As a leader in behavioral health and residential care for children, Schaffner has provided consultation and training for many educational, residential and child welfare facilities and brings a wealth of management and child mental health treatment experience to his role as executive director.Schaffner had been the executive director of Valley Counseling Services prior to joining Trumbull County Children Services (in April 2012), from 1995 to 2006 served as Corporate Director/Corporate Clinical Executive for the Center for Behavioral Medicine at Forum Health, and prior to that he was director of youth services at Tod Children’s Hospital in Youngstown. Schaffner brings a total of 37 years of experience in professional child care to his position.
ADDITIONAL RESOURCES (Click on pic to download PDF)
The National Child Traumatic Network Visit site | The Child Trauma Academy Visit site | ACE Study Visit site | Substance Abuse and Mental Health Services Administration Visit site | American Academy of Child and Adolescent Psychiatry Visit site | The Sanctuary Model Visit site
The Public Children Services Association of Ohio Visit site
Angela Lariviere : Angela.firstname.lastname@example.org
TIM SCHAFFNER email; email@example.com
Presented by the Center for Innovative Practices and WraparoundOhio.org in partnership with: (To learn more, click on pic.)