Police and Overdose in Portland - Harm Reduction Coalition
Police and Overdose in Portland - Harm Reduction Coalition
Police and Overdose in Portland - Harm Reduction Coalition
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<strong>Police</strong> <strong>and</strong> <strong>Overdose</strong><br />
<strong>in</strong> Portl<strong>and</strong><br />
Haven Wheelock<br />
Outside In<br />
L<strong>in</strong>dsay Jenk<strong>in</strong>s<br />
Multnomah County Health Department<br />
National <strong>Harm</strong> <strong>Reduction</strong> Conference<br />
November 16, 2012
Agenda<br />
1. Portl<strong>and</strong> <strong>and</strong> trends<br />
2. <strong>Overdose</strong> survey<br />
3. Our work<br />
4. Our plans
Outside In SEP
Multnomah County Health Department
Syr<strong>in</strong>ge exchange trends<br />
2008 - 2011
SEP visits - ↑ 27%<br />
50,000<br />
43,400<br />
40,556<br />
25,000<br />
31,906<br />
0<br />
2008 2009 2010 2011
Syr<strong>in</strong>ges given - ↑ 54%<br />
2,000,000<br />
1,538,771<br />
1,000,000<br />
1,002,678<br />
0<br />
2008 2009 2010 2011
Unduplicated SEP data: July – Dec 2011<br />
OI<br />
n = 2,490<br />
MCHD<br />
n = 795<br />
Age < 30 43% 20%<br />
Homeless/unstable 62% 47%<br />
People of color 15% 18%<br />
Primary meth use 12% 21%
Unduplicated outpatient <strong>and</strong> residential admissions for hero<strong>in</strong>,<br />
Multnomah County<br />
100%<br />
75%<br />
79%<br />
Age 26+<br />
50%<br />
55%<br />
45%<br />
25%<br />
21%<br />
Age < 26<br />
0%<br />
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011<br />
Source: Oregon Health Authority, CPMS Data
Hero<strong>in</strong> overdose deaths, 2002-2011<br />
160 Multnomah County Oregon<br />
143<br />
120<br />
80<br />
101<br />
69<br />
85<br />
40<br />
0<br />
‘02 ‘03 ‘04 ‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11
Syr<strong>in</strong>ge exchange survey<br />
Dec 2011
Survey Sample Demographics<br />
2011 vs. 2010<br />
# participants 498 +61<br />
Male 69% -2%<br />
Age (mean) 35 no change<br />
White 82% +5%
What drugs did they use <strong>in</strong> the last 3 months?<br />
Hero<strong>in</strong> 86%<br />
Alcohol 53%<br />
Meth 49%<br />
Coca<strong>in</strong>e 46%<br />
Benzos 44%<br />
↑ 11%<br />
↓ 8%<br />
↑5%<br />
Bupe 33%<br />
Speedballs 32%<br />
Rx opiates 27%<br />
↓ 10%<br />
↓ 7%<br />
Methadone 19%
<strong>Overdose</strong> (n=438)<br />
vs. 2010<br />
Lifetime<br />
58%<br />
+6%<br />
In last year<br />
23%<br />
+5%<br />
0% 50% 100%
Who overdosed <strong>in</strong> the last year?<br />
1. Younger participants<br />
2. Newer to <strong>in</strong>ject<strong>in</strong>g<br />
3. Mix<strong>in</strong>g opiates with benzos or alcohol<br />
4. Us<strong>in</strong>g <strong>and</strong> <strong>in</strong>ject<strong>in</strong>g more types of drugs<br />
5. Witnessed OD<br />
6. Shar<strong>in</strong>g syr<strong>in</strong>ges <strong>and</strong> paraphernalia<br />
7. Did survey at OI
The last time you saw someone OD…<br />
Portl<strong>and</strong><br />
n = 255<br />
Seattle<br />
n = 170<br />
1. Called 911 135 (53%) 85 (50%)<br />
2. <strong>Police</strong> showed up 97 (72%) 53 (62%)<br />
3. <strong>Police</strong> confiscated<br />
drugs or works<br />
13 (13%) 2 (4%)<br />
4. Someone was arrested 11 (11%) 1 (2%)<br />
5. “I was arrested” 3 (3%) -
Reasons for not call<strong>in</strong>g 911<br />
Portl<strong>and</strong><br />
n = 120<br />
Seattle<br />
n = 81<br />
Person woke up 69% 31%<br />
Gave rescue breath<strong>in</strong>g 19% 32%<br />
Other revival techniques 11% -<br />
Fear of police 9% 16%<br />
Gave naloxone 7% 20%<br />
Took them to hospital 3% -
What are we do<strong>in</strong>g <strong>in</strong> Portl<strong>and</strong>?<br />
1. Ongo<strong>in</strong>g OD education with participants<br />
2. Communication with police<br />
3. System-wide alerts dur<strong>in</strong>g OD <strong>in</strong>crease
What do we want to do <strong>in</strong> Portl<strong>and</strong>?<br />
1. Distribute naloxone widely<br />
2. Provide treatment on dem<strong>and</strong><br />
3. Better surveillance, <strong>in</strong>clud<strong>in</strong>g non-fatal ODs
Acknowledgments<br />
• Outside In staff <strong>and</strong> volunteers: Annie Hood, Jessy Frey,<br />
Paula Rose, Qu<strong>in</strong>n Keogh, Sowmya Palam, Er<strong>in</strong> Reid<br />
• MCHD staff: Susan Burke, Carol Casciato, Miguel Canales,<br />
Susan Carmen, Aviel Forster, Solamon Ibe, Cesar Pecori,<br />
Katy Pranian<br />
• MCHD volunteers: Er<strong>in</strong> Browne, Marisa Gholson,<br />
Courtney Kappes, Kelsi Knavel, Cara Railsback, Alissa<br />
White<br />
• External: Caleb Banta-Green (University of Wash<strong>in</strong>gton),<br />
Joe T<strong>in</strong>sley (Public Health – Seattle & K<strong>in</strong>g County) S<strong>and</strong>i<br />
Kendrick (Clark County, WA)
Questions?<br />
Haven Wheelock<br />
havenw@outside<strong>in</strong>.org<br />
L<strong>in</strong>dsay Jenk<strong>in</strong>s<br />
l<strong>in</strong>dsay.jenk<strong>in</strong>s@multco.us
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