Grants, Funding, and Strategies

In 2008, the City of Brockton in partnership with High Point Treatment Center was awarded the MassCALL2 grant with the primary objective of saving the lives of those in the community of Brockton suffering from opiate addiction and to create awareness about opioid overdose prevention.

Today, the coalition has expanded to become the Brockton Area Opioid Abuse Prevention Collaborative, encompassing the towns of Bridgewater, Brockton, East Bridgewater, Hanson, Rockland, and Whitman as a regional approach. The BAOAPC was the first funded cluster on the south shore to address the issue of opioid abuse and overdose.

Strategies and interventions for our state grants must be consistent with the Substance Abuse and Mental Health Services Administration (SAMHSA), Strategic Prevention Framework (SPF) model, consistent with any available evidence-based practices or local best practices.

The Collaborative focuses on education, trainings, and outreach for individuals in active use, bystanders, and the community at large.

 

Massachusetts Opioid Abuse Prevention Collaborative (MOAPC)

The MOAPC Grant Program is funded by the Massachusetts Department of Public Health (MADPH) Bureau of Substance Abuse Services (BSAS) to address the issue of opioid use and abuse, and fatal and non-fatal opioid overdoses in Massachusetts. The purpose of the grant is to implement local policy, practice, systems and environmental change to prevent the use/abuse of opioids, prevent/reduce fatal and non-fatal opioid overdoses, and increase both the number and capacity of municipalities across the Commonwealth addressing these issues. Additionally, this Program seeks to provide financial support for groups of municipalities to enter into formal, long term agreements to share resources and coordinate activities in order to increase the scope of this work and capacity of municipalities to address these issues among their combined populations.

Please see the MassTAPP website for more information.

MOAPC Strategies

Improving the Response of First Responders

Recognizing that fatal and non-fatal overdoses from opioids play an increasing role in the mortality and morbidity of Massachusetts residents, the Massachusetts Department of Public Health launched the Overdose Education and Naloxone Distribution (OEND) prevention program using intra-nasal Naloxone (naloxone) in an attempt to reverse this trend. Naloxone is an opioid antagonist which means it displaces the opioid from receptors in the brain. An overdose occurs because the opioid is on the same receptor site in the brain that is responsible for breathing. Naloxone usually acts dramatically, allowing slowed or absent breathing to resume. It is both safe and effective and has no potential for abuse. Naloxone has been used by paramedics in ambulances and by emergency room clinicians for decades.Since December of 2007, the Massachusetts Department of Public Health has implemented overdose education and intra-nasal naloxone distribution (OEND) in eight community-based settings. These programs have trained potential bystanders to an overdose (drug users, friends, family members) on how to reduce overdose risk, recognize signs of an overdose, access emergency medical services, and administer intra-nasal naloxone. First responders such as police and fire departments; and staff of agencies that serve high-risk individuals can also play a key role in saving lives if they have been trained and have access to Naloxone.

Dissemination of Overdose Prevention Materials

Increase Awareness around the Good Samaritan LawIn Massachusetts the rate of fatal drug overdose has increased dramatically over the past decade. In 2007, an average of 12 Massachusetts residents died each week of an opioid-related overdose (e.g. from heroin, oxycodone, or fentanyl). An overdose is a life-threatening medical emergency. If 911 emergency responders are called quickly enough, in most cases, the person will survive. One of the major contributing factors to an overdose death is that many witnesses do not call 911 due to fear of police involvement. The 911 Good Samaritan law provides protection from drug possession charges when an overdose victim or an overdose witness seeks medical attention.This law helps reduce overdose deaths by removing barriers to calling 911 for medical assistance, a crucial step in saving the life of someone experiencing an overdose. The legislation does not protect individuals from being prosecuted for other offenses such as drug trafficking or weapons charges. This also does not protect individuals with outstanding warrants nor would it interfere with law enforcement protocols to secure the scene of an overdose.

View Massachusetts DPH’s Information Sheet on the legislation

Read the Network for Public Health Law’s overview of Overdose Good Samaritan Laws

Learn to Cope Support Groups

www.learn2cope.org

Joanne Peterson founded Learn to Cope in 2004, with a small group of parents, when her own son became addicted to opiates. Her son is in long-term recovery today. What started then, as a single peer-to-peer support group in Randolph, Massachusetts, has grown to include nearly 3,000 members registered nationally. Every chapter of Learn to Cope holds weekly meetings run by experienced facilitators who have been there. These meetings offer support, education, resources, and most importantly HOPE for recovery. We invite guest speakers from time who are either professionals in the field of addiction to educate us or people in long term recovery to offer us hope. We are parents, not professionals. Anything said in these meetings should stay in the meeting for the respect of our families’ privacy.

Naloxone Pilot Program

Naloxone Information Sheet

Since December of 2007, the Massachusetts Department of Public Health has implemented overdose education and intra-nasal naloxone distribution (OEND). These programs have trained potential bystanders to an overdose (drug users, friends, family members) on how to reduce overdose risk, recognize signs of an overdose, access emergency medical services, and administer intra-nasal naloxone. Potential bystanders are instructed to deliver naloxone when opioid overdose occurs in addition to taking other actions (e.g. rescue breathing and contacting the emergency medical system). The training for bystanders is approximately fifteen to thirty minutes in duration, after which each participant receives an overdose prevention kit. The kit includes instructions, two syringes prefilled with Naloxone Hydrochloride, and a nasal atomization delivery device. There are nineteen pilot sites throughout the state of Massachusetts.

Prescription Drug Take-Back Events

Because medicines are commonly found in family medicine cabinets, on top of dressers, in kitchen cabinets, and in other accessible locations, it is important to take stock of the drugs in your home. If you have unwanted or expired prescriptions, you must dispose of them in order to keep your child safe.You can host a prescription drug take back event in your community and find out more about The National Prescription Drug Take-Back Day which aims to provide a safe, convenient, and responsible means of disposing of prescription drugs, while also educating the general public about the potential for abuse of medications.Find out more about disposing of unused medicine from the Medicine Abuse Project and National Prescription Drug Take-Back Day from the DEA Web site.

Prescription Monitoring Program (PMP)

The Prescription Monitoring Program (PMP) is a tool that supports safe prescribing and dispensing and assists in addressing prescription drug misuse and abuse. The PMP collects prescribing and dispensing information on Massachusetts Schedule II through V controlled substances dispensed pursuant to a prescription. Schedules II through V consist of those prescription pharmaceuticals with recognized potential for abuse or dependence (e.g., narcotics, stimulants, sedatives), and consequently, they are among those most sought for illicit and inappropriate (non-medical) use. The Drug Control Program (DCP) utilizes PMP data to determine prescribing and dispensing trends; provide patient prescription history information to prescribers and dispensers; provide educational information to health care providers and the public; and provide case information to regulatory and law enforcement agencies concerning drug distribution and diversion.Massachusetts’ PMP requires doctors to sign up for and use the state’s prescription monitoring program. Under the PMP, pharmacies and drug manufacturers have to alert local police when they report missing controlled substances to the Drug Enforcement Administration. When a minor is treated for a drug or alcohol overdose at a hospital, a legal guardian must be notified, and resources including a social worker must be provided.

For more information on Massachusetts PMP visit the BSAS Web site.

Guidance on MA Online PMP Automatic Enrollment and Requirements for Utilization.

Working with Pharmacists to Reduce Access

Pharmacists have the unique knowledge, skills, and responsibilities for assuming an important role in prescription drug abuse and misuse prevention, education, and assistance. Pharmacists, as health care providers, should be actively involved in reducing the negative effects that prescription drug abuse has on society, health systems, and the pharmacy profession. Pharmacists can help prevent prescription drugs abuse and misuse by:

  • Check prescriptions for signs of fraud
  • Coordinate and communicate with doctors
  • Monitor medication refills to prevent overuse
  • Follow legal requirements designed to protect patients from overuse and abuse
  • Provide patient education:
    • How medications should be used
    • How to store medications
    • How to dispose of medications

Read the American Society of Health-Systems Pharmacists position paper on pharmacist’s role in preventing abuse.

View the Pharmacy Society of Wisconsin’s Prescription Drug Abuse Prevention Education Toolkit for pharmacists.

Read strategies pharmacists and physicians can implement to help prevent abuse and misuse at the Preventing Prescription Drug Misuse Project.

Proper Storage and Disposal of Prescription Drugs

1 in 6 children have abused prescription medicines. Every day, 2,000 teenagers use a prescription drug to get high for the first time. They’re accessing these drugs in the comfort of home; it can be as easy as opening a cupboard, drawer, or medicine cabinet. The good news – there are steps caregivers can take to help protect youth from prescription drug abuse: monitor, secure and dispose.This web site from Massachusetts’ BSAS provides tips to monitor, secure, and dispose of medicine in the home.The Medicine Abuse Project created Not In My House which provides a checklist for caregivers to monitor, secure, and properly dispose of prescription drugs in their home.

Click here for an information sheet about the safe storage and disposal of prescription drugs.

MOAPC Contacts
  • Berkshire Public Health Alliance

    Coordinator: Jennifer Kimball

    Email: jkimball@berkshireplanning.org

    Phone: (413) 442-1521, Ext. 37

    Website

     

  • Boston Public Health Commission

    Coordinator: Rebecca Bishop

    Email: rbishop@bphc.org

    Phone: (617) 534-2182

    Website

     

  • City of Cambridge

    Cluster Communities: Everett, Somerville, Watertown

    Coordinator: Jamie Stein

    Email: jstein@challiance.org

    Phone: (617) 665-3872

    Website

     

  • City of Fitchburg

    Cluster Communities: Gardner, Leominster, Athol

    Coordinator: Susan Christensen

    Email: schristensen@luk.org

 

  • City of Gloucester Health Dept.

    Cluster Communities: Beverly, Danvers

    Coordinator: Joan Whitney

    Email: jwhitney@gloucester-ma.gov

    Phone: (978) 501-0994

    Website

     

  • City of Lowell

    Cluster Communities: Billerica, Chelmsford, Tewksbury, Dracut

    Coordinator: Maria Ruggiero

    Email: mruggiero@lowellma.gov

    Phone: (978) 970-4010 *dial 9 then ext. 4304

 

  • City of Lynn

    Cluster Communities: Peabody, Salem

    Coordinator: Wendy Kent

    Email: wkent@projectcope.com

    Phone: (781) 593-5333 ext. 359

    Website

     

  • City of Medford

    Cluster Communities: Malden, Melrose, Stoneham, Wakefield, Reading

    Coordinator: Penny Bruce

    Email: PBruce@medford.org

    Phone: (781) 393-2561

 

  • City of Revere Board of Health Department

    Cluster Communities: Chelsea, Saugus, Winthrop

    Coordinator: Catherine (Katie) Sugarman

    Email: cmsugarman@partners.org

    Phone: (781) 485-6404

    Website

     

  • City of Springfield Department of Health and Human Services

    Cluster Communities: Chicopee, Holyoke

    Coordinator: Marie Graves

    Email: mgraves@springfieldcityhall.com

    Phone: (413) 787-6718

    Website

     

  • City of Worcester Department of Public Health

    Cluster Communities: Shrewsbury, West Boylston, Leicester

    Coordinator: Karyn Johnson

    Email: JohnsonKE@worcesterma.gov

    Phone: (508) 799-1762

    Website

     

  • Impact Quincy MOAPC

    Cluster Communities: Braintree, Randolph, Stoughton, Weymouth

    Coordinator: Susanna Cooper

    Email: scooper@baystatecs.org

    Phone: (617) 471-8400 ext. 191

    Website

Partnership for Success 2015

The purpose of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Partnerships for Success 2015 (PFS 2015) grant program is to prevent prescription drug misuse and abuse among high school aged youth across the Commonwealth.

This grant program will target prescription drug misuse and abuse among high school aged youth (14 to 18) in 16 Massachusetts communities of high need. Together, these communities are home to nearly two million residents, approximately 30% of the total Massachusetts population of 6.7 million. They also include the state’s ten largest cities. The City of Brockton has been funded through the PFS 2015 grant. We will use the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Strategic Prevention Framework (SPF) to implement evidence-based prevention strategies.

Partnership for Success Strategies
  • Individual or environmental strategies designed to increase the perceived risk/harm of the Non-Medical Use of Prescription Drugs, alter norms from belief that prescription drugs are a “safer” alternative to other illicit drugs.
  • Prescription Drug Take Back Programs and the Expansion of the Mobile Drug Take Backs
  • Social Media Campaigning.

Substance Abuse Prevention Collaborative (SAPC)

The BAOAPC was awarded the SAPC grant July 1 2015, funded by BSAS, as part of a comprehensive approach to reduce the use and misuse of substances throughout the state. The SAPC grant specifically addresses underage drinking and other drug use from a regional approach. The collaborative towns, with the addition of Bridgewater, home to Bridgewater State University, will work to implement strategies that will have a sustained effect on prevention and reducing underage drinking and other drug use and the devastating consequences that can ensue.

Please see the MassTAPP website for more information

SAPC Strategies
  • Promotion and enforcement of the Social Host Liability Law
  • School Alcohol and Substance Use Policy cohesion
  • Social Marketing Campaigning

Drug Free Communities (DFC) Grant

The BAOAPC was awarded the DFC grant in October 2014 in partnership with the Plymouth County District Attorney’s Office under a federal grant sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA).

The primary goals of this grant are to: Establish and strengthen collaboration among communities, public and private non-profit agencies; as well as federal, state, local, and tribal governments to support the efforts of community coalitions working to prevent and reduce prescription opioid and heroin use among youth (18 years and younger). In addition, we aim to reduce prescription opioid and heroin use among youth and, over time, reduce prescription opioid and heroin use among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse.

Drug Free Communities Strategies
  • Goal One: Increase Community collaboration
    • Objective 1: Increase coalition membership from under represented sectors
      • Strategy: Recruit new members
    • Objective 2: Enhance capacity of coalition members
      • Strategy: Increase cultural competence of coalition membership
      • Strategy: Make training opportunities accessible for all coalition members.
      • Strategy: Collect and analyze data
      • Strategy: Inform coalition members of current youth substance trends/best practices
  • Goal Two: Reduce Youth Substance Abuse
    • Objective 1: Reduce Past Day 30 day use of non-personal and abuse of personal prescription drugs by 10% in youth from all four communities (Grades 9, 10, 11, 12).
      • Strategy: Increase perception of harm via public awareness campaign.
      • Strategy: Enhance access to information about safe prescription drug storage for marginalized community members
      • Strategy: Enhance skills of parents/professionals in recognizing prescription drug abuse.
      • Strategy: Reduce access to prescription pills
      • Strategy: Create partnership between hospitals to modify policy of prescription practices.
      • Strategy: Increase perception of harm via peer messaging
      • Strategy: Modify police patrol policies

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