Stemming the Opiate Epidemic through Education and Outreach (2017-2018)
In recent years, the incidence of opiate overdose deaths, opiate addiction and the resurgence of heroin use has been much in the news. The current crisis is the result of a complex combination of changing pain-medication prescribing practices, changing demographics of opportunity and a disconnected society.
This Bass Connections project began in 2016 with the goal of understanding the current epidemic and sharing knowledge with the public to alleviate this problem in Durham. In 2017-2018, the team published research on heroin use in the North Carolina Medical Journal showing that the number of opioid overdoxe deaths in the state increased by nearly 800 percent between 1999 and 2016. Team members also published an article in Nurse Educator, wrote an opinion piece for the Durham Herald Sun, appeared on a local radio show and took part in the Health and Human Services Opioid Symposium and Code-a-Thon in Washington, DC.
The team also worked with the Duke Hospital Emergency Department (ED) to establish a program in which providers give the opiate-overdose-reversal drug naloxone free of charge to at-risk patients. The team prepared evidence-based proposal materials and presented them to ED leadership, identified patient criteria in Electronic Medical Records to trigger a “Best Practice Advisory,” prepared educational materials and surveys for providers to assess attitudes and intent and handed off the project to new leadership within the ED.
The team continued its partnership with the North Carolina Harm Reduction Coalition and assembled over 400 emergency naloxone rescue kits for distribution to at-risk populations. Additionally, the team partnered with Alliance Behavioral Healthcare, Duke National Alliance on Mental Illness (NAMI), Duke Counseling and Psychological Services (CAPS) and DukeReach to sponsor two 8-hour Mental Health First Aid certification trainings in Fall 2017 and Spring 2018, certifying over 100 members of the campus community from 2016 through 2018.
The team also strengthened its partnership with Durham’s Crisis Intervention Team (CIT) through two affiliated Data+ teams. In Summer 2017, a Data+ team analyzed 9-1-1 call data from Durham Police Department to assess the uptake of CIT’s programs among citizens and officers. In Summer 2018, a Data+ team analyzed jail incarceration data to assess recidivism among citizens with mental health issues.
Summer 2017 – Spring 2018
Mary Funke, Marcus C. Kaplan, Holly Glover, Nicole Schramm-Sapyta, Andrew Muzyk, Jennifer Mando-Vandrick, Alexander Gordee, Maragatha Kuchibhatla, Emily Sterrett, Stephanie A. Eucker. 2021. Increasing Naloxone Prescribing in the Emergency Department Through Education and Electronic Medical Record Work-Aids. The Joint Commission Journal on Quality and Patient Safety.
Alexander H. Gunn, Bryce Bartlett, Grace Feng, Matthew Gayed, Katie Kanter, Erica Onuoha, Madeline Thornton, Andrew Muzyk, Nicole Schramm-Sapyta. “Running the Numbers: County Level Dynamics of Heroin Mortality in North Carolina.” 2018. North Carolina Medical Journal 79(3):195-200.
Alexander H. Gunn, Zachary P.W. Smothers, Nicole Schramm-Sapyta, Caroline E. Freiermuth, Mark MacEachern, Andrew J. Muzyk. 2018. “The Emergency Department as an Opportunity for Naloxone Distribution: A Systematic Review.” Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health 19(6):1036-1042.
Alexander H. Gunn, Bryce Bartlett, Grace Feng, Matthew Gayed, Katie Kanter, Erica Onuoha, Madeline Thornton, Andrew Muzyk, Nicole Schramm-Sapyta. 2018. “County-level dynamics of heroin mortality in North Carolina.” North Carolina Medical Journal 79(3):195-200.
Z Smothers, V Reynolds, M McEachern, AL Derouin, BM Carter, A Muzyk. 2018. “Substance use education in schools of nursing: A systematic review of the literature.” Nurse Educator May/Jun;43(3):136-139.
Stemming the Opiate Epidemic through Education and Outreach (talk by Katie Kanter and Madeline Thornton at Bass Connections Showcase, April 18, 2018)
Stemming the Opiate Epidemic through Education and Outreach (poster by Nicole Schramm-Sapyta, Andrew Muzyk, Alexander Gunn, Grace Feng, Matthew Gayed, Katie Kanter, Erica Onuoha, Madeline Thornton), Bass Connections Showcase, April 18, 2018
Presentation at Beyond Talking Points, half-day forum at Duke in DC (October 17, 2017)
Mental Health First Aid Workshop (November 4-5, 2017)
Participation in HHS Opioid Symposium and Code-a-Thon, Washington, DC (December 6-7, 2017; Grace Feng, Duke Forge delegation)
Mental Health First Aid Workshop (April 7-8, 2018)
This Team in the News
See related team, Stemming the Opiate Epidemic through Education and Outreach (2016-2017), and Data+ summer projects, Mental Health Interventions by Durham Police (2017) and (2018).
- Andrew Muzyk, School of Medicine-Psychiatry and Behavioral Sciences
- Nicole Schramm-Sapyta, Duke Institute for Brain Sciences
/graduate Team Members
Alexander Gunn, Biomedical Sciences
/undergraduate Team Members
Grace Feng, Neuroscience (BS)
Matthew Gayed, Biology (BS)
Katie Kanter, Neuroscience (BS)
Erica Onuoha, Biology (BS)
Madeline Thornton, French Studies (AB), Global Health (AB2)
/yfaculty/staff Team Members
Caroline Freiermuth, School of Medicine-Surgery: Emergency Medicine
Alexander Limkakeng, School of Medicine-Surgery: Emergency Medicine
/zcommunity Team Members
Durham Crisis Intervention Team (CIT)
North Carolina Harm Reduction Coalition
Alliance Behavioral Healthcare