BSAN Meeting Minutes July 2017
BSAN Meeting Minutes, Friday July 28th, 2017
51 people were present at the Collett Street Recreation Center in Morganton, NC on Friday, July, 28th, 2017 for this 7:30am breakfast meeting.
BSAN member Derrick Reynolds offered the invocation.
Joseph Marks, Executive Director at Burke Recovery, welcomed the group and requested updates from the group.
Sarah Dergins and Bryan Austin, Prevention Specialists from Burke Recovery, updated the group regarding Operation Medicine Drop. A Medication Take Back Event was held this past Saturday in Hildebran and over $1500.00 of narcotics were secured. A new medication drop box has been placed at the Morganton Public Safety Office as well. The Burke Youth Health Coalition completed a merchant assessment regarding merchandising issues that could be considered unhealthy for the youth. The youth have also completed a park assessment and they discovered many park rules being broken. The coalition is now learning about ordinances and ways to approach the Town Council regarding these issues. The prevention team is planning a Youth Leadership Retreat event this fall as well. Burke Recovery is also trying to create a video with EMS on Naloxone and Good Samaritan Laws.
Joseph Marks announced that Sarah Dergins will be leaving Burke Recovery this August to finish her graduate work at Chapel Hill. Mr. Marks also introduced Sarah Gregory as a new member of the prevention team.
Medicated Assisted Therapy for Women
Joseph Martinez, Executive director at FIRST at Blue Ridge Inc., updated the group regarding a facility that would offer medicated assisted therapy for women. They are still looking for a location for the facility. The facility would provide 10 beds and 90 transitional housing.
New Counselor at Burke Recovery
John Alspaugh, LPC, LCAS from Burke Recovery, introduced Mario Moraga, LCAS, as a new Counselor at Burke Recovery. Mr. Moraga brings 23 years of experience to the Burke Recovery team.
Foster Parents Needed
Dorraine Hernandez updated the group regarding children in foster care. Burke County currently has 205 kids in foster care so we are in desperate need for more foster parents. Many children, including infants, are testing positive for drugs due to accidental exposure and this number is increasing.
Flynn Recovery Home
Kevin Norris, CSAC at Burke Recovery, updated the group regarding the current Flynn Home Members. All eight members attended this BSAN meeting and their commencement is coming up on August 11th.
Lisa Moore with Burke County Health Department updated the group on Morganton’s Family Day. Family Day will be held on Monday, September 25th. A rain date is set for Monday, October 2nd. For sponsorship and/or booth registration, you can contact Lisa at the Burke County Health Department.
Julie Walker from Cognitive Connections announced to the group that additional funding is available serving those with opioid addiction. The treatment program also provides transportation to and from the facility.
Medication Assisted Treatment for Pregnant Women with Opioid Use Disorder
Blake Fagan, MD is the Chief Education Officer at the Mountain Area Health Education Center (MAHEC) and Assistant Residency Director at the MAHEC Family Medicine Residency Program in Asheville.
Dr. Fagan presented on the use of medication-assisted treatment (MAT) for treating individuals with opioid use disorders. Specifically, he shared the success of MAHEC’s MAT program for women with opioid use disorders who are pregnant. The program mandates behavioral counseling and creates a continuum for pre-natal, obstetric, primary, and pediatric care. Mothers in the program work with physicians and behavioral health counselors. After delivery, the mother is transitioned to a primary care physician who manages her buprenorphine treatment while she continues to work with behavioral health providers on her recovery.
According to the World Health Organization (WHO), detoxification while pregnant causes more adverse effects on a developing fetus than use of buprenorphine. The WHO has found no increased risk for pre-term delivery with buprenorphine use, as prescribed by a monitoring physician. To date, research has found that 10% of individuals in recovery from opioid use disorder by using abstinence alone are successful at six months, 60% using MAT are successful at six months, and 10 % remain successful at six months using naltrexone.
Medicaid mandates require that a conversation about weaning takes place between a patient and physician, and that MAT be combined with behavioral therapy. Best practices also recommend that MAT be used for the duration of the pregnancy, and for one year following post-partum.
Benefits of MAT treatment for women who are pregnant and have an opioid use disorder include:
- Increased adherence to pre-natal care
- Decreased illicit drug use
- Decreased injection use exposure
- Improved maternal nutrition
- Increased birth-weights
- Decreased incidence of opioid withdrawal
- Decreased pre-term deliveries
- Increased access to Obstetric, primary, and pediatric care
- Increased access to a continuum of care
- Decreased number of cases opened by child protective services
Barriers to MAT treatment for pregnant women:
- Medicaid only authorizes 22 visits per year with primary care providers
- Medicaid is lost six weeks post-partum
- Medicaid limits the number of different providers a patient can see, which is often high in a teaching facility such as MAHEC.
August BSAN Meeting
Next month’s BSAN meeting will be held at 7:30am on Friday, August 25th, 2017 at the Collett Street Recreation Center in Morganton.