Prevention, Enforcement and Treatment (PET) ProgramNH Provider’s Association Annual Conference

Eric Adams, PET Coordinator

Laconia Police Department

October 15, 2015

Today’s GoalsDescribe Problem Oriented Policing (POP)Describe how the PET position came to fruitionDescribe an innovative approach to substance misuse

prevention and referral to treatment Describe the impact of the PET position to date Considerations for replication at other Police

Departments

Problem Oriented Policing – moving from “reactive” to “proactive”

1. Identify and prioritize recurring problems

2. Analyze problems using a variety of data sources

3. Design response strategies based on what was learned from analyzing the problem

4. Implement response strategies

5. Assess the success of response strategies

Source: http://cebcp.org/evidence-based-policing/what-works-in-policing/research-evidence-review/problem-oriented-policing/

Problem Identification and Analysis Increase in number of heroin-related overdoses

and arrestsVery high risk individuals were identified Identified a lack of a connection to treatment

resourcesTreatment attrition rates highLack of long-term recovery support resources

Response Strategy: PET GoalsTo serve as a liaison between clients who are overdosing

and community resources Strengthen network system to help improve knowledge of and

access to resources Provide support for clients/families dealing with substance misuse

and addiction Receive referrals from community partners Increase the number of clients accessing treatment services Identify avenues to assist individuals with finding funds for

resources (food, housing, etc) Advocate for policy supporting prevention and treatment Participate in local prevention initiatives

First Steps - Staffing, Training and Building Partnerships

Established Community Connections (Resources and Referrals)Regional Public Health NetworkLocal Coalition NH National GuardLocal Treatment Provider Faith Community

Participated in Prevention and Addiction Training145 hours between September 2014-October 2015 (13

months)

Referral Sources

Criminal Self Recovery Court Restorative Justice School Local Treatment Center County Jail Outside Agency (Other PDs, Welfare, Healthcare Providers)

The PET Program is driven by a strong network of referral sources.

Delivery of the PET Program Receive referral Meet with individual Provide list of treatment options and arrange for intake/first

appointment Identify family and individual supports Provide supplemental options to treatment Develop a communication plan (planned and random)

Responding to Overdose Calls(in coordination with First Responders)

Meet with families directly during crisis Open lines of communication during critical 24-hr timeframe after

event Provide options counseling in the critical moment

Monitoring the Implementation (November 2014-present)Total Outreach = 92

Active/Compliant: Active, clean and following planClosed/Compliant: Following plan and no need for further supportActive/Relapsed: Relapsed, continued support provided, individual treatment and support plan modifiedClosed/Relapsed: Relapsed, no further support provided

Status Number of Cases

Active/Compliant 7

Closed/Compliant 20

Active/Reoccurrence 3

Closed/Reoccurrence 14

TOTAL 44

Monitoring the Implementation (November 2014-present)

48% of clients have entered into some form of recovery

All 44 clients have been referred to treatment

30 clients have successfully entered some form of treatment

Local Policy and Systems ChangeCollaborated with local District Court Judge to

create a Supplemental Bail OrderCollaborated with local Treatment Provider to

create a Medical Consent process Formalized a system to accurately track overdosesDeveloped Resource Cards Provided training for Laconia Police and Laconia

Fire Departments

Resource Cards “The Laconia Police Department recognizes that

substance abuse is a disease.

We recognize that you can’t fight this alone.

For assistance and support, please contact us.”2-1-1CoveringNewHampshireNHTreatment.orgSuicide Prevention Lifeline 1-800-273-8255 (1-

800-273- TALK)

Preparing for Replication Determine key components of the program Develop guidance and/or training materials for

other police departments

Additional Proposed Evaluation Components to Measure Program Effectiveness Determine the best control communities Confirm what types of similar activity (to PET) is happening

in control communities Track the number and type of referrals received Track trends in overdoses over time Track the trend in treatment admissions over time Track treatment attrition rates

Recommendations for other Police Departments who want to Act Now

Identify resources in the community – contact person for each resource

Develop a Resource Card Follow-up phone calls to individual and/or family member

Questions?

Contact information:

Chief Adamscadams@laconiapd.org524-5257 x324

Eric Adams, PET Coordinator eadams@laconiapd.org 524-5257 x507