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Atrium Heroin Usage Meeting

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VietVet View Drop Down
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    Posted: Mar 20 2017 at 2:51pm
Read where Mr. Adkins and others had another community heroin usage meeting at the hospital this morning. Looked to be maybe 30 participants by the Journal picture presented.

Looks like taking care of addicts is draining the emergency response resources with no solution in sight, but then again, this group is only looking at it from a "guardian angel" angle trying to play the "Heroin Savior" role. Why? Why should society care about human beings who don't care about themselves playing Russian Roulette with the next heroin hit? Is the city obligated to be there every time they do ignorant things in their lives? To borrow a phrase from comedian Ron White...."you can't fix stupid". Do we have the right to determine what is best for them or should we keep our nose out of how they wish to live their lives? Should we be playing the "parent role" by dictating what is best for them bailing them out time after time? I think not. It is up to them to fix their addiction. THEY are the only ones who can determine whether they want treatment or not. They have to be responsible for something in their lives. Never a better time than now. By the way, are the addicts paying for each Narcan treatment like they should be or is the taxpayer getting stiffed for yet another incident of funding those who cause society's problems? How about the ambulance ride? Is their insurance (if they have any) paying for the ambulance service and the EMT's time? If not, why not? Non drug related medical emergencies must pay for this either out of pocket or through insurance. The taxpayer is not responsible for these charges. The user is.

Would like to request the next meeting be held in the evening so that we day shift working people have an opportunity to express our opinions on the subject. Some may have some comments to make that may not be popular with the majority of the people in the room, but, for fairness sake, all comments need to be entertained, be they in the realm of popular thinking or not. Perhaps some of us do not want city money used to support this lifestyle.

How about an evening session Mr. Adkins. Say around 6 or 7 PM perhaps?
I'm so proud of my hometown and what it has become. Recall 'em all. Let's start over.
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John Beagle View Drop Down
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Post Options Post Options   Thanks (1) Thanks(1)   Quote John Beagle Quote  Post ReplyReply Direct Link To This Post Posted: Mar 22 2017 at 12:20pm
Selected from the PPT presentation of Heroin Meeting at the Atrium:

Current State • 366% increase in overdose deaths in the U.S. between 2000 to 2012 • Most overdose deaths were from prescription meds until 2012 • Significant shift from prescription meds to heroin related deaths in 2012

Why the shift to heroin? • Growing opiate addicted population • Shutdown of southern Ohio pill mills • Ohio Emergency & Acute Care Facility Opioid and other Controlled Substances Prescribing Guidelines • Tamper resistant long-acting opioid formulations • Increased supply of pure, cheap heroin

Death rates are increasing in the younger population • Males 25-34 are at highest risk for heroin deaths • Treatment admissions show that ALL demographics are increasingly reporting heroin as their primary drug

Butler County • 56 = Heroin related deaths in the first six months of 2014 • 85 = Heroin related deaths in the first six months of 2015 • 103 = Heroin related deaths in 2014 • 149 = Heroin related deaths in 2015 

In 2014, overdose deaths surpassed deaths due to natural causes for the first time in recorded history.

Warren County • In 2013 and 2014, unintentional overdose deaths rose by 50% each year. • Warren County Coroner no longer performs autopsies on suspected overdose victims due to the high volume of overdose deaths.

How Does Heroin Impact the Community? • Increased crime and use of law enforcement resources • Increased use of EMS • Increased use of healthcare resources • Financial burden on community • “Unseen” costs to the community

Impact on Law Enforcement • In 2014, the Middletown Division of Police spent $1.2 million investigating 1500 heroin complaints resulting in: – 66 Search Warrants – 2 Murders – 86 Deaths – 700 Arrests for Drug Related Crimes

Increase in Drug-Related Ancillary Crime – In 2014 Middletown Police Officers responded to more than 200 thefts, almost 100 robberies, over 900 burglaries, and multiple prostitution calls related to supporting the drug addicts’ habit. – MPD Officers spent over 3,000 man hours responding to drug crimes along with additional hours spent testifying in court • Delay in response times • Increase in violent crime

Butler and Warren Counties are both identified by the Federal Government and the DEA to be HIDTA – High Intensity Drug Trafficking Areas. – I-75 and I-71 frequently used – Attracts high-level drug traffickers • Increase of motor vehicle accidents due to driving under the influence of opiates and pursuits.

Impact on EMS • In 2014 the Middletown Division of Fire spent over $175,000 responding to 702 reported overdoses within the city limits. • Middletown paramedics administered Narcan 333 times in 2014. • Increased risk of needlesticks, blood exposures, and assault to EMS. – Patients often extremely combative after receiving Naloxone. – Overdose scenes often present a high risk to EMS due to bystanders who are afraid of criminal charges.

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Post Options Post Options   Thanks (1) Thanks(1)   Quote John Beagle Quote  Post ReplyReply Direct Link To This Post Posted: Mar 22 2017 at 12:21pm
Fentanyl and Heroin • Fentanyl is a synthetic and short-acting opioid analgesic that is 50-100 times more potent than morphine. • Often mixed with heroin and sold as a highly potent form often called “China White”. • Many drug users do not realize that fentanyl has been added to heroin and use the same amount that they normally do, resulting in overdose. • Since heroin is mixed with fentanyl in “batches” and then sold to many users, this causes a sudden, sharp increase in number of overdoses that overwhelms first responders and Emergency Departments.
John Beagle

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Post Options Post Options   Thanks (1) Thanks(1)   Quote John Beagle Quote  Post ReplyReply Direct Link To This Post Posted: Mar 22 2017 at 12:22pm
Financial Impact on Communities • Decreased residential/business development due to crime rate increases – Increase in insurance rates • Increased cost associated with prosecuting offenders, jail, probation, etc. • Increased number of people requiring government assistance • Decreased work force • Additional funding needed for health departments as cases of HIV, Hepatitis, and other diseases become more prevalent

Financial Impact on Middletown • In 2014, the City of Middletown spent $1.5 million of taxpayer funds directly responding to heroin addiction within the city. • The Middletown Health Department spent over $18,000 in indigent burials related to overdose death.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote John Beagle Quote  Post ReplyReply Direct Link To This Post Posted: Mar 22 2017 at 12:23pm
“Unseen” Costs 
• Increased safety risk to members of the community due to dirty needles 
• Long term health costs from drug-related damage 
• Cost of treating diseases from IV transmission such as HIV, Syphilis, and Hepatitis • Cost of treating babies born addicted to heroin 
• Societal cost of parents who are absent in children’s lives due to heroin addiction. 
• Cost of sustaining treatment centers 
• Societal cost of teens dropping out of school due to addiction 
• Community leaders spending hours meeting to discuss possible solutions and how to manage epidemic 
• Repossession of homes, vehicles, etc. 
• Cost of Child Protective Services, custody hearings, etc. 
• Emotionally traumatic to family members, caregivers, first responders
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Post Options Post Options   Thanks (0) Thanks(0)   Quote What A City Quote  Post ReplyReply Direct Link To This Post Posted: Mar 27 2017 at 11:14am
And in today's Journal, we read where Chief Muterspaw wants to crack down on the repetitive users and make it mandatory that they receive treatment as a trade-off for charges for inducing panic. Sounds like Sheriff Jones is in the same frustration predicament in dealing with the druggies who refuse to change their habits.

Again, how many times does the medical community, the EMT's. police and the taxpayer save the ones who could care less whether they live or die?

Isn't there a reasonable, common sense line in the sand that needs to be drawn when dealing with these people in our society?

Why do we constantly try to keep people who are out of control in check? Is it really society's responsibility to protect these people from themselves?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SEEKING THE TRUTH Quote  Post ReplyReply Direct Link To This Post Posted: Apr 02 2017 at 9:49am
Does anyone know What happens to a person that overdoses in the city.
What is the fine?
If taken to the hospital are they arrested after treatment? And if so how much time do they get 1 day 90 days?
You see I ask these questions because there has been an Ordinance passed to penalize a property owner in this city but not a person that overdoses. From what I have seen they get free medical attention a free ride to the hospital and maybe a free night stay at the hospital and after this is all over a ticket and a summons to court with a smack on the hand. Really Hey Doug Adkins got an idea for you pass an Ordinance that fines the addicts all of the expenses though the courts as as criminal offense though the courts when they show up for the overdose charge. Two things can only happen.
1. They don't show up then next time they od you can arrest them for failure to appear and them give theme the maximum amount of time and fines send them to county problem solved.
2. They do show up to court fine them for every dime they owe set them up on a monthly payment. When they don't pay then two things can happen .
A.The person will leave this city because they will be scared of being picked up for the warrant issued for failure to pay there fines.
B. Next time the person overdoses when they leave the hospital it will be in cuffs to jail not back to our neighborhoods because the warrant for failure to pay there fines will be the waiting on them at the door.
Just saying looks like everybody's billing the government here in some where or another and not removing the problem which is the cause of the bills remove the available demand "addicts" and the dealers will leave.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote whistlersmom Quote  Post ReplyReply Direct Link To This Post Posted: Apr 02 2017 at 12:37pm
Oooooo!

EXTREMELY well taken questions!!! and astute observations.

Adkins started the drug summit last year to get our drug problem under control. This year overdoses are up over 164%. Adkins has done his usual fine job!

"The only thing necessary for the triumph of evil, is for good men to do nothing" Edmond Burke
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