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Tuesday, November 21, 2017

OPIOID CRISIS- Snohomish County Tries a New Strategy


In an effort to fight the county’s opioid crisis more comprehensively, County Executive Dave Somers has ordered partial activation of the county’s Emergency Coordination Center. The center, as part of the county’s Department of Emergency Management, is normally activated for natural disasters such as major earthquakes, floods and fires. Activating the coordination center will allow better coordination between local agencies such as the Sheriff’s Office, Department of Health, Public Works, Human Services as well as the county’s cities.

At a press conference that was streamed online, County Executive Dave Somers, County Health Officer Dr. Mark Beatty and Sheriff Ty Trenary all described a serious situation that requires many disciplines to control.

Numbers portray the problem. The emergency room at Providence Regional Medical Center in Everett has treated 688 overdose cases through August of this year. In 2016, there were 90 overdose deaths in Snohomish County. 13 of those deaths were attributed to fentanyl or other synthetic drugs. Statewide in 2016, there were 694 fatal opiate overdoses.

Over one weekend last month, the county Medical Examiner reported 7 suspected overdose deaths. In the first six months of this year there have been 8 overdose deaths from synthetic opioids such as fentanyl. And according to Dr. Beatty, the Everett needle exchange is on track to collect over 2 million needles this year.

Comments from the three officials emphasized that the county needs to develop a multi-disciplined approach to reduce the damage of the opioid/heroin crisis. Dr. Beatty said that we need to change how we think about the problem. Opioid addiction is not a failure of will, it is a disease that may be influenced by some people’s genetics. The county needs to protect the community from harm; that includes from crime caused by addiction and the health dangers from the addiction itself. The county needs to treat the addicted but also it needs to prevent the addiction.

Sheriff Trenary said that the addiction problem is all over the county, not just in certain areas. He feels that the crisis has some ties to homelessness as well as an individual’s mental health. He said that "Letting people die is not a solution.”

Both Dr. Beatty and Sheriff Trenary pointed out that there are not enough services in the county to treat the addicted. Often, when the Office of Neighborhood’s outreach teams, which consist of deputies and embedded social workers, find people who want help, it might take a few days to coordinate help. This often requires putting the person wanting help, the client, in a hotel room. Also, the social workers are often going out of the county and out of the state to find the services that the client needs. One goal that Sheriff Trenary has is to convert an old work release facility into 40 beds where clients can stay while the embedded social workers find help.

County Executive Somers said that "Punishment doesn't work." Dr. Beatty concluded that it is a community problem and the community needs to take action to fix it.

The partial activation is called the Opioid Response Multi-Agency Coordination Group (MAC). The county has set seven goals for the group:



1.      Reduce opioid misuse and abuse;

2.      Lessen the availability of opioids;

3.      Reduce criminal activity associated with opioids;

4.      Use data to detect, monitor, evaluate, and act;

5.      Reduce collateral damage to the communities;

6.      Provide information about the response in a timely and coordinated manner; and

7.      Ensure the availability of resources that efficiently and effectively support response efforts.

The health district has created a “one stop” web site on opioids for people who want more information or who want help with their own opioid addiction. That web site can be found at http://snohomishoverdoseprevention.com/.



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