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Welcome. You're listening to the Keeping Ashland Healthy Podcast, a
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podcast production of the Mental Health and Recovery Board of
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Ashland County, Ohio. Thanks for joining us, and welcome back
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to another episode of the Doctor Ashley and the Boss
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podcast here on Keeping Ashland Healthy, a production of the
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Mental Health and Recovery Board.
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Welcome, Thanks, How are you this morning?
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Boss?
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Well, yeah, I'm nervous. We've got a couple guests and
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so intimidating, very intimidating people in the room with us
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today for overdose awareness. We're doing some awareness raising of
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this important issue, and we brought in heavy hitters.
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Yes, we did. I'm really excited about this one.
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I am too well in the room. Mister ford Welcome,
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nice to see you here. He is the director. Can
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he say welcome? I'm glad to be here.
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You're forcing me, yes, yes, yes, welcome. I'm Rick Fordham,
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the director of ACADO.
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Yes, the CAADA director. And again we'll mention these numbers
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as we go out, and I'll put them in the
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episode description. But Kaita is four one, nine, two eight
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nine seven sixty seven five. But again I'll mention that
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again later. Mister ford the director is also a licensed
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independent social worker years of experience in a substance use field,
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so his insights and I think expertise in this topic
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will become a parent as we go through the episode.
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Also joining us is our health commissioner in Ashon County,
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Vicky Taylor. Welcome, Vicky, thank you for having me today. Well,
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I appreciate you being much more easy to work with him,
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mister Ford. So Vicky is over at well your new location.
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I still consider it a new location on Claremont there
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and their numbers four one nine two eight two four
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two three one again information again later in the episode
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and in the episode description. But Vicky is our our
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health commissioner and Rick have got a real, I think
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important and unique you of overdose awareness, and we're interested
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in talking that through in its aspects because again it's
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a serious issue that Ashton County is trying to do
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multiple approaches, doctor Ashley to see if we can't bring
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these deaths down to zero, which is always our goal.
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Yeah, we're losing too many people to overdose. Absolutely, So
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this is an important topic today and.
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That kind of feeds into my first question for anybody
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really is you know why, particularly in Ohio but this
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is an effort that's going on throughout the country. Why
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Overdose Awareness Day? And then as we're doing here in
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the county, this is an all year kind of focus,
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but we're using the day, if you will, as a
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springboard to talk about this issue. But why is it
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so important?
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Well?
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The first the first thing, opioids killed more than one
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hundred and thirty six Americans every single day. Think about that.
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That's a lot of people every day we're losing. Right
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In twenty twenty two, nine and fifteen laves were lost
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from unintentional.
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Drug overdoses and I was in Ohio, in Ohio.
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Of those involved opioids.
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Yeah, so again for for our listeners, we've talked about
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fetanyl and fentanyl is one of those opioids that is
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typically involved. Is that right, mister Ford? From your experience
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both in terms of the treatment as well as prevention
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and some of these stats, it seems like so many
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of the opioids that we talked about, fentanyl is the
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one that seems to be the one that's causing so
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many of these overdose deaths.
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Yeah, that's absolutely correcting, you know, and fentyl being it's
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an illicit synthetic opiate.
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So you know, even the.
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Majority of those overdose related deaths in Ohio and across
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the country, most of those involved fentanyl specifically as the
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type of opioid that was you know, it's very pervasive,
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it's potent, and it's profitable, you know, and that's why
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it's in the drugs and illicit drugs. Obviously in the
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hospitals that ain't quite different. You know, sure it all
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is used for medical purposes and it's safe, but not
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for illicit drugs.
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And it's in every type of.
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Drug nowadays, not just you know, the standard opiate or heroin,
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street heroin. We don't unfortunately, hear much about heroin anymore
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in the past few years, and that's because of the
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synthetic fetanyl really being so pervasive in all types of drugs,
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especially stimulant drugs that's fetamine, methamphetamine, cocaine.
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It's for pervasive. So for the first of that's really
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a drug.
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User, it's almost the norm or the expectation that fetanyl.
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Is going to be a part of Interesting well, doctor,
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actually Vicky mentioned some of the national statistics and then
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some of the Ohio statistics. Can you tell us a
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little bit about again why we're focused on in Ashley County.
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Do we see some of these numbers reflected in Ashon
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County data?
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We sure do.
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And the sad part is that as we talk about
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fentanyl and it being mixed in with other substances, no
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one ever knows how much they're getting, and that does
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it just scary and how deadly it is. Fetanohl was
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the leading drug use in our overdose deaths in the
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last few years. But I also wanted to kind of
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raise the fact that demographically drug overdose is affecting every
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demographic in our community. So it's not like you can
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pinpoint one certain age group or one certain race or population.
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It is pervasive everywhere. And that's just the impact of
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the deaths of the people using the overdose. Doesn't even
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talk about the impact that it has on the families
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and those that are left behind. So it's a serious
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issue and it's one that's concerning, and it's it's concerning
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enough that in the last few years, the Ohio Department
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of Health has encouraged all counties within the state to
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start doing an overdose fatality review, yes, so that we
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can get to understand what is happening in our communities
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and to provide the data and work together as a
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community to kind of come up with ideas on how
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we can curb this from happening in our community.
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Yeah, I'm glad you mentioned that, mister Ford, doctor Ashley,
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and myself. We're all with you as well as other
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key partners at that last meeting and appreciate your leadership
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in that. But if I recall when we were actually
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trying to figure out the actual number of overdose deaths,
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and I guess that would have been calendar year twenty three,
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I think that might have been amongst our highest numbers
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that we experience. So this issue is front and center.
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I think in Ashen.
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County, Yes, and twenty twenty two we had maybe two
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more overdose deaths than twenty twenty three, but the trend
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is clearly going up where we were when we first
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started looking into this. So it is concerning. The average
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age group is in the mid thirties, so if that's
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the average age group, you can see what's going what's
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happening there. But we also had some juvenile overdoses and
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that was really concerning as well.
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Yeah, that gets it. I think what you know mister
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Ford was saying about, you know, it being in so
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many other substances. Whether you think you might be taking
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I don't know, you name it.
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Something like what they refer to as like a study
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drug or a stimulant, so something in like the adderall.
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Oftentimes it's in a benzodiazepine. So it's the anax klonopin
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those those classifications of medications that you think you're getting
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one thing.
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But you're not right. So one of the things we
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talk about, I know your prevention specialists try to make
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this point with the young people is you know, if
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the medications not prescribed to you, don't take it, because
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if you're you're taking it from somebody else, even if
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they are a quote unquote friend of yours. If you
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don't know where it's coming from. It might even say
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to your example, Rick, it might even say adderall or
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something else. On the pill itself, it might be stamped correctly,
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but they're making these counterfeit pills look very close to
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the original. So again, safety for us, if the drug
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or the medication is not prescribed, you don't take it,
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even if it's somebody you know.
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Really well, Yeah, something I've heard you say before experimentation
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is not the same today as it used to be.
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The risk is much much higher because of the ventanyl
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and the just the potency of that drug.
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Agreed. Again, we're speaking with Vicky Taylor, Ashton County's Health Commissioner,
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as well as Director Rick Ford of a KATA. So
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we've talked a little bit about the whys and why
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why the attention, and it's the numbers. We're losing far
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too many people Ashton County, in the state, in the country.
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So one of the things we wanted to highlight for
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our listeners is, you know what we're doing locally to
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address this issue, because Vicky, you mentioned the Overdose Fatality
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Review Committee. Now that's not something a lot of people
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would see in this community. It's an important thing that
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we all are doing, and I think some action steps
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can come out of it, but there might be some
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more tangible or easily identifiable things that both of your
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organizations are doing, so I wanted to talk through those
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if we could. So one of the issues, one of
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the primary overdose reversal medications is narcan, So either one
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of you can we talk a little bit about what
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narcan is, how it works, and where folks can get that.
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Well, you know, Narcan is really the first, you know,
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there's quite a few, there's a few others out there
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now as well. You know, Narcan being you know, is
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the drug or medication to utilize in a crisis if
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we suspect that someone is an overdose.
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It's an overdose reversal drug.
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So basically, you know, not to get too scientific, but
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it balances some of the opiates off our opiate receptors
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in our brain and then essentially hopefully brings someone back
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in their central nervous system and the breathing back.
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That's the simplest way I can explain.
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I'm not a science or a doctor, so I won't
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try to pretend to be one. But at the same token,
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it's probably the most successible and the easiest harm reduction,
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life saving intervention that anybody in our community, our state,
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our country can do. Narcian is available, you know, not
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only at a CATA, but obviously through the health department,
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and we provide, you know, we're available to provide narcian education,
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what it is, how to use it, and really what
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to do in an overdose situation on a daily basis.
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Any any issues Vicky that folks need to be concerned
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with in terms of you know, I've heard this before.
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You know what if I give them nar Canon and
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it wasn't an opioid that they're overdosing on it, you know,
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how concerned do we need to be that. You know,
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I give them the nar can and it wasn't an
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opioid where that hurt them in some way.
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So my understanding is will not hurt them, So it's
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better to try the Narcan and because chances are it's
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going to be opioid related, but if it's not, it
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won't do any harm. And so we're trying to encourage
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everybody to carry nark can. It's free, it's easy to use,
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and we can give you a two minute demo on
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how to use it.
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And I think both your organizations would do that if
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folks want to demo, you know before they distribute that,
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and it can be that quick because it's really a nasal. Yes, yes,
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neither one of you guys are distributing any of the injections.
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I know that's another route, but I think with needles
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people get very very nervous, so we wanted to take
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that out of the equation. So the you know, the
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nasal distribute. It's like a one plunge and it's one
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and done. Yep and uh. And that's it's as simple
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as that to you. So we're hoping that takes away
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some of the maybe the barriers that people have in mind.
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You know, and you know, if they do walk into
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a CATO, the only thing where you really need to
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knows their zip code. We don't need name any personal
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identifying information other than really a zip code. In fact,
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even we had a call or an email over the weekend,
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I responded to and the gentleman came in this morning
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and met with our peer recovery support person to get
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that in NARCAN.
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A few kits and.
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Then also the education that goes with it, and they
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were just providing general education around recovery and what that
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may look like. He was coming in for his significant
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another who's going to be coming home soon, so he wanted.
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To make sure just in case there was a potential
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for relapse that he was educated and armed.
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With the drug overdose reversal drugs.
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So yeah, that's great, And again I'm going to take
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occasion since Rick brought this up. You know, when the
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recovery journey for a lot of folks that are struggling,
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whether it's opioids are any substance, but particularly with opioids,
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what we've seen is a real risk if the person
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maybe has been in recovery for a period of time,
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hasn't been using for a period of time, but then
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has a slipper or relapse. Oftentimes they'll go back to
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using in a way, in a manner, at a level
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that they're used to, but their bodies have changed in
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the interviewing a period of time, so they are really
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high risk. I mean, it's always a high risk, but
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if you've been clean and sober for a period of
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time and in a period of you know, abstinence, and
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then you go back to using, that person's really at
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high risk. You know that fair to say director forward that,
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you know, so having the narcan on available in those
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situations seems to be very wise. But I just want
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our listeners to know that. So if you're supporting the
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loved one that maybe doing well, they've got a period
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of sobriety and abstinence on their belt, but you know
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they're back. Maybe they were in more of a controlled setting,
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whether that's a rehabilitation or residential and sometimes even in
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a jail once they're out, there's a really there's a
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high risk there. So you want to be involved with
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your loved one's life and have nar CAN available.
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Right, absolutely, they could. You know you set up perfectly.
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Well, thank you because doctor Ashley never you know, comments
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that way, so I appreciate you. Mister.
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Yeah, you said perfect.
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That's great.
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That's exactly right in terms of the risk.
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And you know, I think that's exactly why one of
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the interventions that we help with the.
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County is being available in our jail programming.
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And folks getting released and then we have the m
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AT which would you know, medications, SISTE treatment, but also
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just the awareness of having NARCND and that they are
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going to be released and that they're at high risk
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if they were to go reuse just because of what
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you had said earlier.
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So you're already doing that education with the individual as
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well as maybe those people there they're going to be around.
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That's great, that's great. Another thing we're doing locally is
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these wonder I've got one in my vehicle actually right
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now is on an a lox box. I've been taking
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these around. I know rick Etikaida has been distributing these
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to organizations and businesses that that want one, and I
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know we could still do that if you contact mister Ford.
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But uh, what is an a LOX box? That sounds interesting?
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Uh, Well, essentially they are an emergency kit whore. But
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it also will have like facial coverings and there the
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knocks on itself or the narcan is you know, equipped
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in there, so a few kits of those and then
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just remembering.
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To replenish them if they are utilized too.
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So it's just not a box holding the narci in itself.
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But it also gives instructions on how to administer the narcan,
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you know, what to do in crisis.
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So it lays it all out.
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There's information sheets that anybody could pull off and use
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to give real good directions about signs of overdose, how to.
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Administer the nar can, what to do.
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You know in that whole crisis situation, and hopefully there
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is enough narcan that it helps bring someone back.
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So, Vicky, you had mentioned this, but you know the
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idea is to have these boxes in publicly available, public
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accessible locations so that anybody could possibly intervene. And again
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no cost to get a box, no costs for the
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narcan in either one of your organizations as well, so
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I want to make sure that's you know, so price
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is not an issue. As you heard Vicky and Rick say,
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they can do the training as little as a couple
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of minutes on how to use the narcan. But the
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locks box is really just intended as said to be
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just a container, and like I said, it's a pretty
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heavy duty container that can be placed on a wall.
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Have the information, as mister Ford said, available, and we're
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trying to increase how many of these boxes are throughout
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Ashland County because again you said it when you're talking
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about the demos, Becky, it doesn't discriminate. So our thinking
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is they need to be all over town because we'd
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never know when somebody might experience an overdose and that
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box might save that life.
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Right, And we talk about these overdoses as being unintentional,
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because they are, but there's also people that weren't even
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wanting to use drugs and had exposure to it, okay,
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and we also need to be able to have narcan
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available for that. And we found that happened at the
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Sheriff's department, but that could happen in a school setting or.
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Anything unintentional exposure.
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Right, unintentional exposure either through someone else having it available
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in a home or something. So I think we want
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to get rid of that stigma that uh we're only
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putting it out there for you know, drug users, which
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we are, because we want them to be able to
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recuperate and recover and have access to care. But it's
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also you know, children could get into it somehow and
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you would need to be able to act quickly and
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get the narcan available to them. I would love to
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see it in school systems and every business and all
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of our public places.
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So now, Vicky, I know, mister Fordner and Kaita there
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distributor at the boxes, do you also have those available
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for we have some that.
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We can get also through grant funding, okay available so again,
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and also we also put it in our so we
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have a ED boxes all over right. We even put
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doses of narcan in our a ED boxes. So even
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if you don't want to hold the locks on box,
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but you have a D A D boxes in your facilities,
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we could give you doses of narcan put just right
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in that box, so it's right where it's available.
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Okay, Well that's important, uh, information, and again I'll have
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those numbers available, uh, for both Vicky and mister Ford
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in the episode description. So if you're interested either in
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the narcan or in the locks box, you can you
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can contact them on that because that's an important ongoing
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effort and that's a part of education and prevention, which
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I wanted to talk about just briefly because we had
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some of the prevention specialists from CADA on a few
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episodes ago. But I just wanted our listening audience to
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know that this is part of the curriculum that they
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added a few years ago. You know, the prevention specialist
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in Nashal County and our school system, they've been talking
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about some of the harms of other types of substances
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for some years, whether that was marijuana or cigarettes or alcohol.
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But they've added, you know, some sections on opioids because of,
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you know, the crisis that we're in. So I just
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wanted to We don't have to spend a lot of
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times I would encourage folks to listen to that episode,
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but that is going on in our school systems as
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well as in our adult realms, which is what we're
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talking about now. We're also doing education and prevention for
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our adults, and that includes things like our drug drop boxes.
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And we've got two of these. They look like almost
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like if you're mailing, going to the mailbox, the old
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school mailbox, mister Ford, you know the old blue ones,
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the standalone, Well they look like that. One is at
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the Ashton County Sheriff in the annex and the other
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ones down in Loudonville and the Police Department's lobby. But basically,
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whenever those lobbies are open, folks can get rid of
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those excess medications that might be lying around because again
380
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we talk about risks and prevention, the more of these
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extra or unused medications we can get disposed of properly
382
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and out of the hands of who knows who the better. Yeah.
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00:20:52.759 --> 00:20:55.000
I just had a talk last week with a group
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of people down Loudonville and I think a lot of
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people don't know those exist. So I'm glad you brought
386
00:20:59.759 --> 00:21:02.079
that up up. Yeah, and it's easy to do. You
387
00:21:02.079 --> 00:21:03.400
can go and just drop it off.
388
00:21:03.400 --> 00:21:04.680
It's not like no questions I ask.
389
00:21:04.720 --> 00:21:06.599
You're right, yeah, And I think that's a great thing
390
00:21:06.640 --> 00:21:07.839
we have here in Ashley County.
391
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So another thing, you know, speaking and again that's why
392
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we do these episodes, and it's why we do all
393
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of our community education is because it's doctor Asher said,
394
00:21:16.319 --> 00:21:18.880
a lot of folks just don't know. They don't know,
395
00:21:19.039 --> 00:21:20.799
so we keep doing these things. And I know for
396
00:21:20.839 --> 00:21:23.400
the people that do know, they said, oh, David, not
397
00:21:23.480 --> 00:21:26.799
the boxes again, Well that message isn't for you. It's
398
00:21:26.799 --> 00:21:30.319
for the people that never heard about our boxes. But
399
00:21:30.559 --> 00:21:33.440
there's another thing that you know, Rick, I know a
400
00:21:33.440 --> 00:21:35.559
lot of people don't know about our Quick Response Team,
401
00:21:36.440 --> 00:21:39.000
but this is another way that we're trying to make
402
00:21:39.000 --> 00:21:42.359
an impact for individuals that maybe have just recently overdosed.
403
00:21:42.400 --> 00:21:44.680
So if we could, just if you don't mind, take
404
00:21:44.680 --> 00:21:46.599
a few minutes to talk about what is the Quick
405
00:21:46.640 --> 00:21:49.640
Response Team in Ashley County. What's that all about?
406
00:21:50.359 --> 00:21:53.480
It really is about the use deflection of the use
407
00:21:53.839 --> 00:21:56.960
of any kind of drug, but more importantly, to help
408
00:21:57.000 --> 00:22:01.839
deflect and prevent future overdoses. So, you know, along with
409
00:22:02.000 --> 00:22:05.680
our peer recover support person at a CAADA, Laurie McLaughlin,
410
00:22:07.160 --> 00:22:12.759
two to four metric detectives, either through Ashland City Police
411
00:22:12.920 --> 00:22:16.519
and or the Ashland County Sheriff's Department, they go out
412
00:22:16.559 --> 00:22:18.079
on post overdose visits.
413
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So after somebody has overdose like that, okay.
414
00:22:21.720 --> 00:22:24.759
And so if it obviously if it was called innumergency
415
00:22:24.880 --> 00:22:28.319
services and they have that information, they will do an
416
00:22:28.319 --> 00:22:34.200
outreach to the individual or individuals just depending on the situation,
417
00:22:34.519 --> 00:22:37.640
and try to also have contact with their if they
418
00:22:37.680 --> 00:22:42.400
have any support people or family that may have been
419
00:22:42.440 --> 00:22:45.839
involved or just was at their residence. We want to
420
00:22:45.880 --> 00:22:48.680
talk to everybody in the household. So it's really a
421
00:22:48.799 --> 00:22:54.559
non punitive type of visit, you know. And so you know,
422
00:22:54.599 --> 00:22:58.000
the officers are in plain clothes, they drive in an
423
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onmarked car.
424
00:22:58.920 --> 00:23:02.559
So it's really to foster a relationship.
425
00:23:02.039 --> 00:23:06.319
Between the community and the legal sector at the same token.
426
00:23:07.400 --> 00:23:10.559
But more most importantly they that you know, during the
427
00:23:10.680 --> 00:23:16.200
visits they're doing narcian education, we're doing distribution in terms
428
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of given an arcanaw and really talking about all the
429
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resources that are available in Ashland, throughout the county and
430
00:23:24.200 --> 00:23:28.440
the community that are available to any individual or family
431
00:23:28.480 --> 00:23:31.599
effective by substitutes orient you know, if they have mental
432
00:23:31.640 --> 00:23:34.839
health concerns or if they have food dispairy, any of
433
00:23:34.880 --> 00:23:37.839
those type of things. We're looking at their basic needs
434
00:23:37.880 --> 00:23:40.720
all the way through potential treatment needs or recovery needs.
435
00:23:40.799 --> 00:23:46.759
So it's really informal yet formal type of visit. It's
436
00:23:46.880 --> 00:23:50.759
voluntary and you know, most often for the people that
437
00:23:50.799 --> 00:23:54.759
they do reach their one hundred percent cooperative and gauge.
438
00:23:55.200 --> 00:23:56.720
I think I want to get involved.
439
00:23:57.039 --> 00:24:01.799
I know last year, I think they had over forty contacts. Yeah,
440
00:24:01.839 --> 00:24:03.680
and that may have been with the same individual on
441
00:24:03.720 --> 00:24:07.319
more than one occasion regarding their own single overdose. But
442
00:24:07.359 --> 00:24:09.759
they can do follow up, so it isn't just one
443
00:24:10.400 --> 00:24:13.519
one time visit necessarily. It really depends on the individual
444
00:24:14.400 --> 00:24:16.559
what they want, what will follow up with them as
445
00:24:16.599 --> 00:24:20.000
long as it needs to be yep. And this year
446
00:24:21.400 --> 00:24:23.200
we've done about seventeen.
447
00:24:22.759 --> 00:24:26.119
Visits, okay so far. Yeah, So I guess I want
448
00:24:26.119 --> 00:24:29.559
the audience to know that, you know, that's the way
449
00:24:29.640 --> 00:24:32.000
Ashton kind of cares about our folks that are struggling
450
00:24:32.079 --> 00:24:36.640
with this issue. So if you have overdosed on opioid
451
00:24:36.720 --> 00:24:40.400
and you're taking to one of our eers, well you know,
452
00:24:40.599 --> 00:24:43.240
you should expect that whether it's you yourself or a
453
00:24:43.319 --> 00:24:45.519
loved one, that the Quick Response team is going to
454
00:24:45.559 --> 00:24:48.039
be coming out within a few days to talk about
455
00:24:48.079 --> 00:24:50.920
that experience because we see that experience as a potential
456
00:24:51.599 --> 00:24:55.279
turning point in your recovery. So, as mister Ford says,
457
00:24:55.319 --> 00:24:58.519
with LORII the peer as well as our law enforcement folks,
458
00:24:58.599 --> 00:25:00.480
they're going to try to engage that per and it's like,
459
00:25:00.519 --> 00:25:03.319
you know, you know this just happened. This this, this
460
00:25:03.559 --> 00:25:07.440
near death experience just happened a few days ago. You know,
461
00:25:07.599 --> 00:25:11.839
let us get involved and help you avoid that in
462
00:25:11.880 --> 00:25:14.319
the future. You know, let's let's do what we can
463
00:25:14.400 --> 00:25:17.359
to reduce any barriers that you may answer, any questions,
464
00:25:17.359 --> 00:25:19.759
et cetera. So I just want the audience to know
465
00:25:19.799 --> 00:25:22.279
that that's the way this this community cares about our
466
00:25:22.319 --> 00:25:25.599
folks that are struggling. We often say that the recovery
467
00:25:25.640 --> 00:25:27.599
journey is you know, it's a spiral. It's just not
468
00:25:27.680 --> 00:25:30.640
a linear line that goes up. We know folks go
469
00:25:30.720 --> 00:25:34.640
through these various times. So uh just know that, as
470
00:25:34.720 --> 00:25:38.440
Rick said, well, well, the quick response team will respond
471
00:25:38.480 --> 00:25:41.799
to the same individual multiple times because we understand that.
472
00:25:41.640 --> 00:25:44.039
And that's another thing Rick, You've brought to my attention.
473
00:25:44.480 --> 00:25:47.319
Some folks feel like if they've been receiving treatment at
474
00:25:47.680 --> 00:25:50.920
a CADA or other agencies, you know, and they're doing well,
475
00:25:50.920 --> 00:25:52.519
but then they have a relapse, well I can't go
476
00:25:52.599 --> 00:25:56.039
back there. People will talk about me, or they'll think
477
00:25:56.160 --> 00:25:59.960
something Nope, Nope, they're not because they understand that they're
478
00:26:00.000 --> 00:26:02.960
recovery journey is not linear. In fact, I think some
479
00:26:03.000 --> 00:26:06.160
of the best therapists Rick, they talk about that at intake,
480
00:26:06.559 --> 00:26:08.880
so you know, if in fact the person does have
481
00:26:08.920 --> 00:26:11.319
a slip or a relapse, they don't feel ashamed to
482
00:26:11.359 --> 00:26:14.279
go back and get help from that agency. Rick has
483
00:26:14.720 --> 00:26:19.039
a tagline for his substance use minutes. Can you recall
484
00:26:19.119 --> 00:26:21.720
that what that tagline is, mister Ford.
485
00:26:21.519 --> 00:26:24.400
Let's support, not just let's support, not judge.
486
00:26:24.680 --> 00:26:27.599
Yeah. Rick introduced that some years ago. Now it seems
487
00:26:27.599 --> 00:26:29.720
like and I really appreciate that. I've tried to tell
488
00:26:29.799 --> 00:26:32.240
them that, and I support that. It's not about the judgment.
489
00:26:32.240 --> 00:26:34.200
It's about getting the person to help and the resources
490
00:26:34.279 --> 00:26:36.279
they need. So good job on that, mister Ford.
491
00:26:36.359 --> 00:26:38.960
We have examples that our office every day about people
492
00:26:39.000 --> 00:26:43.640
returning not necessarily because they had a slip, just because
493
00:26:43.640 --> 00:26:46.640
they wanted to not Yeah. Interesting, and they kind of
494
00:26:46.640 --> 00:26:49.920
know themselves and they've worked treatment and been a part
495
00:26:49.920 --> 00:26:54.359
of recovery and recognizing maybe some personal signs or indicators
496
00:26:54.359 --> 00:26:56.640
that I need to go talk to someone, you know,
497
00:26:56.759 --> 00:26:59.039
either be indicator or somewhere else, but I need to
498
00:26:59.119 --> 00:27:00.279
talk and this.
499
00:27:00.359 --> 00:27:02.440
Through to prevent it. So they're all, you know, getting
500
00:27:02.440 --> 00:27:04.400
to a point of doing their own prevention.
501
00:27:04.559 --> 00:27:07.160
And I know, I just got a call last Friday
502
00:27:07.160 --> 00:27:10.000
with the former he was actively engaged in treatment, called
503
00:27:10.039 --> 00:27:12.799
and said, hey, I did slip and I need to
504
00:27:12.799 --> 00:27:13.400
come back again.
505
00:27:14.480 --> 00:27:17.880
That's fine, I'm on it. We'll see them tomorrow morning.
506
00:27:18.559 --> 00:27:21.000
Well, doctor Ashley, we are meeting with Icky Taylor, our
507
00:27:21.039 --> 00:27:24.680
health commissioner. They're numbers four one nine two eight two
508
00:27:24.759 --> 00:27:27.200
four to two three one, as well as Rick Ford,
509
00:27:27.200 --> 00:27:30.599
the director at a CADA four two eight nine, seven,
510
00:27:30.720 --> 00:27:35.240
six seven five. And this next part of the conversation again, uh,
511
00:27:35.359 --> 00:27:38.960
we we just want folks to kind of understand what
512
00:27:39.119 --> 00:27:42.680
someone might look like sound like that's overdosing. So Vicky
513
00:27:42.759 --> 00:27:45.279
or whoever wants to take this, Uh, this is more
514
00:27:45.279 --> 00:27:48.519
of the crisis situation. So if if you maybe come
515
00:27:48.559 --> 00:27:53.559
across somebody that experiences the things we're going to talk about,
516
00:27:53.680 --> 00:27:57.000
they may be experiencing an overdose. Some of these symptoms
517
00:27:57.079 --> 00:27:59.960
or signs are pretty tell tale. So we don't want
518
00:28:00.079 --> 00:28:02.559
folks to be alarmed. And as Rick said, a lot
519
00:28:02.559 --> 00:28:05.160
of this is in the actual thelox box if those
520
00:28:05.200 --> 00:28:08.000
are available, But if you could, maybe, Vicky, if you
521
00:28:08.000 --> 00:28:11.000
could take this just talk. You know what would folks
522
00:28:11.240 --> 00:28:14.480
maybe see here if they come across somebody that has
523
00:28:15.039 --> 00:28:18.440
is in the in the process of overdosing on an opioid.
524
00:28:18.240 --> 00:28:21.839
Sure, well, they would have symptoms of a limp body,
525
00:28:22.640 --> 00:28:26.519
slow to stop breathing. They might be vomiting or making
526
00:28:26.599 --> 00:28:31.799
gurgling noises. They may look pale and feel clammy okay,
527
00:28:32.960 --> 00:28:36.720
and their lips may turn purple or blue color. You're
528
00:28:37.400 --> 00:28:40.519
unable to wake them, unable to speak to them, or
529
00:28:40.519 --> 00:28:44.680
they're unable to speak to you, So uh, yeah.
530
00:28:44.480 --> 00:28:47.319
What do we do? Yeah, so I come across that scene,
531
00:28:47.480 --> 00:28:48.319
that's a little.
532
00:28:48.039 --> 00:28:51.599
Scary, absolutely, and you know those are similar symptoms to
533
00:28:51.680 --> 00:28:54.000
something else too, So you may not know for sure,
534
00:28:54.039 --> 00:28:56.920
but my first response would be to give the narcan,
535
00:28:57.319 --> 00:28:57.960
like we said.
536
00:28:57.839 --> 00:28:59.799
Or if that's available, yes, give.
537
00:28:59.640 --> 00:29:01.440
It because because it's not going to hurt them, if
538
00:29:01.480 --> 00:29:03.400
it's somebody having a heart attack, it's not going to
539
00:29:03.480 --> 00:29:06.079
hurt okay, and then call nine one one right away.
540
00:29:06.200 --> 00:29:09.279
And if you're there by yourself and it's hard to
541
00:29:09.319 --> 00:29:12.119
give both, do the nar can and then call nine
542
00:29:12.119 --> 00:29:15.160
one one right away. If someone else is there, you
543
00:29:15.200 --> 00:29:18.680
can maybe be administering the nar can and yell for
544
00:29:18.759 --> 00:29:19.240
someone else.
545
00:29:19.240 --> 00:29:21.079
They can call nine one one.
546
00:29:21.359 --> 00:29:24.720
But I think to get that quick response rolling is
547
00:29:24.759 --> 00:29:28.880
real important. It also could be that one dose of
548
00:29:28.960 --> 00:29:33.039
narcan may not work sure, so if you have multiple doses,
549
00:29:33.119 --> 00:29:38.559
you might want to try again until someone arrives that
550
00:29:38.680 --> 00:29:41.640
can give other medical treatment to them.
551
00:29:41.920 --> 00:29:45.359
Right, that's very important. So again we talked about those simpsons.
552
00:29:45.400 --> 00:29:46.880
I know some of those might be hard to hear,
553
00:29:46.960 --> 00:29:49.400
but we wanted our audience to know a little bit
554
00:29:49.400 --> 00:29:51.599
of what it looks like and sounds like, perhaps so
555
00:29:51.680 --> 00:29:54.920
they're not too alarmed, but it is somewhat alarming anytime
556
00:29:54.920 --> 00:29:55.799
you come across.
557
00:29:55.640 --> 00:29:58.880
The situation, no matter what's happening to somebody, it can
558
00:29:58.920 --> 00:30:02.440
be alarming. And I think the more that we are
559
00:30:02.720 --> 00:30:05.039
aware of it, and the more that we can think
560
00:30:05.160 --> 00:30:09.000
first about what we would do rather than standing ourselves
561
00:30:09.039 --> 00:30:12.839
in panic mode and just administering the narcanon, call nine
562
00:30:12.880 --> 00:30:15.519
to one to one and so those would probably be
563
00:30:16.240 --> 00:30:18.319
If you could just get those two things in your mind,
564
00:30:18.359 --> 00:30:20.880
I think that would help all to save a life.
565
00:30:20.960 --> 00:30:23.039
And that's really what we want to do. We want
566
00:30:23.039 --> 00:30:26.200
to save that person and try to get them into
567
00:30:26.240 --> 00:30:27.799
some kind of treatment programs.
568
00:30:28.240 --> 00:30:31.960
Agreed. Well, we've been speaking with Vicky Taylor and Rick
569
00:30:32.039 --> 00:30:36.240
Ford about this important issue of overdose awareness, and again
570
00:30:36.519 --> 00:30:40.039
I will drop their contact information into the episode description.
571
00:30:40.160 --> 00:30:43.400
But if folks want to learn more about any of
572
00:30:43.480 --> 00:30:47.240
these issues, the narcan, the loxbox, the education prevention that's
573
00:30:47.279 --> 00:30:49.880
going on, any of these things, a quick response team.
574
00:30:50.000 --> 00:30:52.200
I think the best thing is just to contact each
575
00:30:52.240 --> 00:30:54.319
one of you, just to talk to serve That sound good?
576
00:30:54.359 --> 00:30:54.960
Absolutely?
577
00:30:55.480 --> 00:30:58.680
All right, Well, doctor Ashley, this was an intense episode
578
00:30:58.720 --> 00:30:58.920
for me.
579
00:30:59.279 --> 00:30:59.480
Yeah.
580
00:30:59.640 --> 00:31:03.240
Important, Yeah, but I'll tell you it's a serious issue because,
581
00:31:03.279 --> 00:31:06.559
as Vicky said, we're losing too many folks when we
582
00:31:06.680 --> 00:31:11.319
sit down for those yearly reviews. You know, it just
583
00:31:11.359 --> 00:31:13.920
breaks my heart whether we're talking about suicide or overdose.
584
00:31:13.960 --> 00:31:17.160
You know, every time we're losing somebody and we're trying
585
00:31:17.200 --> 00:31:19.640
to learn from that and respond with all the different
586
00:31:19.680 --> 00:31:21.960
things we've talked about today to hopefully get that number
587
00:31:21.960 --> 00:31:22.359
to zero.
588
00:31:22.559 --> 00:31:24.400
Absolutely, I just want to say thank you to both
589
00:31:24.440 --> 00:31:27.039
of you for the good and important work that you do, and.
590
00:31:27.440 --> 00:31:30.400
You as well, because I think raising an awareness is
591
00:31:31.039 --> 00:31:33.960
you know, a good step and I think you said
592
00:31:33.960 --> 00:31:37.319
it earlier. It should be more than an overdose awareness
593
00:31:37.400 --> 00:31:40.400
day or even a month. This should be we should
594
00:31:40.440 --> 00:31:43.799
be making the awareness every day, and we need to
595
00:31:43.839 --> 00:31:44.640
be talking.
596
00:31:44.359 --> 00:31:45.400
To people about this.
597
00:31:45.480 --> 00:31:48.519
We need to reduce the stigma. We need to kind
598
00:31:48.519 --> 00:31:51.640
of talk about things like self care and how we
599
00:31:51.680 --> 00:31:54.400
can help people manage stress and all of these things
600
00:31:54.440 --> 00:31:58.400
that could be leading up to somebody making the choice
601
00:31:58.400 --> 00:32:02.039
to use. And get engaged in each other's lives. We
602
00:32:02.079 --> 00:32:05.119
are community and we need to know what's going on
603
00:32:05.200 --> 00:32:07.319
with each other in our community. And that's the best
604
00:32:07.359 --> 00:32:10.519
way to kind of reduce this is to be involved
605
00:32:10.839 --> 00:32:11.880
in each other's lives.
606
00:32:12.160 --> 00:32:14.599
Well, I cannot add to that. That was very well
607
00:32:14.680 --> 00:32:18.920
said Health Commissioner. Thank you well, Thank you everyone, and
608
00:32:19.039 --> 00:32:22.759
until next time, thank you for listening to another episode
609
00:32:22.799 --> 00:32:25.680
of the Keeping Ashland Healthy podcast. The podcast is a
610
00:32:25.720 --> 00:32:28.480
production of the Mental Health and Recovery Board of Ashland County, Ohio.
611
00:32:28.720 --> 00:32:31.079
You can reach the board by calling four one nine
612
00:32:31.200 --> 00:32:34.319
two eight one three one three nine. Please remember that
613
00:32:34.359 --> 00:32:36.920
the board funds a local twenty four to seven crisis
614
00:32:36.960 --> 00:32:39.640
line through Applese Community Mental Health Center. It can be
615
00:32:39.680 --> 00:32:43.039
reached by calling four one nine two eight nine sixty
616
00:32:43.079 --> 00:32:46.400
one one one. That's four one nine two eight nine
617
00:32:46.720 --> 00:32:50.319
sixty one one one. Until next time, please join us
618
00:32:50.359 --> 00:32:52.160
in keeping Ashland healthy
1
00:00:01.840 --> 00:00:05.360
Welcome. You're listening to the Keeping Ashland Healthy Podcast, a
2
00:00:05.400 --> 00:00:07.599
podcast production of the Mental Health and Recovery Board of
3
00:00:07.639 --> 00:00:11.240
Ashland County, Ohio. Thanks for joining us, and welcome back
4
00:00:11.240 --> 00:00:14.240
to another episode of the Doctor Ashley and the Boss
5
00:00:14.320 --> 00:00:17.280
podcast here on Keeping Ashland Healthy, a production of the
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00:00:17.320 --> 00:00:19.039
Mental Health and Recovery Board.
7
00:00:19.399 --> 00:00:21.920
Welcome, Thanks, How are you this morning?
8
00:00:21.920 --> 00:00:22.160
Boss?
9
00:00:22.359 --> 00:00:25.000
Well, yeah, I'm nervous. We've got a couple guests and
10
00:00:25.839 --> 00:00:28.960
so intimidating, very intimidating people in the room with us
11
00:00:28.960 --> 00:00:33.960
today for overdose awareness. We're doing some awareness raising of
12
00:00:34.000 --> 00:00:37.200
this important issue, and we brought in heavy hitters.
13
00:00:37.320 --> 00:00:39.159
Yes, we did. I'm really excited about this one.
14
00:00:39.280 --> 00:00:43.439
I am too well in the room. Mister ford Welcome,
15
00:00:43.880 --> 00:00:46.399
nice to see you here. He is the director. Can
16
00:00:46.439 --> 00:00:49.280
he say welcome? I'm glad to be here.
17
00:00:50.960 --> 00:00:55.359
You're forcing me, yes, yes, yes, welcome. I'm Rick Fordham,
18
00:00:55.399 --> 00:00:56.280
the director of ACADO.
19
00:00:56.560 --> 00:00:59.920
Yes, the CAADA director. And again we'll mention these numbers
20
00:01:00.039 --> 00:01:01.560
as we go out, and I'll put them in the
21
00:01:02.000 --> 00:01:05.079
episode description. But Kaita is four one, nine, two eight
22
00:01:05.159 --> 00:01:07.480
nine seven sixty seven five. But again I'll mention that
23
00:01:07.560 --> 00:01:11.920
again later. Mister ford the director is also a licensed
24
00:01:11.920 --> 00:01:16.480
independent social worker years of experience in a substance use field,
25
00:01:16.560 --> 00:01:20.879
so his insights and I think expertise in this topic
26
00:01:21.400 --> 00:01:24.079
will become a parent as we go through the episode.
27
00:01:24.200 --> 00:01:27.719
Also joining us is our health commissioner in Ashon County,
28
00:01:27.799 --> 00:01:31.560
Vicky Taylor. Welcome, Vicky, thank you for having me today. Well,
29
00:01:31.599 --> 00:01:34.239
I appreciate you being much more easy to work with him,
30
00:01:34.280 --> 00:01:40.879
mister Ford. So Vicky is over at well your new location.
31
00:01:41.120 --> 00:01:43.760
I still consider it a new location on Claremont there
32
00:01:44.079 --> 00:01:46.359
and their numbers four one nine two eight two four
33
00:01:46.480 --> 00:01:51.200
two three one again information again later in the episode
34
00:01:51.239 --> 00:01:54.319
and in the episode description. But Vicky is our our
35
00:01:54.359 --> 00:01:58.280
health commissioner and Rick have got a real, I think
36
00:01:58.280 --> 00:02:02.560
important and unique you of overdose awareness, and we're interested
37
00:02:02.640 --> 00:02:06.040
in talking that through in its aspects because again it's
38
00:02:06.040 --> 00:02:09.280
a serious issue that Ashton County is trying to do
39
00:02:10.520 --> 00:02:15.199
multiple approaches, doctor Ashley to see if we can't bring
40
00:02:15.280 --> 00:02:18.039
these deaths down to zero, which is always our goal.
41
00:02:18.319 --> 00:02:21.639
Yeah, we're losing too many people to overdose. Absolutely, So
42
00:02:21.960 --> 00:02:23.560
this is an important topic today and.
43
00:02:23.520 --> 00:02:26.159
That kind of feeds into my first question for anybody
44
00:02:26.199 --> 00:02:29.439
really is you know why, particularly in Ohio but this
45
00:02:29.520 --> 00:02:32.479
is an effort that's going on throughout the country. Why
46
00:02:32.560 --> 00:02:36.080
Overdose Awareness Day? And then as we're doing here in
47
00:02:36.120 --> 00:02:39.159
the county, this is an all year kind of focus,
48
00:02:39.240 --> 00:02:41.120
but we're using the day, if you will, as a
49
00:02:41.120 --> 00:02:43.879
springboard to talk about this issue. But why is it
50
00:02:43.919 --> 00:02:44.520
so important?
51
00:02:44.599 --> 00:02:44.800
Well?
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00:02:44.840 --> 00:02:47.479
The first the first thing, opioids killed more than one
53
00:02:47.560 --> 00:02:50.840
hundred and thirty six Americans every single day. Think about that.
54
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That's a lot of people every day we're losing. Right
55
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In twenty twenty two, nine and fifteen laves were lost
56
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from unintentional.
57
00:02:59.039 --> 00:03:02.319
Drug overdoses and I was in Ohio, in Ohio.
58
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Of those involved opioids.
59
00:03:06.680 --> 00:03:09.560
Yeah, so again for for our listeners, we've talked about
60
00:03:10.080 --> 00:03:12.719
fetanyl and fentanyl is one of those opioids that is
61
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typically involved. Is that right, mister Ford? From your experience
62
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both in terms of the treatment as well as prevention
63
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and some of these stats, it seems like so many
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of the opioids that we talked about, fentanyl is the
65
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one that seems to be the one that's causing so
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many of these overdose deaths.
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Yeah, that's absolutely correcting, you know, and fentyl being it's
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an illicit synthetic opiate.
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So you know, even the.
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Majority of those overdose related deaths in Ohio and across
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00:03:42.439 --> 00:03:46.639
the country, most of those involved fentanyl specifically as the
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00:03:46.680 --> 00:03:50.240
type of opioid that was you know, it's very pervasive,
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00:03:51.080 --> 00:03:55.319
it's potent, and it's profitable, you know, and that's why
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it's in the drugs and illicit drugs. Obviously in the
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00:03:59.479 --> 00:04:02.080
hospitals that ain't quite different. You know, sure it all
76
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is used for medical purposes and it's safe, but not
77
00:04:05.800 --> 00:04:06.800
for illicit drugs.
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And it's in every type of.
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Drug nowadays, not just you know, the standard opiate or heroin,
80
00:04:14.080 --> 00:04:18.120
street heroin. We don't unfortunately, hear much about heroin anymore
81
00:04:18.160 --> 00:04:20.079
in the past few years, and that's because of the
82
00:04:20.120 --> 00:04:23.959
synthetic fetanyl really being so pervasive in all types of drugs,
83
00:04:24.600 --> 00:04:29.360
especially stimulant drugs that's fetamine, methamphetamine, cocaine.
84
00:04:29.959 --> 00:04:33.040
It's for pervasive. So for the first of that's really
85
00:04:33.079 --> 00:04:33.759
a drug.
86
00:04:33.639 --> 00:04:37.839
User, it's almost the norm or the expectation that fetanyl.
87
00:04:37.519 --> 00:04:40.439
Is going to be a part of Interesting well, doctor,
88
00:04:40.480 --> 00:04:44.439
actually Vicky mentioned some of the national statistics and then
89
00:04:44.480 --> 00:04:46.560
some of the Ohio statistics. Can you tell us a
90
00:04:46.560 --> 00:04:50.120
little bit about again why we're focused on in Ashley County.
91
00:04:50.120 --> 00:04:53.279
Do we see some of these numbers reflected in Ashon
92
00:04:53.319 --> 00:04:53.920
County data?
93
00:04:54.040 --> 00:04:54.519
We sure do.
94
00:04:54.639 --> 00:04:57.360
And the sad part is that as we talk about
95
00:04:57.439 --> 00:05:02.040
fentanyl and it being mixed in with other substances, no
96
00:05:02.079 --> 00:05:05.480
one ever knows how much they're getting, and that does
97
00:05:05.519 --> 00:05:09.360
it just scary and how deadly it is. Fetanohl was
98
00:05:09.399 --> 00:05:14.240
the leading drug use in our overdose deaths in the
99
00:05:14.319 --> 00:05:18.040
last few years. But I also wanted to kind of
100
00:05:18.120 --> 00:05:23.800
raise the fact that demographically drug overdose is affecting every
101
00:05:23.839 --> 00:05:27.240
demographic in our community. So it's not like you can
102
00:05:27.240 --> 00:05:34.600
pinpoint one certain age group or one certain race or population.
103
00:05:35.079 --> 00:05:39.399
It is pervasive everywhere. And that's just the impact of
104
00:05:39.600 --> 00:05:42.959
the deaths of the people using the overdose. Doesn't even
105
00:05:43.040 --> 00:05:46.160
talk about the impact that it has on the families
106
00:05:46.720 --> 00:05:50.519
and those that are left behind. So it's a serious
107
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issue and it's one that's concerning, and it's it's concerning
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enough that in the last few years, the Ohio Department
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of Health has encouraged all counties within the state to
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start doing an overdose fatality review, yes, so that we
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can get to understand what is happening in our communities
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and to provide the data and work together as a
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community to kind of come up with ideas on how
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we can curb this from happening in our community.
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Yeah, I'm glad you mentioned that, mister Ford, doctor Ashley,
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and myself. We're all with you as well as other
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key partners at that last meeting and appreciate your leadership
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in that. But if I recall when we were actually
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trying to figure out the actual number of overdose deaths,
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and I guess that would have been calendar year twenty three,
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I think that might have been amongst our highest numbers
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that we experience. So this issue is front and center.
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I think in Ashen.
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County, Yes, and twenty twenty two we had maybe two
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more overdose deaths than twenty twenty three, but the trend
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is clearly going up where we were when we first
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started looking into this. So it is concerning. The average
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age group is in the mid thirties, so if that's
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the average age group, you can see what's going what's
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happening there. But we also had some juvenile overdoses and
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that was really concerning as well.
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Yeah, that gets it. I think what you know mister
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Ford was saying about, you know, it being in so
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many other substances. Whether you think you might be taking
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I don't know, you name it.
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Something like what they refer to as like a study
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drug or a stimulant, so something in like the adderall.
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Oftentimes it's in a benzodiazepine. So it's the anax klonopin
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those those classifications of medications that you think you're getting
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one thing.
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But you're not right. So one of the things we
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talk about, I know your prevention specialists try to make
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this point with the young people is you know, if
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the medications not prescribed to you, don't take it, because
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if you're you're taking it from somebody else, even if
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they are a quote unquote friend of yours. If you
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don't know where it's coming from. It might even say
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to your example, Rick, it might even say adderall or
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something else. On the pill itself, it might be stamped correctly,
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but they're making these counterfeit pills look very close to
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the original. So again, safety for us, if the drug
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or the medication is not prescribed, you don't take it,
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even if it's somebody you know.
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Really well, Yeah, something I've heard you say before experimentation
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is not the same today as it used to be.
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The risk is much much higher because of the ventanyl
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and the just the potency of that drug.
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Agreed. Again, we're speaking with Vicky Taylor, Ashton County's Health Commissioner,
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as well as Director Rick Ford of a KATA. So
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we've talked a little bit about the whys and why
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why the attention, and it's the numbers. We're losing far
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too many people Ashton County, in the state, in the country.
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So one of the things we wanted to highlight for
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our listeners is, you know what we're doing locally to
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address this issue, because Vicky, you mentioned the Overdose Fatality
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Review Committee. Now that's not something a lot of people
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would see in this community. It's an important thing that
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we all are doing, and I think some action steps
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can come out of it, but there might be some
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more tangible or easily identifiable things that both of your
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organizations are doing, so I wanted to talk through those
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if we could. So one of the issues, one of
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the primary overdose reversal medications is narcan, So either one
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of you can we talk a little bit about what
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narcan is, how it works, and where folks can get that.
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Well, you know, Narcan is really the first, you know,
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there's quite a few, there's a few others out there
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now as well. You know, Narcan being you know, is
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the drug or medication to utilize in a crisis if
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we suspect that someone is an overdose.
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It's an overdose reversal drug.
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So basically, you know, not to get too scientific, but
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it balances some of the opiates off our opiate receptors
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in our brain and then essentially hopefully brings someone back
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in their central nervous system and the breathing back.
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That's the simplest way I can explain.
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I'm not a science or a doctor, so I won't
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try to pretend to be one. But at the same token,
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it's probably the most successible and the easiest harm reduction,
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life saving intervention that anybody in our community, our state,
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our country can do. Narcian is available, you know, not
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only at a CATA, but obviously through the health department,
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and we provide, you know, we're available to provide narcian education,
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what it is, how to use it, and really what
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to do in an overdose situation on a daily basis.
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Any any issues Vicky that folks need to be concerned
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with in terms of you know, I've heard this before.
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You know what if I give them nar Canon and
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it wasn't an opioid that they're overdosing on it, you know,
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how concerned do we need to be that. You know,
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I give them the nar can and it wasn't an
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opioid where that hurt them in some way.
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So my understanding is will not hurt them, So it's
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better to try the Narcan and because chances are it's
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going to be opioid related, but if it's not, it
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won't do any harm. And so we're trying to encourage
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everybody to carry nark can. It's free, it's easy to use,
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and we can give you a two minute demo on
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how to use it.
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And I think both your organizations would do that if
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folks want to demo, you know before they distribute that,
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and it can be that quick because it's really a nasal. Yes, yes,
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neither one of you guys are distributing any of the injections.
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I know that's another route, but I think with needles
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people get very very nervous, so we wanted to take
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that out of the equation. So the you know, the
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nasal distribute. It's like a one plunge and it's one
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and done. Yep and uh. And that's it's as simple
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as that to you. So we're hoping that takes away
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some of the maybe the barriers that people have in mind.
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You know, and you know, if they do walk into
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a CATO, the only thing where you really need to
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knows their zip code. We don't need name any personal
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identifying information other than really a zip code. In fact,
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even we had a call or an email over the weekend,
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I responded to and the gentleman came in this morning
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and met with our peer recovery support person to get
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that in NARCAN.
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A few kits and.
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Then also the education that goes with it, and they
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were just providing general education around recovery and what that
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may look like. He was coming in for his significant
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another who's going to be coming home soon, so he wanted.
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To make sure just in case there was a potential
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for relapse that he was educated and armed.
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With the drug overdose reversal drugs.
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So yeah, that's great, And again I'm going to take
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occasion since Rick brought this up. You know, when the
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recovery journey for a lot of folks that are struggling,
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whether it's opioids are any substance, but particularly with opioids,
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what we've seen is a real risk if the person
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maybe has been in recovery for a period of time,
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hasn't been using for a period of time, but then
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has a slipper or relapse. Oftentimes they'll go back to
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using in a way, in a manner, at a level
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that they're used to, but their bodies have changed in
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the interviewing a period of time, so they are really
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high risk. I mean, it's always a high risk, but
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if you've been clean and sober for a period of
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time and in a period of you know, abstinence, and
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then you go back to using, that person's really at
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high risk. You know that fair to say director forward that,
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you know, so having the narcan on available in those
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situations seems to be very wise. But I just want
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our listeners to know that. So if you're supporting the
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loved one that maybe doing well, they've got a period
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of sobriety and abstinence on their belt, but you know
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they're back. Maybe they were in more of a controlled setting,
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whether that's a rehabilitation or residential and sometimes even in
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a jail once they're out, there's a really there's a
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high risk there. So you want to be involved with
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your loved one's life and have nar CAN available.
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Right, absolutely, they could. You know you set up perfectly.
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Well, thank you because doctor Ashley never you know, comments
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that way, so I appreciate you. Mister.
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Yeah, you said perfect.
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That's great.
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That's exactly right in terms of the risk.
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And you know, I think that's exactly why one of
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the interventions that we help with the.
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County is being available in our jail programming.
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And folks getting released and then we have the m
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AT which would you know, medications, SISTE treatment, but also
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just the awareness of having NARCND and that they are
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going to be released and that they're at high risk
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if they were to go reuse just because of what
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you had said earlier.
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So you're already doing that education with the individual as
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well as maybe those people there they're going to be around.
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That's great, that's great. Another thing we're doing locally is
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these wonder I've got one in my vehicle actually right
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now is on an a lox box. I've been taking
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these around. I know rick Etikaida has been distributing these
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to organizations and businesses that that want one, and I
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know we could still do that if you contact mister Ford.
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But uh, what is an a LOX box? That sounds interesting?
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Uh, Well, essentially they are an emergency kit whore. But
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it also will have like facial coverings and there the
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knocks on itself or the narcan is you know, equipped
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in there, so a few kits of those and then
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just remembering.
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To replenish them if they are utilized too.
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So it's just not a box holding the narci in itself.
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But it also gives instructions on how to administer the narcan,
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you know, what to do in crisis.
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So it lays it all out.
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There's information sheets that anybody could pull off and use
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to give real good directions about signs of overdose, how to.
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Administer the nar can, what to do.
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You know in that whole crisis situation, and hopefully there
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is enough narcan that it helps bring someone back.
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So, Vicky, you had mentioned this, but you know the
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idea is to have these boxes in publicly available, public
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accessible locations so that anybody could possibly intervene. And again
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no cost to get a box, no costs for the
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narcan in either one of your organizations as well, so
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I want to make sure that's you know, so price
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is not an issue. As you heard Vicky and Rick say,
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they can do the training as little as a couple
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of minutes on how to use the narcan. But the
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locks box is really just intended as said to be
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just a container, and like I said, it's a pretty
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heavy duty container that can be placed on a wall.
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Have the information, as mister Ford said, available, and we're
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trying to increase how many of these boxes are throughout
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Ashland County because again you said it when you're talking
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about the demos, Becky, it doesn't discriminate. So our thinking
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is they need to be all over town because we'd
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never know when somebody might experience an overdose and that
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box might save that life.
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Right, And we talk about these overdoses as being unintentional,
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because they are, but there's also people that weren't even
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wanting to use drugs and had exposure to it, okay,
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and we also need to be able to have narcan
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available for that. And we found that happened at the
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Sheriff's department, but that could happen in a school setting or.
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Anything unintentional exposure.
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Right, unintentional exposure either through someone else having it available
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in a home or something. So I think we want
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to get rid of that stigma that uh we're only
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putting it out there for you know, drug users, which
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we are, because we want them to be able to
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recuperate and recover and have access to care. But it's
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also you know, children could get into it somehow and
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you would need to be able to act quickly and
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get the narcan available to them. I would love to
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see it in school systems and every business and all
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of our public places.
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So now, Vicky, I know, mister Fordner and Kaita there
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distributor at the boxes, do you also have those available
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for we have some that.
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We can get also through grant funding, okay available so again,
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and also we also put it in our so we
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have a ED boxes all over right. We even put
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doses of narcan in our a ED boxes. So even
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if you don't want to hold the locks on box,
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but you have a D A D boxes in your facilities,
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we could give you doses of narcan put just right
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in that box, so it's right where it's available.
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Okay, Well that's important, uh, information, and again I'll have
351
00:19:08.599 --> 00:19:12.799
those numbers available, uh, for both Vicky and mister Ford
352
00:19:12.920 --> 00:19:15.720
in the episode description. So if you're interested either in
353
00:19:15.759 --> 00:19:18.039
the narcan or in the locks box, you can you
354
00:19:18.079 --> 00:19:20.880
can contact them on that because that's an important ongoing
355
00:19:20.960 --> 00:19:24.240
effort and that's a part of education and prevention, which
356
00:19:24.240 --> 00:19:26.559
I wanted to talk about just briefly because we had
357
00:19:27.000 --> 00:19:30.160
some of the prevention specialists from CADA on a few
358
00:19:30.200 --> 00:19:33.519
episodes ago. But I just wanted our listening audience to
359
00:19:33.559 --> 00:19:36.079
know that this is part of the curriculum that they
360
00:19:36.119 --> 00:19:39.920
added a few years ago. You know, the prevention specialist
361
00:19:39.920 --> 00:19:43.359
in Nashal County and our school system, they've been talking
362
00:19:43.359 --> 00:19:45.759
about some of the harms of other types of substances
363
00:19:45.799 --> 00:19:48.640
for some years, whether that was marijuana or cigarettes or alcohol.
364
00:19:48.720 --> 00:19:51.920
But they've added, you know, some sections on opioids because of,
365
00:19:52.240 --> 00:19:54.640
you know, the crisis that we're in. So I just
366
00:19:54.640 --> 00:19:56.200
wanted to We don't have to spend a lot of
367
00:19:56.200 --> 00:19:58.640
times I would encourage folks to listen to that episode,
368
00:19:58.640 --> 00:20:01.640
but that is going on in our school systems as
369
00:20:01.680 --> 00:20:04.559
well as in our adult realms, which is what we're
370
00:20:04.559 --> 00:20:07.759
talking about now. We're also doing education and prevention for
371
00:20:08.240 --> 00:20:12.680
our adults, and that includes things like our drug drop boxes.
372
00:20:12.720 --> 00:20:15.000
And we've got two of these. They look like almost
373
00:20:15.039 --> 00:20:18.160
like if you're mailing, going to the mailbox, the old
374
00:20:18.160 --> 00:20:20.599
school mailbox, mister Ford, you know the old blue ones,
375
00:20:20.599 --> 00:20:23.640
the standalone, Well they look like that. One is at
376
00:20:23.680 --> 00:20:26.000
the Ashton County Sheriff in the annex and the other
377
00:20:26.039 --> 00:20:30.079
ones down in Loudonville and the Police Department's lobby. But basically,
378
00:20:30.119 --> 00:20:33.880
whenever those lobbies are open, folks can get rid of
379
00:20:33.920 --> 00:20:39.720
those excess medications that might be lying around because again
380
00:20:39.759 --> 00:20:44.279
we talk about risks and prevention, the more of these
381
00:20:44.480 --> 00:20:48.000
extra or unused medications we can get disposed of properly
382
00:20:48.160 --> 00:20:52.680
and out of the hands of who knows who the better. Yeah.
383
00:20:52.759 --> 00:20:55.000
I just had a talk last week with a group
384
00:20:55.000 --> 00:20:57.680
of people down Loudonville and I think a lot of
385
00:20:57.720 --> 00:20:59.759
people don't know those exist. So I'm glad you brought
386
00:20:59.759 --> 00:21:02.079
that up up. Yeah, and it's easy to do. You
387
00:21:02.079 --> 00:21:03.400
can go and just drop it off.
388
00:21:03.400 --> 00:21:04.680
It's not like no questions I ask.
389
00:21:04.720 --> 00:21:06.599
You're right, yeah, And I think that's a great thing
390
00:21:06.640 --> 00:21:07.839
we have here in Ashley County.
391
00:21:07.880 --> 00:21:12.000
So another thing, you know, speaking and again that's why
392
00:21:12.000 --> 00:21:13.799
we do these episodes, and it's why we do all
393
00:21:13.839 --> 00:21:16.319
of our community education is because it's doctor Asher said,
394
00:21:16.319 --> 00:21:18.880
a lot of folks just don't know. They don't know,
395
00:21:19.039 --> 00:21:20.799
so we keep doing these things. And I know for
396
00:21:20.839 --> 00:21:23.400
the people that do know, they said, oh, David, not
397
00:21:23.480 --> 00:21:26.799
the boxes again, Well that message isn't for you. It's
398
00:21:26.799 --> 00:21:30.319
for the people that never heard about our boxes. But
399
00:21:30.559 --> 00:21:33.440
there's another thing that you know, Rick, I know a
400
00:21:33.440 --> 00:21:35.559
lot of people don't know about our Quick Response Team,
401
00:21:36.440 --> 00:21:39.000
but this is another way that we're trying to make
402
00:21:39.000 --> 00:21:42.359
an impact for individuals that maybe have just recently overdosed.
403
00:21:42.400 --> 00:21:44.680
So if we could, just if you don't mind, take
404
00:21:44.680 --> 00:21:46.599
a few minutes to talk about what is the Quick
405
00:21:46.640 --> 00:21:49.640
Response Team in Ashley County. What's that all about?
406
00:21:50.359 --> 00:21:53.480
It really is about the use deflection of the use
407
00:21:53.839 --> 00:21:56.960
of any kind of drug, but more importantly, to help
408
00:21:57.000 --> 00:22:01.839
deflect and prevent future overdoses. So, you know, along with
409
00:22:02.000 --> 00:22:05.680
our peer recover support person at a CAADA, Laurie McLaughlin,
410
00:22:07.160 --> 00:22:12.759
two to four metric detectives, either through Ashland City Police
411
00:22:12.920 --> 00:22:16.519
and or the Ashland County Sheriff's Department, they go out
412
00:22:16.559 --> 00:22:18.079
on post overdose visits.
413
00:22:18.960 --> 00:22:22.359
So after somebody has overdose like that, okay.
414
00:22:21.720 --> 00:22:24.759
And so if it obviously if it was called innumergency
415
00:22:24.880 --> 00:22:28.319
services and they have that information, they will do an
416
00:22:28.319 --> 00:22:34.200
outreach to the individual or individuals just depending on the situation,
417
00:22:34.519 --> 00:22:37.640
and try to also have contact with their if they
418
00:22:37.680 --> 00:22:42.400
have any support people or family that may have been
419
00:22:42.440 --> 00:22:45.839
involved or just was at their residence. We want to
420
00:22:45.880 --> 00:22:48.680
talk to everybody in the household. So it's really a
421
00:22:48.799 --> 00:22:54.559
non punitive type of visit, you know. And so you know,
422
00:22:54.599 --> 00:22:58.000
the officers are in plain clothes, they drive in an
423
00:22:58.000 --> 00:22:58.680
onmarked car.
424
00:22:58.920 --> 00:23:02.559
So it's really to foster a relationship.
425
00:23:02.039 --> 00:23:06.319
Between the community and the legal sector at the same token.
426
00:23:07.400 --> 00:23:10.559
But more most importantly they that you know, during the
427
00:23:10.680 --> 00:23:16.200
visits they're doing narcian education, we're doing distribution in terms
428
00:23:16.319 --> 00:23:20.200
of given an arcanaw and really talking about all the
429
00:23:20.240 --> 00:23:24.160
resources that are available in Ashland, throughout the county and
430
00:23:24.200 --> 00:23:28.440
the community that are available to any individual or family
431
00:23:28.480 --> 00:23:31.599
effective by substitutes orient you know, if they have mental
432
00:23:31.640 --> 00:23:34.839
health concerns or if they have food dispairy, any of
433
00:23:34.880 --> 00:23:37.839
those type of things. We're looking at their basic needs
434
00:23:37.880 --> 00:23:40.720
all the way through potential treatment needs or recovery needs.
435
00:23:40.799 --> 00:23:46.759
So it's really informal yet formal type of visit. It's
436
00:23:46.880 --> 00:23:50.759
voluntary and you know, most often for the people that
437
00:23:50.799 --> 00:23:54.759
they do reach their one hundred percent cooperative and gauge.
438
00:23:55.200 --> 00:23:56.720
I think I want to get involved.
439
00:23:57.039 --> 00:24:01.799
I know last year, I think they had over forty contacts. Yeah,
440
00:24:01.839 --> 00:24:03.680
and that may have been with the same individual on
441
00:24:03.720 --> 00:24:07.319
more than one occasion regarding their own single overdose. But
442
00:24:07.359 --> 00:24:09.759
they can do follow up, so it isn't just one
443
00:24:10.400 --> 00:24:13.519
one time visit necessarily. It really depends on the individual
444
00:24:14.400 --> 00:24:16.559
what they want, what will follow up with them as
445
00:24:16.599 --> 00:24:20.000
long as it needs to be yep. And this year
446
00:24:21.400 --> 00:24:23.200
we've done about seventeen.
447
00:24:22.759 --> 00:24:26.119
Visits, okay so far. Yeah, So I guess I want
448
00:24:26.119 --> 00:24:29.559
the audience to know that, you know, that's the way
449
00:24:29.640 --> 00:24:32.000
Ashton kind of cares about our folks that are struggling
450
00:24:32.079 --> 00:24:36.640
with this issue. So if you have overdosed on opioid
451
00:24:36.720 --> 00:24:40.400
and you're taking to one of our eers, well you know,
452
00:24:40.599 --> 00:24:43.240
you should expect that whether it's you yourself or a
453
00:24:43.319 --> 00:24:45.519
loved one, that the Quick Response team is going to
454
00:24:45.559 --> 00:24:48.039
be coming out within a few days to talk about
455
00:24:48.079 --> 00:24:50.920
that experience because we see that experience as a potential
456
00:24:51.599 --> 00:24:55.279
turning point in your recovery. So, as mister Ford says,
457
00:24:55.319 --> 00:24:58.519
with LORII the peer as well as our law enforcement folks,
458
00:24:58.599 --> 00:25:00.480
they're going to try to engage that per and it's like,
459
00:25:00.519 --> 00:25:03.319
you know, you know this just happened. This this, this
460
00:25:03.559 --> 00:25:07.440
near death experience just happened a few days ago. You know,
461
00:25:07.599 --> 00:25:11.839
let us get involved and help you avoid that in
462
00:25:11.880 --> 00:25:14.319
the future. You know, let's let's do what we can
463
00:25:14.400 --> 00:25:17.359
to reduce any barriers that you may answer, any questions,
464
00:25:17.359 --> 00:25:19.759
et cetera. So I just want the audience to know
465
00:25:19.799 --> 00:25:22.279
that that's the way this this community cares about our
466
00:25:22.319 --> 00:25:25.599
folks that are struggling. We often say that the recovery
467
00:25:25.640 --> 00:25:27.599
journey is you know, it's a spiral. It's just not
468
00:25:27.680 --> 00:25:30.640
a linear line that goes up. We know folks go
469
00:25:30.720 --> 00:25:34.640
through these various times. So uh just know that, as
470
00:25:34.720 --> 00:25:38.440
Rick said, well, well, the quick response team will respond
471
00:25:38.480 --> 00:25:41.799
to the same individual multiple times because we understand that.
472
00:25:41.640 --> 00:25:44.039
And that's another thing Rick, You've brought to my attention.
473
00:25:44.480 --> 00:25:47.319
Some folks feel like if they've been receiving treatment at
474
00:25:47.680 --> 00:25:50.920
a CADA or other agencies, you know, and they're doing well,
475
00:25:50.920 --> 00:25:52.519
but then they have a relapse, well I can't go
476
00:25:52.599 --> 00:25:56.039
back there. People will talk about me, or they'll think
477
00:25:56.160 --> 00:25:59.960
something Nope, Nope, they're not because they understand that they're
478
00:26:00.000 --> 00:26:02.960
recovery journey is not linear. In fact, I think some
479
00:26:03.000 --> 00:26:06.160
of the best therapists Rick, they talk about that at intake,
480
00:26:06.559 --> 00:26:08.880
so you know, if in fact the person does have
481
00:26:08.920 --> 00:26:11.319
a slip or a relapse, they don't feel ashamed to
482
00:26:11.359 --> 00:26:14.279
go back and get help from that agency. Rick has
483
00:26:14.720 --> 00:26:19.039
a tagline for his substance use minutes. Can you recall
484
00:26:19.119 --> 00:26:21.720
that what that tagline is, mister Ford.
485
00:26:21.519 --> 00:26:24.400
Let's support, not just let's support, not judge.
486
00:26:24.680 --> 00:26:27.599
Yeah. Rick introduced that some years ago. Now it seems
487
00:26:27.599 --> 00:26:29.720
like and I really appreciate that. I've tried to tell
488
00:26:29.799 --> 00:26:32.240
them that, and I support that. It's not about the judgment.
489
00:26:32.240 --> 00:26:34.200
It's about getting the person to help and the resources
490
00:26:34.279 --> 00:26:36.279
they need. So good job on that, mister Ford.
491
00:26:36.359 --> 00:26:38.960
We have examples that our office every day about people
492
00:26:39.000 --> 00:26:43.640
returning not necessarily because they had a slip, just because
493
00:26:43.640 --> 00:26:46.640
they wanted to not Yeah. Interesting, and they kind of
494
00:26:46.640 --> 00:26:49.920
know themselves and they've worked treatment and been a part
495
00:26:49.920 --> 00:26:54.359
of recovery and recognizing maybe some personal signs or indicators
496
00:26:54.359 --> 00:26:56.640
that I need to go talk to someone, you know,
497
00:26:56.759 --> 00:26:59.039
either be indicator or somewhere else, but I need to
498
00:26:59.119 --> 00:27:00.279
talk and this.
499
00:27:00.359 --> 00:27:02.440
Through to prevent it. So they're all, you know, getting
500
00:27:02.440 --> 00:27:04.400
to a point of doing their own prevention.
501
00:27:04.559 --> 00:27:07.160
And I know, I just got a call last Friday
502
00:27:07.160 --> 00:27:10.000
with the former he was actively engaged in treatment, called
503
00:27:10.039 --> 00:27:12.799
and said, hey, I did slip and I need to
504
00:27:12.799 --> 00:27:13.400
come back again.
505
00:27:14.480 --> 00:27:17.880
That's fine, I'm on it. We'll see them tomorrow morning.
506
00:27:18.559 --> 00:27:21.000
Well, doctor Ashley, we are meeting with Icky Taylor, our
507
00:27:21.039 --> 00:27:24.680
health commissioner. They're numbers four one nine two eight two
508
00:27:24.759 --> 00:27:27.200
four to two three one, as well as Rick Ford,
509
00:27:27.200 --> 00:27:30.599
the director at a CADA four two eight nine, seven,
510
00:27:30.720 --> 00:27:35.240
six seven five. And this next part of the conversation again, uh,
511
00:27:35.359 --> 00:27:38.960
we we just want folks to kind of understand what
512
00:27:39.119 --> 00:27:42.680
someone might look like sound like that's overdosing. So Vicky
513
00:27:42.759 --> 00:27:45.279
or whoever wants to take this, Uh, this is more
514
00:27:45.279 --> 00:27:48.519
of the crisis situation. So if if you maybe come
515
00:27:48.559 --> 00:27:53.559
across somebody that experiences the things we're going to talk about,
516
00:27:53.680 --> 00:27:57.000
they may be experiencing an overdose. Some of these symptoms
517
00:27:57.079 --> 00:27:59.960
or signs are pretty tell tale. So we don't want
518
00:28:00.079 --> 00:28:02.559
folks to be alarmed. And as Rick said, a lot
519
00:28:02.559 --> 00:28:05.160
of this is in the actual thelox box if those
520
00:28:05.200 --> 00:28:08.000
are available, But if you could, maybe, Vicky, if you
521
00:28:08.000 --> 00:28:11.000
could take this just talk. You know what would folks
522
00:28:11.240 --> 00:28:14.480
maybe see here if they come across somebody that has
523
00:28:15.039 --> 00:28:18.440
is in the in the process of overdosing on an opioid.
524
00:28:18.240 --> 00:28:21.839
Sure, well, they would have symptoms of a limp body,
525
00:28:22.640 --> 00:28:26.519
slow to stop breathing. They might be vomiting or making
526
00:28:26.599 --> 00:28:31.799
gurgling noises. They may look pale and feel clammy okay,
527
00:28:32.960 --> 00:28:36.720
and their lips may turn purple or blue color. You're
528
00:28:37.400 --> 00:28:40.519
unable to wake them, unable to speak to them, or
529
00:28:40.519 --> 00:28:44.680
they're unable to speak to you, So uh, yeah.
530
00:28:44.480 --> 00:28:47.319
What do we do? Yeah, so I come across that scene,
531
00:28:47.480 --> 00:28:48.319
that's a little.
532
00:28:48.039 --> 00:28:51.599
Scary, absolutely, and you know those are similar symptoms to
533
00:28:51.680 --> 00:28:54.000
something else too, So you may not know for sure,
534
00:28:54.039 --> 00:28:56.920
but my first response would be to give the narcan,
535
00:28:57.319 --> 00:28:57.960
like we said.
536
00:28:57.839 --> 00:28:59.799
Or if that's available, yes, give.
537
00:28:59.640 --> 00:29:01.440
It because because it's not going to hurt them, if
538
00:29:01.480 --> 00:29:03.400
it's somebody having a heart attack, it's not going to
539
00:29:03.480 --> 00:29:06.079
hurt okay, and then call nine one one right away.
540
00:29:06.200 --> 00:29:09.279
And if you're there by yourself and it's hard to
541
00:29:09.319 --> 00:29:12.119
give both, do the nar can and then call nine
542
00:29:12.119 --> 00:29:15.160
one one right away. If someone else is there, you
543
00:29:15.200 --> 00:29:18.680
can maybe be administering the nar can and yell for
544
00:29:18.759 --> 00:29:19.240
someone else.
545
00:29:19.240 --> 00:29:21.079
They can call nine one one.
546
00:29:21.359 --> 00:29:24.720
But I think to get that quick response rolling is
547
00:29:24.759 --> 00:29:28.880
real important. It also could be that one dose of
548
00:29:28.960 --> 00:29:33.039
narcan may not work sure, so if you have multiple doses,
549
00:29:33.119 --> 00:29:38.559
you might want to try again until someone arrives that
550
00:29:38.680 --> 00:29:41.640
can give other medical treatment to them.
551
00:29:41.920 --> 00:29:45.359
Right, that's very important. So again we talked about those simpsons.
552
00:29:45.400 --> 00:29:46.880
I know some of those might be hard to hear,
553
00:29:46.960 --> 00:29:49.400
but we wanted our audience to know a little bit
554
00:29:49.400 --> 00:29:51.599
of what it looks like and sounds like, perhaps so
555
00:29:51.680 --> 00:29:54.920
they're not too alarmed, but it is somewhat alarming anytime
556
00:29:54.920 --> 00:29:55.799
you come across.
557
00:29:55.640 --> 00:29:58.880
The situation, no matter what's happening to somebody, it can
558
00:29:58.920 --> 00:30:02.440
be alarming. And I think the more that we are
559
00:30:02.720 --> 00:30:05.039
aware of it, and the more that we can think
560
00:30:05.160 --> 00:30:09.000
first about what we would do rather than standing ourselves
561
00:30:09.039 --> 00:30:12.839
in panic mode and just administering the narcanon, call nine
562
00:30:12.880 --> 00:30:15.519
to one to one and so those would probably be
563
00:30:16.240 --> 00:30:18.319
If you could just get those two things in your mind,
564
00:30:18.359 --> 00:30:20.880
I think that would help all to save a life.
565
00:30:20.960 --> 00:30:23.039
And that's really what we want to do. We want
566
00:30:23.039 --> 00:30:26.200
to save that person and try to get them into
567
00:30:26.240 --> 00:30:27.799
some kind of treatment programs.
568
00:30:28.240 --> 00:30:31.960
Agreed. Well, we've been speaking with Vicky Taylor and Rick
569
00:30:32.039 --> 00:30:36.240
Ford about this important issue of overdose awareness, and again
570
00:30:36.519 --> 00:30:40.039
I will drop their contact information into the episode description.
571
00:30:40.160 --> 00:30:43.400
But if folks want to learn more about any of
572
00:30:43.480 --> 00:30:47.240
these issues, the narcan, the loxbox, the education prevention that's
573
00:30:47.279 --> 00:30:49.880
going on, any of these things, a quick response team.
574
00:30:50.000 --> 00:30:52.200
I think the best thing is just to contact each
575
00:30:52.240 --> 00:30:54.319
one of you, just to talk to serve That sound good?
576
00:30:54.359 --> 00:30:54.960
Absolutely?
577
00:30:55.480 --> 00:30:58.680
All right, Well, doctor Ashley, this was an intense episode
578
00:30:58.720 --> 00:30:58.920
for me.
579
00:30:59.279 --> 00:30:59.480
Yeah.
580
00:30:59.640 --> 00:31:03.240
Important, Yeah, but I'll tell you it's a serious issue because,
581
00:31:03.279 --> 00:31:06.559
as Vicky said, we're losing too many folks when we
582
00:31:06.680 --> 00:31:11.319
sit down for those yearly reviews. You know, it just
583
00:31:11.359 --> 00:31:13.920
breaks my heart whether we're talking about suicide or overdose.
584
00:31:13.960 --> 00:31:17.160
You know, every time we're losing somebody and we're trying
585
00:31:17.200 --> 00:31:19.640
to learn from that and respond with all the different
586
00:31:19.680 --> 00:31:21.960
things we've talked about today to hopefully get that number
587
00:31:21.960 --> 00:31:22.359
to zero.
588
00:31:22.559 --> 00:31:24.400
Absolutely, I just want to say thank you to both
589
00:31:24.440 --> 00:31:27.039
of you for the good and important work that you do, and.
590
00:31:27.440 --> 00:31:30.400
You as well, because I think raising an awareness is
591
00:31:31.039 --> 00:31:33.960
you know, a good step and I think you said
592
00:31:33.960 --> 00:31:37.319
it earlier. It should be more than an overdose awareness
593
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day or even a month. This should be we should
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00:31:40.440 --> 00:31:43.799
be making the awareness every day, and we need to
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be talking.
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To people about this.
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We need to reduce the stigma. We need to kind
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of talk about things like self care and how we
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can help people manage stress and all of these things
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that could be leading up to somebody making the choice
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00:31:58.400 --> 00:32:02.039
to use. And get engaged in each other's lives. We
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00:32:02.079 --> 00:32:05.119
are community and we need to know what's going on
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00:32:05.200 --> 00:32:07.319
with each other in our community. And that's the best
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00:32:07.359 --> 00:32:10.519
way to kind of reduce this is to be involved
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in each other's lives.
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00:32:12.160 --> 00:32:14.599
Well, I cannot add to that. That was very well
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00:32:14.680 --> 00:32:18.920
said Health Commissioner. Thank you well, Thank you everyone, and
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00:32:19.039 --> 00:32:22.759
until next time, thank you for listening to another episode
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00:32:22.799 --> 00:32:25.680
of the Keeping Ashland Healthy podcast. The podcast is a
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00:32:25.720 --> 00:32:28.480
production of the Mental Health and Recovery Board of Ashland County, Ohio.
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00:32:28.720 --> 00:32:31.079
You can reach the board by calling four one nine
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00:32:31.200 --> 00:32:34.319
two eight one three one three nine. Please remember that
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00:32:34.359 --> 00:32:36.920
the board funds a local twenty four to seven crisis
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00:32:36.960 --> 00:32:39.640
line through Applese Community Mental Health Center. It can be
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00:32:39.680 --> 00:32:43.039
reached by calling four one nine two eight nine sixty
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00:32:43.079 --> 00:32:46.400
one one one. That's four one nine two eight nine
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00:32:46.720 --> 00:32:50.319
sixty one one one. Until next time, please join us
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00:32:50.359 --> 00:32:52.160
in keeping Ashland healthy
