President Donald J. Trump’s Initiative to Stop Opioid Abuse and Reduce Drug Supply and Demand

President Donald J. Trump’s Initiative to Stop Opioid Abuse and Reduce Drug Supply and Demand

HEALTHCARE

We will work to strengthen vulnerable families and communities, and we will help to build and grow a stronger, healthier, and drug-free society.

President Donald J. Trump

ADDRESSING THE DRIVING FORCES OF THE OPIOID CRISIS: President Donald J. Trump’s Initiative to Stop Opioids Abuse and Reduce Drug Supply and Demand will confront the driving forces behind the opioid crisis.

President Trump’s Initiative to Stop Opioid Abuse will address factors fueling the opioid crisis, including over-prescription, illicit drug supplies, and insufficient access to evidence-based treatment, primary prevention, and recovery support services.

The President’s Opioid Initiative will:

Reduce drug demand through education, awareness, and preventing over-prescription.
Cut off the flow of illicit drugs across our borders and within communities.

Save lives now by expanding opportunities for proven treatments for opioid and other drug addictions.
REDUCE DEMAND AND OVER-PRESCRIPTION: President Trump’s Opioid Initiative will educate Americans about the dangers of opioid and other drug use and seek to curb over-prescription.

Launch a nationwide evidence-based campaign to raise public awareness about the dangers of prescription and illicit opioid use, as well as other drug use.

Support research and development efforts for innovative technologies and additional therapies designed to prevent addiction and decrease the use of opioids in pain management.

This will include supporting research and development for a vaccine to prevent opioid addiction and non-addictive pain management options.

Reduce the over-prescription of opioids which has the potential to lead Americans down a path to addiction or facilitate diversion to illicit use.

Implement a Safer Prescribing Plan to achieve the following objectives:

Cut nationwide opioid prescription fills by one-third within three years.

Ensure that 75 percent of opioid prescriptions reimbursed by Federal healthcare programs are issued using best practices within three years, and 95 percent within five years.

Ensure that at least half of all Federally-employed healthcare providers adopt best practices for opioid prescribing within two years, with all of them doing so within five years.

Leverage Federal funding opportunities related to opioids to ensure that States transition to a
nationally interoperable Prescription Drug Monitoring Program network.

CUT OFF THE SUPPLY OF ILLICIT DRUGS: President Trump’s Opioid Initiative will crack down on international and domestic illicit drug supply chains devastating American communities:

Keep dangerous drugs out of the United States.

Secure land borders, ports of entry, and water ways against illegal smuggling.
Require advance electronic data for 90 percent of all international mail shipments (with goods) and consignment shipments within three years, in order for the Department of Homeland Security to flag high-risk shipments.

Identify and inspect high-risk shipments leveraging advanced screening technologies and by using drug-detecting canines.

Test and identify suspicious substances in high-risk international packages to quickly detect and remove known and emerging illicit drugs before they can cause harm.
Engage with China and expand cooperation with Mexico to reduce supplies of heroin, other illicit opioids, and precursor chemicals.

Advance the Department of Justice (DOJ) Prescription Interdiction and Litigation (PIL) Task Force to fight the prescription opioid crisis. The PIL Task Force will:

Expand the DOJ Opioid Fraud and Abuse Detection Unit’s efforts to prosecute corrupt or criminally negligent doctors, pharmacies, and distributors.

Aggressively deploy appropriate criminal and civil actions to hold opioid manufacturers accountable for any unlawful practices.

Shut down illicit opioid sales conducted online and seize any related assets.
Scale up internet enforcement efforts under DOJ’s new Joint Criminal Opioid Darknet Enforcement (J-CODE) team.

Strengthen criminal penalties for dealing and trafficking in fentanyl and other opioids:
DOJ will seek the death penalty against drug traffickers, where appropriate under current law.
The President also calls on Congress to pass legislation that reduces the threshold amount of drugs needed to invoke mandatory minimum sentences for drug traffickers who knowingly distribute certain illicit opioids that are lethal in trace amounts.

HELP THOSE STRUGGLING WITH ADDICTION: President Trump’s Opioid Initiative will help those struggling with addiction through evidence-based treatment and recovery support services:

Work to ensure first responders are supplied with naloxone, a lifesaving medication used to reverse overdoses.

Leverage Federal funding opportunities to State and local jurisdictions to incentivize and improve nationwide overdose tracking systems that will help resources to be rapidly deployed to hard-hit areas.
Expand access to evidence-based addiction treatment in every State, particularly Medication-Assisted Treatment for opioid addiction.

Seek legislative changes to the law prohibiting Medicaid from reimbursing residential treatment at certain facilities with more than 16 beds.

In the meantime, continue approving State Medicaid demonstration projects that waive these barriers to inpatient treatment.

Provide on-demand, evidence-based addiction treatment to service members, veterans and their families eligible for healthcare through the Departments of Defense or Veterans Affairs.
Leverage opportunities in the criminal justice system to identify and treat offenders struggling with addiction.

Screen every Federal inmate for opioid addiction at intake.

For those who screen positive and are approved for placement in residential reentry centers, facilitate naltrexone treatment and access to treatment prior to and while at residential reentry centers and facilitate connection to community treatment services as needed.

Scale up support for State, Tribal, and local drug courts in order to provide offenders struggling with addiction access to evidence-based treatment as an alternative to or in conjunction with incarceration, or as a condition of supervised release.

Read more The White House

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StopOverdose.org


http://stopoverdose.org/

Opioid trends across Washington state

Death data from the Washington State Department of Health Center for Health Statistics are combined with population data from the Office of Financial Management to create rates of death. Data include only deaths for which an underlying cause of death was determined to be any opioid. For more information on data, see details at the end of the page.

ST. JOHNSBURY, VT – FEBRUARY 06: Drugs are prepared to shoot intravenously by a user addicted to heroin on February 6, 2014 in St. Johnsbury Vermont. Vermont Governor Peter Shumlin recently devoted his entire State of the State speech to the scourge of heroin. Heroin and other opiates have begun to devastate many communities in the Northeast and Midwest leading to a surge in fatal overdoses in a number of states. As prescription painkillers, such as the synthetic opiate OxyContin, become increasingly expensive and regulated, more and more Americans are turning to heroin to fight pain or to get high. Heroin, which has experienced a surge in production in places such as Afghanistan and parts of Central America, has a relatively inexpensive street price and provides a more powerful affect on the user. New York City police are currently investigating the death of the actor Philip Seymour Hoffman who was found dead last Sunday with a needle in his arm. (Photo by Spencer Platt/Getty Images)

Any opioid: primary categories and sub-categories
Probable heroin
Other opioids
Commonly prescribed opioids
Methadone
Other natural and semi-synthetic opioids: Oxycodone, codeine, morphine, etc.
Other synthetic opioids: Pethidine, tramadol, fentanyl and analogues, etc.
Other and unspecified narcotics, including opium
Deaths attributed to any opioid: 72% increase

As a whole, opioid deaths regardless of subtype occur throughout the state. Modest declines in the opioid death rate in Chelan and Spokane Counties (and some smaller counties) between 2002-2004 and 2014-2016 have been outweighed by increases in most counties, particularly more populous counties. The later period reflects a decline in deaths from intervening years–opioid deaths peaked in 2009 at 720 statewide.

Read more HERE

Prison Reform and Redemption Act 2018

LIVE: President Donald Trump Delivers Remarks At Prison Reform Summit – May 18, 2018 | CNBC

Summary: H.R.3356 — 115th Congress (2017-2018)All Information (Except Text)
There is one summary for H.R.3356. Bill summaries are authored by CRS.

Introduced in House (07/24/2017)
Prison Reform and Redemption Act

This bill directs the Department of Justice to develop the Post-Sentencing Risk and Needs Assessment System for use by the Bureau of Prisons (BOP) to assess prisoner recidivism risk; guide housing, grouping, and program assignments; and incentivize and reward participation in and completion of recidivism reduction programs and productive activities.

It amends the federal criminal code to:

require the BOP to implement the Post-Sentencing Risk and Needs Assessment System;
establish prerelease custody procedures for prisoners who, among other things, earn time credits for successfully completing recidivism reduction programs or productive activities;
prohibit, subject to specified exceptions, the use of restraints on federal prisoners who are pregnant or in postpartum recovery; and
broaden the duties of probation and pretrial services officers to include court-directed supervision of sex offenders conditionally released from civil commitment.
The BOP must:

incorporate de-escalation techniques into its training programs;
report on its ability to treat heroin and opioid abuse through medication-assisted treatment;
establish pilot programs on youth mentorship and service to abandoned, rescued, or vulnerable animals; and
designate a release preparation coordinator at each facility that houses prisoners.
The bill prohibits monitoring the contents of an electronic communication between a prisoner at a BOP facility and the prisoner’s attorney.

It amends the Second Chance Act of 2007 to reauthorize through FY2022 and modify eligibility criteria for an elderly offender early release pilot program.

Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017

The bill amends the federal criminal code to require the BOP to allow federal correctional officers to securely store and carry concealed firearms on BOP premises outside the security perimeter of a prison.

Read more HERE

Flashback – Naloxone: Seattle Police Officers Revive Drug Overdose Victim

Original Published on May 23, 2017

Police responded to a report of a man down in the 1500 block of 9th Avenue just before midnight and were quickly flagged down by a woman. The woman pointed officers to a man lying on the sidewalk, and said he had recently used heroin.

Officer Jared Levitt and Sergeant Dave Hockett saw the 40-year-old man was struggling to breathe and gave him a dose of nasal naloxone and began CPR a short time later.

SFD medics arrived and took over treatment of the man, who regained consciousness and was taken to Harborview Medical Center for treatment.

This incident marks the 16th time officers have used Naloxone since Seattle police began carrying it in mid-March. The case will become part of the ongoing study conducted by the University of Washington into SPD’s use of Naloxone for a possible department-wide deployment.

As a reminder, Washington law provides immunity from criminal drug possession charges for anyone seeking medical aid for themselves or someone else experiencing an overdose.

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Meth, the Forgotten Killer, Is Back. And It’s Everywhere

PORTLAND, Ore. — They huddled against the biting wind, pacing from one corner to another hoping to score heroin or pills. But a different drug was far more likely to be on offer outside the train station downtown, where homeless drug users live in tents pitched on the sidewalk.

“Everybody has meth around here — everybody,” said Sean, a 27-year-old heroin user who hangs out downtown and gave only his first name. “It’s the easiest to find.”

The scourge of crystal meth, with its exploding labs and ruinous effect on teeth and skin, has been all but forgotten amid national concern over the opioid crisis. But 12 years after Congress took aggressive action to curtail it, meth has returned with a vengeance.

Visit The New York Times Website

URGE KING COUNTY TO FOLLOW THE OPIATE TASK FORCE RECOMMENDATIONS


The opiate epidemic in King County is growing. The King County Opiate Addiction Task Force has recommended a new comprehensive strategy to fight this crisis, including the opening of two pilot safe consumption spaces. In these facilities, healthcare professionals can prevent overdose deaths, reduce the spread of diseases like HIV and Hepatitis C, and efficiently refer people struggling with addiction to treatment. Tell the King County Council to support this safe, effective, and scientifically proven method of responding to the opiate epidemic.

URGE KING COUNTY TO FOLLOW THE OPIATE TASK FORCE RECOMMENDATIONS

Please visit THIS LINK

Volunteer with Inmates and Detainees

inmate-womens-group

Dedicated. Compassionate. Committed.

Volunteers are selfless individuals who are inspired to make a difference and change lives. And we’re proud to say that many such volunteers have found a home, serving inmates and detainees within our facilities, mending the broken-spirited, and giving hope to those who just needed someone to believe in them.

At CCA, we believe in the value of volunteers who give of their time to benefit inmates and detainees and to serve the interests of their communities, religious organizations, or other non-profit organizations. We seek to provide volunteers with opportunities to fulfill their charitable missions and work to the benefit of inmates and detainees. These volunteers are encouraged to apply to enter our facilities, with the understanding that they are serving not on CCA’s behalf – but on behalf of the men and women who are incarcerated.

CCA is a correctional system with nearly 70 prisons, jails, detention centers and residential reentry centers across the country. We operate safe and secure correctional facilities that protect our communities, provide thousands of jobs, and serve as place for growth and renewal for the inmates in our care.

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Hate Crimes on Seattle’s Capitol Hill

capitol hill hate crimes

In year marked by deadly hate crimes, SPD says will ‘err on the side of caution’ on bias

Posted on Monday, October 6, 2014 – 11:40 am by jseattle

In a year with two of the most horrendous hate crime incidents in the city’s history, Seattle Police officials provided their annual update on bias crime to the City Council Monday morning.

Assistant Chief Nick Metz told the council that directives at SPD have shifted to “err on the side of caution.”

“If somebody says they believe an action is biased related, we’re going to act on that,” Metz said.

The annual number of reported, investigated bias crimes in the city is relatively low compared to other types of assaults or threats.

In the East Precinct covering Capitol Hill, SPD says there have been 10 incidents investigated in the area with the majority of those happening in Pike/Pine.

CHS has mapped nine of the ten 2014 reports below. A tenth occurred in recent weeks in an incident at R Place that has not yet been widely reported. In that incident, Metz said a “young man” threatened patrons at the club, making “some threats” and “made gestures he had gun.” “Our officers immediately responded and made an arrest,” Metz said. UPDATE: More details on the arrest have been added to the end of this post.

Read more Capitol Hill Seattle Blog

Sisyphean Tales: Senate Shoo-In Pramila Jayapal Mulls New State

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Sisyphean Tales: Senate Shoo-In Pramila Jayapal Mulls New State

Ready for a rest after a campaign that put her more than 30 percentage points ahead of her closest competitor, and with the general election still to go, Pramila Jayapal isn’t diving into details of her plan of attack in the state Senate just yet. But she’s got some long-term plans for sure, and they’re of Herculean proportions. Or maybe Sisyphean.

Basically, she wants to restart the conversation about a state income tax. Or the kind of tax on the wealthy that voters overwhelmingly rejected in 2010, when presented with an initiative supported by Bill Gates Sr. Or some other alternative to the regressive sales tax that she can’t think of yet but probably won’t be an easy sell either. As she notes, anyone who has put forward such an idea in the past “has failed miserably.”

So why does she say she’s “most excited” about this right now? She says she sees no other choice. In her race for the South Seattle, 37th District seat that Adam Kline’s retirement left open, the longtime immigration rights activist says she was presented with a host of urgent needs, from finally passing a transportation package to dramatically ramping up education funding in a way that will satisfy the judge overseeing progress on the landmark McCleary decision.

The money’s got to come from somewhere, and she argues sales taxes will only take us so far. They don’t fully take advantage of the growing wealth around here because they only apply to what we buy, and just goods not services. Plus, they’re widely regarded as “regressive,” meaning the poor pay a larger share of their income than do the rich.

As she talked about this while doorbelling, people let her know that they weren’t prepared to pay an income tax on top of all the other taxes they pay. So she says the state would have to tinker with the whole tax system, possibly in a way that kept a lesser amount of sales taxes and combined them with an income tax.

That’s a huge undertaking, which is why she envisions it as a “serious, multi-year effort,” not anything she can remotely accomplish next session. And she still has the general election to get through and the changing politics of the legislature to figure out. A few tight races, like the one involving turncoat Democratic Tom Shelton, leave it uncertain whether the Senate’s ruling Majority Coalition will hold.

Still, she says, “that’s what I’ve spent the most time thinking about.” She adds that she hopes her strong showing this week will give her some leeway. So we soon may see her start rolling the ball up the hill.

Visit Pramila JayapalWebsite

Let’s Slow Down Speeding Drivers Near Garfield and 23rd Avenue!

DUI_Large_Web
From: Update on Drunk Driving Incident Near Eckstein

There is a School Road Safety Task Force that the Mayor had started before this incident. Still an important issue. More info below.

Draft Roles, School Road Safety Task Force

Act as a sounding board for Mayor and City staff through the process of creating a School Road Safety Analysis & Action Plan (SRSAaAP). This process will require members to:

o Provide input on analysis of safety, accessibility, and mobility around schools

o Provide input on school zone safety enforcement practices in Seattle, including the implementation and outreach plan for installing additional school zone speed cameras

o Provide input on process and criteria for prioritizing physical improvements at schools

o Provide input on current City road safety education programs and recommend additional education programs based on best practices

o Provide input on policies and programs impacting trip patterns and mode choices by students and parents

· Act as a liaison to school communities and a conduit for feedback regarding the elements of the SRSAaAP

· Promote public understanding of and participation in school traffic safety programs

School Road Safety Analysis & Action Plan

Outreach, Draft Components of the Plan

Exact scope and scale of the School Road Safety Analysis & Action Plan is still to be determined but may include the following main components:
1) Evaluation of existing street environments around schools
2) Review of existing legislation and policies related to school traffic safety and mobility
3) Development of a process and criteria for identifying and prioritizing physical improvements near schools, building on the existing Safe Routes to School program
4) Development of a safety and mobility education toolbox that can be used at all schools, building on elements developed already through Be Super Safe (the education campaign for the Road Safety Action Plan)
5) Development of an implementation plan for installing traffic school zone speed cameras and other potential enforcement programs
6) Review of best practices from peer cities for enforcement (including emphasis patrols) and recommend potential changes to existing enforcement practices

City of Seattle
Office of Mayor Mike McGinn

Rebecca Deehr
Policy Analyst
PO Box 94749
Seattle, WA 98124
T: (206) 233-2662
F: (206) 684-5360
rebecca.deehr@seattle.gov