The number of Arlingtonians seeking treatment for opioid addiction and related disorders rose from 100 patients in 2015 to 345 patients in 2017, an overall increase of 245 percent, according to Arlington County.
The uptick, detailed in the Arlington County 2017 Annual Report released in January, has spurred the county to implement new treatment approaches for identified opioid-related disorders and addictions.
The police department, unsure of what the best opioid treatment options were to combat the increasing arrests or overdoses, contacted Suzanne Somerville, the county’s residential and specialized clinical services bureau chief.
“We weren’t working together as a county,” said Somerville. She added that departments also weren’t previously coordinating with Virginia Hospital Center but that there is now a monthly meeting with emergency room personnel to discuss frequent treatment or med-seeking patients.
A stakeholders task force was created in January 2017 among multiple county government representatives, non-profit treatment providers and affected families, to develop a plan to address the rising figures, according to Somerville.
In hard numbers, 345 patients in a county of approximately 239,000 isn’t an epidemic. But the 245 percent increase concerns officials — and the figures, Somerville said, may be higher.
“I suspect we always had a much higher number than are seeking treatment here,” said Somerville, later noting that previous data for opioid abusers only counted those seeking treatment through the Dept. of Human Services, not the number of relevant police interactions or even the number of those who are not seeking treatment and haven’t been arrested.
The county finds itself on the doorstep of three communities much more heavily impacted by the nationwide opioid epidemic, according to Somerville: the District of Columbia, West Virginia and more southern areas of Virginia.
“That’s the interesting thing with the opioid crisis, it’s widespread. There’s no socioeconomic division, there’s no race division. It depends on how they start,”she added.
Many opioid abusers initially are prescribed painkillers for medical problems, then later become addicted and switch to a cheaper habit like heroin. In Arlington, it costs approximately $25 for .25 grams of heroin. Oxycontin pills are about $1 per mg; Percocet, $.50 per mg; and Fentanyl, $6.50 per mg.
Arlington officials prefer two methods — a medication assisted treatment (MAT) and an office-based opioid treatment program (OBOT) — over incarceration. The OBOT program combines treatment with naloxone, which is sold under brand names like Narcan and Evzio, with group therapy and peer recovery services.
These peer recovery services take the form of residential intensive treatment homes where patients undergo detox for a minimum of two weeks, but typically up to three months. One Arlington treatment house has the capacity to take 14 patients for up to six months. During this time, patients learn independent living skills and have their sobriety monitored.
One treatment center is in Ballston and another is elsewhere in northern Arlington, though Somerville declined to be more specific, saying that both locations are inconspicuous.
The treatment centers are completely voluntary, but only two patients chose jail over drug court in 2017. Those who opt for jail face at least two years in prison, with terms varying depending on criminal history and individual circumstances. Drug court comprises of supervisory components like GPS anklet monitoring.
“There are some cases where that is not going to work out,” added the bureau chief. “If the police feel that a person has distribution, there probably wouldn’t be something we could do to divert, but we are looking to come up with options at the time of bond or sentencing to say that this person would benefit from treatment as opposed to straight incarceration.”
Photo via Eric Norris/Flickr
Crews are out today pre-treating roads with a brine solution. They’re focusing on primary (red) and secondary (blue) routes, which can be seen on the county’s online 2012-2013 snow map. Workers will deploy from 4:00 a.m.-4:00 p.m. tomorrow to treat and plow roads as necessary during the storm.
Although areas north and west of D.C. may get around 4 inches of snow, significant accumulation isn’t expected in Arlington. The Capital Weather Gang’s forecast currently calls for a warm up on Saturday afternoon that should change the snow to rain or a wintry mix. However, a snow crew will remain on call through Sunday morning to treat icy roads in case a re-freeze occurs.
The Department of Environmental Services encourages residents to stay informed and to be prepared with extra food and water in case the storm worsens. Residents are also asked to avoid parking on the street, if possible, or to coordinate with neighbors to only park on one side of the street. Snow removal vehicles need a width of at least 15 feet to pass down a street.
The National Weather Service issued a Hazardous Weather Outlook for the D.C. area, noting that it’s still unclear exactly where the worst of the storm will hit. An excerpt from the advisory follows:
.THIS HAZARDOUS WEATHER OUTLOOK IS FOR THE MARYLAND PORTION OF THE
CHESAPEAKE BAY…TIDAL POTOMAC RIVER…AND ADJACENT COUNTIES IN
CENTRAL MARYLAND AND NORTHERN VIRGINIA AS WELL AS THE DISTRICT OF
DAY ONE…TODAY AND TONIGHT
A STORM SYSTEM WILL BRING WINTRY PRECIPITATION TO THE AREA LATE
TONIGHT. THE HIGHEST CONFIDENCE OF ACCUMULATING SNOWFALL RESIDES
ACROSS PORTIONS OF CENTRAL MARYLAND WHERE A WINTER WEATHER
ADVISORY IS IN EFFECT BEGINNING LATE TONIGHT. PLEASE REFER TO
WBCWSWLWX FOR FURTHER DETAILS.
.DAYS TWO THROUGH SEVEN…SATURDAY THROUGH THURSDAY
THE WINTER WEATHER ADVISORY FOR PORTIONS OF CENTRAL MARYLAND
CONTINUES ON SATURDAY. FURTHER SOUTH INCLUDING THE GREATER
WASHINGTON METRO AREA…THERE REMAINS SOME UNCERTAINTY REGARDING
WHERE THE RAIN/SNOW LINE WILL SET UP AND EXACTLY HOW MUCH SNOW
WILL FALL. IT IS POSSIBLE THAT THE WINTER WEATHER ADVISORY MAY
NEED TO BE EXPANDED FURTHER SOUTH…SO PLEASE MONITOR THE LATEST
A SMALL CRAFT ADVISORY MAY BE NEEDED FOR PORTIONS OF THE WATERS
LATE SATURDAY NIGHT AND SUNDAY.
Rep. Jim Moran (D) visited the Phoenix House at 521 N. Quincy Street last week to highlight the nonprofit’s addiction recovery and job training work.
The Ballston-area facility is one of numerous Phoenix House-branded treatment centers in 10 states across the country. It offers intensive residential substance abuse treatment programs for men, women, and teens, along with counseling and job training programs. The facility serves more than 900 adolescents and adults annually, and more than 150 on any given day.
Last Wednesday, Moran toured the Phoenix House and talked with some of the individuals who have been utilizing its services. Moran said their battles with addiction, and their struggles finding jobs after recovery, demonstrate why programs like Phoenix House are important for society.
“That’s why I’m here, to make the case for why we should support programs like Phoenix House,” Moran said. “We have to show people this this works, and then we need to replicate it across the country.”
Moran said he was struck by how one bad life decision could eventually lead down a path to addiction.
“There but for the grace of God go I,” he told the small assembled group of treatment center clients.
According to statistics from the National Institute on Drug Abuse cited by Moran, every dollar invested in an addiction treatment program yields a return of between $4 and $7 in reduced drug-related crime, criminal justice costs, and theft. When health care costs are added in, the savings can exceed 12 to 1, according to Moran’s office.
Moran, who directed $250,000 in federal funding for a vocational training program at Phoenix House in fiscal year 2010, promised to work to help get more funding — even though, he said, securing such funding has become more difficult as a result of the defacto ban on earmarks in the House of Representatives.
Moran’s visit was part of his event series, “Investing in Northern Virginia: Building our Community through Smart Federal Spending.”