West Virginia Executive Winter 2019 | Page 132

Recovery The ribbon cutting ceremony for Project Hope’s residential treatment facility. Photo by Marshall University. On August 15, 2016, 28 people in Cabell County overdosed on heroin mixed with fentanyl and carfentanil. While this may have just been another day for residents entrenched in the height of the opioid epidemic, the story gained national attention and put Huntington on the map as the epidemic’s ground zero. However, what one might not hear on a national news net- work or read in a national newspaper is that Huntington is wielding community as its primary weapon in becoming not the epicenter of addiction but the epicenter of solutions. “I am looking at a city that has been named the most obese, the unhappiest, the most drug riddled and the unhealthiest, but what I see are people fighting and finding recovery,” says Williams, who was elected mayor of Huntington in 2012. “We took our university, our medical and pharmacy schools and our community members and trained them, and now we see them playing an active role in fighting addiction. I created the Office of Drug Control Policy here and invited others to join me. Then the churches wanted to be involved, then businesses, then school systems. Everything has a common thread of ownership in the community. They say success has a thousand parents, so that means we have tens of thousands of parents who are owning their problems and accomplishments in Huntington. There was a hopelessness not too long ago, but now there is a hopefulness.” In 2017, at the height of the drug epidemic in Cabell County, 1,831 people overdosed, resulting in 132 deaths. While the numbers were gut-wrenching, during this time the citizens of Huntington were busy creating new programs, opening new treatment facilities, volunteering in adult drug court and working together to help their neighbors, families and friends struggling with substance use disorder. In 2018, Cabell County Emergency Medical Services (EMS) reported 1,089 overdoses— a 41 percent decrease. This impressive percent decrease is significant primarily because Cabell County was experiencing an epidemic level of overdoses, and it cannot be denied that the community was at work making a difference with its range of programs, treat- ment options and initiatives all aimed at treating the causes and effects of substance use disorder. 82 WEST VIRGINIA EXECUTIVE One of these life-changing programs is Huntington’s quick response team, or QRT, which is made up of law enforcement and health care and treatment professionals who visit people within 72 hours of an overdose to offer encouragement and treatment options. Coordinated by Cabell County EMS, the QRT made its first visit in December 2017. In 2018, one-third of overdose patients visited by the QRT entered treatment. “The QRT is starting a rapport with those suffering from substance use disorder and those who have overdosed,” says Huntington Fire Chief Jan Rader. “They’re keeping in touch with them and providing a positive pathway for them to get help when they are ready.” The QRT often refers patients to another vital program, the Provider Response Organization for Addiction Care & Treat- ment, or PROACT. A 501(c)(3) single-access hub for compre- hensive assessment, education, intervention and treatment solutions, PROACT was established by Cabell Huntington Hospital (CHH), Marshall Health and St. Mary’s Medical Center as an outpatient medical facility that brings together behavioral, social and medical resources from the community to triage patients. It is the only referral point in the region for patients discharged from local emergency rooms or inpatient detox units or visited by the QRT. Substance use disorder patients can see a physician and receive a treatment plan, clin- ical assessment, medication-assisted treatment, peer recovery support and individual or group therapy as well as access to intensive outpatient services, job readiness training and job placement assistance. Marshall University also plays a major role in the city’s—and the state’s—fight against addiction. The Division of Addiction Sciences at the Joan C. Edwards School of Medicine works tirelessly to find effective and practical solutions to this crisis. The new PROACT building. Photo by Marshall University School of Medicine and Marshall Health. “The Huntington community has proven to be quite unique in its capacity to come together with a common vision of addressing this crisis and, as a result, has become a national leader in the efforts to solve this countrywide problem,” says Stephen Petrany, M.D., chair of the Department of Family and Community Health at the school of medicine and interim leader of the addiction services division. “Marshall’s Division of Addiction Sciences has been able to bring in millions of dollars in grant funding to initiate and support many projects and pro- grams that are beginning to make a difference. We have seen lives saved and lives renewed as a result of our shared efforts.” Marshall’s medical, pharmacy and social work students also play an important volunteer role in the Cabell-Huntington