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Wisconsin Department of Health Services
You spoke, we listened
In January 2022, we listened to Wisconsinites explain the profound impact of the opioid epidemic and potential strategies to save lives. Our goal was to gather input from a broad group of stakeholders to inform our use of future opioid settlement funds.
598 people attended one of our 12 listening sessions. 897 comments submitted through our input survey.
We heard from substance use services providers, family and friends of people with a substance use disorder, and people living with a substance use disorder.
Summary: Invest across the continuum from prevention to recovery
We heard that supporting policy and systems change is essential to success. The remainder of the feedback falls into one of the areas listed below.
Read more.
On March 23, 2022, the DEA announced a new option for DEA-registered practitioners working in hospitals, clinics, or emergency rooms, and for DEA-registered hospitals/clinics that allow practitioners to operate under their registration number. Per this new option, the DEA will grant requests for an exception to the one-day supply limitation in 21 CFR 1306.07(b) to allow for the dispensing of up to a three-day supply of narcotic drugs, including buprenorphine and methadone, “to a person for the purpose of relieving acute withdrawal symptoms when necessary while arrangements are being made for referral for treatment.” Consistent with Pub. L. 116-215, the DEA will grant such exception requests while it works to amend 21 CFR 1306.07(b) as directed by said law.
As part of this effort to save lives in the opioid overdose crisis, the DEA also announced that it is working to make permanent its COVID-19 public health emergency temporary regulations allowing for the initiation of buprenorphine for opioid use disorder by telemedicine.
Finally, the DEA said it is, in partnership with HHS, “engaging in regular outreach with pharmacists and practitioners to express support for the use of medication-assisted treatment for those suffering from substance use disorder.”
Wisconsin DHS | Division of Care and Treatment Services
This year's Opioids, Stimulants, and Trauma Summit is scheduled for May 10-12, 2022. You are invited to join us for this event in person or virtually.
View the agenda for each day and information on how to register to attend.
We are accepting applications to award a contract for a mobile narcotic treatment program/opioid treatment program to provide opioid use disorder treatment services to underserved and high-need populations. Eligible applicants include for-profit agencies and nonprofit agencies currently certified under Wis. Admin. Code § DHS 75.13 and Wis. Admin. Code § DHS 75.15. Applications are due by 2 p.m. April 20, 2022. View more information on this grant funding opportunity.
DHS Releases Findings from Statewide Listening Sessions about Opioid Settlement Funds
Feedback from public and providers from listening sessions will inform agency's strategy to address state's opioid epidemic
Following a review of public feedback from listening sessions and an online survey in January on the best uses of funding received through national settlements with opioid distributors and manufacturers, the Department of Health Services (DHS) will begin finalizing its plan to invest the funds to save lives and address Wisconsin’s opioid epidemic. DHS held 12 regional listening sessions in early 2022. Nearly 600 people living with an opioid use disorder, their families and friends, and providers of opioid prevention, treatment, and recovery support services participated in these virtual events and nearly 900 comments were submitted through the online survey.
“We listened as hundreds of Wisconsinites explained the profound impact of the opioid epidemic on their families and communities, and we appreciate everyone who took time to share their feedback with us,” said DHS Secretary-designee Karen Timberlake. “The flexibilities offered by these settlement funds will give us an opportunity to be ever more innovative in our response to the opioid epidemic so we can help people who are currently struggling with an opioid use disorder, as well as work to prevent more individual and community heartbreak over the loss of lives to opioid overdoses.”
Read full press release here.
LA CROSSE — Gov. Tony Evers today signed three bills in La Crosse to help address substance use and overdose deaths in Wisconsin. “Substance misuse has ravaged families and communities across our state, which has affected not only many Wisconsinites’ own health and safety but the well-being of their families and loved ones, too. Unfortunately, the pandemic has only further underscored challenges for folks working to overcome mental health crises and substance use disorders,” said Gov. Evers. “Tragically, fentanyl has played a serious role in overdose deaths across the country, and these bills are an important step toward reducing substance misuse and overdose deaths here in our state. We have to keep working to invest in getting folks and families the treatment and support they need to overcome these challenges.”
Preliminary data of 2020 from the Centers for Disease Control and Prevention (CDC) shows the highest number of overdose deaths ever recorded in a single year in U.S. history; more than 93,000 people died, representing a 30 percent increase from the previous 12-month period. CDC data also shows that 75 percent of these overdose deaths were opioid-related, and that synthetic opioids, such as fentanyl, are the main driver of drug overdose deaths. In Wisconsin, the CDC estimates that in 2020 alone, there were more than 1,200 opioid-related overdose deaths, underscoring the importance of the governor’s action today.
Senate Bill 352, now 2021 Wisconsin Act 179:
Senate Bill 600, now 2021 Wisconsin Act 180:
Senate Bill 49, now 2021 Wisconsin Act 181:
Additionally, last year, Wisconsin joined the Bloomberg Opioids Overdose Prevention Initiative which provided $10 million to combat the opioid epidemic in Wisconsin over the next five years.
People looking for substance use treatment and recovery services are encouraged to use the Wisconsin Addiction Recovery Helpline, which is free and available 24/7.
An online version of this release is available here.
NASW | The Wisconsin Social Worker Journal | Winter 2021 | Pg. 15 | Ritu Bhatnagar, M.D., M.P.H.
What is Wisconsin’s Unborn Child Protection Act? Passed in 1997, Wisconsin’s “Unborn Child Protection Act” — also known as Act 292 and previously known as the “Cocaine Mom Law” — permits the jailing, forced medical treatment, or house arrest of a pregnant person on a suspicion that they have consumed or may consume alcohol or a controlled substance during their pregnancy. While the law is enforced differently across the state, according to statistics published by Wisconsin’s Department of Children & Families, each year for the past 5 years, between 400 and 500 Wisconsin women are subject state intervention under Act 292. The law was not supported by any medical organizations and has been challenged in court. In 2018, a judge found it to be unconstitutional because the language was so unclear, but the law still stands. Read more about the law and its history here.
What role do social workers play in the enforcement of Act 292? Social workers play a unique role in the enforcement of Act 292. Often, it is the hospital-based social worker making the report to the county or local law enforcement. Social workers may report a pregnant person out of fear of losing their license, presumed obligation, or misplaced assumptions about drug use. It is important to know that the way the law is written does NOT mandate reporting while the person is pregnant. Reporting is considered “permissive” in this situation, and it is important to ensure that your decision takes into account the situation of the woman and the potential for far reaching legal consequences of reporting (see story at right).
If you have further questions about this law, please contact Afsha Malik at afm@advocatesforpregnantwomen.org.
In 2014, Tammy Loertscher had a medical problem that caused depression if left untreated. After losing her job and consequently her health insurance, Tammy started to use methamphetamine regularly to manage her depression. Tammy made sure her drug use did not negatively affect other aspects of her life. As soon as Tammy realized she was pregnant, she stopped using methamphetamine. However, pursuant to Act 292, Tammy was ordered into drug treatment that she did not need and was incarcerated in Taylor County’s jail for 20 days for refusing that treatment, where she was held in solitary confinement, refused access to a lawyer, and denied access to her previously-scheduled prenatal care. To learn more about Tammy’s story visit us here.
Madison.com | Ritu Bhatnagar | Op Ed
Some are interested in using legislation to modify cannabis laws to address certain health conditions and inequalities in drug law enforcement. They also want to increase tax revenue.
As an addiction psychiatrist, I’ve seen previously healthy young people with cannabis-induced psychosis that continued even after the cannabis use didn't. This led to significant life-long negative impacts. With more potent cannabis forms available, my colleagues are also reporting that they are also treating challenging outcomes related to cannabis use.
What we know about the impacts of cannabis on the developing adolescent brain is the drug can negatively affect attention and focus, anxiety and impulse control. Unfortunately, studies show a change in perception of safety of cannabis products: People think because the products are “natural,” they are “safe.”
Recent reports of severe lung infections have been linked to cannabis products.
My concern, after reading a recent bill allowing medical marijuana, is that it seems to be quite far reaching, and was written without much input from the medical community.
Lawmakers should meet with addiction health professionals with expertise in this area to craft legislation that prioritizes public safety over profits.
Dr. Ritu Bhatnagar, Madison, Wisconsin Society of Addiction Medicine
NBC News | Ben Goggin
If you or someone you know is struggling with an alcohol, drug or other substance abuse problem, call any of these numbers for help: The Substance Abuse and Mental Health Services Administration's national helpline is 1-800-662-HELP (1-800-662-4357); the National Drug Helpline is 1-844-289-0879; and the American Addiction Centers' hotline is (866) 464-3073.
In December, Paul went home for the holidays. Like many people, he hadn’t seen his family for almost a year.
But instead of spending time with his loved ones, he said he stayed in his room and injected methamphetamine. While his family was downstairs, Paul said he pretended to be sick while he relapsed in a multiday meth binge.
Though he was alone in his room, he was using drugs with other people. As he was injecting methamphetamine, he connected with hundreds of other individuals doing the same thing over Zoom.
“There is no meth without Zoom, and there is no Zoom without meth,” Paul, whom NBC News is identifying only by his first name to protect him from professional harm, said in an interview. “That is where I found a forum, like a tribe, where I could be my authentic self with no fear of judgment.”
Paul, who said he’s been addicted to meth for about eight years, is part of a sprawling online community of meth users, hidden in plain sight on nearly every major social media platform and digital communication tool, from Facebook to Zoom to Reddit to Twitter.
As nearly all social media platforms and tech companies have trended toward increased platform moderation amid heightened scrutiny from watchdogs, meth users have attracted little attention as they build online communities of tens of thousands of people. With a mixed bag of policies pertaining to drug content that varies by platform, users have found numerous venues where they can post photos and videos of themselves using methamphetamine, sell drugs and encourage other people to use meth.
WISAM was a 2022 sponsor for Wisconsin Doctor Day, which was held virtually on Tuesday, February 8. Click on the documents below to view.
Wisconsin Society of Addiction Medicine563 Carter Court, Suite B,Kimberly, WI 54136
