Tuesday, April 25, 2017

Waterloo Region Integrated Drug Strategy




A community response to problematic substance use.

Actions for change through 4 pillars

1. Prevention
- a wide representation of stakeholders. resources include a website, mobile apps, literature and best practices for youth, parents, teachers. Naloxone kits (reverse effects of opioid overdose - only works for approx. 30min.)

Trying to determine how many overdoses occur in the community. Currently, no means to track this information.
4 key elements
Monitoring - anonymous reporting via www.omars.ca
Alerts - subscribe and receive Alerts issued by WRIDS regarding tainted substances
Responses - information on how and where to access naloxone

Education and Training - training on harm reduction and naloxone administrations

2. Harm Reduction
Co-leading with OMARS
Harm reduction programs (Naloxone distribution and overdose prevention via Sanguen)
Sharp disposal sites
Overdose prevention working group

3. Rehabilitation and recovery
- Rapid Access Addiction Medicine (RAAM) quick access to an addiction physical and counsellor. Establishes a care pathway between the emergency room, addiction medicine clinic, withdrawal management services and family doctors. Being piloted....still a "ways away" from implementing.

4. Justice and Enforcement
- Care pathways for those encountering police. (Transition plans after treatment/diversion ex.housing options)

91 individuals through 50 agencies involved.

Outcomes established in the following areas:
- System
- Service
- Individual

Signs and symptoms of opioid use.
- tired, pin point eyes, blue eyes ears fingers etc.
Naloxone is only effective with opioids

Info from SRO - B. Mikols

Trends
Gate keepers (like the DD) sits with the naloxone kit while others sample drugs.

In the next month every police officer in Waterloo region will be carrying Naloxone on patrol.

Fentanyl can be in powder, pill, liquid form.
Can be absorbed by inhaling, touch, ingest
Police will use gloves when searching. not search in unseen areas.

Carfentanyl - for large animals (horses).

School trends - Marijuana (still illegal)





Thursday, February 23, 2017

Deeper Conversations on Education and Career/Life Planning: Supporting the Highly Skilled Workforce Recommendations


All Resources Here

Technology is replacing entry-level job positions. (workplace students)

How can schools prepare all students for the world of work that is ever changing ahead of them?

Amount of money students can get is determined by financial needs
Ed. Costs (Books, tuition, Living expenses) - Financial contribution (students, parents, scholarships/bursaries) = Financial Need

Cost of education is a shared responsibility between, students, parents, institutions, and government.

Use the estimator. www.ontario.ca/osap

Resources: ontario.ca/OSAPpartners

Future Jobs - Rich Weiner







Wednesday, January 25, 2017

Violent Threat/Risk Assessment Training



The better the data the better the assessment the better the intervention.

If you don't' know what got them into the gang how do you expect to get them out.
- You can't use the same strategies for everyone.

Multi-discipline team can connect more data than one person.

If threat is Clear, direct and plausible - Plausible is most important.

Under reaction is the biggest problem.

Assume whoever comes forward was elected by a larger population.  Once build rapport ask "Who else knows about this?"

If someone communicates signs and we do nothing then you increase their risk.

Serious violence is not a straight line. Many offenders go through an evolutionary process, and its contextual no one just snaps.  People can go in and out of risk before committing act.

It's one thing to make a threat it's another to be able to act on it. Kill you vs. Stick this knife in our throat

Artificial lowering of risk. Not addressing the issue.

High profile cases doesn't cause violence it intensifies feelings/symptoms of violence already present.

The more they can identify will the aggressor/victim the more it will increase symptom development.

Locker dynamic - Find evidence in student's locker, backpack, desks, assignments, vehicles friends lockers - weapons, lists etc.

Bedroom Dynamic - evidence of planning - Many parents had not been in kids bedroom for over a year. Domain of the police - search warrant, or interview parents, F&CS

Social Networking Dynamic - can be the most blatant source of evidence.

History of Target Selection
Site Selection
Frequency
Intensity
Recency
All of these determine Baseline. Shift in baseline determines evolution in violence.

Hypothesis
1- cry for help
2 - conspiracy theory of 2 or more - puppet master

Day 2
naturally open leaders look for opportunities to openly share information for the systems they are responsible for.

Closed leaders look for reasons not to share information for the benefit of themselves.

VTRA stage 1 trumps Suspension

the question is not..the mental health diagnosis is the reason for the violence but. How much is the mental health diagnosis affecting the behaviour?