S.C.O.R.E.
Seminole Collaborative Opioid Response Efforts
Objective
The primary goal is to save lives by combating the Opioid Epidemic through a collaborative initiative. The SCORE Initiative will have a comprehensive approach to funnel those who have overdosed and are being treated in the Emergency Department and transition them through a pipeline of detoxification, stabilization, and treatment/rehabilitation. SCORE will develop and implement a seamless, collaborative, stabilization and treatment solution to reduce opioid overdoses, recidivism and mortality. This is a three (3) prong approach addressing and targeting Prevention, Enforcement, and Treatment (P.E.T.).
Mobile Response Team
The response team will make contact with the patient and discuss SCORE and determine if the patient is willing to enter treatment.
- If the patient is willing to voluntarily enter treatment, determine which treatment meets the needs of the patient.
- If patient refuses treatment, follow up with patient within 24-48 hours of release from Emergency Department to determine if patient will accept any future treatment.
- If patient accepts treatment, the response team will accompany and facilitate transport to SCORE treatment facility after release from Emergency Department.
- Peer counselor will be their "coach" through the entire process.
If you or someone you know has questions about opioids or is in need of treatment assistance please call our non emergency line at (407) 665-6650 or email us directly at score@seminolesheriff.org.
What Are Opioids?
Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids such as fentanyl, and pain relievers available legally by prescription, oxycodone (OxyContin), hydrocodone (Vicodin), Dilaudid, Demerol, codeine, morphine and methadone. These drugs are chemically related and interact with opioid receptors on nerve cells in the body and brain.
Opioids block pain signals in the brain. They change the chemistry of the brain and lead to drug tolerance, which means that over time the dose needs to be increased to achieve the same effect.
Opioid pain relievers are generally safe when taken for a short time and as prescribed by a doctor. There are legitimate reasons for one to be prescribed opioids as they manage both acute and chronic pain. But because they produce euphoria in addition to pain relief, they can be misused and taken in a larger dose than prescribed. Addiction can start with a prescription from your health care provider. Even regular use as prescribed by a doctor can lead to dependence, overdose incidents and even death.
According to the Center for Disease Control (CDC), there were more than 33,000 opioid deaths nationally in 2015. That number rose to 64,070 fatal overdoses in 2016. A study by the National Institute on Drug Abuse predicts the addiction epidemic in America will continue to deteriorate and numbers are estimated to be 71,600 for 2017. Exact data for 2017 and 2018 have not yet been released. Locally here in Seminole County, there were 62 deaths in 2016, 83 deaths in 2017 and 82 deaths in 2018.
The rise in deaths can be partly attributed to "boosting". Boosting is when heroin is mixed with stronger and cheaper fentanyl and carfentanil to make the heroin go farther and increase profits for the drug dealer. Carfentanil is easily obtained from China by purchasing online on the "dark web". Many prescription users turn to heroin when their prescriptions run out or when they get too expensive to fill. Heroin boosted/laced with fentanyl is responsible for many opioid deaths.
Signs to Look For
- Changes in behavior and attitude
- Deteriorating family relationships
- Lying and/or stealing
- Obvious intoxication, incoherence or unconsciousness
- Spending long periods of time by themselves
- Track marks on the body
Call 911 If You Notice the Following
- Not waking up
- Blue lips, hands and face
- Struggling to breathe
- Gurgling sounds
- Dazed state or confusion
Good Samaritan Law
Per
Florida State Statutes 893.21:
(1) A person acting in good faith who seeks medical assistance for an individual experiencing a drug-related overdose may not be charged, prosecuted, or penalized pursuant to this chapter for possession of a controlled substance if the evidence for possession of a controlled substance was obtained as a result of the person’s seeking medical assistance.
(2) A person who experiences a drug-related overdose and is in need of medical assistance may not be charged, prosecuted, or penalized pursuant to this chapter for possession of a controlled substance if the evidence for possession of a controlled substance was obtained as a result of the overdose and the need for medical assistance.
(3) Protection in this section from prosecution for possession offenses under this chapter may not be grounds for suppression of evidence in other criminal prosecutions.
Do I Have A Problem?
- Do you take more than prescribed?
- Do you take it in a different manner than prescribed? Eg: chewing, snorting, or crushing
- Do you crave it to deal with personal problems?
- Do you need more and more to achieve a high?
- Are you struggling financially because of use?
- Do you find yourself nodding off numerous times during the day?
Lock Your Meds
Many teens advise they started by using prescriptions found in their home or their grandparents home.
Many addicts admit to going to real estate open houses or pretending to want to purchase a home so they can search the medicine cabinets of others.
Seminole County residents may safely dispose of old, expired or unwanted prescription medications at Prescription Drug Drop Off Boxes located at a variety of locations throughout the county.
Prevention
Use prescriptions as prescribed
Do not share prescriptions or borrow from someone else's prescription
Parents, talk to your kids about drug use.
Become Familiar
Become familiar with frequently used drugs by identifying them by picture here.
Resources & Treatment
Recovery Connections of Central Florida
MyRecoveryConnections.org
407-RECOVER (407) 732- 6837
7912 Forest City Road, Suite 101, Orlando, FL 32810
Website has 160 links to local support resources. The 24- Hour Hotline is staffed by individuals who have overcome addiction. Peer Recovery Specialists connect with individuals through lived experience by providing recovery services. The Recovery Community Center is a safe environment where individuals can access one-on-one in-person support.
Advent Health Hope and Healing Center
212 Eslinger Way, Sanford, FL 32773
407-792-2162
Residential and Intensive Outpatient Program (IOP) for individuals with Substance Use Disorder. Provides whole person care and delivers recovery support services to assist individuals on their road to recovery.
Aspire Health Partners
919 E. Second Street, Sanford, FL 32771
407-323-2036
Specialists help individuals identify clinical needs, provide immediate support and refer to appropriate behavioral health services. Provides medically supervised detoxification and stabilization for adults with substance use or co-occurring mental health disorders.
The Rase Project
Recovery Advocacy Service Empowerment
201 Hilda Street Suite 22
Kissimmee, FL 34741
407-518-1094
Peer Recovery Specialists guide individuals to treatment options within the community. Connects individuals struggling with Opioid Use Disorder with a prescribing physician for the medication Suboxone. Serving Seminole, Orange, Osceola and Brevard Counties.
Florida Department of Health
Community Integrated Mobile Health
SGCHD59IntMobHealthSvcs@flhealth.gov
Lotus Behavioral Health
1030 Spring Villas Point, Winter Springs, FL 32708
LotusBH.com
833-995-6887
Outpatient and Intensive Outpatient care offered to teens (13-17) and adults suffering with substance use or co-occurring mental health disorders.
Clear Futures
MyClearFuture.com
(407) 636-3030
Clear Futures Medically Assisted Treatment (MAT) is a treatment and recovery coordination center providing MAT for Opioid Use Disorder (OUD). Clear Futures MAT uses Buprenorphine products including Sublocade (once/month injectable) and Suboxone and Subutex (oral daily dosing) to successfully guide recovery. Using FDA approved medications for MAT, Buprenorphine product treatment programs, along with the added personal commitment, have been shown to reduce the death rate among those living with addiction by 50% or more. The largest advantage to Buprenorphine products is that it reduces the cravings and the withdrawal symptoms significantly. When you can reduce the cravings, you will reduce the destruction and down-sloping of your life. You can return to your life, your family, your job. Up to 90% of patients who use MAT with counseling, positive behavior, and lifestyle changes maintain sobriety at the 2-year mark.
Florida True Health
4930 E. Lake Mary Blvd., Sanford, FL 32771
407-322-8645
Offers a variety of medical services, as well as outpatient counseling for substance use and mental health.
The Grove Residential/IMPOWER
407-215-0095, Option 3
Offers care for children, adolescents and families focused on substance use, mental and behavioral health. Residential program for 13-17 years old.
Park Place Crisis Stabilization Unit
206 Park Place Blvd.
Kissimmee, FL 34741
407-846-0023, Option 1
Osceola County’s Community Behavioral Health provider of adult and children’s mental health and substance abuse services.
Steps Apopka
1901 S. Apopka Blvd., Apopka, FL 32703
407-884-2126
Provides comprehensive substance use treatment and education. Prioritizing those who are indigent, pregnant, postpartum or have children in Seminole, Brevard, Orange and Osceola counties.
Advanced Recovery
6000 Lake Ellenor Drive, Orlando, FL 32809
407-613-5558
Recovery Center offers a full continuum of care for drug and alcohol addiction and a holistic, thorough approach to co-occurring disorders. Medical detox, residential treatment and intensive outpatient treatment.
Find Treatment Near You
English: 1-800-662-HELP (4357)
Spanish: 1-800-662-9862
Teen Challenge
Teen Challenge is a Christian-faith based, residential care facility for young people and adults. The program is typically 12-18 months and consists of individual and group bible studies, work projects, education and recreation. The Central Florida Men’s Rehab Center is located in Sanford, FL. Call 407-330-9600 for entry procedures and requirements. For more information, go to
https://www.teenchallenge.cc.
Dose of Reality Florida
Marchman Act
Involuntary admission to a hospital or detox facility for assessment. This can be court ordered or law enforcement initiated.
Support Groups
Narcotics Anonymous - 93 meetings a week in the Central Florida area
Smartrecovery.org (Greater Orlando) area
Addicted.org
GRASP
GRASP (Grief Recovery After a Substance Passing) is a national grief organization and the Central Florida chapter meets monthly in Maitland, FL. We welcome anyone 18 or older that has lost someone to substance abuse. For more information go to
http://grasphelp.org or send an email directly to donna_mina@yahoo.com or canemama04@yahoo.com.
SCSO hosts
Advocates for our Angels, a support group for families who have lost a loved one to the opioid crisis. For more information, please contact Brandy Fulghum at 407-849-8650 or or Della Wiggins at 352-989-6760 or go to the
Facebook page. Meetings are 1st and 3rd Saturday at 1PM @ Lifepoint Chruch, 1470 Myrtle Lake Hills Rd, Longwood, FL 32750.
Meetings:
https://cflintergroup.org
Virtual Meetings:
https://www.intherooms.com/home
Get Help Now
OPIOID CRISIS - GET HELP NOW. TEXT “OPIOID” TO 898-211. Standard text messaging rates may apply.