Wisconsin DHS | Division of Care and Treatment Services

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:  

• Creates a graduated penalty structure for manufacturing, distributing, or delivering fentanyl (or fentanyl analogs) or possessing it with intent to manufacture, distribute, or deliver it. 
   

Senate Bill 600, now 2021 Wisconsin Act 180:  

• Specifies that materials used to test for the presence of fentanyl or a fentanyl analog in a substance are not drug paraphernalia.
   

Senate Bill 49, now 2021 Wisconsin Act 181:  

• Requires the Department of Administration, in collaboration with the Department of Health Services (DHS) and Department of Safety and Professional Services (DSPS), to issue a request for proposal, subject to approval by the Joint Committee on Finance under a 14-day passive review, to establish and maintain a data system to collect, format, analyze, and disseminate information on opioid and methamphetamines use.

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.

• WISAM 2022 Position Paper
• Access to Continuous Postpartum Care

Featured in the Wisconsin State Journal | Stop criminalizing opioid addiction | Ritu Bhatnagar | Published January 21, 2022

Over 1,000 Wisconsinites died of opioid overdose in 2020. One of the most effective interventions to reduce these deaths is treatment with medication for opioid use disorder. Sadly, too few people with opioid use disorder have been able to access treatment.

Rather, these often-young people end up in the legal system because of punitive laws that direct people to jail rather than treatment. Their lives are negatively impacted for years to come because they now have a felony on their record and are unable to pass background checks or get a job.

As an addiction medicine professional, I frequently hear of patients who experience an overdose, and because of their overdose end up with criminal possession charges. This approach means that many people are now afraid to call 911 for help when someone is experiencing an overdose -- out of fear of legal involvement.

Currently, Wisconsin law (911 Good Samaritan Act) does not do enough to protect individuals who experience an overdose. At a time when opioid overdoses are at an all-time high, it is critical that the Wisconsin Legislature update and strengthen the existing Good Samaritan Law.

Read more.

Wisconsin Department of Health Services

Preventing Opioid Harm in Wisconsin Starts with Real Talks
 Updated Dose of Reality initiative now online

Governor Evers today joins the Wisconsin Department of Health Services (DHS) and the Wisconsin Department of Justice (DOJ) in announcing  the launch of the updated Dose of Reality initiative today. The goal of this information and education campaign is to change the conversation around Wisconsin’s opioid epidemic. The Dose of Reality initiative provides the tools for all Wisconsinites  to prevent or reduce the risks of opioid use through open and honest talks about the dangers of opioids and ways to save lives.

“We know that many Wisconsinites struggle with opioid use, and that’s a problem that tragically has only gotten worse over the last few years,” said Gov Evers. “Opioids have ravaged families and communities across our state, and this initiative is just one of the ways that my administration is working to tackle this issue head-on to help folks get on the road to recovery.”

The updated Dose of Reality initiative is a series of webpages found at doseofrealitywi.gov that:

• Provide information on the risks of opioids.
• Provide information about safe storage and disposal of medications to keep them out of the hands of people who may misuse them.
• Offer strategies to support people at risk of or experiencing an opioid use disorder.
• Provide information on naloxone, its availability, and how to use it to reverse an opioid overdose.
• Help people find treatment and recovery services for an opioid use disorder.

Read full press release here.

APA Headlines

Bloomberg Law (1/25, Hansard, Subscription Publication) reports, “Health plans and insurers are failing to deliver parity in mental health coverage as required by law,” according to the 2022 Report to Congress on the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (PDF) issued on Jan. 25 by the Departments of Labor, Health and Human Services, and the Treasury.