{\an2}(upbeat music) {\an2}- [Announcer] This is a production {\an2}of WEDU PBS, Tampa St. Petersburg, Sarasota.

{\an2}(light music) {\an2}- [Announcer] Premier Eye Care is a leader {\an2}in national managed eyecare {\an2}with 4 million insured members nationwide {\an2}through its network of optometrists, {\an2}ophthalmologists, and specialists, {\an2}recognized for best practices and delivery of care, {\an2}associate engagement and commitment to the community.

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{\an2}- Our motivation every day {\an2}is the people around us {\an2}and this community are making it better.

{\an2}- Workforce development.

- Healthcare.

{\an2}- [Woman] Education.

{\an2}- [Man] Getting out there and making a difference {\an2}in the lives of those who need it the most.

{\an2}(upbeat music) {\an2}- COVID 19 has had a crippling effect {\an2}on so many aspects of our lives.

{\an2}But its impact on the ongoing opioid crisis, {\an2}it's especially alarming.

{\an2}Tampa Bay has one of the highest {\an2}overdose rates in the state.

{\an2}An overwhelming number of deaths {\an2}are caused by a synthetic street version {\an2}of the painkiller Fentanyl.

{\an2}People are taking drugs like heroin, cocaine, {\an2}and even anxiety medications {\an2}that are laced with the illicit drug.

{\an2}And they don't even know it.

{\an2}And they never wake up.

{\an2}On this episode of "That's All I'm Saying", {\an2}we'll introduce you to an effort {\an2}to mobilize business, nonprofit and faith leaders {\an2}to address this issue.

{\an2}And we'll hear the solutions they think are possible.

{\an2}But first, the story of a mother who knows firsthand {\an2}the devastating impact of opioid and fentanyl use.

{\an2}(light music) {\an2}Emmanuel Figueroa's death didn't have to happen.

{\an2}- I miss him tremendously.

{\an2}I feel like he's just always with me, {\an2}just kind of making me stronger and guiding my steps, {\an2}you know, making sure that I'm okay.

{\an2}I think what made Emmanuel special was his fearlessness.

{\an2}He faced a lot of obstacles throughout his life {\an2}and he did that with grit.

{\an2}He was diagnosed with kidney stones at age 15 {\an2}and he was prescribed Vicodin and oxycodone {\an2}by his urologist.

{\an2}- [Earnest] Those pain killers are highly addictive {\an2}and led to Emmanuel's nearly 20-year battle {\an2}with substance use disorder.

{\an2}- Had I had that information, {\an2}I would've definitely been able to monitor his intake {\an2}because he didn't want to be an addict.

{\an2}No one grows up thinking {\an2}that's what I wanna be when I grow up.

{\an2}With substance use disorder, {\an2}it promotes, you know, isolation.

{\an2}He isolated himself from our family.

{\an2}- [Earnest] Manuel move to New York City in his twenties, {\an2}a where he worked and made new friends.

{\an2}His addiction was active during this time {\an2}despite several attempts to stop using.

{\an2}In 2019, Emmanuel took a pill laced with fentanyl, {\an2}a drug that is 100 times stronger than morphine.

{\an2}He died later that night.

{\an2}- It was a crushing of my soul.

{\an2}I broke into a million pieces.

{\an2}I've not been the same since.

{\an2}My mind, my heart has been forever changed.

{\an2}And I look for a time {\an2}when I will return to my normal self, {\an2}but I don't think that'll ever happen.

{\an2}- What's your message to parents {\an2}who might be dealing with a child {\an2}who has an addiction problem?

{\an2}- I would tell them to be vigilant {\an2}and informed about the medications {\an2}that could potentially be prescribed to their children.

{\an2}And then secondly, if you find that your child {\an2}has in fact developed substance use disorder, {\an2}I would, you know, encourage them to remain positive {\an2}in their children's lives, {\an2}to offer unconditional support, {\an2}which is what they will need {\an2}as they navigate their treatment and recovery.

{\an2}- [Earnest] Now, Sandra hopes Emmanuel's story {\an2}raises awareness for other people {\an2}who may be in a similar situation.

{\an2}- I've decided to use the strength {\an2}that I've gained through my grief {\an2}and just kind of let it pull me forward {\an2}and bring a light to this crisis.

{\an2}If my story can bring about conversation, {\an2}then I am all in.

{\an2}- Thank you, Sandra.

{\an2}I know you still hold Emmanuel in your heart.

{\an2}Hopefully, it'll make a difference in the lives of others.

{\an2}(light music) {\an2}During the early days of the pandemic in 2020, {\an2}fentanyl killed more people in Tampa Bay {\an2}than all other substances combined.

{\an2}Even today, nearly 30 people {\an2}die of an opioid death each week.

{\an2}The devastating impacts of this crisis {\an2}is being felt by families {\an2}and hospitals in treatment centers {\an2}and in our local economy.

{\an2}Joining me now to discuss the issue {\an2}and possible solutions {\an2}are Jennifer Webb, the executive director {\an2}of the nonprofit Live Tampa Bay {\an2}and Dr. Jason Wilson, {\an2}associate medical director of the emergency department {\an2}at Tampa General Hospital {\an2}and an associate professor at USF Health.

{\an2}All right, Jennifer, I'm gonna start with you {\an2}and ask, you know, your group {\an2}had a different name when it started.

{\an2}It's now Live Tampa Bay.

{\an2}Does that underscore what we're dealing with {\an2}and how much you want to see more people live {\an2}and not succumb to this epidemic?

{\an2}- Thank you for having me here today, Ernest.

{\an2}Yeah, so, you know, we did change our name {\an2}to Live Tampa Bay {\an2}because what we want folks to do {\an2}is more than simply not overdose {\an2}or just to focus on opioids and the problem, {\an2}which is what our previous name did.

{\an2}We want people to live, {\an2}to not only not die, but also to live and thrive {\an2}and enjoy a life, a healthy, productive life.

{\an2}- You know, one of the factors {\an2}we've talked about with this issue, {\an2}Jennifer is the unintentional consequences {\an2}and the dangers of even taking a single tablet.

{\an2}Can you expand on that a little bit {\an2}and talk about how people can't {\an2}take these kind of risks anymore?

{\an2}- Absolutely, so when we talk about people with, {\an2}when we talk about the opioid crisis, {\an2}people think of those with substance use disorders {\an2}dying in record numbers and that's absolutely true.

{\an2}But there's this entirely other group.

{\an2}Our recreational drug users, {\an2}our occasional drug users {\an2}who are also dying in record number.

{\an2}And that's due to one thing, that's due to fentanyl.

{\an2}Fentanyl is in so many substances right now.

{\an2}It's cut into pills, it's pressed into pills, {\an2}it's found in cocaine and even in marijuana.

{\an2}And actually, a horrifying statistic is that {\an2}two out of five pills {\an2}that are bought illicitly from the street {\an2}contain a deadly amount of fentanyl {\an2}according to the DEA.

{\an2}That means that recreational or occasional drug use {\an2}can be more deadly than playing Russian roulette.

{\an2}- Dr. Wilson, let me turn to you {\an2}as a doctor at Tampa General Hospital {\an2}and a professor at the University of South Florida, {\an2}I think you bring a unique perspective to this.

{\an2}How have you seen this epidemic impacted by COVID 19?

{\an2}- Well, just like a lot of other things {\an2}that were precarious {\an2}or just on the border line of breaking, {\an2}staffing, labor, other social determinants of healthcare.

{\an2}What we've seen is that COVID pushed us really into a, {\an2}even more difficult place than we were before {\an2}around the opioid epidemic.

{\an2}This opioid epidemic has really been something {\an2}that's been a part of my career {\an2}which started around the prescription drug issue {\an2}with opioids becoming more prescribed, {\an2}then starting to see pill mills, {\an2}then starting to see heroin use as pill mills shut down {\an2}and then starting to see synthetic opioids {\an2}like fentanyl right now.

{\an2}And this perspective, I think that I bring {\an2}is interesting because it allows me to both {\an2}go into the ER, {\an2}which I was in 12 hours yesterday seeing patients, {\an2}six of which had opioid use disorder {\an2}or there for a withdrawal {\an2}or for an overdose acutely.

{\an2}Those six patients if I go back 10 years ago, {\an2}I would've offered lifesaving treatment for the moment, {\an2}but would've done nothing for their future.

{\an2}And the patients who were in withdrawal, {\an2}I really would've not have done much of anything at all.

{\an2}Where organization like Jennifer are leading us {\an2}or we're at right now moving forward to, {\an2}is a place where now we try to get those people {\an2}some type of treatment and help.

{\an2}- So one of the things I've read a lot about {\an2}is access to treatment.

{\an2}What are some of the steps we can take {\an2}to increase access to treatment {\an2}for people who have substance abuse disorders?

{\an2}- Yeah, that's a great question, Ernest.

{\an2}And I think one of the things I've really learned {\an2}over of this last decade or so {\an2}is that we have to be willing {\an2}to meet people where they're at {\an2}in the continuum of substance use.

{\an2}And so some of that means harm reduction.

{\an2}Some of that means on the other side of the coin, {\an2}opioid overdose reversal {\an2}or management of the acute overdose.

{\an2}And sort of in the middle of all of that, {\an2}to take the patient who wants to not use opioids {\an2}and put them into some type of program {\an2}with medications to try to not use opioids.

{\an2}What we've seen really change and open up {\an2}and this is part of sort of federal administration {\an2}law changes as well, {\an2}is the ability for people like me {\an2}to utilize the medication called buprenorphine {\an2}or Suboxone as the brand name {\an2}and even use it in the emergency department.

{\an2}And then try to get people on that medication {\an2}as they leave the emergency department {\an2}and then into a treatment facility, {\an2}either as an outpatient or inpatient, {\an2}depending on where they're at in their care continuum.

{\an2}- So is one of the keys {\an2}making that drug more available, Dr. Wilson?

{\an2}- It absolutely is.

{\an2}There's a few keys right now {\an2}that we have to keep on turning, right?

{\an2}The keys are in the door lock, {\an2}but they're not fully turned yet.

{\an2}So a great example right now {\an2}is some of the leftover {\an2}both state and federal regulations {\an2}around places that can utilize, prescribe, {\an2}and give both buprenorphine or methadone.

{\an2}There's a lot of, you know, {\an2}outdated, basically things that just weren't, {\an2}we were giving a lot of buprenorphine in the ER {\an2}that are still there in the federal regulations {\an2}and also in the state laws.

{\an2}Those things are changing slowly, {\an2}but they need to change more rapidly.

{\an2}- You know, you mentioned some legislative action, Jennifer, {\an2}I know there's another bill {\an2}that's getting great consideration in Tallahassee {\an2}and it's gonna allow for {\an2}more people to qualify as peer support specialists.

{\an2}Talk to me a little bit about that {\an2}and why it's important to have peer support, {\an2}people who've also gone through this.

{\an2}- So along with that storytelling {\an2}of de-stigmatizing substance use disorder {\an2}is also telling one story {\an2}as a means in connecting with folks who have made it.

{\an2}Not all overdoses end in death.

{\an2}A lot of people go on to revive and recover.

{\an2}We need to get that out there {\an2}and those stories out there.

{\an2}And peer support specialists {\an2}not only have that story to tell, {\an2}they also have the experience {\an2}of visiting places like the emergency department {\an2}where Dr. Wilson works, {\an2}being incarcerated, going to jail.

{\an2}Jails are using peer support specialists.

{\an2}Law enforcement agencies are using peer support specialists.

{\an2}Instead of having a detective show up at your house {\an2}24 hours after you're brought back {\an2}from a fatal overdose with Narcan, {\an2}they realized that that wasn't the most effective strategy {\an2}that somebody who's just overdosed {\an2}is a little freaked out if they see {\an2}somebody in a police uniform or Sheriff's office, {\an2}Sheriff's office are at their door.

{\an2}And so they're sending peer support specialist {\an2}or plain clothe behavioral health support specialist.

{\an2}And these folks, it's their job to connect those {\an2}who are getting onto the path {\an2}of recovery to recovery resources.

{\an2}So either that's an inpatient program, {\an2}that's a intensive outpatient program {\an2}or simply to a recovery community organization {\an2}and a Twelve-step program.

{\an2}There's many ways of getting treatment and recovery.

{\an2}And these individuals are uniquely positioned {\an2}to help to connect with those {\an2}in this very vulnerable state.

{\an2}I mean, they're actually so effective {\an2}that even the maternal child health programs {\an2}for mothers who are dealing with substance use disorders {\an2}are considering pulling in moms {\an2}to be these kinds of peer support specialists {\an2}to pregnant mothers who are trying to kick their habit {\an2}or deal with their substance use disorder.

{\an2}And I love that Dr. Wilson really emphasized {\an2}the fact that this is a chronic disease.

{\an2}And so having somebody who can walk with you {\an2}along the path and give you, {\an2}from their own experience what they did {\an2}and connect you to those resources, {\an2}so very important.

{\an2}- The recovery ebbs and flows.

{\an2}- Yeah.

- Absolutely.

{\an2}- And ask we think about this as really a continuum, {\an2}that's a circle, that's a 3D structure {\an2}that people are moving.

{\an2}And what we have really tried to do {\an2}is create spaces where anywhere you are in that journey, {\an2}there's a place for you to go for treatment.

{\an2}And I just wanna echo how important the peers are.

{\an2}You know, if you go back a few years ago, {\an2}I was not yet a understander of the data around peers.

{\an2}I did not quite get it yet.

{\an2}Let me just say that as a, you know, {\an2}working in emergency department {\an2}and running an emergency department, {\an2}you think, oh, wow, so you wanna bring people {\an2}who've had prior issues with opioid use disorder {\an2}and put them around other patients {\an2}using opioids in the ER, {\an2}this seems a little, you know, unsettling.

{\an2}- Counter intuitive.

- The data is, {\an2}- Counterintuitive, the data though {\an2}was so crystal clear.

{\an2}My team kept on showing me the data {\an2}and they were, I'll tell you, Ernest, {\an2}I believe in the peer model so much.

{\an2}Just as a real example, {\an2}I've given up my office in the ER to my peers {\an2}because I want them there so badly.

{\an2}They need a space to be there.

{\an2}When we started at Tampa General, {\an2}the first, what we call MUD program, or M-U-D program, {\an2}which is a Medication for Opioid Use Disorder program {\an2}out of an ER in the State of Florida.

{\an2}And we did that with Central Florida {\an2}Behavioral Health Network.

{\an2}And so to do that, we brought in peers.

{\an2}As we started that program, {\an2}our peers weren't there yet.

{\an2}Our engagement, our enrollment in the program {\an2}was not very high.

{\an2}So we now have over 600 people {\an2}who've gone through our ER based MUD program, {\an2}really all because of the lived experiences {\an2}and that testament to our {\an2}certified peer recovery specialists.

{\an2}- Wow, that's terrific.

{\an2}You know, another aspect {\an2}that we haven't talked to about yet, {\an2}I know Live Tampa Bay is focused on this {\an2}is trying to get business leaders {\an2}and faith leaders involved.

{\an2}How can business leaders help, Jennifer {\an2}and why do they need to be involved?

{\an2}Why do they need to be concerned about this issue?

{\an2}- One, this is not, this is everybody's issue.

{\an2}Second, the majority of the folks who are dying {\an2}are found within that prime workforce age group, {\an2}that 25 to 54 year old age group.

{\an2}That makes up about 76% of the overdose deaths {\an2}are in that age group.

{\an2}So it's our workers.

{\an2}It's the people whose labor {\an2}moves our economy forward in the Tampa Bay region.

{\an2}And, finally, it's just the right thing to do.

{\an2}I mean, the new front line, {\an2}we can't wait until it's a medical crisis {\an2}or a criminal justice crisis.

{\an2}We need to move the front line up {\an2}to where employers are skilled {\an2}and educated and involved {\an2}where their employee assistance programs {\an2}are smart enough to help folks {\an2}with substance use disorders deal with their disorders, {\an2}where their time off policy {\an2}mirrors the language that they're using saying, {\an2}you know, I get it, I get that {\an2}addiction is actually a chronic disease, {\an2}that it's a substance use disorder like other disorders.

{\an2}And I'm gonna treat it as such.

{\an2}That their insurance policies match that.

{\an2}I mean, when you consider how much time we spend {\an2}at the workplace making sure that those places {\an2}are places that help us move along a path of recovery {\an2}if that's what we need, {\an2}or that promote behavioral health is so very important.

{\an2}And to our business leaders credit, {\an2}they have come on board.

{\an2}I mean, Tampa Bay Business Journal {\an2}just came out with their, you know, {\an2}Hundred most influential people, {\an2}11 of our leaders were on that list.

{\an2}- Oh, wow.

- I mean, these are our {\an2}- our industry leaders who are getting there {\an2}and not necessarily just healthcare systems, {\an2}although I'm so grateful to have folks {\an2}like Tampa General Hospital, {\an2}Florida Blue and others on our leadership committee.

{\an2}But people who, you know, banks, the Rays, {\an2}all sorts of industry leaders {\an2}are showing up to the table and saying, {\an2}this is an issue that we all need to be concerned with.

{\an2}- Yeah, so let me just close {\an2}as we have about a minute left.

{\an2}Let me close by asking both of you, {\an2}how much can that involvement help {\an2}us deal with the stigma of substance abuse disorder?

{\an2}How much can it help to get the whole community {\an2}focused on this issue, Dr. Wilson?

{\an2}- Yeah, what I've really appreciated about the involvement {\an2}of business leaders, community leaders {\an2}is it really gives credibility to this approach.

{\an2}I think having seen so many big names, {\an2}big associations, big organizations, {\an2}step up and understand harm reduction works {\an2}and understand we're trying to save lives, {\an2}really gives the public some time to say, {\an2}oh, okay.

I think this is really {\an2}the right public health approach.

{\an2}And that is appreciated.

{\an2}- Jennifer, you had a last word.

{\an2}How important is it to deal with the stigma {\an2}associated with this?

{\an2}- It's foundational, I mean, honestly, {\an2}all the changes that we make {\an2}are going to be dependent upon {\an2}ensuring that folks no longer have that stigma {\an2}against those with substance use disorders.

{\an2}Hospital executives can make policy changes, {\an2}but those implementing that, {\an2}unless they've dealt with their own bias {\an2}against those with substance use disorder, {\an2}it's not gonna really take hold.

{\an2}Legislators can pass laws, {\an2}but if the people who are enacting those laws {\an2}don't see sick people but see bad people, {\an2}we're not gonna see the changes on the ground {\an2}that are so vital to saving people's lives {\an2}and helping people pull their lives back together {\an2}so that they can be thriving, {\an2}successful individuals in our community.

{\an2}- All right, well, Jennifer Webb, Dr. Jason Wilson, {\an2}thank you so much for being with us today.

{\an2}(light music) {\an2}For Live Tampa Bay, the opioid crisis {\an2}is a health issue and a moral issue, {\an2}but it's also an economic issue.

{\an2}Here to tell us why more businesses {\an2}are taking an interest in the opioid crisis {\an2}is Tampa Bay Partnership CEO, Bemetra Simmons.

{\an2}Bemetra, how are you?

{\an2}- I'm doing great, Ernest, thank you so much for having me.

{\an2}- Well, we're glad to have you {\an2}and tell me why has the partnership {\an2}and a number of businesses in the community {\an2}taken an interest in this epidemic?

{\an2}- Great question, Ernest.

{\an2}I mean, on the surface, this would seem like {\an2}that it is a health issue only, {\an2}but it's not just a health issue.

{\an2}It's a quality of life issue, {\an2}which makes it a business issue.

{\an2}We want our members of our {\an2}and residents of our communities {\an2}to be healthy and able to function properly {\an2}so that they can go to work and focus on their jobs {\an2}and have economic mobility for themselves.

{\an2}And what we've seen from this crisis {\an2}is that the more residents in the Tampa Bay region {\an2}that are affected by this, {\an2}the more that interrupts them from an economic standpoint.

{\an2}- You've made that appeal to business leaders.

{\an2}How have they responded?

{\an2}Are they interested in helping with the crisis?

{\an2}- AB absolutely, I mean, this has been {\an2}a focus for the partnership now {\an2}for a couple of years.

{\an2}And just in the last 30 days, {\an2}we convened a group of about 90 community leaders, {\an2}business leaders, healthcare professionals, {\an2}faith-based workers, not-for-profit {\an2}to talk about this issue and this issue alone {\an2}with the simple but lofty goal {\an2}of reducing the number of deaths in our region {\an2}due to opioid use and abuse.

{\an2}- You know, a big thing we've talked about, Bemetra {\an2}is how COVID 19 has changed the impact {\an2}of the opioid crisis.

{\an2}And we know in the last year and a half, {\an2}those changes have had at disproportionate impact {\an2}on communities of color.

{\an2}What have you learned in {\an2}looking at some of the research in numbers {\an2}about that impact?

{\an2}- Yeah, great, great question.

{\an2}So what we've seen over the last year and a half {\an2}is that as I mentioned, this is becoming an everybody issue.

{\an2}You know, historically the opioid crisis {\an2}was seen as something that was rural and white, {\an2}and unfortunately, that's just not the case anymore.

{\an2}We saw triple digit increases in percentages, {\an2}particularly in the African-American and Latino community, {\an2}as it relates to opioid use {\an2}over the last year and a half due to the COVID, {\an2}you know, in the, during the COVID 19.

{\an2}- All right and as we wrap up let me just ask, {\an2}how confident are you that this collaborative effort {\an2}can help lead us out of the fog of the opioid crisis?

{\an2}- I'm very confident.

{\an2}I'm encouraged by the players that we have today.

{\an2}Everyone's passion for reducing the number of deaths {\an2}and understanding that, you know, {\an2}it's gonna need to be a collective effort {\an2}between business, community, and government {\an2}in order for our community to win on this issue.

{\an2}- All right, hey, I hope you're right about that {\an2}and we are able to impact this crisis.

{\an2}Bemetra Simmons, CEO of the Tampa Bay Partnership, {\an2}Thank you so much for being with us today.

{\an2}- Thank you for having me, Ernest.

{\an2}- Coming up, I'll have some closing thoughts {\an2}on the opioid crisis.

{\an2}(light music) {\an2}Let me speak correctly.

{\an2}Those battling addictions suffer from {\an2}substance use disorder.

{\an2}Don't mistake those words for some sort of {\an2}21st century political correctness.

{\an2}Experts properly use the term {\an2}to describe someone with a mental disorder {\an2}that affects a person's brain and behavior, {\an2}and that disorder impairs the person's ability {\an2}to control their use of a substance.

{\an2}Be it alcohol, medications, {\an2}or in the case of today's subject, opioids.

{\an2}The terminology helps frame the challenges {\an2}society must address with this crisis.

{\an2}We must erase the stigma attached to this disease, {\an2}and we must get off our moral high horses {\an2}and fight for the systemic change needed to save lives.

{\an2}It starts with pushing for greater access to treatment {\an2}for those with substance use disorder.

{\an2}The pandemic has curved that access, {\an2}but as the COVID cloud begins to lift, {\an2}let's help patients fight through the fog {\an2}and get the help they need.

{\an2}Let's help them win out {\an2}over the isolation and stress {\an2}brought on by the pandemic.

{\an2}And let's remind people invincibility {\an2}exists only in the world of comic books.

{\an2}Let's raise the awareness {\an2}about the dangers of purchasing street drugs {\an2}laced with the phantom known as fentanyl {\an2}and help them fight the notion {\an2}that the fleeting reward can be greater than the risk.

{\an2}When I listened to Sandra Sierra, {\an2}describe the loss of her son, {\an2}I couldn't help but think of my own three children {\an2}and the pain I would feel if they fell victim {\an2}to an accidental overdose.

{\an2}That thought tears at my heart.

{\an2}We shouldn't wish that fate on any parent.

{\an2}And we shouldn't ignore the very real threat {\an2}posed by this epidemic.

{\an2}Everyone needs to heed the warning.

{\an2}Everyone needs to realize {\an2}that Sandra Sierra's loss is a loss for all of us.

{\an2}"That's All I'm Saying".

{\an2}(upbeat music) {\an2}- [Announcer] Premier Eyecare is a leader {\an2}in national managed eyecare {\an2}with 4 million insured members nationwide {\an2}through its network of optometrists, {\an2}ophthalmologists, and specialists, {\an2}recognized for best practices and delivery of care, {\an2}associate engagement and commitment to the community.

{\an2}Premier Eyecare is proud to support, {\an2}"That's All I'm Saying" with Earnest Hooper.

{\an2}For more information, go to PremierEyeCare.net.

{\an2}(upbeat music) {\an2}- Our motivation every day is the people around us {\an2}and this community are making better.

{\an2}- Workforce development.

- Healthcare.

{\an2}- [Woman] Education.

{\an2}- [Man] Getting out there and making a difference {\an2}in the lives that need it the most.

{\an2}(light music)