Dayton Daily News

President praises Dayton family

Local officials welcome easing of limits for drug treatment centers.

- By Will Garbe and Thomas Gnau Staff Writers

The opioid crisis tearing through Montgomery County and many other communitie­s across the nation is a public health emergency worthy of national attention, President Donald Trump declared Thursday.

Trump loosened up regulation­s to allow large drug treatment centers to access Medicaid funding — a move applauded by local health officials — and he drew a spotlight on a local fam- ily that has taken in foster children impacted by drug abuse.

“Jesse and Cyndi Swafford of Dayton, Ohio, have provided a loving, stable home to children affected by the opioid crisis,” the president said.

The Swaffords have cared for 13 foster children in the past decade,

all who have had families affected in some way by the opioid crisis or other drug issues.

Local health officials welcomed Trump’s offering of “relief” for state government­s looking to access Medicaid funding for drug treatment centers with more than 16 beds.

Helen Jones-Kelley, executive director of the Montgomery County Alcohol Drug Addiction & Mental Health Services, said easing that regulation is “the one thing that can make a difference in this community.”

“That was one of the major impediment­s,” Jones-Kelley said. “The good news for us is that we can then stop using local dollars on residentia­l beds and redirect those dollars into increased services.”

Trump’s announceme­nt — which Democratic critics said provides too little, too late — comes amid a dip in the number of monthly overdose deaths in Montgomery County as local and state officials aggressive­ly organize an effort to blunt the unpreceden­ted torrent of deaths.

After 81 people died of overdoses in Montgomery County in May, the number of overdose deaths has declined, according to county coroner data. Preliminar­y results show 35 people in the county died of overdoses in September, and another 15 died as of Oct. 20, for a total of 517 so far in 2017.

Last year, 349 people died of overdoses in Montgomery County.

Dayton Mayor Nan Whaley, a Democratic candidate for governor, conceded the president’s announceme­nt was a “small step in the right direction,” but said the declaratio­n, which comes with no new dedicated federal dollars, does not go far enough in addressing the crisis’ extreme human and financial toll.

“We need resources to combat this epidemic and deliver help to Ohio families,” said Whaley. “And this declaratio­n does nothing to hold the big drug companies accountabl­e for creating the mess.”

Others, like Ohio Attorney General Mike DeWine, a Republican candidate for governor, said he was “especially glad” Trump was ending the 16-bed rule for Medicaid.

“Earlier this month, I lead an effort supported by attorneys general from across the county to eliminate this decades-old rule that limits residentia­l treatment options,” DeWine said in a statement. “In announcing that he is removing this barrier to treatment, the president will help more Ohioans get the help they need to overcome this devastatin­g disease.”

State Rep. Niraj Antani, R-Miamisburg, said the move will provide more access to treatment.

“The 16-bed issue is one that affects us all in Ohio,” Antani said. “We can’t deliver drugs to addicts in jail, so we can’t help them until they get out of jail.”

Trump said his afternoon announceme­nt at the White House “marks a critical step in confrontin­g the extraordin­ary challenge we face.”

“It is time to liberate our communitie­s from the scourge of drug addiction,” Trump said, referring to the situation as “a worldwide problem” and “national shame.”

The president also called “on every American to join the ranks of guardian angels like ... the Swaffords, who help lift up the people of our great nation.”

“I’m incredibly honored and thankful,” Cyndi Swafford told the Dayton Daily News after the announceme­nt. “We give all glory to God for all of this. We can’t wait to see what comes next.”

The impact of the crisis is felt especially hard in southwest Ohio. A new Ohio State University report turns a spotlight to the Dayton area and beyond, saying: “This is a particular­ly critical issue in the rural areas of southwest Ohio, where opioid abuse rates are high but local access to treatment is limited.”

The report revealed the opioid crisis was likely as costly as the state’s spending on K-12 education. The study found opioid addiction, abuse and overdose deaths cost the state from $6.6 billion to $8.8 billion.

“To put this in perspectiv­e, Ohio spent $8.2 billion of general revenue funds and lottery profits money on K-12 public education in 2015,” says the report from OSU’s C. William Swank Program in Rural-Urban Policy.

Between 92,000 and 170,000 Ohioans were abusing or dependent on opioids in 2015, the study found.

The Swank report sounds an alarm about the state’s capacity to actually deal with the problem.

“We estimate that in the best-case scenario, Ohio likely has the capacity to treat 20 percent to 40 percent of the population abusing or dependent on opioids,” the study says.

The report revealed the opioid crisis was likely as costly as the state’s spending on K-12 education.

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