Coastlands Ministries

Programs: The project lazarus model is a public health model based on the twin premises that drug overdose deaths are preventable and that all communities are ultimately responsible for their own health, the model can be conceptualized as a wheel, with three core components in the hub and seven components that make up the spokes. The three foundational components of the hub are: 1) public awareness (via community forums, various county health fairs, and lectures), 2) coalition actions and 3) data and evaluation (via community forums and presentations that were specifically tailored to individual communities with their county specific information regarding overdose and poisonings). Each one of the seven components of the spokes has a menu of different activities that can fall within. The seven spokes are: 1) community education (via school prevention clubs, presentations at health fairs, and sage usage messages displayed on billboards, fliers, and pharmacy rx bags), 2) prescriber education ( via distribution of cpi and project lazarus toolkits, and info on csrs implementation), 3) hospital ed policies ( via case management training for those with chronic pain, csrs implementation and policies on referral for opioid disbursement), 4) diversion control ( via project pill drop medication disposal boxes at local law enforcement offices), 5) pain patient support (accomplished through expanding access to treatment for those with chronic pain, 6) harm reductions (via distribution of nalozone overdose rescue kits with information on safe usage and signs of overdose), and 7) addiction treatment (via expanding access to treatment and physical referrals, as well as lazarus recovery services). The lazarus recovery services (lrs) program is a nonabstinence-based peer recovery support program which combines case management, community navigation, crisis intervention, family involvement, and group facilitation. Lrs also works closely with faith communities to boost recovery. Presentations, lectures, and communications also took place with members of the food and drug administration, office of national drug control policy, state and local agencies, as well as law enforcement, ems, and policy makers. The above activities were implemented within approximately 84 counties in north carolina, various other us states, as well as the qualla boundary cherokee indian reservations, ft. Bragg army base, and federal organizations.