Addressing the Harms of Prescription Drugs in Canada
|
|
- Allan McCarthy
- 5 years ago
- Views:
Transcription
1 Addressing the Harms of Prescription Drugs in Canada Innovations & Policy Solutions for Addressing Prescription Drug Abuse April 30, 2014 Rita Notarandrea, Canadian Centre on Substance Abuse Dr. Beth Sproule, Centre for Addiction and Mental Health
2 Objectives Describe the complex urgent issue of prescription drug use, misuse, and associated harms Canadian data on use, misuse, and harms Come together to address the issue First Do No Harm strategy Related activities National, provincial, community 2
3 A Complex Social Issue Legal substances with therapeutic uses Requires different approaches than other substance Strategy must be balanced with the need to enable access to products for therapeutic use A subset of individuals abusing/misusing these products may also have a therapeutic need for them, adding complexity to assessment, prevention & treatment approaches Includes opioids, sedatives-hypnotics & stimulants No single cause, factors include: Effective marketing by drug manufacturers Addition of some drugs to public insurance plans Limited education related to pain & addiction for health care providers 3
4 A Complex Social Issue Involves A diverse group of stakeholders with potentially competing interests Governments, healthcare practitioners, patients & families, First Nations, enforcement, regulators, researchers, industry Involves other complex issues such as pain, mental health, addictions, social determinants of health Issues of health equity as different populations are affected differently (e.g., First Nations, youth, women, rural/remote communities) Use, abuse, misuse, non-medicinal, diversion As a federation, Canada requires cooperation among federal & 13 provincial/territorial levels Lack of national data Regional differences 4
5 Prescription Drug Use in Canada Second largest per capita consumer of opioids Up by 203% from ; steeper rise than US (INCB, 2013) 23% 15+ reported use at least once in past 12 months (CADUMS 2011) 898 opioid prescriptions per 1,000 First Nations individuals 15+ in prescriptions for oxycodone formulations alone (Health Canada, 2010) 5
6 Prescription Drug Misuse in Canada 8.2% youth grades 6 12 reported past-year use to get high (Youth Smoking Survey, ) 72% of youth who misused these drugs got them from home (Brands et al, 2010) In some provinces, 1/5 middle and high school students misuse (AB Health Services, 2009) 11.7% of Nova Scotia students used pain pills not prescribed to them (Nova Scotia Student Drug Use Survey, 2012) Reported misuse doubled for BC Aboriginal youth, grades 7 12 from 2003 to 2008 (11% to 22%) (Tsuruda, Hoogeveen, Smith, Poon, Saewyc, & McCreary Centre Society, 2012) 6
7 Prescription Drug-related Harm in Canada Addiction Admissions doubled to Ontario treatment programs for prescription opioids ( ) Of those seeking addiction treatment in Ontario 10.6% for prescription drugs in % for prescription drugs in % increase in number people in withdrawal management for opioid dependence in Nova Scotia (women: 161%; men: 91%) Risky behaviour 7.2% drove within an hour of taking a prescription pain relief pill (NSSDUS 2012) 7
8 Prescription Drug-related Harm in Canada Deaths Opioids account for over ½ of accidental deaths in ON (Madadi, Hildebrandt, Lauwers, & Koren, 2013) BC prescription opioid death rate (2.7/100,000) similar to motor vehicle crash deaths related to alcohol (2-3/100,000) (Corneil et al., 2012) Of 431 drug-related deaths in Nova Scotia ( ) Prescription opioids: 74% Methadone: 15% Benzodiazepines & other sedative-hypnotics: 62% Cost Data is lacking for Canada; US: $50 billion (lost productivity and crime account for 94%) 8
9 Pharmaceutical Product Abuse Schema Therapeutic Domain Use Recreational Domain Benefits Risks Side-Effects Misuse Physical Dependence Abuse Disorder Dependence Disorder 9
10 Prescription Drug Abuse Diverted from distribution path Abuse within a therapeutic context thefts deception to obtain illegitimate prescriptions OTC (codeine) forged prescriptions legitimate prescriptions
11 # Admissions CAMH Opioid withdrawal management admissions Oxycodone CR Other oxycodone Other Rx opioids Heroin n=78 n=96 n=120 n=111 n=166 Sproule BA, et.al., Changing patterns in opioid addiction: Characterizing users of oxycodone and other opioids. Canadian Family Physician, 2009;55:68-9.e
12 % Clients Prescription Opioid Source by Age Group Street Rx Street & Rx OTC 0 25 & under over 55 Age Categories (years) Sproule BA, Brands B, Li S, Catz-Biro L. Can Family Physician 2009;68-9.e
13 Opioid-Related Deaths in Ontario Increase in deaths due to inadvertent toxicity rather than suicide Most deaths also involved another CNS depressant Physician visits prior to death 66% had at least one within 4 weeks median 11 days between office visit and death; 9 days for emergency visits reasons for visit - mental health problems and pain Opioid prescriptions 56% had opioid Rx in month before death median 10 opioidrxs in year before death (Dhalla et.al. 2009)
14 Opioid-Related Deaths in Ontario
15 % Subjects % Subjects Pathways to Prescription Opioid Addiction Recreational Periods Only N=347 ON NB NL years Current Age > 35 years Recreational and Therapeutic/Mixed Periods Therapeutic/Mixed Perioids Only 38 yo mean (18-63 yo) Recreational Periods Only Recreational and Therapeutic/Mixed Periods Therapeutic/Mixed Perioids Only 0 Ontario New Brunswick Newfoundland & Labrador Province Health Canada Funded Study
16 Newfoundland and Labrador OxyContin Task Force June 2004 OxyContin prescriptions almost tripled 2001 to 2003 OxyContin users came from a variety of environments, including a growing number of users among the adolescent population Source of street OxyContin originated with prescriptions generated in the province Only a small number of physicians were prescribing controlled substances in an excessive manner Diversion of OxyContin was widespread and associated with an increase in criminal activities such as break and enters of pharmacies and homes, and personal robberies to obtain the drug
17 Brockville Coroner s Inquest June prescription drug related overdose deaths 48 broad-ranging recommendations Monitoring Education Access to alternative treatments Product restrictions
18 18
19 Ontario First Nations leadership and communities have expressed concerns that the abuse of certain prescription drugs has become an epidemic in First Nations communities
20 Solving Complex Social Issues No single agency can adequately address complex social issues Large-scale social change requires a collaborative approach that involves those in government, civil society & the private sector Commitment of a group of actors to a common agenda Coordination of efforts and working together around clearly defined goals Backbone organization to provide leadership, guidance and support
21 About CCSA Substance abuse is a complex problem too significant and too deeply rooted to be solved by one group or approach Created in 1988, CCSA is Canada s only national agency with a legislated mandate to reduce alcohol- and drug-related harm We serve Canadians by giving the tools and resources to front-line professionals serving those with substance use disorders We set a long term vision for Canada to address substance abuse and advance solutions that reflect key national priorities Structured as a not-for-profit corporation, governed by a Board of Directors, operating at arms-length from the federal government We leverage federal funding with support from provinces and territories, not-for-profit and private sectors, to support a national agenda while mobilizing a pan-canadian response
22 CCSA s National Priorities Children & Youth Canada s North & First Nations, Inuit, Métis Mental Health & Substance Abuse Canada s National Framework for Action Prescription Drug Misuse National Alcohol Strategy National Framework for Action (2005): Collective action for collective impact Workforce Development Impaired Driving National Treatment Strategy
23 The Strategy First Do No Harm: Responding to Canada s Prescription Drug Crisis Pan-Canadian strategy 58 recommendations 7 Implementation Teams Prevention Education Treatment Monitoring & Surveillance Enforcement Legislation & Regulations Evaluation & Performance Measurement 1 st yr of implementation phase completed
24 FDNH in Action Collective Action shared vision, a roadmap providing guidance for the work, commitment and engagement from all that have a role to play in addressing the problem and implementing the solution as described in the recommendations Added 20 partner organizations since launch Annual NAC meeting in March 2014 to review progress, plans & maintain momentum Implementation Teams have identified their priorities for next 12 months Activities underway to support implementation Implementation Teams collaborating with FPT Working Group on Prescription Drug Misuse Expansion of NADS in Speech from the Throne (October 2013) CCSA and other partners presented at HESA in Fall/Winter CCSA and other partners presented at SOCI in Winter 2014 CCSA and Minister Ambrose co-hosted a Symposium on January 24, 2014 Submitting letter to Health Canada regarding review of CDSA Exploring funding options to support continued work
25 FDNH - Year 1 Achievements Patient, Family and Community Safety Overdoes prevention Created linkages with Canadian Drug Policy Coalition to further the work Hosted 1 st annual National Prescription Drug Drop-Off Day May 11, 2013 Prescribing practices Drafted set of Competencies for Health Professionals in Pain Management, Drug Prescribing, Dependency, Addiction & Abuse Completed scan of continuing education opportunities in pain management, prescribing practices, dependency, addiction & abuse Surveillance Secured funding for PMP research network via CRISM grant Surveillance & PMP meeting via NS Department of Health & Wellness (May 2014) Initiated collaboration with FPT Prescription Drug Abuse Working Group to develop network and address surveillance-related needs
26 FDNH - Year 1 Achievements Treatment Initiated scan of existing guidelines by province & territory to inform clinical pathway development Mental health Pain Addiction Research Completed cost-impact assessment of PDM on enforcement Conducted review of Canadian PMP programs effectiveness and core components
27 FDNH Achievements: Alberta Health CCSA was contracted by Alberta Health to support activities of the Strategy, and through this work increase access to best practices, resources and tools to address prescription drug misuse in Alberta. Is assisting in hosting a Methadone Maintenance Treatment (MMT) Workshop for physicians & pharmacists Is exploring online options to increase access to MMT training Completed a survey to determine health professionals perceptions of this issue & identify necessary local strategies for action Reviewed of models and identification of the core components of effective PMPs is close to completion Developed a resource to assist communities in evaluating Drop-Off initiatives Advised on the development of AB s Prescription Drug Misuse Project to guide recommendations for an effective provincial strategy
28 Priorities for Patient, Family & Community Safety Prevent overdoses through naloxone distribution, education & legislation Inform citizens of risks & harms through Social marketing Promote safe storage and disposal via National Prescription Drug Drop-Off Day Consult with Health Canada on product monographs & CDSA review Prescribing & Dispensing Practice Revise core competencies for prescribers & dispensers based on stakeholder review Improving prescribing practice by promoting core competencies Improving health care provider education by identifying & addressing gaps in education
29 Priorities for Treatment Develop four clinical pathways Pain Misuse of pain medication Addiction Pain & Addiction Identify, develop, evaluate & implement effective evidence-informed SBIRT resources Surveillance Identify core components of effective PMP programs & share across jurisdictions Assemble a PMP research network with CRISM funding Identify & reach agreement on core indicators & data sources Develop guidelines for prescription drug-related death investigations to ensure consistency in practice & data collection
30 Next Steps Work to secure funding to Support the strategy Provide continued leadership on this issue Coordinate collective action Maintain focus on common agenda Expand partner engagement Implement specific recommendations Evaluate the strategy for impact Continue recruitment by implementation team in accordance with the priorities for action Develop evaluation plan to assess impact and change Release FDNH Annual Report Spring
31 Questions?
INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION C I C A D
INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION C I C A D SIXTY-THIRD REGULAR SESSION April 25-27, 2018 México D.F., México OEA/Ser.L/XIV.2.63 CICAD/doc.2385/18 25 April 2018 Original: English THE OPIOID
More informationReview of Controlled Drugs and Substances Act
Review of Controlled Drugs and Substances Act Canadian Medical Association: Submission to Health Canada in response to the consultation on the Controlled Drugs and Substances Act and its regulations A
More informationAppearance before House of Commons Standing Committee on Health as part of its Study on the Government s Role in Addressing Prescription Drug Abuse
Opening Statement Appearance before House of Commons Standing Committee on Health as part of its Study on the Government s Role in Addressing Prescription Drug Abuse Dr. Chris Simpson, President-elect
More informationINTER-AMERICAN DRUG ABUSE CONTROL COMMISSION C I C A D
INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION C I C A D SIXTY-FIRST REGULAR SESSION April 24-26, 2017 Washington, D.C. OEA/Ser.L/XIV.2.61 CICAD/doc.2299/17 21 April 2017 Original: English CANADA S OPIOID
More informationDrug Surveillance Systems in Canada
Drug Surveillance Systems in Canada Judy Snider Office of Drugs and Alcohol Research and Surveillance Controlled Substances and Tobacco Directorate Drug Observatories Meeting - CICAD Roseau, Dominica August
More informationMinistry of Health and Long-Term Care. Presentation to the CPSO Methadone Prescribers Conference
Ministry of Health and Long-Term Care Presentation to the CPSO Methadone Prescribers Conference November 9, 2012 Overview Minister s Expert Working Group on Narcotic Addiction OxyNEO and OxyContin: Changes
More informationONTARIO S STRATEGY TO PREVENT OPIOID ADDICTION AND OVERDOSE. Dr. David Williams Chief Medical Officer of Health
ONTARIO S STRATEGY TO PREVENT OPIOID ADDICTION AND OVERDOSE Dr. David Williams Chief Medical Officer of Health National opioid-related mortality data, 2016 (Health Canada) Provincial Overdose Coordinator
More informationCOMMITMENT TO A TOBACCO ENDGAME IN ONTARIO
COMMITMENT TO A TOBACCO ENDGAME IN ONTARIO Our Ask That the Ontario government: Renew their commitment to achieving the lowest smoking rate in Canada Align the Smoke Free Ontario Strategy with the proposed
More informationMinister s Opioid Emergency Response Commission Recommendations to the Minister Updated July 5, 2018
The Minister s Opioid Emergency Response Commission was established May 31, 2017 to support the Government of Alberta s urgent response to the opioid crisis. As part of its mandate, the Commission is responsible
More informationTable of Contents Interim Report of the OxyContin Task Force, Newfoundland & Labrador, January 30, 2004
OXYCONTIN TASK FORCE INTERIM REPORT January 30, 2004 Submitted to Hon. Elizabeth Marshall, Minister of Health & Community Services, Government of Newfoundland and Labrador Table of Contents INTRODUCTION
More informationFDA s Response to the Opioid Crisis and the FDA Safe Use Initiative
FDA s Response to the Opioid Crisis and the FDA Safe Use Initiative Scott K. Winiecki, MD Professional Affairs and Stakeholder Engagement Staff (PASES) Center For Drug Evaluation and Research (CDER) U.S.
More informationDecreasing the Harms from Prescription Drug Misuse: A Case for Pharmacists and Prescription Monitoring Programs
Decreasing the Harms from Prescription Drug Misuse: A Case for Pharmacists and Prescription Monitoring Programs Beth Sproule, BScPhm, PharmD Clinician Scientist Centre for Addiction and Mental Health &
More informationPerformance of North Carolina's System for Monitoring Prescription Drug Abuse. Session Law , Section 12F.16.(q)
Performance of North Carolina's System for Monitoring Prescription Drug Abuse Session Law 2015-241, Section 12F.16.(q) Report to the Joint Legislative Oversight Committee on Health and Human Services and
More informationReview: Ontario Strategy to Prevent Opioid Addiction and Overdose
Review: Ontario Strategy to Prevent Opioid Addiction and Overdose April 2017 73 Queen Street North, Kitchener, Ontario N2H 2H1 www.preventingcrime.ca The Waterloo Region Crime Prevention Council (WRCPC)
More informationSubmitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis
STATEMENT FOR THE RECORD Submitted to the House Energy and Commerce Committee Federal Efforts to Combat the Opioid Crisis October 25, 2017 America s Health Insurance Plans 601 Pennsylvania Avenue, NW Suite
More informationOntario s Narcotics Strategy
Ontario s Narcotics Strategy Ontario Public Drug Programs Ministry of Health and Long-Term Care January 31, 2012 Ontario Harm Reduction Distribution Program Conference 2012 1 Background The Need for Action
More informationCanadian Drug Summary: Prescription Opioids
www.ccsa.ca www.cclt.ca Canadian Drug Summary: Prescription Opioids Introduction to Prescription Opioids for Pain Management and Other Purposes Opioids are used to relieve and manage pain, which is the
More informationThe Canadian context for cannabis policy and public health approaches to substance use
The Canadian context for cannabis policy and public health approaches to substance use Cameron Wild, Rebecca Haines-Saah Cannabis Legalization in Canada: Implications for Public Health in Alberta May,
More informationLegalization of non-medical Cannabis OPSBA Update September 08, 2017
Legalization of non-medical Cannabis OPSBA Update September 08, 2017 Purpose To provide an update on the Ministry of Education s (EDU s) work in relation to the expected legalization and regulation of
More informationThe Impact of Substance Use Disorders on Hospital Use
www.ccsa.ca www.cclt.ca Report in Short The Impact of Substance Use Disorders on Hospital Use What Is this Report About? This report: Describes trends in individuals hospitalized because of a primary diagnosis
More informationHigh-Decile Prescribers: All Gain, No Pain?
High-Decile Prescribers: All Gain, No Pain? Len Paulozzi, MD, MPH National Center for Injury Prevention and Control Centers for Disease Control and Prevention National Center for Injury Prevention and
More informationCanadian Association of Chiefs of Police. Drug Abuse Committee. Annual Report
Canadian Association of Chiefs of Police Drug Abuse Committee Annual Report Submitted by: Chief Mark Mander, Chair Message from the Chair: In November 2012, I was elected Chair of the committee and Eric
More informationPharmaceutical Misuse and its Challenges: Opioid Use in Ontario. Ontario Harm Reduction Conference Tara Gomes Tuesday January 31, 2012
Pharmaceutical Misuse and its Challenges: Opioid Use in Ontario Ontario Harm Reduction Conference Tara Gomes Tuesday January 31, 2012 Objectives To review the prescription opioid crisis To understand the
More informationThe Challenge of Treating Pain
FDA Charge to the Committee: FDA Opioid Action Plan and Incorporating the Broader Public Health Impact into the Formal Risk-Benefit Assessment for Opioids Robert M. Califf, MD Commissioner of Food and
More informationCANNABIS IN ONTARIO S COMMUNITIES
CANNABIS IN ONTARIO S COMMUNITIES That municipal governments support their local Public Health Unit and encourage Develop a funded public health approach to cannabis legalization, regulation, restriction
More informationOpportunities for Engaging Partners to Prevent Opioid Overdose-related Deaths
PREVENTION COLLABORATION IN ACTION Engaging the Right Partners Opportunities for Engaging Partners to Prevent Opioid Overdoserelated Deaths Preventing opioid overdose requires collaboration with a diverse
More informationNurse Practitioner Practice Guideline Treatment Agreements
Nurse Practitioner Practice Guideline Treatment Agreements In November 2012, the New Classes of Practitioners Regulations (NCPR) under Canada s Controlled Drug and Substances Act (CDSA) came into force,
More informationMINISTRY REPONSE TO THE ONTARIO CITIZENS COUNCIL REPORT: INFORMING THE DEVELOPMENT OF A NEW DRUG PROGRAM IN ONTARIO
MINISTRY REPONSE TO THE ONTARIO CITIZENS COUNCIL REPORT: INFORMING THE DEVELOPMENT OF A NEW DRUG PROGRAM IN ONTARIO I would like to extend my thanks to you and the members of the Ontario Citizens Council
More informationHL3.01 REPORT FOR ACTION. Toronto Indigenous Overdose Strategy SUMMARY
HL3.01 REPORT FOR ACTION Toronto Indigenous Overdose Strategy Date: February 6, 2019 To: Board of Health From: Medical Officer of Health Wards: All SUMMARY The opioid poisoning crisis continues unabated
More informationTaos Alive. Improving a Community in Pain By Julie Martinez CPS
Taos Alive Improving a Community in Pain By Julie Martinez CPS About Taos County About Taos Alive Community Based Coalition 12 Sectors (Youth, Parents, Business, Media, Schools, Youth Serving Organizations,
More informationCannabis Legalization August 22, Ministry of Attorney General Ministry of Finance
Cannabis Legalization August 22, 2018 Ministry of Attorney General Ministry of Finance Federal Cannabis Legalization and Regulation The federal Cannabis Act received Royal Assent on June 21, 2018 and will
More informationImplementing the 2017 President s Challenge: Primary, Secondary & Tertiary Prevention of Addiction & Substance Misuse
Implementing the 2017 President s Challenge: Primary, Secondary & Tertiary Prevention of Addiction & Substance Misuse Jay Butler, MD, President of ASTHO, Chief Medical Officer, Alaska Department of Health
More informationNew Initiatives to Expand Access to Medication Assisted Treatment in NYS OASAS
New Initiatives to Expand Access to Medication Assisted Treatment in NYS OASAS Charles W. Morgan, MD, DFASAM, FAAFP Medical Director New York State Office of Alcoholism and Substance Abuse Services February
More informationCanada s Low-Risk Alcohol Drinking Guidelines
www.ccsa.ca www.cclt.ca Canada s Low-Risk Alcohol Drinking Guidelines Presented by Dr. Catherine Paradis, Senior Research & Policy Analyst Discovery Conference April 19 th, 2017 About CCSA Vision: A healthier
More informationOXYCONTIN TASK FORCE FINAL REPORT
OXYCONTIN TASK FORCE FINAL REPORT Submitted to The Honorable Elizabeth Marshall, Minister of the Department of Health and Community Services The Honorable John Ottenheimer, Minister of the Department of
More informationCanadian Mental Health Association Nova Scotia Division. Strategic Plan (last updated: June 28, 2016 TW; July 4, 2016 PM)
Canadian Mental Health Association Nova Scotia Division Strategic Plan 2015-2018 (last updated: June 28, 2016 TW; July 4, 2016 PM) VISION OF CMHA (NATIONAL) Mentally healthy people in a healthy society.
More informationCardinal Health s Commitment to Opioid Anti-Diversion, Education and Misuse Prevention
Cardinal Health s Commitment to Opioid Anti-Diversion, Education and Misuse Prevention The people of Cardinal Health care deeply about the devastation opioid abuse has caused American families and communities
More informationPrescription Drug Abuse National Perspective
Prescription Drug Abuse National Perspective Timothy P. Condon, Ph.D. Science Policy Advisor Office of the Director White House Office of National Drug Control Policy Commonly Abused Prescription Drugs
More informationPrince Edward Island: Preparation for Cannabis Legalization
Prince Edward Island: Preparation for Cannabis Legalization Prince Edward Island: Preparation for Cannabis Legalization The Government of Prince Edward Island has an obligation and an opportunity to actively
More informationNo one should be at risk of poor health because of their social and economic situations.
HEALTH MATTERS No one should be at risk of poor health because of their social and economic situations. Members of municipal government play an important role in shaping policies that impact all aspects
More informationPotential Solutions to Epidemic Substance Abuse in US and Europe
Potential Solutions to Epidemic Substance Abuse in US and Europe Richard C. Dart, MD, PhD Director, Rocky Mountain Poison and Drug Center, Denver Health 1 Professor, University of Colorado School of Medicine
More informationBest Practices and Foundation Forum. Fred Wells Brason II
Best Practices and Foundation Forum Fred Wells Brason II fbrason@projectlazarus.org Wilkes County, NC Manual labor dominates employment options in this county of 69,000. Wilkes 4 Marvelous M s Moonshine
More informationBJA Harold Rogers PDMP National Meeting on Data Driven Multi-Disciplinary Approaches to Reducing Rx Abuse
SAMHSA Programs to Address Prescription Drug Misuse and Abuse Jinhee Lee, PharmD Division of Pharmacologic Therapies Center for Substance Abuse Treatment Substance Abuse and Mental Health Services Administration
More informationMorrison County Community-Based Care Coordination. Our Core Values Reverence Integrity Compassion Excellence
Morrison County Community-Based Care Coordination Our Core Values Reverence Integrity Compassion Excellence Community Based Care Coordination Project The goal is to mitigate the need for, overuse of, and
More informationOPIOID WORKGROUP LEADERSHIP TEAM
OPIOID WORKGROUP LEADERSHIP TEAM Community-wide Action Plan and Call to Action This brief summary of the Opioid Action Plan presented to the Skagit County Board of Health on December 13, 2016 provides
More informationCSS Perspective - Opioid Risk Management
Tufts Health Care Institute Program on Opioid Risk Management Risk Evaluation and Mitigation Strategy for Prescription Opioids: An In-Depth Review of Fundamental Issues CSS Perspective - Opioid Risk Management
More informationCONFRONTING THE OPIOID EPIDEMIC. e-book: Introducing OptumRx Opioid Risk Management
CONFRONTING THE OPIOID EPIDEMIC 2 0 1 8 OPIOID ABUSE IS A CRISIS IN THE U.S. OptumRx Opioid Risk Management attacks this complex, deeply embedded problem with a comprehensive approach featuring five interrelated
More informationStrategies to Manage The Opioid Crisis
Strategies to Manage The Opioid Crisis Matt Feehery, LCDC Senior Vice President & CEO PaRC (Prevention & Recovery Center) Behavioral Health Services February 1, 2018 A Pill for Your Pain But my doctor
More informationSeptember 1, The Honorable Tom Price, MD Secretary Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201
September 1, 2017 The Honorable Tom Price, MD Secretary Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Secretary Price: The National Association of County
More informationResponding to BC s Opioid Overdose Epidemic
Responding to BC s Opioid Overdose Epidemic Progress Update September 2017 BACKGROUND Since BC s Public Health Emergency was declared in 2016, people across the province have mobilized to immediately respond
More informationThe Federal Initiative To Address HIV/AIDS in Canada. Canada s Domestic Response to HIV/AIDS
1 The Federal Initiative To Address HIV/AIDS in Canada Canada s Domestic Response to HIV/AIDS Presentation to the Northern Dimension Partnership On Public Health and Social Well-being March 18, 2009 Ottawa,
More informationMichael M. Miller, MD, FASAM, FAPA
Michael M. Miller, MD, FASAM, FAPA mmiller@rogershospital.org Medical Director, Herrington Recovery Center (HRC) Rogers Memorial Hospital Oconomowoc, Wisconsin Vice Speaker Wisconsin Medical Society Clinical
More informationAn Overview of the Government of Canada s Approach to Legalize, Regulate and Restrict Access to Cannabis. February 2018
An Overview of the Government of Canada s Approach to Legalize, Regulate and Restrict Access to Cannabis February 2018 I m here today to provide 1 2 3 Context for the Government of Canada s plan to legalize,
More informationUnveiling a new strategy to stop substance abuse in our communities. November 20, 2008 Ingersoll, Ontario
Unveiling a new strategy to stop substance abuse in our communities November 20, 2008 Ingersoll, Ontario Acknowledgements Oxford County Drug Task Force Oxford County stakeholders / members School Principals
More informationOxyContin in the 90 days prior to it being discontinued.
Appendix 1 (as supplied by the authors): Supplementary data Provincial Drug Insurance program formulary listing status for OxyNeo by province Province Listing of OxyNeo BC Listed for patients covered by
More informationACCG Mental Health Summit
ACCG Mental Health Summit Sheila Pierce, Opioid Program Coordinator Director, Prescription Drug Management Program Discussion 1. Overview Opioid Problem in GA - Video 2. DPH Opioid Program 3. Priorities
More informationPandemic Influenza Planning Considerations in On-reserve First Nations Communities
B Pandemic Influenza Planning Considerations in On-reserve First Nations Communities 1. Introduction The national pandemic influenza plan provides a framework that will guide planning in all jurisdictions
More informationFrom Medicaid Transformation Approved Project Toolkit, June 2017
From Medicaid Transformation Approved Project Toolkit, June 2017 Domain 3: Prevention and Health Promotion Transformation projects within this domain focus on prevention and health promotion to eliminate
More informationCoalition Strategies Across The Continuum of Care
Coalition Strategies Across The Continuum of Care Dorothy J. Chaney M.Ed. CADCA Consultant Building Safe, Healthy, and Drug Free Communities Overview and Objectives: By completing this training participants
More informationWhat is drug diversion?
Learning Objectives Identify the impact of drug diversion on patients and healthcare organizations Explain the common points of risks and methods of drug diversion in healthcare s controlled substance
More informationModule 6: Substance Use
Module 6: Substance Use Part 1: Overview of Substance Abuse I am Martha Romney and I am presenting on substance abuse. This module focuses on the healthy people 2020 objective to reduce substance abuse
More informationOpioid Crisis: HHS Strategy and Advancing Pain Management
OFFICE OF THE Opioid Crisis: HHS Strategy and Advancing Pain Management Rachel Katonak, PhD, RN LCDR, Nurse Officer U.S. Public Health Service Public Health Analyst U.S. Department of Health and Human
More informationFentanyl, Opioid Overdose and Naloxone
Fentanyl, Opioid Overdose and Naloxone Opioid Agonist Therapy Conference Saskatoon, SK April, 2016 Declaration No conflict of interest. Consultant in Addiction Medicine, SHR. Chair, College of Physicians
More informationThe Role of Dentists in Preventing Opioid Abuse Tufts Health Care Institute Program on Opioid Risk Management 12 th Summit Meeting March 11-12, 2010
The Role of Dentists in Preventing Opioid Abuse Tufts Health Care Institute Program on Opioid Risk Management 12 th Summit Meeting March 11-12, 2010 EXECUTIVE SUMMARY It is well documented in multiple
More informationSuccessful Prevention Strategies to Address the Opioid Crises
Successful Prevention Strategies to Address the Opioid Crises Shannon Breitzman, MSW, Principal Denver Office Lindsey Kato, MPH, CHES, Consultant Denver Office 1 LEARNING OBJECTIVES + Find out how to effectively
More informationStrategic Plan
2017-18 Strategic Plan 1 Strategic Planning Process The Summit County Opiate Task Force has made great strides in addressing the opiate crisis in the last few years. More than 100 Summit County citizens
More information4/27/2016. About CCSA. Impaired Driving Research at CCSA. Background. Presentation Overview. Lessons Learned
About CCSA Drug-Impaired Driving i in Canada: Lessons Learned International Conference on Urban Traffic Safety Amy Porath-Waller, Ph.D. April 26, 2016 CCSA is Canada s only agency with a legislated national
More informationNational Strategies for Local Solutions
National Strategies for Local Solutions LCDR Michael R. Muni, MPA, MPH National Heroin Task Force Education and Community Awareness Committee s Staff Lead Substance Abuse Mental Health Services Administration
More informationEXECUTIVE ORDER TAKING FURTHER ACTIONS TO ADDRESS THE OPIOID OVERDOSE CRISIS
EXECUTIVE ORDER TAKING FURTHER ACTIONS TO ADDRESS THE OPIOID OVERDOSE CRISIS Gina M. Raimondo, Governor Nicole Alexander-Scott, MD, MPH, Director of Health Action Plan Strategies to Date Since 2015, we
More informationAlberta Health Office of the Chief Medical Officer of Health. Responding to Alberta s opioid crisis Public progress report: 2
Alberta Health Office of the Chief Medical Officer of Health Responding to Alberta s opioid crisis Public progress report: 2 March 31, 2017 Background The Government of Alberta, including Alberta Health
More informationNova Scotia's. Opioid Use and Overdose Framework
Nova Scotia's Opioid Use and Overdose Framework Crown copyright, Province of Nova Scotia, 2017 Nova Scotia s Opioid Use and Overdose Framework Department of Health and Wellness July 2017 ISBN: 978-1-55457-748-4
More informationPublic Health Association of British Columbia
October 30 th, 2017 Open Letter to the Government of British Columbia: BC Needs an OPIOID ACTION PLAN Since April, 2016 when the epidemic of opioid overdose deaths was declared a Public Health Emergency
More information2018/ /21 SERVICE PLAN
Ministry of Mental Health and Addictions 2018/19 2020/21 SERVICE PLAN February 2018 For more information on the Ministry of Mental Health and Addictions contact: Ministry of Mental Health and Addictions
More informationPreventing Opioid Misuse in Texas
Preventing Opioid Misuse in Texas Kasey Strey, ACPS, SPF-Rx Project Director Jessica Duncan Cance, MPH, PhD, TTOR Lead Purpose Provide an overview of HHSC -funded opioid misuse prevention activities Discuss
More informationOctober 20, 2016 Scott K. Proescholdbell, MPH. Opioid Overdose and North Carolina s Public Health and Prevention Strategies
October 20, 2016 Scott K. Proescholdbell, MPH Opioid Overdose and North Carolina s Public Health and Prevention Strategies Deaths per 100,000 population Death Rates* for Three Selected Causes of Injury,
More informationWhat To Expect. Maternal Cannabis Use during Pregnancy and the Impacts on Offspring
www.ccsa.ca www.cclt.ca What To Expect Maternal Cannabis Use during Pregnancy and the Impacts on Offspring Presentation for: 2016 Best Start Conference Amy Porath-Waller, PhD Katie Fleming, MA February
More informationSeptember 22, National Association of Attorneys General 1850 M Street, NW, 12 th Floor Washington, DC Prescription Opioid Epidemic
National Association of Attorneys General 1850 M Street, NW, 12 th Floor Washington, DC 20036 RE: Prescription Opioid Epidemic On behalf of America s Health Insurance Plans (AHIP), thank you for your leadership
More informationUnderstanding the Opiate Epidemic
Understanding the Opiate Epidemic An opiate is a narcotic analgesic that depresses the central nervous system. Natural opiates are derived from the poppy plant. Synthetic opiates are manufactured drugs
More informationPDMP Track: Linking and Mapping PDMP Data. Gillian Leichtling Acumentra Health Chris Baumgartner, WA State Dept. of Health
PDMP Track: Linking and Mapping PDMP Data Gillian Leichtling Acumentra Health Chris Baumgartner, WA State Dept. of Health Disclosure Statement Gillian Leichtling and Chris Baumgartner have disclosed no
More informationTom Williams, MD Chief Medical Officer Director of the Division of Public Health Nebraska Department of Health and Human Services
Tom Williams, MD Chief Medical Officer Director of the Division of Public Health Nebraska Department of Health and Human Services Helping People Live Better Lives Background DHHS dynamic agency Helping
More informationBuilding a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine
Building a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine Scott M. Gagnon, MPP, PS-C Director, AdCare Educational Institute of Maine, Inc. Co-Chair, Prevention & Harm
More informationTamper-Resistant Properties of Drugs Regulations (TRPDR)
Tamper-Resistant Properties of Drugs Regulations (TRPDR) Cost Impact Analysis, 2019 PMPRB presentation to federal, provincial, and territorial public plan representatives on September 29, 2015. 1 Patented
More informationAddressing the Opioid Epidemic in Tennessee
Addressing the Opioid Epidemic in Tennessee A Multidisciplinary Approach Melissa McPheeters, PhD, MPH Director, Informatics and Public Health Analytics 26 108 733 *Source: CDC References Centers for
More informationRecent trends in medical cannabis use in Canada
Recent trends in medical cannabis use in Canada Paul Grootendorst Faculty of Pharmacy, University of Toronto Department of Economics, McMaster University Cannabis therapeutic effects Cannabis has been
More informationBREAKING THE CYCLE T H E O P I O I D E P I D E M I C I N A M E R I C A
BREAKING THE CYCLE T H E O P I O I D E P I D E M I C I N A M E R I C A OVERVIEW Across the United States, about 90 people die per day due to opioid overdoses, which equates to every three in five overdose
More informationLessons from the First Year Implementing A Local Prescription Drug Abuse Coalition. Matt Willis, MD MPH Public Health Officer Marin County
Lessons from the First Year Implementing A Local Prescription Drug Abuse Coalition Matt Willis, MD MPH Public Health Officer Marin County What can we do as a community to prevent prescription drug misuse
More information3/16/2018. Responding to a crisis. Opioid Overdose Prevention
Opioid Overdose Prevention Responding to a crisis Agenda History of Opiates in the U.S. Understanding Opiates and New Developments Opioid Overdose: Physiology and Risk Factors Opioid Overdose: Signs and
More informationFIGHTING ADDICTION AND IMPROVING BEHAVIORAL HEALTH
FIGHTING ADDICTION AND IMPROVING BEHAVIORAL HEALTH The Public Health Crisis of This Generation & Delaware s Plan for the Future Lt. Governor Bethany Hall-Long, Ph.D, RNC, FAAN INTRODUCTION BEHAVIORAL HEALTH
More informationOffice of Health Promotion Business Plan
Dr. Thomas Ward, Deputy Minister Department of Health, and EO, Table of ontents Page 1. Introduction and Mandate...2 2. Planning ontext...3 2.1 Introduction...3 2.2 ase for Prevention...3 3. Strategic
More informationQuestions & Answers. What are the risks associated with consumption drug use?
Questions & Answers What are the risks associated with consumption drug use? Consumption drug use affects us all. Harms associated with consumption drug use are many and include the spread of infectious
More informationCOMMUNITY ASSESSMENT OF THE OPIOID CRISIS IN LORAIN COUNTY, OHIO EXECUTIVE SUMMARY
COMMUNITY ASSESSMENT OF THE OPIOID CRISIS IN LORAIN COUNTY, OHIO Prepared for The Nord Family Foundation December 20, 2017 Background The impact of the opioid crisis in Lorain County, Ohio is far-reaching
More informationRE: PROPOSED AMENDMENTS TO REGULATIONS TO THE CONTROLLED DRUGS AND SUBSTANCES ACT
November 8, 2017 Ms. Michelle Boudreau Director General Controlled Substances Directorate Office of Legislative and Regulatory Affairs Health Canada 150 Tunney s Pasture Driveway, Main Stats Building Address
More informationPRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE
PRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE September 20, 2013 Association of State and Territorial Health Officials Annual Meeting R. Gil Kerlikowske Director of National Drug Control Policy National
More informationUNODC/HONLAF/26/CRP.1
8 September 2016 English only Twenty-sixth Meeting of the Heads of National Drug Law Enforcement Agencies, Africa Addis Ababa, 19-23 September 2016 Item 5 (c) of the provisional agenda * Best practices
More informationNaloxone and Combating the Opioid Epidemic
Objectives Naloxone and Combating the Opioid Epidemic Jeff Jacobson PharmD Southpointe Pharmacy Discuss the current opioid crisis Define the role of Naloxone in opioid overdose Analyze the barriers to
More informationLegalization, Regulation and Restriction of Access to Cannabis
Legalization, Regulation and Restriction of Access to Cannabis Presentation to UNSM May 26th, 2017 Departments of Justice, Health and Wellness and Finance and Treasury Board Today Origin and Federal Context
More informationSASKATCHEWAN S HIV STRATEGY UPDATE
SASKATCHEWAN S HIV STRATEGY 2010-14 UPDATE The Saskatchewan HIV Strategy 2010-2014, approved in December 2010, was developed with extensive consultation with a variety of stakeholders: health regions,
More informationNext Steps and Transitioning the Task Force Mayor s Task Force on Mental Health & Addictions Council Presentation 21 FEBRUARY 2017
Next Steps and Transitioning the Task Force Mayor s Task Force on Mental Health & Addictions Council Presentation 21 FEBRUARY 2017 Acknowledgements Staff express gratitude to all members of the Task Force,
More informationCannabis Legalization and Regulation
Cannabis Legalization and Regulation Presentation to alpha Ontario Public Health Unit Collaboration on Cannabis February 24, 2017 Elena Hasheminejad and Allison Imrie 1 Overview The Ontario Public Health
More informationAn Overview of the Government of Canada s Approach to Legalize, Regulate and Restrict Access to Cannabis
An Overview of the Government of Canada s Approach to Legalize, Regulate and Restrict Access to Cannabis I m here today to provide 1 2 3 Context for the Government of Canada s plan to legalize, regulate
More information