Prescription Abuse: Cause, Consequence and Control

Size: px
Start display at page:

Download "Prescription Abuse: Cause, Consequence and Control"

Transcription

1 Prescription Abuse: Cause, Consequence and Control Glen R. Hanson, Ph.D., D.D.S. Professor in Pharmacology, University of Utah Director of the Utah Addiction Center, University of Utah Senior Advisor, National Institute on Drug Abuse, NIH

2 What Do We Mean When We Say Prescription Drug Abuse? Use: Prescribed and clinically appropriate Misuse: Either not prescribed or clinically inappropriate

3 Drug Abuse- use of a drug in a manner not medically or socially approved (recreationally??). Prescription abuse Pharm Party

4 Dependence: Persistent use resulting in adaptations typically accompanied by accommodation or tolerance (causing compensatory escalation) and withdrawal (e.g., aches, diarrhea, depression and cravings) Drug addiction: Compulsive drug use that consists of repetition to satisfy intense urges, despite severely negative consequences

5 Categories of Rx drug users Legitimate (do not break laws and drugs properly managed and used) Legitimate (laws not broken, but either not being managed properly or used improperly) Illegal (laws broken to obtain and/or use) Combinations

6 What is the attitude about the drug? Necessary for a medical condition (e.g., pain, stress, anxiety) If the drug can be obtained legally, everything will be OK Obsessed: tremendous energy is spent on assuring drug access

7 How many people are abusing (misusing?) prescription drugs? Survey Says: Approximately 9 million Americans use prescription drugs at least once for nonmedical reasons a year. Approximately 4 million Americans report using prescription drugs nonmedically monthly.

8 In 2010 nonmedical use & consequences >12 yrs lifetime= 20% HS Seniors annual use Vicodin= 10% OxyContin= 5% Adderall= 5% ~ 15,000 overdose deaths in U.S.A., 2011

9 What is the pharmacological status of the patient/user? Deriving medical benefit from the medication Physically dependent, but not addicted Physically dependent and addicted

10 What is the role of the Rx provider & dispenser? (DRUG DEALERS?) AWOL ( take a number attitude; does not know patient nor history) Enabler (excessively accommodating) Candy man

11 Where do abused Rx drugs come from (demographics)? Doctor s Rx = 19% Dealer = 8% Friend or relative = 66% Buy the drugs = 21% Took/stole the drugs = 12% Given the drugs = 33% Internet purchases = minor

12 What should we do about it??

13 Utah Legislature/Governor 2010 Resolution: Objectives: more effective education and assessment of risk before prescribing and more effective monitoring and disposal after prescription issued

14 Why Does Someone Abuse a Prescription Drug?

15 Addiction Cycle for Prescription Drugs relieve medical condition (e.g., pain, anxiety, stress, weight gain) reinforcing effects (stimulates reward pathways) induces physical dependence often there is a tolerance and withdrawal issue (usually occurs due to lengthy drug use) patients often have substance abuse risk before treatment (mental risk/prexisting problem patient uses various strategies to maintain drug supply (often illegal)

16 Prevention Obtain accurate history (any drug abuse problems in family or personally?) HOW? Doctors/pharmacists need to do their jobs-educate and warn!

17 DEFINING SBIRT PROGRAM SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS A COMPREHENSIVE AND INTEGRATED APPROACH TO THE DELIVERY OF EARLY INTERVENTION AND TREAMTMENT SERVICES THROUGH UNIVERSAL SCREENING TO PERSONS WITH SUBSTANCE USE DISORDERS AND THOSE AT RISK Babor et al., 2007

18 DEFINING SBIRT SBIRT is designed to fill the gap between primary prevention efforts and more intensive treatment for persons with serious substance use disorders SBIRT PHYSICIANS and programs can reach a significant proportion of the population using alcohol and other drugs before high-end interventions are needed

19 SBIRT PYRAMID REFERRAL TO TREATMENT BRIEF TREATMENT BRIEF INTERVENTION SAMHSA SBIRT PROGRAM, 2009

20 AGE-RELATED NEED FOR SBIRT IN UTAH Division of Substance Abuse and Mental Health, 2010

21 SBIRT CORE COMPONENTS Screen Brief Intervention Brief Treatment Referral to Treatment Identification of substance related and emotion problems Uses motivational interviewing to raise awareness of risks and motivate client toward treatment engagement Evidence based cognitive behavioral treatment with clients who elect further treatment or need follow-up care (including co-occurring disorders) Referral of those with more serious or emergent treatment needs

22 SBIRT CORE COMPONENTS SCREENING accurate identification of at risk, high risk, and addicted individuals ISSUES TO CONSIDER important to consider 1) perceived threat, 2) cognitive capacity, 3) self image, 4) denial patient and medical staff, and 5) level of trust

23 SBIRT SCREENING TOOLS AUDIT (ALCOHOL USE DISORDERS IDENTIFICATION TEST) 10 questions, focuses on hazardous drinking as well as alcohol use disorders, adult population, 5 min/3 min DAST (Drug Abuse Screening Test) 10 or 28 questions, focuses on drugs, adult and adolescent populations, 5 min/2 min TWEAK (Tolerance, Worry, Eye-Opener, Amnesia, Cut-Down) 5 questions, originally developed to screen for alcohol use in pregnant women; adult population, 3 min/2min

24 How can the health care provider contribute?

25 Patient Education Only use the Rx to treat the condition for which it was prescribed Recognize the symptoms of dependence and addiction (& difference) Rx addiction is a relapsing disorder and often requires professional help

26 How to safely store Promptly dispose of the leftovers!!! Legal prohibitions on sharing or selling/protect family members and others from unintentional or intentional misuse

27 Tools to assist assessments: Division of Occupational and Professional Licensing (DOPL) Monitoring- regulator of Rx drug prescribers Licensing and certification management-establish qualifications and require training (CE requirements)

28 Monitoring through databasesapproach real-time information High-risk patients: Medication management agreements Tight control on Rx numbers and routine accountability Drug screens-- with consequences

29 Be able to recognize if treatment is required and get patient help (be able to explain why important and how it is done)

30

31

32

Prescription Drug Abuse National Perspective

Prescription 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 information

Implementation of a Community-Wide Screening and Brief Intervention Project

Implementation of a Community-Wide Screening and Brief Intervention Project Implementation of a Community-Wide Screening and Brief Intervention Project When you look at what determines morbidity in this country, 80% of that has nothing to do with the quality of health care received

More information

National Descriptive Report

National Descriptive Report National Descriptive Report 0 1 TABLE OF CONTENTS Introduction... 2 Results... 2 Pain Medication... 3 Sedatives... 9 Stimulants... 15 Additional Questions... 21 Drug Use of Other Students... 25 Demographics...

More information

Chapter 7. Screening and Assessment

Chapter 7. Screening and Assessment Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions

More information

THEXANAX THREAT 1 THE XANAX THREAT. iaddiction.com

THEXANAX THREAT 1 THE XANAX THREAT. iaddiction.com THEXANAX THREAT 1 THE XANAX THREAT 3 6 9 11 SOCIETAL IMPACT OF XANAX RECREATIONAL VALUE OF XANAX THE PHYSICAL, MENTAL, AND EMOTIONAL EFFECTS OF XANAX ADDICTION AND DEPENDENCE Societal Impact of Xanax Since

More information

The Future of Prevention: Addressing the Prescription Drug Abuse and the Opioid/Heroin Epidemic in our Country

The Future of Prevention: Addressing the Prescription Drug Abuse and the Opioid/Heroin Epidemic in our Country Integrating Primary and Behavioral Health Care Through the Lens of Prevention July 14, 2016 New Orleans, Louisiana The Future of Prevention: Addressing the Prescription Drug Abuse and the Opioid/Heroin

More information

Chapter 7. Screening and Assessment

Chapter 7. Screening and Assessment Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions

More information

A Comprehensive Model of Stepped Care for Substance Misuse Prevention on a College Campus

A Comprehensive Model of Stepped Care for Substance Misuse Prevention on a College Campus A Comprehensive Model of Stepped Care for Substance Misuse Prevention on a College Campus Steven W. Clarke, PhD Director of Health Promotion & Prevention Services Binghamton University Jennifer F. Wagstaff,

More information

Jerry Cochran, MSW, PhD University of Utah School of Medicine Department of Internal Medicine Department of Psychiatry

Jerry Cochran, MSW, PhD University of Utah School of Medicine Department of Internal Medicine Department of Psychiatry Jerry Cochran, MSW, PhD University of Utah School of Medicine Department of Internal Medicine Department of Psychiatry Acknowledgements Funding for this work has come from: The Staunton Farm Foundation

More information

Module Three Screening and Assessment V

Module Three Screening and Assessment V Module Three Screening and Assessment V1.7.13.141031 Introduction to Modules Three and Four Modules Three and Four cover the key components of SBIRT screening, assessment and brief intervention. The screening,

More information

Medical vs. Use of Drugs. Warning Signs of Chemical Dependence. Intent Effect. Legality Pattern 5/5/2010. Daily use above ceiling doses

Medical vs. Use of Drugs. Warning Signs of Chemical Dependence. Intent Effect. Legality Pattern 5/5/2010. Daily use above ceiling doses Identifying and Preventing Drug Abuse By: Lon R. Hays, M.D., M.B.A. Professor and Chairman Department of Psychiatry University of Kentucky Healthcare Medical vs. Non-Medical Use of Drugs Intent Effect

More information

Prescription Drug Abuse and Heroin: Impact on Oregon s Youth and Young Adults

Prescription Drug Abuse and Heroin: Impact on Oregon s Youth and Young Adults North Coast Opioid Summit Prescription Drug Abuse and Heroin: Impact on Oregon s Youth and Young Adults April 28, 2016 The Oregon Epidemic Oregon ranks #2 in Non-Medical Use of Opioids, 5% of population

More information

Welcome to the second module of the Screening, Brief Intervention, and Referral to Treatment Core Curriculum. In this module, we ll address screening

Welcome to the second module of the Screening, Brief Intervention, and Referral to Treatment Core Curriculum. In this module, we ll address screening Welcome to the second module of the Screening, Brief Intervention, and Referral to Treatment Core Curriculum. In this module, we ll address screening patients for substance use in a clinical setting. 1

More information

Appendix F Federation of State Medical Boards

Appendix F Federation of State Medical Boards Appendix F Federation of State Medical Boards Model Policy Guidelines for Opioid Addiction Treatment in the Medical Office SECTION I: PREAMBLE The (name of board) recognizes that the prevalence of addiction

More information

NJ SBIRT Project QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D.

NJ SBIRT Project QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D. NJ SBIRT Project QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D. SBIRT stands for S CREENING BRIEF INTERVENTION R EFERRAL TO TREATMENT SBIRT Defined SBIRT is a comprehensive, integrated,

More information

Role of PMPs in Preventing Substance Abuse National Conference of State Legislatures December 6, 2006 San Antonio, Tx

Role of PMPs in Preventing Substance Abuse National Conference of State Legislatures December 6, 2006 San Antonio, Tx Role of PMPs in Preventing Substance Abuse National Conference of State Legislatures December 6, 2006 San Antonio, Tx Nick Reuter Division of Pharmacologic Therapy Substance Abuse and Mental Health Services

More information

OHIO S PRESCRIPTION DRUG OVERDOSE EPIDEMIC:

OHIO S PRESCRIPTION DRUG OVERDOSE EPIDEMIC: Cuyahoga County Board of Health OHIO S PRESCRIPTION DRUG OVERDOSE EPIDEMIC: NOVEMBER 5, 2014 CONTRIBUTING FACTORS AND ONGOING PREVENTION EFFORTS DEFINITIONS Opiate- originate from naturally-occurring elements

More information

Popping Pills for Thrills Implications for preventing the misuse of pharmaceuticals

Popping Pills for Thrills Implications for preventing the misuse of pharmaceuticals Popping Pills for Thrills Implications for preventing the misuse of pharmaceuticals Carla Janáe Brown, M.S. Many Voices, One Vision Conference: Achieving Our Vision through Collaboration August 1, 2007

More information

Safe Medication Practices

Safe Medication Practices Safe medication practices for life. Slide 1 Safe Medication Practices Facilitator Talking Points Welcome to today s program, Generation Rx: Safe Medication Practices for Life. You may be asking yourself,

More information

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

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 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 information

H NDS-ONHealth. Prescription Drug Abuse. Drug overdose death rates in the United States have more than tripled since 1990 and have never been higher.

H NDS-ONHealth. Prescription Drug Abuse. Drug overdose death rates in the United States have more than tripled since 1990 and have never been higher. H NDS-ONHealth Health Wave Newsletter, October 2013 Visit us on our website at www.healthwaveinc.com Drug overdose death rates in the United States have more than tripled since 1990 and have never been

More information

Comprehensive Substance Abuse Strategic Action Plan

Comprehensive Substance Abuse Strategic Action Plan Report on West Virginia s Comprehensive Substance Abuse Strategic Action Plan SubStance abuse is destroying West Virginia. People throughout the state, from the Northern Panhandle to the southern coalfields,

More information

Screening, Identification, Counseling, and Treatment of Opioid Use Disorder

Screening, Identification, Counseling, and Treatment of Opioid Use Disorder Screening, Identification, Counseling, and Treatment of Opioid Use Disorder Joji Suzuki, MD Assistant Professor of Psychiatry, Harvard Medical School Director, Division of Addiction Psychiatry, Brigham

More information

Overview. APPLIED PREVENTION & intervention STRATEGIES. APPLIED PREVENTION & intervention STRATEGIES

Overview. APPLIED PREVENTION & intervention STRATEGIES. APPLIED PREVENTION & intervention STRATEGIES Overview in the Context of a Comprehensive System of Care Overview of Evidence-Based Brief Motivational Interventions Screening and Referral Overview Session 1 Session 2 2 APPLIED PREVENTION & intervention

More information

MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER

MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER JOHN E LOPES Jr., DHSC, PA-C Associate Professor, Physician Assistant Program Central Michigan University and Project Director Medication-assisted

More information

Medication-Assisted Treatment. What Is It and Why Do We Use It?

Medication-Assisted Treatment. What Is It and Why Do We Use It? Medication-Assisted Treatment What Is It and Why Do We Use It? What is addiction, really? o The four C s of addiction: Craving. Loss of Control of amount or frequency of use. Compulsion to use. Use despite

More information

Aging and Addiction:

Aging and Addiction: Aging and Addiction: How C.U.R.E.S. and other modalities can Assist in Addressing Addiction in Older Adults VCMC CME Series Celia Woods, M.D., VCBH Mike Small, DOJ CURES Administrator April 30, 2014 Learning

More information

Potentially serious side effects

Potentially serious side effects page 2 of 7 page 3 of 7 page 4 of 7 Potential Health Consequences: First, consider the worst-case scenario death. This may sound far-fetched to a healthy young undergraduate, but people do actually die

More information

VOLUME B. Elements of Psychological Treatment

VOLUME B. Elements of Psychological Treatment VOLUME B Elements of Psychological Treatment VOLUME B MODULE 1 Drug dependence and basic counselling skills Biology of drug dependence Principles of drug dependence treatment Basic counselling skills for

More information

EXECUTIVE SUMMARY HIGHLIGHTS

EXECUTIVE SUMMARY HIGHLIGHTS 0 1 EXECUTIVE SUMMARY The College Prescription Drug Study (CPDS) is a multi-institutional survey of undergraduate, graduate and professional students. The CPDS examines the non-medical use of prescription

More information

Screening for Substance Use in Clinical Settings

Screening for Substance Use in Clinical Settings Screening for Substance Use in Clinical Settings Screening, Brief Intervention, and Referral to Treatment (SBIRT) Core Curriculum The University of Iowa Goals for Today Understand universal screening Identify

More information

EFFECTIVE PROGRAM PRINCIPLES MATRIX

EFFECTIVE PROGRAM PRINCIPLES MATRIX Page 1 of 6 EFFECTIVE PROGRAM PRINCIPLES MATRIX (Portions taken from National Institute on Drug Abuse) The purpose of this Effective Program Principles Matrix is to provide a framework for bidders to describe

More information

Motivational Interviewing and SBIRT to Address Substance Misuse. KERRY MELLETTE, MSW and CHARLES (RICK) GRESSARD, PHD

Motivational Interviewing and SBIRT to Address Substance Misuse. KERRY MELLETTE, MSW and CHARLES (RICK) GRESSARD, PHD 1 Motivational Interviewing and SBIRT to Address Substance Misuse KERRY MELLETTE, MSW and CHARLES (RICK) GRESSARD, PHD Credits 2 Slides originally developed by Stephen H. O Neill, M.A. ClearLight Training

More information

Prescription Drug Abuse Understanding a Global Epidemic and How Tribal Nations are Working to Combat It

Prescription Drug Abuse Understanding a Global Epidemic and How Tribal Nations are Working to Combat It Prescription Drug Abuse Understanding a Global Epidemic and How Tribal Nations are Working to Combat It Sarah Reckess & Precious Benally Center for Court Innovation Center for Court Innovation Outline

More information

Screening, Brief Intervention, and Referral to Treatment (SBIRT) Part I: Introduction & Screening

Screening, Brief Intervention, and Referral to Treatment (SBIRT) Part I: Introduction & Screening Screening, Brief Intervention, and Referral to Treatment (SBIRT) Part I: Introduction & Screening Farah Khorassani, PharmD, BCPS, BCPP Shannon Tellier, PharmD Objectives Describe SBIRT rationale and screening

More information

BASIC VOLUME. Elements of Drug Dependence Treatment

BASIC VOLUME. Elements of Drug Dependence Treatment BASIC VOLUME Elements of Drug Dependence Treatment BASIC VOLUME MODULE 1 Drug dependence concept and principles of drug treatment MODULE 2 Motivating clients for treatment and addressing resistance MODULE

More information

Strategies to Manage The Opioid Crisis

Strategies 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 information

Quick Start Guide for Video Chapter 2: What Is Addiction?

Quick Start Guide for Video Chapter 2: What Is Addiction? Quick Start Guide for Video Chapter 2: What Is Addiction? Materials and Preparation Needed * Prepare to show the video on a TV or monitor. * Print the chapter 2 fact sheet, Addiction, for each client.

More information

Managing the Drug-Free Workplace Quiz

Managing the Drug-Free Workplace Quiz Managing the Drug-Free Workplace Quiz 4776 Quiz- Managing the Drug-Free Workplace 1. When it comes to substance abuse in the workplace, a manager s first response should be: a) Don t get involved the issue

More information

OPIOID OVERDOSE EPIDEMIC: What Healthcare Providers Need to Know

OPIOID OVERDOSE EPIDEMIC: What Healthcare Providers Need to Know OPIOID OVERDOSE EPIDEMIC: What Healthcare Providers Need to Know WHAT S NEW UPDATE CUMBERLAND, MD Renata J. Henry, M.Ed. Director, Central East ATTC March 16, 2016 Behavioral Health is Essential to Health

More information

Article #2 Prescription Drug Overdose CDC: Centers for Disease Control and Prevention. Understanding the Epidemic

Article #2 Prescription Drug Overdose CDC: Centers for Disease Control and Prevention. Understanding the Epidemic Article #2 Prescription Drug Overdose CDC: Centers for Disease Control and Prevention Understanding the Epidemic When the Prescription Becomes the Problem In a period of nine months, a tiny Kentucky county

More information

Screening, Brief Intervention, and Referral to Treatment Core Curriculum

Screening, Brief Intervention, and Referral to Treatment Core Curriculum Screening, Brief Intervention, and Referral to Treatment Core Curriculum Acknowledgments The material included in this course is based largely on the works of previously funded SAMHSA grantees. Other information

More information

RED FLAGS, SCREENING AND DIAGNOSING OUD IN CHRONIC PAIN PATIENTS DR. PAULA COOK & DR. ELIZABETH HOWELL

RED FLAGS, SCREENING AND DIAGNOSING OUD IN CHRONIC PAIN PATIENTS DR. PAULA COOK & DR. ELIZABETH HOWELL RED FLAGS, SCREENING AND DIAGNOSING OUD IN CHRONIC PAIN PATIENTS DR. PAULA COOK & DR. ELIZABETH HOWELL OBJECTIVES A look at chronic pain and opioid therapy Screening for opioid use disorder (OUD) in chronic

More information

First the Man Takes a Drink... Texas Lawyers Assistance Program September, 2014 Marilyn J Vaché MD, Medical Director, Austin Recovery

First the Man Takes a Drink... Texas Lawyers Assistance Program September, 2014 Marilyn J Vaché MD, Medical Director, Austin Recovery First the Man Takes a Drink... Texas Lawyers Assistance Program September, 2014 Marilyn J Vaché MD, Medical Director, Austin Recovery Everyone who drinks alcohol is at risk of losing control of drinking,

More information

Rule Governing the Prescribing of Opioids for Pain

Rule Governing the Prescribing of Opioids for Pain Rule Governing the Prescribing of Opioids for Pain 1.0 Authority This rule is adopted pursuant to Sections 14(e) and 11(e) of Act 75 (2013) and Sections 2(e) and 2a of Act 173 (2016). 2.0 Purpose This

More information

Addressing Alaska s Opioid Epidemic From Understanding to Action

Addressing Alaska s Opioid Epidemic From Understanding to Action Addressing Alaska s Opioid Epidemic From Understanding to Action The opioid epidemic is devastating American families and communities. To curb these trends and save lives, we must help prevent addiction

More information

Youth Opioid Study: Attitudes and Usage Young Adults Ages 18 to 24 in the United States

Youth Opioid Study: Attitudes and Usage Young Adults Ages 18 to 24 in the United States Youth Opioid Study: Attitudes and Usage Young Adults Ages 18 to 24 in the United States Conducted for: Presented on: April 30, 2015 Conducted by: www.qmarketresearch.com Page 1 Contents Background... 3

More information

Opioid Abuse in Iowa Rx to Heroin. Iowa Governor s Office of Drug Control Policy January 2016

Opioid Abuse in Iowa Rx to Heroin. Iowa Governor s Office of Drug Control Policy January 2016 1 Opioid Abuse in Iowa Rx to Heroin Iowa Governor s Office of Drug Control Policy January 2016 Why Is This Important? 2 3 National Rx Painkiller Trends CDC, 2013 4 National Rx-Heroin Trends NIH, 2015 5

More information

What is drug diversion?

What 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 information

October 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 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 information

2018 Medical Marvels Research Competition A research competition for students in grades 9 and 10

2018 Medical Marvels Research Competition A research competition for students in grades 9 and 10 2018 Medical Marvels Research Competition A research competition for students in grades 9 and 10 Sponsored by the Feinstein Institute for Medical Research and the Center for Workforce Readiness The Northwell

More information

1 STUDYING THE STUDY DRUG: ADDERALL. iaddiction.com

1 STUDYING THE STUDY DRUG: ADDERALL. iaddiction.com 1 STUDYING THE STUDY DRUG: ADDERALL Societal Impact of the Drug A stimulant often prescribed for attention deficit hyperactivity disorder (ADHD) and narcolepsy, Adderall has become a drug of choice for

More information

YOUTH OPIOID ABUSE PREVENTION TOOLKIT

YOUTH OPIOID ABUSE PREVENTION TOOLKIT YOUTH OPIOID ABUSE PREVENTION TOOLKIT President Trump, the First Lady and the entire Trump Administration is committed to combatting the opioid crisis. The youth opioid abuse prevention campaign will be

More information

Opioid Task Force Kick-Off Meeting. February 29, 2016

Opioid Task Force Kick-Off Meeting. February 29, 2016 Opioid Task Force Kick-Off Meeting February 29, 2016 Scope of the Opioid Problem and Data Review Olivia Kasirye, MD, MS County Public Health Officer OVERVIEW The Opioid Epidemic Opioid Task Force Development

More information

National Council on Patient Information and Education

National Council on Patient Information and Education National Council on Patient Information and Education You are not alone The type of pain that caused your doctor to prescribe a pain medicine for you can make you feel that you are different from everyone

More information

Attitudes Toward Medication-Assisted Treatment Within a Drug Court Program. Caroline Allison. Dr. Kathleen Moore, Ph.D.

Attitudes Toward Medication-Assisted Treatment Within a Drug Court Program. Caroline Allison. Dr. Kathleen Moore, Ph.D. Running Head: MEDICATION-ASSISTED TREATMENT ATTITUDES Attitudes Toward Medication-Assisted Treatment Within a Drug Court Program Caroline Allison Dr. Kathleen Moore, Ph.D. Department of Mental Health Law

More information

Welcome back to our program!

Welcome back to our program! Welcome back to our program! 1 As you likely recall, the SBIRT TIPS training program is a federally funded project that aims to both educate practitioner students and impact health systems. 2 Let s start

More information

HIV and alcohol use: why is risk reduction in alcohol use important in HIV care?

HIV and alcohol use: why is risk reduction in alcohol use important in HIV care? HIV and alcohol use: why is risk reduction in alcohol use important in HIV care? Susanne Astrab Fogger, DNP, PMHNP-BC, CARN-AP, FAANP sfogger@uab.edu Objectives for today s session Define alcohol use disorder

More information

Opioid Treatment in North Carolina SEPTEMBER 13, 2016

Opioid Treatment in North Carolina SEPTEMBER 13, 2016 Opioid Treatment in North Carolina SEPTEMBER 13, 2016 Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2007 Source Where Respondent Obtained

More information

Promoting Perfect Depression Care in New York State Using the Collaborative Care Model. September 19, 2017

Promoting Perfect Depression Care in New York State Using the Collaborative Care Model. September 19, 2017 Promoting Perfect Depression Care in New York State Using the Collaborative Care Model September 19, 2017 2 The Relationship Between Depression & Suicide 3 Behavioral Health Treatment in the US Depression

More information

RECOVERY BASICS SCOPE AND SEQUENCE. An Educational Video Based on Best Practices in Recovery Management. from

RECOVERY BASICS SCOPE AND SEQUENCE. An Educational Video Based on Best Practices in Recovery Management. from How to Start Strong and Keep Going SCOPE AND SEQUENCE An Educational Video Based on Best Practices in Recovery Management from For more information about this program, visit hazelden.org/bookstore or call

More information

Addressing the Opioid Epidemic in Tennessee

Addressing 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 information

Wasted AN INTRODUCTION TO SUBSTANCE ABUSE

Wasted AN INTRODUCTION TO SUBSTANCE ABUSE Wasted AN INTRODUCTION TO SUBSTANCE ABUSE Dr. Brian L. Bethel Child and Family Therapist Independent Trainer and Consultant LPCC-S, LCDC III, RPT-S www.brianlbethel.com INTERPLAY COUNSELING & CONSULTING

More information

Opioid Analgesics: Responsible Prescribing in the Midst of an Epidemic

Opioid Analgesics: Responsible Prescribing in the Midst of an Epidemic Opioid Analgesics: Responsible Prescribing in the Midst of an Epidemic Lucas Buffaloe, MD Associate Professor of Clinical Family and Community Medicine University of Missouri Health Care Goals for today

More information

SBIRT-TIPS Refresher. Welcome back to our program!

SBIRT-TIPS Refresher. Welcome back to our program! Welcome back to our program! 1 As you likely recall, the SBIRT TIPS training program is a federally funded project that aims to both educate practitioner students and impact health systems. 2 Let s start

More information

Rosenthal Center for Addiction Studies. Survey on Perceptions of Drug Use in America

Rosenthal Center for Addiction Studies. Survey on Perceptions of Drug Use in America Rosenthal Center for Addiction Studies Survey on Perceptions of Drug Use in America December 14, 2016 1 Table of Contents Introduction...3 Executive Summary...6 Drug Use in the Family... 16 Childhood Drug

More information

Addressing the Opioid Epidemic through a Public Health Lens

Addressing the Opioid Epidemic through a Public Health Lens Addressing the Opioid Epidemic through a Public Health Lens MONICA BHAREL, MD, MPH MASSACHUSETTS COMMISSIONER OF PUBLIC HEALTH VISION Optimal health and well-being for all people in Massachusetts, supported

More information

Using Screening, Brief Intervention & Referral to Treatment (SBIRT) in Practice: A Skills Building Workshop

Using Screening, Brief Intervention & Referral to Treatment (SBIRT) in Practice: A Skills Building Workshop Using Screening, Brief Intervention & Referral to Treatment (SBIRT) in Practice: A Skills Building Workshop Joanne DeSanto Iennaco PhD, PMHNP BC, PMHCNS BC, APRN Acknowledgements Yale SBIRT Medical Health

More information

PARENTS: Maximizing Your Role as a Teen Influencer

PARENTS: Maximizing Your Role as a Teen Influencer PARENTS: Maximizing Your Role as a Teen Influencer As a parent you may have spoken to your teen about the harmful effects of alcohol, tobacco and illegal drugs, such as marijuana or ecstasy. But did you

More information

KANSAS Kansas State Board of Healing Arts. Source: Kansas State Board of Healing Arts. Approved: October 17, 1998

KANSAS Kansas State Board of Healing Arts. Source: Kansas State Board of Healing Arts. Approved: October 17, 1998 KANSAS Kansas State Board of Healing Arts Source: Kansas State Board of Healing Arts Approved: October 17, 1998 GUIDELINES FOR THE USE OF CONTROLLED SUBSTANCES FOR THE TREATMENT OF PAIN Section 1: Preamble

More information

Medication-Assisted Treatment for Opioid Addiction. Facts for Families and Friends

Medication-Assisted Treatment for Opioid Addiction. Facts for Families and Friends Medication-Assisted Treatment for Opioid Addiction Facts for Families and Friends A lot of times family members just think that there s just a say no type approach, that if you re not gonna get high, end

More information

Prescription Drug Safety for Teens

Prescription Drug Safety for Teens Prescription Drug Safety for Teens Curriculum Guide Recommended Grade Level 9-12 Total Time 30-45 minutes Subject Fit Health Standards Alignment National Health Education Standards (NHES) With prescription

More information

End the Epidemic. Miami-Dade County COMPREHENSIVE COMMUNITY PREVENTION ACTION PLAN

End the Epidemic. Miami-Dade County COMPREHENSIVE COMMUNITY PREVENTION ACTION PLAN End the Epidemic Miami-Dade County COMPREHENSIVE COMMUNITY PREVENTION ACTION PLAN 2018 2021 Miami-Dade County along with the State of Florida and the Nation are dramatically impacted by an Opioid Epidemic

More information

Implementing SBRT in Rural Clinics: A How to Guide

Implementing SBRT in Rural Clinics: A How to Guide Implementing SBRT in Rural Clinics: A How to Guide Dr. Christine Chasek January 9, 2019 Samson Teklemariam, MA, LPC Director of Training and Professional Development NAADAC, the Association for Addiction

More information

Anyone Can Become Addicted. Anyone.

Anyone Can Become Addicted. Anyone. Anyone Can Become Addicted. Anyone. PAStop.org Family Toolkit Seeking Drug Abuse Treatment: Know What to Ask Trying to identify the right treatment programs for a loved one can be a difficult process.

More information

PRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE

PRESCRIPTION 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 information

EVEN IF YOU KNOW ABOUT DRINKING OR DRUGS. Simple Questions. Straight Answers.

EVEN IF YOU KNOW ABOUT DRINKING OR DRUGS. Simple Questions. Straight Answers. EVEN IF YOU KNOW ABOUT DRINKING OR DRUGS Simple Questions. Straight Answers. WHY IS MY HEALTHCARE PROVIDER ASKING ME ABOUT ALCOHOL AND OTHER DRUGS? Asking these questions is part of good health care, just

More information

TEEN EDUCATION. Medication Safety for Teens.

TEEN EDUCATION. Medication Safety for Teens. Slide 1 Welcome to today s program, My Generation Rx: Medication Safety for Teens. You may be asking yourself, What is My Generation Rx? My Generation Rx encourages teens to incorporate the Generation

More information

Medication Assisted Treatment. MAT Opioid dependence/addiction Opioid treatment programs OTP Regulation of OTP Office Based Treatment

Medication Assisted Treatment. MAT Opioid dependence/addiction Opioid treatment programs OTP Regulation of OTP Office Based Treatment Medication Assisted Treatment MAT Opioid dependence/addiction Opioid treatment programs OTP Regulation of OTP Office Based Treatment Opioid Drugs Opium Morphine Heroin Codeine Oxycodone Roxycodone Oxycontin

More information

Opiate Use Disorder and Opiate Overdose

Opiate Use Disorder and Opiate Overdose Opiate Use Disorder and Opiate Overdose Irene Ortiz, MD Medical Director Molina Healthcare of New Mexico and South Carolina Clinical Professor University of New Mexico School of Medicine Objectives DSM-5

More information

University of Pittsburgh

University of Pittsburgh Learning Objectives Participants will be able to: Associate the history of prescription drug use in America with the current trend of prescription drug abuse; Differentiate between the three most commonly

More information

SBIRT in Mental Health Settings

SBIRT in Mental Health Settings SBIRT in Mental Health Settings Teresa Halliday, MA Director, Practice Improvement Pam Pietruszewski, MA Integrated Health Consultant Overview 1. Rationale for support 2. Continuum of use and risk 3. Overview

More information

Tobacco, Alcohol, Drugs. Chapter 11, 12, & 13

Tobacco, Alcohol, Drugs. Chapter 11, 12, & 13 Tobacco, Alcohol, Drugs Chapter 11, 12, & 13 Four Corners (Walls) Title a new entry: ACTIVITY - FOUR CORNERS Write the following in your comp. book: Alcohol is a drug. Four Corners (Walls) Choose one response

More information

Portsmouth Youth Substance Abuse Needs Assessment SY

Portsmouth Youth Substance Abuse Needs Assessment SY Portsmouth Youth Substance Abuse Needs Assessment SY2015-16 Portsmouth Prevention Coalition October 20, 2016 Prepared by John Mattson Consulting Table 1.0 Response Rates for RISS Portsmouth RISS Respondents

More information

Colorado State Board of Medical Examiners Policy

Colorado State Board of Medical Examiners Policy POLICY NUMBER: 10-14 Title: Guidelines for the Use of Controlled Substances for the Treatment of Pain Date Issued: May 16, 1996 Date(s) Revised: November 18, 2004 Reference: 12-36-117, C.R.S. Purpose:

More information

Prescription / Over-the- Counter Drugs

Prescription / Over-the- Counter Drugs AzPA 6 th Annual Meeting July 18, 2010 The Partnership for a Drug Free America, Arizona Chapter Pamela S. Murphy, MD Arizona Pharmacy Foundation Peggy Khan, Pharm.D., BCPS Pam Coumans, Pharm.D. Prescription

More information

PRESCRIPTION FOR ADDICTION

PRESCRIPTION FOR ADDICTION PRESCRIPTION FOR ADDICTION A Summary of the Marathon County Community Assessment 2011- Is Prescription Drug Abuse a Problem in Marathon County? 23 Increase in arrests for possession of illegally obtained

More information

MODULE 1 SBIRT: AN OVERVIEW

MODULE 1 SBIRT: AN OVERVIEW 2 Acknowledgements MODULE 1 SBIRT: AN OVERVIEW The material included in this course is based largely on the training materials developed by Robert W. Hazlett, Ph.D., for the LA-SBIRT project of the LSU

More information

Prescription Opioids

Prescription Opioids What are prescription opioids? Prescription Opioids Opioids are a class of drugs naturally found in the opium poppy plant. Some prescription opioids are made from the plant directly, and others are made

More information

Opioid Addiction Statistics

Opioid Addiction Statistics May 2017 Opioid Addiction Statistics Definitions Heroin Epidemic - As pill mills close, prescribing is becoming tighter, demand among younger users rise, and dealer s profits rise, addicts are turning

More information

University of Pittsburgh

University of Pittsburgh 2017 Family Center Event: Engaging Families Experiencing Opioid Use, Addiction, and Learning Objectives: Identify the impact of opioid use, addiction, and recovery on child development Identify warning

More information

Substance Use Disorders in Primary Care

Substance Use Disorders in Primary Care Substance Use Disorders in Primary Care Jin Hee Yoon-Hudman, MD Assistant Vice President, Medical Director, Behavioral Health Healthfirst Fall Symposium Prevention as a Priority in Value-Based Healthcare,

More information

Evidence based Practices

Evidence based Practices Evidence base Practices Adjunct Professor of Psychology, Western Carolina University President, Evince Clinical Assessments Evidence based Treatment Utilize treatment models documented to be effective

More information

Request for Proposals (RFP) for School-Based Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services

Request for Proposals (RFP) for School-Based Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services Request for Proposals (RFP) for School-Based Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services As issued by Montgomery County Alcohol, Drug Addiction and Mental Health Services

More information

Ethics and. Diagnosis. John Lisy. Executive Director - Shaker Heights Youth Center Treasurer NAADAC LICDC-CS, OCPS II, LISW-S, & LPCC-S

Ethics and. Diagnosis. John Lisy. Executive Director - Shaker Heights Youth Center Treasurer NAADAC LICDC-CS, OCPS II, LISW-S, & LPCC-S Ethics and Diagnosis John Lisy Executive Director - Shaker Heights Youth Center Treasurer NAADAC LICDC-CS, OCPS II, LISW-S, & LPCC-S 1 Goal of the presentation The goal of this presentation is to provide

More information

Coalition Strategies Across The Continuum of Care

Coalition 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 information

OCCUPATIONAL AND PROFESSIONAL LICENSING MEDICINE AND SURGERY PRACTITIONERS MANAGEMENT OF PAIN AND OTHER CONDITIONS WITH CONTROLLED SUBSTANCES

OCCUPATIONAL AND PROFESSIONAL LICENSING MEDICINE AND SURGERY PRACTITIONERS MANAGEMENT OF PAIN AND OTHER CONDITIONS WITH CONTROLLED SUBSTANCES TITLE 16 CHAPTER 10 PART 14 OCCUPATIONAL AND PROFESSIONAL LICENSING MEDICINE AND SURGERY PRACTITIONERS MANAGEMENT OF PAIN AND OTHER CONDITIONS WITH CONTROLLED SUBSTANCES 16.10.14.1 ISSUING AGENCY: New

More information

integration and payment in primary care settings

integration and payment in primary care settings May 9, 2015 substance abuse treatment integration and payment in primary care settings Michael S. Shafer, Ph.D. Learning Objectives At the conclusion of this session, if I have done my job, you will: Demonstrate

More information

Shhh! Let s Talk About Moderation for Mild Alcohol Use Disorders. Cyndi Turner, LCSW, LSATP, MAC Craig James, LCSW, MAC

Shhh! Let s Talk About Moderation for Mild Alcohol Use Disorders. Cyndi Turner, LCSW, LSATP, MAC Craig James, LCSW, MAC Shhh! Let s Talk About Moderation for Mild Alcohol Use Disorders Cyndi Turner, LCSW, LSATP, MAC Craig James, LCSW, MAC Shhh! Let s Talk About Moderation for Mild to Moderate Alcohol Use Disorders Insight

More information

Chapter 115. Texas Essential Knowledge and Skills for Health Education. Subchapter B. Middle School

Chapter 115. Texas Essential Knowledge and Skills for Health Education. Subchapter B. Middle School Middle School 115.B. Chapter 115. Texas Essential Knowledge and Skills for Health Education Subchapter B. Middle School Statutory Authority: The provisions of this Subchapter B issued under the Texas Education

More information