Opiates, medical marijuana and schools

Size: px
Start display at page:

Download "Opiates, medical marijuana and schools"

Transcription

1 Ohio School Boards Association Capital Conference and Trade Show November 12 14, 2017 Greater Columbus Convention Center Columbus, Ohio Opiates, medical marijuana and schools Sunday, November 12, :30 p.m. A Robert J. McBride, attorney, Day Ketterer Ltd. Chryssa Hartnett, Judge, Stark County Court of Common Pleas Dean Henry, board member, Tiffin City Keith Hochadel, president & CEO, CommQuest Services Inc. OSBA website OSBA s website, is designed to best serve member needs. The website provides instant access to issues on current educational hot topics, a members only section and information on OSBA s many featured services and programs. Contact OSBA at (800) 589-OSBA. We are always ready to serve you. Conference App Download the conference app and have the most up-to-date session information, access to handouts, exhibitor information, event maps and other helpful information. To download visit the Apple App Store, Google Play store or Handouts Access session handouts from the conference app or by visiting org/handouts. Evaluations Conference evaluations can be completed online at or through the conference app. OSBA Mission OSBA leads the way to educational excellence by serving Ohio s public school board members and the diverse districts they represent through superior service, unwavering advocacy and creative solutions North High Street, Suite 100 Columbus OH (614) fax (614)

2 Opiates, Medical Marijuana, and your School OSBA Capital Conference 1

3 Presented by: Keith Hochadel, CommQuest Services (330) , Hon. Chryssa N. Hartnett, Stark County Court of Common Pleas (330) Robert J. McBride, Esq., Day Ketterer (330) , Dean Henry, Board Member, Tiffin City Schools (419)

4 3

5 The Escalating Problem in Ohio Ohio Drug Overdose Data Report 2016 In 2016, unintentional drug overdoses caused the deaths of 4,050 Ohio residents, a 32.8 percent increase compared to 2015 when there were 3,050 overdose deaths. The number of cocaine-related overdose deaths rose significantly, 61.9%, from 2015 to Of those 2016 cocainerelated overdose deaths, 80.2 percent also involved an opiate, and 55.8 percent involved fentanyl and related opiates in particular. The number of overdose deaths involving heroin remained relatively flat with 1,444 overdose deaths in 2016 compared to 1,424 in

6 EPIDEMIC Disease that spreads rapidly and affects an inordinately large number of people within a very short period. 5

7 HOW DID WE GET HERE TODAY? NOT A NEW PROBLEM! 6

8 IMPACT OF SCIENCE LACKING WILLPOWER MORALLY FLAWED BRAIN DISEASE 7

9 How Science Has Revolutionized the Understanding of Drug Addiction When science began to study addictive behavior, individuals were thought to be lacking in willpower and morally flawed. Those views shaped society's responses to drug abuse, treating it as a moral failing rather than a health problem. This led to punitive rather than preventative and therapeutic actions. Groundbreaking discoveries about the brain have revolutionized our understanding of drug addiction, enabling us to respond effectively to the problem. 8

10 WHAT IS AN OPIATE INTENDED USE: PAIN RELIEVER DRUG OF ABUSE: PRODUCES EUPHORIA PHYSICALLY & PSYCHOLOGICALLY ADDICTIVE WHEN USED IN HIGH DOSES FOR LONGER PERIODS OF TIME 9

11 What is an Opiate? An opiate is a narcotic pain reliever / analgesic When used correctly they are the absolute best pain reliever However Opiate drugs are both physically and psychologically addictive when used in high doses for a long period of time. The misuse of opiates is associated with a high risk of accidental drug overdose. 10

12 How Are Drugs Obtained? 5% Doctor Prescription 55% Free from Relative / Friend 17% Stolen from Relative / Friend 11% Bought from Relative / Friend 4% Drug Dealer / Stranger 11

13 The Continuum of Use Use normal use of Rx medication Abuse using or misuse in a manner for which the prescription was not intended Dependency continuing to take the medication to avoid unpleasant affects of not using (withdrawal) Addiction Epidemic 12

14 Signs and Symptoms Physical Signs Constricted pupils Marked sedation Slurred speech Impairment in attention and memory IV Use of an opioid, such as heroin, produces a warm flushing of the skin and an overall feeling of euphoria 13

15 Naloxone/NARCAN Project DAWN (Deaths Avoided with Naloxone) R.C Lawful administration of Naloxone District may adopt a policy 14

16 What Makes Opiate Dependency Different It would be great to just say I ll quit Physical dependency along with the psychological addiction occurs Brain changes I have a prescription so my doctor must think I am okay. Access to medication 15

17 Tolerance & Physical Withdrawal Daily use over days or weeks will produce physical withdrawal upon cessation of use Withdrawal symptoms are intense but NOT life threatening Starts approximately 10 hours after last use Mild opiate withdrawal presents as flu-like syndrome with symptoms of anxiety, yawning, dysphoria, sweating, runny nose, pupil dilation 16

18 Tolerance & Physical Withdrawal Includes: Hot & Cold Flashes Deep muscle & joint pain Nausea, vomiting, diarrhea, fever Protracted Withdrawal may last for months 17

19 TREATMENT OPTIONS WHAT IS TREATMENT WHEN TO GO WHERE TO GO 18

20 Treatment Options Opioid Maintenance & Abstinence Options Detox most likely required Types of detox: Non-Narcotic Baclofen, Bentyl, Clonidine, Vistaril, Ibuprofen, Trazadone (as needed for sleep) Buprenorphine detox Medication Assisted Recovery Methadone Suboxone Vivitrol 19

21 Medication Assisted Recovery Methadone opioid agonist, binds to opioid receptor, long acting, less euphoria Buprenorphine partial opioid agonist, minimal euphoria Suboxone Buprenorphine + Naloxone Partial opioid agonist plus antagonist Minimal euphoria, less cravings, difficult to get high Vivitrol total antagonist, injectable, 28 day duration 20

22 Ohio Department of Health August 2017 Fentanyl, Carfentanil and Cocaine Drive Increase in Drug Overdose Deaths in 2016 Promising progress fewest prescription opioid overdose deaths since 2009 Opioid prescribing in Ohio declined for a fourth consecutive year in 2016, according to the State of Ohio Board of Pharmacy. Between 2012 and 2016, the total number of opioids dispensed to Ohio patients decreased by 162 million doses or 20.4 percent. 21

23 Seeing Younger and Younger Addicts Seeking Treatment Treatment for school-age children 22

24 Criminal Justice System Options Offenders are changing Across socio-economic lines 23

25 Drug Court What is it? How does it work? Goal is to get attention of offender and get person into recovery 24

26 Targeted Community Alternatives to Prison (TCAP) Program H.B. 49 (2017 Budget Bill) Mandatory in July 2018 Optional until then with a monetary incentive for the 10 largest counties to participate Stark County would have received $900,000 25

27 Certain Fifth-Degree Felonies remain eligible for a prison sentence after July 2018 Sex offenses Violent offenses Drug Trafficking 26

28 Fifth-Degree Felonies ineligible for prison after July 2018 Breaking and entering Drug possession Theft Assault Receiving Stolen Property Vandalism Obstructing official police business Aggravated drug possession Misuse of credit cards Identity fraud Forgery Theft from and elderly person or disabled adult Failure to pay child support Worker s compensation fraud Unauthorized use of a vehicle 27

29 Public safety issue 28

30 Medical Marijuana Valid state ID cards will be issued by the State of Ohio Board of Pharmacy (no later than September 2018). Federal law prohibits doctors prescribing marijuana. Instead, patients must obtain a recommendation from a certified physician. 29

31 Legal Forms Edibles Oils Patches Plant material Tinctures Vaporization is permitted (cannot be smoked or combusted) 30

32 Dispensaries State Board of Pharmacy may award up to 60 dispensary licenses. Number of dispensaries per region (see next slide) A retail dispensary is prohibited from being located within 500 feet of a school, church, public library, public playground, public park or community addiction services provider Cities, villages and townships may adopt additional regulations to prohibit or limit the number of retail dispensaries. Application fee is $5,000 Biennial fee is $70,000 31

33 Dispensaries (cont.) 32

34 Dispensaries (cont.) 33

35 Dispensaries (cont.) 34

36 Dispensaries (cont.) 35

37 Impact on Employers An employer need not accommodate an employee s use of medical marijuana Does NOT prohibit an employer from refusing to hire, discharging, or taking an adverse employment action because of a person s use of medical marijuana An employee whose injury was the result of being intoxicated or under the influence of marijuana is not eligible for workers compensation Drugs covered by BWC are limited to those that are approved by the United States Food and Drug Administration. Marijuana has not been approved by the FDA and remains a Schedule I illegal drug under federal law 36

38 What about Minors A certified physician may recommend treatment with medical marijuana May be done only after obtaining the consent of a parent or another person responsible for providing consent to treatment Like other medications, may prohibit intoxication or possession Appears with a valid testing policy, may prohibit extracurricular activities Stay tuned 37

39 Questions? 38

From heroin to medical marijuana: what districts need to know Megan Greulich, Staff Attorney Hot Topics in School Law October 5, 2016

From heroin to medical marijuana: what districts need to know Megan Greulich, Staff Attorney Hot Topics in School Law October 5, 2016 From heroin to medical marijuana: what districts need to know Megan Greulich, Staff Attorney Hot Topics in School Law October 5, 2016 OSBA leads the way to educational excellence by serving Ohio s public

More information

MEDICAL MARIJUANA: Can Cannabis Still Get You Canned?

MEDICAL MARIJUANA: Can Cannabis Still Get You Canned? MEDICAL MARIJUANA: Can Cannabis Still Get You Canned? Presented By: Dave Riepenhoff & Frank Hatfield Fishel Hass Kim Albrecht LLP CCAO/CORSA 209 E. State Street Columbus, Ohio 43215 PH: 614-221-5627 888-757-1904

More information

Did you know. Getting Started. Intoxication and Workers Compensation Claims

Did you know. Getting Started. Intoxication and Workers Compensation Claims Shaken, Not Stirred How Drugs, Alcohol, and Marijuana Are Mixing It Up In The Workplace Presented by Jennifer Brill & Nicole Hunter March 9, 2017 Did you know 38-50% of all workers compensation claims

More information

Workplace Issues Associated with Legalized Marijuana. James B. Yates, Esq., SHRM-SCP, SPHR

Workplace Issues Associated with Legalized Marijuana. James B. Yates, Esq., SHRM-SCP, SPHR Workplace Issues Associated with Legalized Marijuana James B. Yates, Esq., SHRM-SCP, SPHR jbyates@eastmansmith.com Agenda: Nationwide legalization efforts Ohio s medical marijuana law The impact of medical

More information

Substitute HB 523 Outline

Substitute HB 523 Outline Substitute HB 523 Outline 1. Creates Medical Marijuana Control Commission under the auspice of the Department of Commerce 9 member commission No more than 4 members of the Commission shall be from 1 political

More information

Medications in the Treatment of Opioid Use Disorder: Methadone and Buprenorphine What Really Are They?

Medications in the Treatment of Opioid Use Disorder: Methadone and Buprenorphine What Really Are They? Medications in the Treatment of Opioid Use Disorder: Methadone and Buprenorphine What Really Are They? Yngvild Olsen, MD, MPH Cecil County Board of Health Workgroup Meeting Elkton, MD October 8, 2013 Objectives

More information

How serious is the opiate problem in Fairfield County?

How serious is the opiate problem in Fairfield County? How serious is the opiate problem in Fairfield County? The Use of Opiates in Fairfield County has increased from levels in the 1990's that were barely detectable to epidemic proportions in 2010. How serious

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This fact sheet discusses research findings on effective treatment approaches for drug abuse and addiction. If you re seeking treatment, you can call the Substance

More information

The Legalization of Medical Marijuana and the Impact on the Workplace

The Legalization of Medical Marijuana and the Impact on the Workplace The Legalization of Medical Marijuana and the Impact on the Workplace Presented by Cassandra L. Manna Thursday, October 12, 2017 Roetzel & Andress LPA 2016 Before We Get Started... Three Rules Supreme

More information

Bulletin August, 2016 MEDICAL MARIJUANA

Bulletin August, 2016 MEDICAL MARIJUANA Bulletin 2016-02 August, 2016 MEDICAL MARIJUANA APPLICABLE LEGISLATION: HB 523 (131st General Assembly) REVISED CODE SECTIONS EFFECTED: Amends sections: 109.572, 519.21, 4123.54, 4729.75, 4729.80, 4729.84,

More information

Stark County Opiate Task Force

Stark County Opiate Task Force Stark County Opiate Task Force Allison Esber, MSSA, LSW, OCPSA Systems Initiative Manager April 10, 2017 Partner Solutions Informatics Forum for Next Gen Users in Behavioral Health What does StarkMHAR

More information

Otterbein Police Department. Opioid Addition Awareness

Otterbein Police Department. Opioid Addition Awareness Otterbein Police Department Opioid Addition Awareness What are Opiates? Opioids are substances that act on opioid receptors to produce morphinelike effects. Medically they are primarily used for pain relief,

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

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

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

An HR Perspective: Medical Marijuana and How it Affects Employers

An HR Perspective: Medical Marijuana and How it Affects Employers An HR Perspective: Medical Marijuana and How it Affects Employers Somany Pich, Human Resources Consultant, Clemans Nelson & Associates; and Brian D. Butcher, VP/Chief Operations Officer, Clemans Nelson

More information

Cincinnati Christian University Drug and Alcohol Prevention Program

Cincinnati Christian University Drug and Alcohol Prevention Program Cincinnati Christian University Drug and Alcohol Prevention Program Standards of Conduct for Employees & Students Employees It is a violation of University policy to use or be under the influence of alcohol

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

Welcome to the Opioid Overdose Prevention Project

Welcome to the Opioid Overdose Prevention Project Welcome to the Opioid Overdose Prevention Project Narcan Training TODAY S OBJECTIVES Define drug addiction Identify symptoms of addiction Treatment options including support for family members How to recognize

More information

Prescription Drug Overdose

Prescription Drug Overdose 2017 Prescription Drug Overdose Stark County Pilot Project Report 1 Table of Contents Acknowledgements 3 Executive Summary 4 Project Flow Chart 5 Project Implementation 6 Project Results 8 Lessons Learned

More information

Pharmacy Law Disclosure Statement. Objectives 6/11/2016. I have no conflicts of interest to disclose related to this presentation.

Pharmacy Law Disclosure Statement. Objectives 6/11/2016. I have no conflicts of interest to disclose related to this presentation. Pharmacy Law 2016 Ronda H. Lacey, J.D., M.S. Pharm Disclosure Statement I have no conflicts of interest to disclose related to this presentation. Objectives At the conclusion of this continuing education

More information

Federal Trafficking Penalties (As of January 1, 1996)

Federal Trafficking Penalties (As of January 1, 1996) APPENDIX 3 Federal Penalties and Sanctions for Illegal Trafficking and Possession of a Controlled Substance Federal Trafficking Penalties (As of January 1, 1996) Controlled Substances Act Schedule* 1st

More information

Medical Assisted Treatment. Dr. Michael Baldinger Medical Director Haymarket Center Harborview Recovery Center

Medical Assisted Treatment. Dr. Michael Baldinger Medical Director Haymarket Center Harborview Recovery Center Medical Assisted Treatment Dr. Michael Baldinger Medical Director Haymarket Center Harborview Recovery Center Current Trends Prescription Drug Abuse/Addiction Non-medical use of prescription pain killers

More information

NYSHFA/NYSCAL 16 th Annual Nurse Leadership Conference. Timothy J. Dewey Sr. Investigator NYS Bureau of Narcotic Enforcement.

NYSHFA/NYSCAL 16 th Annual Nurse Leadership Conference. Timothy J. Dewey Sr. Investigator NYS Bureau of Narcotic Enforcement. NYSHFA/NYSCAL 16 th Annual Nurse Leadership Conference Timothy J. Dewey Sr. Investigator NYS Bureau of Narcotic Enforcement May 2, 2018 1 May 2, 2018 2 Bureau Overview May 2, 2018 3 HISTORY 1850--Bureau

More information

Opioid Use in Youth. Amy Yule M.D. March 2,

Opioid Use in Youth. Amy Yule M.D. March 2, Opioid Use in Youth Amy Yule M.D. March 2, 2018 An opioid is a substance that acts on opioid receptors Beta-endorphin Endogenous opioids Dynorphin Opiates Natural products of the poppy plant Morphine Heroin

More information

SEVENTH JUDICIAL CIRCUIT DRUG COURT PARTICIPANT HANDBOOK. Calhoun and Cleburne Counties

SEVENTH JUDICIAL CIRCUIT DRUG COURT PARTICIPANT HANDBOOK. Calhoun and Cleburne Counties SEVENTH JUDICIAL CIRCUIT DRUG COURT PARTICIPANT HANDBOOK Calhoun and Cleburne Counties Edited September 2014 MISSION STATEMENT The mission of the Seventh Judicial Circuit Early Intervention Substance Abuse

More information

Vivitrol Drug Court and Medication Assisted Treatment

Vivitrol Drug Court and Medication Assisted Treatment Vivitrol Drug Court and Medication Assisted Treatment Amy Black, CNP and Judge Fred Moses Court program Self-starters Mission Statement To provide court-managed, medically assisted drug intervention treatment

More information

<ctrl> <click> Here to the start the sound.

<ctrl> <click> Here to the start the sound. Senior Scholars at Queens Audio Wrapper version 1.6 Here to the start the sound. Press enter or use arrow keys to go the next slide. paul - brent - foushee [ Document subtitle ] Societal

More information

SW OREGON OPIOID SUMMIT. Medication Assisted Recovery for Opioid Use Disorder. Gregory S. Brigham, Ph.D. Adapt / SouthRiver CHC / Compass

SW OREGON OPIOID SUMMIT. Medication Assisted Recovery for Opioid Use Disorder. Gregory S. Brigham, Ph.D. Adapt / SouthRiver CHC / Compass SW OREGON OPIOID SUMMIT Medication Assisted Recovery for Opioid Use Disorder Gregory S. Brigham, Ph.D. Adapt / SouthRiver CHC / Compass Opioid Agonists Mu (μ) receptors stimulated by opioids causing full

More information

Prescription Painkiller Abuse in Wisconsin Sharing a Dose of Reality. Brad Schimel Wisconsin Attorney General

Prescription Painkiller Abuse in Wisconsin Sharing a Dose of Reality. Brad Schimel Wisconsin Attorney General Prescription Painkiller Abuse in Wisconsin Sharing a Dose of Reality Brad Schimel Wisconsin Attorney General Small Print I am not a medical or treatment expert I do not know how best to treat chronic pain

More information

Combating the Opiate Crisis in Ohio

Combating the Opiate Crisis in Ohio Combating the Opiate Crisis in Ohio In 2011, Gov. John R. Kasich announced the establishment of the Governor s Cabinet Opiate Action Team to fight opiate abuse in Ohio. Ohio is combating drug abuse through

More information

Understanding the Opiate Epidemic

Understanding 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 information

MEDICATION MANAGEMENT AGREEMENT

MEDICATION MANAGEMENT AGREEMENT MEDICATION MANAGEMENT AGREEMENT The goal of this agreement is to ensure that you and your physician comply with all state and federal regulations concerning the prescribing of controlled substances. The

More information

Opioids Research to Practice

Opioids Research to Practice Opioids Research to Practice CRIT Program May 2009 Daniel P. Alford, MD, MPH Associate Professor of Medicine Boston University School of Medicine Boston Medical Center 32 yo female brought in after heroin

More information

Performance 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 , 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 information

Agenda. 1 Opioid Addiction in the United States. Evidence-based treatments for OUD. OUD Treatment: Best Practices. 4 Groups: Our Model

Agenda. 1 Opioid Addiction in the United States. Evidence-based treatments for OUD. OUD Treatment: Best Practices. 4 Groups: Our Model Agenda 1 Opioid Addiction in the United States 2 Evidence-based treatments for OUD OUD Treatment: Best Practices 4 Groups: Our Model 2 Groups is a national network of clinics providing affordable, evidencebased

More information

Opioids. Sergio Hernandez, MD

Opioids. Sergio Hernandez, MD Opioids Sergio Hernandez, MD Required Slide Disclosures 1. SIGNIFICANT FINANCIAL INTERESTS NO SIGNIFICANT FINANCIAL, GENERAL, OR OBLIGATION INTERESTS TO REPORT 2. GENERAL AND OBLIGATION INTERESTS All general

More information

Weeding Through the Workplace Impact of Medical Marijuana

Weeding Through the Workplace Impact of Medical Marijuana Weeding Through the Workplace Impact of Medical Marijuana Steven T. Boell, Shareholder The Landscape in General Medical Marijuana is Big Business In 2015 estimated legal U.S. cannabis sales were $5.7 billion,

More information

Prescription Opioid Addiction

Prescription Opioid Addiction CSAM-SCAM Fundamentals Prescription Opioid Addiction Presentation provided by Meldon Kahan, MD Family & Community Medicine University of Toronto Conflict of interest statement I received funds from Rickett

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

3/27/2018. Andrea Boxill, MA

3/27/2018. Andrea Boxill, MA 3/27/2018 Andrea Boxill, MA 3/27/2018 Our goal is to help reduce and eliminate misuse and abuse of all drugs and to prevent addiction and deaths from opioid drugs in Ohio. State Rank in the Age-adjusted

More information

Developed and Presented by Randall Webber, MPH, CADC JRW Behavioral Health Services

Developed and Presented by Randall Webber, MPH, CADC JRW Behavioral Health Services Developed and Presented by Randall Webber, MPH, CADC JRW Behavioral Health Services www.randallwebber.com MAT clients are still addicted Truth: MAT clients will experience withdrawal symptoms if they stop

More information

19 TH JUDICIAL DUI COURT REFERRAL INFORMATION

19 TH JUDICIAL DUI COURT REFERRAL INFORMATION 19 TH JUDICIAL DUI COURT REFERRAL INFORMATION Please review the attached DUI Court contract and Release of Information. ******* You must sign and hand back to the court the Release of Information today.

More information

The Opioid Crisis among the Privately Insured

The Opioid Crisis among the Privately Insured The Opioid Crisis among the Privately Insured The Opioid Abuse Epidemic as Documented in Private Claims Data A FAIR Health White Paper, July 2016 Copyright 2016, FAIR Health, Inc. Summary The United States

More information

Drug and Alcohol Abuse/Prevention Policy and Program

Drug and Alcohol Abuse/Prevention Policy and Program SUPERSEDES: 09/08/2015 POLICY AND PROCEDURE MANUAL MERCY COLLEGE OF OHIO, TOLEDO, OHIO Signature: Dr. Susan Wajert, President SECTION: 500-Academic and Student Affairs CODE NO. 502 SUBJECT: Drug and Alcohol

More information

NORTHWEST AIDS EDUCATION AND TRAINING CENTER. Opioid Use Disorders. Joseph Merrill M.D., M.P.H. University of Washington April 10, 2014

NORTHWEST AIDS EDUCATION AND TRAINING CENTER. Opioid Use Disorders. Joseph Merrill M.D., M.P.H. University of Washington April 10, 2014 NORTHWEST AIDS EDUCATION AND TRAINING CENTER Opioid Use Disorders Joseph Merrill M.D., M.P.H. University of Washington April 10, 2014 Opioid Use Disorders Importance of opioid use disorders Screening and

More information

Prescription Drugs MODULE 5 ALLIED TRADES ASSISTANCE PROGRAM. Preventative Education: Substance Use Disorder

Prescription Drugs MODULE 5 ALLIED TRADES ASSISTANCE PROGRAM. Preventative Education: Substance Use Disorder Prescription Drugs MODULE 5 ALLIED TRADES ASSISTANCE PROGRAM Preventative Education: Substance Use Disorder Misuse of prescription pain relievers is, after marijuana use, the second most common form of

More information

SUBOXONE TREATMENT PROGRAM

SUBOXONE TREATMENT PROGRAM SUBOXONE TREATMENT PROGRAM What is Suboxone? Suboxone is a medication used for the treatment of addiction to prescription pain medication, heroin addiction, methadone or other opioid dependence. The primary

More information

Taking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain

Taking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain Taking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain Department of Veterans Affairs (VA) and Department of Defense

More information

2004-L SEPTEMBER

2004-L SEPTEMBER BULLETIN INTELLIGENCE Buprenorphine: Potential for Abuse Product No. 2004-L0424-013 SEPTEMBER 2004 U. S. D E P A R T M E N T O F J U S T I C E NDIC Within the past 2 years buprenorphine a Schedule III

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

Opioids Research to Practice

Opioids Research to Practice Opioids Research to Practice May 2013 Daniel P. Alford, MD, MPH, FACP, FASAM Associate Professor of Medicine Assistant Dean, Continuing Medical Education Case 32 yo female brought in after heroin overdose

More information

Academic Medical School: Implementing Curriculum in Chronic Pain and Opioid Misuse. Jill M Williams, MD

Academic Medical School: Implementing Curriculum in Chronic Pain and Opioid Misuse. Jill M Williams, MD Academic Medical School: Implementing Curriculum in Chronic Pain and Opioid Misuse Pain, Pain Management and the Opioid Epidemic Symposium Jill M Williams, MD Professor Psychiatry Director, Division Addiction

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

A. The unlawful possession, use, distribution, manufacture, or dispensing of illicit drugs on EVMS property or at an EVMS off-campus activity.

A. The unlawful possession, use, distribution, manufacture, or dispensing of illicit drugs on EVMS property or at an EVMS off-campus activity. I. BACKGROUND AND PURPOSE In accordance with the federal Drug Free Workplace Act of 1988 and the federal Drug Free Schools and Communities Act of 1989, EVMS must adopt and implement a program designed

More information

Opioids Research to Practice

Opioids Research to Practice Opioids Research to Practice CRIT Program May 2010 Daniel P. Alford, MD, MPH Associate Professor of Medicine Boston University School of Medicine Boston Medical Center 32 yo female brought in after heroin

More information

The Population is Abusing Drugs, but are Drugs Abusing Insurance?

The Population is Abusing Drugs, but are Drugs Abusing Insurance? Image licensed from Shutterstock The Population is Abusing Drugs, but are Drugs Abusing Insurance? 01/30/2018 Gina C. Guzman, MD, DBIM, FALU, FLMI, VP and Chief Medical Director Tim Morant, FSA, MAAA,

More information

Nebraska LB605: This bill is designed to reduce prison overcrowding and allows for alternatives to incarceration like CAM.

Nebraska LB605: This bill is designed to reduce prison overcrowding and allows for alternatives to incarceration like CAM. State Legislative Summary SCRAM CAM and 24/7 Sobriety Programs 2015 Legislation Arkansas SB472: Known as the Criminal Justice Reform Act of 2015 this bill implements measures designed to enhance public

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

MAT in the Corrections Setting

MAT in the Corrections Setting MEDICATION ASSISTED TREATMENT AND CORRECTIONS Frank Filippelli, DO, PhD September 2017 MAT in the Corrections Setting Who Does This Affect? What is MAT and What is the Evidence of Efficacy? Emphasis on

More information

Good Samaritan and Naloxone Bill Status Report Carryover 2015 and Special Sessions

Good Samaritan and Naloxone Bill Status Report Carryover 2015 and Special Sessions Good Samaritan and Naloxone Bill Status Report Carryover 2015 and Special Sessions Research current through January 21, 2015 This project was supported by Grant No. G1399ONDCP03A, awarded by the Office

More information

Opioids and Heroin in Snohomish County. Marijuana and Opioid Prevention Training May 2018

Opioids and Heroin in Snohomish County. Marijuana and Opioid Prevention Training May 2018 Opioids and Heroin in Snohomish County Marijuana and Opioid Prevention Training May 2018 OPIOIDS 101 What are Opioids? Opioids 101 Opium Poppy Plant Opiates: A type of pain medication that is naturally

More information

Alcohol/Drug Abuse and Prevention Statement (Updated, January 2016)

Alcohol/Drug Abuse and Prevention Statement (Updated, January 2016) Alcohol/Drug Abuse and Prevention Statement (Updated, January 2016) Introduction / Standards of Conduct While Lee College recognizes that a substance abuse disorder is an illness requiring intervention

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

Cuyahoga County Council Committee of the Whole

Cuyahoga County Council Committee of the Whole Cuyahoga County Council Committee of the Whole ADAMHS Board 2016 Budget Presentation William M. Denihan, CEO November 5, 2015 Mission The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board

More information

Prescription Drug Abuse Task Force Rx Report Card

Prescription Drug Abuse Task Force Rx Report Card San Diego County Prescription Drug Abuse Task Force 2016 Rx Report Card October 2016 Key Measures of Prescription Drug and Heroin Problems in San Diego County. Visit www.sandiegorxabusetaskforce.org for

More information

Session 7: Opioids and Club Drugs 7-1

Session 7: Opioids and Club Drugs 7-1 Session 7: Opioids and Club Drugs 7-1 The Importance of Total Abstinence Abstinence from all substances that affect the brain even alcohol greatly increases the chances of a successful recovery. Matrix

More information

25/04/2017. To ensure that the Rx meets CPSS standards. To provide patient-centered, individualized care. To safely dispense the patient s medication

25/04/2017. To ensure that the Rx meets CPSS standards. To provide patient-centered, individualized care. To safely dispense the patient s medication To ensure that the Rx meets CPSS standards To provide patient-centered, individualized care To safely dispense the patient s medication To assess for clinical stability and progress in treatment Kirsty

More information

DRUG COURT PARTICIPANT HANDBOOK

DRUG COURT PARTICIPANT HANDBOOK 5 TH JUDICIAL DISTRICT DRUG COURT PARTICIPANT HANDBOOK LYON AND CHASE COUNTIES OCTOBER 2005 MISSION STATEMENT Drug Court in the 5 th Judicial District will strive to reduce recidivism of alcohol and drug

More information

Powell Recovery Center

Powell Recovery Center Powell Recovery Center Presentation for The Female Clergy Support Group of MD Powell Recovery Center, Inc. 14 South Broadway Baltimore, MD 21231 410-276-1773 Community Support is Key to the Success of

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

MEDICATION ASSISTED TREATMENT

MEDICATION ASSISTED TREATMENT MEDICATION ASSISTED TREATMENT MODULE 14 ALLIED TRADES ASSISTANCE PROGRAM PREVENTATIVE EDUCATION: SUBSTANCE USE DISORDER Medication Assisted Treatment Types of Medication Assisted Treatment: Methadone Naltrexone

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

OHIO S OPIOID DRUG OVERDOSE EPIDEMIC: CONTRIBUTING FACTORS AND ONGOING PREVENTION EFFORTS

OHIO S OPIOID DRUG OVERDOSE EPIDEMIC: CONTRIBUTING FACTORS AND ONGOING PREVENTION EFFORTS OHIO S OPIOID DRUG OVERDOSE EPIDEMIC: CONTRIBUTING FACTORS AND ONGOING PREVENTION EFFORTS DEFINITIONS Opiate- originate from naturally-occurring elements found in the opium poppy plant. These drugs are

More information

8/28/2017. Headlines. How Did We Get Here? Pain is the number one reason patients go the doctors office, urgent care and/or emergency room.

8/28/2017. Headlines. How Did We Get Here? Pain is the number one reason patients go the doctors office, urgent care and/or emergency room. Ashel Kruetzkamp, MSN, RN, SANE Headlines How Did We Get Here? Pain is the number one reason patients go the doctors office, urgent care and/or emergency room. Opiates are the most effective pain medication

More information

Opioids Research to Practice

Opioids Research to Practice Opioids Research to Practice CRIT Program May 2008 Daniel P. Alford, MD, MPH Associate Professor of Medicine Boston University School of Medicine Boston Medical Center 32 yo female brought in after heroin

More information

FAQ: Alcohol and Drug Treatments

FAQ: Alcohol and Drug Treatments Question 1: Are DUI offenders the most prevalent of those who are under the influence of alcohol? Answer 1: Those charged with driving under the influence do comprise a significant portion of those offenders

More information

Treatment Alternatives for Substance Use Disorders

Treatment Alternatives for Substance Use Disorders Treatment Alternatives for Substance Use Disorders Dean Drosnes, MD, FASAM Associate Medical Director Director, Chronic Pain and SUD Program Caron Treatment Centers 1 Disclosure The speaker has no conflict

More information

Medication Assisted Treatment

Medication Assisted Treatment Meeting the Needs of Your Clients: Building Competencies in Mental Health and Addiction Services Medication Assisted Treatment November 5, 2018 In partnership with: House Keeping Because this is a webinar,

More information

The Pillars Approach: A Case Study

The Pillars Approach: A Case Study The Pillars Approach: A Case Study Dorothy J. Chaney, M.Ed. CADCA Trainer www.cadca.org Building Safe, Healthy, and Drug Free Communities Learning Objectives Discover how the pillars approach utilizes

More information

People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing.

People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing. What is heroin? Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Colombia. Heroin

More information

SUBOXONE (buprenorphine and naloxone) sublingual film (CIII) IMPORTANT SAFETY INFORMATION

SUBOXONE (buprenorphine and naloxone) sublingual film (CIII) IMPORTANT SAFETY INFORMATION SUBOXONE (buprenorphine and naloxone) sublingual film (CIII) IMPORTANT SAFETY INFORMATION What is the most important information I should know about SUBOXONE Film? Keep SUBOXONE Film in a secure place

More information

THE OPIATE EPIDEMIC AND LIBRARIES. Presented by Dr. Steve Albrecht, PHR, CPP, BCC, CTM

THE OPIATE EPIDEMIC AND LIBRARIES. Presented by Dr. Steve Albrecht, PHR, CPP, BCC, CTM THE OPIATE EPIDEMIC AND LIBRARIES Presented by Dr. Steve Albrecht, PHR, CPP, BCC, CTM DrSteve@DrSteveAlbrecht.com 866-261-5150 @DrSteveAlbrecht REALITY IS NOT A RIVER IN EGYPT... Some Caveats... I m not

More information

7/7/2016 Journal of the American Medical Association,

7/7/2016 Journal of the American Medical Association, 1 2 Journal of the American Medical Association, 2008 3 The Clinical Trial 152 Adolescents and Young Adults (Age 15 to 21) randomly assigned to either; 1. 2 weeks of Buprenorphine detox 2. 12 weeks of

More information

PRESCRIBING GUIDELINES

PRESCRIBING GUIDELINES Ohio Department of Health RESPONSE TO OHIO S PRESCRIPTION DRUG OVERDOSE EPIDEMIC: PRESCRIBING GUIDELINES MIPA CONFERENCE PREVENTING INJURY: FROM RESEARCH TO PRACTICE TO PEOPLE SEPTEMBER 30, 2013 Christy

More information

Slide 1. Slide 2. Slide 3. Opioid (Narcotic) Analgesics and Antagonists. Lesson 6.1. Lesson 6.1. Opioid (Narcotic) Analgesics and Antagonists

Slide 1. Slide 2. Slide 3. Opioid (Narcotic) Analgesics and Antagonists. Lesson 6.1. Lesson 6.1. Opioid (Narcotic) Analgesics and Antagonists Slide 1 Opioid (Narcotic) Analgesics and Antagonists Chapter 6 1 Slide 2 Lesson 6.1 Opioid (Narcotic) Analgesics and Antagonists 1. Explain the classification, mechanism of action, and pharmacokinetics

More information

Prescription for Progress Study conducted by the Siena College Research Institute April 10 - May 4, Stakeholders - MOE +/- 4.

Prescription for Progress Study conducted by the Siena College Research Institute April 10 - May 4, Stakeholders - MOE +/- 4. How serious a public health problem in the State of New York is each of the following: [Q1A-Q1I ROTATED] Q1A. Alcohol abuse Very serious 61% 63% 53% 63% 36% 71% 52% Somewhat serious 35% 35% 38% 33% 52%

More information

Policy and Political Dynamics of the Opioid Addiction Crisis in the United States

Policy and Political Dynamics of the Opioid Addiction Crisis in the United States Policy and Political Dynamics of the Opioid Addiction Crisis in the United States Mark W. Parrino, M.P.A. July 21, 2018 15 th Annual Midwest Conference on Problem Gambling and Substance Abuse Hilton Kansas

More information

Buprenorphine treatment

Buprenorphine treatment South London and Maudsley NHS Foundation Trust Buprenorphine treatment Information for service users Page Buprenorphine treatment What is buprenorphine? Buprenorphine (trade name Subutex ) is an opioid

More information

SACI ALCOHOL AND DRUG ABUSE POLICY

SACI ALCOHOL AND DRUG ABUSE POLICY SACI ALCOHOL AND DRUG ABUSE POLICY Alcohol and Drugs The information in this section of the web site on drug and alcohol use is provided in response to the Drug Free Schools and Communities Act Amendments

More information

Suboxone, Zubsolv, Bunavail (buprenorphine with naloxone sublingual tablets and film), Buprenorphine sublingual tablets

Suboxone, Zubsolv, Bunavail (buprenorphine with naloxone sublingual tablets and film), Buprenorphine sublingual tablets Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.70.32 Subject: Suboxone Drug Class Page: 1 of 7 Last Review Date: June 24, 2016 Suboxone Drug Class Description

More information

Drug Free Schools and Community Act

Drug Free Schools and Community Act Drug Free Schools and Community Act Collin College supports the requirements of the Drug Free Schools and Communities Act. The College also endorses the Standards of the Commission of Colleges and Universities

More information

COMPASS RECOVERY OPIOID REHABILITATION PROGRAM QUESTIONAIRE FOR PROSPECTIVE OPIOID REHABILITATION. Name Birthdate / /

COMPASS RECOVERY OPIOID REHABILITATION PROGRAM QUESTIONAIRE FOR PROSPECTIVE OPIOID REHABILITATION. Name Birthdate / / COMPASS RECOVERY OPIOID REHABILITATION PROGRAM QUESTIONAIRE FOR PROSPECTIVE OPIOID REHABILITATION Name Birthdate / / Home phone ( ) - Cell phone ( ) - Please answer the following questions which will help

More information

CONTROLLED SUBSTANCE (NARCOTIC) AGREEMENT

CONTROLLED SUBSTANCE (NARCOTIC) AGREEMENT CONTROLLED SUBSTANCE (NARCOTIC) AGREEMENT The purpose of this consent form is to protect your access to controlled substances and to protect our ability to prescribe for you. The long- term use of substances

More information

AHLA. X. Federal Enforcement of Fraud and Abuse Involving Opioid Abuse and Diversion

AHLA. X. Federal Enforcement of Fraud and Abuse Involving Opioid Abuse and Diversion Fraud and Compliance Forum, October 2017. Click here to access audio. AHLA X. Federal Enforcement of Fraud and Abuse Involving Opioid Abuse and Diversion Michelle Bergholz Frazier Senior Vice President,

More information

The Impact of Opioid Use and Abuse on Medical Community, Businesses, Social Organizations and Individiuals and Their Families

The Impact of Opioid Use and Abuse on Medical Community, Businesses, Social Organizations and Individiuals and Their Families The Impact of Opioid Use and Abuse on Medical Community, Businesses, Social Organizations and Individiuals and Their Families THE MAGNITUDE OF THE OPIOID EPIDEMIC THE COSTS TO LOCAL, STATE AND NATIONAL

More information

Medication Assisted Treatment. Michael Palladini, RPh MBA CAC

Medication Assisted Treatment. Michael Palladini, RPh MBA CAC Medication Assisted Treatment Michael Palladini, RPh MBA CAC palladini.michael@gmail.com History of MAT Addiction as a Disease The concept of addiction as a disease of the brain challenges deeply ingrained

More information

Ohio s Medical Marijuana Control Program

Ohio s Medical Marijuana Control Program Ohio s Medical Marijuana Control Program Timeline September 8, 2016 House Bill 523 Effective November 5, 2016 Deadline for first Medical Marijuana Advisory Committee meeting May 6, 2017 Cultivator rules

More information

Officer Al Fear Eastern Iowa Heroin Initiative Cedar Rapids Police Department U.S. Attorney s Office NDIA

Officer Al Fear Eastern Iowa Heroin Initiative Cedar Rapids Police Department U.S. Attorney s Office NDIA Officer Al Fear Eastern Iowa Heroin Initiative Cedar Rapids Police Department U.S. Attorney s Office NDIA Angie Asa-Lovstad, MS, CTF, CPS Co-Director, Alliance of Coalitions for Change (AC4C) Certified

More information