DECEMBER 7, 2017 THE OPIOID EPIDEMIC & THE UNIVERSITY S RESPONSE

DECEMBER 7, 2017 THE OPIOID EPIDEMIC & THE UNIVERSITY S RESPONSE

Agenda Welcome & Introductions Trending Articles The Opioid Epidemic Key Updates

What are Opioids? Chemically similar to heroin, prescribed to relieve pain Includes Vicodin, oxycodone (OxyContin), morphine, fentanyl, codeine, Darvon, Dilaudid, Demerol Effects: Pain relief, euphoria Drowsiness, respiratory depression Withdrawal symptoms are severe, but not life-threatening Overdose and addiction risks are high drugabuse.gov

The Epidemic 142 Americans die every day from a drug overdose. Drug overdoses now kill more people than gun homicides and car crashes combined. Opioid overdoses have quadrupled since 1999. Only 10 percent of the nearly 21 million citizens with a substance use disorder (SUD) receive any type of treatment. scopioidsummit.org/wp-content/uploads/2017/09/madras-handout-daodas-2017.pdf

How did we get here? 1996 OxyContin becomes available, with claim of rare addiction potential because of extendedrelease properties. 2000 Pain as the fifth vital sign. In 2015, the amount of opioids prescribed in the U.S. was enough for every American to be medicated around the clock for three weeks. 1997 Direct to consumer marketing of prescription drugs begins. 2003 Federal grants for Prescription Drug Monitoring Programs. https://www.jointcommission.org/assets/1/6/pain_std_history_web_version_05122017.pdf

How did we get here? 1996 OxyContin becomes available 2000 Pain as the fifth vital sign. In 2015, the amount of opioids prescribed in the U.S. was enough for every American to be medicated around the clock for three weeks. 1997 Direct to consumer marketing of prescription drugs begins. 2003 Federal grants for PDMP https://www.jointcommission.org/assets/1/6/pain_std_history_web_version_05122017.pdf

How did we get here?

WHAT NOW?

Past two weeks use of Rx Opioids AEdu At Carolina Opioid use among our students is continuing to decline. Normalizing high-risk behavior and drug use encourages experimentation. Early intervention works. Past two weeks use of Heroin - AEdu 2010 * * 10.2% 2013 * * 6.1% 2015 1.1%.63% 4.8% 2016.88%.60% * 2017.77%.42% 4.3% Past month use of Rx Opioids - NCHA

Recommendations from the President s Commission on Combating Drug Addiction and the Opioid Crisis Allow federal Medicaid dollars to fund inpatient mental health and substance use disorder treatment. Mandate prescriber education on opioids and pain management. Fund and enhance access to medication assisted treatment (MAT). Increase access to naloxone through legislation, dual prescribing, and law enforcement. Increase enforcement efforts to detect fentanyl. Require provider participation in prescription drug monitoring programs. Reduce privacy protections for individuals with SUD so providers can share information with each other and family members. Enforce the Mental Health Parity and Addiction Equity Act. scopioidsummit.org/wp-content/uploads/2017/09/madras-handout-daodas-2017.pdf

At Carolina Education and early intervention programs SAPE, including STIR Student Conduct process and sanctions BIT, RMs, and other early warning systems Law enforcement Trained and prepared to administer intranasal Narcan Student Health Services Opioid prescriptions are rare and limited to 2-3 days Participation in the SC SCRIPTS database Prescription drop box and naloxone available Bystander Intervention Education Gamecock Recovery Support for students after treatment

Best Practices: What else? Increased screening and intervention Train staff: academic advisors, athletic trainers, student success Train student leaders Identify high risk groups Fraternities? Veterans? Athletes? Use evidence-based strategies Support for students From communities impacted by the epidemic From families impacted by addiction

Updates & Announcements SAPE SAVIP OSC UPD Any additions?

Questions & Answers Southern College Health Association Conference March 14-16 th at Columbia Marriott Understanding Pain, Opioids, and Addiction, Keynote by Don Teater, MD, MPH https://www.acha.org/schaannualmeeting Next Coalition Meeting February 1 st @ 4pm Russell #304