J. Antonio Luna, Project Coordinator Funded by National Institutes for Health and Indian Health Service
Our goal is to reduce availability and misuse of prescription pain pills in the tribal community by using focused community interventions to: Promote safe prescribing by practitioners Promote safe use of Rx medications by patients Provide health education in medication management and disposal
Working Inter-departmentally
DENTAL Dx Tx Report NUTRITION Assess MNT/ Supplements Reassess Report PHARMACY Current Med Eval Med Counseling Medical Side- Effects/Warning Counseling TRIBAL FAMILY SERVICES Case Manage GA & existing clients Referrals Follow up MEDICAL Pain Management Program BEHAVIORAL HEALTH Assess Individual Therapy Groups Report ACUPUNCTURE Assess Acu Tx: Aromatherapy/Herbs, Topical Creams Reassess Report PHYSICAL ACTIVITY Assess Movement Therapy Reassess Report CHIROPRACTIC Assess Chiro Tx: Spinal Manip, TENS, Ultrasound Reassess Report
IHC Safe Prescribing Policies Updated prescribing practices and policies Set lower dosage for new patients; reduce dose or taper for older patients Include other modalities for treatment plan: Acupuncture, group therapy, chiropractics, physical therapy, nutrition education Conduct Urine Drug Screens Conduct a CURES report Administer pain questionnaires
In-service trainings Bringing in outside trainers Safe Prescribing Naloxone Training
Cross collaboration
The Scientific Advisory Committee Eliciting feedback on: Survey questions (how userfriendly are they?) Cultural appropriateness
Tribal Education Centers and After School Programs All Tribes American Indian Charter School Tribal Fire Departments Two Directions Youth Groups
Tailoring message to age group According to the needs and request from Education Centers Tying lessons to grant objectives
Experiential learning is the process of learning through experience, and is more specifically defined as "learning through reflection on doing Patrick Felicia. Activity Based Learning o Customized games o Rapport Building with Youth Summer Programs within the community o Summer Session Programs
Box beats Pill, Losses to Person Pill beats Person, Losses to Box Person beats Box, Losses to Pill
Immigration Same-Sex Marriage Education Gun Control Taxes Economy Health Care Climate Change Foreign Policy Environment
Working smarter through collective action
Case study of the Tribal Education Alliance (TEA) Started in August of 2014 Has grown to include Multiple Tribal Education Centers, SCTCA, TANF, Universities, IHC Harnessing the resources of the group for education and outreach
Law enforcement: Tribal law enforcement DEA SD County Sheriffs Department Pacific Institute for Research and Evaluation San Diego Drug Abuse Task Force County officials Law Enforcement Medical Professionals Pharmacists
Pill Take Back Events Established an MOU with the San Diego County Sheriff s Department Monitor local pill take back events Weigh and dispose of collected unused medications Partnered with local Tribes Conducted 7 events collecting 72 lbs. of unused/expired medications
Lockboxes Promoting responsible prescription medication management Keeps youth and at risk individuals from taking medications Can safeguard children who may think pills are candy Given away 148 medication lock boxes
Establishing a permanent drop box in the IHC Pharmacy California Board of Pharmacies Developing guidelines for citing a permanent drop box in approved pharmacies Dr. Solis, the IHC Pharmacist is tracking the process Sharps MedSafe (possible option) Provides receptacle and liners Uses DEA preferred method of disposal of unused RX Collection meets the requirements of the DEA Controlled Substance Act
Questions??