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Examining	
  What’s	
  
Happening	
  Across	
  America	
  

              April	
  10-­‐12,	
  2012	
  
    Walt	
  Disney	
  World	
  Swan	
  Resort	
  
Accepted	
  Learning	
  Objec?ves:	
  
1.  Analyze	
  the	
  characteris?cs	
  of	
  effec?ve	
  programs	
  
    designed	
  to	
  reduce	
  the	
  growth	
  of	
  prescrip?on	
  
    drug	
  abuse	
  and	
  provide	
  evidence-­‐based	
  
    programs	
  that	
  can	
  be	
  replicated	
  in	
  rural	
  and	
  
    urban	
  communi?es.	
  
2.  Iden?fy	
  common-­‐interest	
  issues	
  related	
  to	
  
    grassroots	
  preven?on	
  and	
  treatment	
  programs.	
  
3.  Describe	
  available	
  resources	
  to	
  advocate	
  for	
  
    change,	
  with	
  specific	
  focus	
  on	
  model	
  	
  
    state	
  drug	
  laws.	
  
Disclosure Statement
•  Frances Harding, Robert Morrison,
   Sherry Green and Steve Pasierb have  
   disclosed no relevant, real or apparent
   personal or professional financial
   relationships.
The	
  Complex	
  Issue	
  of	
  	
  
Prescrip3on	
  Drug	
  Abuse:	
  	
  
 The	
  Role	
  of	
  Preven3on	
  


                                   Frances	
  M.	
  Harding,	
  Director	
  
          SAMHSA’s	
  Center	
  for	
  Substance	
  Abuse	
  Preven?on	
  
SAMHSA	
  VISION	
  	
  
                           5	
  
What	
  Do	
  Americans	
  	
  
Believe	
  About	
  AddicEon?	
  
         Only one in five think less
           of a friend/relative in
           recovery from an
           addiction …
                      … and about one in three
                        think less of someone
                        currently addicted

          Yet, two-thirds think
            addiction can be
            prevented …

                 … and three-quarters
                   think recovery is
                   possible
The	
  Impact	
  of	
  
PrescripEon	
  Drug	
  Abuse	
  
                 •  Prescrip?on	
  drug	
  overdose	
  
                    deaths	
  now	
  exceed	
  deaths	
  
                    from	
  cocaine	
  and	
  heroin.	
  	
  
                 •  American	
  deaths	
  from	
  
                    prescrip?on	
  drug	
  overdoses	
  
                    are	
  now	
  second	
  only	
  to	
  motor	
  
                    vehicle	
  fatali?es.	
  
                 •  Non-­‐medical	
  use	
  of	
  
                    prescrip?on	
  painkillers:	
  $72.5	
  
                    billion	
  annually	
  in	
  direct	
  health	
  
                    care	
  costs	
  to	
  health	
  insurers.	
  	
  
The	
  Impact	
  of	
  
PrescripEon	
  Drug	
  Abuse	
  
      •  In	
  2009,	
  50	
  percent	
  of	
  all	
  drug-­‐related	
  emergency	
  
         department	
  visits	
  involved	
  nonmedical	
  use	
  of	
  
         prescrip?on	
  or	
  over-­‐the-­‐counter	
  drugs.	
  

      •  40	
  percent	
  of	
  teens	
  think	
  prescrip?on	
  drugs	
  are	
  
         “much	
  safer”	
  than	
  illegal	
  drugs.	
  

      •  55	
  percent	
  of	
  persons	
  12	
  and	
  up	
  who	
  used	
  
         prescrip?on	
  pain	
  relievers	
  nonmedically	
  in	
  the	
  past	
  
         year	
  received	
  them	
  from	
  a	
  friend	
  or	
  relayive	
  for	
  free.	
  

      •  Number	
  of	
  drug-­‐dependent	
  newborns	
  has	
  doubled,	
  
         tripled,	
  or	
  more	
  over	
  the	
  past	
  decade.	
  
PrescripEon	
  Drug	
  Abuse	
  Affects	
  Everyone	
  
                    • 	
  	
  	
  Sadly,	
  the	
  data	
  show	
  that	
  infants	
  are	
  born	
  	
  	
  	
  	
  	
  
                                             	
  dependent	
  on	
  painkillers.	
  

                              o 	
  	
  	
   	
  In	
  Florida:	
  the	
  number	
  of	
  babies	
  with	
  
                                             	
  withdrawal	
  syndrome	
  soared	
  from	
  354	
  	
  in	
  
                              2006	
  to	
  1.374	
  in	
  2010	
  –	
  a	
  rise	
  of	
   	
  almost	
  300	
  
                              percent.	
  

                    • 	
  	
  	
  Teens	
  get	
  prescrip?ons	
  from	
  friends	
  and	
  family:	
  

                              o 	
   	
  From	
  the	
  medicine	
  cabinet	
  
                              o 	
   	
  From	
  fellow	
  students	
  

                    • 	
  	
  	
  	
  Adults	
  and	
  older	
  people,	
  too,	
  are	
  affected.	
  
A	
  NaEonal	
  Call	
  to	
  AcEon	
  
NaEonal	
  PrescripEon	
  Drug	
  Abuse	
  
     PrevenEon	
  Strategy	
  

                 •  Prescriber	
  and	
  consumer	
  
                    educa?on/awareness	
  
                 •  Expanded	
  and	
  enhanced	
  use	
  of	
  
                    prescrip?on	
  drug	
  monitoring	
  
                    programs.	
  
                 •  Educa?on/awareness	
  about	
  safe	
  
                    disposal	
  of	
  unused	
  medicines.	
  
PrescripEon	
  Drug	
  Monitoring	
  Programs	
  




Source:	
  The	
  Na-onal	
  Alliance	
  for	
  Model	
  State	
  Drug	
  Laws	
  	
  
InformaEon	
  is	
  Power	
  
CommuniEes	
  Are	
  Making	
  a	
  Difference	
  
Let’s	
  Work	
  Together	
  to	
  Stop	
  This	
  
Collabora3on	
  is	
  the	
  Key!	
  




 	
  	
  	
  Center	
  for	
  Behavioral	
  Health	
  StaEsEcs	
  and	
  Quality	
  
 	
  	
  	
  Center	
  for	
  Mental	
  Health	
  Services	
  
 	
  	
  	
  Center	
  for	
  Substance	
  Abuse	
  PrevenEon	
  
 	
  	
  	
  Center	
  for	
  Substance	
  Abuse	
  Treatment	
  

                                           www.samhsa.gov	
  

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Frances Harding

  • 1. Examining  What’s   Happening  Across  America   April  10-­‐12,  2012   Walt  Disney  World  Swan  Resort  
  • 2. Accepted  Learning  Objec?ves:   1.  Analyze  the  characteris?cs  of  effec?ve  programs   designed  to  reduce  the  growth  of  prescrip?on   drug  abuse  and  provide  evidence-­‐based   programs  that  can  be  replicated  in  rural  and   urban  communi?es.   2.  Iden?fy  common-­‐interest  issues  related  to   grassroots  preven?on  and  treatment  programs.   3.  Describe  available  resources  to  advocate  for   change,  with  specific  focus  on  model     state  drug  laws.  
  • 3. Disclosure Statement •  Frances Harding, Robert Morrison, Sherry Green and Steve Pasierb have   disclosed no relevant, real or apparent personal or professional financial relationships.
  • 4. The  Complex  Issue  of     Prescrip3on  Drug  Abuse:     The  Role  of  Preven3on   Frances  M.  Harding,  Director   SAMHSA’s  Center  for  Substance  Abuse  Preven?on  
  • 6. What  Do  Americans     Believe  About  AddicEon?   Only one in five think less of a friend/relative in recovery from an addiction … … and about one in three think less of someone currently addicted Yet, two-thirds think addiction can be prevented … … and three-quarters think recovery is possible
  • 7. The  Impact  of   PrescripEon  Drug  Abuse   •  Prescrip?on  drug  overdose   deaths  now  exceed  deaths   from  cocaine  and  heroin.     •  American  deaths  from   prescrip?on  drug  overdoses   are  now  second  only  to  motor   vehicle  fatali?es.   •  Non-­‐medical  use  of   prescrip?on  painkillers:  $72.5   billion  annually  in  direct  health   care  costs  to  health  insurers.    
  • 8. The  Impact  of   PrescripEon  Drug  Abuse   •  In  2009,  50  percent  of  all  drug-­‐related  emergency   department  visits  involved  nonmedical  use  of   prescrip?on  or  over-­‐the-­‐counter  drugs.   •  40  percent  of  teens  think  prescrip?on  drugs  are   “much  safer”  than  illegal  drugs.   •  55  percent  of  persons  12  and  up  who  used   prescrip?on  pain  relievers  nonmedically  in  the  past   year  received  them  from  a  friend  or  relayive  for  free.   •  Number  of  drug-­‐dependent  newborns  has  doubled,   tripled,  or  more  over  the  past  decade.  
  • 9. PrescripEon  Drug  Abuse  Affects  Everyone   •       Sadly,  the  data  show  that  infants  are  born              dependent  on  painkillers.   o         In  Florida:  the  number  of  babies  with    withdrawal  syndrome  soared  from  354    in   2006  to  1.374  in  2010  –  a  rise  of    almost  300   percent.   •       Teens  get  prescrip?ons  from  friends  and  family:   o     From  the  medicine  cabinet   o     From  fellow  students   •         Adults  and  older  people,  too,  are  affected.  
  • 10. A  NaEonal  Call  to  AcEon  
  • 11. NaEonal  PrescripEon  Drug  Abuse   PrevenEon  Strategy   •  Prescriber  and  consumer   educa?on/awareness   •  Expanded  and  enhanced  use  of   prescrip?on  drug  monitoring   programs.   •  Educa?on/awareness  about  safe   disposal  of  unused  medicines.  
  • 12. PrescripEon  Drug  Monitoring  Programs   Source:  The  Na-onal  Alliance  for  Model  State  Drug  Laws    
  • 14. CommuniEes  Are  Making  a  Difference  
  • 15. Let’s  Work  Together  to  Stop  This  
  • 16. Collabora3on  is  the  Key!          Center  for  Behavioral  Health  StaEsEcs  and  Quality          Center  for  Mental  Health  Services          Center  for  Substance  Abuse  PrevenEon          Center  for  Substance  Abuse  Treatment   www.samhsa.gov