The Current State of Drug Abuse Across the Nation. December 12, 2015

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1 The Current State of Drug Abuse Across the Nation December 12, 2015

2 Agenda The Partnership for Drug-Free Kids The macro picture Opioid abuse and addiction What can we do about it? Moving upstream: connecting the dots between early use and addiction 2

3 The Partnership for Drug-Free Kids National non-profit dedicated to preventing and dealing with adolescent substance abuse and addiction, by supporting families and engaging with teens Core competency in communications and education -- providing answers for families" Above the Influence teen targeted Parent Support Network helpline at 855- DRUGFREE Medicine Abuse Project 3

4 The Macro Picture PAST YEAR USE of ILLICIT DRUGS PERSONS 12 AND OLDER (% ) Illicit drugs Marijuana & hashish Non-medical use of psychotherapeutics Pain relievers Tranquilizers Stimulants Heroin

5 Opioid abuse and addiction PAST YEAR INITIATION OF SUBSTANCE USE AMONG PERSONS 12 OR OLDER (NUMBERS IN THOUSANDS) Non-medical use of pain relievers 2,013 1,888 1,880 1,539 1,425 Heroin Non-medical use of pain relievers is most prevalent in the age range (between 7% and 10% have used in past year) 5

6 Opioid abuse and addiction 4 out of 5 current heroin users migrated from Rx opiates Death rates from heroin overdose are increasing rapidly as death rates from prescription opioids are leveling off CDC Vital Statistics 6

7 Opioid abuse and addiction an epidemic of consequences Centers for Disease Control and Prevention. National Vital Statistics System mortality data. (2015) 7

8 Opioid abuse and addiction What can we do about it? Solutions are at hand, but require support and application Prescriber education, particularly in addiction science and pain management Alternative therapies for pain, e.g., physical therapy; multimodal analgesia (MMA) Abuse deterrent opioids introduction in 2010 coincides with reductions in Rx opioid abuse (and lower perceived availability) Medication Assisted Treatment in connection with appropriate behavioral therapy Naloxone more accessible overdose prevention kits Good Samaritan laws help a friend in danger of overdose 8

9 Opioid abuse and addiction What can we do about it? Move upstream from addiction and overdose to effective prevention Community education (ONDCP and DEA supporting at regional and local levels) Youth education NEA / HIN Rx for Understanding National Association of School Nurses Above the Influence Not Prescribed Parent education and safeguarding of medication at home Partnership s Medicine Abuse Project at is an educational center for parents, educators, healthcare providers and community leaders 9

10 Moving upstream: Connecting the dots In a changing legal landscape for marijuana, easy to lose track of risks for adolescents and to misunderstand the true linkage between high risk kids early use of weed (and tobacco and alcohol) and later problems Prevalence of teen marijuana use actually fairly flat year-to-year (roughly 35% of 12 th graders used in past year) But growing concern (particularly among parents) about: Marketing and teen consumption-- of edibles, vaping Strength (THC levels) of today s marijuana 10

11 Moving upstream: Connecting the dots The Point: Some of those addicted to opioids started with pain relievers legitimately prescribed for a physical ailment, but for many, especially high risk youth with mental health issues, family history or trauma, there is a link between early use of weed, alcohol and tobacco and opioid abuse and addiction. An argument for attending to our decimated prevention infrastructure as we deal further downstream with the tragedy and consequences of addiction 11

12 Thank you! Partnership helpline: 855 DRUGFREE 12

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