Federal Drug Control Policy and Priorities: Prescription Drugs: Disposal, Overdose Prevention and Other Emerging Issues

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Federal Drug Control Policy and Priorities: Prescription Drugs: Disposal, Overdose Prevention and Other Emerging Issues"

Transcription

1 Federal Drug Control Policy and Priorities: Prescription Drugs: Disposal, Overdose Prevention and Other Emerging Issues September 15, 2014 National Governor s Association Policy Academy on Prescription Drug Abuse Prevention Cecelia Spitznas, Ph.D., Senior Science Policy Advisor Office of National Drug Control Policy

2 Office of National Drug Control Policy Component of the Executive Office of the President Coordinates drug-control activities and related funding across the Federal Government Produces the annual National Drug Control Strategy

3 Main ONDCP Priorities Non-medical prescription drug use and heroin use Overdose & medical consequences Marijuana issues Supply-related measures focusing on heroin Treatment access (MAT)

4 Prescription Drug Abuse Coordinated effort across the Federal Government Prevention Plan Four focus areas: 1) Education 2) Prescription Drug Monitoring Programs 3) Proper Disposal of Medication 4) Enforcement

5 Source of Prescription Pain Relievers Source: Special Tabulations for ONDCP. SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health,

6 Controlled Substance Disposal To find a collection receptacle location near you: Call the DEA s Registration Call Center at Contact your local DEA office Visit the DEA website at takeback/index.html

7 Number of Users (Thousands) Heroin Use or Non-Medical Use of Pain Relievers in the Past Year among Persons Aged 12 or Older: Persons Aged 12 or Older 14,000 12,000 1,400 1,200 10,000 8,000 6,000 4,000 2,000 0 Non-medical users of pain relievers Heroin users , Source: SAMHSA, 2013 National Survey on Drug Use and Health (September 2014). 9/2014

8 Non-medical Prescription Opioid Users Who Try Heroin Prescription opioid use is a risk factor for heroin use. Approximately 4 out of 5 of heroin users ages used prescription opioids before heroin initiation. 1 Among nonmedical prescription opioid users, heroin use is relatively rare; across a five year period following initiation, only 3.6% of people who used prescription opioids non-medically tried heroin. 2 Injection-drug users report tolerance motivates them to try heroin. 3 New research shows heroin effects, price, availability and ease of use motivate heroin users who formerly used prescription opioids Muhuri, P.K. Gfroerer, J., Davies, C. (2013). Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. SAMHSA CBHSQ Data Review (August). 2. Ibid 3. Lankenau SE, et al. (2012). Initiation into prescription opioid misuse amongst young injection drug users. Int J Drug Policy Jan;23(1): Epub 2011 Jun Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. The Changing Face of Heroin Use in the United States: A Retrospective Analysis of the Past 50 Years. JAMA Psychiatry. Published online May 28, doi: /jamapsychiatry

9 Overdose Prevention and Education The National Drug Control Strategy supports comprehensive overdose prevention efforts, to include: More extensive public education campaigns about overdose, including the signs of overdose, emergency interventions, information about Good Samaritan laws where they exist, and the importance of connecting people to substance use disorders treatment. Expanded training and availability of emergency interventions, such as naloxone for first responders (including campus police). Increased education among health care providers about informing patients using opioids (and their family members/caregivers) about potential for, signs of, and interventions in case of overdose. Naloxone co-prescribing.

10 Myth or Fact? Pain Patients are the Main Concern All opioid users are at risk, not just chronic pain patients. In one large claims database study, daily users (e.g. people under treatment chronically with opioids) accounted for 25 percent of the overdoses. Other users people who used on average around 10 days accounted for 43.6 percent of overdoses. People who did not fill a prescription at all accounted for 31.4 percent of the overdoses. Patients with acute pain and patients who may not be under treatment for pain are also vulnerable. Source: Paulozzi LJ, Zhang K, Jones CM, Mack KA. Risk of adverse health outcomes with increasing duration and regularity of opioid therapy. J Am Board Fam Med May- Jun;27(3): doi: /jabfm PMID: [PubMed - in process]

11 Promising Practice: Naloxone Pharmacy Collaborative Practice Agreements Under collaborative practice agreements pharmacies can stock and dispense naloxone to the public for use by patient caregivers during an opioid overdose without a prescription by their primary care provider. State laws vary. Examples include: Rhode Island in partnership with CVS and Walgreens Washington state

12 High Utilizers Declined When Prescribers Required to Consult PDMPs Tennessee s PDMP Law went into effect at the start of Prescribers now must access the PDMP before prescribing opioids to a new patient. High utilizer defined as a person who used 5 prescribers and 5 pharmacies in a 90-day period. High utilizers decreased 47 percent from 2011 to the fourth quarter of Source: Tennessee Department of Health Controlled Substance Monitoring Database Committee. Controlled Substance Monitoring Database 2014 Report to the 108 th Tennessee General Assembly, February 1, Page 5. Available at Linked to

13 Prevention of Opioid Use Consequences and Treatment As Prevention Consequence Prevention Naloxone and overdose education Needle exchange Warnings and provider notification of risks for women who may become pregnant HIV and Hepatitis C testing and treatment Treatment As Prevention Screening and identification and referral to treatment for opioid use disorders Integrated treatment in general medical settings Medication-Assisted Treatment, including for pregnant women Treatment may need to be chronic or indefinite to include treatment and recovery services and supports

14 Perceived Need for and Effort Made to Receive Specialty Treatment Among Persons Aged 12 or Older Needing But Not Receiving Treatment: 2013 Did Not Feel They Needed Treatment (5,731,000) 75% 3% 2% Felt They Needed Treatment and Did Not Make an Effort (247,000) Felt They Needed Treatment and Did Make an Effort (148,000) 19% Received Specialty Treatment (1,483,000) 7,608,000 Needing Treatment for Illicit Drug Problem Source: SAMHSA, 2013 National Survey on Drug Use and Health (September 2014).

15 Medication-Assisted Treatment (MAT) Formulary Options Medication-assisted treatment (MAT) using an FDA-approved medicine and psychosocial treatment is highly effective. Detoxification and psychosocial treatment alone without medication show high rates of relapse. The medicines are not interchangeable, Massachusetts ensured patient insurance coverage for full array of medicines, including: Injectable naltrexone (Vivitrol); Methadone; and Medicines combining buprenorphine and naloxone.

16 For More Information: WHITEHOUSE.GOV/ONDCP DISPOSAL REGULATION LINK: Strategy Input:

Federal Drug Control Policy and Priorities: How the Biomedical Research Community Can Help

Federal Drug Control Policy and Priorities: How the Biomedical Research Community Can Help Federal Drug Control Policy and Priorities: How the Biomedical Research Community Can Help September 3, 2014 National Advisory Council on Drug Abuse Acting Director Michael Botticelli Office of National

More information

A Drug Policy for the 21st Century

A Drug Policy for the 21st Century A Drug Policy for the 21st Century April 26, 2014 California Association for Alcohol and Drug Educators (CAADE) Conference Integrating Mental Health and Substance Use Disorder Services David K. Mineta,

More information

A Drug Policy for the 21st Century. Office of National Drug Control Policy

A Drug Policy for the 21st Century. Office of National Drug Control Policy A Drug Policy for the 21st Century October 18, 2014 International Nurses Society on Addictions Health Care Reform & Its Impact on Addictions Nursing: Navigating Change through the Rapids David K. Mineta,

More information

Reforming the Response To Substance Use: A Drug Policy for the 21 st Century

Reforming the Response To Substance Use: A Drug Policy for the 21 st Century Reforming the Response To Substance Use: A Drug Policy for the 21 st Century 2015 NASADAD MEETING Charleston, SC June 2, 2015 David Mineta, Deputy Director Office of Demand Reduction Office of National

More information

Prescriber Behavior, Pain Treatment and Addiction Treatment

Prescriber Behavior, Pain Treatment and Addiction Treatment Prescriber Behavior, Pain Treatment and Addiction Treatment Mary Fleming, M.S. Director, Office of Policy, Planning, and Innovation Substance Abuse and Mental Health Services Administration NGA Policy

More information

Reforming the Response To Substance Use: A Drug Policy for the 21 st Century

Reforming the Response To Substance Use: A Drug Policy for the 21 st Century Reforming the Response To Substance Use: A Drug Policy for the 21 st Century American Osteopathic Academy of Addiction Medicine OMED 2015, 120 th Osteopathic Medical Conference and Exposition November

More information

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 2013 to 2002 States: United the in Use Heroin in Trends National Survey on Drug Use and Health Short Report April 23, 2015 TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 AUTHORS Rachel N. Lipari,

More information

A Drug Policy for the 21st Century

A Drug Policy for the 21st Century A Drug Policy for the 21st Century September 22, 2014 State of Michigan Department of Community Health 15 TH Annual Substance Use Disorder Conference David K. Mineta, Deputy Director Office of Demand Reduction

More information

A 21 st Century Drug Policy: Implications for Research and Practice

A 21 st Century Drug Policy: Implications for Research and Practice A 21 st Century Drug Policy: Implications for Research and Practice GRANTMAKERS IN HEALTH MEETING Behavioral Health Equity: Advancing Systems Change Washington, D.C. November 20, 2015 Michael P. Botticelli

More information

CDC s Prevention Efforts to Address Prescription Opioid Epidemic

CDC s Prevention Efforts to Address Prescription Opioid Epidemic CDC s Prevention Efforts to Address Prescription Opioid Epidemic Jan Losby, PhD, MSW Lead, Prescription Drug Overdose Health Systems and State Support Team Division of Unintentional Injury Prevention NASBO

More information

ASTHO & NIHCM Webinar Neonatal Abstinence Syndrome Office of National Drug Control Policy

ASTHO & NIHCM Webinar Neonatal Abstinence Syndrome Office of National Drug Control Policy ASTHO & NIHCM Webinar Neonatal Abstinence Syndrome Office of National Drug Control Policy July 16, 2014 Cecelia M. Spitznas, Ph.D. cspitznas@ondcp.eop.gov With special thanks to Stephen Patrick, M.D. ONDCP

More information

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act

IN THE GENERAL ASSEMBLY STATE OF. Ensuring Access to Medication Assisted Treatment Act IN THE GENERAL ASSEMBLY STATE OF Ensuring Access to Medication Assisted Treatment Act 1 Be it enacted by the People of the State of Assembly:, represented in the General 1 1 1 1 Section 1. Title. This

More information

The Heroin Epidemic: Then and Now

The Heroin Epidemic: Then and Now The Heroin Epidemic: Then and Now Lessons Learned Robert L. DuPont, MD First Director, National Institute on Drug Abuse (NIDA) Second White House Drug Chief President, Institute for Behavior and Health,

More information

Office of National Drug Control Policy

Office of National Drug Control Policy Addressing Opioid Misuse and Abuse: ONDCP and SAMHSA Partnership to Reduce Risk of Overdose September 30, 2014 APA Webinar Michael Botticelli, Acting Director Office of National Drug Control Policy Office

More information

Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio

Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio Governor s Cabinet Opiate Action Team Promoting Wellness and Recovery John R. Kasich, Governor Tracy J. Plouck, Director Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio November 14,

More information

Federal Response to Opioid Abuse Epidemic

Federal Response to Opioid Abuse Epidemic Healthcare Committee Federal Response to Opioid Abuse Epidemic On May 1, 20215 the Energy and Commerce Subcommittee on Oversight and Investigations held a hearing entitled What is the Federal Government

More information

Medication-Assisted Treatment for Opiate Addiction and the Public Financing of that Treatment

Medication-Assisted Treatment for Opiate Addiction and the Public Financing of that Treatment Medication-Assisted Treatment for Opiate Addiction and the Public Financing of that Treatment Introduction March 3, 2008 By: Suzanne Gelber, MSW, Ph.D., Managing Partner, The Avisa Group Defining Characteristics

More information

Substance Use: Addressing Addiction and Emerging Issues

Substance Use: Addressing Addiction and Emerging Issues MODULE 6: SUBSTANCE USE: ADDRESSING ADDICTION AND EMERGING ISSUES Substance Use: Addressing Addiction and Emerging Issues Martha C. Romney, RN, MS, JD, MPH Assistant Professor Jefferson School of Population

More information

PRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE

PRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE PRESCRIPTION DRUG ABUSE: THE NATIONAL PERSPECTIVE May 19, 2012 National Association Boards of Pharmacy Annual Meeting Gil Kerlikowske, Director White House Office of National Drug Control Policy ONDCP

More information

Prescription Drug Abuse: Recognition, Intervention, and Prevention

Prescription Drug Abuse: Recognition, Intervention, and Prevention Prescription Drug Abuse: Recognition, Intervention, and Prevention Nicholas Reuter Division of Pharmacologic Therapy Center for Substance Abuse Treatment Substance Abuse and Mental Health Services Administration

More information

The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section

The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section TITLE I: PREVENTION SUBTITLE A- PRESCRIBER EDUCATION PRACTITIONER EDUCATION This subtitle requires practitioners who

More information

John R. Kasich, Governor Orman Hall, Director

John R. Kasich, Governor Orman Hall, Director John R. Kasich, Governor Orman Hall, Director 2 3 Epidemics of unintentional drug overdoses in Ohio, 1979-2011 1,2,3 1800 1600 1400 1200 1000 800 Prescription drugs are causing a larger overdose epidemic

More information

Applicant Webinar for BJA s Drug Court Discretionary Grant Solicitation

Applicant Webinar for BJA s Drug Court Discretionary Grant Solicitation Applicant Webinar for BJA s Drug Court Discretionary Grant Solicitation Cynthia Caporizzo, Senior Criminal Justice Advisor, Office of National Drug Control Policy (ONDCP) - Review of the administration

More information

National Perspectives in Medication Assisted Treatment

National Perspectives in Medication Assisted Treatment National Perspectives in Medication Assisted Treatment Addiction Medicine Asheville March 21,2014 Melinda Campopiano, MD Medical Officer Substance Abuse & Mental Health Services Administration Guten Appetit

More information

Ohio Legislative Service Commission

Ohio Legislative Service Commission Ohio Legislative Service Commission Bill Analysis Brian D. Malachowsky H.B. 378 130th General Assembly () Reps. Smith and Sprague BILL SUMMARY Prohibits a physician from prescribing or personally furnishing

More information

Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery

Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery Marvin D. Seppala, MD Chief Medical Officer Hazelden Betty Ford Foundation This product is supported by

More information

Frequently Asked Questions (FAQ s): Medication-Assisted Treatment for Opiate Addiction

Frequently Asked Questions (FAQ s): Medication-Assisted Treatment for Opiate Addiction Frequently Asked Questions (FAQ s): Medication-Assisted Treatment for Opiate Addiction March 3, 2008 By: David Rinaldo, Ph.D., Managing Partner, The Avisa Group In this FAQ What medications are currently

More information

Testimony of The New York City Department of Health and Mental Hygiene. before the

Testimony of The New York City Department of Health and Mental Hygiene. before the Testimony of The New York City Department of Health and Mental Hygiene before the New York City State Assembly Committee on Alcoholism and Drug Abuse on Programs and Services for the Treatment of Opioid

More information

Methadone. Buprenorphine 10/9/2015

Methadone. Buprenorphine 10/9/2015 Medication Assisted Treatment for Opioid Addiction Tanya Hiser, MS, LPC Premier Care of Wisconsin, LLC October 21, 2015 How Did We Get Here? Civil War veterans and women 19th Century physicians cautious

More information

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

The Current State of Drug Abuse Across the Nation. December 12, 2015 The Current State of Drug Abuse Across the Nation December 12, 2015 Agenda The Partnership for Drug-Free Kids The macro picture Opioid abuse and addiction What can we do about it? Moving upstream: connecting

More information

Heroin Addiction and Overdose: What Can We Do to Address This Growing Problem? Nora D. Volkow, M.D. Director

Heroin Addiction and Overdose: What Can We Do to Address This Growing Problem? Nora D. Volkow, M.D. Director Heroin Addiction and Overdose: What Can We Do to Address This Growing Problem? Nora D. Volkow, M.D. Director Illicit Drugs Marijuana Prescription Drug Misuse/Abuse is a Major Problem in the US Current

More information

King County Drug Trends 2015

King County Drug Trends 2015 Brad Finegood, MA, LMHC Assistant Division Director, Acting RSN Administrator Prevention and Treatment Coordinator King County Behavioral Health and Recovery Division Caleb Banta-Green PhD, MPH, MSW Senior

More information

U.S. House of Representatives Committee on Energy and Commerce Subcommittee on Health

U.S. House of Representatives Committee on Energy and Commerce Subcommittee on Health TESTIMONY of the American Medical Association before the U.S. House of Representatives Committee on Energy and Commerce Subcommittee on Health Re: Examining Legislative Proposals to Combat our Nation's

More information

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu Governor s Task Force on Mental Health and Substance Use www.ncdhhs.gov/mhsu Problem Statement 97 Painkiller prescriptions per 100 North Carolinians Number of deaths by drug overdose in North Carolina

More information

Opioid overdose can occur when a patient misunderstands the directions

Opioid overdose can occur when a patient misunderstands the directions Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription

More information

Prescription Drug Abuse and Overdose: Public Health Perspective

Prescription Drug Abuse and Overdose: Public Health Perspective Prescription Drug Abuse and Overdose: Public Health Perspective [Residency educators may use the following slides for their own teaching purposes.] CDC s Primary Care and Public Health Initiative October

More information

The Opioid Epidemic. Division of Care and Treatment Services (DCTS) Bureau of Prevention,Treatment and Recovery. Wisconsin

The Opioid Epidemic. Division of Care and Treatment Services (DCTS) Bureau of Prevention,Treatment and Recovery. Wisconsin The Opioid Epidemic Division of Care and Treatment Services (DCTS) Bureau of Prevention,Treatment and Recovery Wisconsin 1 Actions to Prevent Opioid Harm and Abuse Education Prescriber education Community

More information

Outcomes for Opiate Users at FRN Facilities. FRN Research Report September 2014

Outcomes for Opiate Users at FRN Facilities. FRN Research Report September 2014 Outcomes for Opiate Users at FRN Facilities FRN Research Report September 2014 Introduction The illicit use of opioids has reached epidemic proportions in the United States (Alford, 2007; Meges et al,

More information

SAMHSA Initiatives to Educate Prescribers and Consumers and Treatment Resources

SAMHSA Initiatives to Educate Prescribers and Consumers and Treatment Resources SAMHSA Initiatives to Educate Prescribers and Consumers and Treatment Resources Nick Reuter Division of Pharmacologic Therapy Substance Abuse and Mental Health Services Administration 1 Overview National

More information

Training of Addiction Treatment Providers in Massachusetts. Sarah Ruiz, MSW Bureau of Substance Abuse Services MA Department of Public Health

Training of Addiction Treatment Providers in Massachusetts. Sarah Ruiz, MSW Bureau of Substance Abuse Services MA Department of Public Health Training of Addiction Treatment Providers in Massachusetts Sarah Ruiz, MSW Bureau of Substance Abuse Services MA Department of Public Health July 1, 2015 Naloxone and Overdose Prevention: MA Timeline 2005:

More information

Minimum Insurance Benefits for Patients with Opioid Use Disorder The Opioid Use Disorder Epidemic: The Evidence for Opioid Treatment:

Minimum Insurance Benefits for Patients with Opioid Use Disorder The Opioid Use Disorder Epidemic: The Evidence for Opioid Treatment: Minimum Insurance Benefits for Patients with Opioid Use Disorder By David Kan, MD and Tauheed Zaman, MD Adopted by the California Society of Addiction Medicine Committee on Opioids and the California Society

More information

Non medical use of prescription medicines existing WHO advice

Non medical use of prescription medicines existing WHO advice Non medical use of prescription medicines existing WHO advice Nicolas Clark Management of Substance Abuse Team WHO, Geneva Vienna, June 2010 clarkn@who.int Medical and Pharmaceutical role Recommendations

More information

Testimony Engrossed House Bill 1101 Department of Human Services Senate Human Services Committee Senator Judy Lee, Chairman February 19, 2013

Testimony Engrossed House Bill 1101 Department of Human Services Senate Human Services Committee Senator Judy Lee, Chairman February 19, 2013 Testimony Engrossed House Bill 1101 Department of Human Services Senate Human Services Committee Senator Judy Lee, Chairman February 19, 2013 Chairman Lee, members of the Senate Human Services Committee,

More information

Statement. of the. American Medical Association. to the

Statement. of the. American Medical Association. to the Statement of the American Medical Association to the Committee on Energy & Commerce Subcommittee on Oversight and Investigations United States House of Representatives Re: Combatting the Opioid Abuse Epidemic:

More information

Treatment and Interventions for Opioid Addictions: Challenges From the Medical Director s Perspective

Treatment and Interventions for Opioid Addictions: Challenges From the Medical Director s Perspective Treatment and Interventions for Opioid Addictions: Challenges From the Medical Director s Perspective Dale K. Adair, MD Medical Director/Chief Psychiatric Officer OMHSAS 1 Treatment and Interventions for

More information

Medication-Assisted Treatment for Opioid Addiction

Medication-Assisted Treatment for Opioid Addiction Medication-Assisted Treatment for Opioid Addiction This document contains a general discussion of medications approved by the U.S. Food and Drug Administration (FDA) for use in the treatment of opioid

More information

TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION

TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION The Tennessee Board of Medical Examiners has reviewed the Model Policy Guidelines for Opioid Addiction Treatment

More information

MEDICAL ASSISTANCE BULLETIN

MEDICAL ASSISTANCE BULLETIN ISSUE DATE SUBJECT EFFECTIVE DATE MEDICAL ASSISTANCE BULLETIN NUMBER *See below BY Prior Authorization of Opiate Dependence Treatments Pharmacy Service Leesa M. Allen, Deputy Secretary Office of Medical

More information

Jane Maxwell, UT Addiction Research Institute, 512 232-0610. Prescription Pain Medications and Heroin: A Changing Picture

Jane Maxwell, UT Addiction Research Institute, 512 232-0610. Prescription Pain Medications and Heroin: A Changing Picture Prescription Pain Medications and : A Changing Picture Jane Maxwell, Ph.D. Center for Social Work Research The University of Texas at Austin Disclosure to Participants Commercial Support: This educational

More information

Understanding Medication Assisted Treatment (MAT) for Families Affected by Substance Use Disorders

Understanding Medication Assisted Treatment (MAT) for Families Affected by Substance Use Disorders Understanding Medication Assisted Treatment (MAT) for Families Affected by Substance Use Disorders March 20, 2013 Pamela Petersen- Baston, MPA, CAP, CPP 4 9 4 0 I r v i n e B l v d., S u i t e 2 0 2 I

More information

Information for Pharmacists

Information for Pharmacists Page 43 by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose. Information for Pharmacists SUBOXONE (buprenorphine HCl/naloxone HCl

More information

Traci C. Green, PhD, MSc Jody Rich, MD, MPH

Traci C. Green, PhD, MSc Jody Rich, MD, MPH Traci C. Green, PhD, MSc Jody Rich, MD, MPH Strategic Plan highlights Comments & Responses from public, stakeholders Input and discussion Next steps Death rate for U.S. non-hispanic whites (USW), U.S.

More information

Testimony on Opioid Overdose Prevention. Daniel Raymond, Policy Director, Harm Reduction Coalition

Testimony on Opioid Overdose Prevention. Daniel Raymond, Policy Director, Harm Reduction Coalition Testimony on Opioid Overdose Prevention Daniel Raymond, Policy Director, Harm Reduction Coalition Presented on March 25, 2014 to the House Appropriations Subcommittee on Labor, Health and Human Services,

More information

An integrated approach to addressing opiate abuse in Maine. Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009

An integrated approach to addressing opiate abuse in Maine. Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009 An integrated approach to addressing opiate abuse in Maine Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009 Background Defining the problem: Opiates pain relievers (OxyContin,

More information

State Substance Abuse Agencies and Prescription Drug Abuse Initial Results from a NASADAD Membership Inquiry

State Substance Abuse Agencies and Prescription Drug Abuse Initial Results from a NASADAD Membership Inquiry State Substance Abuse Agencies and Prescription Drug Abuse Initial Results from a NASADAD Membership Inquiry Cliff Bersamira, Research Analyst Rick Harwood, Research and Program Applications Director National

More information

P U B L I C H E A L T H A D V I S O R Y

P U B L I C H E A L T H A D V I S O R Y The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619Tel: 617-624-6000 Fax: 617-624-5206 www.mass.gov/dph

More information

The ABCs of Medication Assisted Treatment

The ABCs of Medication Assisted Treatment The ABCs of Medication Assisted Treatment J E F F R E Y Q U A M M E, E X E C U T I V E D I R E C T O R C O N N E C T I C U T C E R T I F I C A T I O N B O A R D The ABCs of Medication Assisted Treatment

More information

Alcohol and Prescription opiate abuse: Responsibilities of Stakeholders to reduce the problem. Thomas Kosten MD

Alcohol and Prescription opiate abuse: Responsibilities of Stakeholders to reduce the problem. Thomas Kosten MD Alcohol and Prescription opiate abuse: Responsibilities of Stakeholders to reduce the problem Thomas Kosten MD Waggoner Chair & Professor of Psychiatry & Neuroscience Baylor College of Medicine Past-President,

More information

Disclosure. C.R. Sullivan, MD 1. Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu. The West Virginia Model

Disclosure. C.R. Sullivan, MD 1. Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu. The West Virginia Model West Virginia University School of Medicine BEHAVIORAL MEDICINE & PSYCHIATRY Morgantown, WV Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu Disclosure Reckitt Benckiser

More information

CDC Initiatives & Priorities to Address the Prescription Drug Overdose Crisis

CDC Initiatives & Priorities to Address the Prescription Drug Overdose Crisis CDC Initiatives & Priorities to Address the Prescription Drug Overdose Crisis Grant Baldwin, PhD, MPH February 2, 2016 National Center for Injury Prevention and Control Division of Unintentional Injury

More information

Colorado Prescription Drug Monitoring Program. Department of Regulatory Agencies Division of Professions and Occupations State Board of Pharmacy

Colorado Prescription Drug Monitoring Program. Department of Regulatory Agencies Division of Professions and Occupations State Board of Pharmacy Colorado Prescription Drug Monitoring Program Department of Regulatory Agencies Division of Professions and Occupations State Board of Pharmacy DORA is dedicated to preserving the integrity of the marketplace

More information

Opioid Treatment Services, Office-Based Opioid Treatment

Opioid Treatment Services, Office-Based Opioid Treatment Optum 1 By United Behavioral Health U.S. Behavioral Health Plan, California Doing Business as OptumHealth Behavioral Solutions of California ( OHBS-CA ) 2015 Level of Care Guidelines Opioid Treatment Services,

More information

Prescription Drug Monitoring Programs: Adopting Best & Promising PDMP Practices

Prescription Drug Monitoring Programs: Adopting Best & Promising PDMP Practices Prescription Drug Monitoring Programs: Adopting Best & Promising PDMP Practices National Governors Association Policy Academy: Reducing Prescription Drug Abuse June 8, 2015 Burlington, VT Improving Interstate

More information

Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 2008

Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 2008 Treatment Episode Data Set The TEDS Report July 15, 010 Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 008 In Brief The proportion of all substance abuse treatment admissions

More information

Allyse Adams PC, LICDC Oriana House, Inc.

Allyse Adams PC, LICDC Oriana House, Inc. Allyse Adams PC, LICDC Oriana House, Inc. 98 Heroin Overdose Deaths from 1/1/2015-7/26/2015 Last year enough narcotic pain medicines were prescribed to supply 67 pills to every man, woman and child In

More information

The Need for Medication-Assisted Treatment (MAT)

The Need for Medication-Assisted Treatment (MAT) Presenters Erin Hall MSOT Hon. Kyle B. Haskins Closed Doors or Welcome Mat? Opening the Way for Medication-Assisted Treatment in Family Drug Courts Oklahoma Specialty Court Conference Thursday September

More information

Advances in Addiction Science and Treatment. Mady Chalk, Ph.D., MSW Treatment Research Institute November, 2014

Advances in Addiction Science and Treatment. Mady Chalk, Ph.D., MSW Treatment Research Institute November, 2014 Advances in Addiction Science and Treatment Mady Chalk, Ph.D., MSW Treatment Research Institute November, 2014 Treatment Research Research Institute, Institute, 20132012 Presentation 1. What is driving

More information

Treatment for Addiction in the Community Reduces Drug Use, Crime and Recidivism

Treatment for Addiction in the Community Reduces Drug Use, Crime and Recidivism Treatment for Addiction in the Community Reduces Drug Use, Crime and Recidivism Richard A. Rawson, Ph.D, Professor Semel Institute for Neuroscience and Human Behavior David Geffen School of Medicine University

More information

Practice Protocol. Buprenorphine Guidance Protocol

Practice Protocol. Buprenorphine Guidance Protocol Practice Protocol Buprenorphine Guidance Protocol Developed by the Arizona Department of Health Services Division of Behavioral Health Services Effective Date: 02/23/11 Title Buprenorphine Guidance Protocol

More information

Increasing Issues of Polypharmacy and Off-Label Drug Use in Psychiatric Care

Increasing Issues of Polypharmacy and Off-Label Drug Use in Psychiatric Care Increasing Issues of Polypharmacy and Off-Label Drug Use in Psychiatric Care Stefan P. Kruszewski, MD Board Certified in Adult, Geriatric, Adolescent and Addiction Psychiatry, and Addiction Medicine Speaker

More information

STATE PLAN TO PREVENT AND TREAT PRESCRIPTION DRUG ABUSE RECOMMENDATION SUMMARY Governor s Prescription Drug Abuse Prevention Council

STATE PLAN TO PREVENT AND TREAT PRESCRIPTION DRUG ABUSE RECOMMENDATION SUMMARY Governor s Prescription Drug Abuse Prevention Council STATE PLAN TO PREVENT AND TREAT PRESCRIPTION DRUG ABUSE RECOMMENDATION SUMMARY Governor s Prescription Drug Abuse Prevention Council PRIORITY AREA: PRESCRIBERS Recommendation: The Council recommends that

More information

MEDICATION ASSISTED TREATMENT (MAT)

MEDICATION ASSISTED TREATMENT (MAT) MEDICATION ASSISTED TREATMENT (MAT) STATISTICS: ALCOHOL AND OPIOID USE Last year 33 Iowans died from opioid overdose deaths; an additional 19 individuals died of a heroin overdose. The number of drug overdose

More information

Introducing Opiate Addicts to the Hub and Spoke Treatment System in Vermont

Introducing Opiate Addicts to the Hub and Spoke Treatment System in Vermont University of Vermont ScholarWorks @ UVM Family Medicine Clerkship Student Projects College of Medicine 2016 Introducing Opiate Addicts to the Hub and Spoke Treatment System in Vermont Richard T. Carrick

More information

Preventing Opioid Abuse and Consequences, Including Heroin, in New England: An Opportunity for Cross-State Collaboration

Preventing Opioid Abuse and Consequences, Including Heroin, in New England: An Opportunity for Cross-State Collaboration Preventing Opioid Abuse and Consequences, Including Heroin, in New England: An Opportunity for Cross-State Collaboration November 17, 2015 SAMHSA s Center for the Application of Prevention Technologies

More information

Opioid/Opiate Dependent Pregnant Women

Opioid/Opiate Dependent Pregnant Women Opioid/Opiate Dependent Pregnant Women The epidemic, safety, stigma, and how to help. Presented by Lisa Ramirez MA,LCDC & Kerby Stewart MD The prescription painkiller epidemic is killing more women than

More information

HHS Opioid Research Portfolio Brief Translating Science into Action

HHS Opioid Research Portfolio Brief Translating Science into Action The U.S. is in the midst of an unprecedented opioid overdose epidemic. In 2014, of the 47,055 drug overdose deaths in the U.S., 28,647 (61%) involved a prescription or illicit opioid. The public health

More information

The Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office

The Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office The Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office Adopted April 2013 for Consideration by State Medical Boards 2002 FSMB Model Guidelines

More information

Office-based Treatment of Opioid Dependence with Buprenorphine

Office-based Treatment of Opioid Dependence with Buprenorphine Office-based Treatment of Opioid Dependence with Buprenorphine David A. Fiellin, M.D Professor of Medicine, Investigative Medicine and Public Health Yale University School of Medicine Dr. Fiellin s Disclosures

More information

Opioids for Pain Treatment. Opioids for Chronic Pain and Addiction Treatment. Outline for Today. Opioids for pain treatment

Opioids for Pain Treatment. Opioids for Chronic Pain and Addiction Treatment. Outline for Today. Opioids for pain treatment Opioids for Chronic Pain and Addiction Treatment Joseph Merrill M.D., M.P.H. University of Washington February 24, 2012 Outline for Today Opioids for pain treatment Trends Problems High dose prescribing

More information

State Substance Abuse Agencies, Prescription Drugs, and. Heroin Abuse: Results from a NASADAD Membership Inquiry

State Substance Abuse Agencies, Prescription Drugs, and. Heroin Abuse: Results from a NASADAD Membership Inquiry State Substance Abuse Agencies, Robert Morrison, Executive Director Colleen Haller, Research Analyst Prescription Drugs, and Rick Harwood, Research and Program Applications Director Heroin Abuse: Results

More information

Washington State Interagency Opioid Working Plan

Washington State Interagency Opioid Working Plan Washington State Interagency Opioid Working Plan INTRODUCTION January 2016 Washington State is currently experiencing an opioid abuse and overdose crisis involving prescription opioids and heroin. Approximately

More information

Prescription Drug Abuse: It s Not What the Doctor Ordered. Wilson M. Compton, M.D., M.P.E. Deputy Director, National Institute on Drug Abuse

Prescription Drug Abuse: It s Not What the Doctor Ordered. Wilson M. Compton, M.D., M.P.E. Deputy Director, National Institute on Drug Abuse Prescription Drug Abuse: It s Not What the Doctor Ordered Wilson M. Compton, M.D., M.P.E. Deputy Director, National Institute on Drug Abuse Prescription Drug Abuse is a Major Problem in USA: Number of

More information

MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION

MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION Sidarth Wakhlu,M.D. Addiction Team Leader North Texas VA Health Care System Addiction Psychiatry Fellowship Director Associate Professor Of Psychiatry

More information

MEDICAL ASSISTANCE BULLETIN

MEDICAL ASSISTANCE BULLETIN ISSUE DATE September 4, 2015 SUBJECT EFFECTIVE DATE September 9, 2015 MEDICAL ASSISTANCE BULLETIN NUMBER *See below BY Prior Authorization of Opiate Dependence Treatments, Oral Buprenorphine Agents - Pharmacy

More information

The Honorable Joseph R. Pitts

The Honorable Joseph R. Pitts Dr. H. Westley Clark, Director, SAMHSA Center for Substance Abuse Treatment Responses to Questions for the Record Energy and Commerce Committee, Subcommittee on Health Hearing June 14, 2013 Examining the

More information

The Determinations Report: A Report On the Physician Waiver Program Established by the. Drug Addiction Treatment Act of 2000 ( DATA )

The Determinations Report: A Report On the Physician Waiver Program Established by the. Drug Addiction Treatment Act of 2000 ( DATA ) The Determinations Report: A Report On the Physician Waiver Program Established by the Drug Addiction Treatment Act of 2000 ( DATA ) Submitted by the Center for Substance Abuse Treatment, Substance Abuse

More information

Title: The Certified Medication Assisted Treatment Advocate (CMA) Training Course

Title: The Certified Medication Assisted Treatment Advocate (CMA) Training Course The American Association for the Treatment of Opioid Dependence, provider #1044, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org,

More information

The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community

The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community November 2014 INTRODUCTION The Heroin

More information

Congressional Testimony. Laurence M. Westreich, M.D. President, American Academy of Addiction Psychiatry

Congressional Testimony. Laurence M. Westreich, M.D. President, American Academy of Addiction Psychiatry Congressional Testimony Laurence M. Westreich, M.D. President, American Academy of Addiction Psychiatry Combatting the Opioid Abuse Epidemic: Professional and Academic Perspectives, April 23 rd 2015 Subcommittee

More information

SUBOXONE /VIVITROL WEBINAR. Educational Training tool concerning the Non-Methadone Medication Assisted Treatment Policy that is Effective on 1/1/12

SUBOXONE /VIVITROL WEBINAR. Educational Training tool concerning the Non-Methadone Medication Assisted Treatment Policy that is Effective on 1/1/12 SUBOXONE /VIVITROL WEBINAR Educational Training tool concerning the Non-Methadone Medication Assisted Treatment Policy that is Effective on 1/1/12 WEBINAR INTRODUCTIONS Cynthia Parsons- Program Manager

More information

S. ll. To provide access to medication-assisted therapy, and for other purposes. IN THE SENATE OF THE UNITED STATES A BILL

S. ll. To provide access to medication-assisted therapy, and for other purposes. IN THE SENATE OF THE UNITED STATES A BILL ALB TH CONGRESS D SESSION S. ll To provide access to medication-assisted therapy, and for other purposes. IN THE SENATE OF THE UNITED STATES llllllllll Mr. MARKEY (for himself, Mrs. FEINSTEIN, Mr. ROCKEFELLER,

More information

Treatment of opioid use disorders

Treatment of opioid use disorders Treatment of opioid use disorders Gerardo Gonzalez, MD Associate Professor of Psychiatry Director, Division of Addiction Psychiatry Disclosures I have no financial conflicts to disclose I will review evidence

More information

Guidelines for the Use of Controlled Substances in the Treatment of Pain Adopted by the New Hampshire Medical Society, July 1998

Guidelines for the Use of Controlled Substances in the Treatment of Pain Adopted by the New Hampshire Medical Society, July 1998 Guidelines for the Use of Controlled Substances in the Treatment of Pain Adopted by the New Hampshire Medical Society, July 1998 Section I: Preamble The New Hampshire Medical Society believes that principles

More information

The Administration s Response to the Prescription Drug Epidemic: Action Items

The Administration s Response to the Prescription Drug Epidemic: Action Items The Administration s Response to the Prescription Drug Epidemic: Action Items As outlined in Epidemic: Responding to America s Prescription Drug Abuse Crisis, below are the action items identified in the

More information

EPIDEMIC 4.6 % OF INDIVIDUALS 18 25 USED PAIN RELIEVERS FOR NON-MEDICAL REASONS. 1.5 MILLION YOUNG ADULTS USED PAIN RELIEVERS IN THE PAST MONTH.

EPIDEMIC 4.6 % OF INDIVIDUALS 18 25 USED PAIN RELIEVERS FOR NON-MEDICAL REASONS. 1.5 MILLION YOUNG ADULTS USED PAIN RELIEVERS IN THE PAST MONTH. Drug Court EPIDEMIC In the 10 years (1997 2007) the per capita retail purchases of Methadone, Hydrocodone and Oxycodone in the United States increased 13-fold, 4-fold and 9-fold, respectively. 4.6 % OF

More information

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California

2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California 2015 OPSC Annual Convention syllabus February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California FRIDAY, FEBRUARY 6, 2015: 9:30am - 10:30am Opioid Addiction and Buprenorphine Use * Presented by

More information

Medication-Assisted Addiction Treatment

Medication-Assisted Addiction Treatment Medication-Assisted Addiction Treatment Molly Carney, Ph.D., M.B.A. Executive Director Evergreen Treatment Services Seattle, WA What is MAT? MAT is the use of medications, in combination with counseling

More information

ARIZONA SUBSTANCE ABUSE PARTNERSHIP Governor s Office for Children, Youth and Families

ARIZONA SUBSTANCE ABUSE PARTNERSHIP Governor s Office for Children, Youth and Families Rx DRUG MISUSE AND ABUSE INITIATIVE IMPLEMENTATION PLAN ARIZONA SUBSTANCE ABUSE PARTNERSHIP Governor s Office for Children, Youth and Families Introduction The Arizona Rx Drug Misuse and Abuse Initiative

More information

UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths

UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths Joanna G Katzman, M.D., M.S.P.H Director, UNM Pain Center Associate Professor,

More information

Medication is not a part of treatment.

Medication is not a part of treatment. Medication is not a part of treatment. Medication can be an effective part of treatment. Medication is used in the treatment of many diseases, including addiction. Medical decisions must be made by trained

More information