Massachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District

Size: px
Start display at page:

Download "Massachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District"

Transcription

1 Massachusetts Substance Abuse Policy and Practices Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District November 2014

2 Substance Abuse and Addiction National and State opioid abuse overview and statistics Massachusetts Prescription Monitoring Program History and overview Current practices Looking ahead to future policy 2

3 National Drug Abuse Statistics Deaths from drug overdose have become the leading cause of injury death in the United States Every day in the United States, 114 people die as a result of drug overdose Another 6,748 are treated in emergency departments (ED) for the misuse or abuse of drugs daily In 2012, of the 41,502 drug overdose deaths in the United States, 22,114 (53%) were related to pharmaceuticals. Of these deaths, 16,007 (72%) involved opioid analgesics and 6,524 (30%) involved benzodiazepines. Source: National Center for Injury Prevention and Control, CDC 3

4 National Drug Abuse Data Continued In the United States, prescription opioid abuse costs were about $55.6 billion in % to workplace costs (lost productivity) 45% healthcare costs (ER visits, treatments) 9% criminal justice costs Source: National Center for Injury Prevention and Control, CDC 4

5 Massachusetts Data Accidental deaths Other and Unspecified Causes, 728, 24% Poisoning/ Drug Overdose 839, 27% Firearm, 266, 9% MV-Traffic Occupant*, 281, 9% Suffocation Hanging, 412, 13% Fall, 540, 18% Sources: Registry of Vital Records and Statistics, MA Department of Public Health 5

6 Massachusetts Overdose Deaths Source: Substance Abuse and Mental Health Services Administration,

7 Massachusetts Drug Related Emergency Department Visits Emergency Department (ED) Visits Involving the Nonmedical Use of Selected Narcotic Pain Relievers: 2004 and , Number of ED Visits ,701 39,846 82,480 36,806 66,870 14,090 34,593 9,823 20,034 3,385 18,224 0 Oxycodone Products (263%) Hydrocodone Products (107%) Methadone (82%) Morphine Products (146%) Fentanyl Products (104%) Hydromorphone Products (438%) Selected Narcotic Pain Relievers 7

8 What is driving overdose trends? New Drug Use Patterns New Initiates to prescription drugs Vicodin/Percocet/oxycodone >>> heroin Heroin Availability/Purity/Lethal Mixture Heroin is the leading drug threat in New England From Heroin reported as primary drug increased from 20% - 40% of treatment admissions in MA Prescribing Patterns Schedule II Opioid prescriptions more than doubled since the 1990s 8

9 US Consumption of Rx Drugs U.S. has 310 million people or about 4.6% of world population U.S. consumes 99% of world supply of hydrocodone U.S. consumes 83% of world supply of oxycodone TOTAL 158 million Rx s or 4.75 Billion tablets 158 tablets for every person in the U.S. Source: National Center for Injury Prevention and Control, CDC 9

10 Sources of opioids for non-medical use 55% free from friends or relatives 17% MD prescription 11% bought from friend or relatives 5% stole from friend or relative 4% drug dealer or stranger <1% internet 70% from friends or relatives Source: National Center for Injury Prevention and Control, CDC 10

11 Strategies to address drug overdose Prescription monitoring programs Prescription drug take back events Safe opioid prescribing education Expansion of opioid agonist treatment Access to substance abuse treatment 11

12 Massachusetts Prescription Monitoring Program (PMP) A tool that supports safe prescribing and dispensing and assists in addressing prescription drug misuse, abuse and diversion. Collects dispensing information on Massachusetts Schedule II through V controlled substances dispensed pursuant to a prescription; products with recognized potential for abuse or dependence (e.g., narcotics, stimulants, sedatives). They are among those most sought for illicit and non-medical use. The Drug Control Program (DCP) analyzes the PMP data to determine prescribing and dispensing trends; provide patient prescription history information to prescribers and dispensers; provide educational information to health care providers and the public; and to provide case information to regulatory and law enforcement agencies concerning drug distribution and diversion. 12

13 Massachusetts Prescription Monitoring Program continued The Department of Public Health s DCP established the MA PMP in 1992 pursuant to joint regulations with the Board of Registration in Pharmacy The prescription information is reported electronically to the PMP at least once a week from all Massachusetts community, hospital outpatient and clinic pharmacies as well as from out-of-state mail order pharmacies that deliver to patients in Massachusetts. During fiscal year 2013 pharmacies reported over 12 million prescriptions to the PMP. The Medical Review Group (MRG), comprised of physicians, dentists and pharmacists, evaluate prescription data analyzed by DCP staff and provide peer review of the data and make recommendations to the DCP. 13

14 The Growth of Prescription Monitoring Programs states had monitoring programs 36 states had no prescription monitoring programs states had prescription drug monitoring programs 9 states had no monitoring program 14

15 Massachusetts PMP Information Collected Patient identification: Name & Address DOB & Gender Prescriber Information Dispensing Pharmacy Information Drug Information, e.g. NDC # = name, type, strength, manufacturer Quantity & date dispensed 15

16 PMP and Doctor Shopping What is doctor shopping? Patient seeks prescription without informing a prescriber that he/she has obtained prescriptions from other prescribers How can PMP data be used to measure it? Patients with prescriptions from multiple prescribers, filled at multiple pharmacies, can be identified in PMP data States use different reporting thresholds (drug schedules) 16

17 Massachusetts Declining Rates of Rxs CY 2009 CY 2012 % Difference Threshold C-II Opioid Rate per 100,000 C-II Opioid Rate per 100,000 > = 2 Presc & 2 Pharm 15, > = 4 Presc & 4 Pharm 1, > = 6 Presc & 6 Pharm > = 8 Presc & 8 Pharm > = 10 Presc & 10 Pharm Decrease in number of Opiods prescribed as use of Prescription Monitoring Program is expanded and required 17

18 Special Committee on Substance Abuse and Treatment Options Accessible treatment options covered by insurance at all levels of care Public awareness about prescription drug addiction and abuse Mental health and substance abuse counselors in elementary public schools Training and distribution of nasal Narcan Expansion of specialty drug courts to divert individuals to treatment Accreditation program for oversight of sober homes Funding to combat substance abuse within the community Treatment of addiction as a chronic illness and not a moral failing 18

19 Questions? 19

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 PAINKILLER OVERDOSES

PRESCRIPTION PAINKILLER OVERDOSES IMPACT{ POLICY PRESCRIPTION PAINKILLER OVERDOSES National Center for Injury Prevention and Control Division of Unintentional Injury Prevention What s the Issue? In a period of nine months, a tiny Kentucky

More information

Prescription Drugs: Impacts of Misuse and Accidental Overdose in Mississippi. Signe Shackelford, MPH Policy Analyst November 19, 2013

Prescription Drugs: Impacts of Misuse and Accidental Overdose in Mississippi. Signe Shackelford, MPH Policy Analyst November 19, 2013 Prescription Drugs: Impacts of Misuse and Accidental Overdose in Mississippi Signe Shackelford, MPH Policy Analyst November 19, 2013 Center for Mississippi Health Policy Independent, non-profit organization

More information

2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov

2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov OHIO AUTOMATED RX REPORTING SYSTEM 2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov OHIO AUTOMATED RX REPORTING SYSTEM What is OARRS? To address the growing misuse and diversion

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 Opioid Overdose & Misuse in Oregon

Prescription Opioid Overdose & Misuse in Oregon Prescription Opioid Overdose & Misuse in Oregon Mel Kohn, MD MPH Public Health Director and State Public Health Officer Oregon Health Authority Oregon In-State Policy Workshop NGA Policy Academy: Reducing

More information

3/27/2012. Supply and Demand: The Substance Abuse/Misuse Market Triangle

3/27/2012. Supply and Demand: The Substance Abuse/Misuse Market Triangle Substance Abuse and Misuse: A Tragic Market That Can Be Curtailed Tennessee Department of Health Protect, promote, and improve the health and prosperity of persons in the State of Tennessee. John J. Dreyzehner,

More information

Drug Diversion. Controlled Substance Prescribing and Diversion

Drug Diversion. Controlled Substance Prescribing and Diversion Drug Diversion Provider Presentation Controlled Substance Prescribing and Diversion Angela Wallace, R.Ph. Coastal District Inspector, PMP Law Enforcement Officer DHEC Bureau of Drug Control Presentation

More information

Prescription drug abuse trends. Minnesota s Prescription Monitoring Program. Minnesota Rural Health Conference June 25, 2013 Duluth

Prescription drug abuse trends. Minnesota s Prescription Monitoring Program. Minnesota Rural Health Conference June 25, 2013 Duluth Prescription drug abuse trends Minnesota s Prescription Monitoring Program Carol Falkowski Drug Abuse Dialogues www.drugabusedialogues.com Barbara Carter, Manager MN Board of Pharmacy www.pmp.pharmacy.state.mn.us

More information

TESTIMONY. March 17, 2014. Rutland, VT

TESTIMONY. March 17, 2014. Rutland, VT Community Solutions to Breaking the Cycle of Heroin & Opioid Addiction TESTIMONY Harry Chen, MD, Commissioner of Health March 17, 2014 Senate Committee on the Judiciary Franklin Conference Center at the

More information

RESPONSE TO THE MASSACHUSETTS OPIOID PRESCRIPTION DRUG EPIDEMIC

RESPONSE TO THE MASSACHUSETTS OPIOID PRESCRIPTION DRUG EPIDEMIC RESPONSE TO THE MASSACHUSETTS OPIOID PRESCRIPTION DRUG EPIDEMIC 2014 Report of Best Practices Joint Policy Working Group With the goal of reducing diversion, abuse and addiction and protecting access for

More information

Populations at risk for opioid overdose

Populations at risk for opioid overdose Populations at risk for opioid overdose Len Paulozzi, MD, MPH Division of Unintentional Injury Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention April

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

A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death

A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death 2013 WPHA-WALHDAB Annual Conference Wednesday, May 22: 2:00-2:35 pm Lisa Bullard-Cawthorne, MS, MPH OPIATE PREVALENCE IN DANE

More information

American Indian Health Commission for Washington State October 1, 2015

American Indian Health Commission for Washington State October 1, 2015 American Indian Health Commission for Washington State October 1, 2015 States with more opioid pain reliever sales tend to have more drug overdose deaths Death rate, 2011, National Vital Statistics System.

More information

Drug overdose death rates by state per 100,000 people (2008) SOURCE: National Vital Statistics System, 2008

Drug overdose death rates by state per 100,000 people (2008) SOURCE: National Vital Statistics System, 2008 PRESCRITPION DRUG ABUSE: AN EPIDEMIC What is Addiction? By: Lon R. Hays, M.D., M.B.A. Professor and Chairman Department of Psychiatry University of Kentucky Healthcare Addiction is a primary, chronic disease

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

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas

Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas Presentation to Senate Health and Human Services Committee: Prescription Drug Abuse in Texas David Lakey, MD Commissioner, Department of State Health Services Lauren Lacefield Lewis Assistant Commissioner,

More information

MA Prescription Monitoring Program Prescriber Electronic Alert Notifications

MA Prescription Monitoring Program Prescriber Electronic Alert Notifications MA Prescription Monitoring Program Prescriber Electronic Alert Notifications Bureau of Health Care Safety and Quality Len Young, Epidemiologist February 20, 2014 Slide 1 MA PRESCRIPTION MONITORING PROGRAM

More information

Prescription Drug Abuse and NASPER Harold Rogers Prescription Drug Monitoring Program June 30, 2010 Washington, DC

Prescription Drug Abuse and NASPER Harold Rogers Prescription Drug Monitoring Program June 30, 2010 Washington, DC Prescription Drug Abuse and NASPER Harold Rogers Prescription Drug Monitoring Program June 30, 2010 Washington, DC Nick Reuter Division of Pharmacologic Therapy Substance Abuse and Mental Health Services

More information

OBJECTIVES. ! Understand the rising epidemic of prescription drug abuse in Wyoming. ! Know how to access and use reports from the WORx program

OBJECTIVES. ! Understand the rising epidemic of prescription drug abuse in Wyoming. ! Know how to access and use reports from the WORx program Full source: Wyoming Survey & Analysis Center (2013). Wyoming Prevention Needs Assessment: Interactive Graphing. Laramie, WY: University of Wyoming. (http://pnasurvey.org) Full Source: Wyoming Department

More information

The Prescription Drug Abuse and Heroin Crisis: New York s Response

The Prescription Drug Abuse and Heroin Crisis: New York s Response The Prescription Drug Abuse and Heroin Crisis: New York s Response Joshua S. Vinciguerra, Director Bureau of Narcotic Enforcement October 28, 2015 October 28, 2015 2 The Connection States with more opioid

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

Southlake Psychiatry. Suboxone Contract

Southlake Psychiatry. Suboxone Contract Suboxone Contract Thank you for considering Southlake Psychiatry for your Suboxone treatment. Opiate Addiction is a serious condition for which you may find relief with Suboxone treatment. In order to

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 Cost of Pain and Economic Burden of Prescription Misuse, Abuse and Diversion. Angela Huskey, PharmD, CPE

The Cost of Pain and Economic Burden of Prescription Misuse, Abuse and Diversion. Angela Huskey, PharmD, CPE The Cost of Pain and Economic Burden of Prescription Misuse, Abuse and Diversion Angela Huskey, PharmD, CPE Case Bill is a 47 year old man with a history of low back pain and spinal stenosis Not a real

More information

6/19/2014. Opiate and Heroin Abuse in Rural Communities Litchfield County Opiate Task Force

6/19/2014. Opiate and Heroin Abuse in Rural Communities Litchfield County Opiate Task Force Opiate and Heroin Abuse in Rural Communities Litchfield County Opiate Task Force Joy Pendola; LMFT, LADC, Clinical Manager of DDIOP and Adult Behavioral Health Services at the Charlotte Hungerford Hospital

More information

MEETING OF THE DRUG SAFETY AND RISK MANAGEMENT ADVISORY COMMITTEE MEETING: RISKS AND BENEFITS OF HYDROCODONE COMBINATION ANALGESIC PRODUCTS

MEETING OF THE DRUG SAFETY AND RISK MANAGEMENT ADVISORY COMMITTEE MEETING: RISKS AND BENEFITS OF HYDROCODONE COMBINATION ANALGESIC PRODUCTS MEETING OF THE DRUG SAFETY AND RISK MANAGEMENT ADVISORY COMMITTEE MEETING: RISKS AND BENEFITS OF HYDROCODONE COMBINATION ANALGESIC PRODUCTS David Gaugh, R.Ph. Senior Vice President for Sciences and Regulatory

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

Prescription Drug Monitoring Programs

Prescription Drug Monitoring Programs Prescription Drug Monitoring Programs Montana State Fund 13 th Annual Medical Conference November 1, 2013 Peter Kreiner, Ph.D. PDMP Center of Excellence at Brandeis University Primary non-heroin opiates/synthetics

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. NEW products from the Medicare Learning Network (MLN)

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. NEW products from the Medicare Learning Network (MLN) Medicare Advantage Outreach and Education Bulletin Anthem Blue Cross Prescription Drug Monitoring Programs Prescription drug abuse and diversion are acute problems in the area of pain management. The Centers

More information

DEA REGISTRATION FEES FACT SHEET

DEA REGISTRATION FEES FACT SHEET DEA REGISTRATION FEES FACT SHEET Summary On April 16, 2012,the Drug Enforcement Administration (DEA) will implement an adjustment to the fees it charges to DEA registrants. For the vast majority of registrants

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

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

ARCHIVED BULLETIN. Product No. 2004-L0424-013 SEPTEMBER 2004 U. S. D E P A R T M E N T O F J U S T I C E

ARCHIVED BULLETIN. Product No. 2004-L0424-013 SEPTEMBER 2004 U. S. D E P A R T M E N T O F J U S T I C E BULLETIN INTELLIGENCE Product No. 2004-L0424-013 SEPTEMBER 2004 U. S. D E P A R T M E N T O F J U S T I C E NDIC Within the past 2 years buprenorphine a Schedule III drug has been made available for use

More information

Drug- and Alcohol-Related Intoxication Deaths in Maryland, 2014

Drug- and Alcohol-Related Intoxication Deaths in Maryland, 2014 Maryland Department of Health and Mental Hygiene Larry Hogan, Governor Boyd Rutherford, Lt. Governor Van Mitchell, Secretary May, 215 Drug- and Alcohol-Related Intoxication Deaths in Maryland, 214 Table

More information

INFORMATION BRIEF. Overview. Prescription Drug Abuse Among Young People

INFORMATION BRIEF. Overview. Prescription Drug Abuse Among Young People Product No. 2002-L0424-004 INFORMATION BRIEF AUGUST 2002 U. S. D E P A R T M E N T O F J U S T I C E NDIC and Stockbyte Overview Prescription drugs, a category of psychotherapeutics that comprises prescription-type

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

Presentation by: Commissioner E. Douglas Varney

Presentation by: Commissioner E. Douglas Varney Presentation by: Commissioner E. Douglas Varney Prescription Drug Abuse Affects Everyone Families as a whole Women Children The abuse of prescription drugs, particularly opioids, is costly not only for

More information

JAN 2 7 2016. poisonings, commonly referred to as drug overdoses, are one of. the leading causes of injury-related mortality in Hawaii.

JAN 2 7 2016. poisonings, commonly referred to as drug overdoses, are one of. the leading causes of injury-related mortality in Hawaii. THE SENATE TWENTY-EIGHTH LEGISLATURE, 0 STATE OF HAWAII JAN 0 A BILL FOR AN ACT S.B. NO. % RELATING TO DRUG OVERDOSE PREVENTION BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII: 0 SECTION. The legislature

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

Prescription Opioid Addiction and Chronic Pain: Non-Addictive Alternatives To Treatment and Management

Prescription Opioid Addiction and Chronic Pain: Non-Addictive Alternatives To Treatment and Management Prescription Opioid Addiction and Chronic Pain: Non-Addictive Alternatives To Treatment and Management Dr. Barbara Krantz Medical Director Diplomate American Board of Addiction Medicine 1 Learning Objectives

More information

What Every Practitioner Needs to Know About Controlled Substance Prescribing

What Every Practitioner Needs to Know About Controlled Substance Prescribing What Every Practitioner Needs to Know About Controlled Substance Prescribing New York State Department of Health Use of Controlled Substances Controlled substances can be effective in the treatment of

More information

Fighting Prescription Drug Abuse in Lake County: A Partnership In The Community Between The Citizens, Physicians, Pharmacies and Law Enforcement

Fighting Prescription Drug Abuse in Lake County: A Partnership In The Community Between The Citizens, Physicians, Pharmacies and Law Enforcement Fighting Prescription Drug Abuse in Lake County: A Partnership In The Community Between The Citizens, Physicians, Pharmacies and Law Enforcement Presented by: Sgt. Chris Begley Lake County Narcotics Agency

More information

Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion

Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion Michael Halse, PharmD PGY1 Resident Pharmacist South County Hospital and Healthcare System Disclosures

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

Drug Testing to Support Pain Management

Drug Testing to Support Pain Management NATIONAL REFERENCE LABORATORY Drug Testing to Support Pain Management 500 Chipeta Way, Salt Lake City, UT 84108 (800) 522-2787 (801) 583-2787 www.aruplab.com www.arupconsult.com ARUP is an enterprise of

More information

Reducing Narcotics Misuse and Abuse in Workers Compensation

Reducing Narcotics Misuse and Abuse in Workers Compensation Reducing Narcotics Misuse and Abuse in Workers Compensation Trusted. Reliable. Sustainable. Page 2 Introduction Narcotics have a long history of being used to therapeutically treat pain resulting from

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

2010-2011 Prescription Drug Monitoring Program Annual Report

2010-2011 Prescription Drug Monitoring Program Annual Report 2010-2011 Prescription Drug Monitoring Program Annual Report Prescription Drug Monitoring Program E-FORCSE 4052 Bald Cypress Way, Bin C-16 Tallahassee, FL 32399 (850) 245-4444 X 3700 December 1, 2011 Prescription

More information

Trends of Opioid Misuse and Diversion: Lessons from the United States

Trends of Opioid Misuse and Diversion: Lessons from the United States Trends of Opioid Misuse and Diversion: Lessons from the United States 31 October 2012 Richard C. Dart, MD, PhD Director Rocky Mountain Poison and Drug Center Professor - University of Colorado, Department

More information

WHAT WE KNOW. Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE

WHAT WE KNOW. Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE Collective Action Issue Brief #2 Updated June 2014 PRESCRIPTION PAIN MEDICATION MISUSE WHAT WE KNOW The misuse and abuse of prescription drugs has become a leading cause of harm among New Hampshire adults,

More information

Summit Spotlight Treatment Track breakout sessions announced

Summit Spotlight Treatment Track breakout sessions announced Volume 5, Issue 15, December 21, 2015 In This Issue: * Treatment Track breakout sessions announced 1. Drug overdose deaths reach all- time high 2. CDC releases draft opioid guidelines; seeks comments 3.

More information

The Supply Chain of Controlled Substances - Wholesale Drug Diversion - The Problem and DEA s New Strategy

The Supply Chain of Controlled Substances - Wholesale Drug Diversion - The Problem and DEA s New Strategy Global Clinical Risk Management & Regulatory Policy Courtyard Alexandria Pentagon South Alexandria, VA 22304 July 11-12, 2013 The Supply Chain of Controlled Substances - Wholesale Drug Diversion - The

More information

Data-Driven Multi-Disciplinary Approaches to Reducing Rx Abuse, BJA Award FY 2014

Data-Driven Multi-Disciplinary Approaches to Reducing Rx Abuse, BJA Award FY 2014 Data-Driven Multi-Disciplinary Approaches to Reducing Rx Abuse, BJA Award FY 2014 Denise Paone and Alexandra Harocopos Bureau of Alcohol & Drug Use Prevention, Care & Treatment New York City Department

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

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

Prescription Drug Abuse. Katherine E. Schmidt. IHEC Intern - Fall 2010

Prescription Drug Abuse. Katherine E. Schmidt. IHEC Intern - Fall 2010 Disclaimer: The views of the author do not necessarily reflect the views and beliefs of the Illinois Higher Education Center, Eastern Illinois University, and The Department of Human Services. Prescription

More information

Visit www.takebackmylife.org to hear more of my story or call 211 for help and treatment options

Visit www.takebackmylife.org to hear more of my story or call 211 for help and treatment options In high school, I experimented with alcohol and pot. Then I moved on to narcotics and cocaine, which landed me in jail several times. By 25, I was a daily heroin user with a long-term prison sentence.

More information

What Parents Need to Know

What Parents Need to Know What Parents Need to Know About Prescription Drug Abuse Office of District Attorney Jonathan W. Blodgett A Message From the District Attorney Prescription drug abuse is a growing problem. According to

More information

Recommendations of the Governor s Task Force on Prescription Drug and Heroin Abuse

Recommendations of the Governor s Task Force on Prescription Drug and Heroin Abuse Recommendations of the Governor s Task Force on Prescription Drug and Heroin Abuse Jodi Manz, MSW Policy Advisor Office of the Secretary of Health and Human Resources October 7, 2015 Rates of of Opioid

More information

Implementing Prescribing Guidelines in the Emergency Department. April 16, 2013

Implementing Prescribing Guidelines in the Emergency Department. April 16, 2013 Implementing Prescribing Guidelines in the Emergency Department April 16, 2013 Housekeeping Note: Today s presentation is being recorded and will be provided within 48 hours. Two ways to ask questions

More information

Opioids and the Injured Worker Tools for Successful Outcomes

Opioids and the Injured Worker Tools for Successful Outcomes Opioids and the Injured Worker Tools for Successful Outcomes Tim Pokorney, RPh Director, Clinical Express Scripts Workers' Compensation Division Goals and Objectives Alarming statistics for narcotic utilization,

More information

INFO Brief. Prescription Opioid Use: Pain Management and Drug Abuse In King County and Washington State

INFO Brief. Prescription Opioid Use: Pain Management and Drug Abuse In King County and Washington State ADAI-IB 23-3 INFO Brief Prescription Opioid Use: Pain Management and Drug Abuse In King County and Washington State O ctober 23 Caleb Banta-Green (Alcohol and Drug Abuse Institute, University of Washington),

More information

DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES ADMINISTRATIVE BULLETIN 3:38

DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES ADMINISTRATIVE BULLETIN 3:38 DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES ADMINISTRATIVE BULLETIN 3:38 Effective Date: May 21, 2014 SUBJECT: Guidelines for Use of the Prescription Drug Monitoring in Opioid Treatment Programs I.

More information

The TIRF REMS Access program is a Food and Drug Administration (FDA) required risk management program

The TIRF REMS Access program is a Food and Drug Administration (FDA) required risk management program Subject: Important Drug Warning Announcement of a single shared REMS (Risk Evaluation and Mitigation Strategy) program for all Transmucosal Immediate Release Fentanyl (TIRF) products due to the potential

More information

Narcotic drugs used for pain treatment Version 4.3

Narcotic drugs used for pain treatment Version 4.3 Narcotic drugs used for pain treatment Version 4.3 Strategy to restrict the pack sizes or the type of packaging available in public pharmacies. 1. Introduction The document describing the strategy of the

More information

Arkansas Emergency Department Opioid Prescribing Guidelines

Arkansas Emergency Department Opioid Prescribing Guidelines Arkansas Emergency Department Opioid Prescribing Guidelines 1. One medical provider should provide all opioids to treat a patient s chronic pain. 2. The administration of intravenous and intramuscular

More information

RULES AND REGULATIONS PERTAINING TO OPIOID OVERDOSE REPORTING

RULES AND REGULATIONS PERTAINING TO OPIOID OVERDOSE REPORTING RULES AND REGULATIONS PERTAINING TO OPIOID OVERDOSE REPORTING [R23-1-OPOIDR] STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH April 2014 (E) COMPILER S NOTES: Proposed Additions: The

More information

Sample Patient Agreement Forms

Sample Patient Agreement Forms Sample Patient Agreement Forms Introduction This resource includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other

More information

A Review of the Impacts of Opiate Use in Ontario: Summary Report

A Review of the Impacts of Opiate Use in Ontario: Summary Report A Review of the Impacts of Opiate Use in Ontario: Summary Report A Provincial Summary Report of the Impacts of the Discontinuation of Oxycontin in Ontario: January to August 2013 December 2013 This report

More information

Addictive Prescription Drugs and Orange County Seniors

Addictive Prescription Drugs and Orange County Seniors Addictive Prescription Drugs and Orange County Seniors Addictive Prescription Drugs and Orange County Seniors SUMMARY Although a considerable amount of research and study has gone into defining critical

More information

Prescription Drug Abuse and Pain Management Clinics 2015 Report to the 109 th Tennessee General Assembly

Prescription Drug Abuse and Pain Management Clinics 2015 Report to the 109 th Tennessee General Assembly Prescription Drug Abuse and Pain Management Clinics 2015 Report to the 109 th Tennessee General Assembly Andrea Huddleston, Chief Deputy General Counsel Tennessee Department of Health Office of General

More information

The Opioid Addiction Epidemic: How marketing and regulatory failure led to a public health crisis

The Opioid Addiction Epidemic: How marketing and regulatory failure led to a public health crisis The Opioid Addiction Epidemic: How marketing and regulatory failure led to a public health crisis Andrew Kolodny, M.D. Chief Medical Officer, Phoenix House Foundation Inc. Executive Director, Physicians

More information

EMERGENCY DEPARTMENT VISITS INVOLVING NARCOTIC PAIN RELIEVERS

EMERGENCY DEPARTMENT VISITS INVOLVING NARCOTIC PAIN RELIEVERS Relievers Pain Narcotic Involving Visits Department Emergency Drug Abuse Warning Network Short Report November 05, 2015 EMERGENCY DEPARTMENT VISITS INVOLVING NARCOTIC PAIN RELIEVERS AUTHORS Elizabeth H.

More information

Heroin in Snohomish County: Mortality and Treatment Trends

Heroin in Snohomish County: Mortality and Treatment Trends Heroin in Snohomish County: Mortality and Treatment Trends January 2015 This page left intentionally blank. Table of Contents Introduction and Acknowledgments 1 Executive Summary 2 Mortality Overdose Mortality

More information

Opioid Overdose in Western Massachusetts Springfield and Western Counties compared to statewide data

Opioid Overdose in Western Massachusetts Springfield and Western Counties compared to statewide data Volume #1 October 2015 PUBLIC HEALTH ISSUE BRIEF Opioid Overdose in Western Massachusetts Springfield and Western Counties compared to statewide data October 2015 Partners for a Healthier Community, Inc.

More information

Mandatory Prescriber Usage of the Kentucky All Schedule Prescription Electronic Reporting System (KASPER)

Mandatory Prescriber Usage of the Kentucky All Schedule Prescription Electronic Reporting System (KASPER) Mandatory Prescriber Usage of the Kentucky All Schedule Prescription Electronic Reporting System (KASPER) David R. Hopkins KASPER Program Manager Office of Inspector General Kentucky Cabinet for Health

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

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

Richard C. Dart, MD, PhD Denver Health & Hospital Authority Professor, University of Colorado School of Medicine

Richard C. Dart, MD, PhD Denver Health & Hospital Authority Professor, University of Colorado School of Medicine Richard C. Dart, MD, PhD Denver Health & Hospital Authority Professor, University of Colorado School of Medicine Goal: Minimize abuse and diversion (MAD) while providing pain control for patients. A claim

More information

Drug Overdose Deaths, Hospitalizations, Abuse & Dependency among Oregonians

Drug Overdose Deaths, Hospitalizations, Abuse & Dependency among Oregonians 214 Drug Overdose Deaths, Hospitalizations, Abuse & Dependency among Oregonians Oregon Health Authority Center for Prevention & Health Promotion, Injury & Violence Prevention Section 5/3/214 Drug Overdose

More information

Strong States, Strong Nation POLICY OPTIONS TO DECREASE RISKS FROM THE USE OF METHADONE AS A PAIN RELIEVER

Strong States, Strong Nation POLICY OPTIONS TO DECREASE RISKS FROM THE USE OF METHADONE AS A PAIN RELIEVER Strong States, Strong Nation POLICY OPTIONS TO DECREASE RISKS FROM THE USE OF METHADONE AS A PAIN RELIEVER November 17, 2015 Today s Speakers Karmen Hanson, Program Manager, NCSL Cynthia Reilly, Director,

More information

The Massachusetts Prescription Monitoring Program

The Massachusetts Prescription Monitoring Program The Massachusetts Prescription Monitoring Program A Report to the Massachusetts General Court February 2015 Governor Charles D. Baker Secretary of Health and Human Services Marylou Sudders Massachusetts

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

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

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

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

Fraud, Waste and Abuse

Fraud, Waste and Abuse Fraud, Waste and Abuse CT - Fraud Hotline submitted by Connecticut The Fraud Hotline at the Department of Social Services (DSS) is a proactive approach to handling complaints regarding fraud and abuse

More information

Laboratory Insights into the New Drug Epidemic

Laboratory Insights into the New Drug Epidemic Health Trends Prescription Drug Misuse in America Laboratory Insights into the New Drug Epidemic Table of Contents Summary 2 Majority of Americans Misused Their Prescribed Medications 5 Anyone is at Risk

More information

After seeing a patient on a Diversion Alert installment..

After seeing a patient on a Diversion Alert installment.. After seeing a patient on a Diversion Alert installment.. Recommendations from Dr. James Berry of Mercy Recovery Center OVERVIEW OF DIVERSION Manufacture Distribution Pharmacy Patient End -user OPPORTUNITIES

More information

Prescription Opioid Analgesic Dependence and Addiction: Experience in the United States

Prescription Opioid Analgesic Dependence and Addiction: Experience in the United States Prescription Opioid Analgesic Dependence and Addiction: Experience in the United States October 10, 2013 Richard C. Dart, MD, PhD Director, Rocky Mountain Poison and Drug Center Professor, University of

More information

For a Healthier America: Reducing Prescription Drug Misuse and Abuse

For a Healthier America: Reducing Prescription Drug Misuse and Abuse For a Healthier America: Reducing Prescription Drug Misuse and Abuse The misuse and abuse of prescription medicines is a growing public health problem. In addition to the tragic toll on families and communities,

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

Federal & State Laws Related to Prescribing Controlled Substances

Federal & State Laws Related to Prescribing Controlled Substances Federal & State Laws Related to Prescribing Controlled Substances Richard E. Moses, D.O., J.D., F.A.C.O.I. American College of Osteopathic Internists 2012 Annual Convention & Scientific Sessions Renaissance

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

VIRGINIA S PRESCRIPTION MONITORING PROGRAM

VIRGINIA S PRESCRIPTION MONITORING PROGRAM VIRGINIA S PRESCRIPTION MONITORING PROGRAM A Resource for Patient Management with Controlled Substances 2,500 Past Year Initiates of Specific Illicit Drugs among Persons Aged 12 or Older: 2009 Numbers

More information

A Profile of Drug Overdose Deaths Using the Michigan Automated Prescription System (MAPS)

A Profile of Drug Overdose Deaths Using the Michigan Automated Prescription System (MAPS) A Profile of Drug Overdose Deaths Using the Michigan Automated Prescription System (MAPS) Behavioral Health and Developmental Disabilities Administration Office of Recovery Oriented Systems of Care A Profile

More information

Mandating PDMP participation by medical providers: current status and experience in selected states

Mandating PDMP participation by medical providers: current status and experience in selected states Prescription Drug Monitoring Program Center of Excellence at Brandeis COE Briefing Mandating PDMP participation by medical providers: current status and experience in selected states Revision 1, February

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