Roadmap. Florida Trends in Prescription Drug Abuse. Oath of a Pharmacist. Plantation Chemist Busted
|
|
- Melvin Thomas
- 8 years ago
- Views:
Transcription
1 Florida Trends in Prescription Drug Abuse Jennifer A. Fass, PharmD, CPh Clinical Assistant Professor Roadmap Discuss Florida Medical Examiners Report Illustrate prescription drug abuse cases Describe Florida pain clinics i and prescription drug abuse Identify severity of healthcare professionals involved in drug diversion Discuss implementation of Florida s prescription monitoring program National Prescription Drug Threat Assessment (NPDTA) 2009 Evaluates prescription drug abuse in the U.S. Medical costs approximately $72.5 billion per year Non-medical use of prescription drugs most common among age group Over 8,500 deaths in the U.S. involved prescription pain medications in 2005 Increase of 114% since 2001 Oath of a Pharmacist I promise to devote myself to a lifetime of service to others through the profession of pharmacy. In fulfilling this vow: I will consider the welfare of humanity and relief of suffering my primary concerns. I will apply my knowledge, experience, and skills to the best of my ability to assure optimal outcomes for my patients. I will respect and protect all personal and health information entrusted to me. I will accept the lifelong obligation to improve my professional knowledge and competence. I will hold myself and my colleagues to the highest principles of our profession s moral, ethical, and legal conduct. I will embrace and advocate changes that improve patient care. I will utilize my knowledge, skills, experiences, and values to prepare the next generation of pharmacists. I take these vows voluntarily with the full realization of the responsibility with which I am entrusted by the public. Oath of a Pharmacist. Adopted by AACP House of Delegates July 2007; Approved by APhA National Prescription Drug Threat Assessment Physician and Pharmacist South Florida Drug Trafficking Dr. Robert Hunt and Michael Kenney, RPh arrested for dispensing prescription narcotics without a legitimate medical purpose Drugs included hydrocodone, alprazolam, Subutex Plantation Chemist Busted Seth Mahler: President elect of Broward County Pharmacy Association Felony charges for trafficking prescription pain killers Jail and loss of pharmacy license 1
2 Fatal Prescription? OxyContin #180 Xanax #60 Soma #60 Percocet #120 Duty to Warn Gail Powers died October 2002 from multiple prescription drug overdose OxyContin, Percocet, Soma, Xanax, Valium Medications dispensed by two pharmacies over 6 month period Your Druggist and Medicine Shoppe Florida Supreme Court set duty to warn precedent Powers V. Thobani, et al., No 4D Pharmacist Disciplinary Case Board of Pharmacy Meeting June 9-10, 2009 Pharmacist took controlled substances from pharmacy without prescription License suspended and required to enter Professional Resource Network Probation 5 years Administrative fees $2, PRN-3 Case No Florida Stats: 2009 Florida Medical Examiners Report 8,653 drug related deaths in ,488 individuals died with at least one prescription drug identified to be the cause of death 7 people die each day* Broward County Highest number of deaths of state s 67 counties Drugs causing the most deaths oxycodone, alprazolam, methadone Florida Drug Deaths: 2009 Top 3 Oxycodone Alprazolam Methadone 1, cc496a715b6b/2009-drug-report.aspx 2008 Florida Youth Substance Abuse (FYSAS) Survey Florida Legislature s 1999 Drug Control Summit recommended establishing statewide substance abuse survey Conducted by four state agencies in ,000 students from 714 schools completed the FYSAS Goal is to establish prevention and treatment services 2008 Florida Youth Substance Abuse Survey 2
3 2008 Florida Youth Substance Abuse Survey Cont. Nonmedical use of prescription pain medications in past 30 days Statewide: 3.9% Miami-Dade: 19% 1.9% Broward: 2.3% Palm Beach: 3.2% 2008 Florida Youth Substance Abuse Survey Hall JN. Indicators of prescription drug nonmedical misuse and abuse in South Florida: 2008 Drug Abuse Warning Network (DAWN Live!) 2009 Public health surveillance program for drug related visits to the emergency department Nonmedical use of prescription opioids emergency department reports Broward and Palm Beach: 2,364 Miami Dade: 165 Hall JN. Indicators of prescription drug nonmedical misuse and abuse in South Florida: Michigan Wholesaler License Suspended Harvard Drug Group LLC distributed > 13 million doses of oxycodone over two years to South Florida 39 of 50 pharmacies purchasing largest amounts located in South Florida DEA suspended license to sell oxycodone html?printArticle=y Putting Florida on the Map DEA registered physicians dispense prescription narcotics directly to patients Individuals travel to Florida from Kentucky, Massachusetts, New Jersey, Ohio, and West Virginia i i to obtain prescription narcotics- especially oxycodone Buses, drug flights South Florida Pill Mills A new pain clinic opened in South Florida approximately every 3 days between August 2008 and November pain clinics in South Florida 115 located in Broward County National Prescription Drug Threat Assessment Hall JN. Trends of Nonmedical prescription drug misuse in Miami-Dade, Broward, Palm Beach Counties, and the State of Florida:
4 Pill Mill Investigation News on the Net Pill Pipeline Putting a Stop to Pain Clinics ble 4
5 New Florida Pain Clinic Laws Pain management clinics must be registered with Florida Department of Health by January 4, 2010 Effective October 1, 2010 Prohibited from advertising or promoting use, sale, or dispensing of controlled substances New Florida Pain Clinic Laws Cont. Effective October 1, 2010 Prohibited from dispensing more than a 72 hour supply of controlled substances for patients paying in cash, check, or credit card Physicians must complete specialized training Tallahassee Drug Trafficking Case Christopher Michael Scott sentenced to 25 years in prison for trafficking oxycodone Approximately 250 pills per prescription Obtained oxycodone at pharmacies in Hillsborough, Pinellas, and Pasco counties What s the Going Rate for OxyContin 80 mg? City Price Quantity/Weight Jacksonville $60 80 milligrams Miami $20 80 milligrams Sarasota $ milligrams Ft. Lauderdale $20 80 milligrams West Palm Beach $25 80 milligrams National Prescription Drug Threat Assessment Diverted Controlled Prescription Drug Prices Reported July Florida OxyContin Scam August 6, 2008 sixty-two individuals arrested for health insurance fraud to obtain OxyContin 5 year operation Approximately 130 prescriptions written for OxyContin Over 12,000 tablets Estimated street value $400,000 5
6 Top 50 Oxycodone Dispensing Practitioners 49 of the top 50 dispensing practitioners of oxycodone in U.S. are located in South Florida 25 located in Broward County The 25 Broward pill mill pain clinics dispensed 5,233,785 oxycodone dosage units in same 6 months Broward pain clinics decline from 33 in previous six months Oxycodone pills dispensed declined by 1,250,415 Hall JN. Trends of Nonmedical prescription drug misuse in Miami-Dade, Broward, Palm Beach Counties, and the State of Florida: Florida Law and Dispensing Practitioners Must register as a dispensing practitioner and pay a $100 fee Comply pywith all laws and rules governing pharmacists and pharmacies inspections Provide written prescription to patient Physician Sentenced to Life Chapter 465 Regulation of Professions and Occupations Dispensing Practitioner >2008->Ch0465->Section%200276#
7 Prescription Monitoring Programs (PMPs) Thirty-nine states enacted legislation to establish a PMP Monitor controlled substances dispensed to prevent abuse and diversion Bordering states without PMP see increased abuse Federal grants include Harold Rogers and NASPER State Prescription Drug Monitoring Programs Florida Prescription Monitoring Program (PMP) Florida PMP bill signed June 18, 2009 Established by Florida Department of Health Program Implementation and Oversight Task Force Interdisciplinary 12 member governor appointed task force Florida PMP Cont. Monitor schedule II, III, and IV controlled substances Establish rules by December 1, 2010 Must report controlled substances within 15 days of dispensing Establishes pain clinic regulations Senate Bill Assessing Florida Pharmacists Attitudes Towards PMPs Surveyed 5,000 Florida pharmacists Randomly selected participants through Florida Department of Health Licensee Data Center Ten question voluntary and anonymous self-administered survey Prescription Drug Abuse Task Force 7
8 To Flush or Not To Flush FDA has recommended medications that may be flushed down the toilet Medications not contained on this list: Disposed of in trash after mixing with unpalatable substance (e.g. coffee grounds, cat litter) Seal in bag or container Remove personal identifying information Actiq Medications Recommended for Disposal by Flushing Avinza Dilaudid tablets and oral liquid Dolophine hydrochloride Daytrana Duragesic patch Methadone tablets and oral solution Demerol tablets and oral solution Diastat/Diastat AcuDial rectal gel Embeda Fentora Onsolis Percodan Kadian Opana Xyrem Morphine tablets and oral solution Oramorph SR Oxycontin Exalgo MS Contin Percocet y/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm htm y/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm htm Operation Medicine Cabinet Secure and Responsible Drug Disposal Act of 2010 Passed in U.S. Senate August 3, 2010 Amends federal Controlled Substances Act for take-back disposal of controlled substances Change requirements for requiring permission from DEA and law enforcement to be present s3397rfh.pdf?utm Pharmacist s Role Prescription Drug Abuse Prevention Program Public awareness of dangers of prescription drug abuse Continuing education Interdisciplinary approach Prescription verification ASHP Statement Pharmacist s can play an active role in substance abuse prevention, education, and assistance Substance abuse assistance programs Public substance abuse education and prevention programs Primary and secondary schools, colleges, religious groups 8
9 Drug Abuse Screening Tool: NIDA-Modified ASSIST Web based interactive tool to screen for substance abuse Consists of series of screening questions Calculates substance involvement score Represents level of intervention needed Take Home Points Prescription drug abuse in Florida has reached epidemic proportions PMPs will not completely solve the drug abuse problems Statewide education is crucial Become proactive in state legislature to help shape the profession Questions 9
How To Understand The Health Effects Of Prescription Drugs
Miami-Dade, Broward and Palm Beach Counties, Florida Trends of Nonmedical Prescription Drug Misuse in Miami-Dade, Broward, Palm Beach Counties, and the State of Florida: 2010 James N. Hall 1 ABSTRACT The
More informationSafe Disposal of Medications and Sharps in the Home Setting. American Nurses Association & U.S. Food and Drug Administration
Safe Disposal of Medications and Sharps in the Home Setting American Nurses Association & U.S. Food and Drug Administration Conflicts of Interest Conflicts of Interest occur when an individual has opportunity
More informationSafe Disposal of Medications and Sharps in the Home Setting. American Nurses Association & U.S. Food and Drug Administration
Safe Disposal of Medications and Sharps in the Home Setting American Nurses Association & U.S. Food and Drug Administration Objectives: Identify the potential human and environmental hazards of sharps
More informationPrescription 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 informationPRESCRIPTION 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 information2015 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 informationMassachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District
Massachusetts Substance Abuse Policy and Practices Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District November 2014 Substance Abuse and Addiction National and State opioid abuse
More informationA Healthesystems Clinical Analysis. Insidious Incrementalism of Opioid Use in Workers Compensation
A Healthesystems Clinical Analysis Insidious Incrementalism of Opioid Use in Workers Compensation Prescription opioid use in the United States has grown significantly over the past 20 years. In 1991, there
More informationFlorida s Claim to Fame: Pain Clinics and Narcotic Fraud
Florida s Claim to Fame: Pain Clinics and Narcotic Fraud Dr. Cheryl A. Lindo, PharmD Miami VA Medical Center Miami, FL January 20, 2012 Objectives Highlight Florida s pharmaceutical trends Review diversion
More informationOBJECTIVES. ! 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 informationINFORMATION 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 informationPill Mills, Non-Therapeutic Drug Use, and Prescription Drug Monitoring What to Look for During Investigations
Pill Mills, Non-Therapeutic Drug Use, and Prescription Drug Monitoring What to Look for During Investigations ffrey J. Mesaros, PharmD, JD ice Chair Florida Board of Pharmacy ay 21, 2013 Learning Objectives
More informationHow To Get A Prescription In Rhode Island
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 informationPrescription Drug Abuse Florida s Health Crisis
Prescription Drug Abuse Florida s Health Crisis Overview Florida has been the epicenter for the diversion and abuse of prescription drugs. Prescription drugs killed almost 7 Floridians per day after an
More informationStrong 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 informationState of New York Executive Chamber Andrew M. Cuomo Governor
State of New York Executive Chamber Andrew M. Cuomo Governor For Immediate Release: August 27, 2012 GOVERNOR CUOMO SIGNS LEGISLATION TO HELP NEW YORK STATE FIGHT PRESCRIPTION DRUG ABUSE Governor Andrew
More informationSubstance 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 informationDrug Abuse Trends in Miami-Dade and Broward Counties, South Florida: June 2013 James N. Hall 1
Drug Abuse Trends in Miami-Dade and Broward Counties, South Florida: June 2013 James N. Hall 1 ABSTRACT Significant shifts in drug abuse patterns are underway. Cocaine consequences have stabilized or increased
More informationPrescription 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 informationVisit 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 informationINFO 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 informationCIINCINNATI POLICE PHARMACEUTICAL DIVERSION SQUAD HEALTH CARE PROFESSIONAL INVESTIGATIONS
CIINCINNATI POLICE PHARMACEUTICAL DIVERSION SQUAD HEALTH CARE PROFESSIONAL INVESTIGATIONS CINCINNATI POLICE PHARMACEUTICAL DIVERSION SQUAD Kelly Raker 310 Ezzard Charles Dr. Cincinnati, OH 45214 513-564-2233
More informationDrug Abuse Trends in Miami-Dade County, Florida: 2009-2010
Drug Abuse Trends in Miami-Dade County, Florida: 2009-2010 James N. Hall 1 ABSTRACT Cocaine consequences as a proportion of all drug problems continue to be higher in South Florida than in most of the
More informationMEETING 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 informationPrescription 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 informationTestimony 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 informationMiami-Dade, 2009 SEMI-ANNUAL REPORT
Miami-Dade, 2009 SEMI-ANNUAL REPORT January 1, 2009 to June 30, 2009 James N. Hall United Way of Broward County Commission on Substance Abuse Center for the Study & Prevention of Substance Abuse Memorial
More informationCAPITOL research. Interstate Information Sharing: Prescription Drug Monitoring Programs
The Council of State governments CAPITOL research APRIL 00 Prescription Drug Monitoring Interstate Information Sharing: Prescription Drug Monitoring Programs The Council of State Governments Misuse of
More informationOpioids to Minors and Drug Donation Programs Objectives By completing the lesson, the pharmacist will be able to:
1 1 1 1 1 1 0 1 0 1 Opioids to Minors and Drug Donation Programs Objectives By completing the lesson, the pharmacist will be able to: Discuss Ohio s new laws concerning use of opioids in minors Describe
More informationDrug Take-back Programs: Safe Disposal of Unused, Expired, or Unwanted Medications in North Carolina
Drug Take-back Programs: Safe Disposal of Unused, Expired, or Unwanted Medications in North Carolina Prepared for: Coastal Coalition for Substance Abuse Prevention Prepared by: Tanya Elaine Simons 10 October,
More informationArkansas 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 informationBlueprint for Prescriber Continuing Education Program
CDER Final 10/25/11 Blueprint for Prescriber Continuing Education Program I. Introduction: Why Prescriber Education is Important Health care professionals who prescribe extended-release (ER) and long-acting
More informationWhat Is a Prescriber s Role in Preventing the Diversion of Prescription Drugs?
What Is a Prescriber s Role in Preventing the Diversion of Prescription Drugs? 2 CONTENT SUMMARY Drug diversion is the illegal distribution or abuse of prescription drugs or their use for unintended purposes.
More informationReducing 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 information2014, That Was The Year That Was Greg Baran, RPh, MA, FMPA Baran Consulting LLC
2014, That Was The Year That Was Greg Baran, RPh, MA, FMPA Baran Consulting LLC Objectives 1. Review the changes to the pharmacy practice act related to sterile compounding. 2. Understand the role of the
More informationDrug 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 informationOpioids 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 informationWhat 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 informationPrescription 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 informationFighting 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 informationKentucky All Schedule Prescription Electronic Reporting (KASPER)
Kentucky All Schedule Prescription Electronic Reporting (KASPER) A Comprehensive Report on Kentucky s Prescription Monitoring Program Prepared by the Cabinet for Health and Family Services Office of the
More informationFrequently Asked Questions: HB 341 Mandatory OARRS Registration and Requests
Frequently Asked Questions: HB 341 Mandatory OARRS Registration and Requests Q1) What is OARRS? Updated 12-18-2014 OARRS stands for the Ohio Automated Rx Reporting System. Established in 2006, OARRS is
More informationPresentation 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 information2013 OHIO DRUG OVERDOSE DATA: GENERAL FINDINGS 1
Number of Deaths Rate per 100,000 persons 2013 OHIO DRUG OVERDOSE DATA: GENERAL FINDINGS 1 Drug overdose deaths continue to be a public health crisis in Ohio with a 413 percent increase in the number of
More informationGAO PRESCRIPTION DRUGS. OxyContin Abuse and Diversion and Efforts to Address the Problem. Report to Congressional Requesters
GAO United States General Accounting Office Report to Congressional Requesters December 2003 PRESCRIPTION DRUGS OxyContin Abuse and Diversion and Efforts to Address the Problem GAO-04-110 December 2003
More informationINFORMATION EXCHANGE IN PRESCRIPTION DRUG MONITORING PROGRAMS (PMPS) LEGAL ISSUES REGARDING ACCESS AND NATIONAL ALLIANCE FOR MODEL STATE DRUG LAWS
INFORMATION EXCHANGE IN PRESCRIPTION DRUG MONITORING PROGRAMS (PMPS) LEGAL ISSUES REGARDING ACCESS AND DISCLOSURE SHERRY L. GREEN, CEO NATIONAL ALLIANCE FOR MODEL STATE DRUG LAWS NATIONAL CONFERENCE OF
More informationSAFE PAIN MEDICATION PRESCRIBING GUIDELINES
Prescription drug abuse has been declared an epidemic by the Centers for Disease Control. According to 2012 San Diego Medical Examiner data, the number one cause of non-natural death is due to drug overdoses
More informationOpioid 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 informationDrug Abuse Epidemiology Update Spring 2007
SEW May Meeting Page 45 Drug Abuse Epidemiology Update Spring 2007 USA and Florida NIDA Community Epidemiology Work Group Seattle 61 st Semi-Annual Meeting Honolulu San Francisco Denver Los Angeles Phoenix
More informationSTATEMENT FOR THE RECORD OF JOSEPH T. RANNAZZISI DEPUTY ASSISTANT ADMINISTRATOR DRUG ENFORCEMENT ADMINISTRATION BEFORE THE
STATEMENT FOR THE RECORD OF JOSEPH T. RANNAZZISI DEPUTY ASSISTANT ADMINISTRATOR DRUG ENFORCEMENT ADMINISTRATION BEFORE THE SUBCOMMITTEE ON COMMERCE, MANUFACTURING AND TRADE COMMITTEE ON ENERGY AND COMMERCE
More informationHeroin Addiction. Kim A. Drury RN, MSN
Heroin Addiction Kim A. Drury RN, MSN Heroin use is on the rise in our area. Nearly every day the news media reports situations involving Heroin. According to the Substance Abuse and Mental Health Services
More informationSAMHSA 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 informationDEA Washington Division Diversion Control Program
SOUTHWEST VIRGINIA PRESCRIPTION DRUG ABUSE SUMMIT DEA Washington Division Diversion Control Program Mary Johnson-Rochee Diversion Program Manager November 14, 2012 Topics: DEA s Diversion Mission How DEA
More informationColorado 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 informationDrug Diversion: The Scope of the Problem
Drug Diversion: The Scope of the Problem by Commander John Burke Reports of the diversion of prescription drugs have demanded consistent media attention over the past few years. Media types have scrambled
More informationHow To Help People Who Are Addicted To Prescription Drugs And Heroin
Community Behavioral Healthcare Association of Illinois Frank Anselmo, MPA Chief Executive Officer 3085 Stevenson Drive, Suite 203 Springfield, Illinois 62703 Phone: 217/585-1600 Fax: 217/585-1601 www.cbha.net
More informationMayor s Task Force On Prescription Painkiller Abuse
Mayor s Task Force On Prescription Painkiller Abuse Interim Report January 2013 BACKGROUND In response to a growing epidemic, in late 2011 Mayor Bloomberg created the multi-agency Task Force on Prescription
More information12 LC 33 4683S. The House Committee on Health and Human Services offers the following substitute to HB 972: A BILL TO BE ENTITLED AN ACT
The House Committee on Health and Human Services offers the following substitute to HB 972: A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 6 7 8 9 10 11 12 13 To amend Chapter 34 of Title 43 of the Official Code
More information2.1 Staying Clear of the Law and Addiction: Nevada s Pre- Criminal Intervention Program
PMP Center of Excellence Notes from the Field 2.1 Staying Clear of the Law and Addiction: Nevada s Pre- Criminal Intervention Program January 2011 This project was supported by Grant No. 2006-DG-BX-K071
More informationWorkers Compensation Matters
Workers Compensation Matters Fall 2012 In This Issue 2012 Conferences pg. 2 Ongoing OASIS Enhancements pg. 2 Compliance Update pg. 3 Innovative Injured Workers Pilot Shows Great Success pg. 5 Team Spotlight:
More informationDrug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute.
osition Official Title and Summary Prepared by the Attorney General Requires drug and alcohol testing of doctors and reporting of positive test to the California Medical Board. Requires Board to suspend
More informationPennsylvania s ABC-MAP Program
Pennsylvania s ABC-MAP Program Recommendations on Best Practices ABC-MAP Governance Board Meeting May 20, 2015 Brandon C. Maughan, MD, MHS Marcus A. Bachhuber, MD University of Pennsylvania Philadelphia
More informationThe 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 informationARCHIVED 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 informationREPORT OF FLORIDA PROSECUTING ATTORNEYS ASSOCIATION. Re: The Office of Statewide Prosecution DECEMBER 2001 I. BACKGROUND
REPORT OF FLORIDA PROSECUTING ATTORNEYS ASSOCIATION Re: The Office of Statewide Prosecution DECEMBER 2001 I. BACKGROUND The Office of Statewide Prosecution (OSWP) was created by Constitutional Amendment
More informationDrug Abuse Trends in Miami-Dade and Broward Counties, South Florida: June 2014
Drug Abuse Trends in Miami-Dade and Broward Counties, South Florida: June 2014 James N. Hall 1 ABSTRACT The key finding for this reporting period is that there has been substantial progress in reducing
More informationFLORIDA DRUG CONTROL UPDATE. Drug Use Trends in Florida
FLORIDA DRUG CONTROL UPDATE This report reflects significant trends, data, and major issues relating to drugs in the State of Florida. Florida At-a-Glance: Approximately 8.32 percent of Florida residents
More informationIN THE CIRCUIT COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA INTERIM REPORT OF THE BROWARD COUNTY GRAND JURY
IN THE CIRCUIT COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA INTERIM REPORT OF THE BROWARD COUNTY GRAND JURY THE PROLIFERATION OF PAIN CLINICS IN SOUTH FLORIDA SPRING TERM
More informationPrescription 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 informationConsiderations when Using Controlled Substances to Treat Chronic Pain
Considerations when Using Controlled Substances to Treat Chronic Pain By Mary-Beth F. Plum, Pharm.D. Impact of Chronic Pain Acute pain is the body s response to environmental dangers, and it helps protect
More informationCLINICAL TRENDS IN OVERDOSE. Neil A. Capretto, D.O., F.A.S.A.M. Medical Director Gateway Rehabilitation Center
CLINICAL TRENDS IN OVERDOSE Neil A. Capretto, D.O., F.A.S.A.M. Medical Director Gateway Rehabilitation Center Number of Overdoses by Year Allegheny County Year Number of Overdose Fatalities 1980-1990 Average
More informationPrescription Drug Abuse Florida s Health Crisis. Office of the Attorney General Dave Aronberg Special Prosecutor, Prescription Drug Trafficking
Prescription Drug Abuse Florida s Health Crisis Office of the Attorney General Dave Aronberg Special Prosecutor, Prescription Drug Trafficking Overview Prescription drug diversion is the #1 public safety
More informationCOMBATING PHARMACEUTICAL DIVERSION: TARGETING ROGUE PAIN CLINICS & PILL MILLS
COMBATING PHARMACEUTICAL DIVERSION: TARGETING ROGUE PAIN CLINICS & PILL MILLS May 4 & 5, 2013 Prescription Drug Awareness Conference (PDAC) Detroit, Michigan Alan G. Santos, Associate Deputy Assistant
More informationReport to the Legislature: Interstate Prescription Data Exchange MN Prescription Monitoring Program
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Board of
More informationBEFORE THE CAUCUS ON INTERNATIONAL NARCOTICS CONTROL UNITED STATES SENATE AT A HEARING ENTITLED RESPONDING TO THE PRESCRIPTION DRUG ABUSE EPIDEMIC
STATEMENT OF JOSEPH T. RANNAZZISI DEPUTY ASSISTANT ADMINISTRATOR DRUG ENFORCEMENT ADMINISTRATION BEFORE THE CAUCUS ON INTERNATIONAL NARCOTICS CONTROL UNITED STATES SENATE AT A HEARING ENTITLED RESPONDING
More informationHow To Understand The Ppa
MTION OF STATE PREPTION NITONG PROGRAM PS This project was supported by Cooperative Agreement No. 202-DC-BX-K002 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component
More information2010-2011 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 informationSigns of Substance Abuse in Broward County, Florida
Adult Summer 8 The chart below summarizes the severity and trends for indicators of drug use and abuse in Broward County, Florida. The Severity Index is based on the number of drug-related deaths, emergency
More informationNOTICE REQUIREMENTS FOR PRESCRIPTION MONITORING PROGRAMS
NOTICE REQUIREMENTS FOR PRESCRIPTION MONITORING PROGRAMS This project was supported by Grant No. G1299ONDCP03A, awarded by the Office of National Drug Control Policy. Points of view or opinions in this
More information2015 ANNUAL REVIEW OF PRESCRIPTION MONITORING PROGRAMS
2015 ANNUAL REVIEW OF PRESCRIPTION MONITORING PROGRAMS Research current through September 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy.
More informationDrug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute.
Proposition 46 Drug and Alcohol Testing of Doctors. Medical Negligence Lawsuits. Initiative Statute. Yes/No Statement A YES vote on this measure means: The cap on medical malpractice damages for such things
More informationThe 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 informationSTATE 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 informationPart 1: Opioids and Overdose in the U.S. and New Mexico. Training: New Mexico Pharmacist Prescriptive Authority for Naloxone Protocol 7/15/2015
Training: New Mexico Pharmacist Prescriptive Authority for Naloxone Protocol New Mexico Pharmacists Association & Project ECHO 2014 This training fulfills the educational requirement for pharmacists in
More informationPrescription Drug Abuse
DELAWARE DRUG CONTROL UPDATE This report reflects significant trends, data, and major issues relating to drugs in the State of Delaware. Delaware At-a-Glance: In 2007-2008, Delaware was one of the top
More informationTrends 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 informationREVIEW OF FEDERAL LAW FOR PHARMACY TECHNICIANS DR. SULLIVAN S MONOGRAPH
REVIEW OF FEDERAL LAW FOR PHARMACY TECHNICIANS DR. SULLIVAN S MONOGRAPH REVIEW OF FEDERAL LAW FOR PHARMACY TECHNICIANS ACTIVITY DESCRIPTION This program will assist pharmacy technicians to understand the
More informationUnderstanding 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 informationMandating 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 informationDrug 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 informationFINAL BILL ANALYSIS SUMMARY ANALYSIS
FINAL BILL ANALYSIS BILL #: CS/CS/HB 7095 SPONSOR: Rep. Schenck FINAL HOUSE FLOOR ACTION: 118 Y s 0 N s GOVERNOR S ACTION: Approved COMPANION BILLS: CS/CS/SB 818 SUMMARY ANALYSIS CS/CS/HB 7095 passed the
More informationNEW JERSEY DRUG CONTROL UPDATE. Drug Use Trends in New Jersey
NEW JERSEY DRUG CONTROL UPDATE This report reflects significant trends, data, and major issues relating to drugs in the State of New Jersey. New Jersey At-a-Glance: In 2009-2010 New Jersey was one of the
More informationHAWAII DRUG CONTROL UPDATE. Drug Use Trends in Hawaii. Substance Abuse Treatment Admissions Data
HAWAII DRUG CONTROL UPDATE This report reflects significant trends, data, and major issues relating to drugs in the State of Hawaii. Hawaii At-a-Glance: In the 2007-2008 time period, Hawaii was among the
More informationPrescription Opioid Use and Opioid-Related Overdose Death TN, 2009 2010
Prescription Opioid Use and Opioid-Related Overdose Death TN, 2009 2010 Jane A.G. Baumblatt, MD Centers for Disease Control and Prevention Epidemic Intelligence Service Officer Tennessee Department of
More informationWEST VIRGINIA DRUG CONTROL UPDATE. Drug Use Trends in West Virginia
WEST VIRGINIA DRUG CONTROL UPDATE This report reflects significant trends, data, and major issues relating to drugs in the State of West Virginia. West Virginia At-a-Glance: In 2007-2008, West Virginia
More informationFor 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 informationPractice 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 informationNew Law Advisory. Advisory No. 2013-13 Issued: May 17, 2013. P.L. 2013, c.46 - The "Opioid Antidote and Overdose Protection Act"
Administrative Office of the Courts Office of Professional and Governmental Services Glenn A. Grant, J.A.D. Acting Administrative Director of the Courts New Law Advisory Deirdre Naughton Director, Professional
More informationGAO MEDICARE PART D. Instances of Questionable Access to Prescription Drugs. Report to Congressional Requesters
GAO United States Government Accountability Office Report to Congressional Requesters September 2011 MEDICARE PART D Instances of Questionable Access to Prescription Drugs GAO-11-699 September 2011 MEDICARE
More information