National Survey of Pain Killer Dependence and Treatment. Conducted by Schulman, Ronca and Bucuvalas, Inc.

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1 National Survey of Pain Killer Dependence and Treatment Conducted by Schulman, Ronca and Bucuvalas, Inc.

2 Quality of Life In America Not Sure 3% Better 24% Worse 42% About the Same 31% Q1. Compared to ten years ago, do you feel the quality of life in the United States today is better, worse, or about the same? Unweighted N=1,503 1

3 Gotten Worse in Past 10 Years Not sure 2% Other 10% Energy 4% Lack of morals 16% War Terrorism 4% 7% Politics Jobs Health care 11% 13% 15% Schools 7% Economy 43% Drug Addiction 8% Crime 19% 0% 10% 20% 30% 40% 50% 60% 70% Q2. What, if anything, has gotten worse in the past ten year? Base: Persons who say things have gotten worse Unweighted N=651 2

4 Gotten Worse in Past 10 Years 70% Better Worse 60% 50% 52% 43% 46% 40% 37% 30% 20% 16% 22% 23% 10% 10% 0% Crime Drug Use Health Care Jobs Q3. Thinking about the community in which you live, would you say the following things have gotten better, gotten worse, or stayed about the same in the past ten years? Unweighted N=1,503 3

5 Drug Abuse in Your Community Not sure 6% Not a problem 14% One of the biggest 11% Slight problem 14% Big problem 23% Moderate 32% Q4. How big a problem is drug abuse in your community? Unweighted N=1,503 4

6 Attitudes about Drug Addiction 100% 80% Agree somewhat Agree strongly 28% 60% 34% 40% 25% 28% 56% 20% 21% 17% 32% 0% Medical Disease Psychological Problem Genetic factors Social Environment Q5. Please tell me whether you strongly agree, somewhat agree..? Unweighted N=1,503 a. Drug addiction is a medical disease e. Drug addiction is primarily a psychological problem b. Genetics factors can increase the risk of drug addiction c. Social environment, such as family, friends and neighborhood, for example 5

7 Attitudes about Addicted People 100% Agree somewhat Agree strongly 80% 60% 33% 35% 40% 20% 6% 46% 38% 0% 6% Good people don't become addicts Every neighborhood has addicts Many addicts made a bad choice Q5. Please tell me whether you strongly agree, somewhat agree..? Unweighted N=1,503 f. Good people don t become addicts g. Every neighborhood has its drug addicts h. Many drug addicts just made a bad choice 6

8 Attitudes about Drug Treatment 100% 80% 32% Agree somewhat Agree strongly 60% 38% 40% 20% 59% 40% 20% 15% 0% There are effective ways to treat Combination of counseling and medicine Could just quit if wanted to Q5. Please tell me whether you strongly agree, somewhat agree..? Unweighted N=1,503 d. There are effective ways to treat drug addiction i. A combination of counseling and medicine is the most effective way of treating addiction j. Addicts could just stop abusing drugs if they wanted to 7

9 Drug Addiction Contribution to Social Problems Social Service demands 67% Prison overcrowding 79% Court burden 74% Health Insurance costs 48% Medical costs 57% A lot Loss of productivity 43% Crime 70% 0% 20% 40% 60% 80% 100% Q6. How much do you think drug addiction contributes to - a lot, a moderate amount, some, only a little or not at all? Unweighted N=1,503 8

10 100% Drug Addiction Effects on Addicted People A lot 80% 68% 69% 60% 53% 59% 60% 44% 40% 20% 0% Divorce Children running away Loss of jobs Mental illness Homelessness Children taken away by courts Q7. For the addict, do you think drug addiction increases the likelihood of - a lot, a moderate amount, some, only a little or not at all? Unweighted N=1,503 9

11 Attitudes about Drug Treatment 100% Agree somewhat Agree strongly 80% 32% 60% 41% 48% 40% 57% 20% 22% 41% 30% 0% 4% Won t admit they have a problem Enter treatment on their own In treatment because of law In treatment at urging of family Q8. Please tell me whether you strongly agree, somewhat agree..? Unweighted N=1,503 a. Most drug addicts don t know or won t admit they have a drug abuse problem b. Most drug addicts seek treatment of their own free will c. Most drug addicts are in treatment because it is required by the law or court system d. Most drug addicts enter treatment at the urging of family/friends 10

12 Why Don t Addicted People Seek Treatment: Unaided Not sure Other 7% 10% Side Effects Insurance Don't know how to get help Confidentiality Stigma 1% 1% 3% 3% 5% No willpower 11% Don't want help 18% Won't admit need treatment 60% No treatment in area 3% Cost 7% 0% 20% 40% 60% 80% Q9. Why don t many drug addicts seek treatment for their addiction? OPEN ENDED. Unweighted N=1,503 11

13 Attitudes about Drug Treatment Doctor's opinion Side effects 15% 16% 32% 31% Moderate Big Insurance 21% 60% Confidentiality Stigma 32% 29% 39% 36% Won't admit 20% 74% None in area 33% 33% Cost 24% 59% 0% 20% 40% 60% 80% 100% Q10. How much do you think each of the following is a problem for getting addicts treated? Is (ITEM) a big problem, a moderate problem, a small problem or not a problem at all. Unweighted N=1,503 12

14 Reasons for Addicted People to Seek Treatment Don't Know 6% Other 6% Traumatic experience Economic factors Personal loss Health issues Outside intervention Fear 4% 5% 5% 5% 5% 6% Loss of job No where else to turn to 8% 9% Family problems 16% Hitting rock bottom Tired of lifestyle Court order 21% 23% 24% Family/friends 29% 0% 10% 20% 30% 40% Q11. What do you think triggers addicts to seek treatment? Unweighted N=1,503 13

15 Can Name a Widely Abused Painkiller Not Sure 4% No 34% Yes 62% Q12. Can you name a prescription painkiller that has been reported as widely abused in the United States? Any others? Unweighted N=1,503 14

16 Name of Reported Abused Drug Other 9% Cough/cold medicine Methadone Percodan Demoral Darvocet Hydrocodone Xanax Lortab Morphine Valium Codeine 2% 2% 2% 4% 4% 4% 4% 5% 6% 7% 8% Percocet 12% Vicodin 28% Oxycontin 49% 0% 10% 20% 30% 40% 50% Q12. Can you name a prescription painkiller that has been reported as widely abused in the United States? Any others? Unweighted N=888 15

17 Recognition of Specific Painkillers Actiq 4% Duragesic 13% Dilaudid 22% Lorcet Lortab 29% 29% Darvon 51% Oxycontin Darvocet Percodan Vicodin Percocet 69% 71% 72% 74% 76% Demerol 90% Codeine Morphine 96% 97% 0% 20% 40% 60% 80% 100% Q13. I am going to read you a list of some pain relievers. Please tell me which you have heard of Unweighted N=1,503 16

18 Know Persons who Abuse Drugs 60% 50% 40% 37% 30% 29% 24% 20% 16% 10% 0% Longer than prescribed When not prescribed Either Both Q14a. Do you know anyone, personally, who was prescribed any of the painkillers from the list I just read and ended up taking the drug for a longer period of time than their doctor ordered them to, or after their pain was gone? Q15a. Do you know anyone who has ever take a prescription painkiller such as Oxycontin, Vicodin or Percocet that was not prescribed for him/her? Unweighted N=1,503 17

19 Who Has Abused Painkillers 70% Longer Not Prescribed 60% 50% 40% 30% 33% 30% 44% 44% 41% 37% 20% 10% 0% 20% 16% 11% 7% Relative Close friend Acquaintance Co-worker Yourself Not sure/refused 2% 3% Q14b. Was the person or any of the persons who took a prescribed pain medication beyond the doctors orders, or after the pain was gone a? Base: Know someone who has Unweighted N=329 Q15b. Was the person or any of the persons who took a prescribed pain medication that was not prescribed for them a? Base: Know someone who has Unweighted N=392 18

20 Which is More Harmful to Addicted People Not sure 10% Painkiller a lot more 7% Painkiller more 5% Heroin lot more 35% Same 33% Heroin more 11% Q16. Which do you think is more harmful to the DRUG ADDICT, abuse of prescription painkillers or heroin? Unweighted N=1,503 19

21 Which is More Harmful to Community Painkiller a lot more 10% Not sure 6% Painkiller more 8% Heroin lot more 35% Same 28% Heroin more 13% Q17. Which do you think is more harmful to the COMMUNITY, abuse of prescription painkillers or heroin? Unweighted N=1,503 20

22 Which is More Common in U.S. Not sure 7% Heroin lot more 8% Heroin more 3% Same 14% Painkiller a lot more 49% Painkiller more 19% Q18. Which do you think is more COMMON in the United States, abuse of prescription painkillers or heroin? Unweighted N=1,503 21

23 Which is More Risky to Use Not sure 5% Painkiller a lot more 5% Painkiller more 3% Same 25% Heroin lot more 49% Heroin more 13% Q19. Which do you think is more RISKY TO USE, abuse of prescription painkillers or heroin? Unweighted N=1,503 22

24 Gender of Most Addicted People Not sure 12% About the same 28% Men 47% Women 13% Q20. Based on what you know or have heard, do you think that most drug addicts are men or women? Unweighted N=1,503 23

25 Employment Status of Addicted People 70% 67% 60% 58% 50% Painkiller Heroin 40% 30% 20% 23% 20% 13% 10% 6% 6% 7% 0% Employed Unemployed About the same Not sure Q21a/b. Based on what you know or have heard, (prescription painkiller abuse/heroin abuse) is more common among people who are.? Unweighted N=1,503 24

26 Age of Addicted People 80% 70% 60% 67% Painkiller Heroin 50% 46% 40% 36% 30% 20% 10% 0% 12% 9% 10% 9% 6% 3% 2% Teens or older Same Not sure Q22a/b. Based on what you know or have heard, (prescription painkiller abuse/heroin abuse) is more common among people who are.? Unweighted N=1,503 25

27 Race of Addicted People 70% 60% 50% 60% Painkiller Heroin 40% 37% 30% 26% 20% 10% 10% 16% 18% 19% 14% 0% White Minorities Same Not sure Q23a/b. Based on what you know or have heard, (prescription painkiller abuse/heroin abuse) is more common among people who are.? Unweighted N=1,503 26

28 Location of Addicted People 80% 70% 70% 60% Painkiller Heroin 50% 46% 40% 30% 27% 20% 10% 12% 9% 11% 8% 6% 6% 7% 0% Central cities Suburbs Rural areas Same Not sure Q24a/b. Based on what you know or have heard, (prescription painkiller abuse/heroin abuse) is more common among people who are.? Unweighted N=1,503 27

29 Which is Easier to Get Not sure 6% Heroin 9% About the same 35% Painkillers 50% Q25. Which do you think is easier to get --- heroin or prescription painkillers, or is there no difference? Unweighted N=1,503 28

30 Where Could Get Painkillers without Prescription Not sure 32% Other 9% Schools Other countries 2% 4% A lot On the street 15% Nightclubs/parties 1% Drug Dealers 9% Friends 33% Doctors Internet 7% 8% 0% 10% 20% 30% 40% 50% Q26. Based on what you know or have heard, where could someone easily get a prescription pain killer WITHOUT a prescription? Unweighted N=1,503 29

31 What Treatments are Available: Unaided Not sure 33% Other 9% Rapid detox 2% Rehab clinic 12-step 7% 8% Hospital 15% Psychiatrist 7% Doctors office 4% Methadone clinic 10% Residential detox 18% Cold turkey 2% 0% 10% 20% 30% 40% 50% Q27. What treatment options are available for persons addicted to heroin or prescription painkillers? Unweighted N=1,503 30

32 What Treatments are Available: Aided Not sure 1% 33% Aided Other 1% 9% Unaided Rapid detox 2% 41% Hypnosis 0% 52% 12-step 8% 78% Hospital 15% 60% Suboxone 5% 0% Psychiatrist 7% 56% Doctors office 4% 36% Methadone clinic 10% 51% Residential detox 18% 53% Cold turkey 2% 78% 0% 20% 40% 60% 80% 100% Q27. What treatment options are available for persons addicted to heroin or prescription painkillers? Q28. Are you familiar with any of the following treatment options for persons addicted to heroin or prescription pain killers? Unweighted N=1,503 31

33 What Treatments are Available: Aided and Unaided Not sure 34% Other 10% Rapid detox 43% Hypnosis 52% 12-step 86% Hospital 75% Suboxone 5% Psychiatrist 63% Doctors office 40% Methadone clinic 61% Residential detox 71% Cold turkey 80% 0% 20% 40% 60% 80% 100% Q27. What treatment options are available for persons addicted to heroin or prescription painkillers? Q28. Are you familiar with any of the following treatment options for persons addicted to heroin or prescription pain killers? Unweighted N=1,503 32

34 How Effective are Treatments Rapid detox Hypnosis 12-step 6% 13% 29% 33% 51% 56% Somewhat Very Hospital 18% 59% Suboxone 13% 50% Psychiatrist 18% 58% Doctors office 10% 48% Methadone clinic 12% 55% Residential detox 20% 62% Cold turkey 9% 30% 0% 20% 40% 60% 80% 100% Q29. How effective are the following treatment options in treating persons addicted to heroin or prescription painkillers very effective, somewhat effective, not too effective or not effective at all? Base: Those familiar with the particular treatment option 33

35 Where Could Go For Help: Unaided Not sure 18% Other 9% Clinic 7% County/state facility 4% Detox/rehab 6% Church/temple 12 step 9% 10% Emergency room 29% EAP 1% Social work/counselor 9% Family/friends 7% Family physician 31% Psychiatrist 8% 0% 10% 20% 30% 40% 50% Q30. Where could someone go to seek help for an addiction to heroin or prescription painkillers? Unweighted N=1,503 34

36 Aware Doctors can be Certified Not sure 1% Yes 8% No 91% Q31. Are you aware that any doctor can now become certified to treat prescription painkiller addicts in his or her own office? Unweighted N=1,503 35

37 Should Addicted People be Treated in Regular Doctors Office Not sure 6% No 23% Yes 71% Q32. Should people who are addicted to heroin or prescription painkillers be able to be treated for their disease in a regular doctor s office? Unweighted N=1,503 36

38 Reasons Not to Treat in Doctor s Office Not sure 2% Other Other physician problems 4% 5% Need detox facility Can still feed their addiction Wouldn't be effective Not enough supervision 15% 14% 12% 15% Dangerous for other patients Segregate non-addicted from addicted 4% 4% Office not equipped for addicts 7% Physician too busy 13% Physician not qualified 33% 0% 10% 20% 30% 40% 50% Q32a. Should people who are addicted to heroin or prescription painkillers be able to be treated for their disease in a regular doctor s office? Q32b. Why Not? Unweighted N=329 37

39 What if Your Own Doctor Treated Patients for Prescription Painkiller Addiction 60% 40% 39% 20% 16% 22% 8% 10% 3% 0% 1-Great 2 3-Neither 4 5-Terrible Not sure Q33. On a scale of 1 to 5 with 1 being extremely good and 5 being a terrible idea, how you react if your own doctor treated patients for prescription painkiller addiction? Unweighted N=1,503 38

40 Should Addicted People be Treated in Doctors Office or Clinic Both 6% Not sure 8% Neither 1% Doctors Office 18% Treatment Clinic 67% Q34. Do you think it is better to treat someone for prescription painkiller addiction in a doctor s office or in a drug treatment clinic? Unweighted N=1,503 39

41 Reasons to Treat in Doctor s Office Don't Know 16% Other None Easily accessible Convenience More comfortable Economically beneficial Medically qualified treatment 5% 5% 4% 4% 5% 5% 6% No disruption 8% Personal treatment Familiarity with doctor 12% 14% Confidentiality 30% 0% 10% 20% 30% 40% Q35. What do you think is the primary value to the patient of being treated in a doctor's office for drug addiction? Unweighted N=1,503 40

42 Treated in Doctors Office Effect on Availability of Treatment Not sure 5% Only a little 11% Not at all 3% A lot 31% Some 19% Moderate amount 31% Q36. Do you think that the availability to be treated for addiction in a doctor s office would increase the availability of treatment..? Unweighted N=1,503 41

43 Should Treatment be Easy or Hard Not sure 7% Harder 17% Easy as possible 76% Q37. Do you think that treatment for drug addiction should be designed to make it as easy as possible for the addict or should treatment be harder as a reminder or punishment? Unweighted N=1,503 42

44 Would You Recognize Drug Abuse Not sure 9% No 38% Yes 53% Q38a. Do you think that you could recognize whether a friend or co-worker was abusing prescription painkillers or heroin? Unweighted N=1,503 43

45 Signs and Symptoms of Drug Addiction Other Alertness Change of attitude Actions/reactions 9% 9% 9% 9% Physical appearance Behavioral changes Late/absent from work Unreliable Nervous Impaired speech 13% 13% 14% 14% 14% 15% Mood swings 23% Eyes (glassy/dilated) 26% 0% 10% 20% 30% Q38b. What signs or symptoms would cause you to recognize this? Unweighted N=744 44

46 Where You Gotten Most of Your Information about Drug Addiction and Treatment Not sure 2% Other 7% Church/temple Police Social services 1% 1% 3% Medical professionals School Work 6% 7% 8% Family/Friends Personal experience 27% 28% Internet news 4% Media 58% 0% 10% 20% 30% 40% 50% 60% 70% Q39. We ve asked you a number of questions about what you know or have heard about drug abuse and addiction. Where have you gotten most of your information about these things? Unweighted N=1,503 45

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