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Gary Martin2

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What Parents Can Do …

What Parents Can Do
National Rx Drug Abuse Summit 4-11-12

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  • 1. What Parents Can Do April 10-12, 2012Walt Disney World Swan Resort
  • 2. Accepted Learning Objectives1. Compare mixed-method studies that focus onbehavioral factors related to drug use andabuse, especially among youth andadolescents.2. Outline proven comprehensive strategies forcombating prescription drug abuse through thedevelopment of community partnerships.3. Express the impact of prescription drug abuseon families and communities through anecdotalpersonal stories.
  • 3. Disclosure StatementAll presenters for this session, Dr. Carol J.Boyd, Dr. Gary Martin, and Karen Perry,have disclosed no relevant, real orapparent personal or professionalfinancial relationships.
  • 4. The  Killer  Amongst  Us…   Drug  Overdose   Dr.  Gary  Mar<n  Palm  Beach  County  Sheriff s  Office/Lynn  University  
  • 5. Na<onal  Overdose  Sta<s<cs      27,658  uninten-onal  drug  poisonings    100%  increase  in  overdose  deaths  from  years   2000-­‐2006    Drug  overdose  deaths    second  to  car  accidents   for  uninten-onal  injury  deaths  
  • 6. Uninten<onal  Overdose  Deaths  
  • 7. Drug  Related  Deaths    Physiological   consequences   associated  with  chronic   drug  use    Violence      Behavioral  choices    
  • 8. Overdose  Deaths  
  • 9. Why  so  many  uninten<onal     poisoning  deaths?  
  • 10. Combining  and  Mixing  Drugs    Mul-ple  contributable   drugs  found  in  majority   of  overdose  fatali-es      Average  of  2.7  drugs   found  in  overdose  cases  
  • 11. 2007  Toxicology  Findings  
  • 12. Commonly  Abused  Drugs  
  • 13. High  Risk  Drugs      Opiate  Pain  Medica-ons    Depressants/seda-ves      Illicit  drugs  including   alcohol  
  • 14. Tolerance  Depleted    Recently  released  prisoners    Recently  released  from  court  supervision    Recently  released  from  drug  treatment    Recently  released  from  hospital    
  • 15. A  Comprehensive  Response  
  • 16. Three  Strategies    Law  Enforcement    Public  Awareness      Quan<ta<ve  Research  
  • 17. Law  Enforcement    Reviewing  each  overdose  death  inves-ga-on.      Applying  all  relevant  statutes  to  the  circumstances.    Forwarding  all  narco-cs  intelligence.    19.3  %  of  the  case  reviews  generated  narco-cs   intelligence.        
  • 18. Public  Awareness    Forging  coopera-ve  rela-onships  with  families  who  have   lost  loved  ones  to  drug  overdose  death.    Providing  overdose  risk  awareness  programs  to  students   and  parents.    Designing  a  mul-media  public  service    campaign  focusing   on  the  risks  associated  with  prescrip-on  drug  misuse  and   abuse.    Seeking  legisla-ve  ac-on  to  discourage  doctor  shopping   and  prescrip-on  drug  diversion.      
  • 19. 911  Good  Samaritan  Legisla<on      A  Drug  Overdose  Interven-on  Strategy.      Offers-­‐limited  immunity  from  criminal  prosecu-on   for  person(s)  who,  in  good  faith,  seek  medical   aWen-on  during  a  drug-­‐related  medical  crisis.      Intent-­‐reduce  the  number  of  drug  overdose  deaths   by  removing  the  fear  of  arrest  as  a  barrier  to  seeking   emergency  medical  assistance.      
  • 20. Quan<ta<ve  Research    Collec-ng  extensive  demographic  and  circumstan-al   data  from  each  overdose  death  inves-ga-on.    Designing  a  prac-cal  overdose  death  database.     Exposing  overdose  correla-ons  and  trends.    
  • 21. Case  Examina<ons    353  overdose  death  cases    Palm  Beach  County,  Florida      Selected  by  chronological  occurrence      Data  derived  from:    Police  and  paramedic  reports        Autopsy  and  toxicology  findings    Family  and  friend  interviews      Medical  records        
  • 22. Decedents  Average  Age   40.08 Years
  • 23.   Age  breakdown    
  • 24. Overdose  Risk  Profile  Demographic  Indicators:    White    Male    Approximately  40  years  old    High  School  Diploma  or  GED    Employed  
  • 25. Overdose  Risk  Profile  Sta<c  Indicators:    History  of  substance  abuse    History  of  drug  related  arrests    History  of  substance  abuse  treatment    History  of  mental  health  treatment    History  of  non  fatal  drug  overdose    Under  physician s  care  at  -me  of  death  
  • 26. Overdose  Risk  Profile  Circumstan<al  Indicators:    Died  at  home    Discovered  by  family  member    Last  act  is  sleeping    Found  unconscious    Others  present  at  death  scene    Other  recognized  distress    Died  from  accidental  mul-ple  drug  toxicity    Most  likely  combina-ons  are  alprazolam,      oxycodone,  cocaine,  and  methadone  
  • 27. NOPE  Task  Force   866-­‐612-­‐NOPE  Ask  Adam  (Ask  Ques<ons  Anonymously)   www.nopetaskforce.org   Dr.  Gary  Mar<n   Mar<nG@pbso.org  

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