Overview of Federal Policies   RADM Dr. Peter Delaney, PhD, LCSW-CDirector, Center for Behavioral Health Statistics       ...
Learning Objectives1.  Identify warning signs of misuse and abuse and    how claim managers can take action.2.  Describe t...
Disclosure Statement•  Peter Delaney has no financial relationships with   proprietary entities that produce health care  ...
Understanding the Non-Medical Use of       Prescription Pain Relievers     Peter J. Delany, PhD, LCSW-C, DirectorCenter fo...
Past Month Use of Selected Illicit Drugs among Persons                            Aged 12 or Older: 2002-2011    Percent U...
Past Month Nonmedical Use of Types of Psychotherapeutic               Drugs among Persons Aged 12 or Older: 2002-2011  Per...
Nonmedical Pain Reliever Use in the Past Month,                                 by Age Group: 2002-2011  Percent Using in ...
Nonmedical Pain Reliever Use in the Past Year,                                  by Age Group: 2002-2011  Percent Using in ...
Nonmedical Pain Reliever Use on 52 or More Days in the                      Past Year, by Age Group: 2002-2011  Percent Us...
Source Where Pain Relievers Were Obtained for               Most Recent Nonmedical Use among Past Year Users              ...
Nonmedical Prescription Drug Use in the Past Month, by Age                              Group: 2002-2011  Percent Using in...
Past Month Use of Any Illicit Drug, Marijuana, and                      Nonmedical Prescription Drugs among Persons       ...
Past Year Dependence or Abuse for Any Illicit Drug,            Nonmedical Prescription Drugs, and Pain Relievers among    ...
Past Year Dependence or Abuse for Any Illicit Drug,            Nonmedical Prescription Drugs, and Pain Relievers among    ...
Emergency Department Visits Involving Nonmedical Use of              Prescription Pharmaceuticals: 2004-2011Number of Emer...
Emergency Department Visits Involving Nonmedical Use of                 Specific Prescription Pharmaceuticals: 2004-2011Nu...
Number of Substance Abuse Treatment Admissions Aged 12 or         Older Reporting Primary Abuse of Prescription Pain  Numb...
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Overview of federal_policies_final

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Education Track, National Rx Drug Abuse Summit, April 2-4, 2013. Overview of Federal Policies presentation by Dianne Luensmann and Megan O'Donnell.

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Overview of federal_policies_final

  1. 1. Overview of Federal Policies RADM Dr. Peter Delaney, PhD, LCSW-CDirector, Center for Behavioral Health Statistics and Quality Diane Luensmann Director of Communications, The Office of Congressman Nick J. Rahall II Megan O’DonnellLegislative Director, The Office of Congressman Harold “Hal” Rogers
  2. 2. Learning Objectives1.  Identify warning signs of misuse and abuse and how claim managers can take action.2.  Describe the treatment experience.3.  Outline how to employ a 12-step, abstinence- based treatment program.
  3. 3. Disclosure Statement•  Peter Delaney has no financial relationships with proprietary entities that produce health care goods and services.
  4. 4. Understanding the Non-Medical Use of Prescription Pain Relievers Peter J. Delany, PhD, LCSW-C, DirectorCenter for Behavioral Health Statistics and Quality National Rx Drug Abuse Summit, April 3, 2013
  5. 5. Past Month Use of Selected Illicit Drugs among Persons Aged 12 or Older: 2002-2011 Percent Using in Past Month 8.7 8.9 8.7 9 8.3 8.2+ 8.1+ 8.3 8.1+ Illicit Drugs 7.9+ 8.0+ 8 6.9 7.0 7 6.7 Marijuana 6.2+ 6.2+ 6.1+ 6.0+ 6.0+ 6.1+ 5.8+ 6 5 4 2.7+ 2.7+ 2.7+ 2.9+ 2.8+ 2.8+ 2.7+ 3 2.5 2.5 2.4 Psycho- therapeutics 2 0.9+ 1.0+ 0.8+ 1.0+ 1.0+ 0.8+ 1 0.7+ 0.7 0.6 0.5 Cocaine 0.5+ 0.4 0.4 0.4 0.4 0.4 0.4 0.5+ 0.5+ 0.4 Hallucinogens 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 5
  6. 6. Past Month Nonmedical Use of Types of Psychotherapeutic Drugs among Persons Aged 12 or Older: 2002-2011 Percent Using in Past Month 2.5 2.1+ 2.1+ 2.1+ 2.0+ 2.0+ 2.0 1.9 1.9 1.9 1.8 1.7 Pain Relievers 1.5 1.0 0.9 0.8 0.8 0.8 0.7 0.7 0.7 0.7 0.7 0.7 Tranquilizers 0.5 0.6+ 0.6+ 0.6+ 0.5+ 0.5+ 0.5+ Stimulants 0.2+ 0.2+ 0.4 0.4 0.4 0.4 0.1 0.1 0.1 0.1 0.1 0.1+ 0.1 0.1 Sedatives 0.0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 6
  7. 7. Nonmedical Pain Reliever Use in the Past Month, by Age Group: 2002-2011 Percent Using in Past Month 6 5.0+ 5 4.7+ 4.7+ 4.7+ 4.8+ 4.6+ 4.5+ 4.4+ 4.1+ 4 3.6 3.2+ 3.2+ 18 to 25 3.0+ 3 2.7+ 2.7+ 2.7+ 2.7+ 2.5 2.3 2.3 12 to 17 2 1.6 1.6 1.5 1.4 1.5 1.4 1.3 1.3 1.2 1.3 26 or Older 1 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 7
  8. 8. Nonmedical Pain Reliever Use in the Past Year, by Age Group: 2002-2011 Percent Using in Past Year 14 12.4+ 12.5+ 12.2+ 12.0+ 11.9+ 12.0+ 12.0+ 12 11.4+ 11.1+ 9.8 10 18 to 25 7.6+ 7.7+ 7.4+ 8 6.9+ 7.2+ 6.7+ 6.5 6.6+ 6.3 5.9 6 4.9+ 4.9+ 5.1+ 5.1+ 4.9+ 12 to 17 4.7+ 4.7+ 4.8+ 4.8+ 4.3 4 3.3 3.3 3.6+ 3.6+ 3.3 3.5 3.6 12 or Older 3.1 3.0 3.2 26 or Older 2 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 8
  9. 9. Nonmedical Pain Reliever Use on 52 or More Days in the Past Year, by Age Group: 2002-2011 Percent Using on 52 or More Days in Past Year 4 3.0 3.1 3.0 3 2.7 2.7 2.8 2.8 2.7 2.6 18 to 25 2.3 2 1.7+ 1.5+ 1.5 1.5 1.5 1.6+ 1.3 1.4 1.3 1.2 12 to 17 1 26 or Older 1.0 1.0 1.0 1.1 1.1 0.8 0.8 0.8 0.9 0.7 0 2002 2003 2004 2005 2006 2007 2008+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. 2009 2010 2011 NOTE: Persons initiating use in the past year are not included in percentages using on 52 or more days in the past year. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 9
  10. 10. Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2010-2011 Bought from Friend Took from Friend or Relative or Relative (12.2%) without Asking (4.4%) Bought from Drug Dealer or Other Stranger (3.9%) Bought on the Internet (0.3%) Some Other Way (4.3%) From Friend From Single or Relative for Doctor (18.1%) Free (54.2%) From Multiple Doctors (1.9%) Wrote Fake Prescription (0.2%) Stole from Doctors Office, Clinic,Source: SAMHSA National Survey on Drug Use and Health (NSDUH),2010-2011. Hospital, or Pharmacy (0.5%) 10
  11. 11. Nonmedical Prescription Drug Use in the Past Month, by Age Group: 2002-2011 Percent Using in Past Month 7 6.5+ 6.3+ 6.4+ 6.1+ 6.1+ 5.9+ 5.9+ 5.9+ 6 5.5 5.0 5 18 to 25 4.0+ 4.0+ 4 3.6+ 3.3+ 3.3+ 3.3+ 3.1 3.0 2.9 2.8 3 12 to 17 2.2+ 2.2 2.1 2.2 2.0 2.0 1.9 1.9 1.9 1.8 2 26 or Older 1 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 11
  12. 12. Past Month Use of Any Illicit Drug, Marijuana, and Nonmedical Prescription Drugs among Persons Aged 50 to 59: 2002-2011 Percent Using in Past Month 7 6.3 6.3 Illicit Drugs 6 5.7 5.0 5 4.6+ 4.7 4.4+ 4.4+ 4.5 Marijuana 4.0 3.8+ 4 3.4 3.1+ 3.1+ 3.0+ 2.7+ 2.8+ 2.8+ 3 2.1+ 2.0 2.0 1.9 1.8 Nonmedical 2 1.7+ 1.5 1.4 Prescription 1.1 1.0+ 1.1 Drugs 0.9+ 1 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 12
  13. 13. Past Year Dependence or Abuse for Any Illicit Drug, Nonmedical Prescription Drugs, and Pain Relievers among Persons Aged 12 or Older: 2002-2011 Percent Dependent or Abusing in Past Year 4 3.0+ 3.0+ 2.9+ 2.9+ 3 2.8+ 2.8 2.8+ 2.8+ 2.8+ 2.5 Illicit Drugs 2 Nonmedical 0.9 0.9 0.9 0.9 0.9 0.9 Prescription 1 0.8 0.8 0.8 0.8 Drugs 0.7 0.7 0.8 0.7 Pain 0.7 0.7 0.6 0.6 0.6 0.6 Relievers 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 13
  14. 14. Past Year Dependence or Abuse for Any Illicit Drug, Nonmedical Prescription Drugs, and Pain Relievers among Persons Aged 12 or Older: 2002-2011 Number (in Millions) Dependent or Abusing in Past Year 8 7.3+ 7.1 7.0 7.0 7.1+ 7.1 6.8 6.8 6.9 7 6.5 Illicit Drugs 6 5 4 3 2.4 Nonmedical 2.2 2.2 2.3 Prescription 2.0 2.0 2.0 2.0 2.1 1.9 Drugs 2 1.9 1.9 Pain 1.7 1.7 1.8 Relievers 1.5 1.5 1.6 1 1.4+ 1.4+ 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011+ Difference between this estimate and the 2011 estimate is statistically significant at the .05 level. Source: SAMHSA National Survey on Drug Use and Health (NSDUH), 2002-2011. 14
  15. 15. Emergency Department Visits Involving Nonmedical Use of Prescription Pharmaceuticals: 2004-2011Number of Emergency Department Visits1,400,000 1,244,872 1,172,4031,200,000 1,078,714+ 970,657+1,000,000 855,334+ 740,457+ 800,000 668,211+ 535,447+ 600,000 400,000 200,000 0 2004 2005 2006 2007 2008 2009 2010 2011 + Difference between this number of visits and the number of visits in 2011 is statistically significant at the .05 level. Source: SAMHSA Drug Abuse Warning Network (DAWN), 2004-2011. 15
  16. 16. Emergency Department Visits Involving Nonmedical Use of Specific Prescription Pharmaceuticals: 2004-2011Number of Emergency Department Visits Narcotic Pain 400,000 Relievers 359,921 366,181 (PR) 342,983 350,000 Benzo- 357,836 diazepines (B) 305,892 345,691 300,000 312,931 250,000 237,239+ 271,692+ 201,280+ 189,704+ 200,000 218,640 143,549+ 195,625+ 150,000 168,379+ 144,655+ 100,000 54,151 50,878 53,708 Muscle 38,918 40,769 46,269 Relaxants 50,000 25,934+ 33,695 + + 18,794+ 18,879 Central 9,979+ 11,519+ 14,276 40,648 21,997+ 28,491+ Nervous 0 System 2004 2005 2006 2007 2008 2009 2010 2011 Stimulants+ Difference between this number of visits and the number of visits in 2011 is statistically significant at the .05 level. Source: SAMHSA Drug Abuse Warning Network (DAWN), 2004-2011.
  17. 17. Number of Substance Abuse Treatment Admissions Aged 12 or Older Reporting Primary Abuse of Prescription Pain Number of Admissions Relievers: 1999-2010 160,000 8.3% of admissions 151,225 136,086 140,000 115,990 120,000 100,000 92,887 77,603 80,000 66,927 57,673 60,000 49,949 43,342 35,615 40,000 26,466 20,916 20,000 0 1.2% of admissions 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Source: SAMHSA Treatment Episode Data Set (TEDS), 2010. 17
  18. 18. Questions

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