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November 29, 2010 (cashman)
 

November 29, 2010 (cashman)

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This presentation was created by SS/A Kevin Cashman

This presentation was created by SS/A Kevin Cashman
Maine Drug Enforcement Agency, Cumberland District Task Force for the 11/29/10 CADCA town hall meeting.

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November 29, 2010 (cashman) November 29, 2010 (cashman) Presentation Transcript

  • Prescription drug diversion, abuse and distribution… Maine’s very own epidemic
  • Who in the world is “MDEA”?
    • Maine’s statewide drug task force.
    • Investigate domestic, interstate and international drug offenses.
    • All agents are assigned by local, county and state agencies to one of MDEA’s 8 district task forces.
  • Classes of Prescription Drugs
    • Opioids
      • Treatment of pain
    • CNS depressants
      • Treatment for anxiety and sleep disorders
    • Stimulants
      • Treatment for attention-deficit hyperactivity disorder (ADHD), Narcolepsy and obesity
  • Most Commonly Abused
    • Methadone
    • Suboxone
    • Oxycodone
      • OxyContin / Tylox / Percocet
    • Propoxyphene
      • Darvon / Darvocet
    • Hydrocodone
      • Vicodin
    • Hydromorphone
      • Dilaudid
  • MDEA Statistics
    • 2005: 5,853 pills with 167 arrests (27%)
    • 2006: 6,258 pills with 148 arrests (26%)
    • 2007: 8,605 pills with 149 arrests (25%)
    • 2008: 10,605 pills with 259 arrests (39%)
    • 2009: 21,661 pills with 351 arrests (42%)
    • YTD 2010: 34,603 pills with 294 arrests (43%)
  • Hardest Hit
    • Problem took root in the mid 1990’s in Down East Maine – specifically Washington County
    • Migrated first into Aroostook County and has progressively worked south from there to have a significant impact throughout Maine
  • Methods of ingestion
    • Crush and snort
    • Dilute and inject intravenously
    • Smoke
  • How it gets to the street…
    • Pharmacy Diversion
    • Internet sales
    • Doctor Shopping
    • Southern New England
    • Maine/Canada Border
    • * Florida “pain clinics ”
  • Headlines
    • Pain-clinic crackdown gains traction
    • October 26, 2010 12:05 AM
    • DAYTONA BEACH -- As tough South Florida laws push more pain-management clinics into this part of the state, a governmental advisory group is beginning a movement to get Volusia County's cities to toughen local laws so the clinics don't get out of control here.
  • More Headlines
    • Physician with Jacksonville clinic sentenced to 9 years over prescription drugs
    • Prosecutors lay out case against brothers who run cash-only pain clinics
    • Florida's New Pill Mill Law Now In Effect
  • OxyContin Prices $100 to $120 80 mg $50 - $60 40 mg $30 20 mg Street Price Strength
  • Maine Law
    • Acquiring by deception (1108 and Title 32)
    • Stealing drugs
    • Possession (felony for some)
    • Furnishing
    • Trafficking
    • Aggravated Trafficking
  • DRUG ENDANGERED CHILDREN
  • DHHS REFERRALS
    • MDEA Agents are making referrals to DHHS child protective services at least once per week, on average.
    • Safety of children
    • Neglect and abuse are far too common
  • Initiatives
    • Communication and collaboration with prevention groups
    • Cost sharing for prevention / education
    • Communication with providers
    • Public Health and Public Safety Initiative
      • Congressional funding for 2 years
      • Integration and communication
  • Mail Back - Program Model Program Participants Secure delivery to Maine Drug Enforcement Agency Envelopes received, logged, catalogued and destroyed under MDEA custody
  • Program success
    • 20,000 mailers available through statewide network of participating pharmacies and partnering sites (approx. 150 sites)
    • Program open to individuals of all ages
    • Funding in place through 2011
    • No expansion or new sites at this point in time
    • >9,500 mailers and 4,500 pounds collected YTD since October 2009.
  • National Drug Take Back
    •   State                               Pounds            
    • Connecticut                     5050
    • Massachusetts                 8550
    • Maine                              7820
    • New Hampshire              2479
    • Rhode Island                     784
    • Vermont                          1127
    • Totals                           25,810                        
  • Community
    • Change in attitude regarding prescription drugs vs. illicit drugs
    • Provider peer pressure and support