November 29, 2010 (cashman)

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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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  • Selling your ideas is challenging. First, you must get your listeners to agree with you in principle. Then, you must move them to action. Use the Dale Carnegie Training® Evidence – Action – Benefit formula, and you will deliver a motivational, action-oriented presentation.
  • Open your presentation with an attention-getting incident. Choose an incident your audience relates to. The incidence is the evidence that supports the action and proves the benefit. Beginning with a motivational incident prepares your audience for the action step that follows.
  • November 29, 2010 (cashman)

    1. 1. Prescription drug diversion, abuse and distribution… Maine’s very own epidemic
    2. 2. Who in the world is “MDEA”? <ul><li>Maine’s statewide drug task force. </li></ul><ul><li>Investigate domestic, interstate and international drug offenses. </li></ul><ul><li>All agents are assigned by local, county and state agencies to one of MDEA’s 8 district task forces. </li></ul>
    3. 3. Classes of Prescription Drugs <ul><li>Opioids </li></ul><ul><ul><li>Treatment of pain </li></ul></ul><ul><li>CNS depressants </li></ul><ul><ul><li>Treatment for anxiety and sleep disorders </li></ul></ul><ul><li>Stimulants </li></ul><ul><ul><li>Treatment for attention-deficit hyperactivity disorder (ADHD), Narcolepsy and obesity </li></ul></ul>
    4. 4. Most Commonly Abused <ul><li>Methadone </li></ul><ul><li>Suboxone </li></ul><ul><li>Oxycodone </li></ul><ul><ul><li>OxyContin / Tylox / Percocet </li></ul></ul><ul><li>Propoxyphene </li></ul><ul><ul><li>Darvon / Darvocet </li></ul></ul><ul><li>Hydrocodone </li></ul><ul><ul><li>Vicodin </li></ul></ul><ul><li>Hydromorphone </li></ul><ul><ul><li>Dilaudid </li></ul></ul>
    5. 5. MDEA Statistics <ul><li>2005: 5,853 pills with 167 arrests (27%) </li></ul><ul><li>2006: 6,258 pills with 148 arrests (26%) </li></ul><ul><li>2007: 8,605 pills with 149 arrests (25%) </li></ul><ul><li>2008: 10,605 pills with 259 arrests (39%) </li></ul><ul><li>2009: 21,661 pills with 351 arrests (42%) </li></ul><ul><li>YTD 2010: 34,603 pills with 294 arrests (43%) </li></ul>
    6. 6. Hardest Hit <ul><li>Problem took root in the mid 1990’s in Down East Maine – specifically Washington County </li></ul><ul><li>Migrated first into Aroostook County and has progressively worked south from there to have a significant impact throughout Maine </li></ul>
    7. 7. Methods of ingestion <ul><li>Crush and snort </li></ul><ul><li>Dilute and inject intravenously </li></ul><ul><li>Smoke </li></ul>
    8. 8. How it gets to the street… <ul><li>Pharmacy Diversion </li></ul><ul><li>Internet sales </li></ul><ul><li>Doctor Shopping </li></ul><ul><li>Southern New England </li></ul><ul><li>Maine/Canada Border </li></ul><ul><li>* Florida “pain clinics ” </li></ul>
    9. 9. Headlines <ul><li>Pain-clinic crackdown gains traction </li></ul><ul><li>October 26, 2010 12:05 AM </li></ul><ul><li>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. </li></ul>
    10. 10. More Headlines <ul><li>Physician with Jacksonville clinic sentenced to 9 years over prescription drugs </li></ul><ul><li>Prosecutors lay out case against brothers who run cash-only pain clinics </li></ul><ul><li>Florida's New Pill Mill Law Now In Effect </li></ul>
    11. 11. OxyContin Prices $100 to $120 80 mg $50 - $60 40 mg $30 20 mg Street Price Strength
    12. 12. Maine Law <ul><li>Acquiring by deception (1108 and Title 32) </li></ul><ul><li>Stealing drugs </li></ul><ul><li>Possession (felony for some) </li></ul><ul><li>Furnishing </li></ul><ul><li>Trafficking </li></ul><ul><li>Aggravated Trafficking </li></ul>
    13. 13. DRUG ENDANGERED CHILDREN
    14. 14. DHHS REFERRALS <ul><li>MDEA Agents are making referrals to DHHS child protective services at least once per week, on average. </li></ul><ul><li>Safety of children </li></ul><ul><li>Neglect and abuse are far too common </li></ul>
    15. 15. Initiatives <ul><li>Communication and collaboration with prevention groups </li></ul><ul><li>Cost sharing for prevention / education </li></ul><ul><li>Communication with providers </li></ul><ul><li>Public Health and Public Safety Initiative </li></ul><ul><ul><li>Congressional funding for 2 years </li></ul></ul><ul><ul><li>Integration and communication </li></ul></ul>
    16. 16. Mail Back - Program Model Program Participants Secure delivery to Maine Drug Enforcement Agency Envelopes received, logged, catalogued and destroyed under MDEA custody
    17. 17. Program success <ul><li>20,000 mailers available through statewide network of participating pharmacies and partnering sites (approx. 150 sites) </li></ul><ul><li>Program open to individuals of all ages </li></ul><ul><li>Funding in place through 2011 </li></ul><ul><li>No expansion or new sites at this point in time </li></ul><ul><li>>9,500 mailers and 4,500 pounds collected YTD since October 2009. </li></ul>
    18. 18. National Drug Take Back <ul><li>  State                               Pounds             </li></ul><ul><li>Connecticut                     5050 </li></ul><ul><li>Massachusetts                 8550 </li></ul><ul><li>Maine                              7820 </li></ul><ul><li>New Hampshire              2479 </li></ul><ul><li>Rhode Island                     784 </li></ul><ul><li>Vermont                          1127 </li></ul><ul><li>Totals                           25,810                         </li></ul>
    19. 19. Community <ul><li>Change in attitude regarding prescription drugs vs. illicit drugs </li></ul><ul><li>Provider peer pressure and support </li></ul>

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