Preventing teen abuse of prescriptions and over the
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  • 1. Preventing Teen Abuse of Prescriptions and Over the Counter Medications
    RaynaBriceno and Yailka Cardenas
    Health Education and Program Planning
  • 2. Mission Statement:
    • To educate the community about harmful trends involving teens and the misuse of prescription (Rx) and over the counter (OTC)medications
  • Goals:
    • To give stakeholders basic knowledge of some of the risk factors involved in teens abusing Rx and OTC medications
    • 3. To significantly reduce the number of teens aged 13 to 19 who misuse and/or abuse Rx and OTC medications
  • Objectives:
    To better understand the trend for Rx and OTC medication abuse among teens
    To increase the communication parents have with teens aged 13 to 19 about this topic
    To increase the number of stakeholders involved in this issue
    To reduce the number of Rx and OTC medications left unattended in reach of teens
  • 4. Background:
    • For teens, prescription and over the counter medications may have appeal for a number of reasons:
    • 5. Easily accessible
    • 6. Perceived as safe when compared with street drugs
    • 7. Legal, doctor-prescribed and FDA approved
    • 8. According to the Office of National Drug Control Policy, teens are abusing Rx and OTC drugs because of their belief in their safety and for reasons beyond getting high, such as:
    • 9. Relief of pain
    • 10. Aid with sleep
    • 11. Experimentation
    • 12. Helps with concentration
    • 13. To increase alertness
  • Significance:
    • According to the Partnership for a Drug-Free America, millions of teens report abusing a variety of prescription and over the counter medications, such as painkillers, stimulants and cough suppressants
    • 14. Teens abuse medications in a number of ways:
    Swallow the pills or drink liquids, such as cough syrup
    Crush pills before snorting or smoking the powder
    Melt or dissolve the medications and inject them
    Mix prescription drugs with alcohol and street drugs into cocktails
  • 15. Statistics
    Monitoring the Future survey (on Prescription Drugs)
    Prescription Drug abuse increased from 2.8% of High School students to 7.8%
    National Survey on Drug Use and Health
    In 2002, 4.7 used prescription drugs non-medically
    In 2003, 4.0% youth ages 12-17yrs and 6.0% young adults ages 18-25 reported nonmedical use of prescription drugs.
  • 16. Statistics Cont’d
    Nearly 1 in 5 teens reported abusing prescription medications that were not written out to them at least once
    30% of adolescents reported having a friend abusing prescription stimulants
    In 2004, 9% of adolescents aged 12 to 17 used prescription drugs
  • 17. Influences on Prescription Drug Use
    Peer group approval
    Teens are under the impression their prescription drug use is responsible
    Teen perception that prescription drugs are safer than illicit street drugs
    Advertisements for prescription drugs has increased significantly.
    $1.8 billion (1999) to $4.2 billion (2004) on prescription drug ads
  • 18. Who’s supplying prescription drugs?
    Peers with illnesses
    Parents’ medicine cabinets
    Physicians
    43% do not ask patients about prescription drug abuse
    1/3 do not refer to patient records for drug abuse
  • 19. Professions concerned about this issue..
    People involved:
    Parents
    Teachers
    SchoolAdministrators
    Coaches
    Counselors
    Pharmacists
    Pediatricians
    Adolescent Medicine Providers
    Emergency Room Providers
    Club Owners
    Organizations involved:
    Office of National Drug Control
    National Institute on Drug Abuse
    The Partnership for a Drug-Free America
    CDC
    DPH
    American Association of Position Control Center (AAPCC)
  • 20. How to get parents involved ?
    Begin by educating yourself:
    Educate yourself about medications that kids are abusing and share this information with others who are in contact with your children- such as school administrators, coaches, counselors, etc
    Communicate with your children
    Discuss the subject with your teens
    See what your kids know about this issue
    Explain to them this can be LETHAL and shouldn’t be done without parents knowing
  • 21. Safe guard medications at home and other places
    Ask your healthcare provider if any meds being prescribed for your family have a potential for abuse
    Take an inventory of Rx and OTC meds in your home
  • 22. What are we doing about it?
    National All Schedule Prescription Electronic Reporting (NASPER)
    $60 million from 2006-2010 for federal grants to establish and support prescription drug monitoring programs
    State and Local agencies are making public efforts to educate authorities, physicians, pharmacists, patients, and families about the effects of prescription drug abuse.
  • 23. What are we doing about it? Cont’d
    Takeback Initiative program
    The Drug Enforcement Administration and Law Enforcement work together to establish programs that take back old and/or unused prescription drugs
    WIVBTV: Prescription drop-off to fight abuse
    http://www.youtube.com/watch?v=MUxbNDkFesY
  • 24. Challenges
    Families and Communities taking the Lead
    Physicians getting the training
    Monitoring every prescription drug abuser.
  • 25. Questions:
    What obstacles do you think parents will face when addressing this issue with their children?
    How do you think a discussion regarding this topic would be different between a physician and a community health worker versus a parent and his/her child?
  • 26. References
    Bright, George. 3008. Abuse of Medications, Employed for the treatment of ADHD: Results from a large-scale community survey. The Medscale Journal of Medicine, 10 (5), 111-115.
     
    Friedman, Richard A. 2006. The Changing Faces of Teenage Drug Abuse – The Trend Toward Prescription Drugs. The New England Journal of Medicine. 354 1448-1550
     
    The Gazette. 2010. Rise in U.S. Prescription Drug Abuse: Study. Montrealgazette.com
     
    Goodnough, Abby. 2010. A Wave of Addiction and Crime, with the Medicine Cabinet to Blame. The New York Times
    Kelly, B,C., and Parsons, J.T. 2007. Prescription Drug Misuse among Club Drug-Using Young
    Adults. Journal of Drug-Alcohol Abuse, 33 (6), 875-884.
     
    Manchikanti, Laxmaiah, Md. 2006. Prescription Drug Abuse: What is Bing Done to Address This New Drug Epidemic? Testimony Before the Subcommittee on Criminal Justice, Drug, and Human Resources. Pain Physician, 9 (4) 287-321
     
    National Institute on Drug Abuse. Research Report Series – Prescription Drugs -Abuse & addictions. http://www.nida.nih.gov/researchreports/prescription/prescription5.html
     
    Plank, Dawndy Mercer. 2010. Program Will Take Back Your Prescription Meds. file:///Users/teacher/Desktop/story.asp.html
     
    Setik, J., Bond, R., and Ho, M. 2009. Adolescent Prescription ADHD Medication Abuse is Rising Along with prescriptions for these medications. Journal of the American Academy
    of Pediatrics, 124, 875-880.
     
    White, AG., Birnbaum, H.G. Schiller, M., Tang, J., and Katz, W.P. 2009. Analytic Models to
    Identify Patients at Risk for Prescription Opioid Abuse. The American Journal of
    Managed Care, 15 (12), 891-906.