Watch: https://www.youtube.com/embed/9fuxMxwQTC4

1. Implementing an Evidence-Informed
Prescription Drug Abuse Prevention
Program: Overview of EVERFI's New
Prevention Course
Kimberley Timpf, Senior Director of Prevention Education
#evidencebasedprevention
#preventionmatters

2. Scope of the Challenge

3. In Recent News…
March 16, 2017
The Opioid Epidemic Is This
Generation’s AIDS Crisis
“…52,000 people died of drug overdoses in 2015. That’s
more deaths than the peak year for AIDS, which was 51,000
in 1995. And unlike AIDS in 1995, there’s no reason to think
the worst is now over.”
June 5, 2017
Drug Deaths in America Are
Rising Faster Than Ever
“Drug overdose deaths in 2016 most likely exceeded 59,000,
the largest annual jump ever recorded in the United States.
Drug overdoses are now the leading cause of death among
Americans under 50.”
"America is enduring a death toll equal to September 11th every three weeks."

4. United States Drug-Taking Culture
Source: UNODC (2011)
The United States
represents 5% of the
worlds’ population
5% 75%
…but consumes 75%
of the worlds’
prescription drugs

5. Contributing Factors to Prescription Drug Misuse
Easy access to
prescription
medications
4 billion
prescriptions filled
each year in U.S.
A C C E S S
Incorrect belief that
prescription medication
are safe because
a physician
prescribes them
M I S P E R C E P T I O N S
The U.S. is one
of two countries
that allow
direct-to-consumer
advertisements
for prescription drugs
A D S
There is little negative stigma attached to taking pills
Source: National Center for Health Statistics (2013)

6. Prescription Drug Misuse and Abuse on Campus

7. ADHD
Adderall, Ritalin, Concerta
• Increase alertness
• Increase attention
• Increase energy
• Increase blood pressure
and heart rate
• Seizures
• Hostility
STIMULANTS
DEPRESSANTS
OPIOIDS
Anxiety
Valium, Xanax, Ambien
• Increase GABA in the brain
• Decreases brain activity
producing calming effect
• Drowsiness
• Slowed respiration
and heart rate
• Seizure from withdrawal
Pain
Vicodin, OxyContin, Percocet
• Affects regions of the brain
that trigger euphoria
• Drowsiness
• Constipation
• Slowed breathing
• Respiratory depression
or death
Source: National Institute on Drug Abuse (2014)
Most Common Types of Misused Prescription Drugs

8. Distinctions of Campus Drug Abuse
18.6%
10.2%
OPIOIDS
5%9.0%
5% 20.0%
STIMULANTS
8.9%
13.8%
DEPRESSANTS
Have You Ever Used The Following Prescription
Drugs For Non-Medical Reasons?
College students
18- 25 year olds
College students
18- 25 year olds
College students
18 – 25 year olds
NUMBER OF PRESCRIPTION DRUG ABUSERS
5.1 million
2.2 million
1.1 million
Source: National Institute on Drug Abuse (2010); College Prescription Drug Study (2015)
STIMULANTSDEPRESSANTSOPIOIDS

9. • Some 33,000 people in the U.S. died of opioid
overdoses in 2015, according to the Centers
for Disease Control and Prevention.
• College students are as likely as others to
abuse the narcotics (Hazelden Betty Ford
Institute for Recovery Advocacy and the
Christie Foundation, 2015)
• Federal law doesn’t require colleges to
report drug deaths unless they are deemed
criminal.
Opioids:A Hidden Crisis on College Campuses?
Source: https://www.wsj.com/articles/colleges-take-action-on-opioid-epidemic-1494158403?tesla=y

10. Connecting Marijuana and Stimulant Misuse
Among Those Reporting NO Past Year Non-
Medical Use of Prescription Stimulants:
Among Those Reporting Past Year Non-
Medical Use of Prescription Stimulants:
39%
PAST 30-DAY MARIJUANA USE
PAST YEAR MARIJUANA USE
SKIPPED AT LEAST ONE CLASS
23%
35%
86%
PAST 30-DAY MARIJUANA USE
PAST YEAR MARIJUANA USE
SKIPPED AT LEAST ONE CLASS
66%
54%
Source: Kilmer (2017)
(9% due to alcohol/
other substances)
(40% due to alcohol/
other substances)

11. Getting Started

12. How is the Rx drug conversation different from conversations about alcohol?
Concerns:
• Consensus among
campus stakeholders
about risks of Rx drugs,
lack of consensus about
what to do.
• Ambivalence about how
to respond = inaction
and delayed response.
Framing the Conversation on Campus
• Rx drugs have a therapeutic benefit.
• Long-time focus on the “A” in AOD prevention –
“Other Drugs” now in the spotlight.
• Pharmacological risks are not equal.
• Rx drug prevention is an emerging field.
• Rx drug abuse associated with negative
stereotypes.
• Rx drug prevention is an unfunded mandate.

13. An Unfunded
Mandate
EDGAR Part 86 Regulations
Having a compliant program requires
that IHEs:
[1] conduct a biennial review of their
drug and alcohol prevention programs
[2] annually distribute specified drug
and alcohol prevention information to
students and employees (“annual
notification”)
Standards of conduct; federal, state
and local laws; available drug and
alcohol programs; and a description of
the health risks associated with
alcohol abuse and illicit drug use,
including:
• risk of dependence,
• possible short-term effects,
• possible long-term effects, and
• likelihood and effects of overdose.
20 U.S.C. 1145g—Drug and Alcohol Abuse Prevention
Annual Notification Requirements

14. Using What We Know
Information Dissemination
Skill-Building
Problem Identification & Referral
Campus-Based Processes
Environmental Approaches
Health
marketing
campaigns
Partner
with off-
campus
resources
Clear
campus
policy and
processes
Bystander
intervention
Referral
network
created

15. A Population-Level Approach to Prescription
Drug Abuse Prevention

16. Prescription Drug Abuse Prevention

17. Prescription Drug Abuse Prevention

18. Behavioral Outcomes and Learning Objectives
FACTORS THAT INFLUENCE BEHAVIOR
[Health Belief Model, Theory of Planned
Behavior, Social Cognitive Theory]
Knowledge
Attitudes and Beliefs
Perceived Outcomes
Personal Norms
Social Norms
Behavioral Skills
Perceived Behavioral Control
Cues to Action

19. Knowledge
OBJECTIVES
• Identify the attributes of the
most common prescription
drugs
• Describe the risks associated
with prescription drug misuse
and abuse
• Cite the laws and policies
relevant to prescription drug
use

20. OBJECTIVE
• Demonstrate how to
refuse requests from
others to use my
personal prescription
medications.
Behavioral Skills

21. OBJECTIVE
• Demonstrate how to
use non-confrontational
responses to turn down
an offer to use a drug
that hasn’t been
prescribed to me.
Behavioral Skills

22. Perceived Behavioral Control
OBJECTIVE
• Agree: I will use prescription
drugs only as advised by a
doctor/medical professional/
pharmacist

23. AN EVIDENCE-INFORMED
APPROACH:
• Delivers accurate information to
help students make informed
decisions about their personal use
of medication
• Uses a curriculum grounded in
behavior change theory
• Employs evidence based practices
• Engages a majority of students
who are making healthy and safe
decisions
• Discourages misuse and abuse of
all substances
• Provides critical data and student
engagement information to help
inform prevention strategies
#evidencebasedprevention
#preventionmatters

24. What’s new from EverFi in 2017?

25. Complete Student Catalog
Primary Prevention Courses
● Alcohol Prevention
● Title IX/Clery Training
For Undergraduates
For Graduates
For Adult Learners
● Prescription Drug Abuse Prevention
Ongoing Courses
● Title IX/Clery Training for Continuing Students
● Alcohol Prevention Refresher
● Alcohol Sanctions Training

26. Complete Faculty/Staff Catalog
Primary Prevention Course
● Title IX/Clery/Campus SaVE Act
Annual Ongoing Course
● Title IX/Clery Refresher
Information Security
● Data Security & Privacy
● FERPA
● HIPAA Basics
● Social Media & Your Job
● PCI:DSS
Risk Management
● Intersections: Title IX/Title VII
● Protect Children (mandated reporter)
● Injury & Illness Prevention
● Ethics
● Clery Act Basics
● Bloodborne Pathogens
● Accommodating Students/Workers Disabilities
● Bullying in the Workplace
● Diversity: Skills for Collaboration
● Drugs & Alcohol at Work
● Hazard Communication

27. Thank you!

28. Implementing an Evidence-Informed
Prescription Drug Abuse Prevention
Program: Overview of EVERFI's New
Prevention Course
Implementing an Evidence-Informed
Prescription Drug Abuse Prevention
Program: Overview of EVERFI's New
Prevention Course
Kimberley Timpf, Senior Director of Prevention
Education
kimberley@everfi.com
#evidencebasedprevention
#preventionmatters