Ea 5 peterson perry


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Education & Advocacy: Parents and Naloxone - Joanne Peterson and Karen Perry

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Ea 5 peterson perry

  1. 1. Educa&on  &  Advocacy  Track:   Parents  and  Naloxone     Joanne  Peterson,  Founder  and  Execu2ve  Director,   Learn  to  Cope   Karen  H.  Perry,  Co-­‐Founder  and  Execu2ve  Director,   NOPE  Task  Force   Moderator:  Jackie  L.  Steele  Jr.,  JD,   Commonwealth  of  Kentucky  AKorney,  27th  Judicial  Circuit    
  2. 2. Disclosures     Joanne  Peterson  has  no  financial  relationships  with   proprietary  entities  that  produce  health  care  goods   and  services.     Karen  H.  Perry  has  no  financial  relationships  with   proprietary  entities  that  produce  health  care  goods   and  services.  
  3. 3. Learning  Objec2ves   1.  Describe  the  current  misperceptions  of  prescription   drug  abuse  among  parents  and  teenagers.   2.  Outline  strategies  for  educating  the  community   about  the  dangers,  and  solutions.   3.  Analyze  the  efficacy  and  best  practices  for   distributing  nasal  naloxone  in  an  effort  to  reduce   overdose  deaths  from  prescription  drug  abuse.  
  4. 4. Joanne  Peterson,  Founder  and  Executive  Director   “Never  doubt  that  a  small  group  of  thoughtful,  committed,  citizens  can   change  the  world.  Indeed,  it  is  the  only  thing  that  ever  has.”   Margaret  Mead   Parents  and   Naloxone  
  5. 5. What  is  Learn  to  Cope?     Peer-­‐led  solutions  based  network  for  families  dealing   with  addiction;  mainly  those  affected  by  the  opioid   prescription  and  heroin  epidemic.     Offers  support,  education,  resources  and  HOPE.     Pilot  site  for  MA  DPH  Nasal  Naloxone  (Narcan)  training   and  distribution  program     First  parent  network  in  the  country  to  have  trained  and   certified  parents  distributing  nasal  naloxone  to  peers.     Education  to  staff,  families  and  overall  communities  to   recognize  signs,  symptoms,  and  risk  factors  of  drug  use     Advocacy  
  6. 6. Overview     Support  network  for  parents  and  other  family   members  whose  loved  ones  are  using  drugs.     Founded  in  2004    “TEN  YEARS  AND  STILL  GOING  STRONG”     Expanded  to  12  weekly  meetings  in  communities   across  Massachusetts       Over  5,100  online  registered  members  locally  and   nationally       Overdose  education  and  naloxone  kits  provided  at   every  meeting  in  Massachusetts    
  7. 7. Mission  of  Learn  to  Cope   Support,  Educa&on,  Resources,  Hope    Provide  a  safe  space  for  families  to  share   their  experiences  and  receive  support.    Provide  education  for  families  about   addiction  with  kindness,  compassion  and   care.    Provide  hope  and  resources  for  families.    
  8. 8. Totals  in  the  Life  of  the  Private   Family  Discussion  Forum   Since  November  of  2008,  the  private  family  discussion   board  has  had…..    5,124  members  register    10,764  topics  created    87,796  posts  made    1,835,123  views     *Prior  to  November  2008  statistics  from  former  website   were  not  taken.  
  9. 9. New  Registra&ons   March  2013  to  March  2014    **Stats  based  on  info  up  to  March  22,  2014   Avg.  of  4-­‐5   registrations   per  day**  
  10. 10. New  Topics     March  2013  to  March  2014   **Stats  based  on  info  up  to  March  22,  2014  
  11. 11. Number  of  Posts   March  2013  to  March  2014   *   **Stats  based  on  info  up  to  March  22,  2014  
  12. 12. Views  to  Topics  Created   March  2013-­‐March  2014   **Stats  based  on  info  up  to  March  22,  2014  
  13. 13. MA  Opioid  Overdose  Preven2on  Pilot     2007:  MDPH  starts  an  Opioid  Overdose  Prevention  Pilot   via  standing  order     2009:  Expansion  to  more  community  based   organizations  and  outreach       2010:  First  responders  –  police  and  fire     2011:  Learn  to  Cope     2012:  Legislature  passed  Good  Samaritan  911  and  limited   liability  protection  
  14. 14. Enrollments  and  Rescues:     2006-­‐2013(first  half)     Enrollments     >21,000  individuals       >12  per  day     Rescues     >2,500  reported       >1  per  day   •  AIDS  Ac2on  CommiKee   •  AIDS  Project  Worcester     •  AIDS  Support  Group  of  Cape  Cod   •  Brockton  Area  Mul2-­‐Services  Inc.    (BAMSI)     •  Bay  State  Community  Services   •  Boston  Public  Health  Commission   •  Greater  Lawrence  Family  Health  Center   •  Holyoke  Health  Center   •  Learn  to  Cope   •  Lowell  House/  Lowell  Community  Health   Center   •  Manet  Community  Health  Center   •  Northeast  Behavioral  Health   •  Seven  Hills  Behavioral  Health   •  Tapestry  Health   •  SPHERE  
  15. 15. Data from people with location reported: Users:11,654 Non-Users: 5,677 Program data Enrollment  Loca&ons:   2008-­‐2013(first  half)  
  16. 16. Mo2va2ons  for  Family  Members  to  Receive   Overdose  Educa2on  and  Naloxone  Rescue  Kits   N  (%)   Total   93   Wanted  to  have  kit  in  house   67(72%)   Encouraged  by  education  provided  at   Learn  to  Cope   56  (60%)   Heard  about  benefits  from  Learn  to   Cope  members   53  (57%)   Wanted  more  information  about   overdose   24  (26%)   Wanted  kit  for  someone  else   18  (19%)   Previously  witnessed  overdose   17  (18%)   Experienced  death  of  loved  one   1  (1%)  
  17. 17. Benefits  of  Overdose  Educa2on  for   Family  Members     N  (%)   Total     92   Greater  sense  of  security   68  (74%)   Improved  confidence  to   manage  overdose   57  (62%)   Greater  understanding  of   overdose  education  than  they   have  already  had   55  (60%)   Able  to  education  others   30  (33%)   Able  to  reverse  an  overdose   27  (29%)  
  18. 18. Parents  and  Naloxone   Karen  H.  Perry   Co-­‐Founder     Execu&ve  Director   NOPE  Task  Force  
  19. 19. Karen  Perry  has  no  financial   rela2onships  with  proprietary   en22es  that  produce  health  care   goods  and  services.   Disclosure  Statement  
  20. 20. Richard  Perry     Age  21  
  21. 21. Orange  County   Fire  &  Rescue  
  22. 22. Consent  to  Treatment  
  23. 23. Release  Orders  
  24. 24. Richard  Perry     Age  21  
  25. 25. Extensive  Research   NOPE  Task  Force  supports  and  promotes  the  use  of   Naloxone  by,  first  responders  being  trained  emergency   medical  technicians  and  Law  Enforcement  Officers.       In  addi2on,  NOPE  is  cau2ous  in  the  promo2on  of  other   promising  Naloxone  distribu2on  models  un2l  Data  is   provided  that  third  party  distribu2on  would  not  have   uninten2onal  nega2ve  effects  on  communi2es  such  as   increase  the  number  of  first  2me  users  and/or  increase   current  use  and  decrease  the  number  of  people  who   seek  treatment.    
  26. 26. Palm  Beach  County  Sheriff’s  Office   Quan&ta&ve  Research    Collec2ng  extensive  demographic  and   circumstan2al  data  from  each  overdose   death  inves2ga2on.    Designing  a  prac2cal  overdose  death   database.    Exposing  overdose  correla2ons  and  trends.    
  27. 27. Case  Examina&ons  
  28. 28. Consent  to  Treatment  
  29. 29. Consent  to  Treatment  
  30. 30. Percep&ons  of  Alcohol   Since 2003, perceived risk of binge drinking on has risen in all grades, at least through 2011. These changes are consistent with changes in actual binge drinking-trends of binge drinking have declined. We believe, the public service advertising campaigns in the 1980s against drunk driving, as well as the urged use of designated drivers, contributed to the increase in perceived risk of binge drinking generally. Drunk driving by 12th graders declined during that period by an even larger proportion than binge drinking. Also, we showed that increases in the minimum drinking age during the 1980s were followed by reductions in drinking and increases in perceived risk associated with drinking. Source: Monitoring the Future Survey 2013
  31. 31. Alcohol  Use  &  Percep&on  of  Risk  
  32. 32. Percep&ons  of  Marijuana   The proportion of students seeing great risk from using marijuana regularly fell during the rise in use in the 1990s, making perceived risk a leading indicator of change in use. The decline in perceived risk halted in 1996 in 8th and 10th grades; the increases in use ended a year or two later, again making perceived risk a leading indicator of use. Perceived risk did decline some in all grades in 2012 and again in 2013 as use rose in 8th and 10th grades. Source: Monitoring the Future Survey 2013
  33. 33. Marijuana  Use  &  Percep&on  of  Risk  
  34. 34. Source: A Weekly FAX from the Center for Substance Abuse Research, January 14, 2013, Vol. 22, Issue 2
  35. 35. Percep&ons  of  Synthe&c   Marijuana   All three grades (8th, 10th, and 12th) were asked about whether they associate great risk with trying synthetic marijuana once or twice, and as can be seen on the facing page, there is a quite low level of perceived risk obtained (between 24% and 26%) for experimental use. Likely the availability of these drugs over the counter has had the effect of communicating to teens that they must be safe, though they are not. Source: Monitoring the Future Survey 2013
  36. 36.   1 in 6 parents (16 percent) believes that using prescription drugs to get high is safer than using street drugs   More than 1 in 4 teens (27 percent) shares the same belief.   1/3 of teens (33 percent) say they believe “it’s okay to use prescription drugs that were not prescribed to them to deal with an injury, illness or physical pain.”   1/4 of teens (25 percent) says there is little or no risk in using prescription pain relievers without a prescription, and more than 1 in 5 teens (22 percent) says the same for Ritalin or Adderall.   Additionally, 1 in 5 teens (20 percent) says pain relievers are not addictive. Percep&ons  on  Prescrip&on  Drugs   Source: 2012 Partnership Attitude Tracking Study
  37. 37. Source: 2012 Partnership Attitude Tracking Study Percep&ons  on  Prescrip&on  Drugs  
  38. 38. False  Sense  of  Security          Vic2ms  must  use  in  presence  of  Naloxone    administrator.            Vic2ms  may  suffer  a  subsequent  overdose  as  opiods    have  longer  life  span  in  body  than  Naloxone.          One  dose  may  not  be  sufficient  for  revival.          Naloxone  is  not  a  subs2tute  for  long  term  treatment    for  opiod  abuse.  
  39. 39. Mixed  Messaging          Heroin  is  illegal.          Prescrip2on  drug  abuse  or  misuse  is                  illegal.            Asking  a  third  party  to  par2cipate  in  a  situa2on  that    is  illegal  –is  dangerous,  confusing  .  
  40. 40. Responsibility          Taking  the  responsibility  of  ac2ons,  treatment  and    recovery  from  the  addict  and  placing  it  on  third    party  (parent  sibling  friend)          Enabling  may  interfere  with  successful  substance    abuse  treatment  plan  
  41. 41. NOPE  Supports  The  White  House  Office  of  Na&onal   Drug  Control  Policy’s  Posi&on  on  Naloxone  Treatment   The  Administra2on  con2nues  to  promote  the  use  of  Naloxone  among   those  likely  to  encounter  overdose  vic2ms,  including  first  responders.    As   highlighted  in  the  2013  Na#onal  Drug  Control  Strategy,  the  Police   Department  in  Quincy,  MassachuseKs,  has  partnered  with  that  State’s   health  department  to  train  and  equip  police  officers  to  resuscitate   overdose  vic2ms  using  Naloxone.  Since  October  2010,  officers  in  Quincy   have  administered  Naloxone  in  approximately  200  overdose  events,   almost  all  of  them  resul2ng  in  successful  overdose  reversals.  ONDCP  is   working  with  health  officials  and  law  enforcement  leaders  in  a  number  of   states  and  locali2es  to  encourage  implementa2on  of  similar  Naloxone   distribu2on  programs.    In  addi2on,  the  Administra2on  is  working  with   health  care  leaders  to  iden2fy  and  promote  other  promising  Naloxone   distribu2on  models.      
  42. 42. Extensive  Research   NOPE  Task  Force  supports  and  promotes  the  use  of   Naloxone  by,  first  responders  being  trained  emergency   medical  technicians  and  Law  Enforcement  Officers.       In  addi2on,  NOPE  is  cau2ous  in  the  promo2on  of  other   promising  Naloxone  distribu2on  models  un2l  Data  is   provided  that  third  party  distribu2on  would  not   increase  the  number  of  first  2me  users  and/or  increase   current  use  and  that  the  program  would  not  decrease   the  number  of  people  who  seek  treatment.    
  43. 43. Mandatory  Follow-­‐Up  Care   It  is  impera2ve  to   compel  the  vic2m  into   to  detox  and  treatment.   upon  receiving  the  life   saving  drug  Naloxone.  
  44. 44. Overdose  Preven&on  Act  
  45. 45. Preven&on  and  Educa&on   Presenta&ons        Middle  &  High  Schools        Universi2es        Parents  &  Communi2es        Treatment  Centers        Correc2onal  Ins2tu2ons        Health  Care  Professionals  
  46. 46. Advocate  for  Legisla&on        Be  informed  of  local      issues  and  poten2al  bills          Create  tool  kit  for    community  partners        Inform  partners  of    upcoming  bills    
  47. 47. NOPE  Task  Force,  Inc.   866-­‐612-­‐NOPE   www.nopetaskforce.org   Karen  Perry   KPerry@NOPETaskForce.org