What Parents Can Do       April 10-12, 2012Walt Disney World Swan Resort
Accepted Learning Objectives1. Compare mixed-method studies that focus onbehavioral factors related to drug use andabuse, ...
Disclosure StatementAll presenters for this session, Dr. Carol J.Boyd, Dr. Gary Martin, and Karen Perry,have disclosed no ...
The	  Killer	  Amongst	  Us…	               Drug	  Overdose	                     Dr.	  Gary	  Mar<n	  Palm	  Beach	  Count...
Na<onal	  Overdose	  Sta<s<cs	  	    27,658	  uninten-onal	  drug	  poisonings	    100%	  increase	  in	  overdose	  dea...
Uninten<onal	  Overdose	  Deaths	  
Drug	  Related	  Deaths	    Physiological	     consequences	     associated	  with	  chronic	     drug	  use	    Violenc...
Overdose	  Deaths	  
Why	  so	  many	  uninten<onal	  	      poisoning	  deaths?	  
Combining	  and	  Mixing	  Drugs	    Mul-ple	  contributable	     drugs	  found	  in	  majority	     of	  overdose	  fata...
2007	  Toxicology	  Findings	  
Commonly	  Abused	  Drugs	  
High	  Risk	  Drugs	  	    Opiate	  Pain	  Medica-ons	    Depressants/seda-ves	  	    Illicit	  drugs	  including	     ...
Tolerance	  Depleted	    Recently	  released	  prisoners	    Recently	  released	  from	  court	  supervision	    Recen...
A	  Comprehensive	  Response	  
Three	  Strategies                                      	    Law	  Enforcement	    Public	  Awareness	  	    Quan<ta<ve...
Law	  Enforcement                                     	    Reviewing	  each	  overdose	  death	  inves-ga-on.	  	    App...
Public	  Awareness                                       	    Forging	  coopera-ve	  rela-onships	  with	  families	  who...
911 	  Good	  Samaritan	  Legisla<on	                                            	    A	  Drug	  Overdose	  Interven-on	 ...
Quan<ta<ve	  Research	    Collec-ng	  extensive	  demographic	  and	  circumstan-al	     data	  from	  each	  overdose	  ...
Case	  Examina<ons                                      	      353	  overdose	  death	  cases	      Palm	  Beach	  Count...
Decedents 	  Average	  Age	   40.08 Years
  Age	  breakdown	  	  
Overdose	  Risk	  Profile	  Demographic	  Indicators:	      White	      Male	      Approximately	  40	  years	  old	   ...
Overdose	  Risk	  Profile	  Sta<c	  Indicators:	      History	  of	  substance	  abuse	      History	  of	  drug	  relate...
Overdose	  Risk	  Profile	  Circumstan<al	  Indicators:	          Died	  at	  home	          Discovered	  by	  family	  m...
NOPE	  Task	  Force	                   866-­‐612-­‐NOPE   	  Ask	  Adam	  (Ask	  Ques<ons	  Anonymously)                  ...
Gary Martin2
Gary Martin2
Gary Martin2
Gary Martin2
Gary Martin2
Gary Martin2
Gary Martin2
Gary Martin2
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What Parents Can Do
National Rx Drug Abuse Summit 4-11-12

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Gary Martin2

  1. 1. What Parents Can Do April 10-12, 2012Walt Disney World Swan Resort
  2. 2. Accepted Learning Objectives1. Compare mixed-method studies that focus onbehavioral factors related to drug use andabuse, especially among youth andadolescents.2. Outline proven comprehensive strategies forcombating prescription drug abuse through thedevelopment of community partnerships.3. Express the impact of prescription drug abuseon families and communities through anecdotalpersonal stories.
  3. 3. Disclosure StatementAll presenters for this session, Dr. Carol J.Boyd, Dr. Gary Martin, and Karen Perry,have disclosed no relevant, real orapparent personal or professionalfinancial relationships.
  4. 4. The  Killer  Amongst  Us…   Drug  Overdose   Dr.  Gary  Mar<n  Palm  Beach  County  Sheriff s  Office/Lynn  University  
  5. 5. Na<onal  Overdose  Sta<s<cs      27,658  uninten-onal  drug  poisonings    100%  increase  in  overdose  deaths  from  years   2000-­‐2006    Drug  overdose  deaths    second  to  car  accidents   for  uninten-onal  injury  deaths  
  6. 6. Uninten<onal  Overdose  Deaths  
  7. 7. Drug  Related  Deaths    Physiological   consequences   associated  with  chronic   drug  use    Violence      Behavioral  choices    
  8. 8. Overdose  Deaths  
  9. 9. Why  so  many  uninten<onal     poisoning  deaths?  
  10. 10. Combining  and  Mixing  Drugs    Mul-ple  contributable   drugs  found  in  majority   of  overdose  fatali-es      Average  of  2.7  drugs   found  in  overdose  cases  
  11. 11. 2007  Toxicology  Findings  
  12. 12. Commonly  Abused  Drugs  
  13. 13. High  Risk  Drugs      Opiate  Pain  Medica-ons    Depressants/seda-ves      Illicit  drugs  including   alcohol  
  14. 14. Tolerance  Depleted    Recently  released  prisoners    Recently  released  from  court  supervision    Recently  released  from  drug  treatment    Recently  released  from  hospital    
  15. 15. A  Comprehensive  Response  
  16. 16. Three  Strategies    Law  Enforcement    Public  Awareness      Quan<ta<ve  Research  
  17. 17. Law  Enforcement    Reviewing  each  overdose  death  inves-ga-on.      Applying  all  relevant  statutes  to  the  circumstances.    Forwarding  all  narco-cs  intelligence.    19.3  %  of  the  case  reviews  generated  narco-cs   intelligence.        
  18. 18. Public  Awareness    Forging  coopera-ve  rela-onships  with  families  who  have   lost  loved  ones  to  drug  overdose  death.    Providing  overdose  risk  awareness  programs  to  students   and  parents.    Designing  a  mul-media  public  service    campaign  focusing   on  the  risks  associated  with  prescrip-on  drug  misuse  and   abuse.    Seeking  legisla-ve  ac-on  to  discourage  doctor  shopping   and  prescrip-on  drug  diversion.      
  19. 19. 911  Good  Samaritan  Legisla<on      A  Drug  Overdose  Interven-on  Strategy.      Offers-­‐limited  immunity  from  criminal  prosecu-on   for  person(s)  who,  in  good  faith,  seek  medical   aWen-on  during  a  drug-­‐related  medical  crisis.      Intent-­‐reduce  the  number  of  drug  overdose  deaths   by  removing  the  fear  of  arrest  as  a  barrier  to  seeking   emergency  medical  assistance.      
  20. 20. Quan<ta<ve  Research    Collec-ng  extensive  demographic  and  circumstan-al   data  from  each  overdose  death  inves-ga-on.    Designing  a  prac-cal  overdose  death  database.     Exposing  overdose  correla-ons  and  trends.    
  21. 21. Case  Examina<ons    353  overdose  death  cases    Palm  Beach  County,  Florida      Selected  by  chronological  occurrence      Data  derived  from:    Police  and  paramedic  reports        Autopsy  and  toxicology  findings    Family  and  friend  interviews      Medical  records        
  22. 22. Decedents  Average  Age   40.08 Years
  23. 23.   Age  breakdown    
  24. 24. Overdose  Risk  Profile  Demographic  Indicators:    White    Male    Approximately  40  years  old    High  School  Diploma  or  GED    Employed  
  25. 25. Overdose  Risk  Profile  Sta<c  Indicators:    History  of  substance  abuse    History  of  drug  related  arrests    History  of  substance  abuse  treatment    History  of  mental  health  treatment    History  of  non  fatal  drug  overdose    Under  physician s  care  at  -me  of  death  
  26. 26. Overdose  Risk  Profile  Circumstan<al  Indicators:    Died  at  home    Discovered  by  family  member    Last  act  is  sleeping    Found  unconscious    Others  present  at  death  scene    Other  recognized  distress    Died  from  accidental  mul-ple  drug  toxicity    Most  likely  combina-ons  are  alprazolam,      oxycodone,  cocaine,  and  methadone  
  27. 27. NOPE  Task  Force   866-­‐612-­‐NOPE  Ask  Adam  (Ask  Ques<ons  Anonymously)   www.nopetaskforce.org   Dr.  Gary  Mar<n   Mar<nG@pbso.org  

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