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Rx Presentation for Adults

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A presentation on Rx drug abuse aimed for adults.

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Rx Presentation for Adults

  1. 1. Preventing Rx Abuse in Your Community
  2. 2. The following PowerPoint slides were obtained from presentations on Rx abuse prevention from the National Association of Drug Diversion Investigators (NADDI), the National Council on Patient Information and Education (NCPIE) and CADCA. Coalitions should feel free to adapt these slides into their education and outreach activities. Here’s what you’ll find: About this presentation 1.  The Teen – Rx Abuse Connection 2.  Facts & Stats 3.  Teen & Adult Attitudes About Rx Abuse 4.  Outreach to Teens, Parents, Families & Community 5.  Want to Learn More? We have placed relevant source information in the notes section of each slide RX ABUSE PREVENTION TOOLKIT - from awareness to action
  3. 3. Rx Medications are All Around Us…and Teens Notice The Teen – Rx Abuse Connection §  Patients leave the doctor’s office with a prescription in hand in 7 out of 10 visits. §  Direct-to-consumer advertising on TV and in magazines is pervasive. §  Many people don’t know how to safely use these medications or ignore their doctor’s instructions. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  4. 4. Rx drugs are part of teen culture. Teens: As a result… §  Normalize this form of drug abuse. §  Take these meds for legitimate reasons – with or without a prescription – to stay awake, remain alert or to go to sleep. §  Purposely abuse these drugs to get high. They participate in “pharming” and “bowling” parties. §  Are often unaware that these activities can lead to disastrous results. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  5. 5. that abusing Rx drugs can: Teenagers don’t know §  Increase blood pressure or heart rate. §  Damage the brain and other organs. §  Lead to accidental overdose / poisonings. §  Cause physical dependency and / or addiction. §  Disrupt breathing (respiratory depression). §  Lead to risks associated with mixing multiple drugs or combining with alcohol. §  Cause seizures and even death. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  6. 6. Facts & Stats While Rx drugs serve an important purpose when used under a doctor’s care, the misuse of Rx drugs is a growing, under-recognized problem that puts young lives at risk. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  7. 7. America constitutes 5% of the worlds population and we use 80% of the opioid supply Manchikanti L, Singh A. Therapeutic Opioids: A Ten-Year Perspective on the Complexities and Complications of the Escalating Use, Abuse, and Nonmedical Use of Opioids. Pain Physician. 2008; 11. S63-S88.
  8. 8. Did you know? §  Next to marijuana, the most common illegal drugs teens are abusing are prescription medications. §  Twenty percent of U.S. high school students say they have taken Rx drugs without consulting a doctor. §  1 in 5 teens has abused Rx drugs. §  1 in 3 teens say there is “nothing wrong” with abusing Rx medications “every once in a while.” §  Every day, almost 2,500 teens abuse an Rx medication for the first time. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  9. 9. Teens’ Rx Drugs of Choice For Abuse How they work Abused by teens to: Drug names Strong pain relievers Used to relieve moderate- to-severe pain, these medications block pain signals to the brain Get high, increase feelings of well being by affecting the brain regions that mediate pleasure Vicodin, OxyContin, Percocet, Lorcet, Lortab, Actiq, Darvon, codeine, morphine, methadone Stimulants Primarily used to treat ADHD type symptoms, these speed up brain activity causing increased alertness, attention, and energy that comes with elevated blood pressure, increased heart rate and breathing Feel alert, focused and full of energy—perhaps around final exams or to manage coursework, lose weight Adderall, Dexedrine, Ritalin, Concerta Sedatives or tranquilizers Used to slow down or “depress” the functions of the brain and central nervous system pressure, increased heart rate and breathing Feel calm, reduce stress, sleep Valium, Xanax, Ativan, Klonopin, Restoril, Ambien, Lunesta, Mebaral, Nembutal, Soma RX ABUSE PREVENTION TOOLKIT - from awareness to action
  10. 10. RX ABUSE PREVENTION TOOLKIT - from awareness to action Rx Access Points— Friends & Family Source of Concern SAMHSA. (2008). Results from the 2007 National Survey on Drug Use and Health: National Findings (Office of Applied Studies, NSDUH Series: H-34, DHHS Publication No. SMA 08-4343). Rockville, MD. Available at: www.oas.samhsa.gov/nsduh/2k7nsduh/2k7Results.pdf
  11. 11. More Recent •  In 2010 New Mexico lead the nation in prescription drug overdoses (rate = 29 per 100,000) •  Taos County – 2010 - 3 Drug related deaths – 2011- 12 Drug related deaths, 1 waiting tox – 2012 – 5 Drug related deaths, 4 waiting tox ¼ of OMI cases are drug related deaths.
  12. 12. attitudes about Rx abuse Teens & Adult MIXING OVER-THE-COUNTER COLD MEDICATION and someone else's prescription painkillers CAUSED THE DEATH OF MY SON…I could get my hands on prescription medicines AS FAST AS I COULD BUY A PIZZA…the problem IS AS CLOSE AS YOUR MEDICINE CABINET…PART OF ME DIED THAT DAY when my daughter was taken away on a gurney… TEEN RX ABUSE is more than an emerging problem. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  13. 13. Teens say that… RX ABUSE PREVENTION TOOLKIT - from awareness to action Agree strongly/somewhat % Rx drugs, even if they are not prescribed by a doctor, are much safer to use than illegal drugs. 40% There is nothing wrong with using Rx drugs without a doctor’s prescription once in a while. 31% Rx pain relievers, even if they are not prescribed by a doctor, are not addictive. 29%
  14. 14. beliefs & attitudes Parental / Guardian §  Many parents aren’t aware of the dangers of Rx abuse – it’s just not on their radar screen. §  Rx medicines can be found in homes of family or friends, and parents don’t realize the connection between teen Rx abuse and easy availability. §  Many parents do not know how to effectively talk with their teens about Rx drug abuse. §  They often find out about an Rx problem when it is too late. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  15. 15. Watch for Physical Warning Signs §  Excessive sweating, urination or thirst §  Nausea and vomiting §  Uncontrollable diarrhea §  Spastic shaking §  Drowsiness, dizziness and insomnia §  Loss of consciousness §  Physical dependence §  Addiction EDUCATE RX ABUSE PREVENTION TOOLKIT - from awareness to action
  16. 16. Watch for Physical Warning Signs §  Sudden mood changes, including irritability, negative attitude, personality change. §  Extreme changes in groups of friends or hangout locations. §  Lying or being deceitful, unaccounted time away from home/ missed school days, avoiding eye contact. §  Losing interest in personal appearance, extracurricular activities or sports. §  Poor performance at school. §  Borrowing money or having extra cash. §  Visiting and even purchasing from pro-drug abuse (illegal) web sites. EDUCATE RX ABUSE PREVENTION TOOLKIT - from awareness to action
  17. 17. COMMUNICATE Talk to teens about Rx abuse §  Teens learn by example. When they see mom, dad, a sibling or grandparent taking a pill – even responsibly – it doesn’t seem so bad. §  Many teens report that their parents have the greatest influence on their drug use attitudes and decisions. §  Kids who continue to learn about the risks of drugs at home are up to 50% less likely to use drugs than those who are not taught about these dangers. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  18. 18. COMMUNICATE Talking to teens “DENORMALIZE” THE BEHAVIOR While 1 in 5 teens are abusing Rx drugs, 4 in 5 are not. DEBUNK COMMON MYTHS: Rx abuse is just as dangerous as abusing other substances; it can be addictive; and it’s not OK to misuse these drugs even “once in a while.” PROVIDE CLEAR GUIDELINES If you’re a parent, let teens know you will be disappointed if they abuse Rx medications and watch how you use medicines in front of teens. GIVE TEENS ESCAPE ROUTES Teach them how to get out of bad situations; and suggest responses they can use so they don’t feel “uncool.” §  “No, thanks – not into it.” §  “Not today.” §  “I’m not interested.” RX ABUSE PREVENTION TOOLKIT - from awareness to action
  19. 19. SAFEGUARD Keep track of your meds Parents (and other family members) are in the best position to reduce access to prescription drugs by locking up medicines and properly disposing of expired or unused medicines. §  Monitor all medications in the home—prescription and OTC medicines. §  Safely store medicines out of children’s reach and sight. Consider locking them up. §  Get rid of old or unused medicines. RX ABUSE PREVENTION TOOLKIT - from awareness to action
  20. 20. Guidelines for Rx drug disposal FEDERAL GUIDELINES §  Refer to October 15, 2009 FDA Guidelines for Disposal by Flushing. §  Do not flush down toilet or drain unless label or accompanying patient information specifically instructs you to do so. §  Dispose of Rx drugs not labeled to be flushed through community drug take-back programs. If a program is not available, dispose of medications appropriately: 1.  Take medication out of its original packaging and place it into a disposable container with a lid or into a sealable bag. 2.  Mix drugs with an undesirable substance (e.g., cat litter or used coffee grounds). 3.  Place sealed container with the mixture and original packaging (be sure to remove all personal information from the packaging) in the trash. SAFEGUARD Office of National Drug Control Policy. Proper Disposal of Prescription Drugs. 2009. Available at: www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf RX ABUSE PREVENTION TOOLKIT - from awareness to action
  21. 21. SAFEGUARD Rx drug disposal Taos County Disposal §  Drop Box Taos Police Department § DEA Take Back NATIONAL TAKE-BACK INITIATIVE
  22. 22. Guidelines for Rx drug disposal FEDERAL GUIDELINES §  Refer to October 15, 2009 FDA Guidelines for Disposal by Flushing. §  Do not flush down toilet or drain unless label or accompanying patient information specifically instructs you to do so. §  Dispose of Rx drugs not labeled to be flushed through community drug take-back programs. If a program is not available, dispose of medications appropriately: 1.  Take medication out of its original packaging and place it into a disposable container with a lid or into a sealable bag. 2.  Mix drugs with an undesirable substance (e.g., cat litter or used coffee grounds). 3.  Place sealed container with the mixture and original packaging (be sure to remove all personal information from the packaging) in the trash. SAFEGUARD Office of National Drug Control Policy. Proper Disposal of Prescription Drugs. 2009. Available at: www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf RX ABUSE PREVENTION TOOLKIT - from awareness to action
  23. 23. What we are doing Taos Alive Rx Initiative Meets every 3rd Thursday of the month at 12:00 at Holy Cross Hospital DOH / Narcan Piolot Program Meets monthly see Taos Alive website for meeting dates and times. www.taosalive.org Presentations Senior Citizen Centers, Schools, Community Groups, Youth Groups Collaboration Taos Alive brings the community together to reduce substance abuse. Media Radio, Newspaper, Flyers, Brochures Health Care Initiatives Opioid Prescribing Guidelines, Pain contracts, Use of PMP and working with local pharmacies and medical practitioners Disposal Coordinate with local law enforcement to hold take back days, purchase permanent drop box located at Taos Police Department Secure Medication Taos Alive purchased lock boxes to give away at take back, senior centers and other presentations. Creating a Recovery Friendly Community Collaborate with other agencies to host a community summit.
  24. 24. Want to learn more? ABOVE THE INFLUENCE http://www.abovetheinfluence.com/facts/drugs-prescription-otc.aspx# COMMUNITY ANTI-DRUG COALITIONS OF AMERICA www.cadca.org THE DRUG TAKE-BACK NETWORK http://www.takebacknetwork.com/ NATIONAL CONCIL ON PATIENT INFORMATION AND EDUCATION www.talkaboutrx.org NATIONAL ASSOCIATION OF DRUG DIVERSION INVESTIGATORS www.naddi.org NATIONAL INSTITUTE ON DRUG ABUSE, PRESCRIPTION DRUGS http://www.nida.nih.gov/drugpages/prescription.html PARTNERSHIP FOR A DRUG-FREE AMERICA www.drugfree.org WHITE HOUSE OFFICE OF NATIONAL DRUG CONTROL POLICY, EFFORTS TO REDUCE PRESCRITION DRUG ABUSE http://ofsubstance.gov/blogs/pushing_back/archive/2010/07/06/51426.aspx RX ABUSE PREVENTION TOOLKIT - from awareness to action

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