This document summarizes a conference held to discuss the issue of neonatal abstinence syndrome (NAS) among newborns in the Appalachian region. Experts from 8 Appalachian states discussed what is known about NAS epidemiology in the region, identified gaps in knowledge, and made recommendations. Common themes included the need for improved education of healthcare providers, treatment resources, and prevention strategies. The conference aimed to facilitate collaboration across states to address this growing public health problem.
The panel discussed two youth prevention programs - the Give Me a Reason voluntary drug testing program for parents and the This Is (Not) about Drugs prevention program implemented in schools. The Give Me a Reason program provides free at-home drug testing kits for parents to help prevent drug use among youth. The This Is (Not) about Drugs program uses a film and lesson plan to educate students about the risks of prescription opioid and heroin use with the goal of preventing first-time drug use.
This document summarizes a presentation on youth performance-enhancing drugs and ADHD medication. It discusses trends in misuse of these substances among young people. The presentation is given by representatives from various organizations focused on prevention, health promotion, and substance abuse issues among youth and college students. The presentation covers types of performance-enhancing drugs and their potential side effects. It also discusses trends in attitudes towards these substances and risks of misuse. Strategies are presented for helping adolescents pursue their goals without these drugs. The document concludes by outlining plans for addressing misuse of ADHD medication among college students through education and collaboration between various stakeholder groups.
This document discusses neonatal abstinence syndrome (NAS) and universal maternal drug testing. It provides background information on NAS including trends showing large increases in incidence and costs associated with NAS. It outlines objectives related to describing NAS trends, identifying legislative activities impacting NAS, describing family planning for women in substance abuse treatment, and explaining a hospital program using universal drug testing. The document then covers topics including NAS symptoms, incidence and geographic trends, costs of NAS, opioid use in women of childbearing age, unintended pregnancy rates, contraceptive use among opioid users, and maternal drug exposure sources.
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4deanOPUNITE
This document outlines an advocacy track presentation on activating communities to address prescription drug abuse. It provides biographies of the presenters and moderators and discloses any conflicts of interest. The learning objectives are to identify best practices for implementing CADCA's seven strategies for community change to impact prescription drug issues. It then provides examples of how various coalitions across the country are utilizing each of the seven strategies, such as providing education, enhancing skills, supporting communities, and changing policies.
The document discusses strategies for engaging opioid overdose patients in addiction treatment after receiving naloxone/an overdose reversal. It describes:
1) The Lifespan Opioid Overdose Prevention Program in Rhode Island which aims to reduce overdose deaths by increasing access to naloxone, expanding overdose education in EDs, and increasing referral to treatment. The program provides take-home naloxone, peer recovery coaching, and refers patients to treatment.
2) The Camden County Addiction Awareness Task Force's "Operation SAL" program which aims to engage overdose patients in treatment after being revived by first responders. It connects patients to resources like food/clothing banks and
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershingOPUNITE
This document discusses the role of health departments in preventing neonatal abstinence syndrome (NAS). It notes that NAS rates have increased significantly in recent years, disproportionately affecting women. Health departments engage in surveillance to monitor NAS trends, partner with other organizations, support treatment and recovery programs, and provide education to prevent NAS, which is entirely preventable. The document outlines specific strategies health departments use across these areas to address the opioid epidemic and protect maternal and infant health.
This document discusses recovery ready ecosystems and recovery community organizations. It introduces presenters from Young People in Recovery and Hope House Treatment Track who will discuss interventions, prevention, and recovery programs. Examples of Young People in Recovery chapters, programs, and services are provided, including employment workshops, education workshops, housing workshops, and recovery support services. The document also discusses recovery community organizations and initiatives in Texas and Georgia, such as the Association of Persons Affected by Addiction in Dallas and the Georgia Council on Substance Abuse.
This document summarizes a conference held to discuss the issue of neonatal abstinence syndrome (NAS) among newborns in the Appalachian region. Experts from 8 Appalachian states discussed what is known about NAS epidemiology in the region, identified gaps in knowledge, and made recommendations. Common themes included the need for improved education of healthcare providers, treatment resources, and prevention strategies. The conference aimed to facilitate collaboration across states to address this growing public health problem.
The panel discussed two youth prevention programs - the Give Me a Reason voluntary drug testing program for parents and the This Is (Not) about Drugs prevention program implemented in schools. The Give Me a Reason program provides free at-home drug testing kits for parents to help prevent drug use among youth. The This Is (Not) about Drugs program uses a film and lesson plan to educate students about the risks of prescription opioid and heroin use with the goal of preventing first-time drug use.
This document summarizes a presentation on youth performance-enhancing drugs and ADHD medication. It discusses trends in misuse of these substances among young people. The presentation is given by representatives from various organizations focused on prevention, health promotion, and substance abuse issues among youth and college students. The presentation covers types of performance-enhancing drugs and their potential side effects. It also discusses trends in attitudes towards these substances and risks of misuse. Strategies are presented for helping adolescents pursue their goals without these drugs. The document concludes by outlining plans for addressing misuse of ADHD medication among college students through education and collaboration between various stakeholder groups.
This document discusses neonatal abstinence syndrome (NAS) and universal maternal drug testing. It provides background information on NAS including trends showing large increases in incidence and costs associated with NAS. It outlines objectives related to describing NAS trends, identifying legislative activities impacting NAS, describing family planning for women in substance abuse treatment, and explaining a hospital program using universal drug testing. The document then covers topics including NAS symptoms, incidence and geographic trends, costs of NAS, opioid use in women of childbearing age, unintended pregnancy rates, contraceptive use among opioid users, and maternal drug exposure sources.
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4deanOPUNITE
This document outlines an advocacy track presentation on activating communities to address prescription drug abuse. It provides biographies of the presenters and moderators and discloses any conflicts of interest. The learning objectives are to identify best practices for implementing CADCA's seven strategies for community change to impact prescription drug issues. It then provides examples of how various coalitions across the country are utilizing each of the seven strategies, such as providing education, enhancing skills, supporting communities, and changing policies.
The document discusses strategies for engaging opioid overdose patients in addiction treatment after receiving naloxone/an overdose reversal. It describes:
1) The Lifespan Opioid Overdose Prevention Program in Rhode Island which aims to reduce overdose deaths by increasing access to naloxone, expanding overdose education in EDs, and increasing referral to treatment. The program provides take-home naloxone, peer recovery coaching, and refers patients to treatment.
2) The Camden County Addiction Awareness Task Force's "Operation SAL" program which aims to engage overdose patients in treatment after being revived by first responders. It connects patients to resources like food/clothing banks and
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershingOPUNITE
This document discusses the role of health departments in preventing neonatal abstinence syndrome (NAS). It notes that NAS rates have increased significantly in recent years, disproportionately affecting women. Health departments engage in surveillance to monitor NAS trends, partner with other organizations, support treatment and recovery programs, and provide education to prevent NAS, which is entirely preventable. The document outlines specific strategies health departments use across these areas to address the opioid epidemic and protect maternal and infant health.
This document discusses recovery ready ecosystems and recovery community organizations. It introduces presenters from Young People in Recovery and Hope House Treatment Track who will discuss interventions, prevention, and recovery programs. Examples of Young People in Recovery chapters, programs, and services are provided, including employment workshops, education workshops, housing workshops, and recovery support services. The document also discusses recovery community organizations and initiatives in Texas and Georgia, such as the Association of Persons Affected by Addiction in Dallas and the Georgia Council on Substance Abuse.
Web only rx16 pharma-wed_330_1_shelley_2atwood-harlessOPUNITE
This document discusses a presentation on pharmacy burglary, robbery, and diversion of prescription drugs. The presentation covers trends in prescription drug diversion, particularly those involving robbery and burglary of pharmacies. It identifies preventative measures to enhance pharmacy security and safety. Strategies to reduce pharmacy crimes are outlined. The offender perspective is examined based on interviews with convicted offenders. Routine activities theory is discussed as relating to suitable targets, capable guardians, and motivated offenders. Partnerships between regulatory agencies and law enforcement are emphasized as key to prevention efforts.
1) Philadelphia's infant mortality rate is higher than the national average, which may be due to high rates of preterm births and low birthweight. The closure of 13 obstetrics units has increased demand on the remaining 6 units.
2) The study assessed prenatal care capacity in Philadelphia by surveying providers on appointment availability, wait times, and other access factors. On average, newly pregnant women waited over 10 days for an initial appointment.
3) Recommendations include expanding prenatal care hours, increasing the provider workforce, standardizing scheduling policies, and addressing socioeconomic barriers through partnerships between medical centers and public health.
Web only rx16 len wed_200_1_augustine_2napier_3darr - copyOPUNITE
This document summarizes a presentation about the Handle with Care program, which aims to help children who have been exposed to trauma. The presentation discusses how drug abuse and violence impact children, showing statistics on drug seizures and crimes in certain areas. It then describes the Handle with Care program, where law enforcement notifies schools of children who were exposed to a traumatic event so the school can provide trauma-informed support. School interventions discussed include therapy dogs, academic accommodations, and on-site therapy. The presenters emphasize that Handle with Care aims to help children succeed in school by providing trauma-sensitive support.
This document summarizes a presentation on engaging physicians in prevention efforts to address the opioid epidemic. It was presented by Yngvild Olsen and included the following key points:
1. Multiple policies like PDMPs, medication-assisted treatment, and naloxone access need to work together to reduce opioid misuse and overdoses.
2. Programs that educate physicians about prescription drug abuse and its link to heroin, and engage them in prevention, screening, and treatment can help address the epidemic.
3. Expanding access to evidence-based treatment with medications like buprenorphine and naloxone, combined with behavioral therapies, can help manage opioid addiction as a chronic disease
The Health Home project is evaluating a new program that is part of healthcare reform in New York State. The program identifies individuals with substance use disorders who have other medical and psychiatric problems and offers them a new form of integrated care. The evaluation will study whether this program results in better quality of care and a reduction in health care costs for this vulnerable and chronically ill population.
National Rx Drug Abuse Summit, April 2-4, 2013. General Session presentation, "Prevention and Prosecution," Frances M. Harding, Director, Center for Substance Abuse Prevention, SAMHSA
EVERFI Webinar: Evidence Based Prescription Drugs ProgramMichele Collu
This document provides an overview of EVERFI's new prescription drug abuse prevention course. It discusses the opioid epidemic in the United States and risk factors for prescription drug misuse among college students. The course is designed using behavioral theories and focuses on increasing knowledge of prescription drugs, teaching refusal skills, and encouraging safe usage as advised by medical professionals. The goal is to implement an evidence-informed prevention program to address this public health issue.
Revised order rx16 pdmp wed_1115_1_eadie_2reilly_3hallvik_4hildebranOPUNITE
This document summarizes a presentation on a study examining how prescriber registration and use of a prescription drug monitoring program (PDMP) in Oregon impacted opioid prescribing patterns and patient outcomes. The study found that statewide opioid prescribing generally decreased over time, but prescribers who registered for the PDMP prescribed more after registering, especially those who used the PDMP most frequently. In contrast, prescribers who did not register prescribed less. Patients whose providers were all registered had lower overdose rates than those with some registered and some non-registered providers. The conclusions were that PDMPs may need refinements like mandatory use to optimize their impact on prescribing and outcomes.
Rx16 prev wed_330_workplace issues and strategiesOPUNITE
This document discusses workplace issues related to prescription drug abuse and strategies for prevention. It begins with introductions of the presenters and moderators. The learning objectives are then outlined as understanding challenges of prescription drug abuse in the workplace, identifying prevention strategies, and describing programs available through SAMHSA. The document then covers topics such as the scope of prescription drug misuse among workers, risks to the workplace, prevention strategies employers can consider, and available resources from SAMHSA.
Does family therapy for adolescent behavior problems work in the real worldCenter on Addiction
This document summarizes a study that compared the effectiveness of routine family therapy (RFT) to treatment as usual (TAU) for adolescent behavior problems. 205 adolescents were randomly assigned to RFT or TAU. Both treatments showed improvements in externalizing and internalizing symptoms, delinquency, and substance use, with some outcomes showing greater improvements for RFT. The study provides preliminary evidence that RFT can be effective when delivered with fidelity in usual care settings, though more research is still needed.
This document summarizes a presentation on health plan involvement in safe prescribing. It includes:
1) Presentations from medical experts on prescription drug abuse trends from medical examiner data and a tribal health system's safe prescribing program.
2) A discussion of health plan policies to reduce "red flag" medication combinations like opioids plus benzodiazepines through prior authorization, formulary changes, and provider restrictions.
3) Examples of one health plan's implementation of policies like restricting methadone prescriptions to pain specialists and removing carisoprodol from its formulary.
This document summarizes the creation and outcomes of a tele-behavioral health program between the Ponca Nation and Oklahoma State University. The program aimed to improve access to mental health services for tribal members through videoconferencing. Two groups were conducted - a women's trauma support group and an adolescent substance abuse group. Results from informal assessments of the women's group showed improvements in self-reported mood. The adolescent group utilized culturally-appropriate curricula and aimed to reduce substance use and risk factors. Data was collected to evaluate the program's benefits, and limitations around recruitment, attendance, and technology were also discussed.
This document provides an overview of the Balanced Living with Diabetes (BLD) program, a community-based lifestyle intervention for improving blood glucose control among people with diabetes. BLD is based on social cognitive theory and community-based participatory research principles. It involves weekly 2-hour classes over 4 weeks that teach diabetes self-management skills like healthy eating, physical activity, and goal setting using interactive lessons and activities. Pilot programs of BLD found improvements in A1c, diet, and physical activity. A large randomized controlled trial of BLD found it effective at lowering A1c levels among African Americans with diabetes in medically underserved areas when delivered in faith-based community settings.
Web only rx16 pharma wed_200_1_hagemeier_2fleming_3vernachioOPUNITE
Community pharmacists are well positioned to help address the growing problem of opioid and benzodiazepine addiction but face challenges. Early identification of at-risk patients, supportive benefit structures, and intervention training could empower pharmacists. While many recognize their responsibility, behavioral engagement in prevention is often lacking due to practice barriers, lack of patient information, and fear of responses. Standardizing communication expectations and screening tools could help pharmacists better fulfill their role on the treatment team.
These slides provide an overview of the major elements required for effectively addressing addiction and risky use of addictive substances within the primary care setting. For more information, including a supplement guide with slide-by-slide background information, case studies and references please visit http://www.casacolumbia.org/health-care-providers/addiction-resources-tools
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copyOPUNITE
This presentation covered multi-media prevention strategies for issues like prescription drug overdoses. It discussed the CDC's digital Rx drug prevention campaign, best practices for digital messaging, and programs using expectancy challenge theory and media literacy education in schools. Presenters included representatives from the CDC, Media Literacy for Prevention, and the Hanley Center Foundation who discussed their work developing and implementing digital communications and single-session prevention programs.
View only rx16 prev tues_1230_1_duwve_2adams_3proescholdbell-sachdevaOPUNITE
This document summarizes a presentation on preventing hepatitis C and HIV outbreaks. It includes learning objectives about informing attendees of risks of infectious disease outbreaks related to injection drug use and describing collaborations between injury and infectious disease programs. The presentation features four speakers from Indiana and North Carolina public health departments and focuses on lessons learned from an HIV outbreak in Indiana linked to injection drug use.
This presentation summarizes research on the determinants of access to quality health care for children in Georgia. The study used a merged dataset containing information on over 1,300 Georgia children ages 4-17. Access was defined based on utilization of preventive care and quality of received care. Results from descriptive analyses and multivariable logistic regressions found that over 30% of children had access to higher quality care. Factors like having insurance, higher income levels, and being in better health were associated with higher odds of access, while being a racial/ethnic minority was associated with lower odds. The findings can help inform efforts to improve insurance coverage and reduce disparities in access to quality care for children in Georgia.
This document summarizes key points from a conference on building multi-state cases related to pharmaceutical drug crimes. It discusses the roles of various practitioners, agencies, and prosecutors and how to collaborate across states. It outlines strategies for using prescription drug monitoring programs and issues to consider from a prosecutor's perspective. Tips are provided on working with pharmacists, regulatory authorities, out-of-state partners, and the DEA to strengthen multi-state investigations.
This document summarizes trends shaping workers' compensation medication policies in 2014. It discusses the influence of various factors, including political influences from the Affordable Care Act and state elections; clinical influences like an aging population and the opioid epidemic; and product influences as new medications enter the market. It also outlines debates around issues like physician dispensing, compounded medications, medical marijuana, and opioid monitoring programs.
Web only rx16 pharma-wed_330_1_shelley_2atwood-harlessOPUNITE
This document discusses a presentation on pharmacy burglary, robbery, and diversion of prescription drugs. The presentation covers trends in prescription drug diversion, particularly those involving robbery and burglary of pharmacies. It identifies preventative measures to enhance pharmacy security and safety. Strategies to reduce pharmacy crimes are outlined. The offender perspective is examined based on interviews with convicted offenders. Routine activities theory is discussed as relating to suitable targets, capable guardians, and motivated offenders. Partnerships between regulatory agencies and law enforcement are emphasized as key to prevention efforts.
1) Philadelphia's infant mortality rate is higher than the national average, which may be due to high rates of preterm births and low birthweight. The closure of 13 obstetrics units has increased demand on the remaining 6 units.
2) The study assessed prenatal care capacity in Philadelphia by surveying providers on appointment availability, wait times, and other access factors. On average, newly pregnant women waited over 10 days for an initial appointment.
3) Recommendations include expanding prenatal care hours, increasing the provider workforce, standardizing scheduling policies, and addressing socioeconomic barriers through partnerships between medical centers and public health.
Web only rx16 len wed_200_1_augustine_2napier_3darr - copyOPUNITE
This document summarizes a presentation about the Handle with Care program, which aims to help children who have been exposed to trauma. The presentation discusses how drug abuse and violence impact children, showing statistics on drug seizures and crimes in certain areas. It then describes the Handle with Care program, where law enforcement notifies schools of children who were exposed to a traumatic event so the school can provide trauma-informed support. School interventions discussed include therapy dogs, academic accommodations, and on-site therapy. The presenters emphasize that Handle with Care aims to help children succeed in school by providing trauma-sensitive support.
This document summarizes a presentation on engaging physicians in prevention efforts to address the opioid epidemic. It was presented by Yngvild Olsen and included the following key points:
1. Multiple policies like PDMPs, medication-assisted treatment, and naloxone access need to work together to reduce opioid misuse and overdoses.
2. Programs that educate physicians about prescription drug abuse and its link to heroin, and engage them in prevention, screening, and treatment can help address the epidemic.
3. Expanding access to evidence-based treatment with medications like buprenorphine and naloxone, combined with behavioral therapies, can help manage opioid addiction as a chronic disease
The Health Home project is evaluating a new program that is part of healthcare reform in New York State. The program identifies individuals with substance use disorders who have other medical and psychiatric problems and offers them a new form of integrated care. The evaluation will study whether this program results in better quality of care and a reduction in health care costs for this vulnerable and chronically ill population.
National Rx Drug Abuse Summit, April 2-4, 2013. General Session presentation, "Prevention and Prosecution," Frances M. Harding, Director, Center for Substance Abuse Prevention, SAMHSA
EVERFI Webinar: Evidence Based Prescription Drugs ProgramMichele Collu
This document provides an overview of EVERFI's new prescription drug abuse prevention course. It discusses the opioid epidemic in the United States and risk factors for prescription drug misuse among college students. The course is designed using behavioral theories and focuses on increasing knowledge of prescription drugs, teaching refusal skills, and encouraging safe usage as advised by medical professionals. The goal is to implement an evidence-informed prevention program to address this public health issue.
Revised order rx16 pdmp wed_1115_1_eadie_2reilly_3hallvik_4hildebranOPUNITE
This document summarizes a presentation on a study examining how prescriber registration and use of a prescription drug monitoring program (PDMP) in Oregon impacted opioid prescribing patterns and patient outcomes. The study found that statewide opioid prescribing generally decreased over time, but prescribers who registered for the PDMP prescribed more after registering, especially those who used the PDMP most frequently. In contrast, prescribers who did not register prescribed less. Patients whose providers were all registered had lower overdose rates than those with some registered and some non-registered providers. The conclusions were that PDMPs may need refinements like mandatory use to optimize their impact on prescribing and outcomes.
Rx16 prev wed_330_workplace issues and strategiesOPUNITE
This document discusses workplace issues related to prescription drug abuse and strategies for prevention. It begins with introductions of the presenters and moderators. The learning objectives are then outlined as understanding challenges of prescription drug abuse in the workplace, identifying prevention strategies, and describing programs available through SAMHSA. The document then covers topics such as the scope of prescription drug misuse among workers, risks to the workplace, prevention strategies employers can consider, and available resources from SAMHSA.
Does family therapy for adolescent behavior problems work in the real worldCenter on Addiction
This document summarizes a study that compared the effectiveness of routine family therapy (RFT) to treatment as usual (TAU) for adolescent behavior problems. 205 adolescents were randomly assigned to RFT or TAU. Both treatments showed improvements in externalizing and internalizing symptoms, delinquency, and substance use, with some outcomes showing greater improvements for RFT. The study provides preliminary evidence that RFT can be effective when delivered with fidelity in usual care settings, though more research is still needed.
This document summarizes a presentation on health plan involvement in safe prescribing. It includes:
1) Presentations from medical experts on prescription drug abuse trends from medical examiner data and a tribal health system's safe prescribing program.
2) A discussion of health plan policies to reduce "red flag" medication combinations like opioids plus benzodiazepines through prior authorization, formulary changes, and provider restrictions.
3) Examples of one health plan's implementation of policies like restricting methadone prescriptions to pain specialists and removing carisoprodol from its formulary.
This document summarizes the creation and outcomes of a tele-behavioral health program between the Ponca Nation and Oklahoma State University. The program aimed to improve access to mental health services for tribal members through videoconferencing. Two groups were conducted - a women's trauma support group and an adolescent substance abuse group. Results from informal assessments of the women's group showed improvements in self-reported mood. The adolescent group utilized culturally-appropriate curricula and aimed to reduce substance use and risk factors. Data was collected to evaluate the program's benefits, and limitations around recruitment, attendance, and technology were also discussed.
This document provides an overview of the Balanced Living with Diabetes (BLD) program, a community-based lifestyle intervention for improving blood glucose control among people with diabetes. BLD is based on social cognitive theory and community-based participatory research principles. It involves weekly 2-hour classes over 4 weeks that teach diabetes self-management skills like healthy eating, physical activity, and goal setting using interactive lessons and activities. Pilot programs of BLD found improvements in A1c, diet, and physical activity. A large randomized controlled trial of BLD found it effective at lowering A1c levels among African Americans with diabetes in medically underserved areas when delivered in faith-based community settings.
Web only rx16 pharma wed_200_1_hagemeier_2fleming_3vernachioOPUNITE
Community pharmacists are well positioned to help address the growing problem of opioid and benzodiazepine addiction but face challenges. Early identification of at-risk patients, supportive benefit structures, and intervention training could empower pharmacists. While many recognize their responsibility, behavioral engagement in prevention is often lacking due to practice barriers, lack of patient information, and fear of responses. Standardizing communication expectations and screening tools could help pharmacists better fulfill their role on the treatment team.
These slides provide an overview of the major elements required for effectively addressing addiction and risky use of addictive substances within the primary care setting. For more information, including a supplement guide with slide-by-slide background information, case studies and references please visit http://www.casacolumbia.org/health-care-providers/addiction-resources-tools
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copyOPUNITE
This presentation covered multi-media prevention strategies for issues like prescription drug overdoses. It discussed the CDC's digital Rx drug prevention campaign, best practices for digital messaging, and programs using expectancy challenge theory and media literacy education in schools. Presenters included representatives from the CDC, Media Literacy for Prevention, and the Hanley Center Foundation who discussed their work developing and implementing digital communications and single-session prevention programs.
View only rx16 prev tues_1230_1_duwve_2adams_3proescholdbell-sachdevaOPUNITE
This document summarizes a presentation on preventing hepatitis C and HIV outbreaks. It includes learning objectives about informing attendees of risks of infectious disease outbreaks related to injection drug use and describing collaborations between injury and infectious disease programs. The presentation features four speakers from Indiana and North Carolina public health departments and focuses on lessons learned from an HIV outbreak in Indiana linked to injection drug use.
This presentation summarizes research on the determinants of access to quality health care for children in Georgia. The study used a merged dataset containing information on over 1,300 Georgia children ages 4-17. Access was defined based on utilization of preventive care and quality of received care. Results from descriptive analyses and multivariable logistic regressions found that over 30% of children had access to higher quality care. Factors like having insurance, higher income levels, and being in better health were associated with higher odds of access, while being a racial/ethnic minority was associated with lower odds. The findings can help inform efforts to improve insurance coverage and reduce disparities in access to quality care for children in Georgia.
This document summarizes key points from a conference on building multi-state cases related to pharmaceutical drug crimes. It discusses the roles of various practitioners, agencies, and prosecutors and how to collaborate across states. It outlines strategies for using prescription drug monitoring programs and issues to consider from a prosecutor's perspective. Tips are provided on working with pharmacists, regulatory authorities, out-of-state partners, and the DEA to strengthen multi-state investigations.
This document summarizes trends shaping workers' compensation medication policies in 2014. It discusses the influence of various factors, including political influences from the Affordable Care Act and state elections; clinical influences like an aging population and the opioid epidemic; and product influences as new medications enter the market. It also outlines debates around issues like physician dispensing, compounded medications, medical marijuana, and opioid monitoring programs.
This document summarizes the key points from a conference on managing risk in the workplace by addressing substance abuse issues. The conference objectives are to identify signs of drug addiction, describe employer procedures for substance abuse, and explain potential liabilities. It discusses the opioid epidemic, prescription drug abuse trends, and provides statistics on prescription drug use. Guidelines are presented for screening employees, using urine drug testing, identifying aberrant behaviors, and establishing treatment plans when substance abuse is suspected.
This document summarizes a conference on successful coalitions in Appalachia. It describes how coalitions in the region worked to build relationships with key stakeholders like healthcare professionals, community members, law enforcement, youth and schools, and local businesses. Through these partnerships, coalitions were able to grow their membership, enhance their capacity, and make progress addressing substance abuse issues in their communities. The conference highlighted best practices for coalition effectiveness through stakeholder engagement.
This document summarizes a study examining risk factors for overdose death from prescription opioids. The study compared 254 decedents who died from prescription opioid overdoses to 1,308 people who used prescription opioids. It found that decedents were more likely to obtain opioids from non-prescription sources, use them more often than prescribed, have chronic pain, smoke daily, have a history of substance abuse or mental illness, and lack social support. The study aims to help clinicians recognize at-risk patients and control opioid exposure to prevent overdoses.
Operation UNITE was launched in 2003 in response to a newspaper report about drug abuse in Kentucky. It aims to rid communities of illegal drug use through undercover investigations, treatment coordination, education, and family support. Since 2004, UNITE has arrested over 3,700 individuals, provided millions in funding for treatment and drug courts, educated over 66,000 youth through community programs, and trained employees on creating drug-free workplaces. However, eastern Kentucky still struggles with high rates of substance abuse among rural youth and families in need. UNITE works with various programs to provide alternatives to drug use and empower communities to address this issue.
Presentation at the National Prevention Network Conference on September 14, 2017
The percentage of individuals in the United States and NH with past year illicit drug dependence or abuse was highest among young adults between the ages of 18-25. A rapid assessment process was used to do a deeper dive to understand the substance use behaviors of young adults. And to ensure prevention strategies are culturally sensitive and relevant to the target populations, to help inform prevention efforts for early childhood and youth, and to establish baseline data to track implemented prevention efforts.
Themes: Community, physical environment, job opportunities and growth, communication approaches, generational differences, sense of hope or optimism, stress coping mechanisms, perception of substance misuse, consequences of substance misuse, and substance use
Key strategies: Academia/education, peer support, family and friends, key messages, and community resources
Now what? Next steps:
1. The Bureau of Drug and Alcohol Services put out an RFP and will fund 11 of the 13 Regional Public Health Networks to implement young adult strategies (SBIRT; Employers; Peer leadership programs).
2. NAMI to adapt “Connect”, a youth-based suicide prevention train-the-trainer program: “Connect for Young Adults” (MH; suicide; AOD).
3. Develop and roll out a young adult social media campaign with a focus on binge drinking.
4. Second administration of the young adult assessment is being planned for 2019 which will provide important comparison data and indicate if the trends are moving in the right direction.
The Child Illness Resilience Program: Promoting the wellbeing and resilience of families living with childhood chronic illness. Presentation at the 16th International Mental Health Conference by the Hunter Institute of Mental Health.
Maternal Mental Health: CA Department of Public Health Nov 6, 2014Joy Burkhard
Maternal Mental Health is an underground health crisis impacting women, infants and families. This presentation was provided Nov. 6 2014 to the California Department of Public Health and discusses symptoms, risk factors and prevalence; impact on child development, why providers don't routinely screen/diagnose and treat, and what we can do to collectively change this course.
Prevention in Lane County: Information for CASAs in TrainingJulie Hynes
The document discusses substance abuse issues in Lane County, highlighting common risk factors like adverse childhood experiences, and protective factors that can help prevent problems. It provides an overview of current prevention efforts and strategies across different developmental phases, emphasizing building resilience and facilitating healing from trauma through family, school, community and policy supports.
Prevention for Lane County CASA Trainees - May 28, 2015Lane Prevention
The document discusses substance abuse issues in Lane County, highlighting common risk factors like adverse childhood experiences, and protective factors that can help prevent problems. It provides an overview of current prevention efforts and strategies across different developmental phases, emphasizing building resilience and facilitating healing from trauma through family, school, community and policy supports.
Childhood adversity, such as child abuse and exposure to violence and poverty, can have negative long-term impacts on health and well being. In this webinar, our panelists discussed how to describe the burden of childhood adversity in your community, how to frame your message most effectively, and how to engage and mobilize your community to address the roots and effects of childhood adversity. Panelists also lead participants on a virtual tour of Kidsdata’s Childhood Adversity and Resilience data, research, and policy recommendations.
Adolescents range from ages 10-19 and account for 21% of the US population. During this time of development, adolescents establish behaviors and health habits that affect their current and future health status. Providing education, resources, and support through schools, community programs, and healthcare can help adolescents successfully transition to adulthood and make healthy choices.
From Uganda to Lebanon: Experiences with Integrating Early Childhood Developm...CORE Group
This document discusses integrating early childhood development, health and nutrition programs in Uganda and Lebanon. It provides an overview of early childhood development and the importance of a holistic approach. It then details a project in Northern Uganda that trained health staff and peer educators to provide early childhood development messages to caregivers. Evaluation findings showed improvements in caregiver-child relationships, health behaviors, and decreased family violence. The document argues that early childhood development can help address protection issues by promoting nurturing relationships and protective factors against child abuse and neglect.
Maternal and Child Mental Health_Senefeld CORE Group
The pilot project assessed maternal mental health and early childhood development in Kenya. It found high rates of perinatal depression (68%) and low social support (68%) among mothers. A follow-up study found elevated rates of anxiety (66.7%) and depression (66.7%) among primary caregivers, and negative correlations between caregiver depression and children's development. The project is providing family support and parenting programs, and referring children for developmental delays. Additional research is still needed on how interventions impact child outcomes.
Preventing Unintended Pregnancy Among Adolescents: Using mHealth to Promote a...YTH
Health-E You/Salud iTu is an mHealth contraceptive decision support tool for adolescent girls. Through an interactive, youth-centered approach, the App provides accurate information (that can be updated in real-time), individually tailored feedback/messages, and a user-driven experience. Based on the youth’s preferences, and experiences, the App provides contraceptive recommendation(s) while also presenting the youth with all of the possible options including videos of providers and youth. Youth can then share information from the App with their provider to help them communicate their needs, interests and questions. In turn, the provider is better prepared for the face-to-face encounter. Pilot testing shows it is feasible to implement, acceptable to adolescents and providers; improves health knowledge; and visit quality. It is being evaluated at 14 school-based health centers using a longitudinal, cluster randomized control trial research design.
The document discusses a conference on addiction issues among youth and the elderly. It describes the icanhelp program, a three-pronged approach to engage at-risk adolescents. The program establishes safe community places for youth to develop trusting relationships with trained adult representatives. It explains the need to educate elderly and caregivers on prescription drug misuse and abuse among older populations. The document also stresses the importance of services to support healthy, productive lives for both youth and elderly and identifies barriers to treatment access.
This document discusses managing pediatric epilepsy and the importance of a team approach. It emphasizes that the parent is a key part of the child's care team and should work with their doctor, nurses, teachers, and other professionals. It provides information on creating a seizure action plan and medical home to help coordinate care. It also addresses potential mental health issues in children with epilepsy and the importance of open communication between all parties involved in the child's care and well-being.
The document summarizes services provided by the Los Angeles Centers for Alcohol and Drug Abuse (L.A. CADA) to address substance abuse, mental health, and domestic violence issues. It outlines L.A. CADA's mission, vision, services, and history. It also describes some of L.A. CADA's family programs, including Project Fatherhood, mother/child therapy, and financial literacy classes, which aim to engage fathers and address issues like child abuse, parenting skills, and out-of-wedlock births. The document promotes supporting L.A. CADA's family services and its upcoming fundraising event.
This document summarizes a gender-informed program called "What Were We Thinking" that aims to prevent postnatal mental health problems in women. It discusses the partnership between Monash University and Jean Hailes for Women's Health that generates and translates knowledge on this topic. It also provides information on prevalence of postnatal mental disorders, risk factors, existing prevention approaches, and describes the psychoeducational program components and evaluation through a randomized controlled trial. Translations for health professionals and consumers are discussed, along with strategies for sustainability.
This document discusses child abuse and neglect. It provides definitions of child abuse, neglect, and related terms. It also reviews risk factors and discusses the neurodevelopmental effects of prenatal substance abuse and lack of environmental stimulation. The document concludes by emphasizing how translating basic science research can help improve prevention and treatment efforts to reduce the impacts of abuse and neglect on children.
NHS Southwark CCG- Championing the voice of children, young people and famili...RuthEvansPEN
The document summarizes findings from various engagement activities with children, young people, and families in Southwark to understand priorities around health and wellbeing. Key findings include: obesity rates for children in Year 6 are high, levels of teenage pregnancy and STIs are above average, and emotional wellbeing/mental health is a major concern. Priorities identified are early years health, mental health, long-term conditions, emergency admission avoidance, and supporting vulnerable groups. Youth provided feedback that stress is common, bullying is a problem, and services could be more youth-friendly.
NHS Southwark CCG- Championing the voice of children, young people and famili...RuthEvansPEN
The document summarizes findings from various engagement activities with children, young people, and families in Southwark to understand priorities around health and wellbeing. Key findings include: obesity rates for children in Year 6 are high, mental health and emotional wellbeing are top concerns, bullying in schools and limited knowledge of health services are issues, and teachers need more training on student health and wellbeing. Engagement methods included youth surveys, early education conferences, and working with vulnerable youth. Identified priorities were early childhood development, mental health, long-term conditions, and issues facing vulnerable groups.
School Counselling: Collaboratively Responding to adolescent fallout from co...FRSA Communications
This document discusses challenges facing adolescents and families today, including financial stress, family breakdown, substance use, and decreased time spent with children. It notes that family and school connectedness can help address issues like mental health problems and disengagement. Barriers to help seeking include stigma, confidentiality concerns, and a preference to solve problems independently. The document advocates for increased collaboration between family services and schools to engage vulnerable youth and families, promote help seeking, and improve outcomes through early intervention.
Dr. Tom Frieden, Director of the Centers for Disease Control and Prevention, keynote presentation at the National Rx Drug Abuse & Heroin Summit on March 30, 2016.
Kana Enomoto, Acting Administrator, Substance Abuse and Mental Health Services Administration, keynote presentation at the National Rx Drug Abuse & Heroin Summit March 29, 2016
This document summarizes a presentation on managing morphine equivalent dose (MED) and identifying high-risk opioid use through "red flagging." It discusses how calculating MED at the point of sale can help identify unsafe dosages and decrease opioid prescriptions. It also evaluates different methods to screen for overdose risk, finding that simple opioid use thresholds to flag patients may not accurately target those most likely to experience preventable overdoses. The presentation aims to explain MED management, describe payer solutions that reduced opioid use, and identify more precise ways to intervene with highest-risk patients.
The document discusses the opioid crisis in the United States, including rising rates of prescription opioid misuse and abuse, as well as heroin use and overdose deaths. It outlines how research can help address this crisis through developing less abusable analgesics, expanding access to treatment medications like naloxone and buprenorphine, and exploring new treatment approaches such as immunotherapies and precision medicine targeting genetic factors. The National Institute on Drug Abuse is supporting these research efforts and working to disseminate findings to improve prevention and intervention programs.
This document summarizes the opioid crisis in the United States from 2000 to 2014. It shows that the number of opioid-related overdose deaths more than tripled during this period, increasing from about 8,000 to over 28,000. Additionally, 7.9 million Americans aged 12 or older met the criteria for an illicit drug use disorder in 2013-2014 but only 20% received treatment. The document outlines actions by the Obama administration to address the crisis and increase funding for treatment. It emphasizes that stories can help reduce stigma and that recovery is possible through working together.
This document discusses strategies for reducing buprenorphine diversion and pill mills while improving access to treatment. It notes that limiting access to buprenorphine treatment is associated with increased diversion, while expanded access to quality treatment decreases diversion and overdose deaths. The document recommends educating prescribers, using medically-derived prescribing standards, ensuring adequate insurance coverage of safe prescribing practices, and addressing diversion risks for other controlled medications. It argues against onerous new regulations that could limit treatment access. The goal is to identify and support high-quality treatment while prosecuting criminal operations.
This document summarizes a presentation on linking and mapping prescription drug monitoring program (PDMP) data. It discusses the benefits of linking PDMP data to clinical data, including improving patient safety, evaluating prescribing decisions, and assessing the impact of PDMP interventions. It describes challenges with linking data, such as obtaining consent and negotiating data use agreements. It also discusses Washington State's MAPPING OPIOID AND OTHER DRUG ISSUES (MOODI) tool, which integrates PDMP data with other databases to map and target treatment and overdose prevention efforts at the community level.
Linking and mapping PDMP data can provide several benefits but also faces challenges. Linking PDMP and clinical data allows for evaluating the impact of PDMP interventions on outcomes and prescribing decisions. However, obtaining permissions and data is difficult due to legal and resource barriers. Mapping PDMP data using GIS tools in Washington identified areas for targeting overdose prevention efforts by visualizing patterns in prescribing risks, treatment availability, and overdoses. Stakeholders used these maps to guide education and funding decisions. Sustaining these tools requires ongoing funding and expanding included data sources.
This document discusses drug court models and the role of law enforcement in drug courts. It begins with introductions from presenters and outlines learning objectives about explaining drug court operations and benefits, how law enforcement can utilize drug courts, and identifying best practices. The following sections provide details on drug court models, including how they integrate treatment into the justice system using a non-adversarial approach. Key components of drug courts are outlined, and presenters discuss issues like prescription drug and heroin abuse as well as outcomes from drug courts in reducing recidivism and saving money. Law enforcement can play roles in prevention, addressing domestic violence, and targeting the right populations for drug court involvement through assessment.
This document summarizes presentations from two communities - Huntington, WV and Camden County, NJ - on their responses to heroin crises. It outlines programs implemented in Huntington, including a harm reduction program, centralized information system, and drug court expansion. It also discusses the region's history with prescription drug abuse and rise in heroin and associated issues like hepatitis and neonatal abstinence syndrome. Long-term strategies proposed include expanding treatment services, promoting career opportunities for those in recovery, and preventing relapse through environmental design changes.
1. Two states, South Carolina and Wisconsin, improved integration of PDMP data into electronic health systems by establishing connections between their PDMPs and various health IT platforms like EMR systems and pharmacy dispensing software.
2. States face challenges with PDMP integration like legal definitions of access, costs of integration projects, and establishing necessary agreements and user authorizations.
3. Florida operates drug surveillance systems through a medical examiners commission and PDMP. Analysis found declines in prescription opioid overdoses after implementation of legislative and regulatory interventions including a PDMP in 2011. However, heroin overdose deaths increased as some shifted to heroin.
The document summarizes a Heroin Response Strategy presented by experts from various High Intensity Drug Trafficking Areas. The strategy involves 3 components: 1) Establishing a regional public health and public safety information sharing network through "Points of Light" teams in each state. 2) Implementing community education and prevention programs. 3) Creating a platform for regional public health and public safety partnerships through annual symposiums. The goal is to reduce drug overdoses through enhanced collaboration between law enforcement and health agencies.
This document summarizes findings from interviews conducted as part of a study evaluating a chronic pain management pilot program for Medicaid patients in Rhode Island. Key findings include:
1) Patients reported that complementary and alternative therapies like acupuncture, massage and chiropractic care helped them better understand the relationship between stress and pain and provided an opportunity to build trusting relationships with providers.
2) Providers noted that the program allowed patients to receive hands-on care and personal connections that they may not receive otherwise due to lack of trust in the medical system and limited therapeutic relationships.
3) The program addressed transportation barriers by having some providers conduct home visits, improving access to care for patients with mobility issues.
4)
This document provides information about an advocacy track presentation on advocating for change related to addiction issues. The presentation features Gary Mendell, founder and CEO of Shatterproof, and Kim Manlove from the Indiana Addictions Issues Coalition. They will discuss strategies for influencing legislation and how people in recovery can become advocates. The learning objectives focus on advocating for state laws on PDMP usage, explaining strategies to influence legislation, describing how people in recovery can advocate, and providing counsel as part of a treatment team. The presentation then provides details on Shatterproof's story, the overdose epidemic, solutions for different populations, and legislative accomplishments in various states related to expanding access to naloxone and mandating PDMP usage.
Web only rx16 len wed_1230_1_daugherty_2baier-haasOPUNITE
This document summarizes a presentation on investigating and prosecuting drug-related homicides. It discusses signs that can indicate an overdose death, such as the presence of drugs, track marks, and foam coming from the mouth. It emphasizes treating the death scene like a homicide scene by thoroughly photographing and collecting all potential evidence. This includes searching for drug packaging, needles, phones and surveillance footage. The document also outlines interviewing witnesses to build a timeline and identify the victim's source of drugs. It suggests attempting a controlled buy from suspects to obtain contemporaneous drug samples and strengthen cases.
Rx16 federal wed_1230_1_kelly_2bohn-killorinOPUNITE
1) The National HIDTA Program provides assistance to law enforcement agencies in critical drug trafficking regions through 28 regional HIDTA programs. It facilitates cooperation among federal, state, local, and tribal law enforcement.
2) Each HIDTA program has an executive board that identifies threats, develops strategies, and requests funding for initiatives. It brings together over 7,400 federal agents, 15,700 state and local officers, and 500 agencies across the country.
3) In response to the opioid epidemic, HIDTA employs law enforcement targeting of heroin and fentanyl trafficking, public health prevention efforts, and training on investigating heroin organizations. It has committed additional funds to enhance intelligence sharing and public health partnerships.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
2. Disclosure
Statements
• Sarah
T.
Melton
has
no
financial
rela5onships
with
proprietary
en55es
that
produce
health
care
goods
and
services.
• N.
Chris
Lopez
has
no
financial
rela5onships
with
proprietary
en55es
that
produce
health
care
goods
and
services.
• Jacob
Peters
has
no
financial
rela5onships
with
proprietary
en55es
that
produce
health
care
goods
and
services.
• Nancy
Hale
has
no
financial
rela5onships
with
proprietary
en55es
that
produce
health
care
goods
and
services.
3. Learning
Objec5ves
1. Describe
the
impact
of
Rx
drugs
on
middle
and
high
school
aged
children.
2. Evaluate
the
effec5veness
of
these
two
programs
in
reaching
their
target
audience.
3. Demonstrate
how
to
change
percep5ons
among
youth
and
their
parents
toward
Rx
drugs.
4. East Tennessee State University
Bill Gatton College of Pharmacy
National Generation Rx
2nd Place Award Winning Chapter
Presented By: Sarah T. Melton,
N. Chris Lopez & Jacob Peters
Doctor of Pharmacy Panel
6. Demographic
• Tennessee
ranks
8th
in
the
United
States
for
overdose
deaths
from
prescrip5on
medica5on
• The
number
of
drug
overdose
deaths
in
Tennessee
increased
from
422
in
2001
to
1,059
in
2010
• 13%
of
Tennesseans
ages
18-‐25
reported
abusing
prescrip5on
opioids
in
the
past
year
7. What’s
being
prescribed
The
number
of
drugs
prescribed
during
2010
to
Tennesseans
represents:
• 51
pills
of
hydrocodone
for
EVERY
Tennessean
above
the
age
of
12
• 22
pills
of
alprazolam
for
EVERY
Tennessean
above
the
age
of
12
• 21
pills
of
oxycodone
for
EVERY
Tennessean
above
the
age
of
12
8. A program developed by The Ohio State University
and the American Pharmacists Association along
with the Cardinal Health Foundation to “prevent the
abuse and misuse of prescription medications.”
9. • Toolkits
• Located
at
h]ps://pharmacy.osu.edu/outreach/genera5on-‐rx-‐
ini5a5ve
11. How
We
Started
• 2011
APhA-‐ASP
Midyear
Regional
Mee5ng
• Approaching
ETSU
faculty
for
support
• Adap5ng
already
prepared
Genera5on
Rx
toolkits
for
youth
to
meet
our
communi5es’
needs
• First
presenta5on
on
May
14,
2012
–
over
6,600
educated
to
date
12. Goals
to
make
Your
Ini5a5ve
Successful
• Tailor
your
message
to
meet
the
needs
of
your
community
• Inspire
others
to
partner
with
you
in
the
effort
to
end
prescrip5on
drug
abuse
• Always
be
on
the
lookout
for
new
and
innova*ve
ways
to
get
the
message
out
there
13. The
Media
Reach
out
to
newspapers
and
television
sta5ons
to
let
them
know
what
you’re
chapter
is
doing
and
let
their
coverage
help
you
get
out
there!
14. Collabora5on
• High
risk
audiences
• Other
APhA-‐ASP
Commi]ees
• Girl
Scouts
of
Southern
Appalachia
• Other
Colleges
of
Pharmacy
• Other
Professional
Organiza5ons
15. Provider
Toolkit
What
we
can
all
do
together
as
health
care
professionals
to
prevent
prescrip5on
drug
abuse
ETSU
Academic
Health
Sciences
Center
16. Provider
Toolkit
Contents
• Based
on
the
10
Universal
Precau5ons
for
Prescribing
Controlled
Substances
• Video
case
Study
• Informa5onal
PowerPoint
• Useful
Screening
Tools
17. You
can
do
it
Too!
hGp://etsugenera?onrxprovidertoolkit.weebly.
com/index.html
18. Tips
to
Make
Your
Message
Great
Engage
your
audience
– Be
fun
and
interac5ve
– Ask
ques5ons
– Be
innova5ve
to
grab
their
a]en5on
Inspire
others
– Partner
as
Agents
of
Change
– Be
available
for
ques5ons
Don’t
be
afraid
to
get
on
their
level
19. Developed by
The Ohio State University
College of Pharmacy
This program is made possible
with a grant from the
Cardinal Health Foundation
23. UNITE Service Corps
• 1
of
12
Kentucky
AmeriCorps
programs
• Serves
11
coun5es
in
Southeastern
Kentucky
• 44
ac5ve
members
present
in
42
schools
• Provide
tutoring
and
educa5on
in:
– Math
– Health
&
Nutri5on
– Substance
Abuse
24.
25. Impact
of
Rx
Drug
Abuse
Pike
County,
KY
• 6.12%
of
students
(551
total)
enrolled
are
classified
as
homeless
• 72%
of
all
students
receive
free
or
reduced
lunch
• 40
to
50%
of
students
live
with
grandparents
• 51%
of
welfare
or
public
assistance
clients
have
substance
abuse
problems
• There
is
an
average
of
2.3
children
per
each
household
receiving
public
assistance
• Drug
abuse
is
intergenera5onal
26. Youth
• The
average
age
of
first
5me
drug
abuse
in
Eastern
Kentucky
is
11.
• Of
804
Eastern
Kentucky
teenagers
surveyed:
– 5.8%
said
Adderall
is
a
safe
study
aid
– 7.7%
of
kids
think
taking
pain
medica5on
not
prescribed
to
them
is
safe
– 10.6%
said
synthe5c
drugs
are
safer
than
the
natural
drugs
they
imitate
– 13.4%
said
marijuana
was
a
safe
alterna5ve
to
pain
relief
27.
28. Impact
of
UNITE
Service
Corps
From
2010-‐2012:
– 2,176
students
were
tutored
in
math,
showing
a
32.65%
increase
in
scores
– Sponsored
42
elementary
school
UNITE
clubs
with
4,237
students
par5cipa5ng
– Educated
4,529
students
in
substance
awareness
– Recruited
2,169
parent
volunteers
logging
17,621
volunteer
hours
– Facilitated
1,645
students
through
the
“UNITE
On
The
Move!”
educa5on
program
29. “Substance
abuse
educa5on
is
my
passion.
I
lost
my
childhood
because
of
an
addicted,
alcoholic
parent.
I
believe
I
must
use
those
painful
years
in
life
as
a
tool
to
helping
others,
especially
children.
I
want
them
to
see
a
person
who
has
embraced
her
past
and
instead
of
following
in
my
mother's
footsteps,
I
have
chosen
to
make
a
difference…they
can
do
the
same."
30. “I
AM
UNITE”
Scholarship
Program
• “From
first
breath
and
first
day
of
my
life
I
have
been
exposed
to
the
drug
world…”
• “Being
a
family
member
of
someone
figh5ng
drug
addic5on,
I
know
how
important
it
is
to
have
a
group
of
people
stand
behind
you
for
support
…”
• “I
have
lost
family
members
to
prescrip5on
drug
abuse
and
I
have
seen
the
horrors
that
drug
abuse
can
cause…”