This document outlines strategies for addressing the heroin epidemic at the community level. It discusses the Overdose Suppression Project led by Detective Gary Martin which uses a comprehensive approach including law enforcement, public awareness, and quantitative research. Non-profit organizations NOPE Task Force and Heroin Awareness Committee are also discussed and their approaches to community partnerships, education, family support, and advocacy. The presentation aims to provide guidance on developing successful community strategies to reduce overdose deaths.
This document provides an overview of marijuana and hemp policy considerations and updates. It discusses plant basics, health effects, social effects, trends, and policy topics surrounding cannabis including CBD, compassionate use, decriminalization, and commercialization. The presentation was given by Betsy Jones of the San Antonio Council on Alcohol and Drug Awareness and covers terminology, decisions around drug policy, various policy considerations, differences between hemp and marijuana, effects of THC, impacts of short and long term use, concerns around youth use, impaired driving, social justice, workplaces, taxation, environmental impacts, increasing THC potency, concentrates like dabs and edibles, and CBD.
This document discusses health disparities faced by LGBT populations and the role of stigma and lack of access to resources. It notes that minority stress from societal prejudice contributes to higher rates of mental health issues, substance abuse, and medical conditions in LGBT individuals. The document advocates that legalizing same-sex marriage would help address these disparities by reducing stigma, improving access to healthcare and benefits, and validating LGBT families and relationships. It summarizes various medical organizations' stances in support of marriage equality and reducing health disparities for LGBT individuals and families.
This document summarizes an education and advocacy track on parents and naloxone presented at a conference. It introduces Joanne Peterson from Learn to Cope, an organization that provides support and resources to families affected by addiction. It outlines the goals of Learn to Cope, including educating communities about drug dangers and solutions. Data is presented showing the large number of people Learn to Cope has helped and its pilot program training parents to distribute naloxone kits has helped reduce overdose deaths in Massachusetts.
Heroin and Opioids Update - A Community Public Health and Safety Crisis: Janu...Fairfax County
This document discusses the opioid crisis in Fairfax County, Virginia. It notes that between 2015-2017 there were 259 opioid deaths in the county, more than from motor vehicle or gun deaths. The crisis is impacting all ages, genders, and areas of the county. Fentanyl and related drugs are increasingly found mixed in other drugs. The county is taking steps like expanding treatment programs and training more in overdose prevention and reversal using naloxone. Residents are encouraged to safely dispose of unused medications and learn the signs of addiction.
Heroin and Opioids Update : A Community Public Health and Safety CrisisFairfax County
This document discusses the opioid epidemic affecting Fairfax County, Virginia. It notes that overdose deaths have been rising throughout the state and county, including 199 opioid deaths in Fairfax County between 2014-2016. The document provides information on opioids like heroin, fentanyl, and carfentanil. It discusses signs of opioid addiction and overdose as well as what to do in an overdose situation. The county's efforts to address the crisis through expanded treatment programs and training on naloxone are also summarized.
Presentation for prevention specialists to present to individuals, businesses and organizations focusing on underage/youth binge drinking and substance abuse. (graphs and data still incomplete).
This document summarizes a presentation on trends in drugs of choice. It discusses the transition from prescription opiate abuse to heroin use. Presenters include experts from law enforcement and addiction medicine. The presentation covers learning objectives on identifying abused opiates and signs of heroin use. It also explains treatment methods for heroin addiction, describing it as a chronic brain disease requiring long-term, multi-faceted treatment approaches.
This document outlines strategies for addressing the heroin epidemic at the community level. It discusses the Overdose Suppression Project led by Detective Gary Martin which uses a comprehensive approach including law enforcement, public awareness, and quantitative research. Non-profit organizations NOPE Task Force and Heroin Awareness Committee are also discussed and their approaches to community partnerships, education, family support, and advocacy. The presentation aims to provide guidance on developing successful community strategies to reduce overdose deaths.
This document provides an overview of marijuana and hemp policy considerations and updates. It discusses plant basics, health effects, social effects, trends, and policy topics surrounding cannabis including CBD, compassionate use, decriminalization, and commercialization. The presentation was given by Betsy Jones of the San Antonio Council on Alcohol and Drug Awareness and covers terminology, decisions around drug policy, various policy considerations, differences between hemp and marijuana, effects of THC, impacts of short and long term use, concerns around youth use, impaired driving, social justice, workplaces, taxation, environmental impacts, increasing THC potency, concentrates like dabs and edibles, and CBD.
This document discusses health disparities faced by LGBT populations and the role of stigma and lack of access to resources. It notes that minority stress from societal prejudice contributes to higher rates of mental health issues, substance abuse, and medical conditions in LGBT individuals. The document advocates that legalizing same-sex marriage would help address these disparities by reducing stigma, improving access to healthcare and benefits, and validating LGBT families and relationships. It summarizes various medical organizations' stances in support of marriage equality and reducing health disparities for LGBT individuals and families.
This document summarizes an education and advocacy track on parents and naloxone presented at a conference. It introduces Joanne Peterson from Learn to Cope, an organization that provides support and resources to families affected by addiction. It outlines the goals of Learn to Cope, including educating communities about drug dangers and solutions. Data is presented showing the large number of people Learn to Cope has helped and its pilot program training parents to distribute naloxone kits has helped reduce overdose deaths in Massachusetts.
Heroin and Opioids Update - A Community Public Health and Safety Crisis: Janu...Fairfax County
This document discusses the opioid crisis in Fairfax County, Virginia. It notes that between 2015-2017 there were 259 opioid deaths in the county, more than from motor vehicle or gun deaths. The crisis is impacting all ages, genders, and areas of the county. Fentanyl and related drugs are increasingly found mixed in other drugs. The county is taking steps like expanding treatment programs and training more in overdose prevention and reversal using naloxone. Residents are encouraged to safely dispose of unused medications and learn the signs of addiction.
Heroin and Opioids Update : A Community Public Health and Safety CrisisFairfax County
This document discusses the opioid epidemic affecting Fairfax County, Virginia. It notes that overdose deaths have been rising throughout the state and county, including 199 opioid deaths in Fairfax County between 2014-2016. The document provides information on opioids like heroin, fentanyl, and carfentanil. It discusses signs of opioid addiction and overdose as well as what to do in an overdose situation. The county's efforts to address the crisis through expanded treatment programs and training on naloxone are also summarized.
Presentation for prevention specialists to present to individuals, businesses and organizations focusing on underage/youth binge drinking and substance abuse. (graphs and data still incomplete).
This document summarizes a presentation on trends in drugs of choice. It discusses the transition from prescription opiate abuse to heroin use. Presenters include experts from law enforcement and addiction medicine. The presentation covers learning objectives on identifying abused opiates and signs of heroin use. It also explains treatment methods for heroin addiction, describing it as a chronic brain disease requiring long-term, multi-faceted treatment approaches.
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 drug trafficking in India. It begins with background on the rise of drug abuse in India from 2000-2009, with opiate users increasing from 22% to 42% and synthetic drug users growing quietly. It then outlines the major drugs trafficked like opium, heroin, cocaine, and marijuana. It maps the major drug hubs across India and describes how drugs are trafficked through smugglers, the internet, and suppliers in red light areas. Finally, it discusses prevention strategies like awareness programs, customs checks, and strong laws and governance to curb drug trafficking.
The document discusses various aspects of drug abuse prevention programs and strategies. It provides statistics showing that in 2011, about 20.6 million Americans aged 12 or older were dependent on or abused substances. It also outlines the goals of prevention programs as enhancing protective factors, addressing all forms of drug abuse, and tailoring programs to specific audiences. Finally, it describes different levels and examples of prevention programs, including primary, secondary, and tertiary prevention as well as school-based, community-based, and family-based approaches.
This document provides information about Hostile-Aggressive Parenting (HAP), which refers to behaviors, actions, and decisions that create difficulties in a child's relationship with another parent or guardian, promote unfairness in parenting arrangements, or promote unnecessary conflict between parents. HAP is most common in child custody disputes and can psychologically harm children. The document defines HAP and distinguishes it from Parental Alienation Syndrome, then outlines its causes and effects on children. It describes mild and severe forms of HAP and recommends intervention steps for professionals to address HAP and reduce litigation harming children.
Here is the presentation that I did for the Rosa Parks lecture at UNLV on Feb. 10, 2010. The presentation is entitled, "Reproductive Health, Social Determinants, Health Disparities, and Public Policy: Let\'s Come Up with Solutions." This presentation reviews some of the work that I have done over the years to bring me to some key conclusions. If you have any questions or comments about the presenation, please do not hesitate to contact me.
Law enforcement leaders in Arizona warn that cutting children's health insurance will negatively impact public safety. They note that many youth deaths are due to preventable causes like accidents and violence. The leaders argue that proven therapies could help troubled youth but may not be accessible without insurance. Cutting coverage risks leaving thousands of children uninsured and increases the long-term costs of untreated behavioral and substance abuse issues.
The document discusses the social determinants of health that influence HIV risk and outcomes, including early childhood development, education, employment, income, food/housing security, health/transportation access, social exclusion, and stigma. It notes that people living with HIV often experience high levels of stigma, leading to negative consequences like reduced testing/treatment, financial/social difficulties, and poorer mental/physical health. Intimate partner violence is also discussed as putting individuals at increased risk for HIV through barriers to condom negotiation, abuse if condoms are used, and health effects that weaken the immune system.
Treatment Track, National Rx Drug Abuse Summit, April 2-4, 2013. Treatment Options for Juveniles
presentation by Michelle Lipinski and Dr. Marc Fishman.
Education Track, National Rx Drug Abuse Summit, April 2-4, 2013. Trends in Rx Drug Abuse presentation by Dr. Andrew Kolodny, Tess Benham and Sherry Green
Treatment Track, National Rx Drug Abuse Summit, April 2-4, 2013. A Comprehensive Response to the Opioid Crisis presentation by Dr. Marvin Seppala, Scott Hesseltine and Fred Holmquist
Building public safety_public_health_partnerships_finalOPUNITE
Law Enforcement Track, National Rx Drug Abuse Summit, April 2-4, 2013. Building Public Safety and Public Health Partnerships to Reduce Prescription Drug Abuse presentation by Laurence Busching, Dr. Denise Paone and Dr. Jessica Kattan.
Advocacy Workshop, National Rx Drug Abuse Summit, April 2-4, 2013. Advocacy Workshop: Successful Strategies for Community Change - Part 1 presentation by Dr. Sarah Melton and Dr. Andrew Kolodny.
National Rx Drug Abuse Summit, April 2-4, 2013, General Session presentation "Realities of Addiction," by Dr. Nora Volkow, Director, National Institute on Drug Abuse
This document discusses cavity designs for amalgam restorations. It begins with definitions of cavities and objectives of cavity preparation. It then covers classifications of cavities including Class I-VI and describes design considerations and features for each class. The principles of tooth preparation for amalgam are outlined. Updates to traditional cavity designs are mentioned that emphasize conservation of tooth structure. In conclusion, while new materials are gaining popularity, amalgam will continue to be widely used with care in minimal cavity designs.
The document discusses drugs, drug abuse, and addiction. It defines drugs as substances that alter normal bodily functions when absorbed into the body. It notes that drug abuse is an intense desire to obtain increasing amounts of a substance and that drug dependence results in physical harm and behavioral issues over the long term. The document also shares the story of a teenager named Alby who abused drugs from ages 13 to 18 but was able to get treatment and now feels better about himself. It discusses surveys and activities conducted by students on these topics, including visiting a rehabilitation center.
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 describes a presentation on using data to drive down prescription drug abuse. It discusses how various agencies in Madison-Dane County, WI collaborated using multiple data sources to understand the local prescription drug problem and develop strategies to address it. Data on overdoses, deaths, hospital visits, and a community survey revealed high overdose rates and barriers to treatment. This informed a multifaceted initiative including a naloxone pilot program, Good Samaritan law, and increased treatment support. Policy changes at the state level further supported these efforts.
The document summarizes the work of the NOPE Task Force, a non-profit organization working to reduce drug overdose deaths through community education, family support, and advocacy. It outlines their programs including presentations to schools, parents and healthcare professionals to raise awareness about prescription drug abuse. It also describes family support services and partnerships with law enforcement agencies. Evaluation findings indicate their programs are effective in changing knowledge and attitudes around drug use.
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.
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 drug trafficking in India. It begins with background on the rise of drug abuse in India from 2000-2009, with opiate users increasing from 22% to 42% and synthetic drug users growing quietly. It then outlines the major drugs trafficked like opium, heroin, cocaine, and marijuana. It maps the major drug hubs across India and describes how drugs are trafficked through smugglers, the internet, and suppliers in red light areas. Finally, it discusses prevention strategies like awareness programs, customs checks, and strong laws and governance to curb drug trafficking.
The document discusses various aspects of drug abuse prevention programs and strategies. It provides statistics showing that in 2011, about 20.6 million Americans aged 12 or older were dependent on or abused substances. It also outlines the goals of prevention programs as enhancing protective factors, addressing all forms of drug abuse, and tailoring programs to specific audiences. Finally, it describes different levels and examples of prevention programs, including primary, secondary, and tertiary prevention as well as school-based, community-based, and family-based approaches.
This document provides information about Hostile-Aggressive Parenting (HAP), which refers to behaviors, actions, and decisions that create difficulties in a child's relationship with another parent or guardian, promote unfairness in parenting arrangements, or promote unnecessary conflict between parents. HAP is most common in child custody disputes and can psychologically harm children. The document defines HAP and distinguishes it from Parental Alienation Syndrome, then outlines its causes and effects on children. It describes mild and severe forms of HAP and recommends intervention steps for professionals to address HAP and reduce litigation harming children.
Here is the presentation that I did for the Rosa Parks lecture at UNLV on Feb. 10, 2010. The presentation is entitled, "Reproductive Health, Social Determinants, Health Disparities, and Public Policy: Let\'s Come Up with Solutions." This presentation reviews some of the work that I have done over the years to bring me to some key conclusions. If you have any questions or comments about the presenation, please do not hesitate to contact me.
Law enforcement leaders in Arizona warn that cutting children's health insurance will negatively impact public safety. They note that many youth deaths are due to preventable causes like accidents and violence. The leaders argue that proven therapies could help troubled youth but may not be accessible without insurance. Cutting coverage risks leaving thousands of children uninsured and increases the long-term costs of untreated behavioral and substance abuse issues.
The document discusses the social determinants of health that influence HIV risk and outcomes, including early childhood development, education, employment, income, food/housing security, health/transportation access, social exclusion, and stigma. It notes that people living with HIV often experience high levels of stigma, leading to negative consequences like reduced testing/treatment, financial/social difficulties, and poorer mental/physical health. Intimate partner violence is also discussed as putting individuals at increased risk for HIV through barriers to condom negotiation, abuse if condoms are used, and health effects that weaken the immune system.
Treatment Track, National Rx Drug Abuse Summit, April 2-4, 2013. Treatment Options for Juveniles
presentation by Michelle Lipinski and Dr. Marc Fishman.
Education Track, National Rx Drug Abuse Summit, April 2-4, 2013. Trends in Rx Drug Abuse presentation by Dr. Andrew Kolodny, Tess Benham and Sherry Green
Treatment Track, National Rx Drug Abuse Summit, April 2-4, 2013. A Comprehensive Response to the Opioid Crisis presentation by Dr. Marvin Seppala, Scott Hesseltine and Fred Holmquist
Building public safety_public_health_partnerships_finalOPUNITE
Law Enforcement Track, National Rx Drug Abuse Summit, April 2-4, 2013. Building Public Safety and Public Health Partnerships to Reduce Prescription Drug Abuse presentation by Laurence Busching, Dr. Denise Paone and Dr. Jessica Kattan.
Advocacy Workshop, National Rx Drug Abuse Summit, April 2-4, 2013. Advocacy Workshop: Successful Strategies for Community Change - Part 1 presentation by Dr. Sarah Melton and Dr. Andrew Kolodny.
National Rx Drug Abuse Summit, April 2-4, 2013, General Session presentation "Realities of Addiction," by Dr. Nora Volkow, Director, National Institute on Drug Abuse
This document discusses cavity designs for amalgam restorations. It begins with definitions of cavities and objectives of cavity preparation. It then covers classifications of cavities including Class I-VI and describes design considerations and features for each class. The principles of tooth preparation for amalgam are outlined. Updates to traditional cavity designs are mentioned that emphasize conservation of tooth structure. In conclusion, while new materials are gaining popularity, amalgam will continue to be widely used with care in minimal cavity designs.
The document discusses drugs, drug abuse, and addiction. It defines drugs as substances that alter normal bodily functions when absorbed into the body. It notes that drug abuse is an intense desire to obtain increasing amounts of a substance and that drug dependence results in physical harm and behavioral issues over the long term. The document also shares the story of a teenager named Alby who abused drugs from ages 13 to 18 but was able to get treatment and now feels better about himself. It discusses surveys and activities conducted by students on these topics, including visiting a rehabilitation center.
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 describes a presentation on using data to drive down prescription drug abuse. It discusses how various agencies in Madison-Dane County, WI collaborated using multiple data sources to understand the local prescription drug problem and develop strategies to address it. Data on overdoses, deaths, hospital visits, and a community survey revealed high overdose rates and barriers to treatment. This informed a multifaceted initiative including a naloxone pilot program, Good Samaritan law, and increased treatment support. Policy changes at the state level further supported these efforts.
The document summarizes the work of the NOPE Task Force, a non-profit organization working to reduce drug overdose deaths through community education, family support, and advocacy. It outlines their programs including presentations to schools, parents and healthcare professionals to raise awareness about prescription drug abuse. It also describes family support services and partnerships with law enforcement agencies. Evaluation findings indicate their programs are effective in changing knowledge and attitudes around drug use.
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.
How a Small Coalitions Leveraged Resources To Protect ChildrenHealth Easy Peasy
This document summarizes a presentation about how a small coalition of advocacy groups leveraged resources to establish a national commission to address child abuse and neglect fatalities. The coalition held meetings with government officials, conducted research, published reports, garnered media attention, and ultimately helped draft and pass bipartisan legislation to create the National Commission to Eliminate Child Abuse and Neglect Fatalities. The presentation outlines the coalition's advocacy strategies and highlights their success in elevating the issue on a national level through legislative and public awareness efforts.
Prevention of the Sexual Abuse of Children (English Version)neilmcq
This course provides essential information for parents, child care workers, Directors of institutions, and the public in general on preventing the Sexual Abuse of children. There is a Spanish version at http://www.adiestrate.com/0201courses.asp?Categ=99
This document discusses the important role that parents play in preventing teen drug and alcohol use. It emphasizes that parents who communicate clearly about the risks of substance use and monitor their teen's activities and friends can significantly reduce the likelihood that their teen will use drugs or alcohol. The document provides tips for how parents can communicate effectively with their teen, monitor their activities, and address potential issues around substance use if detected. It stresses that parents have significant influence and should not be afraid to talk to their teens about important issues.
Rx15 ea wed_430_1_teater_2kennard_3washingtonOPUNITE
Don Teater discussed using social marketing principles like the 4 Ps (product, placement, price, promotion) to educate about prescription drug abuse. Teha Kennard outlined the U.S. Navy's "Prescription for Discharge" campaign which used focus groups and social media to educate sailors. Laura Washington described her organization's social media campaign in Massachusetts that used a Facebook page, memes, events and contests to target ages 18-25 and increase awareness of prescription drug risks.
This document discusses the goals and activities of the Adolescent Health and Recovery Treatment Team (AHARTT) program in Kentucky. The goals are to assess and treat adolescent substance abusers and their families using evidence-based practices, and disseminate these treatment models more broadly. It provides funding information from legal settlements and describes treatment models being implemented, including Functional Family Therapy and Cognitive Behavioral Therapy. It also discusses tracking outcomes through the Adolescent Kentucky Treatment Outcome Study and establishing a model clinic to manualize treatments. Key partners and next steps are identified to expand services statewide.
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.
Tink Palmer,MCF, Presentation for day workshop. mckenln
This document discusses pre-trial therapy for child witnesses. It provides context on guidelines related to child welfare and rights. It notes that testifying can be stressful for child victims of abuse. The benefits of early therapeutic intervention are outlined, including helping children make sense of abuse and addressing trauma. Components of witness preparation are described to educate children and reduce anxiety about testifying. Sources of stress for children at different stages of legal proceedings are also identified.
The document provides an agenda for a training on implementing SBIRT (Screening, Brief Intervention, and Referral to Treatment) in a health center. The key points covered include:
- Discussing cultural aspects to consider when providing SBIRT, such as being aware of one's own biases and the diverse cultures of patients.
- Addressing co-occurring disorders and the high rates of substance use disorders occurring alongside mental illness. Integrating treatment for both is important.
- Reviewing a learning activity where participants diagrammed their SBIRT workflow from a patient's perspective and discussed it in a group.
- Previewing a future learning activity where participants will observe and evaluate
Child neglect is a serious problem that negatively impacts children's well-being and development. It is defined as the failure to meet a child's basic needs and can include neglecting medical, psychological, or developmental needs. Children who are neglected often suffer physically and emotionally and may struggle as adults. Achieving the goal of ending child neglect requires raising awareness about reporting abuse, educating the public on signs of abuse and neglect, and providing rehabilitation services for victims and abusive parents.
The document summarizes information about bullying among children and youth. It discusses the nature and prevalence of bullying, health consequences for those bullied, characteristics of bullies and bully/victims. It also outlines common approaches to bullying prevention in schools and the goals and components of the HRSA National Bullying Prevention Campaign, including a website, PSAs, and educational resources.
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.
Harm reduction aims to reduce the harms associated with drug use without requiring abstinence. It is defined as a pragmatic, humane and non-judgmental approach that prioritizes harm reduction over moralistic judgments. Nurses play an important role in harm reduction through developing therapeutic relationships, health promotion, and overdose management while maintaining professional boundaries. There are ongoing debates around the ethics, policies and evidence regarding harm reduction strategies such as supervised consumption sites.
Bullying Among Youth krh Powerpoint PresentationJohn M. Rinaldi
The document summarizes information about bullying among children and youth. It discusses the nature and prevalence of bullying, health consequences for those bullied, and characteristics of bullies and victims. It also outlines what schools and prevention campaigns are doing to address bullying, including raising awareness, tracking incidents, training for staff and students, and comprehensive, community-wide approaches. The KathyRinaldiHope Foundation workshop and HRSA's national bullying prevention campaign aim to reduce bullying through public service announcements, an interactive website, resource materials, and engaging local communities.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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 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 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.
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.
Web only rx16 pharma wed_200_1_hagemeier_2fleming_3vernachio
Enabling and intervention_final
1. Enabling
and
Interven/on
Karen
Perry
Co-‐Founder,
Execu/ve
Director,
NOPE
Task
Force
Dominique
Simon-‐Levine
Director,
Allies
in
Recovery
2. Learning
Objec/ves
1. Analyze
two
effec/ve
advocacy
programs
and
the
current
trends
of
Rx
drug
abuse.
2.
Describe
CRAFT
procedures
to
increase
the
chance
of
a
loved
one
entering
treatment.
3. Describe
the
methods
for
engaging
a
loved
one
to
seek
help.
3. Disclosure
Statement
• Karen
Perry
has
no
financial
rela/onships
with
proprietary
en//es
that
produce
health
care
goods
and
services.
• Dominique
Simon-‐Levine
has
no
financial
rela/onships
with
proprietary
en//es
that
produce
health
care
goods
and
services.
18. Na/onal
Overdose
Sta/s/cs
• 28,578
uninten/onal
fatal
drug
poisonings
(2009)
• In
2009,
approximately
1.2
Million
Emergency
Room
visits
for
non
medical
use
of
pharmaceu/cals.
• Research
indicates
an
es/mated
6
people
will
be
directly
affected
by
each
sudden
loss,
which
equates
to
171,468
people
annually
19. Current
Trends
• Every
day,
2,000
teens
in
the
United
States
try
prescrip/on
drugs
to
get
high
for
the
first
/me
• 60%
of
teens
who
have
abused
prescrip/on
painkillers,
did
so
before
the
age
of
15
• 45%
of
those
who
use
prior
to
the
age
of
15,
will
later
develop
an
addic/on
which
also
increases
the
chance
for
overdose.
21. Community
Partnerships
• Law
Enforcement
• Medical
Examiner
• Community
Government
• Medical
Professionals
• Treatment
Providers
• Educa/onal
Ins/tu/ons
• Legislators
• Family
Members
22. Assess
Local
Community
Partnership
with
Palm
Beach
County
Sheriff
Office
• Majority
died
from
a
• Highest
spikes
occur
combina/on
of
drugs
between
ages
of
18-‐30
an
• Prescrip/on
drugs
were
50-‐60
found
in
majority
of
• At
least
one
third
of
deaths
vic/ms
has
suffered
a
• Majority
of
deaths
previous
non-‐fatal
someone
was
with
in
overdose
earshot
of
vic/m
• Majority
of
vic/ms
were
Caucasian
male
23. NOPE
Task
Force™
a
501c-‐3
non-‐profit
Mission
To
reduce
the
frequency
and
impact
of
drug
overdose
death
through:
• Community
Educa/on
• Family
Support
•
Purposeful
Advocacy
24. Plan
and
Set
Goals
• Reduce
early
onset
of
substance
use.
• Empower
youth
to
become
peer
advocates
Increase
knowledge
of
parents
and
community
members.
• Reduce
the
number
of
drug
overdose
deaths.
25. Preven/on
&
Educa/on
Presenta/ons
• Middle
&
High
Schools
• Universi/es
• Parents
&
Communi/es
• Treatment
and
Correc/onal
ins/tu/ons
• Health
Care
Professionals
26. Student
Presenta/ons
TOPICS
OF
DISCUSSION
RELATED
NOPE
TAG
LINES
1. Addic/on
• Be
the
Hero-‐Tell
Someone
®
2. Combining
Drugs
=
Overdose
• One
Time
Can
Kill
®
3. Make
the
Call!
Dial
911
• Make
the
Call!
Dial
911
®
4.
Passed
out=
Medical
• Some/mes
You
Never
Sleep
It
Emergency
Off
®
27. Parent
Presenta/on
4
Components:
• Impact
on
family
• Underage
drinking
• Current
trends
• Paren/ng
strategies
28. Follow
Up
• ASK
ADAM
&
AMY
• Interac/ve
Website
• Publica/ons
• Student
Cer/fica/on
and
Life
Choices
Scholarship
29. Efficacy
Empirical
support
indicates
par/cipants
show:
• Change
in
knowledge
• Change
in
aktudes
towards
drug
Lynn
University
Research
Boca
Raton,
FL
30. Awareness
• Na/onal
Candle
Light
Vigil
• Interac/ve
Website
• Social
media
• Prescrip/on
Drug
Take
Back
• Advocates
for
legisla/ve
change
31. Advocate
for
Legisla/on
• Be
informed
of
local
issues
and
poten/al
bills
• Create
tool
kit
for
community
partners
• Inform
partners
of
upcoming
bills
32. Family
Support
• Treatment
Support
• ASK
ADAM
• Support
Groups
• Interac/ve
Website
• Publica/ons
33. NOPE
Task
Force’s
Accomplishments
• 11
Chapters
across
Florida
• Florida
Prescrip/on
Drug
• Over
120,000
students
Monitoring
Program
passed
receiving
our
evidence
and
ac/ve
based
message
annually
• Good
Samaritan
911
Law
• Over
50
loca/ons
hos/ng
passed
Candle
Light
Vigils
Annually
34. Partners
• Office
of
Na/onal
Drug
Control
Policy
• Mar/n
County
Sheriff’s
Office
• Florida
Office
of
the
Anorney
General
• Okeechobee
County
Sheriff’s
Office
• The
Florida
Sheriff’s
Associa/on
• Palm
Beach
County
Sheriff’s
Office
• The
Florida
Police
Chiefs
Associa/on
• Palm
Beach
County
State
Anorney
• Florida
Coali/on
Alliance
• Pinellas
County
Sheriff’s
Office
• Safe
and
Drug
Free
Schools
• St.
Lucie
County
Sheriff’s
Office
• Caron
Center
• Sarasota
County
Sheriff’s
Office
• Hanley
Center
• Seminole
County
Sheriff’s
and
• Lynn
University
municipal
law
enforcement
agencies
• Flagler
County
Sheriff’s
Office
• Volusia
County
Sheriff’s
Office
• Hillsborough
County
Sheriff’s
Office
• Indian
River
County
Sheriff’s
Office
35. NOPE
Task
Force
866-‐612-‐NOPE
www.nopetaskforce.org
Karen
Perry
KPerry@NOPETaskForce.org
36. Enabling
and
Interven;on
When
Love
Isn’t
Enough…
CRAFT
(Community
Reinforcement
and
Family
Training)
Dominique
Simon-‐Levine,
PhD
April
2
–
4,
2013
Omni
Orlando
Resort
at
ChampionsGate
37. Learning
Objec;ves
1.
Understand
specific
CRAFT
procedures
(eg.
reinforcement
strategies,
allowing
natural
consequences)
to
increase
the
chance
that
the
Loved
One
will
enter
treatment.
2.
Understand
the
methods
for
engaging
a
Loved
One
to
seek
help.
3.
Review
the
science
behind
CRAFT.
38. Disclosure
Statement
Dominique
Simon-‐Levine
has
no
financial
rela/onships
with
proprietary
en//es
that
produce
health
care
goods
and
services.
39. CRAFT
is
driven
by
the
principles
of
classical
behavioralism.
Dolphins
do
it,
dogs
do
it,
people
do
it…
40.
41. Control vs Influence: !
Control
Influence
• Demand,
dominate,
• Request,
provide
resources,
you
manipulate
are
a
mirror
“what
do
you
want
to
do?”
• “No”
leads
to
guil/ng,
• “No”
leads
to
disappointment
and
anger,
shaming,
provides
informa/on
resentment
• Power
over
• Power
with,
it’s
a
partnership
“Use
and
you’re
out
of
“Please
do
not
come
home
if
you’ve
here.”
been
using.
You’re
welcome
back
when
you
straighten
up.”
42. The
Essen/al
Skill
Set:
CRAFT
1.
Safety,
de-‐escala/on
2.
Posi/ve
communica/on
3.
What
to
do
when
your
LO
is
not
using,
right
now
4.
What
to
do
when
your
LO
is
using,
right
now
5.
How
to
handle
the
hard
emo/ons
6.
How
to
get
your
LO
into
treatment
43. CRAFT
happens
in
the
moment
…
the
world
divides
in
two.
•
How
you
respond
when
you
see
use
•
How
you
respond
when
you
don’t
see
use
44. When
you
see
use,
disable
the
enabling
…
1)
Remove
the
rewards.
2)
Remove
yourself
in
a
quiet
neutral
way.
3)
Allow
natural
consequences,
if
safe
to
do
so.
.
45. When
you
don’t
see
use….*!+REWARD+!*
4
Characteris/cs
pleasurable
to
your
LO
free
or
affordable
can
be
given
immediately
something
you
are
willing
to
give
4
Types
Stuff:
like
a
video
game
or
/x
to
a
ball
game
or
a
favorite
food.
Verbal
comments:
“It
really
saves
me
/me
when
you
take
out
the
trash.
Non
verbal
behaviors:
eye
contact
or
a
pat
on
the
back.
Ac;vi;es:
a
back
rub,
a
walk
to
the
corner
for
ice
cream.
46. How
do
I
get
my
Loved
One
into
treatment?
• You
create
that
bridge
between
the
two
of
you.
• You
empathize
and
show
respect.
• You
stop
the
nega/ve
talk,
add
in
posi/ve
talk,
and
listen
to
what
your
LO
is
saying.
• You
make
requests.
You
don’t
dominate.
• You
take
care
of
yourself,
which
helps
you
stay
calm
and
pa/ent.
• You
understand
that
gekng
sober
and
clean
is
a
process.
47. You
have
treatment
in
your
back
pocket.
Treatment
defined
broadly:
public,
private,
self-‐help,
faith-‐based..
Windows
of
Opportunity
1)
A
wish
or
a
dip…Change
Talk,
there’s
mo/va/on
in
this.
2)
The
planned
conversa/on.
A
serious
moment
around
the
table.
3)
When
LO
talks
of
gekng
help.
Script
it
out.
Avoid
jargon
and
words
like
alcoholic,
drug
addict,
treatment…
Rehearse
it.
Prepare
for
refusal.
48. Sandy’s
Tea
Party
I
hate
that
I
don’t
want
to
have
sex
with
you.
Only
recently
has
there
been
any
closeness
at
all.
I
don’t
want
any
more
weekends
like
the
last
one.
We
aren’t
enjoying
each
other.
I
think
we’re
both
isolated
and
lonely.
I
want
us
connected
again.
I
want
you.
That
isn’t
possible
with
your
drinking.
Come
see
me.
I
have
a
list
of
places
that
help
professionals
who
have
problems
with
drinking.
Will
you
take
a
look
at
it
with
me?
49. Controlled
Trial
130
family
members
assigned
to
1
of
3
interven/ons
" Al-‐Anon
Facilita/on
therapy
" Johnson
Ins/tute
Interven/on
" CRAFT
" Loved
Ones
are
all
alcoholic
52. Sisson & Miller,
CRAFT
STUDIES
Kirby, et al., Meyers, Meyers, Waldron, Dutcher, et Manual, et
Azrin Meyers, et 1999 Miller, et al., Miller, et al., et. al., 2007 al., 1999 al., 2011
1986 al., 1999 1999 2002 adolescent Group vs
Self-
Directed
14 CSOs 130 CSOs 32 CSOs 62 CSOs 90 CSOs 42 CSOs 99 CSOs 40 CSOs
75% Anglo 80% 49% 48% 59% 60% Anglo
23% AA Hispanic Hispanic Hispanic Hispanic
Alcohol Alcohol 55% 37% Coca MJ MJ Alcohol Drugs/
Cocaine 35% MJ Cocaine Alcohol 90% Alcohol
22% 16% Stim Stimulants Cocaine
opiates 8% opiate 7%
Randomized Randomized Randomized Non- Randomized Non- Non- Craft in
(CRAFT vs (CRAFT/JI (CRAFT vs Randomized Randomized Randomized Group vs
12 Step) /12-step 12-step) Self-
Directed
86% vs 64% 74% vs 74% 65.5% vs 71% 55%-65% 70%
0% vs23% 17% CSOs 29% CSOs CSOs vs 40%
CSOs vs13% CSOs Better CSOs Better Better Better
Better CSOs Better Better
Better
53. Other
Outcomes
from
Clinical
Trials
" CRAFT-‐engaged
Loved
Ones
most
owen
anend
6
sessions
of
outpa/ent
treatment
as
compared
to
NM
state
modal
of
1.
" Loved
Ones
reduce
their
use
by
50%
while
family
member
is
in
CRAFT
54. CRAFT
Resources
Dr.
Robert
Meyers,
William
Miller,
Jane
Ellen
Smith,
University
of
New
Mexico,
Center
on
Alcoholism,
Substance
Abuse,
and
Addic/ons
HBO
film
on
CRAFT
hnp://www.hbo.com/addic/on/thefilm/supplemental/
628_addict_into_treatment.html
Dominique
Simon-‐Levine
dominiquesimon@comcast.net
Simonlevine.com