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Implementing an Evidence-Informed
Prescription Drug Abuse Prevention
Program: Overview of EVERFI's New
Prevention Course
Kimberley Timpf, Senior Director of Prevention Education
#evidencebasedprevention
#preventionmatters
Scope of the Challenge
In Recent News…
March 16, 2017
The Opioid Epidemic Is This
Generation’s AIDS Crisis
“…52,000 people died of drug overdoses in 2015. That’s
more deaths than the peak year for AIDS, which was 51,000
in 1995. And unlike AIDS in 1995, there’s no reason to think
the worst is now over.”   
June 5, 2017
Drug Deaths in America Are
Rising Faster Than Ever
“Drug overdose deaths in 2016 most likely exceeded 59,000,
the largest annual jump ever recorded in the United States.
Drug overdoses are now the leading cause of death among
Americans under 50.”   
"America is enduring a death toll equal to September 11th every three weeks."
United States Drug-Taking Culture
Source: UNODC (2011)
The United States
represents 5% of the
worlds’ population 
5% 75%
…but consumes 75%
of the worlds’
prescription drugs
Contributing Factors to Prescription Drug Misuse
Easy access to
prescription
medications
4 billion
prescriptions filled
each year in U.S.

A C C E S S 
Incorrect belief that
prescription medication
are safe because
a physician
prescribes them

M I S P E R C E P T I O N S 
The U.S. is one
of two countries
that allow
direct-to-consumer
advertisements
for prescription drugs
A D S 
There is little negative stigma attached to taking pills
Source: National Center for Health Statistics (2013)
Prescription Drug Misuse and Abuse on Campus
ADHD
Adderall, Ritalin, Concerta
•  Increase alertness 
•  Increase attention
•  Increase energy
•  Increase blood pressure
and heart rate
•  Seizures
•  Hostility
STIMULANTS
 DEPRESSANTS
 OPIOIDS
Anxiety
Valium, Xanax, Ambien
•  Increase GABA in the brain
•  Decreases brain activity
producing calming effect
•  Drowsiness
•  Slowed respiration
and heart rate
•  Seizure from withdrawal
Pain
Vicodin, OxyContin, Percocet
•  Affects regions of the brain
that trigger euphoria
•  Drowsiness
•  Constipation
•  Slowed breathing
•  Respiratory depression
or death
Source: National Institute on Drug Abuse (2014)
Most Common Types of Misused Prescription Drugs
Distinctions of Campus Drug Abuse
18.6%
10.2%
OPIOIDS
5%9.0%
5% 20.0%
STIMULANTS
8.9%
13.8%
DEPRESSANTS
Have You Ever Used The Following Prescription
Drugs For Non-Medical Reasons?
College students
18- 25 year olds
College students
18- 25 year olds
College students
18 – 25 year olds
NUMBER OF PRESCRIPTION DRUG ABUSERS

5.1 million
2.2 million
1.1 million
Source: National Institute on Drug Abuse (2010); College Prescription Drug Study (2015)
STIMULANTSDEPRESSANTSOPIOIDS
•  Some 33,000 people in the U.S. died of opioid
overdoses in 2015, according to the Centers
for Disease Control and Prevention.
•  College students are as likely as others to
abuse the narcotics (Hazelden Betty Ford
Institute for Recovery Advocacy and the
Christie Foundation, 2015)
•  Federal law doesn’t require colleges to
report drug deaths unless they are deemed
criminal.
Opioids:A Hidden Crisis on College Campuses?
Source: https://www.wsj.com/articles/colleges-take-action-on-opioid-epidemic-1494158403?tesla=y
Connecting Marijuana and Stimulant Misuse
Among Those Reporting NO Past Year Non-
Medical Use of Prescription Stimulants:
Among Those Reporting Past Year Non-
Medical Use of Prescription Stimulants:
39%
PAST 30-DAY MARIJUANA USE
PAST YEAR MARIJUANA USE
SKIPPED AT LEAST ONE CLASS
23%
35%
86%
PAST 30-DAY MARIJUANA USE
PAST YEAR MARIJUANA USE
SKIPPED AT LEAST ONE CLASS
66%
54%
Source: Kilmer (2017)
(9% due to alcohol/
other substances)
(40% due to alcohol/
other substances)
Getting Started
How is the Rx drug conversation different from conversations about alcohol?
Concerns:
•  Consensus among
campus stakeholders
about risks of Rx drugs,
lack of consensus about
what to do.
•  Ambivalence about how
to respond = inaction
and delayed response.
Framing the Conversation on Campus
•  Rx drugs have a therapeutic benefit.
•  Long-time focus on the “A” in AOD prevention –
“Other Drugs” now in the spotlight. 
•  Pharmacological risks are not equal. 
•  Rx drug prevention is an emerging field.
•  Rx drug abuse associated with negative
stereotypes. 
•  Rx drug prevention is an unfunded mandate.
An Unfunded
Mandate
EDGAR Part 86 Regulations
Having a compliant program requires
that IHEs:
[1] conduct a biennial review of their
drug and alcohol prevention programs
[2] annually distribute specified drug
and alcohol prevention information to
students and employees (“annual
notification”)
Standards of conduct; federal, state
and local laws; available drug and
alcohol programs; and a description of
the health risks associated with
alcohol abuse and illicit drug use,
including:
•  risk of dependence,
•  possible short-term effects,
•  possible long-term effects, and 
•  likelihood and effects of overdose.

20 U.S.C. 1145g—Drug and Alcohol Abuse Prevention
Annual Notification Requirements
Using What We Know
Information Dissemination
Skill-Building
Problem Identification & Referral
Campus-Based Processes
Environmental Approaches
Health
marketing
campaigns
Partner
with off-
campus
resources
Clear
campus
policy and
processes
Bystander
intervention
Referral
network
created
A Population-Level Approach to Prescription
Drug Abuse Prevention
Prescription Drug Abuse Prevention
Prescription Drug Abuse Prevention
Behavioral Outcomes and Learning Objectives
FACTORS THAT INFLUENCE BEHAVIOR
[Health Belief Model, Theory of Planned
Behavior, Social Cognitive Theory]
Knowledge
Attitudes and Beliefs
Perceived Outcomes
Personal Norms
Social Norms
Behavioral Skills
Perceived Behavioral Control
Cues to Action
Knowledge
OBJECTIVES
•  Identify the attributes of the
most common prescription
drugs
•  Describe the risks associated
with prescription drug misuse
and abuse
•  Cite the laws and policies
relevant to prescription drug
use
OBJECTIVE
•  Demonstrate how to
refuse requests from
others to use my
personal prescription
medications.
Behavioral Skills
OBJECTIVE
•  Demonstrate how to
use non-confrontational
responses to turn down
an offer to use a drug
that hasn’t been
prescribed to me.
Behavioral Skills
Perceived Behavioral Control
OBJECTIVE
•  Agree: I will use prescription
drugs only as advised by a
doctor/medical professional/
pharmacist
AN EVIDENCE-INFORMED
APPROACH:
•  Delivers accurate information to
help students make informed
decisions about their personal use
of medication
•  Uses a curriculum grounded in
behavior change theory
•  Employs evidence based practices
•  Engages a majority of students
who are making healthy and safe
decisions
•  Discourages misuse and abuse of
all substances
•  Provides critical data and student
engagement information to help
inform prevention strategies


#evidencebasedprevention
#preventionmatters
What’s new from EverFi in 2017?
Complete Student Catalog
Primary Prevention Courses
●  Alcohol Prevention 
●  Title IX/Clery Training
For Undergraduates
For Graduates
For Adult Learners
●  Prescription Drug Abuse Prevention

Ongoing Courses
●  Title IX/Clery Training for Continuing Students
●  Alcohol Prevention Refresher
●  Alcohol Sanctions Training
Complete Faculty/Staff Catalog
Primary Prevention Course
●  Title IX/Clery/Campus SaVE Act
Annual Ongoing Course
●  Title IX/Clery Refresher
Information Security
●  Data Security & Privacy
●  FERPA
●  HIPAA Basics
●  Social Media & Your Job
●  PCI:DSS


Risk Management
●  Intersections: Title IX/Title VII
●  Protect Children (mandated reporter)
●  Injury & Illness Prevention
●  Ethics
●  Clery Act Basics
●  Bloodborne Pathogens
●  Accommodating Students/Workers Disabilities
●  Bullying in the Workplace
●  Diversity: Skills for Collaboration
●  Drugs & Alcohol at Work
●  Hazard Communication
Thank you!
Implementing an Evidence-Informed
Prescription Drug Abuse Prevention
Program: Overview of EVERFI's New
Prevention Course
Implementing an Evidence-Informed
Prescription Drug Abuse Prevention
Program: Overview of EVERFI's New
Prevention Course
Kimberley Timpf, Senior Director of Prevention
Education
kimberley@everfi.com
#evidencebasedprevention
#preventionmatters

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EVERFI Webinar: Evidence Based Prescription Drugs Program

  • 1. Implementing an Evidence-Informed Prescription Drug Abuse Prevention Program: Overview of EVERFI's New Prevention Course Kimberley Timpf, Senior Director of Prevention Education #evidencebasedprevention #preventionmatters
  • 2. Scope of the Challenge
  • 3. In Recent News… March 16, 2017 The Opioid Epidemic Is This Generation’s AIDS Crisis “…52,000 people died of drug overdoses in 2015. That’s more deaths than the peak year for AIDS, which was 51,000 in 1995. And unlike AIDS in 1995, there’s no reason to think the worst is now over.”    June 5, 2017 Drug Deaths in America Are Rising Faster Than Ever “Drug overdose deaths in 2016 most likely exceeded 59,000, the largest annual jump ever recorded in the United States. Drug overdoses are now the leading cause of death among Americans under 50.”    "America is enduring a death toll equal to September 11th every three weeks."
  • 4. United States Drug-Taking Culture Source: UNODC (2011) The United States represents 5% of the worlds’ population 5% 75% …but consumes 75% of the worlds’ prescription drugs
  • 5. Contributing Factors to Prescription Drug Misuse Easy access to prescription medications 4 billion prescriptions filled each year in U.S. A C C E S S Incorrect belief that prescription medication are safe because a physician prescribes them M I S P E R C E P T I O N S The U.S. is one of two countries that allow direct-to-consumer advertisements for prescription drugs A D S There is little negative stigma attached to taking pills Source: National Center for Health Statistics (2013)
  • 6. Prescription Drug Misuse and Abuse on Campus
  • 7. ADHD Adderall, Ritalin, Concerta •  Increase alertness •  Increase attention •  Increase energy •  Increase blood pressure and heart rate •  Seizures •  Hostility STIMULANTS DEPRESSANTS OPIOIDS Anxiety Valium, Xanax, Ambien •  Increase GABA in the brain •  Decreases brain activity producing calming effect •  Drowsiness •  Slowed respiration and heart rate •  Seizure from withdrawal Pain Vicodin, OxyContin, Percocet •  Affects regions of the brain that trigger euphoria •  Drowsiness •  Constipation •  Slowed breathing •  Respiratory depression or death Source: National Institute on Drug Abuse (2014) Most Common Types of Misused Prescription Drugs
  • 8. Distinctions of Campus Drug Abuse 18.6% 10.2% OPIOIDS 5%9.0% 5% 20.0% STIMULANTS 8.9% 13.8% DEPRESSANTS Have You Ever Used The Following Prescription Drugs For Non-Medical Reasons? College students 18- 25 year olds College students 18- 25 year olds College students 18 – 25 year olds NUMBER OF PRESCRIPTION DRUG ABUSERS 5.1 million 2.2 million 1.1 million Source: National Institute on Drug Abuse (2010); College Prescription Drug Study (2015) STIMULANTSDEPRESSANTSOPIOIDS
  • 9. •  Some 33,000 people in the U.S. died of opioid overdoses in 2015, according to the Centers for Disease Control and Prevention. •  College students are as likely as others to abuse the narcotics (Hazelden Betty Ford Institute for Recovery Advocacy and the Christie Foundation, 2015) •  Federal law doesn’t require colleges to report drug deaths unless they are deemed criminal. Opioids:A Hidden Crisis on College Campuses? Source: https://www.wsj.com/articles/colleges-take-action-on-opioid-epidemic-1494158403?tesla=y
  • 10. Connecting Marijuana and Stimulant Misuse Among Those Reporting NO Past Year Non- Medical Use of Prescription Stimulants: Among Those Reporting Past Year Non- Medical Use of Prescription Stimulants: 39% PAST 30-DAY MARIJUANA USE PAST YEAR MARIJUANA USE SKIPPED AT LEAST ONE CLASS 23% 35% 86% PAST 30-DAY MARIJUANA USE PAST YEAR MARIJUANA USE SKIPPED AT LEAST ONE CLASS 66% 54% Source: Kilmer (2017) (9% due to alcohol/ other substances) (40% due to alcohol/ other substances)
  • 12. How is the Rx drug conversation different from conversations about alcohol? Concerns: •  Consensus among campus stakeholders about risks of Rx drugs, lack of consensus about what to do. •  Ambivalence about how to respond = inaction and delayed response. Framing the Conversation on Campus •  Rx drugs have a therapeutic benefit. •  Long-time focus on the “A” in AOD prevention – “Other Drugs” now in the spotlight. •  Pharmacological risks are not equal. •  Rx drug prevention is an emerging field. •  Rx drug abuse associated with negative stereotypes. •  Rx drug prevention is an unfunded mandate.
  • 13. An Unfunded Mandate EDGAR Part 86 Regulations Having a compliant program requires that IHEs: [1] conduct a biennial review of their drug and alcohol prevention programs [2] annually distribute specified drug and alcohol prevention information to students and employees (“annual notification”) Standards of conduct; federal, state and local laws; available drug and alcohol programs; and a description of the health risks associated with alcohol abuse and illicit drug use, including: •  risk of dependence, •  possible short-term effects, •  possible long-term effects, and •  likelihood and effects of overdose. 20 U.S.C. 1145g—Drug and Alcohol Abuse Prevention Annual Notification Requirements
  • 14. Using What We Know Information Dissemination Skill-Building Problem Identification & Referral Campus-Based Processes Environmental Approaches Health marketing campaigns Partner with off- campus resources Clear campus policy and processes Bystander intervention Referral network created
  • 15. A Population-Level Approach to Prescription Drug Abuse Prevention
  • 18. Behavioral Outcomes and Learning Objectives FACTORS THAT INFLUENCE BEHAVIOR [Health Belief Model, Theory of Planned Behavior, Social Cognitive Theory] Knowledge Attitudes and Beliefs Perceived Outcomes Personal Norms Social Norms Behavioral Skills Perceived Behavioral Control Cues to Action
  • 19. Knowledge OBJECTIVES •  Identify the attributes of the most common prescription drugs •  Describe the risks associated with prescription drug misuse and abuse •  Cite the laws and policies relevant to prescription drug use
  • 20. OBJECTIVE •  Demonstrate how to refuse requests from others to use my personal prescription medications. Behavioral Skills
  • 21. OBJECTIVE •  Demonstrate how to use non-confrontational responses to turn down an offer to use a drug that hasn’t been prescribed to me. Behavioral Skills
  • 22. Perceived Behavioral Control OBJECTIVE •  Agree: I will use prescription drugs only as advised by a doctor/medical professional/ pharmacist
  • 23. AN EVIDENCE-INFORMED APPROACH: •  Delivers accurate information to help students make informed decisions about their personal use of medication •  Uses a curriculum grounded in behavior change theory •  Employs evidence based practices •  Engages a majority of students who are making healthy and safe decisions •  Discourages misuse and abuse of all substances •  Provides critical data and student engagement information to help inform prevention strategies #evidencebasedprevention #preventionmatters
  • 24. What’s new from EverFi in 2017?
  • 25. Complete Student Catalog Primary Prevention Courses ●  Alcohol Prevention ●  Title IX/Clery Training For Undergraduates For Graduates For Adult Learners ●  Prescription Drug Abuse Prevention Ongoing Courses ●  Title IX/Clery Training for Continuing Students ●  Alcohol Prevention Refresher ●  Alcohol Sanctions Training
  • 26. Complete Faculty/Staff Catalog Primary Prevention Course ●  Title IX/Clery/Campus SaVE Act Annual Ongoing Course ●  Title IX/Clery Refresher Information Security ●  Data Security & Privacy ●  FERPA ●  HIPAA Basics ●  Social Media & Your Job ●  PCI:DSS Risk Management ●  Intersections: Title IX/Title VII ●  Protect Children (mandated reporter) ●  Injury & Illness Prevention ●  Ethics ●  Clery Act Basics ●  Bloodborne Pathogens ●  Accommodating Students/Workers Disabilities ●  Bullying in the Workplace ●  Diversity: Skills for Collaboration ●  Drugs & Alcohol at Work ●  Hazard Communication
  • 28. Implementing an Evidence-Informed Prescription Drug Abuse Prevention Program: Overview of EVERFI's New Prevention Course Implementing an Evidence-Informed Prescription Drug Abuse Prevention Program: Overview of EVERFI's New Prevention Course Kimberley Timpf, Senior Director of Prevention Education kimberley@everfi.com #evidencebasedprevention #preventionmatters