Current A&D Conditions in lane County: And why we need prevention. Guest lecturer: Julie Hynes, MA, RD, CPS - PreventionLane at Lane County Public Health
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.
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.
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.
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.
Blazing New Trails: Shifting the Focus on Alcohol and Drugsnashp
Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Authors: Barbara Cimaglio, Sally Fogerty, BSN, M.Ed., John C. Higgins-Biddle, Ph.D.
Closing the treatment gap in alcohol dependence thessalonika 2015Antoni Gual
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Antonio Boone of the Office of HIV Planning reviewed major points from the Mayor's Task Force to Combat the Opioid Epidemic in Philadelphia at the June 12, 2017 Positive Committee meeting.
April 3, 2017
The current opiate epidemic has spurred long-overdue scrutiny on the pharmaceutical production and distribution of opiate medication, but it also raises questions of public policy and law regarding the regulation of medical access to and use of opiate medications with high potential for addiction. Expert panelists will address the challenges that arise from efforts to balance restrictions on access to opiates to limit addiction while also preserving sufficient access for legitimate medical management of pain.
Learn more on our website: http://petrieflom.law.harvard.edu/events/details/opiate-regulation-policies
Where your md meets my jd when the doctor says yes but the treatment team say...Mrsunny4
According to the National Institute on Drug Abuse and several published studies1, 80 percent of heroin users reported using prescription opioids prior to heroin.
Running head OPIOID CRISIS PUBLIC POLICY PAPER .docxglendar3
Running head: OPIOID CRISIS PUBLIC POLICY PAPER 1
OPIOID CRISIS PUBLIC POLICY PAPER 7
Opioid Crisis Public Policy Paper
Anniesha Overton
Strayer Umiversity
Summary of the policy
The opioid crisis has been a significant public health concern in the United States since the late 1990s. The inability to develop strategic legislation and regulation to control the use of opioid has been critical to the development of the opioid crisis. The opioid crisis involves the use of both prescription and non-prescription opioid drugs. According to the Center for Disease control and prevention, the rate of opioid addiction has been significantly increasing over the years. From 1999 to 2016, at least 350,000 individuals have died from related opioid addiction, which includes prescription and illicit opioids.
Unlicensed pharmacies and overdependence on these drugs in pain management have been major concepts, which have created a challenging setting where the abuse of prescription drugs can be controlled. The underlying basis of this problem is the current assumption in the United States that medical practitioners can cure almost everything. Even though it is essential to understand that prescription drugs are effective in pain management, the drugs are required to be offered based on the prescriptions issued (McDonald & Lambert, 2016). It is also noted that they should not be used regularly since they created a very detrimental habit to patient wellbeing because they have addictive properties, which make it dangerous when consumed in large portions.
Confronting opioid addiction requires significant efforts by all stakeholders in healthcare in ensuring that there is a common objective in providing that there is a crucial focus in integrating quality focus in preventing opioid addiction. Considering the fact that a prescribed drug mainly propagates opioid addiction. It is essential to ensure that they are issued through consideration of critical healthcare knowledge regarding the admissibility of opioid drugs (Bihel, 2016). Nurses have a significant role to play regarding the overall development of the opioid addiction crisis. Critical issues that have been identified in opioid drug abuse include improper use, lack of the required knowledge and related interpretation in the use of opioid prescribed drugs and decreased regulation and legislation from the government regarding the existing concern on the increasing addiction levels across the country.
Players
The increase in opioid crisis has had a direct and indirect influence on different stakeholders. Therefore developing a strong focus on essential strategies that can help limit the overall impact of the opioid crisis on the lives of an individual is critical. The national institute on drug abuse reported that in 2015, 33,091 deaths were reported be.
Running head OPIOID CRISIS PUBLIC POLICY PAPER .docxtodd581
Running head: OPIOID CRISIS PUBLIC POLICY PAPER 1
OPIOID CRISIS PUBLIC POLICY PAPER 7
Opioid Crisis Public Policy Paper
Anniesha Overton
Strayer Umiversity
Summary of the policy
The opioid crisis has been a significant public health concern in the United States since the late 1990s. The inability to develop strategic legislation and regulation to control the use of opioid has been critical to the development of the opioid crisis. The opioid crisis involves the use of both prescription and non-prescription opioid drugs. According to the Center for Disease control and prevention, the rate of opioid addiction has been significantly increasing over the years. From 1999 to 2016, at least 350,000 individuals have died from related opioid addiction, which includes prescription and illicit opioids.
Unlicensed pharmacies and overdependence on these drugs in pain management have been major concepts, which have created a challenging setting where the abuse of prescription drugs can be controlled. The underlying basis of this problem is the current assumption in the United States that medical practitioners can cure almost everything. Even though it is essential to understand that prescription drugs are effective in pain management, the drugs are required to be offered based on the prescriptions issued (McDonald & Lambert, 2016). It is also noted that they should not be used regularly since they created a very detrimental habit to patient wellbeing because they have addictive properties, which make it dangerous when consumed in large portions.
Confronting opioid addiction requires significant efforts by all stakeholders in healthcare in ensuring that there is a common objective in providing that there is a crucial focus in integrating quality focus in preventing opioid addiction. Considering the fact that a prescribed drug mainly propagates opioid addiction. It is essential to ensure that they are issued through consideration of critical healthcare knowledge regarding the admissibility of opioid drugs (Bihel, 2016). Nurses have a significant role to play regarding the overall development of the opioid addiction crisis. Critical issues that have been identified in opioid drug abuse include improper use, lack of the required knowledge and related interpretation in the use of opioid prescribed drugs and decreased regulation and legislation from the government regarding the existing concern on the increasing addiction levels across the country.
Players
The increase in opioid crisis has had a direct and indirect influence on different stakeholders. Therefore developing a strong focus on essential strategies that can help limit the overall impact of the opioid crisis on the lives of an individual is critical. The national institute on drug abuse reported that in 2015, 33,091 deaths were reported be.
Similar to Intro to Prevention: Psychopharmacology Guest Lecture (20)
January 2018 AdCare Maine Webinar: Keeping Pace with the Changing Tides of Ga...Julie Hynes
Title: Keeping Pace with the Changing Tides of Gaming & Gambling
Description: Keeping up with the constantly changing tides of gaming/gambling trends can be overwhelming. In this workshop, we look at several of the latest trends in the online gaming world, including “loot crates,” eSports betting, and other internet-based games that blur the definitions of what is gaming and what is gambling. We will discuss legality, risks, and what we can do to address concerns.
Presenter: Julie Hynes, MA, RD, CPS
January 17, 2018
Changing the Way We Think About Addictions and YouthJulie Hynes
Focus on the Future panel - Olympia, WA, 4/26/17.
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The Case for Prevention of Problem GamblingJulie Hynes
Julie Hynes, MA, CPS
Sr. Community Health Analyst, PreventionLane at Lane County Public Health
Instructor, University of Oregon
Board of Directors, National Council on Problem Gambling
February 10, 2017
KYCPG 20th Annual Education and Awareness Conference
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Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
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Intro to Prevention: Psychopharmacology Guest Lecture
1. (and why we need prevention)
CURRENT A&D CONDITIONS
IN LANE COUNTY
Julie Hynes, MA, CPS – Guest Lecturer
LCC HS 102 – Psychopharmacology
May 12, 2017
2. Today’s objectives:
BROAD BRUSH /
PREVENTION PART I
1. Defining prevention & why it matters
2. Current conditions on addictions
3. Opioids
COMPLETE, CLICKABLE SLIDE DECK:
www.preventionlane.org/lcc
6. IF, FOR NO OTHER REASON, WHY WE
$HOULD WE CARE ABOUT PREVENTION:
Health Care Overall
Year
Estimate
Based On
Tobacco
1,2
$168 billion $300 billion 2010
Alcohol
3
$27 billion $249 billion 2010
Illicit Drugs
4,5
$11 billion $193 billion 2007
Prescription
Opioids
6 $26 billion $78.5 billion 2013
Source: National Institute on Drug Abuse (NIDA);click references above for each research study.
https://www.drugabuse.gov/related-topics/trends-statistics
7. WHAT
ACCOUNTS
FOR
DIFFERENCES
IN HEALTH?
McGinnis, JM, et al., “The Case for More Active Policy Attention to Health Promotion,” Health
Affairs (2002)
Schreoeder, SA “We Can Do Better—Improving the Health of the American People” New England
Journal of Medicine (2007)
Social & Environmental
Conditions and Related
Behaviors
(60-70%)
Genetics
(20-30%)
Health Care
(10%)
8.
9. “What
problems
have the
biggest
impact on
health in
your
community
(choose 3)?”
n=2,298 – Fall 2015 0 200 400 600 800 1000 1200 1400
Alcohol & drug abuse
Child abuse/neglect
Chronic diseases
Conditions of aging (e.g., arthritis, hearing/vision
loss)
Discrimination and racism
Hunger
Lack of access to health care (e.g., mental,
medical, dental, primary care)
Lack of affordable housing and homelessness
Lack of services for people with disabilities
Other
Pollution
Poverty
STDs (e.g., HIV/AIDS)
Suicide
Tobacco use
Violent crime, domestic violence, rape/sexual
assault
Online Responses Paper Responses
10. of Americans who meet the
medical criteria for
addiction started
smoking, drinking, or using other
drugs
before age 18.
11. of Americans who meet the
medical criteria for
addiction started
smoking, drinking, or using other
drugs
before age 18.
20. ACES – ADVERSE
CHILDHOOD EXPERIENCES
Growing up (prior to age 18) in a
household with:
Physical abuse
Emotional abuse
Sexual abuse
Emotional or physical neglect
Loss of parent due to divorce,
abandonment, or death
Substance use
Mental illness
Incarcerated household member
ACE points are
attributed for
exposure to each
type of adverse
event (0 to 10).
Centers for Disease Control and Prevention: http://www.cdc.gov/ace
21. ACEs & ADDICTIONS
Poole, J.C., Kim, H.S., Dobson, K.S., & Hodgins, D.C.(2017, March). Adverse childhood experiences and
disordered gambling: Assessing the mediating role of emotion dysregulation. Journal of Gambling
Studies, DOI 10.1007/s10899-017-9680-8
Adverse
Childhood
Experiences
(ACEs)
Emotional
disregulation
Self-
medicating
w/substance
use, eating,
gambling, etc.
Substance use
disorders,
eating
disorders,
disordered
gambling,
mental health
issues
23. ACES OFTEN LAST A LIFETIME…
BUT THEY DON’T HAVE TO
Healing can occur
The cycle can be broken
Safe, stable, nurturing
relationships heal both
parent and child
28. A NATIONAL EPIDEMIC
0
4000
8000
12000
16000
20000
1999 2001 2003 2005 2007 2009
US Opioid Analgesic Deaths, 1999-2010
CDC, National Center for Health Statistics, Multiple Cause of Death 1999-2010, CDC
WONDER database, released 2012
29. A NATIONAL EPIDEMIC
• From 2000-2015 more
than half a million people
died from drug overdoses
• 6 in 10 drug overdose
deaths in the US involve
an opioid
30. NOT JUST MORTALITY
• In 2014, almost 2 million
Americans abused or were
dependent on prescription
opioids
• 1 in 4 people who receive
opioid prescriptions for long-
term, non-cancer pain
struggles with addiction
31. OPIOID DEATHS IN LANE COUNTY
• Higher overall rate of death
due to pharmaceutical
opioids than heroin
• Overdose deaths seen across
the lifespan but age groups
most impacted:
• 45-64 years old (9.5 per
100,000)
• 18-44 years old (7.3 per
100,000).
5.9
2.8
8.3
4.3
2.8
6.8
Rx Opioid Heroin Any
opioid
Rateper100,000
Lane
Oregon
Opioid Deaths, 2010-2014
Source: Oregon Health Authority
32. OPIOID HOSPITALIZATION IN LANE
COUNTY
• More people hospitalized
for overdose from
pharmaceutical opioid
(7.9 per 100,000) than
heroin (1.4 per 100,000)
• Hospitalization due to
pharmaceutical opioid
overdose tends to be
older adults, ages 45-75+
1.6
5.7
14.8
13.2
14
0-18
18-44
45-64
65-74
75+
Rate per 100,000
Opioid Hospitalization Rate (per 100,000),
2010-2014
Source: Oregon Health Authority
33. STRATEGIES TO ADDRESS THE
EPIDEMIC
• Prevent abuse
• Provide Treatment
• Prevent Death
34. PRESCRIPTION DRUG OVERDOSE
PREVENTION
• Oregon is one of 16 states
selected for CDC Prescription Drug
Overdose: Prevention for States
funding for 2015-2019, to
advance prevention in key areas:
– Enhancing and Maximizing State
Prescription Drug Monitoring
Programs (PDMPs)
– Implementing Community & Health
Systems Interventions
• Lane & Douglas counties selected
as one of 4 pilot regions
35. DRIVER DIAGRAM: PDO PREVENTION, 2015 - 2019
Staff
Katrina Hedberg, State Health Officer Lisa Millet, Principal Investigator
Lisa Shields, Program Coordinator Matt Laidler, Research Analyst
Josh van Otterloo, Research Analyst
1. Implement opioid prescribing guidelines for pain management
Engage CCOs, Emergency Departments, health systems, pharmacies, and
insurers to expand uptake and use of evidence-based opioid prescribing and
management guidelines
Fund five high- burden county regions to form and convene regional pain
guidance groups (PGGs) and interdisciplinary action teams (IATs) to expand
uptake of model opioid prescribing guidelines
Aim Primary Drivers Secondary Drivers
5. Increase access to naloxone
Establish a standing order for Naloxone distribution at pharmacies
Increase access to Naloxone through community-based programs
Include co-prescribing of naloxone in model guidelines when prescribing
opioids for at-risk patients
3. Provide reimbursement for non-opioid pain treatment therapies
Require insurers to pay for non-opioid care for chronic non-cancer pain
treatment
Encourage CCOs and other prescribers to increase the use of non-opioid pain
management
6. Evaluations of policy and programs
Evaluate the public health impact of removing methadone as a preferred pain
treatment drug from the state Medicaid drug formulary
Evaluate the impact of 72-hour or “real time” PDMP reporting
Reduce deaths,
hospitalizations, and
emergency
department visits
related to drug
overdose
Increase and improve the
infrastructure of naloxone
rescue
Provide Medication
Assisted Treatment (MAT)
for opioid use disorder
Reduce problematic
prescribing practices
Increase access to and
reimbursement for non-
opioid treatments for
chronic non-cancer pain
2. Enhance and maximize the Oregon Prescription Drug Monitoring Program
(PDMP)
Reduce barriers and increase PDMP registration and use
Reduce data reporting interval
Increase PDMP reporting, surveillance, and data sharing
Establish messaging to PDMP users
Authorize PDMP to share identified data with researchers, public health, and
health systems
Use data to target
interventions to populations
at highest risk
4. Increase the number and geographic distribution of primary care physicians
certified to provide MAT for chronic opioid dependency
37. PROVIDE TREATMENT
• Expand access to
medication-assisted
therapy (MAT)
• Increase screening to
identify patients at-
risk
38. PREVENT ABUSE
• Insurance strategies
– Prior authorization, quantity
limits
• Community substance
abuse prevention programs
– Lane County Public Health
Prevention strategies
• Patient education
– Risks of opioid use
– Storage and disposal
• Prescribing practices
39. PRESCRIBING OPIOIDS:
BEST PRACTICE
• Implement clinical practice
guidelines
– When to initiate or continue opioids
– Opioid selection, dosage, duration,
follow-up, and discontinuation
– Assessing risk and addressing harms
of opioid use
• Regular use of the Prescription
Drug Monitoring Program (PDMP)
– Provides information to the prescriber
on
• Patient history using controlled substances
• Current prescriptions of controlled
substances
– Helps to identify patients who may be
at risk of abuse/overdose
40. WHAT IS THE PRESCRIPTION DRUG
MONITORING PROGRAM (PDMP)?
• Web-based system for tracking
prescriptions for schedule II-IV drugs in
Oregon
• Only licensed healthcare providers &
pharmacists (and their delegates) with
authenticated accounts can access
PDMP data
• Data includes:
– Patient name, address, DOB & sex
– Pharmacy
– Prescriber
– Drug name and quantity
– Date prescribed / date dispensed
42. BROAD BRUSH /
PREVENTION PART I
We covered:
1. Defining prevention & why it matters
2. Current conditions on addictions
3. Opioids
NEXT WEEK: HOPE!
WHAT WE’RE DOING
IN LANE COUNTY,
w/ MARIA KALNBACH.