Kana Enomoto, Acting Administrator, Substance Abuse and Mental Health Services Administration, keynote presentation at the National Rx Drug Abuse & Heroin Summit March 29, 2016

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2. ADVANCING THE BEHAVIORAL HEALTH
OF THE NATION:
AMERICA’S OPIOID CRISIS
Kana Enomoto
Substance Abuse and Mental Health Services Administration
2016 National RX Drug Abuse & Heroin Summit
Atlanta, GA • March 29, 2016

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NEONATAL ABSTINENCE SYNDROME

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US death rates
fell steadily
until 1999
Case & Deaton. Rising morbidity
and mortality in midlife among white
Non-Hispanic Americans in the 21st
century. PNAS [epub Nov 2, 2015].
Sweden
Australia
Canada
UK
US
Hispanics
Germany
France
US non-Hispanic
Whites
… but then began
to increase
among middle-
aged white
Americans
Deathsper100,000population
ages45-54
OVERDOSE

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OUR STRATEGY
1) Improving prescriber
practices
2) Increasing the use of
naloxone
3) Expanding access to MAT

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Improving Prescriber Practices

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INCREASING USE OF NALOXONE
• NEW: SAMHSA
Prescription
Drug Overdose
Grants
• $12,000,000
• 10 States
• Purchase, Equip,
Train

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NEW: Buprenorphine
Notice of Proposed
Rulemaking
NEW: MAT Pocket
Guide
EXPANDING ACCESS TO MAT
•NEW: SAMHSA Medication Assisted Treatment for
Prescription Drug and Opioid Addiction (MAT-
PDOA) Grants
•$25,000,000
•23 States
•Focus on high-need communities

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OUR IMPACT

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Continuing education to over 72,000
primary care physicians, dentists,
and other healthcare professionals
31,552 physicians with a
waiver to prescribe
buprenorphine for opioid
dependence
Over 76,500 Downloads
OUR IMPACT

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PPW
OUR IMPACT

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OUR FUTURE
FY2017: $4.3B investment in SAMHSA +$590M
State Cooperative Agreements/Evaluation
Buprenorphine Prescribing Authority Demo
PPW Demo

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