The document summarizes the results of a survey conducted by the National Association of State Alcohol and Drug Abuse Directors (NASADAD) regarding how state substance abuse agencies are addressing the issue of prescription drug abuse. Key findings include:
- Nearly all states consider prescription drug abuse an important issue.
- The majority of states have an active state task force addressing the problem.
- Many states have passed legislation focused on reducing both supply and demand of prescription drugs.
- Most states conduct public education campaigns around prescription drug abuse.
This document summarizes the findings of a health survey conducted in four communities in Nicaragua between June and July 2015. The survey assessed the nutritional status of 97 children under age 5 and reproductive health of 120 women ages 15-50. Key findings included worsening malnutrition rates among female children compared to 2009 data, with over 20% underweight. Over 70% of children visited doctors regularly. For women, pap smear and gynecological appointment attendance increased significantly since 2009 across communities, though rates were lowest in Limón I. The report aims to help a foundation better address health needs in the communities.
Two sociological surveys were conducted in Ukraine in late 2012 and early 2013 regarding internal and external threats facing the country. In the first survey, over 1,100 Ukrainian children ages 9-15 were polled, and in the second over 1,000 adult respondents across Ukraine were surveyed by telephone. Both groups believed the top internal threats were a worsening economic situation and price hikes, while the top external threats included international crime/trafficking and a global economic crisis.
1) Entertainment-education radio serial dramas in Tanzania and Ethiopia significantly increased knowledge and uptake of family planning and reproductive health services. In Tanzania, contraceptive use increased 10% and condoms distributed increased 153%. In Ethiopia, contraceptive use increased over 150% and fertility declined.
2) Listeners to the dramas were much more likely to discuss family planning, seek HIV testing, have more g positive attitudes towards people with HIV/AIDS and have overall better reproductive health outcomes compared to non-listeners.
3) The Population Media Center uses an evidence-based entertainment-education methodology, originally developed by Miguel Sabido, to create engaging radio dramas that promote social and behavior change on
AACO's Annual Client Services Unit, Housing, and Quality Management PresentationOffice of HIV Planning
The document summarizes activities of the Philadelphia Department of Public Health's AIDS Activities Coordinating Office (AACO). It discusses the Client Services Unit (CSU) which provides intake, case management, and housing services. It also reviews quality management activities including monitoring performance measures for outpatient medical care and medical case management. The AACO tracks over 25 measures for both areas and provides bi-monthly feedback to improve client outcomes.
This document discusses edits made to images using Photoshop and iPhoto. The author cut out people from pictures and overlaid the images to look like a single photograph. They also used iPhoto to enhance a picture's quality and make it more professional and appealing. Throughout the magazine, Photoshop and image editing software were used to improve the images and make the magazine look its best.
Risk Management and the Digital Law PracticeDavid Whelan
This presentation suggests areas where the use of technology by lawyers could potentially expose client confidential and private information. Suggestions include encrypting data, using stronger passwords, using secure sockets when on the Web.
2011 September Symantec Intelligence ReportSymantec
The September 2011 Symantec Intelligence Report reveals that a deluge of malicious email-borne malware has left a clear mark on the threat landscape for September. Approximately 72% of all email-borne malware in September could be characterized as aggressive strains of generic polymorphic malware, first identified in the July Symantec Intelligence Report. At the end of July, this rate was 23.7%, in August it fell slightly to 18.5% before soaring to 72% in September.
This document summarizes the findings of a health survey conducted in four communities in Nicaragua between June and July 2015. The survey assessed the nutritional status of 97 children under age 5 and reproductive health of 120 women ages 15-50. Key findings included worsening malnutrition rates among female children compared to 2009 data, with over 20% underweight. Over 70% of children visited doctors regularly. For women, pap smear and gynecological appointment attendance increased significantly since 2009 across communities, though rates were lowest in Limón I. The report aims to help a foundation better address health needs in the communities.
Two sociological surveys were conducted in Ukraine in late 2012 and early 2013 regarding internal and external threats facing the country. In the first survey, over 1,100 Ukrainian children ages 9-15 were polled, and in the second over 1,000 adult respondents across Ukraine were surveyed by telephone. Both groups believed the top internal threats were a worsening economic situation and price hikes, while the top external threats included international crime/trafficking and a global economic crisis.
1) Entertainment-education radio serial dramas in Tanzania and Ethiopia significantly increased knowledge and uptake of family planning and reproductive health services. In Tanzania, contraceptive use increased 10% and condoms distributed increased 153%. In Ethiopia, contraceptive use increased over 150% and fertility declined.
2) Listeners to the dramas were much more likely to discuss family planning, seek HIV testing, have more g positive attitudes towards people with HIV/AIDS and have overall better reproductive health outcomes compared to non-listeners.
3) The Population Media Center uses an evidence-based entertainment-education methodology, originally developed by Miguel Sabido, to create engaging radio dramas that promote social and behavior change on
AACO's Annual Client Services Unit, Housing, and Quality Management PresentationOffice of HIV Planning
The document summarizes activities of the Philadelphia Department of Public Health's AIDS Activities Coordinating Office (AACO). It discusses the Client Services Unit (CSU) which provides intake, case management, and housing services. It also reviews quality management activities including monitoring performance measures for outpatient medical care and medical case management. The AACO tracks over 25 measures for both areas and provides bi-monthly feedback to improve client outcomes.
This document discusses edits made to images using Photoshop and iPhoto. The author cut out people from pictures and overlaid the images to look like a single photograph. They also used iPhoto to enhance a picture's quality and make it more professional and appealing. Throughout the magazine, Photoshop and image editing software were used to improve the images and make the magazine look its best.
Risk Management and the Digital Law PracticeDavid Whelan
This presentation suggests areas where the use of technology by lawyers could potentially expose client confidential and private information. Suggestions include encrypting data, using stronger passwords, using secure sockets when on the Web.
2011 September Symantec Intelligence ReportSymantec
The September 2011 Symantec Intelligence Report reveals that a deluge of malicious email-borne malware has left a clear mark on the threat landscape for September. Approximately 72% of all email-borne malware in September could be characterized as aggressive strains of generic polymorphic malware, first identified in the July Symantec Intelligence Report. At the end of July, this rate was 23.7%, in August it fell slightly to 18.5% before soaring to 72% in September.
The document discusses a presentation on prescription drug abuse awareness week. It notes that abusing prescription and over-the-counter drugs can be as dangerous and addictive as street drugs. Every day, 2,500 teens abuse a prescription drug for the first time. Key factors driving teen abuse include misperceptions that medicines are safer than street drugs and easy access from home medicine cabinets or friends. Parents also lack awareness and urgency around prescription drug abuse compared to street drugs. Bold action is needed through education initiatives to address this growing public health crisis.
This document discusses disparities in HIV among men who have sex with men (MSM) and the role of social determinants. It notes that addressing social conditions and drivers of HIV vulnerability through structural approaches is a key part of moving from an emergency response to a long-term response for AIDS. Several findings are highlighted: MSM have much higher HIV prevalence than general populations in many countries; criminalization of homosexuality and lack of funding targeting MSM undermine HIV prevention efforts; and experiences of discrimination, financial hardship and lack of social support are associated with higher risk sexual behaviors among MSM. Overall, the document emphasizes that effectively addressing the social drivers of the HIV epidemic among MSM through structural interventions is important for reducing disparities.
Models of Integrated Care for Adolescent Alcohol and Drug Use in Pediatrics P...HMO Research Network
This document summarizes several studies on models of integrated care for adolescent alcohol and drug use in pediatrics. Key findings from the studies include:
1) Only around half of pediatricians routinely screen adolescents for substance use and few use standardized instruments.
2) Screening, brief intervention, and referral to treatment (SBIRT) models have been shown to increase identification of behavioral health problems and treatment utilization compared to usual care.
3) Non-physician delivered SBIRT may have better adoption rates than physician-delivered SBIRT based on adult studies, but this comparison has not been tested for adolescents. The current study aims to test effectiveness of PCP-delivered vs behavioral health clinician-delivered
Helping Your Patients Make Sense of the mHealth MarketplaceKevin Clauson
This document outlines the mobile health (mHealth) marketplace and patient-centric apps. It discusses how apps can enhance patient self-care and medication adherence. It also delineates approaches for guiding patients to mHealth apps and tools. The mHealth app market largely remains "buyer beware" with FDA regulation pending. Current evidence is stronger for texting than apps in improving outcomes, but many studies are underway. mHealth offers opportunities to improve patient engagement, activation, and health.
2012 ific food and health survey report of findings (for website)watsonphindy
An online survey of 1,057 Americans found the following:
1) Six in ten Americans have given a lot of thought to the healthfulness of their diet and exercise in the past year. Nine in ten describe their health as good or better.
2) Half believe it is easier to do their own taxes than to figure out how to eat healthfully. Americans are evenly split on whether consistently eating well or exercising is harder.
3) More than half of Americans are trying to lose weight, with three quarters of obese individuals attempting weight loss. The proportion trying to lose weight has returned to historical norms after a dip in recent years.
4) Many Americans are unsure about how many calories they should
The document summarizes findings from a 2003 survey of 238 psychologists on their treatment of substance use issues. Some key findings include:
- 25% of clients seen had a current or past substance use problem, with 12% having a current problem. The most common substances were alcohol, marijuana, and cocaine.
- Common interventions for clients with substance use issues included harm reduction, relapse prevention, motivational interviewing, and CBT.
- Over half of psychologists discussed substance use in a client's social network, and 48% of those clients had at least one person in their network with a substance use problem.
This document discusses disruptive innovation in patient-centered healthcare and outlines challenges facing healthcare systems. It notes that healthcare costs are concentrated among a small portion of patients and are growing due to aging demographics. Healthcare spending is also not efficiently allocated, with less than 10% spent on direct point-of-care services. The document advocates investing in electronic health records, telehealth, and other information technologies to improve care coordination and outcomes while reducing costs. It argues healthcare systems should innovate with the patient's needs and health outcomes as the priority.
This 3-day conference on chronic pain and addiction focused on distinguishing proper pain management from over-prescribing practices that contribute to drug abuse. The objectives were to describe how prescription pain abuse progresses over time and advocate for continued addiction education for pain management providers. The document discussed definitions, statistics on chronic pain and substance use in the US, the spectrum of patient behaviors related to opioid use, prevalence of opioid abuse and addiction among pain patients, significant risk factors for abuse/overdose, and patient risk factors for aberrant behaviors and harm.
Neonatal Abstinence Syndrome - Tennessee's Epidemic and The State's ResponseHealth Easy Peasy
This document discusses neonatal abstinence syndrome (NAS) in Tennessee. It defines NAS as withdrawal symptoms in newborns exposed to drugs like opioids prenatally. The rate of NAS hospitalizations in Tennessee increased dramatically from 1999-2012, mirroring the rise in prescription opioid use. In 2012, Tennessee had the second highest rate of prescription painkillers sold and the highest number of opioid prescriptions per capita nationally. The document outlines Tennessee's efforts to address NAS through a cabinet-level working group and legislative actions focused on prevention, treatment, and monitoring of prescription drug use and opioid-exposed pregnancies.
This document summarizes a study on racial and ethnic differences in medication adherence among patients newly prescribed antihypertensive medications. The study found that after controlling for factors like income and health status, black, Asian, and Hispanic patients were more likely than white patients to not fill their initial prescription or refill later prescriptions. However, differences in long-term adherence between white and non-white patients decreased when the model accounted for medication costs and use of mail-order pharmacies. The authors conclude that improving access to medications may help reduce persistent gaps in medication use between racial and ethnic groups.
Military Workshop-1, National Rx Drug Abuse Summit, April 2-4, 2013. Becoming A Leader in Your Community presentation by Brigadier General Rebecca Halstead (ret.), Fred Wells Brason II and Lt. Col. Dr. Anthony Dragovich
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.
Pitch Your Pills - Environmental Issues associated with prescription drug dis...wdmorgan
Pitch Your Pills overview at Florida Department of Environmental Protection for METRA, May 8, 2013. Learn more at seminolepreventioncoalition.org/pitchyourpills Presentation addressed the environmental issues associated with prescription drug disposal and providing an overview of Pitch Your Pills as a model campaign to implement permanent prescription drug disposal boxes. Led by William Morgan
Trip project - engaging youth in developing harm reduction programsyouthrise
This document summarizes the TRIP! Project, a harm reduction program for youth who use drugs. TRIP! was founded in 1995 by youth for youth. They conduct outreach at festivals and advocate for harm reduction. The majority of those served are under 19 and use drugs at higher rates than general youth. TRIP! aims to provide non-judgmental education to keep youth safe and treat drug use as a health rather than legal issue. Evaluation found the program improved knowledge around safer drug use and sex. The document calls for supporting youth harm reduction programs to address issues like unsafe sex and sharing of drug equipment.
This document describes Project B.R.I.E.F., a high-volume rapid HIV testing program using a multimedia model in an urban emergency department. The program utilized public health advocates and educational videos to efficiently offer HIV testing to over 65,000 patients from 2005-2008. Of those tested, 0.92% were HIV-positive. The program achieved a linkage to outpatient HIV care rate of 84% for those diagnosed. Project B.R.I.E.F. demonstrated the effectiveness and cost-savings of using a multimedia approach to significantly increase access to HIV testing and counseling in an emergency department setting.
The document discusses homelessness and health in Canada. It provides an overview of Dr. James Frankish's research interests related to homelessness, poverty, and marginalized groups. It summarizes data on the characteristics of homeless populations in Vancouver and BC, including health issues, reasons for homelessness, and needed services. It also discusses strategies for addressing homelessness, including changing public discourse, using housing to facilitate intersectoral collaboration, and specific housing and support policies.
The document discusses Bristol Bay Area Health Corporation's (BBAHC) performance on Government Performance and Results Act (GPRA) measures for fiscal year 2011. BBAHC met or exceeded the goals for 21 of the 21 GPRA measures, including measures related to diabetes care, cancer screenings, immunizations, tobacco cessation, and prenatal care. The document also provides BBAHC's monthly progress report on GPRA measures for fiscal year 2012, showing performance relative to goals.
- A survey of 600 Ontarians found that 43% were familiar with naturopathic medicine, with most having a positive impression. 24% had seen a naturopathic doctor, primarily seeking a natural approach to health. 41% said they were likely to see a naturopathic doctor in the next few years. 57% agreed naturopathic medicine leads to better outcomes.
This document summarizes a community perspective study on newborn health in Bungoma County, Kenya. The study found that neonatal mortality in the county was higher than the national average. It interviewed over 300 mothers and health providers to understand knowledge and practices around newborn care. Key findings included low knowledge of newborn danger signs, negative cord care practices, and mixed early infant feeding. Interventions like community mobilization meetings and a call center for counseling improved newborn admissions and outcomes. Continued education efforts are still needed to further change behaviors.
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 document discusses a presentation on prescription drug abuse awareness week. It notes that abusing prescription and over-the-counter drugs can be as dangerous and addictive as street drugs. Every day, 2,500 teens abuse a prescription drug for the first time. Key factors driving teen abuse include misperceptions that medicines are safer than street drugs and easy access from home medicine cabinets or friends. Parents also lack awareness and urgency around prescription drug abuse compared to street drugs. Bold action is needed through education initiatives to address this growing public health crisis.
This document discusses disparities in HIV among men who have sex with men (MSM) and the role of social determinants. It notes that addressing social conditions and drivers of HIV vulnerability through structural approaches is a key part of moving from an emergency response to a long-term response for AIDS. Several findings are highlighted: MSM have much higher HIV prevalence than general populations in many countries; criminalization of homosexuality and lack of funding targeting MSM undermine HIV prevention efforts; and experiences of discrimination, financial hardship and lack of social support are associated with higher risk sexual behaviors among MSM. Overall, the document emphasizes that effectively addressing the social drivers of the HIV epidemic among MSM through structural interventions is important for reducing disparities.
Models of Integrated Care for Adolescent Alcohol and Drug Use in Pediatrics P...HMO Research Network
This document summarizes several studies on models of integrated care for adolescent alcohol and drug use in pediatrics. Key findings from the studies include:
1) Only around half of pediatricians routinely screen adolescents for substance use and few use standardized instruments.
2) Screening, brief intervention, and referral to treatment (SBIRT) models have been shown to increase identification of behavioral health problems and treatment utilization compared to usual care.
3) Non-physician delivered SBIRT may have better adoption rates than physician-delivered SBIRT based on adult studies, but this comparison has not been tested for adolescents. The current study aims to test effectiveness of PCP-delivered vs behavioral health clinician-delivered
Helping Your Patients Make Sense of the mHealth MarketplaceKevin Clauson
This document outlines the mobile health (mHealth) marketplace and patient-centric apps. It discusses how apps can enhance patient self-care and medication adherence. It also delineates approaches for guiding patients to mHealth apps and tools. The mHealth app market largely remains "buyer beware" with FDA regulation pending. Current evidence is stronger for texting than apps in improving outcomes, but many studies are underway. mHealth offers opportunities to improve patient engagement, activation, and health.
2012 ific food and health survey report of findings (for website)watsonphindy
An online survey of 1,057 Americans found the following:
1) Six in ten Americans have given a lot of thought to the healthfulness of their diet and exercise in the past year. Nine in ten describe their health as good or better.
2) Half believe it is easier to do their own taxes than to figure out how to eat healthfully. Americans are evenly split on whether consistently eating well or exercising is harder.
3) More than half of Americans are trying to lose weight, with three quarters of obese individuals attempting weight loss. The proportion trying to lose weight has returned to historical norms after a dip in recent years.
4) Many Americans are unsure about how many calories they should
The document summarizes findings from a 2003 survey of 238 psychologists on their treatment of substance use issues. Some key findings include:
- 25% of clients seen had a current or past substance use problem, with 12% having a current problem. The most common substances were alcohol, marijuana, and cocaine.
- Common interventions for clients with substance use issues included harm reduction, relapse prevention, motivational interviewing, and CBT.
- Over half of psychologists discussed substance use in a client's social network, and 48% of those clients had at least one person in their network with a substance use problem.
This document discusses disruptive innovation in patient-centered healthcare and outlines challenges facing healthcare systems. It notes that healthcare costs are concentrated among a small portion of patients and are growing due to aging demographics. Healthcare spending is also not efficiently allocated, with less than 10% spent on direct point-of-care services. The document advocates investing in electronic health records, telehealth, and other information technologies to improve care coordination and outcomes while reducing costs. It argues healthcare systems should innovate with the patient's needs and health outcomes as the priority.
This 3-day conference on chronic pain and addiction focused on distinguishing proper pain management from over-prescribing practices that contribute to drug abuse. The objectives were to describe how prescription pain abuse progresses over time and advocate for continued addiction education for pain management providers. The document discussed definitions, statistics on chronic pain and substance use in the US, the spectrum of patient behaviors related to opioid use, prevalence of opioid abuse and addiction among pain patients, significant risk factors for abuse/overdose, and patient risk factors for aberrant behaviors and harm.
Neonatal Abstinence Syndrome - Tennessee's Epidemic and The State's ResponseHealth Easy Peasy
This document discusses neonatal abstinence syndrome (NAS) in Tennessee. It defines NAS as withdrawal symptoms in newborns exposed to drugs like opioids prenatally. The rate of NAS hospitalizations in Tennessee increased dramatically from 1999-2012, mirroring the rise in prescription opioid use. In 2012, Tennessee had the second highest rate of prescription painkillers sold and the highest number of opioid prescriptions per capita nationally. The document outlines Tennessee's efforts to address NAS through a cabinet-level working group and legislative actions focused on prevention, treatment, and monitoring of prescription drug use and opioid-exposed pregnancies.
This document summarizes a study on racial and ethnic differences in medication adherence among patients newly prescribed antihypertensive medications. The study found that after controlling for factors like income and health status, black, Asian, and Hispanic patients were more likely than white patients to not fill their initial prescription or refill later prescriptions. However, differences in long-term adherence between white and non-white patients decreased when the model accounted for medication costs and use of mail-order pharmacies. The authors conclude that improving access to medications may help reduce persistent gaps in medication use between racial and ethnic groups.
Military Workshop-1, National Rx Drug Abuse Summit, April 2-4, 2013. Becoming A Leader in Your Community presentation by Brigadier General Rebecca Halstead (ret.), Fred Wells Brason II and Lt. Col. Dr. Anthony Dragovich
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.
Pitch Your Pills - Environmental Issues associated with prescription drug dis...wdmorgan
Pitch Your Pills overview at Florida Department of Environmental Protection for METRA, May 8, 2013. Learn more at seminolepreventioncoalition.org/pitchyourpills Presentation addressed the environmental issues associated with prescription drug disposal and providing an overview of Pitch Your Pills as a model campaign to implement permanent prescription drug disposal boxes. Led by William Morgan
Trip project - engaging youth in developing harm reduction programsyouthrise
This document summarizes the TRIP! Project, a harm reduction program for youth who use drugs. TRIP! was founded in 1995 by youth for youth. They conduct outreach at festivals and advocate for harm reduction. The majority of those served are under 19 and use drugs at higher rates than general youth. TRIP! aims to provide non-judgmental education to keep youth safe and treat drug use as a health rather than legal issue. Evaluation found the program improved knowledge around safer drug use and sex. The document calls for supporting youth harm reduction programs to address issues like unsafe sex and sharing of drug equipment.
This document describes Project B.R.I.E.F., a high-volume rapid HIV testing program using a multimedia model in an urban emergency department. The program utilized public health advocates and educational videos to efficiently offer HIV testing to over 65,000 patients from 2005-2008. Of those tested, 0.92% were HIV-positive. The program achieved a linkage to outpatient HIV care rate of 84% for those diagnosed. Project B.R.I.E.F. demonstrated the effectiveness and cost-savings of using a multimedia approach to significantly increase access to HIV testing and counseling in an emergency department setting.
The document discusses homelessness and health in Canada. It provides an overview of Dr. James Frankish's research interests related to homelessness, poverty, and marginalized groups. It summarizes data on the characteristics of homeless populations in Vancouver and BC, including health issues, reasons for homelessness, and needed services. It also discusses strategies for addressing homelessness, including changing public discourse, using housing to facilitate intersectoral collaboration, and specific housing and support policies.
The document discusses Bristol Bay Area Health Corporation's (BBAHC) performance on Government Performance and Results Act (GPRA) measures for fiscal year 2011. BBAHC met or exceeded the goals for 21 of the 21 GPRA measures, including measures related to diabetes care, cancer screenings, immunizations, tobacco cessation, and prenatal care. The document also provides BBAHC's monthly progress report on GPRA measures for fiscal year 2012, showing performance relative to goals.
- A survey of 600 Ontarians found that 43% were familiar with naturopathic medicine, with most having a positive impression. 24% had seen a naturopathic doctor, primarily seeking a natural approach to health. 41% said they were likely to see a naturopathic doctor in the next few years. 57% agreed naturopathic medicine leads to better outcomes.
This document summarizes a community perspective study on newborn health in Bungoma County, Kenya. The study found that neonatal mortality in the county was higher than the national average. It interviewed over 300 mothers and health providers to understand knowledge and practices around newborn care. Key findings included low knowledge of newborn danger signs, negative cord care practices, and mixed early infant feeding. Interventions like community mobilization meetings and a call center for counseling improved newborn admissions and outcomes. Continued education efforts are still needed to further change behaviors.
Dr. Tom Frieden, Director of the Centers for Disease Control and Prevention, keynote presentation at the National Rx Drug Abuse & Heroin Summit on March 30, 2016.
Kana Enomoto, Acting Administrator, Substance Abuse and Mental Health Services Administration, keynote presentation at the National Rx Drug Abuse & Heroin Summit March 29, 2016
This document summarizes a presentation on managing morphine equivalent dose (MED) and identifying high-risk opioid use through "red flagging." It discusses how calculating MED at the point of sale can help identify unsafe dosages and decrease opioid prescriptions. It also evaluates different methods to screen for overdose risk, finding that simple opioid use thresholds to flag patients may not accurately target those most likely to experience preventable overdoses. The presentation aims to explain MED management, describe payer solutions that reduced opioid use, and identify more precise ways to intervene with highest-risk patients.
The document discusses the opioid crisis in the United States, including rising rates of prescription opioid misuse and abuse, as well as heroin use and overdose deaths. It outlines how research can help address this crisis through developing less abusable analgesics, expanding access to treatment medications like naloxone and buprenorphine, and exploring new treatment approaches such as immunotherapies and precision medicine targeting genetic factors. The National Institute on Drug Abuse is supporting these research efforts and working to disseminate findings to improve prevention and intervention programs.
This document summarizes the opioid crisis in the United States from 2000 to 2014. It shows that the number of opioid-related overdose deaths more than tripled during this period, increasing from about 8,000 to over 28,000. Additionally, 7.9 million Americans aged 12 or older met the criteria for an illicit drug use disorder in 2013-2014 but only 20% received treatment. The document outlines actions by the Obama administration to address the crisis and increase funding for treatment. It emphasizes that stories can help reduce stigma and that recovery is possible through working together.
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 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.
This document discusses neonatal abstinence syndrome (NAS) and universal maternal drug testing. It provides background information on NAS including trends showing large increases in incidence and costs associated with NAS. It outlines objectives related to describing NAS trends, identifying legislative activities impacting NAS, describing family planning for women in substance abuse treatment, and explaining a hospital program using universal drug testing. The document then covers topics including NAS symptoms, incidence and geographic trends, costs of NAS, opioid use in women of childbearing age, unintended pregnancy rates, contraceptive use among opioid users, and maternal drug exposure sources.
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4deanOPUNITE
This document outlines an advocacy track presentation on activating communities to address prescription drug abuse. It provides biographies of the presenters and moderators and discloses any conflicts of interest. The learning objectives are to identify best practices for implementing CADCA's seven strategies for community change to impact prescription drug issues. It then provides examples of how various coalitions across the country are utilizing each of the seven strategies, such as providing education, enhancing skills, supporting communities, and changing policies.
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.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
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5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
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The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
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Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
2. Accepted
Learning
Objec1ves:
1. Analyze
the
characteris1cs
of
effec1ve
programs
designed
to
reduce
the
growth
of
prescrip1on
drug
abuse
and
provide
evidence-‐based
programs
that
can
be
replicated
in
rural
and
urban
communi1es.
2. Iden1fy
common-‐interest
issues
related
to
grassroots
preven1on
and
treatment
programs.
3. Describe
resources
to
advocate
for
change,
with
specific
focus
on
model
state
drug
laws.
3. Disclosure
Statement
All
presenters
for
this
session,
Sherry
Green,
Robert
I.L.
Morrison,
and
Steve
Pasierb,
have
disclosed
no
relevant,
real
or
apparent
personal
or
professional
financial
rela1onships.
4. State
Substance
Abuse
Agencies
and
Prescrip2on
Drug
Abuse
Ini1al
Results
from
a
NASADAD
Membership
Inquiry
Robert
Morrison,
Execu1ve
Director
Cliff
Bersamira,
Research
Analyst
Na1onal
Associa1on
of
State
Alcohol
and
Drug
Abuse
Directors,
Inc.
(NASADAD)
April
2012
5. Na1onal
Associa1on
of
State
Alcohol
and
Drug
Abuse
Directors,
Inc.
• State
Substance
Abuse
Agency
Directors
(SSAs)
manage
the
publicly-‐funded
State
substance
abuse
preven1on,
treatment,
and
recovery
systems.
• NASADAD
established
in
1971
in
Washington,
DC.
• Component
Groups:
Na1onal
Preven1on
Network
(NPN)
and
Na1onal
Treatment
Network
(NTN).
6. Poisoning
is
the
Leading
Cause
of
Death
from
Injury
in
30
States
(CDC,
2011)
Warner
M,
Chen
LH,
Makuc
DM,
Anderson
RN,
Miniño
AM.
Drug
poisoning
deaths
in
the
United
States,
1980–2008.
NCHS
data
brief,
no
81.
Hya`sville,
MD:
Na1onal
Center
for
Health
Sta1s1cs.
2011.
7. Opioid
Analgesics
Involved
in
More
Than
40%
of
Drug
Poisoning
Deaths
in
2008
(CDC,
2011)
Number
of
drug
poisoning
deaths
involving
opioid
analgesics
and
other
drugs:
United
States,
1999–2008
Warner
M,
Chen
LH,
Makuc
DM,
Anderson
RN,
Miniño
AM.
Drug
poisoning
deaths
in
the
United
States,
1980–2008.
NCHS
data
brief,
no
81.
Hya`sville,
MD:
Na1onal
Center
for
Health
Sta1s1cs.
2011.
8. NASADAD
Membership
Inquiry:
Primary
Objec1ves
• Understand
how
States
Substance
Abuse
Agencies
are
addressing
prescrip1on
drug
abuse.
• Iden1fy
effec1ve
prac1ces
and
challenges/barriers.
• Iden1fy
training,
technical
assistance,
and
resource
needs.
9. Membership
Inquiry:
Overview
• Web
survey
conducted
in
March
2012.
• Invited
State
Directors
(SSAs),
Treatment
Leads
(NTNs),
and
Preven1on
Leads
(NPNs)
to
par1cipate.
• 46
States,
2
Territories,
and
the
District
of
Columbia
responded.
• Analysis
includes
46
States
and
the
District
of
Columbia
(N
=
47
States).
10. Importance
of
Prescrip1on
Drug
Abuse
to
State
Substance
Abuse
Agencies
4%
Most
Important
(11)
15%
23%
Very
Important
(27)
Important
(7)
Moderately
Important
(2)
Of
Li`le
Importance
(0)
58%
Unimportant
(0)
11. State
Task
Force
Addressing
Prescrip1on
Drug
Abuse
4%
Yes,
currently
exists
(29)
19%
Yes,
once
existed
but
no
longer
ac1ve
(7)
No
(9)
15%
62%
Unsure
(2)
12. State
Task
Force
:
California
• State
Agency
Task
Force
established
in
2008.
• Task
Force
included:
Department
of
Jus1ce;
Department
of
Public
Health;
California
Universi1es;
Partnership
for
a
Drug-‐Free
America;
AOD
workforce
professionals;
State
Substance
Abuse
Agency
• Summary
Report
and
Recommenda1ons
on
Prescrip1on
Drugs:
Misuse,
Abuse
and
Dependency
(2009)
h`p://www.adp.cahwnet.gov/Director/pdf/Prescrip1on_Drug_Task_Force.pdf
13. State
Task
Force:
Iowa
• 370%
increase
(1999-‐2009)
in
those
seeking
treatment
for
prescrip1on
drug
abuse
• 187
in
1999
to
878
in
2009
• Iowa
Prescrip1on
Drug
Abuse
Reduc1on
Task
Force
(PAR)
• Iowa
Plan
for
Reducing
Prescrip1on
Drug
Abuse
(2011)
h`p://nursing.iowa.gov/images/pdf/BM%20A`achments/ReducPresDrgAbuse.pdf
• Educa1on/Interven1on;
Safe
Disposal;
Monitoring;
Enforcement
14. State
Legisla1on
Addressing
Prescrip1on
Drug
Abuse
Any
Legisla2on
(N
=
47)
Breakdown
by
Legisla2on
Focus
(N
=
47)
Yes
(37)
No
(9)
Focus
on
Demand
62%
30%
6%
No
Response
(1)
2%
19%
Focus
on
Supply
45%
36%
17%
Focus
on
Legal
51%
30%
17%
Dispenser/Pharmacy
Focus
on
Prescriber
40%
43%
15%
Percent
of
States
79%
Yes
No
Unsure
No
Response
15. Educa1ng
the
General
Public
on
Prescrip1on
Drug
Abuse
Any
Educa2on
(N
=
47)
By
Educa2on
Type
(N
=
47)
Yes
(39)
No
(8)
Yes,
Printed
materials
64%
17%
Yes,
Internet
campaign
26%
Yes,
Mul1media
(radio
or
television)
40%
Yes,
Other
32%
No
17%
83%
0%
20%
40%
60%
80%
Percent
of
States
16. Programs
or
Ini1a1ves
for
Target
Popula1ons
Yes
No
Unsure
No
Response
• Other
Popula1ons
Cited:
• Na1ve
Americans
and
Adolescent/
6%
Young
Adults
53%
34%
6%
Tribes
(2)
• Pregnant
Women
(2)
• Those
with
Chronic
Older
Adults
23%
47%
13%
17%
Health
Condi1ons
(1)
• Post-‐Natural
Disaster
Communi1es
(1)
Women
19%
55%
13%
13%
Percent
of
States
17. Addressing
Target
Popula1ons:
Mississippi
• Development
of
print
materials
targeted
towards
adolescents.
• Trainings
for
care
givers
of
older
adults.
18. Educa1onal
Ac1vi1es
for
Physicians,
Pharmacists,
and
Pa1ents
Yes
No
Unsure
No
Response
Physicians/Other
Prescribers?
51%
28%
15%
6%
Target
Group
Pharmacists?
38%
32%
17%
13%
Pa1ents/Families?
53%
34%
11%
Percent
of
States
19. State
Substance
Abuse
Agency
Involvement
with
the
Prescrip1on
Drug
Monitoring
Program
(PDMP)
(N
=
28)
3%
11%
Directly
oversees
PDMP
(3)
11%
Part
of
commi`ee
that
oversees
PDMP
(3)
43%
Serves
in
an
advisory
capacity
(9)
No
involvement
(12)
32%
Unsure
(1)
20. Usefulness
of
PDMP
Data
to
State
Substance
Abuse
Agencies
6%
Very
Useful
(17)
11%
Useful
(13)
4%
36%
Somewhat
Useful
(6)
2%
Not
Par1cularly
Useful
(1)
Not
Useful
(2)
13%
Not
Applicable
(5)
Unsure
(3)
28%
21. Highlights
of
State
Programs
and
Ini1a1ves:
Themes
across
States
• Collabora'on
• e.g.
across
State
agencies;
with
law
enforcement;
with
primary
care
providers;
across
States
• Educa'on
and
Preven'on
• e.g.
provide
community
educa1on;
mobilize
preven1on
coali1ons;
educate
prescribers
and
pharmacists
• Early
Iden'fica'on
and
Referral
to
Treatment
• e.g.
SBIRT
training
for
physicians
• Supply
Reduc'on
• e.g.
take
back
ini'a'ves
22. Highlights:
Ohio
• In
2009,
opiates
were
primary
drug
of
choice
for
18%
of
all
clients
(up
from
7%
in
2001).
• Top
priority
of
Governor
Kasich
–
includes
a
Task
Force
led
by
SSA.
• State
conference
in
2011.
• “Recovery
2
Work”
Ini1a1ve
–
Led
by
SSA,
Rehabilita1on
Services,
and
County
Authori1es.
• Integrates
addic1on
treatment
with
voca1onal
rehab
services
–
focus
on
jobs.
h`p://recovery2work.org
23. Highlights:
Oregon
• In
2010,
the
State
Agency
developed
the
Prescrip1on
Opioid
Poisoning
Preven1on
(POP)
Ac1on
Plan
to
reduce
analgesic
overdose
deaths
in
the
State.
• This
plan
took
a
mul1-‐agency,
public-‐private
collabora1on
approach
to
addressing
four
areas:
1)
communica1on;
2)
educa1on;
3)
clinical
prac1ce
and
policy;
4)
system
coordina1on
clinical
prac1ce
issues.
24. Highlights:
Utah
• Legisla1on
requires
prescribers
to
a`end
four
hours
of
substance
abuse
classes.
• April
is
designated
as
“Clean
Out
your
Medicine
Cabinet”
Month.
h`p://www.medica1ondisposal.utah.gov/cleanoutcabinet.htm
• Through
local
preven1on
coali1ons,
successful
take
back
events
have
collected
6,550
pounds
of
prescrip1on
drugs.
25. Highlights:
Vermont
• 2nd
highest
State
per
capita
for
admissions
to
prescrip1on
opiates
treatment
in
2008.
• Prescrip1on
Drug
Abuse
Work
Group.
• State
Agency
sponsored
hospital
grand
rounds
–
call
a`en1on
to
awareness.
• Conference
in
2009
on
Pain
Management.
• Hub
and
Spoke:
5
loca1ons
with
specialty
treatment
/assessment/counseling
(hub)
monitoring/support/physician
prac1ces
(spoke).
26. Highlights:
Arizona
• State
Agency
collaborated
with
Poison
Control
Centers
to
iden1fy
repeat
poisonings
and
make
referrals
to
SUD
treatment
services.
• Online
trainings
were
developed
for
Emergency
Department
doctors
to
increase
the
understanding
of
screening
and
referral
process.
27. Highlights:
Connec1cut
• Community
preven1on
coali1ons
are
priori1zing
prescrip1on
drug
abuse
and
misuse.
• Drop
Boxes
are
installed
in
mul1ple
police
sta1ons
across
the
State.
28. Remaining
Challenges:
Themes
across
States
• Easy
access
(high
supply)
of
prescrip1on
drugs.
• Lack
of
funding.
• Need
for
workforce
development
(lack
of
capacity
to
address
this
issue).
• Challenges
with
data
(lack
of
data;
data
that
doesn’t
capture
the
en1re
story).
• Need
to
priori1ze
the
issue.
• Challenges
with
collabora1on.
• Need
for
PDMP
improvement
(need
for
improved
collabora1on
with
PDMP
host
agency;
lack
of
funding
for
PDMP).
29. Conclusion
• This
is
a
complex
problem.
• Collaborate
with
your
State
Substance
Abuse
Agency.
Contact
Informa2on:
Email:
rmorrison@nasadad.org
Website:
www.nasadad.org