Florida faces challenges with drug use and consequences, including drug-induced deaths higher than the national average. Marijuana and prescription opioids are primary drugs of abuse treated in Florida. Meth lab seizures rose 148% from 2007-2009. Florida is working to address these issues through initiatives like an authorized but not yet operational prescription drug monitoring program and supporting coalitions through Drug Free Communities grants. In 2010, Florida received over $338 million in federal grants to support reducing drug use.
The Opioid Crisis: The Important Role of CPAsPYA, P.C.
PYA Senior Manager Valerie Rock presented “The Opioid Crisis: The Important Role of CPAs,” which provided:
-An overview of the crisis.
-An outline of risk areas that require internal controls.
-Examples of monitoring for opioid crisis fraud and abuse cases.
The Opioid Crisis: The Important Role of CPAsPYA, P.C.
PYA Senior Manager Valerie Rock presented “The Opioid Crisis: The Important Role of CPAs,” which provided:
-An overview of the crisis.
-An outline of risk areas that require internal controls.
-Examples of monitoring for opioid crisis fraud and abuse cases.
What have been the major crimes and policy developments in the space of counterfeit medicines? PSM reviews major prosecutions and legislation from the first half of 2021.
PSM presented a special webinar for families affected by counterfeits and fentanyl. Learn about opportunities to make your voice heard. You can watch the presentation at https://youtu.be/FmBv3Bb7ZHI
What have been the major crimes and policy developments in the space of counterfeit medicines? PSM reviews major prosecutions and legislation from the first half of 2021.
PSM presented a special webinar for families affected by counterfeits and fentanyl. Learn about opportunities to make your voice heard. You can watch the presentation at https://youtu.be/FmBv3Bb7ZHI
Injury is the leading cause of death among children and adults up to age 44 and is the leading cause of potential life lost before age 65 (Healthy States, 2007, p. 3). In 200, more than 120,000 Americans of all ages died from injuries from motor vehicle crashes, suicide, falls, poisoning, drug overdoses, drowning, fires and other causes (Centers for Disease Control and Prevention [CDC], 2006) while more than 20,000 persons in the United States die from drug overdose.
Because of its impact on the health of all Americans--young and old--preventing injury is a serious public health challenge. As recent tragedies shine the spotlight on accidental drug overdoses, it’s becoming increasingly clear that prescription drugs are playing an increasing role in accidental deaths (Kelley, 2009, p. 24).
Global Medical Cures™ | Responding to America's Prescription Drug Abuse CrisisGlobal Medical Cures™
Global Medical Cures™ | Responding to America's Prescription Drug Abuse Crisis
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
We honor ourselves when we speak out for recovery. We show the world that recovery matters because it brings hope and peace into the lives of individuals and their loved ones. ~ Beth Wilson
The only person you are destined to become is the person you decide to be. ~ Ralph Waldo Emerson
Success is the sum of small efforts, repeated day in and day out.
~ Robert Collier
The Public Health Framework of LegalizedMarijuana in Colorad.docxoscars29
The Public Health Framework of Legalized
Marijuana in Colorado
Tista Ghosh, MD, MPH, Mike Van Dyke, PhD, Ali Maffey, MSW, Elizabeth Whitley, RN, PhD, Laura Gillim-Ross, PhD, and
Larry Wolk, MD, MSPH
On January 1, 2014, Colorado became the first state in the nation to sell legal rec-
reational marijuana for adult use. As a result, Colorado has had to carefully examine
potential population health and safety impacts as well as the role of public health in
response to legalization. We have discussed an emerging public health framework for
legalized recreational marijuana. We have outlined this framework according to the core
public health functions of assessment, policy development, and assurance. In addition,
we have discussed challenges to implementing this framework that other states con-
sidering legalization may face. (Am J Public Health. 2016;106:21–27. doi:10.2105/
AJPH.2015.302875)
As one of the first 2 states to legalize rec-reational (nonmedical) marijuana, Col-
orado has been compelled to carefully examine
potential impacts to the health and safety of the
public. Medical marijuana has been legal in
Colorado since 2000, and marijuana use was
initially viewed as an individual patient–doctor
decision that was outside the scope of
population-based surveillance and public
health policy. This view began to changewhen
the commercial production and distribution of
medical marijuana becamepermissiblein2009.
However, it was the legalization of marijuana
for adult nonmedical use in late 2012 that
prompted a closer examination of marijuana’s
potential public health impact.
On January 1, 2014, Colorado became the
first state in the nation to allow sales of rec-
reational marijuana. The current legal status of
marijuana has compelled the Colorado De-
partment of Public Health and Environment
(referred to as the department hereafter) to
assess the knowledge gaps related to marijuana
and develop reasonable policies to protect
vulnerable populations. This “social experi-
ment”hasfurtherrequiredColoradotodefine
core public health functions as they pertain to
legalized recreational marijuana. In doing so,
the primary goals have been to implement
policies to mitigate potential harmful conse-
quences of legalized marijuana and to collect
the necessary data to measure possible nega-
tive and beneficial effects on the population.
Legalization has highlighted a broad set of
issues resulting from the multiple means of
marijuana use (e.g., smoking, edibles, con-
centrates), the lack of a mature regulatory
structure, and the complications of conflicting
state and federal marijuana laws. The breadth
of issues evolving from the legalization of
marijuana has compelled Colorado’s gov-
ernmental agencies to work collaboratively to
establish a retail sales system that respects the
intention of the voters while striving to
mitigate negative outcomes. With co-
ordination and direction from the Governor’s
Office of Marijuana Coordination, experts
from a vari.
12The Controlled Substances Act of 1970 Drug PolicyS.docxdurantheseldine
12
The Controlled Substances Act of 1970 Drug Policy
Student’s Name
Name of Institution
Course
Instructor
Date
The Controlled Substances Act of 1970 Drug Policy
Different laws and policies are enacted to protect and safeguard Americans from drug misuse and gun use to lead a healthy lifestyle. America is one of the countries facing the misuse and addition of drugs and other illicit substances. Not only in America, but drug and substance abuse have been a relevant menace globally and require an immediate response. As a result, different governments have engaged in finding efficient mechanisms to evaluate and determine the causes and implement strategic interventions to minimize and control the use, distribution, and sale of drug and substance abuse across the globe. Ideally, the United States of America enacted the Controlled Substance Act (CSA) of 1970, a drug policy controlling and regulating addictive and illegal drugs such as narcotics and marijuana. Thus, the Controlled Substance Act represents the federal American government policy primarily on drugs. The drug policy is not only a multiplex but an intersection for a better lifestyle among Americans. The current drug policy in America prevents and controls the use, distribution, and sale of stimulants, hallucinogenic substances, and depressants that people might abuse. Besides, the drug policy aids in determining if the contents in these drugs possess any medicinal purpose.
Notably, to remain effective in its goal, the Controlled Substance Act regulates and classifies drugs based on their possible abuse, medicinal benefits, and the harm they might impose on users. Narcotics and drugs are categorized in various classes and subclasses and scheduled depending on their abuse potential. Based on this drug classification, the high schedule implies strict laws in distributing and acquiring drugs. Several amendments have been made to the drug policy to change medications and pass laws in all states. Again, the Controlled Substance Act enhances intensive research to prevent drug reliance and substance abuse. Multiple procedures and frameworks for proper treatment and rehabilitation for drug addicts are well-defined in the act. Apart from the above-mentioned strengths, several weaknesses are attributable to the drug policy. For instance, the Controlled Substance Act restricted the access and sale to controlled substances among entities legal and registered to manufacture, distribute and sell the products. While the drug policy limits access to controlled substances, there is a registration exemption. Reduced findings on drug use and substance abuse and rehabilitated addicts would show the effectiveness of the drug policy. The paper will critically analyze the Controlled Substance Act of 1970 as one of the paramount drug policies in America. It will also discuss the implementation of the policy, its implications, significance, and effects on Americans. For it to be effective, the paper w.
STA 544Homework 1Work on the following problem set and show yo.docxsusanschei
STA 544
Homework 1
Work on the following problem set and show your works within the document. Use SPSS as much as possible.
Chapter 1
1. What types of activities other than “calculations” and “math” are associated with the practice of statistics?
2. Define the term measurement.
3. List the three main measurement scales addressed in this chapter.
4. What type of measurement assigns a name to each observation?
5. What type of measurement is based on categories that can be put in rank order?
6. What type of measurement assigns a numerical value that permits for meaningful mathematical operations for each observation?
7. What does GIGO stand for?
8. Provide synonyms for categorical data.
9. Provide synonyms for quantitative data.
10. What is the difference between imprecision and bias
11. How is imprecision quantified?
Chapter 2
1. Controlled-release morphine in patients with chronic cancer pain. Warfield reviewed 10 studies comparing the effectiveness of controlled-release and immediate-release morphine in cancer patients with chronic pain. The studies that were reviewed were double blinded. How would you double blind such studies?
2. What is the general goal of a statistical survey?
3. What is the general goal of a comparative statistical study?
4. What is the key distinction between experimental studies and observational studies?
5. Campus survey. A researcher conducts a survey to learn about the sexual behavior of college students on a particular campus. A list of the undergraduates at the university is used to select participants. The investigator sends out 500 surveys but only 136 are returned.
a. Consider how the low response rate could bias the results of this study.
b. Speculate on potential limitations in the quality of information the researcher will receive on questionnaires that are returned.
6. A study seeks to determine the effect of postmenopausal hormone use on mortality. What is the explanatory variable in this study? What is the response variable?
7. MRFIT. The MRFIT study discussed in an earlier illustrative example studied 12,866 high-risk men between 35 and 57 years of age. Approximately half the study subjects were randomly assigned to a special care group; the other half received their usual source of care. Death from coronary disease was monitored over the next seven or so years. Outline this study’s design in schematic form.
8. Five-City Project. The Stanford Five-City Project is a comprehensive community health education study of five moderately sized Northern California towns. Multiple-risk factor intervention strategies were randomly applied to two of the communities. The other three cities served as controls. Outline the design of this study in schematic form.
By applying factors in combination, experiments can study more than one factor at a time.
paper
by Xx xx
Submission date: 16-Mar-2020 03:51AM (UTC-0400)
Submission ID: 1276359854
File name: internationaldrugtrafficking1.docx (24.71K)
Wo.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
1. 1 ONDCP seeks to foster healthy individuals and safe communities by effectively leading the Nation's effort to reduce drug use and its consequences.
FLORIDA DRUG CONTROL UPDATE
This report reflects significant trends, data, and major issues relating to drugs in the State of Florida.
Florida At-a-Glance:
Approximately 8 percent of Florida residents reported past-month use of illicit drugs; the national average was 8
percent.
The rate of drug-induced deaths in Florida is higher than the national average.
The number of meth lab seizure incidents in Florida increased 148%, from 128 incidents in 2007 to 318 incidents
in 2009, according to data from the El Paso Intelligence Center’s National Seizure System (EPIC-NSS).
Drug Use Trends in Florida
Drug Use in Florida: The National Survey on Drug Use and Health (NSDUH) provides national and state-level data on
the use of tobacco, alcohol, illicit drugs (including non-medical use of prescription drugs), and mental health in the United
States. In the most recent Survey, 7.8 percent of Florida residents reported using illicit drugs in the past month. The
national average was 8.02 percent. Additionally, 3.5 percent of Florida residents reported using an illicit drug other than
marijuana in the past month (the national average was 3.58 percent).
Source: Substance Abuse and Mental Health Services Administration - State Estimates of Substance Use from the 2007–2008 National Survey on Drug Use and Health:
http://oas.samhsa.gov/2k8state/Cover.pdf
Drug-Induced Deaths: As a direct consequence of drug use, 2,936 persons died in Florida in 2007. This is compared to
the number of persons in Florida who died from motor vehicle accidents (3,329) and firearms (2,272) in the same year.
Florida drug-induced deaths (16.1 per 100,000 population) exceeded the national rate (12.7 per 100,000 population).
Source: Centers for Disease Control and Prevention - National Vital Statistics Reports Volume 58, Number 19 for 2007:
http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_19.pdf
Florida primary treatment admissions:
The graph at right depicts substance abuse primary
treatment admissions in Florida in 2010. The data show
marijuana is the most commonly cited drug among
primary drug treatment admissions in Florida, followed
by other opiates (including prescription drugs).
Source: Treatment Episode Data Set, Substance Abuse and Mental Health
Services Administration : http://oas.samhsa.gov/dasis.htm
Substance Abuse Treatment Admissions Data
2. 2 ONDCP seeks to foster healthy individuals and safe communities by effectively leading the Nation's effort to reduce drug use and its consequences.
Methamphetamine Seizures: Nationwide,
methamphetamine lab seizures declined
drastically following the 2005 Federal
Combating Methamphetamine Epidemic Act
(CMEA) and similar state laws to control the
sale of pseudoephedrine (PSE). Recently, the
number of meth labs seized has risen due to
“smurfing,” which is the bulk purchase of PSE
for non-therapeutic reasons, and due to smaller,
more mobile labs. Nationwide, meth lab seizures
rose 76% from 2007 to 2009. Meth lab seizures
in Florida have exceeded this overall trend,
rising 148% from 2007 to 2009.
Source: EPIC, NSS, extracted 11/28/2010.
Example of State-Level Action: Return pseudoephedrine to prescription-drug status
Facing a steep increase in meth lab incidents, the state of Oregon returned medicines containing PSE to
prescription-drug status in 2006. Several years later, the results are promising, with meth lab incidents
declining from a high of 467 in 2004 (prior to enactment of the bill) to 12 in 2009 and Oregon officials
reporting a virtual “eradication” of smurfing and meth labs. Experiencing a similar rise in meth lab production
and trafficking, Mississippi enacted similar legislation, which took effect on July 1, 2010. Mississippi reports
that after six months, there has been a nearly 70 percent reduction in meth-related cases statewide.
ONDCP’s Efforts to Combat Prescription
Drug Abuse
Prescription drug abuse is the fastest-growing
drug problem in the Nation. The
Administration’s Prescription Drug Abuse
Prevention Plan, entitled, “Epidemic:
Responding to America’s Prescription Drug
Abuse Crisis,” provides a national framework
for reducing prescription drug diversion and
abuse by supporting the expansion of state-
based prescription drug monitoring programs;
recommending secure, more convenient, and
environmentally responsible disposal methods
to remove expired, unused, or unneeded
medications from the home; supporting
education for patients and healthcare providers;
and reducing the prevalence of pill mills and
doctor shopping through enforcement efforts.
State-Level Action: Prescription Drug Monitoring Programs (PDMPs)
PDMPs track controlled substances prescribed by authorized practitioners and dispensed by pharmacies.
PDMPs serve a number of functions, including assisting in patient care, providing early warning signs of drug
Methamphetamine Lab Seizure Data
Prescription Drug Abuse
3. 3 ONDCP seeks to foster healthy individuals and safe communities by effectively leading the Nation's effort to reduce drug use and its consequences.
epidemics, and detecting drug diversion and insurance fraud. Thirty-five states have operational PDMP
programs established by state legislation and funded by a combination of state and Federal funds. An additional
13 states have a prescription drug monitoring program authorized, but not yet operational. Adequate
resourcing, increasing the number of states with operational PDMPs, and development of state-to-state
information-sharing systems would significantly help reduce prescription drug diversion and abuse.
Florida’s authorized, but not yet operational, PDMP is the Electronic-Florida Online Reporting of
Controlled Substances Evaluation (E-FORCSE) program. It was created by the 2009 legislature to encourage
safer prescribing of controlled substances and to reduce drug abuse and diversion within the state. E-FORCSE
will work with a selected contractor to develop a database that will collect and store prescribing and dispensing
data for controlled substances in Schedules II, III, and IV. The purpose of the PDMP is to provide information
to help guide healthcare practitioners in prescribing and dispensing these highly abused prescription drugs.
Source: Florida Department of Health, Electronic-Florida Online Reporting of Controlled Substances Evaluation program: http://www.e-forcse.com/home.html
State-Level Action: Drug Take-Back Programs
A comprehensive plan to address prescription drug abuse must include proper disposal of unused, unneeded, or
expired medications. Providing individuals with a secure and convenient way to dispose of controlled
substances will help prevent diversion and abuse of these substances and demonstrate sound environmental
stewardship. Federal rulemaking is underway and will further enhance the viability and scope of state and
community take-back programs. In the meantime, states are encouraged to work with the DEA to conduct
additional take-back events and educate the public about safe and effective drug return and disposal.
ONDCP Action on Drugged Driving
In 2007, the National Highway Traffic Safety Administration (NHTSA) found that one in eight weekend,
nighttime drivers tested positive for illicit drugs. According to recent Fatal Accident Reporting System (FARS)
data, one in three motor vehicle fatalities (33 percent) with known drug test results tested positive for drugs in
2009. Recognizing this growing problem, ONDCP is working to raise awareness of the dangers of drugged
driving, provide increased training to law enforcement in identifying drugged drivers, and encourage states to
consider Per Se laws to facilitate effective enforcement and prosecution of those who drive with drugs in their
systems.
State-Level Action: Enacting Per Se
Standards for Impairment
Although all 50 states have laws against
drugged driving, law enforcement often lacks
adequate tools to enforce and prosecute
drugged driving. ONDCP encourages states
to consider Per Se standards for impairment
that make it illegal to drive a vehicle after
taking illegal drugs. This is the same standard
used successfully for 12 million commercial
drivers in the United States over the past two
decades. Per Se standards have been adopted
in 17 states.
Florida does not currently have a Per Se
standard, but Florida State law (Florida
Statutes Annotated Section 316.193) stipulates that “A person is guilty of the offense of driving under the
Drugged Driving
4. 4 ONDCP seeks to foster healthy individuals and safe communities by effectively leading the Nation's effort to reduce drug use and its consequences.
influence and is subject to punishment as provided in subsection (2) if the person is driving or in actual physical
control of a vehicle within this state and…(a) The person is under the influence of … any chemical
substance…or any controlled substance…, when affected to the extent that the person’s normal faculties are
impaired.” Blood and urine testing occurs after arrest or upon medical treatment for crash. Testing is required
in cases where death or serious injury has occurred.
Source: A State-by-State Analysis of Laws Dealing With Driving Under the Influence of Drugs, by the Walsh Group for the National Highway Traffic Safety
Administration, December 2009.
The Drug Free Communities (DFC) Program
Recognizing that local problems require local solutions, Drug Free Communities (DFC) organizations mobilize
communities to prevent youth drug use by creating local data-driven strategies to reduce drug use in the
community. ONDCP works to foster the growth of new coalitions and support existing coalitions through the
DFC grants. In FY 2011, the following Florida coalitions received grants from ONDCP:
Alliance for Substance Abuse Prevention-Pasco County
Charlotte Alliance for a Safe and Drug Free Community
Drug Free Charlotte County
Drug Free Hendry County
Drug Free Highland
Hernando City Community
Informed Families South Miami Drug-Free Coalition
LiveFree! Substance Abuse Prevention Coalition of
Pinellas County
Madison Co. Alcohol and Other Drug Prevention
Coalition
Manatee County Substance Abuse Coalition
Nassau Alcohol, Crime, And Drug Abatement Coalition
One Voice For Volusia
Orange County Coalition for a Drug Free Community
PACT Prevention Coalition (St. Augustine)
Palm Beach County Substance Abuse Coalition
Partners for a Substance Free Citrus, Inc.
Putnam County Anti-Drug Coalition
Safe Climate Coalition of Lake County, Inc.
Seminole Prevention Coalition, Inc.
Stand Up Polk
The Alliance for Substance Abuse and Pregnancy
Prevention
The Hamilton County Alcohol and Other Drug Prevention
Partnership
The Village South
Urban Partnership Drug-Free Communities Coalition
Source: Office of National Drug Control Policy
http://www.ondcp.gov/dfc/grantee_map.html
National Anti-Drug Media Campaign
ONDCP’s National Youth Anti-Drug Media Campaign provides consistent and credible messages (including in
Native American and Alaska Native communities) to young people about drug use and its consequences. Above
the Influence, a major component of the Campaign, informs and inspires youth to reject illicit drugs and
drinking via a mix of national and local advertising vehicles. The Campaign, in close partnership with local
community-based, youth-serving organizations, also conducts teen-targeted Above the Influence activities to
assist local groups with youth drug prevention work in their respective communities.
ONDCP Support for Community-Based Prevention
5. 5 ONDCP seeks to foster healthy individuals and safe communities by effectively leading the Nation's effort to reduce drug use and its consequences.
Central Florida HIDTA: Brevard, Pinellas, Hillsborough, Polk, Osceola, Orange, Seminole, and Volusia
counties.
North Florida HIDTA: Alachua, Baker, Clay, Columbia, Duval, Flagler, Marion, Nassau, Putnam, and St.
Johns counties.
South Florida HIDTA: Broward, Miami-Dade, Monroe, and Palm Beach counties.
Diverted pharmaceuticals are supplied in significant quantities to other regions of the United States by
doctors, pharmacists, and pain management clinics based in Florida using fraudulent methods. South
Florida HIDTA Task Force operations are successfully targeting these organizations, and long-term
undercover operations are beginning to yield significant results with arrests of high level multiple clinic
owners and a large number of corrupt physicians.
Investigations targeting the diversion of prescription drugs and illicit pain clinics, and parcel interdiction
operations are current Central Florida HIDTA focal points.
Potent indoor marijuana cultivation is a major drug threat in Florida. The three Florida HIDTAs provide
coordination for multi-agency, state-wide task force operations that have been highly successful in
contributing to the eradication of hundreds of grow sites with thousands of indoor hydroponic marijuana
plants, firearms seizures, and numerous arrests, indictments, and prosecutions of major traffickers.
ONDCP High Intensity Drug Trafficking Area (HIDTA) County Info
6. 6 ONDCP seeks to foster healthy individuals and safe communities by effectively leading the Nation's effort to reduce drug use and its consequences.
Federal Grant Awards Available to Reduce Drug Use in the State of Florida
The Federal Government awards competitive grants to help states in their efforts to reduce drug use and its
harmful consequences. In FY 2010, direct support was provided to state and local governments, schools, and
law enforcement organizations in your state for this purpose. Some Federal grant programs are dedicated to
reducing drug use and its harmful consequences while others can be used for reducing drug use or for other
purposes. In FY 2010, your State received support under the grant programs shown below.
Federal Grant Awards
2010
Department of Education
Safe and Drug-Free Schools and Communities_National Programs 10,586,304
Alcohol Abuse Reduction Grants 1,664,168
Building State And Local Leadership Capacity for Preventing Youth Substance Use and Violence 242,168
Competition To Prevent High-Risk Drinking & Violent Behavior Among College Students 134,212
Drug And Alcohol Prevention Models On College Campuses 185,278
Grants For Coalitions To Prevent And Reduce Alcohol Abuse At Institutions Of Higher Education 750,000
Grants For School-Based Student Drug-Testing Programs 362,075
Safe Schools/Healthy Students Grants 7,248,403
Department of Health and Human Services
Administration for Children and Families 18,781,683
Enhance the Safety of Children Affected by Parental Methamphetamine or Other Substance Abuse 500,000
Mentoring Children of Prisoners 2,816,250
Promoting Safe and Stable Families 15,465,433
Centers for Disease Control and Prevention 4,119,117
Healthy Start Initiative 200,000
HIV Prevention Activities_Non-Governmental Organization Based 3,919,117
Health Resources and Services Administration 5,803,659
Healthy Start Initiative 5,803,659
National Institutes of Health 21,931,021
Discovery and Applied Research for Technological Innovations to Improve Human Health 4,034,675
Drug Abuse and Addiction Research Programs 17,896,346
Substance Abuse and Mental Health Services Administration 144,606,131
Block Grants for Prevention and Treatment of Substance Abuse 100,688,583
Projects for Assistance in Transition from Homelessness (PATH) 4,081,000
Substance Abuse and Mental Health Services_Projects of Regional and National Significance 36,487,283
Substance Abuse and Mental Health Services-Access to Recovery 3,349,265
Department of Housing and Urban Development
Assistant Secretary for Community Planning and Development 8,650,296
Shelter Plus Care 8,650,296
Assistant Secretary for Housing--Federal Housing Commissioner 1,407,001
Shelter Plus Care 1,407,001
Department of Justice
Office of Justice Programs 90,933,653
Community Capacity Development Office 1,255,265
Congressionally Recommended Awards 7,000,000
Criminal and Juvenile Justice and Mental Health Collaboration Program 200,000
Drug Court Discretionary Grant Program 1,018,659
Edward Byrne Memorial Justice Assistance Grant Program 43,137,776
Enforcing Underage Drinking Laws Program 356,400
Gang Resistance Education and Training 2,600,000
Harold Rogers Prescription Drug Monitoring Program 800,000
Juvenile Accountability Block Grants 2,031,700
Juvenile Mentoring Program 5,496,491
National Institute of Justice Research Evaluation and Development Project Grants 14,274,151
Recovery Act - Eward Byrne Memorial Justice Assistance Grant (JAG) Program 520,684
Regional Information Sharing Systems 6,698,530
Residential Substance Abuse Treatment for State Prisoners 1,735,790
Second Chance Act Prisoner Reentry Initiative 3,483,306
Youth Gang Prevention 324,901
Department of Labor
Employment and Training Administration 500,000
Reintegration of Ex-Offenders 500,000
Executive Office of the President
Office of National Drug Control Policy 27,864,320
High Intensity Drug Trafficking Area Program 27,864,320
Substance Abuse and Mental Health Services Administration 2,945,844
Drug-Free Communities Support Program Grants 2,945,844
Grand Total 338,129,029
Note: Report as of 11/30/2010. FY 2009 includes additional grant awards under the Recovery Act. The Federal, State and Local Shares of Medicaid and the Federal
Medicare Programs are not included above. File updated 06/07/2011.
7. 7 ONDCP seeks to foster healthy individuals and safe communities by effectively leading the Nation's effort to reduce drug use and its consequences.