SC MAT ACCESSMedication Assisted Treatment

Academic Community Capacity Expansion for Sustainable Success

Kathleen Brady, MD, PhD, VPR, MUSC

Overdose Death Rates from OpiatesMost important sign of a SUD

Marked increase from 1999 to 2014 by county

1999 2014

Opioid OD Deaths US, 2000-2015

2015 Overdose Deaths:

52,404 Any Drug

33,091 Any Opioid266 260 253

242 234222250

300

200

150

100

50

0201020112012201320142015

OP

IOID

MM

EIN

BIL

LION

S

Source: IMS Health, U.S. Outpatient

Retail Setting

Opioid morphine milligram

equivalents (MME) dispense fell

by over 15% from 2010-2015

Opioid Prescriptions have started to Decrease

but

Opioid Fatalities are still Increasing

Heroin Price Has Decreased

in

Recent Years

4 out of 5 new heroin users started

with rx opioids

"Retail" Price

Per PureGram

$3,500

$3,000

$2,500

$2,000

$1,500

$1,000

$500

$-

National Drug Control Strategy--Data Supplement 2014. https://www.whitehouse.gov/sites/default/files/ondcp/policy-and-

research/ndcs_data_supplement_2014.pdf

Emerging Illicit

Synthetic Opioids

Increasing reports of fentanyl

laced - heroin and prescription pills.

Other synthetic opioids emerging

i.e., Carfentanil.

https://www.whitehouse.gov/sites/default/files/ondcp/policy-and-research/ndcs_data_supplement_2014.pdf

HOW DID WE

GET

HERE?