Upload
kristian-whitehead
View
218
Download
0
Tags:
Embed Size (px)
Citation preview
Rx for SuccessNext Steps to Prevent Prescription Drug Abuse
Rebecca Hebner, MPHSubstance Abuse Prevention Systems
Coordinator
One Day in Colorado…
DEATHS INJURY MISUSE
One Day in Colorado…
DEATHS INJURY MISUSE
In 2013, there were 839 prescription drug overdose deaths in Colorado. One in three caused by opioids.
Almost 5,000 people were hospitalized, more than MVA, homicides or firearms.
This is just a fraction of the harms to the 6% of Coloradans age 12+ who misuse prescription pain relievers.
Local Prescription Drug Abuse Data
DEATHS INJURY MISUSE1
2
3
4
5
12
3
4
5
12
3
4
5
Regions from National Survey on Drug Use and Health
Local Prescription Drug Abuse Data
Region 1
Region 2
Region 3
Region 4
Region 5
Colorado
Opioid Mortality(rate per 100,000 population, 2013)
5.4 6.1 4.8 9.3 2.8 5.6
Opioid ED Visits (rate per 100,000 population, 2013)
10.8 15.9 17.1 24.1 10.4 15.2
Nonmedical Use of Rx (percent of population age 12+, 2010-12)
5.9 5.7 5.2 4.9 5.2 5.6
DEATHS INJURY MISUSE1
2
3
4
5
12
3
4
5
12
3
4
5
2013-2016 GOALPrevent 92,000 Coloradans from
Misusing Opioids
2011-2012 NSDUH: 255,000 Coloradans reported non-medical use of prescription pain medication in past year
2013-2016 GOAL: Reduce prevalence of misuse among Coloradans age 12+ from
6.0% to 2.5%
Age 12+ 12-17 years
18-25 years
26+0
2
4
6
8
10
12
14
16
2009-20102010-20112011-20122012-2013
State-Level Activity“Smooth the Road” for local level implementation
• Governor Hickenlooper’s Office & Dashboard Indicators
• CDPHE’s Core Violence Injury Prevention Program activities and Maternal Child Health Block Grant Priority area
• Colorado Consortium for Prescription Drug Abuse Prevention
Colorado Plan to Reduce Prescription Drug AbuseStrategies:
1) Improve surveillance data
2) Strengthen prescription drug monitoring program (PDMP)
3) Educate prescribers and providers
4) Increase safe disposal
5) Raise public awareness
6) Enhance access to treatment
7) Expand access to naloxone
Local Alignment with State Strategies
Colorado Plan to Reduce Prescription Drug Abuse
1) Local-level Data SurveillanceWhere’s the problem in your community
Adult misuse? Youth misuse? ED visits?Tx Admissions?
Visit the Data Dashboard
Talk to Data and Research Workgroup, CDPHE, LPHAs
Current misuse of Rx, NSDUH Ever took Rx w/o prescription, HKCS Emergency Department admission, CHAOpioids as primary drug, OBH
2) Support use of Prescription Drug Monitoring Program (PDMP) Encourage PDMP use among health care
providers, pharmacists
Continuing education opportunities
Other communication, like tool kits and follow-up
Facility policy for PDMP use
PDMP data to monitor public health concerns coming soon!
3) Provider & Prescriber Education on pain management, prescribing Promote continuing education on safe
prescribing practices
Online CME: “The Opioid Crisis: Guidelines and Tools for Improving Chronic Pain Management”
More in development!
Support uptake of evidence-based prescribing guidelines by your local prescribers
Quad-board guidelines adopted by dental, medical, nursing, pharmacy, optometry, and podiatry boards
4) Host Permanent Safe Disposal SitesEncourage your local law enforcement to host a FREE
medication take-back box
Recruit pharmacies, hospitals to change DEA registration and host medication take-back boxes
CDPHE can help! Greg Fabisiak, [email protected]
Promote DEA take-back event on 9/26/15: contact your local law enforcement to see if they are participating
5) Raise Public Awareness TakeMedsSeriously.com: safe use, safe storage, safe
disposal of prescription drugs
Smart Choices, Safe Kids: family and community information to protect children around substances
Other resources to promote
Rocky Mountain Poison and Drug Center: 1 (800) 222-1222
Good Samaritan Law: 911 immunity and naloxone administration
OBH’s Treatment Directory: >600 facilities
6) Promote Treatment Options Chat with our friends at Office of Behavioral Health!
Connect health care providers, public with currently available treatment options
OBH’s Treatment Directory: >600 facilities
SBIRT screening for health care providers
Expanding treatment capacity, provision of medication assisted treatment
7) Expand access to Naloxone Encourage local pharmacies and harm reduction
organizations to request standing orders for Naloxone
Encourage local law enforcement, Sheriffs to carry Naloxone in case of emergencies
Emergency departments upon discharge for opioids
Upon discharge from prisons
Want more? How about…Connect with your local OBH grantees
Check out the Strategic Prevent Framework-Partnership for Success Toolkit
Join a work group with the Colorado Consortium for Prescription Drug Abuse Prevention
Chose Substance Abuse as a MCH Block Grant Priority (and volunteer to support local action plan development!)
Find inspiration with success stories, like Project Lazarus in North Carolina or Madison-Dade, WI “Safe Community” project
Questions?