Weekly Update on Prescription Drug AbuseTo subscribe to this free SAMHSA-funded resource,

e-mail paw@dsgonline.com

Past issues & fact sheets are archived by the West Virginia University Injury Control Research Center;

see links on the left side of their home page

Potential Responses to Rx Abuse: Haddon Matrix (Event = Undetected Rx Abuse)Pre-Event During Event Post Event

Host Youth/family/worker education & prevention programsPatient educationPregnancy education

Self-assessmentCo-prescribed Naloxone antidote

Brief interventionTreatment/Voc rehabNaltrexoneLimit to one source

Agent (the Drug/Rx)

Reformulate to stop tamperingReduce/ban toxic ARAP combinationsMove more opioids to Schedule IISecure/electronic Rx pads/EHRPackage warningDispenser/prescriber warningDisposal instructions

PMP check as prescribe Proactive PMP patient reportsCase manager in EDLimited pills per scriptNo refillsShort Rx expiration

Take back/ dispose of unused Rx drugsTheft safeguardsRestrict to one prescriber/ dispenser

Physical Environment

Cover alternative pain managementPMP proactive provider monitoringRegulate internet/import salesRandom testingMedicine cabinet lockboxesTake-back programs

ScreeningPoison control centersLaw enforcementFor-cause testingNeedle exchange

Trace drug sourceProsecute dealers & pill millsScheduled testing

Social Environment

Drug-free policies & programsTrain providers/practice guidelinesMedia campaignSurveillance surveys/researchCommunity/family mobilizationComprehensive SA prevention pgms

Immunize 911 caller Collect/analyze event dataEvaluate programsFamily/peer support

Source: Ted Miller, PAW TA Center,2/7/2013, miller@pire.org