Medication Diversion Developed by University of Wisconsin Oshkosh CCDET WI Department of Health Services Division of Quality Assurance September 2022 Addressing Substance Use Disorder amp Medication Diversion Overview ID: 1046046
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1. Addressing Substance Use Disorder and Medication DiversionDeveloped by:University of Wisconsin Oshkosh CCDETWI Department of Health Services Division of Quality AssuranceSeptember 2022
2. Addressing Substance Use Disorder & Medication Diversion OverviewDirect care staff first to notice slight changes in:Client’s medicationColleague’s behaviorHealthcare providers must have written policies & procedures for medication management, storage & administration
3. Learning PointsIncrease Awareness of Substance Use Disorder & Medication DiversionUnderstand Controlled Substances Learn Best Practices for Preventing & Reporting DiversionIdentify Possible Substance Use Disorder & Treatment Resources
4. Introduction to Substance Use DisorderSubstance use disorder (SUD) can affect anyone…regardless of age, occupation, economic circumstances, ethnic background, gender
5. Misuse, Dependency,AddictionMisuse – using medication other than how prescribedDependency – misuse can lead to physical or psychological dependenceAddiction – substance use disorderPG 6
6. Impact of Opioid EpidemicOpioid use disorder (OUD) is a chronic disease of the brainDrug overdoses are the leading injury-related cause of death 75% of overdose deaths in 2020 involved opioids
7. Introduction to Medication DiversionFor the purposes of this training, the term “medication diversion” refers to theft of another person’s prescription medication
8. Drug Diversion in Healthcare SettingsIt may seem that healthcare professionals would be the last group to misuse prescription drugs. Unfortunately, that is not the case. Think about the reasons why healthcare staff may be even more susceptible to drug diversion than others?
9. Controlled Substances
10. Commonly Misused Prescription MedicationsCentral Nervous System (CNS) Depressants Opioids StimulantsHow many of these medications have been prescribed to your residents? 10
11. Preventing Medication DiversionObserving the Rules and RegulationsKnowing Your ResponsibilitiesIncreasing Awareness: Recognizing Red Flags
12. Increasing Awareness
13. Developing & Applying Best PracticesWhat can managers & supervisors do to prevent diversion? ~ Example 1 ~~ Example 2 ~~ Example 3 ~
14. Reporting Medication DiversionWisconsin’s Caregiver LawDrug diversion meets the definition of misappropriationReport to DQACriminal Charges & Penalties May be a crimeReport to local law enforcement
15. Identifying & Treating SUDEarly recognition, reporting and intervention are fundamental for keeping clients safe and helping colleagues recover
16. Substance Use DisorderAwareness & EducationMisunderstood diseaseStereotypesSubstance Use Disorder in Nursing videoEarly IdentificationRed flagsReport concernsSafe Intervention
17. Review Learning PointsIncrease Awareness of Substance Use Disorder & Medication DiversionUnderstand Controlled Substances Learn Best Practices for Preventing & Reporting DiversionIdentify Possible Substance Use Disorder & Treatment Resources
18. SUD ResourcesAddiction 101Addiction Policy Forumhttps://addictionschool.addictionpolicy.org/p/addiction-101 Dose of Reality: Opioids in WisconsinWisconsin Department of Health Serviceshttps://www.dhs.wisconsin.gov/opioids/index.htm Facing Addiction in AmericaThe Surgeon General’s Spotlight on Opioidshttps://addiction.surgeongeneral.gov/ Facts about FentanylDrug Enforcement Administrationhttps://www.dea.gov/resources/facts-about-fentanylFentanyl Poisoning & Counterfeit PillsPartnership to End Addictionhttps://drugfree.org/fentanyl-poisoning/ OpioidsCenters for Disease Control and Preventionhttps://www.cdc.gov/opioids/index.html Resilient WisconsinWisconsin Department of Health Serviceshttps://www.dhs.wisconsin.gov/resilient/index.htm Residential Substance Use Disorder Treatment Benefit ResourcesWisconsin Department of Health Serviceshttps://www.forwardhealth.wi.gov/WIPortal/content/html/news/rsud_resources.html.spageStart Healing Nowhttps://starthealingnow.org/ Substance Abuse and Mental Health Services Administration (SAMHSA)https://www.samhsa.gov/ Substance Use DisorderNational Council of State Boards of Nursinghttps://www.ncsbn.org/substance-use-disorder.htm Substance Use DisordersWisconsin Department of Health Serviceshttps://www.dhs.wisconsin.gov/aoda/index.htm Treatment, Recovery & Prevention of Substance Use DisorderHerren Projecthttps://herrenproject.org/ Understanding Drug Use and AddictionNational Institute on Drug Abusehttps://nida.nih.gov/publications/drugfacts/understanding-drug-use-addiction Wisconsin Voices for Recoveryhttps://wisconsinvoicesforrecovery.org/ Wisconsin Workplaces: Recovery ReadyWisconsin Department of Workforce Developmenthttps://dwd.wisconsin.gov/recovery-ready/
19. developed byThe Wisconsin Caregiver ProjectUniversity of Wisconsin Oshkosh Center for Community Development, Engagement and Training (CCDET)https://uwosh.edu/ccdet/caregiver-home/