July 20 2015 3 90 of all adults with an substance use disorder started using under age 18 50 under the age of 15 Medicine abuse frightening behavior 4 Some Progress to Report The 2013 National Survey on Drug Use and Health NSDUH reported ID: 727658
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Slide1Slide2
Conference of Western Attorneys General Annual Meeting
July 20, 2015Slide3
3
90%
of all adults with an substance use disorder started using
under age 18
50% under the age of 15Slide4
Medicine abuse – frightening behavior
4Slide5
Some Progress to Report
The 2013 National Survey on Drug Use and Health (NSDUH) reported:
a
17%
decline
in
the number of teens 12-17 initiating “non-medical use” of prescription medication
125,000 fewer teens
beginning this behavior versus 2012
5Slide6
Challenges to Reducing Supply
Abused medications continue to be
sourced primarily “from family and friends for free”
--- i.e., from medicine cabinets and via “sharing”
Prescribers often
not
well trained in addiction medicine or pain management,
and unaware of key prevention tools such as Prescription Drug Monitoring Programs (PDMP’s) or Screening, Brief Intervention and Referral to Treatment (SBIRT)
6Slide7
Challenges to Reducing Supply
CDC.gov
7Slide8
An Epidemic of ConsequencesSlide9
Drug overdose death rates continue to increase
US, 1980-2010
NCHS Data Brief, December, 2011,
Updated with 2009 and 2010 mortality data
9Slide10
Prescription drugs primary driver of overdose deaths,
top 10 drug classes, US
2010
Jones et al Pharmaceutical overdose deaths, United States, 2010.
JAMA
2013 and CDC/NCHS NVSS MCOD 2010
10Slide11
Who is overdosing?
11
Every day in the United States, 44 people die as a result of a prescription opioid overdose.
Centers for Disease Control and Prevention. National Vital Statistics System mortality data. (2015) Available from URL:
http://
www.cdc.gov
/
nchs
/
deaths.htm
.Slide12
Who is overdosing?
Mostly white males but increases in overdose rates across all ethnic groups between 1999-2013
Men
were more likely to die from prescription opioid overdose, but the mortality gap between men and women is closing.
Deaths from prescription painkiller overdoses among women increased more than 400% during 1999–2010, compared to 237% among men.
2
12Slide13
Progression to Heroin Abuse
Addiction to Rx pain relievers
a precursor to heroin use
:
4
out of 5 current heroin users migrated from Rx
opiates
13
Death rates from heroin overdose are increasing rapidly as death rates from prescription opioids are leveling off
CDC Vital StatisticsSlide14
Centers for Disease Control
Economic Costs
$72.5 Billion in healthcare costs
Opioid abusers generate, on average, annual direct health care costs 8.7 times higher than
nonabusers
14Slide15
What can be done?Slide16
Policy Solutions
Rebuild National
P
revention Infrastructure
Safe and Drug-Free Schools Program and National Youth Anti-Drug Media Campaign eliminated
Increase Use of PDMPs/SBIRT
Prescriber Education in
Rhode Island, Maryland,
Delaware, Idaho, Louisiana, Maine, West Virginia and Washington State
Increased access to Medication Assisted TreatmentNaloxone for first responders and familiesGood Samaritan LawsEncourage development and use of Abuse Deterrent Formulations of opiates
16Slide17
Medicine Abuse Project
The
Medicine Abuse Project
began in 2012 in response to ONDCP’s Prescription Drug Abuse Strategy (2011), calling for education – of parents, youth, patients and prescribers
Brings together
17 corporate partners (pharmaceutical industry, chain drug stores,
media),
8 federal
agencies and
80+ strategic partnersComprehensive website at www.medicineabuseproject.org, with content for
parents, educators, community leaders and
healthcare
providersMain metric of performance is prevention of teen initiation of prescription drug abuse.
17Slide18
Medicine Abuse Project
“Mind Your Meds”
campaign
Recognizes that nearly two-thirds of abused meds are sourced from family / friends
Encouraging responsible storage and safe disposal
Roughly $40 million in pro bono media support in 2014
Gold Lion Award at Cannes
Directed by Eric
Stoltz
from
Mask, Pulp Fiction, GleeSlide19