Transcript MAPS Data - Barry County SATF

Barry County Substance Abuse Task
Force: Increasing Amounts of
Prescription Use Within the
Community
2007 - 2011
This power point
presentation was
developed in part
under grant number
15722 from the
Office of National
Drug Control Policy
and Substance Abuse
and Mental Health
Services
Administration, U.S.
Department of
Health and Human
Services. The views
policies, and
opinions expressed
here are those of the
authors and do not
necessarily reflect
those of ONDCP,
SAMHSA, or HHS
Prepared By:
Shreenath Shah and Michael Spence
Pharm D. Candidates 2013
Ferris State University College of Pharmacy
Objectives
• Substance Abuse in the USA
• Introduction to the commonly abused
prescription medications
• View of Barry counties prescription
medication use (Then and Now)
• How you can help
Substance Abuse in the United States
Three types of drugs are
abused most often:
1. Opioids- Pain
Relievers
2. CNS DepressantsStress, Seizures, Sleep
3. Stimulants- ADHD
and Narcolepsy
Opioid Prescription Trends in the
United States
Stimulant Prescription Trends in the
United States
Prescriptions (Rx)
Schedule II Substances:
• MUST be written or typed
and manually signed by a
practitioner with valid
DEA #
• Provide a valid reason for
medication
• MAX of 30 day supply
• NO Refills
Schedule III Substances:
• May be ordered by
practitioner orally, in
writing, or by fax to the
pharmacist.
• May be refilled if so
authorized on the
prescription or by call-in.
• Can be refilled up to five
times within six months
Commonly Abused Rx’s
1. Stimulants:
•
Amphetamines(Adderall), Methylphenidate
(Concerta, Ritalin) – Schedule II – RX
–
–
–
•
ADHD
Excessive sleepiness
Depression
Methamphetamines , MDMA (Ecstasy),
Cocaine – Illegal substances
Concerta
Commonly Abused Rx’s
1. Stimulants Continued…
– Intoxication Effects
•
–
Increased energy, alertness, feelings of exhilaration
How are they abused
•
–
Crushed and Injected, Smoked or Snorted
Side Effects
•
–
Faster heartbeat, seizures, insomnia, nervousness, paranoia
aggressive behavior, hallucinations and heart attacks
Street Names:
•
•
Methylphenidate : Rits, Vitamin R and West Coast
Amphetamine: Speed, bennies, black beauties, crosses,
hearts, uppers and truck drivers
Commonly Abused Rx’s
2. Opioids
I.
Oxycodone containing products - CII
- Oxycodone + Ibuprofen ( Combunox)
- Oxycodone + Acetaminophen (Percocet, Oxycontin,
Endocet, Oxceta, Tylox)
- Street Names: Roxys, Percs, Roxicotten, 512s, O’s,
Hillbilly heroin
Commonly Abused Rx’s
2. Opioids Continued…
I.
Hydrocodone containing products – CIII
-
II.
Hydrocodone + Acetaminophen (Vicodin, Norco, Lortab)
Street Names: Viko, Vikes or Hydro
Methadone – CII
-
Brand Names: Dolophine, Methadose, Methadone diskets
Street Names: Juice, Meth, Fizzies, Amidone
Methadone
Vicodin
Commonly Abused Rx’s
2. Opioids Continued…
– Use: Moderate to severe pain
– Side Effects:
• Lowered heartbeat and breathing , coma, addiction,
– How are they abused
• Crushed and smoked, snorted or injected
– Intoxication Effects
• Pain relief, euphoria, impaired coordination,
drowsiness
Population Size 2010 Census
•
•
•
•
•
•
•
•
•
•
•
•
Cloverdale – N/A
Delton -872
Dowling -374
Hastings – 7,308
Woodland - 425
Bellevue -1,282
Freeport – 483
Middleville – 3,319
Wayland -4,709
Hickory Corners - 322
Nashville – 1,628
Plainwell – 3804
Stimulant Use 2007 and 2011 in Barry
County
Stimulants Dispensed
300000
250000
200000
150000
100000
50000
0
Cloverdale
Delton
Dowling
Hastings
Woodland
Bellevue
2007
Freeport Middleville Wayland
2011
Hickory
Corners
Nashville
Plainwell
Oxycodone Use 2007 and 2011 in
Barry County
Oxycodone Products Dispensed
200000
180000
160000
140000
120000
100000
80000
60000
40000
20000
0
Cloverdale
Delton
Dowling
Hastings Woodland Bellevue
2007
Freeport Middleville Wayland
2011
Hickory
Corners
Nashville
Plainwell
Hydrocodone Use 2007 and 2011 in
Barry County
Hydrocodone Products Dispensed
1,000,000
900,000
800,000
700,000
600,000
500,000
400,000
300,000
200,000
100,000
0
Cloverdale
Delton
Dowling
Hastings
Woodland Bellevue
2007
Freeport Middleville Wayland
2011
Hickory
Corners
Nashville
Plainwell
Methadone Use 2007 and 2011 in
Barry County
Methadone Dispensed
160000
140000
120000
100000
80000
60000
40000
20000
0
Cloverdale
Delton
Dowling
Hastings
Woodland
Bellevue
2007
Freeport Middleville Wayland
2011
Hickory
Corners
Nashville
Plainwell
Summary/Conclusions
• Prescription drug use rising in the USA
• Oxycodone, Hydrocodone and Stimulant use
are most prescribed and dispensed
medications in Barry County
– Plainwell, Hastings and Delton all show significant
increases in amounts of pain medication
dispensed
– Middleville and Wayland show similar increases in
prescription medication use
Teenagers and Substance Abuse: National
Statistics
•
1 out of 10 teens have
abused stimulants (Adderall
or Ritalin)
•
1 out of 5 teens have abused
a prescription pain reliever
– Hydrocodone, Oxycodone,
Methadone
Teenagers and Substance Abuse:
Barry County
What Can I Do ?
• Communication
• Encourage Positive Behavior
• Calmly set limits regarding drug abuse, ensuring
child understands and is on the same page
• Lead by example
• Returning expired medications:
– Medications, uncontrolled and controlled that are not
disposed of properly can be stolen and misused
Medication Return: Barry County
More Information/ Helpful Resources
• Barry County Substance Abuse Task Force:
– http://www.barrycountysatf.com
• Substance Abuse Guide
• Prescription and OTC Drug Abuse Guides
• The Partnership at DrugFree.org
– http://www.drugfree.org/
• National Institute for Drug Abuse:
– http://teens.drugabuse.gov/
• Family Checkup: Positive Parenting Prevents Drug
Abuse
– http://www.drugabuse.gov/family-checkup
Questions?
References
•
1. National Institute on Drug Abuse [Internet].Maryland: NIH [Updated 2013 Jan]
Commonly Abused Prescription Drugs Chart; [Cited on Feb 19 3013] Available
from: http://www.drugabuse.gov/drugs-abuse/commonly-abuseddrugs/commonly-abused-prescription-drugs-chart
•
2. National Institute on Drug Abuse [Internet].Maryland: NIH [Updated 2013 Jan]
Family Checkup: Positive Parenting Prevents Drugs; [Cited on Feb 19th 2013]
Available From: http://www.drugabuse.gov/family-checkup
•
3. National Institute on Drug Abuse for Teens [Internet]. Maryland: NIH for Teens
[Updated Feb 19th 2013] Facts on Drugs [Cited on Feb 19 2013] Available from:
http://teens.drugabuse.gov/drug-facts
•
4. Barry County Substance Abuse Task Force [Internet] Michigan (Barry); [Updated
February 2013] Program Material [Cited on Feb 20 2013] Available from:
http://www.barrycountysatf.com/program-materials.html
•
5. The partnership at drugfree.org [Internet]: [Updated February 2013]
Prescription drug Abuse in the United States [Cited on Feb 19 2013] Available
from: http://www.drugfree.org/drug-guide
This power point presentation was developed in part under grant number 15722 from the Office of National Drug Control Policy and Substance Abuse and Mental Health Services Administration, U.S. Department
of Health and Human Services. The views policies, and opinions expressed here are those of the authors and do not necessarily reflect those of ONDCP, SAMHSA, or HHS