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, greg.fabisiak@state.co.us

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?

rebecca.hebner@state.co.us