medication abuse resource guide an interactive guide for combating prescription and over-the-counter...

Medication Abuse Resource Guide

An interactive guide for combating prescription and Over-the-Counter (OTC) drug abuse for Prevention

Professionals

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This guide has been created as a resource for combating prescription and OTC drug abuse in Michigan communities.

There have been many resources developed to address the nationwide increase in medicine abuse.

This easy-to-use guide of available resources was developed by the Prevention Subcommittee of the Michigan State Methamphetamine Task Force.

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The guide has been split into four main categories:

1. Target audiences - populations of interest because data suggests they may be at higher risk for medicine abuse.

2. Community partners - groups in a position to influence the target audiences and support the prevention field in an effort to reduce medicine abuse.

3. General resources - addresses the needs of multiple audiences, or provides general information.

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The purpose of this guide is to place as many resources that are available in an easy to use tool. The majority of the guide has been split into two main categories: target audiences and community partners.

The target audiences are groups we feel need direct contact and support. The community partners are groups we can utilize to obtain access to the target audiences. Each audience tab contains reasons why that group has been selected and resources for that specific group. Resources that fit into multiple audiences have been placed under the General Resources section of the guide.

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Participating members of the Michigan Methamphetamine Task Force, Prevention Subcommittee:

• Heidi Bertschinger, Allegan County Community Mental Health Services• Ken Bobo, Van Buren County Prosecuting Attorney’s Office • Claudine Damaske, Pharmacist• Sarah Derwin, Ottawa County Health Dept.• Nate Hill, Berrien County Health Dept. • Liz Lenz, Barry County Substance Abuse Services• Tracy Johnson, Cass Van Buren District Health Dept. • Tracy Malinowski, Kent County Health Dept. • Therese Maupin-Moore, Barry County Substance Abuse Services• Carol Meyer-Niedzwiecki, Substance Abuse Council, Calhoun County• E.J. McAndrew, Cass Van Buren District Health Dept. • Karen Pelon, Kent County Health Dept.• Brenda Stoneburner, Michigan Office of Drug Control Policy• Stephanie VanDerKooi, Ottawa County Health Dept.• Kori White-Bissot, Lakeshore Coordinating Council

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• Use the arrows, buttons and tabs on the bottom of each page to navigate the guide.

• When you see blue underlined text you can click on the text and your web browser will take you to the information on the internet (you must have an internet connection for this feature to work)

• To leave the guide, press the Esc (escape) key.• If you need help, you can select the question

mark button (?) to view the help menu.Click to continue

All links are working and valid as of 3/15/09.To report broken links email MDCH-ODCP-DSAGS@michigan.gov.

• User Note – When opening .pdf files from the resource guide, it may be necessary to open the task bar to view them.

• If you click on a .pdf file and nothing seems to happen, press the windows key on your keyboard to open the task bar and then you will be able to open your internet browser from the internet explorer tab.

Table of Contents - HomePlease select the tab you would like to view.

Youth 12-17

Young Adult 18-25

Older Adult 55+ Parents

Law Enforcement

Medical Professionals

Drug Companies

Care Givers

Retailers

School Personnel

Realtors

Athletes and Coaches

General Resources

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• Being a younger and more naive group, youth aged 12-17 are more at risk

• Availability from many sources

• “Legal = Safe” attitude

• “It won’t happen to me…” attitude

• Not worth the risk– Overdose dangers– Possibility of addiction– Overall short and long-term health problems– Legal consequences

• Interactions with other chemicals– Alcohol– Other medications OTC, prescription

• Short-Term– Increased perception of risk– Decreased access

• Long-Term– Reduced use rates– Delay the onset of experimentation or use– Reduced treatment admissions– Reduced hospital admissions due to overdose

• Freevibe.com (www.freevibe.com)Freevibe.com was created for the National Youth Anti-Drug Media Campaign, a program of the Office of National Drug Control Policy. Freevibe’s goal is to provide teens with the knowledge and personal empowerment to reject drug use and other risky behaviors. Freevibe.com is updated regularly with the latest national statistics on teen drug abuse and other relevant trends, and also incorporates insights and feedback from site visitors.

• ProjectALERT.com (http://www.projectalert.best.org)The Project ALERT two-year Core Curriculum consists of 11 lessons that are most effective when taught once a week during the first year, plus 3 booster lessons that should be delivered the following year. Project ALERT complements other curricula and can be implemented in conjunction with lessons from sex education, health, physical education, science and social studies.

• painfullyobvious.com (www.painfullyobvious.com)

Painfully Obvious is an interactive website where youth or caregivers can access information about the dangers of prescription drug abuse.

• Theantidrug.com (www.theantidrug.com)TheAntiDrug.com was created by the National Youth Anti-Drug Media Campaign to equip parents and other adult caregivers with the tools they need to raise drug-free kids. Working with the nation's leading experts in the fields of parenting and substance abuse prevention, TheAntiDrug.com serves as a drug prevention information center, and a supportive community for parents to interact and learn from each other.The site provides parents and other adult caregivers access to:

– Helpful articles and advice from experts in the fields of parenting and substance abuse prevention;

– Science-based drug prevention information, news and studies;

– Support from other parents striving to keep their children drug-free;

– Teen perspectives and views.

• Myspace.com or Facebook.com– Internet communities where people meet and share ideas,

pictures, music, and much more.

– Prevention professionals could use the site to create a place for youth to view positive online messages.

– Parents and teens should be aware of the possible predators that may exist on such sites and how to protect themselves. http://www1.myspace.com/misc/safetyTips.html

• http://kidshealth.org/teen/drug_alcohol/drugs/prescription_drug_abuse.html

A resource for use when talking with teens and youth about prescription drug abuse.

• College population is more likely to misuse stimulants to attempt to:– Increase academic performance – Stay awake– Enhance concentration– Recreation

• Risks of use– Addiction – Illegal– Overall health complications– Negative interaction with alcohol

• If you're concerned, help a friend…

• Where can you get help?

• Short-Term– Increased perceived risk– Decreased availability – Increased healthy coping mechanisms

• Long-Term– Decreased treatment admissions– Decreased hospital admissions for overdose – Decreased use rates

• Myspace.com or Facebook.com– Internet communities where people meet and

share ideas, pictures, music, and much more.– Prevention professionals could use the site to

create a place for young adults to view positive online messages.

– Use the web services as a place to share ideas and ways to help with addiction

– http://www.myspace.com– http://www.facebook.com

• Prescription Drug Abuse in the Media http://abcnews.go.com/WN/story?id=4262424

News story from the American Broadcast Company (abc).Includes information on how to find help.

• The Camp Recovery Center http://www.camprecovery.com/prescription.php

Information on prescription drug abuse and recovery.

• Go to SAMHSA treatment finder to find local treatment centers http://findtreatment.samhsa.gov/

• Small population that accounts for the largest consumers of prescription drugs , according to NIDA

• At risk for – Fraud, theft, safety issues, health-risk,

confusion (especially in the elder population)

• Talk to their doctor and pharmacist about possible medication interactions and the importance of proper dosage

• Do not share prescriptions

• Advocate for their own protection

• Control and monitor their medications

• Short-Term– Increased medication management– Reduced theft/fraud

• Long-Term – Decreased related hospital admissions– Decreased related mortality

• Center for Disease Control and Prevention http://www.cdc.gov/aging/

Starting point for gathering information related to the older adult population.

• FDA Overview of “Brown Bag” meetings with older adults. Click link to learn more http://www.fda.gov/fdac/features/2006/406_olderadults.htmlA guide for common issues with the older adult population and medication misuse.

• Get Connected: Curriculum designed to educate older adults, about the risks of medication misuse.

• Click link to preview tool kit : http://www.samhsa.gov/Aging/docs/GetConnectedToolkit.pdf

• Order free kit here : https://ncadistore.samhsa.gov/catalog/productDetails.aspx?ProductID=16523

• Role models; athletes and coaches lead by example

• Coaching relationship with athletes – Able to spot changes in youth– Vested interest in athletes well-being

• Ability to enforce rules on drug use

• Drug free is in the best interest of the athlete and the team

• Role model positive choices

• Health education; effects of drugs on performance

• Code of conduct; implementation and enforcement

• Outlook on life– Healthy body, healthy mind

• http://www.americanathleticinstitute.org/ (American Athletic Institute)“The American Athletic Institute’s primary focus is the education of athletes on the dangers of drugs and alcohol. Our presenters are substance abuse professionals who were also once professional and world class athletes.  It is this combination of experience coupled with our own scientific research that makes us unique in the prevention/education field and the world of sport.  We understand athletes, the dangers of drugs and the volatile mix the two present when combined.

The American Athletic Institute is a Sport Consulting Firm that is committed to helping people both in and out of sport.  We provide programs and services that are designed to help the athlete and non-athlete alike.  Whether it is in a proactive capacity or in response to a specific problem or incident the American Athletic Institute can offer valuable insight, education and strategies to administrators, coaches and athletes on a vast array of issues ranging from Drug and Alcohol Abuse, Hazing and Sportsmanship to Youth Sport and Childhood Obesity. ” - AAI 2008

• ATLAS – Curriculum to address substance abuse among male athletes– http://www.samhsa.gov/SAMHSA_News/VolumeXI_1/article6.htm – http://www.ohsu.edu/hpsm/atlas.cfm

• ATLAS Results– Decreased new alcohol & drug use – Reduced steroid use – Reduced supplement use – Fewer drinking and driving occurrences – Improved nutrition & exercise practices – Students believed they were better athletes – Greater ability to refuse drugs

• ATHENA - Curriculum to address substance abuse among female athletes– http://www.ohsu.edu/hpsm/athena.cfm

• ATHENA Results– Reduced use of diet pills – Reduced use of steroids, amphetamines and sport supplements – Improved nutrition – Reduced riding in a car with a drinking driver – Reduced new sexual activity – Reduced number of injuries – Reduced long-term use of diet pills, alcohol and marijuana

• The Michigan Association for Health, Physical Education, Recreation and Dance (MAHPERD) is a professional organization committed to providing professional development, advocacy, educational programs and services to a membership dedicated to enhancing the quality of life by preparing students (pre-K-12, university/college) to be fit, healthy and ready to learn.

http://www.mimahperd.org/

• The American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD) is the largest organization of professionals supporting and assisting those involved in physical education, leisure, fitness, dance, health promotion, and education and all specialties related to achieving a healthy lifestyle.

AAHPERD is an alliance of five national associations and six district associations and is designed to provide members with a comprehensive and coordinated array of resources, support, and programs to help practitioners improve their skills and so further the health and well-being of the American public.

http://www.aahperd.org/

• Healthy Competition

http://www.healthycompetitiontn.org

A guide for Teens, Coaches and Parents about the effects, signs, symptoms and dangers of PEDs (Performance Enhancing Drugs).

• Also see the General Resources Links for other helpful medication abuse related links and documents

General Resources

Caregivers can include; child care, elder care, home health aides, hospice, etc…

• Access to: children, elderly, parents

• Identify problems

• Often manage medications

• Educate and monitor people in their care

• Increase awareness among professional peers

• Increase frequency of referrals and information sharing when problems arise

• Identify local resources to provide support to caregivers such as:– Senior Centers– Area Agencies on Aging– Extended care facilities– Cooperative extension agencies– Head start programs– Treatment centers– Health Departments

• Also see the General Resources Links for other helpful medication abuse related links and documents

General Resources

• Primary source of medicines

• Ability to effect distribution and pricing

• Marketing and advertising opportunities

• Use of resources to properly educate the public

• Educate medical professionals

• Positive messaging through marketing eg. www.painfullyobvious.com

• painfullyobvious.com (www.painfullyobvious.com) – Painfully Obvious is an

interactive website where youth or adults can access information about the dangers of prescription drug abuse.

• http://www.turntohelp.com/ A website designed to help people locate assistance dealing with opioid drug addiction.

• http://www.naabt.org/ The National Alliance of Advocates for Buprenorphine Treatment mission:– Educate the public about the disease of opioid addiction and the

buprenorphine treatment option.– Help reduce the stigma and discrimination associated with patients with

addiction disorders.– Serve as a conduit connecting patients in need of treatment to qualified

treatment providers.

• Also see the General Resources Links for other helpful medication abuse related links and documents.

General Resources

• Prescription drug abuse is linked with other illegal activities (eg. fraud/theft)

• Able to influence availability

• Able to influence local policy

• Consistant enforcement

• Training of Officers– Identifying users– Awareness of the law

• Encourage responsible retailers

• National Drug Intelligence Council http://www.usdoj.gov/ndic/pubs1/1765/1765p.pdf

Good information for law enforcement officials.

• Streetdrugs.org

Excellent resource for all groups interested in substance abuse. The chart to the right can be located at http://www.streetdrugs.org/eShop/10Expand.asp?ProductCode=3000

• Also see the General Resources Links for other helpful medication abuse related links and documents.

General Resources

• Able to identify users at risk for abuse

• Prescribe medications

• Professional opinion– Ability to influence medical decisions

• Ensure medication management – Through proper prescribing practices

Ph.D, M.D., R.N., Pharmacists etc…

• Encourage non-pharmaceutical options (exercise, diet, etc…)

• Educate patients– Proper use of medications– Proper disposal of medications

• American Council for Drug Education

http://www.acde.org/health/Default.htm • Facts for Health

Professionals is intended to support the efforts that doctors, nurses, therapists, counselors and other members of the health care community make to help individuals and families wrestle with substance use, abuse and dependence.

• Michigan Department of Community Health, Office of Drug Control Policy http://www.michigan.gov/odcp

A source to stay current on all Michigan health initiatives.

• American Medical Association http://www.ama-assn.org/

Resource for current medical issues for physicians and other medical professionals.

• Searchable policies from the American Academy of Pediatrics http://aappolicy.aappublications.org/

• Also see the General Resources Links for other helpful medication abuse related links and documents.

General Resources

• Involved in lives of children/teens

• Contact with other parents

• Responsible for health and well-being of their child

• Most influential people in their children’s lives

• Influence child/teen attitude toward drugs

• Medication rules and storage/disposal at home

• Personal medication attitudes and actions

• Model appropriate behavior

• Family consequences

• Five Moms http://www.fivemoms.com/ Five moms is a website consisting of a pediatric nurse practitioner, an accountant, a D.A.R.E. officer, an educator, and an author—from different backgrounds and from all over the country. They have come together with a common concern: teenagers abusing cough medicine to get high.

• FDA United States Food and Drug Administration www.fda.gov/medsinmyhome

Interactive education for parents wanting to learn more about prescription drug abuse.

• Also see the General Resources Links for other helpful medication abuse related links and documents.

General Resources

• Ability to influence an avenue of drug availability

• Escort other people into homes where medicine may be available for theft

• Eliminate access to prescription drugs during open houses via education of home sellers

• Monitor people coming in and out of home

• Resources specific to this group are limited

• Prevention Professionals are the best resource for this group:– Educate realtors about the dangers of Open

Houses in relation to drug theft• Hide or remove all prescription medications from

the house before opening it to the public– The Owners can take the medication with them or lock

them in a safe, at minimum place them in an area where they can not easily be stolen

• A guide to selling your home includes prescription drug information http://realestate.msn.com/selling/article.aspx?cp-documentid=510890

• Also see the General Resources Links for other helpful medication abuse related links and documents.

General Resources

• They can offer insight and experience to local substance abuse coalitions

• They can provide information to law enforcement, and report suspicious activity– Observing purchasing patterns

• Access to substances– Minors/Adults purchasing or stealing OTC

medications– Fraudulent prescriptions

• Education to pharmacists and clerks

• Encourage responsible retail practices/policies

• American Pharmacists Association http://www.pharmacist.com/am/template.cfm?Section=Home2

• Also see the General Resources Links for other helpful medication abuse related links and documents.

General Resources

• Direct contact with youth– Ability to observe behaviors and see changes

in attitudes– Ability to change and modify education

curriculum

• Indirect and direct contact with parents

• Also see Athletes and Coaches Section

• Policies and rules– Set zero tolerance policies for medication

abuse– Prescription drug management for students

who are on medications– Enforcement of policies

• Observe and make referrals for treatment and education

• Resources available in the schools– Individual Education Plans (IEP)– School Nurse– School Liaison Police Officer– Employees who administer the medications

• Guide for setting a school drug policy http://www.wiredforhealth.gov.uk/PDF/school_drug_policy_review_04.pdf

From the United Kingdom.

• An example of medication policy from Edina Public Schools http://www.edina.k12.mn.us/support/healthservices/medication.htm

• American Academy of Pediatrics guidelines for administering medications to students for physicians and school administrators http://aappolicy.aappublications.org/cgi/content/full/pediatrics;112/3/697

• Also see the General Resources Links for other helpful medication abuse related links and documents.

General Resources

• The resources found in this section of the guide can be used to increase awareness of the scope of prescription drug abuse trends and problems.

• This section contains resources with broad overviews of the topic that are not population specific.

• Prescription drug abuse chart from NIDA

List of commonly used and abused prescription drugs. Click on picture to view pdf.

http://www.nida.nih.gov/PDF/PrescriptionDrugs.pdf

• NIDA Research Report: Anabolic Steroid Abuse

8 page report from the National Institute on Drug Abuse (NIDA). Click on picture to view pdf.

• NIDA Info Facts: Prescription Pain and Other Medications

8 page report on different classes of medications and their effects. Click on picture to view pdf.

• NIDA Research Report: Prescription Drugs Abuse and Addiction.

12 page report from the National Institute on Drug Abuse. Click on picture to view pdf.

• ACDE – American Council for Drug Education. http://www.acde.org/common/Oxy.pdf

Fact Sheet about Oxycontin.

• American Council for Drug Education http://www.acde.org/

Great site for Health Professionals, Youth, Parents, College Students, Educators and Employers.

• Prescription Drug Abuse http://www.prescription-drug-abuse.org/

Dedicated to the treatment of addictions, specifically addiction to and the abuse of prescription drugs. Provides information and treatment resources for all types of addictions.

• United States White House http://www.whitehousedrugpolicy.gov/drugfact/prescr_drg_abuse.html

National response and resources for prescription drug abuse prevention.

• National Alliance for Model State Drug Laws http://www.natlalliance.org/prescription_drug.asp Since its inception, NAMSDL has assisted states with efforts to address the diversion of, abuse of, misuse of, and addiction to prescription drugs. In fiscal year 2003, the Drug Enforcement Administration and the Bureau of Justice Assistance designated NAMSDL as the technical assistance provider for the Harold Rogers Prescription Drug Monitoring Program.

• StopMedicineAbuse.org http://www.stopmedicineabuse.org/2007/index.php

Developed by the leading makers of OTC cough medicines to explain this substance abuse behavior, provide tips to prevent it from happening, and encourage all parents to safeguard their medicines.

• Michigan Department of Community Health, Office of Drug Control Policy http://www.michigan.gov/odcp

A source to stay current on all Michigan health initiatives.

MEDICATION ABUSE PRESS KIT Example • Inclusions:

– Press release (for local event)– If relevant, a recent (local) magazine article on the issue– Newsletter article samples– Factual information:

• Brochure(s) from sources referenced previously • National fact sheet (NSDUH and most current Monitoring the Future results)

– Local fact sheet (statistics, anecdotal data) – adapt from CADCA Toolkit press release

– NIDA laminated (prescription) drug chart– Federal Guidelines on Proper Disposal of medicines– Web resources page, including key websites for further information

• (for media and for the general public reached by this media market, ie, CHPA, theantidrug, fivemoms, Painfully Obvious, CADCA.)

– Local coalition information - contact/entity name, address, telephone number(s), fax number, web address, e-mail