november 29, 2010 (cashman)
DESCRIPTION
This presentation was created by SS/A Kevin CashmanMaine Drug Enforcement Agency, Cumberland District Task Force for the 11/29/10 CADCA town hall meeting.TRANSCRIPT
Prescription drug diversion, Prescription drug diversion, abuse and distribution…abuse and distribution…
Maine’s very own epidemicMaine’s very own epidemic
Who in the world is “MDEA”?Who in the world is “MDEA”? Maine’s statewide drug task force. Maine’s statewide drug task force. Investigate domestic, interstate and international Investigate domestic, interstate and international
drug offenses.drug offenses. All agents are assigned by local, county and state All agents are assigned by local, county and state
agencies to one of MDEA’s 8 district task forces.agencies to one of MDEA’s 8 district task forces.
Classes of Prescription DrugsClasses of Prescription Drugs
OpioidsOpioids Treatment of painTreatment of pain
CNS depressants CNS depressants Treatment for anxiety and sleep disordersTreatment for anxiety and sleep disorders
StimulantsStimulants Treatment for attention-deficit hyperactivity Treatment for attention-deficit hyperactivity
disorder (ADHD), Narcolepsy and obesitydisorder (ADHD), Narcolepsy and obesity
Most Commonly AbusedMost Commonly Abused MethadoneMethadone SuboxoneSuboxone OxycodoneOxycodone
OxyContin / Tylox / OxyContin / Tylox / PercocetPercocet
PropoxyphenePropoxyphene Darvon / DarvocetDarvon / Darvocet
HydrocodoneHydrocodone VicodinVicodin
HydromorphoneHydromorphone DilaudidDilaudid
MDEA StatisticsMDEA Statistics 2005: 5,853 pills with 167 arrests (27%)2005: 5,853 pills with 167 arrests (27%)
2006: 6,258 pills with 148 arrests (26%)2006: 6,258 pills with 148 arrests (26%)
2007: 8,605 pills with 149 arrests (25%)2007: 8,605 pills with 149 arrests (25%)
2008: 10,605 pills with 259 arrests (39%)2008: 10,605 pills with 259 arrests (39%)
2009: 21,661 pills with 351 arrests (42%)2009: 21,661 pills with 351 arrests (42%)
YTD 2010: 34,603 pills with 294 arrests (43%)YTD 2010: 34,603 pills with 294 arrests (43%)
Hardest HitHardest Hit
Problem took root in the mid 1990’s in Down Problem took root in the mid 1990’s in Down East Maine – specifically Washington CountyEast Maine – specifically Washington County
Migrated first into Aroostook County and has Migrated first into Aroostook County and has progressively worked south from there to have progressively worked south from there to have a significant impact throughout Mainea significant impact throughout Maine
Methods of ingestionMethods of ingestion
Crush and snortCrush and snort Dilute and inject intravenouslyDilute and inject intravenously SmokeSmoke
How it gets to the street…How it gets to the street…
Pharmacy DiversionPharmacy Diversion Internet sales Internet sales Doctor ShoppingDoctor Shopping Southern New EnglandSouthern New England Maine/Canada BorderMaine/Canada Border * Florida “pain clinics* Florida “pain clinics””
HeadlinesHeadlines
Pain-clinic crackdown gains tractionPain-clinic crackdown gains traction
October 26, 2010 12:05 AMOctober 26, 2010 12:05 AM DAYTONA BEACH -- As tough South DAYTONA BEACH -- As tough South
Florida laws push more pain-management Florida laws push more pain-management clinics into this part of the state, a clinics into this part of the state, a governmental advisory group is beginning a governmental advisory group is beginning a movement to get Volusia County's cities to movement to get Volusia County's cities to toughen local laws so the clinics don't get out toughen local laws so the clinics don't get out of control here.of control here.
More HeadlinesMore Headlines
Physician with Jacksonville clinic sentenced to Physician with Jacksonville clinic sentenced to 9 years over prescription drugs 9 years over prescription drugs
Prosecutors lay out case against brothers who Prosecutors lay out case against brothers who run cash-only pain clinicsrun cash-only pain clinics
Florida's New Pill Mill Law Now In EffectFlorida's New Pill Mill Law Now In Effect
OxyContin PricesOxyContin Prices
StrengthStrength Street PriceStreet Price
20 mg20 mg $30$30
40 mg40 mg $50 - $60$50 - $60
80 mg80 mg $100 to $120$100 to $120
Maine LawMaine Law
Acquiring by deception (1108 and Title 32)Acquiring by deception (1108 and Title 32) Stealing drugsStealing drugs Possession (felony for some)Possession (felony for some) FurnishingFurnishing TraffickingTrafficking Aggravated TraffickingAggravated Trafficking
DRUG ENDANGERED DRUG ENDANGERED CHILDRENCHILDREN
DHHS REFERRALSDHHS REFERRALS
MDEA Agents are making referrals to MDEA Agents are making referrals to DHHS child protective services at least DHHS child protective services at least once per week, on average.once per week, on average.
Safety of childrenSafety of children Neglect and abuse are far too Neglect and abuse are far too
commoncommon
InitiativesInitiatives
Communication and collaboration with Communication and collaboration with prevention groupsprevention groups
Cost sharing for prevention / educationCost sharing for prevention / education Communication with providersCommunication with providers Public Health and Public Safety InitiativePublic Health and Public Safety Initiative
Congressional funding for 2 yearsCongressional funding for 2 years Integration and communicationIntegration and communication
Mail Back - Program ModelMail Back - Program Model
Program Participants
Secure delivery to Maine Drug Enforcement Agency
Envelopes received, logged, catalogued and destroyed under MDEA custody
Program successProgram success
20,000 mailers available through statewide 20,000 mailers available through statewide network of participating pharmacies and network of participating pharmacies and partnering sites (approx. 150 sites)partnering sites (approx. 150 sites)
Program open to individuals of all agesProgram open to individuals of all ages Funding in place through 2011Funding in place through 2011 No expansion or new sites at this point in timeNo expansion or new sites at this point in time >9,500 mailers and 4,500 pounds collected >9,500 mailers and 4,500 pounds collected
YTD since October 2009.YTD since October 2009.
National Drug Take BackNational Drug Take Back
StateState Pounds Pounds Connecticut 5050Connecticut 5050 Massachusetts 8550Massachusetts 8550 Maine 7820Maine 7820 New Hampshire 2479New Hampshire 2479 Rhode Island 784Rhode Island 784 Vermont 1127Vermont 1127 Totals 25,810 Totals 25,810
Community Community
Change in attitude regarding prescription Change in attitude regarding prescription drugs vs. illicit drugsdrugs vs. illicit drugs
Provider peer pressure and support Provider peer pressure and support